Slidedeck for presentation at NUS CDTL TEL2013 symposium, Oct 7, 2013 http://cdtl.nus.edu.sg/tel2013/

1. Building
an
online
repository
of
teaching
resources
to
facilitate
consistent
and
good
quality
teaching
of
postgraduates
and
undergraduates
in
medicine
–
a
preliminary
report
Dr
Goh
Poh
Sun
MB,BS(Melb),
FRCR,
FAMS,
MHPE(Maastricht)
Associate
Professor
and
Senior
Consultant
Department
of
DiagnosFc
Radiology
NaFonal
University
Hospital
NaFonal
University
Health
System
Singapore

2. Conclusions
• An
online
case
repository
of
teaching
resources
supports
undergraduate
and
postgraduate
teaching
and
learning
in
radiology.
• A
new
iniFaFve
to
build
an
insFtuFon
wide
case
repository
has
the
potenFal
to
have
a
wider
significant
impact
in
medical
educaFon.

3. The
following
are
the
feedback
from
reviewers
with
regard
to
the
extended
abstract
(ID:
063):
•
Abstract
needs
to
focus
why
this
is
different
from
other
online
medical
repositories
which
might
be
FREE.
•
What
next
for
this
repository?
What
are
the
unique
features
of
this
repository
other
than
the
contents?
•
It
would
be
good
if
some
findings
on
the
use
of
the
repository
be
shared
–
e.g.
how
the
repository
has
impacted
students’
learning.

4. Why
this
iniFaFve
is
different?

5. ThemaFc
Experience
Stroke
and
Mimics

6. Use
of
repository,
impact
on
learning

7. Over
40,000
Page
Views
Over
2
Years

8. Residents
Report
That
SystemaFc
Review/Deliberate
PracFce
With
Theme
based
Cases
Significantly
Increases
Their
Confidence
in
both
EMD,
and
day
to
day
Neuroradiology
ReporFng
This
is
Supported
by
Actual
Day
to
Day
Clinical
Performance
Assessment
by
Supervising
Radiologists
(paper
in
dra`
revision)

9. What
next?
CaseBasedLearning@NUHS
Learning@NUHS
CurriculumMapping@NUHS

11. Mastery
Training
in
Radiology
–
Use
in
the
Diagnosis
and
Management
of
Acute
Ischaemic
Stroke
on
CT
Scan
Dr
Goh
Poh
Sun
MBBS(Melb),
FRCR,
FAMS,
MHPE(Maastricht)
Department
of
DiagnosFc
Radiology
NaFonal
University
Hospital
NaFonal
University
Health
System
Singapore

12. Pre-­‐Test
(2
parts
–
diagnosis
and
management)
1. Acute
/
Hyperacute
Infarct
on
CT
(range
of
cases),
admit/thrombolyse
2. Look-­‐alikes
of
acute
CVA
eg.
Tumour,
EncephaliFs,
admit/treat
3. Subacute/Chronic
Infarct,
consider
outpaFent
follow
up
Learning,
followed
by
Deliberate
PracFce
+
Feedback
Fail
Pass
Post-­‐Test
(2
parts
–
diagnosis
and
management)
1. Acute
/
Hyperacute
Infarct
on
CT
(range
of
cases),
admit/thrombolyse
2. Look-­‐alikes
of
acute
CVA
eg.
Tumour,
EncephaliFs,
admit/treat
3. Subacute/Chronic
Infarct,
consider
outpaFent
follow
up
Standard
sefng
by
panel
of
radiologists,
and
neurologists
using
online
repository

13. References
• hgp://meded.ucsf.edu/radme/medical-­‐
educaFon-­‐expert-­‐william-­‐mcgaghie-­‐address-­‐
ucsf-­‐simulaFon-­‐based-­‐medical-­‐educaFon
• hgp://www.royalcollege.ca/portal/page/
portal/rc/common/documents/events/icre/
2012proceedings/
competency_based_residency_educaFon/
mastery_learning_of_clinical_skills.pdf

