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26/11/2008




                                         Acknowledge
                                               25 november 2008




Geert Thienpont    geert.thienpont@ramit.be
Pascal Coorevits   pascal.coorevits@ramit.be




     RAMIT vzw
     TeleTendo & the eTesting Application
     Radiology
     Contribution to the Acknowledge project
     TeleTendo – Acknowledge PoC




TOC




                                                                          1
26/11/2008




 "Research in Advanced Medical Informatics and Telematics"

 Non for profit association, established with the help of the Ghent University.

 85 National and International R&D projects in both the framework of EU-
 Research Programmes (DG Enterprise, DG Information Society and DG
 Research) and of national R&D Programmes.

 five spin-offs
      spin-offs.

 Multidisciplinary staff: medical doctors, engineers, informaticians, statisticians.

 The membership of RAMIT is restricted. President is Prof Dr Georges J.E. De
 Moor and Directors are, amongst others, the Rector of the University and the
 Dean of the Faculty of Medicine (qualitate qua).

 RAMIT was from 1991 until 1996 in charge of Chairmanship and Technical
 Secretariat of CEN/TC 251.




RAMIT vzw




 eHealth

 Electronic Healthcare Record
 ◦   Quality labelling
 ◦   Interoperability
 ◦   Archetypes
 ◦   …
 Decision Support systems
 Electronic Health Data interchange,
 Security & Privacy
 Natural Language Processing in healthcare
 eLearning and eTesting in medicine
 eHome monitoring
 Telematics Standards for the Healthcare sector.
 Medical Statistics




Recent R&D activities




                                                                                               2
26/11/2008




      TeleTendo is an initiative that mainly
      focuses on eTesting
      It is all about questions
      To be solved by the learner
      2000




  TeleTendo eTesting application




  Test-based Learning


              Users need
            to take actions
                                                           Any domain & level

                               Support different
                                  languages                                     Easy to maintain
 Internet




On-line, Interactive, Multilingual and Multi-disciplinary Electronic
Tests, supported by a central Repository of Multimedial Questions.


                                        Availability and                        Atomic learning
 Tests – questions – answers              re-usability                              object
     feedbacks - reports


                                                             Images, sound, movies




                                                                                                           3
26/11/2008




       Test   a set of questions

              e.g.: a drivers licence exam
                      a test-based learning session in medical imaging
                                          g                       g g




          Questions           a multimedia question which is part of a
                              test and eventually linked to answers
                              and/or feedback




       Category       a coherent set of questions belonging to a certain
                      domain or to a well-defined application




 Assets question:
 ◦ Introduction
      Textual, multimedia
      (movie, sound, image, flash, case)
 ◦ Question / instruction
 ◦ Answering zone
   (options, interaction with multimedia)
 Assets feedback
 ◦   Score
 ◦   Correct answer
 ◦   Informative Feedback
 ◦   Hyperlinks

Questions as an atomic learning
object




                                                                                   4
26/11/2008




  e-Learning and self-assessment
  Examinations
  Measuring (initial) knowledge and profiling the
  user:
  ◦   Pupils
  ◦   Employees & Job applicants
                   Job-applicants
  ◦   Researchers & Teachers
  ◦   …

  Continuous progress follow-up
  e-Detailing campains
  Electronic polls and surveys
  Product training



TeleTendo is being used for




Standard Question Types             Graphical Question Types

  Multiple choice                     Click zone questions
  Multiple answer                     Multiple click zones
  Single drop down menu               Free shape zone definition
  Multiple drop down menus

                                    Additional features
Textual Question Types
                                      Built-in time limits
  Single text field                   Accompanying info (data,
  Multiple text fields                images, movies…)
  Multiple text fields : pre-         Image zoom and scroll
  filled                              functions....
  Open text field                     Randomisation
                                      MacroMedia Flash mode




Question Types




                                                                           5
26/11/2008




 Knowledge explosion
 It has been estimated that about half of all medical
 knowledge is out of date within five years
 Accreditation
 Blended Learning
 Training of skills (aim: change of behaviour)
 Continuous M di l Ed
 C    i       Medical Education (CME) continuous
                             i             i
 Provesionnal Development (CPD)
 New technologies (Multimedia, NLP, intelligent agents)
 On-demand learning (anytime, anyplace)
 Advanced tracking, user profiling
 Targeted information campaigns (e.g. in e-Detailing)
 Integration, standardisation (Content)




e-Learning & e-Testing :
             e-
Trends and Needs in medicine




 TeleRad
 Interdisciplinaire, Multimediale en Webgebaseerde e-Learning en e-Testing voor de Medische
 Beeldvorming

