2. Common Themes
• Didactic least effective
• Need to be reflective
• Adult learner needs to understand what
they are doing
• Self directed
• Multi-Dimensional is optimal
Raza A, Coomarasamy A, Khan K. Best evidence continuous medical education.
Arch Gynecol Obstet. 2009; 280: 683-687.
Fosetlund L, Bjorndal A, Rashidian A., et al. RContinuing education meetings an
workshops: effects on professional practice and health care outcomes (review).
Cochrane Collaboration. 2009; 1: 1-95.
3. Adult Learning: Hallmarks
Mezirow Sohn
• Habitual Action • Knowing in action
• Understanding • Recognizing surprise
• Reflection • Reflection in action
• Critical Reflection • Experimentation
• Reflection on action
Dunn L, Musolino GM. Assessing Reflective Thinking and Approaches to
Learning. J Allied Health. 2011; 40: 128-136.
4. Adult Learning: Miller
“Knows”
“Knows How”
“Shows How”
“Does”
How do we get to the does?
Can the web help get to the does?
Akaike M, Fukutomi M, Nagamune M., et al. Simulation based medical
education in clinical skills laboratory. J. Med. Invest. 2012; 59: 28-35
Miller GE: The assessment of clinical skills/competence/performance. Acad
Med. 1990; 65: S63-67
5. Davis DA, Prescott J, Fordis M, et al.
Rethinking CME: An imperative for academic medicine and faculty
development. Academic Medicine. 2011: 86; 468-473
Tech/Web?
6. Adult Matrix of Web Learning
Boulos M, Maramba I, Wheeler S. Wikis, blogs and podcasts: a new
generation of Web-based tools for virtual collaborative clinical practice and
education. BMC Med Educ. 2006; 15: 41.
7. Since…2008
• Wikis: Not aware of a wiki for PTs
• Social Networks: There are no specific Social
Networks for PTs.
– Still the case
• Podcasts: Used in remote locations where
continuing education is not easily accessible
• We have come a long way
• We have many avenues to learn
Barsky E, Giustini D. Web 2.0 in Physical Therapy: A Practical Overview.
Physiotherapy Canada. 2008; 60: 207-214.
8. Best Evidence
• Interactive better than Didactic
• E-learning
– Improved change in practice
• Ideal
– Interactive and integrated
– Reflective
– Identifies gaps in knowledge, performance
Raza A, Coomarasamy A, Khan K. Best evidence continuous medical
education. Arch Gynecol Obstet. 2009; 280: 683-687.
9. The Internet
• Technology can redefine “Together”
• New methods to enhance the learning
experience
• Reflection
– Something about being
in front of a computer(?)
Chipchase L, Johnston V, Long P. Continuing professional
development: The Missing Link. Man Ther. 2012; 17: 89-91
10. The Internet
• “Augmenting the opportunity for
interpersonal interaction mediated through
technologies.”
• “Wikis, blogs, podcasting, vodcasting and
the advent of cheaper better supported
mobile, personal technology makes
learning anytime, anyplace more
acheivable.”
Chipchase L, Johnston V, Long P. Continuing professional
development: The Missing Link. Man Ther. 2012; 17: 89-91
11. APTA: Professional Development
• Creating, ANTICIPATING, …
– Technology as an important medium to learn
– PT cannot fall behind
• Generated from outcome measures
– What is out there?
– How do we measure this?
12. Internet
• TRIARQ
– http://www.triarq.com/
• LinkdIn
– Discussions example
– http://www.linkedin.com/groups/TRIARQ-Physician
• Video Examples
– http://youtu.be/-JlWHqartEM
13. Personal Experience
• Texas Tech University
(ScD Orthopedic Physical Therapy)
– Modules
– Readings
– Search for literature
– Discussion
– Class on site
– Interactive and Didactic
14. Challenges
• Reliance on the web/electronic medium
• Deadlines
• Lack of formal mentorship
• Travel
• Cost
• Transition
• Online learning experience
15. Positive Outcomes
• Become even more self directed
• Become a “producer”
• Reflection
• Feedback
• Network of learners
• Varying backgrounds
• Move to the “Does” quicker (SHU OPTRP)
16. Other’s Experience 1
Can you write up your thoughts on this topic? Specifically:
-What program did you / are you in? SUNY Upstate Medical tDPT
-How you liked the distance learning, Suited my needs well.
-How it was like juggling school, travel, your job, your family,
Very difficult. Involved significant personal sacrifice.
-Pros: Advanced degree, enhanced learning, networking-new peers.
-Cons: significant personal sacrifice.
-Suggestions for others thinking about doing what you did.
` If have a family-need supportive family, plan ahead, brush up on time-
management skills.
-Cost effectiveness SUNY best bargain
-What you most gained. Education.
Please score the following (0=not satisfied , 5= Extremely Satisfied)
• Scale 0-5
• Workload = 3
• Cost = 5
• Faculty = 3
• Overall satisfaction = 3
17. Other’s Experience 2
Can you write up your thoughts on this topic? Specifically:
-What program did you / are you in?
University of St. Augustine, CMT
Will transition to t-DPT
-how you liked the distance learning,
Most convenient for my working schedule
-how it was like juggling school, travel, your job, your family,
Very difficult (as you can tell by my late responses). There are tons of things on my
plate and there often is the case where I have to sacrifice time somewhere in order to
accomplish something else
-Pros: convenient, can do work at home and at own pace
-Cons: no immediate feedback, limited visual cues
-suggestions for others thinking about doing what you did
Time has to be plotted out before you start any venture
-cost effectiveness
No different than matriculation
-what you most gained
Please score the following (0=not satisfied , 5= Extremely Satisfied)
• Workload 3
• Cost 3
• Faculty 4
• Overall satisfaction 4
18. Courses 5 year
• Clinical Reasoning
– Vs. Guruism, “Experts”
• Accredited Program
– Fellowship or PhD
• “Teach you how to become Producers”
• What AND Why?
