Mobile case-based learning in Paediatrics
Dr Karen Scott
Lecturer, Education
Discipline of Paediatrics and Child Health
The Children’s Hospital at Westmead Clinical School
Discipline of Paediatrics & Child Health
Sydney Medical School
Context: Paediatrics
• Problem-based learning - years 1 & 2
• 8 week term – year 3/4:
– 85 students x 4
– 2 lecture weeks + 5 clinical weeks
– Tutorials: medical bedside, clinical reasoning,
surgical
– Exam week: all paediatric content
Discipline of Paediatrics & Child Health
Sydney Medical School
Background: Medical Program
• 2007-8 Sydney Medical Program review:
–
–
–
–
Change in structure of Year 1
3 Paediatric problem-based learning cases moved
Existing web-based cases: open questions
2 paediatric self-directed cases
Discipline of Paediatrics & Child Health
Sydney Medical School
Background: Self-directed learning
• 2008 research - online formative assessment:
– Open vs closed questions
– Self-directed learning
– Engaged enquiry / “Professional learners”
MacLean et al. (2011)
Discipline of Paediatrics & Child Health
Sydney Medical School
Background: Clinical attachments
• 2008-9 research - student expectations &
experience:
– Clinical attachments
– Ways of learning
Scott et al. (in press)
Discipline of Paediatrics & Child Health
Sydney Medical School
Discipline of Paediatrics & Child Health
Sydney Medical School
Mobile learning
“Learning that used to be delivered ‘just-in-case’ can
now be delivered ‘just-in-time’, ‘just enough’ and
‘just-for-me’. [The focus is ] finding information
rather than possessing it or knowing it”.
Traxler 2007
Discipline of Paediatrics & Child Health
Sydney Medical School
Challenge: Privacy
• Camera
• Web-enabled
• Social media
Discipline of Paediatrics & Child Health
Sydney Medical School
Aim
Mobile case-based learning scenarios:
– Engage
– Flexible access
– Resources for learning at the patient bedside
Discipline of Paediatrics & Child Health
Sydney Medical School
Development process
• Stage 1, 2008-9:
– Pilot case (anorexia nervosa) + evaluation
• Stage 2, 2010:
– Review + 2 cases (rubella; in-born error of metabolism)
+ evaluation in 2011
• Stage 3, 2012–13:
– Review + 2 cases (pyloric stenosis; febrile seizures)
+ 7 emergency medicine modules
Discipline of Paediatrics & Child Health
Sydney Medical School
Project team
• Paediatrics & Child Health:
– Dianne Campbell, Meg Phelps, Anne Morris,
Hasantha Gunasekera & Karen Scott
• Sydney Medical School:
– Daniel Burn
• Sydney eLearning:
– Marianna Koulias, Sharon Kitching, Jo Lockwood &
Pamela Bramas
Discipline of Paediatrics & Child Health
Sydney Medical School
Format: Clinical reasoning
Discipline of Paediatrics & Child Health
Sydney Medical School
Discipline of Paediatrics & Child Health
Sydney Medical School
Integrated resources
Discipline of Paediatrics & Child Health
Sydney Medical School
Formative assessment
Discipline of Paediatrics & Child Health
Sydney Medical School
Introductory quiz
Discipline of Paediatrics & Child Health
Sydney Medical School
Scoring
Discipline of Paediatrics & Child Health
Sydney Medical School
Evaluation
• 111 students - semester 1, 2011
• 97% response rate
• Survey - quantitative & qualitative
Koulias et al (2012)
Scott et al (2010)
Discipline of Paediatrics & Child Health
Sydney Medical School
Answered questions, read explanations
90
80
70
60
50
Other brand (n=26)
iPad/iPod/iPhone (n= 54)
40
No device –used desktop computer? (n=28)
30
20
10
0
strongly agree / agree
neither agree nor disagree
disagree/strongly disagree
Discipline of Paediatrics & Child Health
Sydney Medical School
Used on clinical attachments
80
70
60
50
Other brand (n=26)
40
iPad/iPod/iPhone (n= 54)
No device –used desktop computer? (n=28)
30
20
10
0
strongly agree / agree
neither agree nor disagree
disagree/strongly disagree
Discipline of Paediatrics & Child Health
Sydney Medical School
“I just wanted to say thank you-- I have been doing the selfdirected cases all weekend and they're WONDERFUL.
Would that every other block could be taught like
paediatrics! I even did some cases while out camping
thanks to the mobile cases”.
Discipline of Paediatrics & Child Health
Sydney Medical School
Following steps
•
•
•
•
Use of mobile devices in hospital settings
Learning & teaching
Ethics, etiquette, technology & security
Culture of clinical teaching environment
Discipline of Paediatrics & Child Health
Sydney Medical School
References
Koulias M, Leahy G, Scott KM, Phelps M & Campbell D (2012) "Wherever, whenever" learning in
Medicine: Evaluation of an interactive mobile case-based project. Proceedings, Future
Challenges | Sustainable Futures Australian Society for Computers in Learning in Tertiary
Education (ascilite) conference, 25th – 28th November 2012, Wellington, New Zealand.
Scott KM, Kitching S, Burn D, Koulias M, Campbell D & Phelps M (2010) Wherever, whenever
learning in medicine. In C. Steel, M.J. Keppell & P. Gerbic, (Eds.) Curriculum, technology
& transformation for an unknown future. Proceedings, ascilite conference, 6 – 7 December
Sydney 2010.
MacLean JE, Scott KM, Marshall T & Van Asperen P (2011) Evaluation of an elearning teaching
resource: What is the medical student perspective? Focus on Health Professional
Education: A Multi-disciplinary Journal, 13, 2: 53-64.
Scott KM, Barrett J, Cheetham V, McCallum Z, Barzi F & Phelps M. (in
press) Mismatch
between medical student expectations and
experiences: Student over-entitlement or
medical programs
needing reform? Focus on Health Professional Education: A Multidisciplinary Journal .
Traxler, J (2007) Defining, Discussing and Evaluating Mobile Learning: The moving finger writes
and having writ. The International Review of Research in Open and Distance
Learning, 8.
Discipline of Paediatrics & Child Health
Sydney Medical School
Acknowledgements
Sydney eLearning
A/Prof Sandra West
Dr Jo Lander
Melinda Lewis
Apple
Discipline of Paediatrics & Child Health
Sydney Medical School
Thank you
Questions?
karen.scott@sydney.edu.au
Discipline of Paediatrics & Child Health
Sydney Medical School