 GA²LEN
 Global Allergy and Asthma European Network

 PHARMED / ECLIN
 Training Clinical Investigators in the conduct of Clinical Trials

 eProLearn
 Continuous Medical Education of various categories of medical doctors. These services are based,
 whenever possible, on an automatic profiling of users through the use that medical doctors make
 of the Electronic Health Care Records (EHCR) management software they normally use

 Geografie
 Online e-Testing voor de dienst geografie binnen Universiteit Gent

 eDetailing
 Targeted information campaigns (drug)
  Janssen-Cilag G
  J       Cil   Germany

 Traffix.be




Some projects




                                                                                                            6
26/11/2008




Test Interface                           Online Generator




Demo TeleTendo




                                Database
   On-line Generator                            Interface for e-Testing
                             - data storage -
   − Edit questions                             − User-friendly,
   − Categorise questions                         easy-to-use
   − Edit feedbacks                             − Language
                                                  independent
   − Build tests
   − Instant simulation                         − Domain
                                                  independent
   − Quality assessment
   − Report builder:                            − Customisable
                                                  e.g. logos, banners
         − Real-time
           reports                              Options:
         − Export to Excel                      − Built-in time
                                                  limits; feedbacks




                                                                                  7
26/11/2008




 Medical Imaging
 Requirements:
 ◦   High resolution images
 ◦   Variety of question types
           y    q          yp
 ◦   Different levels of difficulty
 ◦   ROI (Region of Interests)
     Polygon
 Department of Radiology, UZ Gent




TeleRad




 5 years experience
 ◦ for measuring (pre)knowledge (e.g. at the beginning of
   the academic year),
 ◦ to teach during ex cathedra lessons (blended learning),
 ◦ to exercise at home,
 ◦ to exam students
 ◦ to organise CME and CPD.
 5472 questions
 591 test-suites
 ◦ Exams
 ◦ Learning modules (with feedback)
 > 3500 students and professionals
 Official exams



Rich content




                                                                     8
26/11/2008




5472 rich learning objects ready to exploit
Content remains on the TeleTendo Server
Export Metadata
◦ Textual assests
◦ MESH
Standardized (LOM)




    RAMIT demonstrator
               Koppeling TeleTendo - Acknowledge




           Research in Advanced Medical Informatics and Telematics vzw
              Acknowledge slotevent @ IBBT Gent – 25 november 2008




                                                                                 9
26/11/2008




 Subset van TeleTendo leerobjecten ter beschikking
 stellen van Acknowledge

 Verrijken met metadata

  ◦ Reeds aanwezig (
                 g (vraagtype, vraagstelling, ...)
                        g yp ,     g       g, )
  ◦ MeSH

 Opmaken competentieprofielen voor radiologen en
 studenten geneeskunde

 Integratie van TeleTendo binnen het Acknowledge
 project op verschillende niveau’s




Realisaties RAMIT




 Medical Subjects Headings

 Gecontroleerd vocabularium

  ◦ 24767 subject headings (editie 2008)

 Indexeren van wetenschappelijke artikels/boeken in
 Medline/PubMed

 US National Library Medicine (NLM)

 Jaarlijkse update

 Vrij toegankelijk / te downloaden




MeSH




                                                             10
26/11/2008




MeSH Tree Structures - 2009




MeSH Tree Structures - 2009




                                     11
26/11/2008




Competentieprofielen




 “Basic clinical knowledge, that is medical, surgical and
 pathology as well as pathophysiology related to the
 musculoskeletal system”

 “Knowledge of the indications, contraindications and
 potential hazards (especially radiation hazards) of
 procedures and techniques relevant to musculoskeletal
 disease and trauma”

 “Knowledge of normal skeletal variants, which may mimic
 disease”

 ...




Competentieprofielen – vbn.




                                                                   12
26/11/2008




Metadata integratie




 Koppeling TeleTendo – DogTagger

 ◦ Http-post
 ◦ Webservices
 ◦ SPI protocol (simple publishing interface)


 Koppeling TeleTendo - Acknowledge

 ◦ Webservices
 ◦ SPI protocol
 ◦ LOM standaard (learning object metadata)