19. 2013
AssociaFon
for
Medical
EducaFon
in
Europe
Annual
Conference,
Prague
PS
Goh.
An
online
case
repository
facilitates
radiology
residency
training
and
evaluaFon
of
educaFon
theory,
can
potenFally
shorten
duraFon
of
training,
and
aid
mastery
training
-­‐
a
follow
up
report
2012
AssociaFon
for
Medical
EducaFon
in
Europe
Annual
Conference,
Lyon
PS
Goh.
An
online
repository
facilitates
radiology
residency
training
and
evaluaFon
of
educaFon
theory
2011
AssociaFon
for
Medical
EducaFon
in
Europe
Annual
Conference,
Vienna
PS
Goh,
G
Sundar,
C
Tan,
ME
Nga,
TP
Thamboo,
S
Amrith.
CreaFon
and
Use
of
An
Online
MulFspecialty
Case
Repository
and
Its
MulFple
Uses
for
Specialist
Training.
2009
AssociaFon
for
Medical
EducaFon
in
Europe
Annual
Conference,
Malaga
PS
Goh,
J
Tam.
Deliberate
distributed
pracFce
with
paired
and
mixed
examples
is
an
efficient
and
effecFve
method
to
learn
key
abnormaliFes
on
the
CXR
2010
7th
Asia
Pacific
Medical
EducaFon
Conference,
Singapore
PS
Goh,
J
Tam.
Applying
deliberate
pracFce
to
chest
radiology
teaching
–
further
work
with
undergraduates
and
experience
with
postgraduates
8th
Asia
Pacific
Medical
EducaFon
Conference,
Singapore
PS
Goh.
Deliberate
PracFce
Using
Paired
and
Mixed
Examples
of
Imaging
AbnormaliFes
on
the
CXR
is
more
effecFve
and
efficient
for
postgraduate
training
compared
with
tradiFonal
methods
6th
Asia
Pacific
Medical
EducaFon
Conference,
Singapore
PS
Goh,
J
Tam.
ApplicaFon
of
EducaFonal
Theory
Regarding
Teaching
for
Skill
Transference
for
Chest
Radiograph
InterpretaFon
in
Undergraduate
EducaFon
and
Training
2008
AssociaFon
for
Medical
EducaFon
in
Europe
Annual
Conference,
Prague
PS
Goh
EvaluaFon
of
a
Radiology
eLearning
program
–
key
factors
contribuFng
to
success

20. EducaFonal
Sefng
–
Radiology
Department,
Postgraduate
Training
30
Consultants
–
30
Residents
in
Training

21. Current
Digital
/
Online
Teaching
and
Learning
Case-­‐Based
Cases

22. Online
Digital
Repository
and
Examples
of
Its
MulFple
Uses

24. ThemaFc
Experience
Stroke
and
Mimics

25. Short
Theme
Based
InstrucFonal
Video
PresenFng
Unknown
Cases
or
Cases
with
AnnotaFons
and
Answers

26. Visual
ThemaFc
Index
–
Stroke
and
Mimics
à
So
you
teach,
have
designed
an
Evidence
Based/Literature
Supported
Curriculum
and
ProgrammaFc
Assessment
Strategy
…
Now
show
me
what
you
actually
teach
“with”,
and
what
you
assess
“on”
…
Range
…
Breadth
and
Depth

27. Text
based
Hyperlinked
Case
Index

28. For
rare
condiFons
Hyperlinking
to
other
Online
Repositories
www.ajnr.org

29. www.eurorad.org

30. Not
just
confined
To
Radiology
Examples
www.nejm.org

31. Imagine
the
teaching
and
learning
possibiliFes
with
1000s
of
cases
in
eBook
format
on
(internet
enabled)
tablets
/
smartphones
Imagine
if
the
cases
can
be
selected,
grouped
and
reordered
to
fit
any
learning
or
teaching
purpose
IllustraFon
examples
from
“Apple”
and
“Samsung”
Company
websites

32. More
examples
of
scholarship
potenFal
–
ThemaFc
eBook
Chapters

34. Conclusions
• An
online
case
repository
of
teaching
resources
supports
undergraduate
and
postgraduate
teaching
and
learning
in
radiology.
• A
new
iniFaFve
to
build
an
insFtuFon
wide
case
repository
has
the
potenFal
to
have
a
wider
significant
impact
in
medical
educaFon.

35. Advantages
of
online
case
repositories
• For
Tutors
– Online
repository
facilitates
access
– Unannotated
case
images
give
greatest
flexibility
for
repurposing
and
different
educaFonal
usage
– URL
linkage
for
each
case
allows
easy
incorporaFon
of
case
material
on
websites,
blogs
etc.
(this
addresses
the
issue
of
copyright
à
use
a
hyperlink,
similar
to
a
citaFon
in
tradiFonal
academic
publicaFon)
• For
Residents
– Online
case
repositories
can
be
an
efficient
method
for
reviewing
many
cases
– Facilitates
personalized,
customized
self-­‐directed
or
guided
learning

36. Problems
Using
RLO
Approach
• Formalizing
System
and
Procedures
for
Regular
SystemaFc
CollecFon
of
RLOs
• Quality
control
and
peer
review
• Metadata,
tagging,
labeling
and
finding
resources,
and
ensuring
paFent
confidenFality/anonymity
• Lack
of
awareness
in
academic
culture
–
uFlizaFon
and
sharing
• Reluctance
to
make
unpublished
teaching
material
publicly
available
• Lack
of
reward
systems
and
recogniFon
– Koppi,
Bogle
&
Bogle,
2005

37. Take
Advantage
of
Regular
Clinical
AcFviFes
as
Source
of
RLOs
• Day
to
day
work
à
SystemaFc
Case
collecFon
(annotated
in
PACS,
or
use
of
mobile
phone
camera
and
online
repositories)
• Weekly
clinical
case
audits
(5%)
à
Good
examples
of
normal
and
discrepancies
used
for
teaching
and
self
directed
learning
• Weekly
clinical-­‐radiology-­‐pathology
rounds
à
case
material
reused
for
residency
self
directed
learning
or
assessment

38. Thank
you