Mobile case-based learning in Paediatrics

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Mobile case-based learning in Paediatrics

• Dr Karen Scott
• Lecturer, Education
• Discipline of Paediatrics and Child Health
• The Childrens Hospital at Westmead Clinical
  School

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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

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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

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Background Self-directed learning

• 2008 research - online formative assessment
• Open vs closed questions
• Self-directed learning
• Engaged enquiry / Professional learners
• MacLean et al. (2011)

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Background Clinical attachments

• 2008-9 research - student expectations
• experience
• Clinical attachments
• Ways of learning
• Scott et al. (in press)

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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

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Challenge Privacy

• Camera
• Web-enabled
• Social media

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Aim

• Mobile case-based learning scenarios
• Engage
• Flexible access
• Resources for learning at the patient bedside

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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, 201213
• Review 2 cases (pyloric stenosis febrile
  seizures)
• 7 emergency medicine modules

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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

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Format Clinical reasoning
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Integrated resources
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Formative assessment
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Introductory quiz
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Scoring
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Evaluation

• 111 students - semester 1, 2011
• 97 response rate
• Survey - quantitative qualitative
• Koulias et al (2012)
• Scott et al (2010)

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Answered questions, read explanations
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Used on clinical attachments
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• I just wanted to say thank you-- I have been
  doing the self-directed 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.

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Following steps

• Use of mobile devices in hospital settings
• Learning teaching
• Ethics, etiquette, technology security
• Culture of clinical teaching environment

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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 Multi- disciplinary 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.

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Acknowledgements

• Sydney eLearning
• A/Prof Sandra West
• Dr Jo Lander
• Melinda Lewis
• Apple

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• Thank you
• Questions?
• karen.scott_at_sydney.edu.au