Metadata integratie




                                                       13
26/11/2008




                Demo




 Jan, 23 jaar

 Student geneeskunde

 Wil radiologische kennis bijschaven over het
 abdomen

 Surft naar http://acknowledge.edm.uhasselt.be




Scenario 1




                                                        14
26/11/2008




Scenario 1




Scenario 1




                    15
26/11/2008




Scenario 1




Scenario 1




                    16
26/11/2008




Scenario 1




Scenario 1




                    17
26/11/2008




Scenario 1




 Piet, 52 jaar

 Professor Medische Beeldvorming

 Wil cursusmateriaal updaten en beschikbaar
 maken op het Acknowledge platform

 Surft naar
 http://acknowledge.teletendo.com/generator




Scenario 2




                                                     18
26/11/2008




Scenario 2




Scenario 2




                    19
26/11/2008




Scenario 2




Scenario 2




                    20
26/11/2008




Scenario 2




Scenario 2




                    21
26/11/2008




Scenario 2




Scenario 2




                    22
26/11/2008




Scenario 2




Scenario 2




                    23
26/11/2008




Scenario 2




Scenario 2




                    24
26/11/2008




Scenario 2




Scenario 2




                    25
26/11/2008




Scenario 2




Scenario 2




                    26
26/11/2008




Thank you!

                 RAMIT vzw

   pascal.coorevits@ramit.be
   geert.thienpont@ramit.be




                                      27

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Acknowledge 03 Ramit Geert Thienpont

  • 1. 26/11/2008 Acknowledge 25 november 2008 Geert Thienpont geert.thienpont@ramit.be Pascal Coorevits pascal.coorevits@ramit.be RAMIT vzw TeleTendo & the eTesting Application Radiology Contribution to the Acknowledge project TeleTendo – Acknowledge PoC TOC 1
  • 2. 26/11/2008 "Research in Advanced Medical Informatics and Telematics" Non for profit association, established with the help of the Ghent University. 85 National and International R&D projects in both the framework of EU- Research Programmes (DG Enterprise, DG Information Society and DG Research) and of national R&D Programmes. five spin-offs spin-offs. Multidisciplinary staff: medical doctors, engineers, informaticians, statisticians. The membership of RAMIT is restricted. President is Prof Dr Georges J.E. De Moor and Directors are, amongst others, the Rector of the University and the Dean of the Faculty of Medicine (qualitate qua). RAMIT was from 1991 until 1996 in charge of Chairmanship and Technical Secretariat of CEN/TC 251. RAMIT vzw eHealth Electronic Healthcare Record ◦ Quality labelling ◦ Interoperability ◦ Archetypes ◦ … Decision Support systems Electronic Health Data interchange, Security & Privacy Natural Language Processing in healthcare eLearning and eTesting in medicine eHome monitoring Telematics Standards for the Healthcare sector. Medical Statistics Recent R&D activities 2
  • 3. 26/11/2008 TeleTendo is an initiative that mainly focuses on eTesting It is all about questions To be solved by the learner 2000 TeleTendo eTesting application Test-based Learning Users need to take actions Any domain & level Support different languages Easy to maintain Internet On-line, Interactive, Multilingual and Multi-disciplinary Electronic Tests, supported by a central Repository of Multimedial Questions. Availability and Atomic learning Tests – questions – answers re-usability object feedbacks - reports Images, sound, movies 3
  • 4. 26/11/2008 Test a set of questions e.g.: a drivers licence exam a test-based learning session in medical imaging g g g Questions a multimedia question which is part of a test and eventually linked to answers and/or feedback Category a coherent set of questions belonging to a certain domain or to a well-defined application Assets question: ◦ Introduction Textual, multimedia (movie, sound, image, flash, case) ◦ Question / instruction ◦ Answering zone (options, interaction with multimedia) Assets feedback ◦ Score ◦ Correct answer ◦ Informative Feedback ◦ Hyperlinks Questions as an atomic learning object 4
  • 5. 26/11/2008 e-Learning and self-assessment Examinations Measuring (initial) knowledge and profiling the user: ◦ Pupils ◦ Employees & Job applicants Job-applicants ◦ Researchers & Teachers ◦ … Continuous progress follow-up e-Detailing campains Electronic polls and surveys Product training TeleTendo is being used for Standard Question Types Graphical Question Types Multiple choice Click zone questions Multiple answer Multiple click zones Single drop down menu Free shape zone definition Multiple drop down menus Additional features Textual Question Types Built-in time limits Single text field Accompanying info (data, Multiple text fields images, movies…) Multiple text fields : pre- Image zoom and scroll filled functions.... Open text field Randomisation MacroMedia Flash mode Question Types 5
  • 6. 26/11/2008 Knowledge explosion It has been estimated that about half of all medical knowledge is out of date within five years Accreditation Blended Learning Training of skills (aim: change of behaviour) Continuous M di l Ed C i Medical Education (CME) continuous i i Provesionnal Development (CPD) New technologies (Multimedia, NLP, intelligent agents) On-demand learning (anytime, anyplace) Advanced tracking, user profiling Targeted information campaigns (e.g. in e-Detailing) Integration, standardisation (Content) e-Learning & e-Testing : e- Trends and Needs in medicine TeleRad Interdisciplinaire, Multimediale en Webgebaseerde e-Learning en e-Testing voor de Medische Beeldvorming GA²LEN Global Allergy and Asthma European Network PHARMED / ECLIN Training Clinical Investigators in the conduct of Clinical Trials eProLearn Continuous Medical Education of various categories of medical doctors. These services are based, whenever possible, on an automatic profiling of users through the use that medical doctors make of the Electronic Health Care Records (EHCR) management software they normally use Geografie Online e-Testing voor de dienst geografie binnen Universiteit Gent eDetailing Targeted information campaigns (drug) Janssen-Cilag G J Cil Germany Traffix.be Some projects 6
  • 7. 26/11/2008 Test Interface Online Generator Demo TeleTendo Database On-line Generator Interface for e-Testing - data storage - − Edit questions − User-friendly, − Categorise questions easy-to-use − Edit feedbacks − Language independent − Build tests − Instant simulation − Domain independent − Quality assessment − Report builder: − Customisable e.g. logos, banners − Real-time reports Options: − Export to Excel − Built-in time limits; feedbacks 7
  • 8. 26/11/2008 Medical Imaging Requirements: ◦ High resolution images ◦ Variety of question types y q yp ◦ Different levels of difficulty ◦ ROI (Region of Interests) Polygon Department of Radiology, UZ Gent TeleRad 5 years experience ◦ for measuring (pre)knowledge (e.g. at the beginning of the academic year), ◦ to teach during ex cathedra lessons (blended learning), ◦ to exercise at home, ◦ to exam students ◦ to organise CME and CPD. 5472 questions 591 test-suites ◦ Exams ◦ Learning modules (with feedback) > 3500 students and professionals Official exams Rich content 8
  • 9. 26/11/2008 5472 rich learning objects ready to exploit Content remains on the TeleTendo Server Export Metadata ◦ Textual assests ◦ MESH Standardized (LOM) RAMIT demonstrator Koppeling TeleTendo - Acknowledge Research in Advanced Medical Informatics and Telematics vzw Acknowledge slotevent @ IBBT Gent – 25 november 2008 9
  • 10. 26/11/2008 Subset van TeleTendo leerobjecten ter beschikking stellen van Acknowledge Verrijken met metadata ◦ Reeds aanwezig ( g (vraagtype, vraagstelling, ...) g yp , g g, ) ◦ MeSH Opmaken competentieprofielen voor radiologen en studenten geneeskunde Integratie van TeleTendo binnen het Acknowledge project op verschillende niveau’s Realisaties RAMIT Medical Subjects Headings Gecontroleerd vocabularium ◦ 24767 subject headings (editie 2008) Indexeren van wetenschappelijke artikels/boeken in Medline/PubMed US National Library Medicine (NLM) Jaarlijkse update Vrij toegankelijk / te downloaden MeSH 10
  • 11. 26/11/2008 MeSH Tree Structures - 2009 MeSH Tree Structures - 2009 11
  • 12. 26/11/2008 Competentieprofielen “Basic clinical knowledge, that is medical, surgical and pathology as well as pathophysiology related to the musculoskeletal system” “Knowledge of the indications, contraindications and potential hazards (especially radiation hazards) of procedures and techniques relevant to musculoskeletal disease and trauma” “Knowledge of normal skeletal variants, which may mimic disease” ... Competentieprofielen – vbn. 12
  • 13. 26/11/2008 Metadata integratie Koppeling TeleTendo – DogTagger ◦ Http-post ◦ Webservices ◦ SPI protocol (simple publishing interface) Koppeling TeleTendo - Acknowledge ◦ Webservices ◦ SPI protocol ◦ LOM standaard (learning object metadata) Metadata integratie 13
  • 14. 26/11/2008 Demo Jan, 23 jaar Student geneeskunde Wil radiologische kennis bijschaven over het abdomen Surft naar http://acknowledge.edm.uhasselt.be Scenario 1 14
  • 18. 26/11/2008 Scenario 1 Piet, 52 jaar Professor Medische Beeldvorming Wil cursusmateriaal updaten en beschikbaar maken op het Acknowledge platform Surft naar http://acknowledge.teletendo.com/generator Scenario 2 18
  • 27. 26/11/2008 Thank you! RAMIT vzw pascal.coorevits@ramit.be geert.thienpont@ramit.be 27