Sunday 3 February 2013

First Basic Workshop on MET for medical teachers - Vizag Feb 6 7 8 2013


Welcome to the First Basic Workshop 
on Medical Education Technology for Medical Teachers being conducted by the Regional Centre of the MCI for MET 
at Andhra Medical College. 
Thank you for registering for the course. 
We look forward to several engaging and interactive discussions in various aspects of the science of training medical students. 

Please note that the MCI is very particular about full participation and has repeatedly been instructing us to maintain attendance sheets and present certificates only to those who are present for ALL sessions. 
Please cooperate with us. 
The tentative schedule is being printed below. 
We would be serving you tea & biscuits morning /evening & a working lunch. 
The workshop is being conducted at the Dept. of Physiology Andhra Medical College. 
For those who are not familiar with this place - the college and hospital are in the same campus which is quite    big - the hospital is on the northern side & the Physiology /Anatomy dept on the southern side with the Principal's office in the middle. 
The hospital - KGH or King George Hospital is very popular and once you get into its Main Gate it leads slightly  obliquely  (crossing various wards) but right up a slope to the Principal's Office in Panagal Building. 
The Physiology dept.(along with Anatomy dept)  is beyond the Principal's office and down that hillock - you can go beyond on this road - crossing the Satyanarayana Swamy temple & the Ladies' Hostel. 
Otherwise you can go directly from the 'other side'- the southern side to the Physiology dept - for this you have to ask for the AVN College (a degree college adjacent to the southern wall) -this is better known than the medical college - once you get to the AVN College - the medical college gate is adjacent to (west of) it and enter to see two blocks - the Anatomy below and the Physiology dept up the slope. 


day 1-  Starts at 8.30 AM - Please note . 

day 1-  Starts at 8.30 AM - Please note .

8.00 –
8.30
Registration
8.30-
8.45
Pre-Test
8.45
9.00
Introduction
9.00
9.45
Group Dynamics & Exercise
9.45
10.15
Systems Approach
10.15
10.30
Tea
10.30
11.10
Inauguration
11.10
11.40
Learning Process
11.40
12.10
Adult Learning 
12.10
12.50
Taxonomy & Domains
12.50 -
1.05
Exercise
1.05
1.45
Lunch
1.45
2.25
Educational Objectives
2.25 -
2.45
Exercise
2.45-
3.15
Introduction to  Microteaching
3.15 –
3.30
Tea
3.30 –
5.00
Curriculum-  Introduction & Exercise



day 2 - 

Time
Topic
8.30-
8.45
Review - Preview
8.45 –
9.15
T/L methods (large group)
9.15 –
9.45
T/L methods (small group)
9.45- 10.15
T/L methods (practicals /clinical /bedside)  
10.15 -10.45
Exercise
10.45 -11.00
Tea
11.00 -11.30
T/L media (BB, OHP, others)
11.30 -12.00
T/L Media –computers & PPT
12.00 -12.20
Lesson Plan
12.20 -1.05
 Open house
1.05 –
1.45
Lunch
1.45 –
3.45
CISP – Foundation Course
Early Clinical Exposure
3.45 –
4.00
Tea
4.00 –
5.00
CISP – Integrated Learning
Skill Development





day 3 - 

Time
Topic
8.30 –
8.45
Review & Preview
8.45 –
9.45
Evaluation – Principles
9,45- 10.45
Evaluation & Feedback
10.45 -11.00
Tea
11.00 -11.30
Assessing knowledge – Essay question
11.30 -12.00
Short Answer questions
12.00 -12.20
Exercise
12.20 -12.50
MCQs & Item analysis
12.50 -1.10
Exercise
1.10 –
1.40
Lunch
1.40 –
2.10
Question Paper setting & Blueprint
2.10 –
2.30
Exercise
2.30 –
3.10
Assessing skills – Practicals clinics orals
3.10 –
3.20
Tea
3.20 –
3.50
OSCE /OSPE
3.50 –
4.20
Exercise & Demo
4.20 –
4.35
Post Test
4.35 –
5.00
Valedictory



Educational Technology for Medical Teachers – A Recap

Education = process to bring a desirable change in the behavior of the student

Latin e-ducere means ‘to lead out’.

Educate = develop the knowledge, skill or character of . . . 

Educational spiral / triangle consists of 3 components of any educational program –

-          Objectives

-          Teaching/ Learning Experience or Activity

-          Evaluation

Educational Objectives can be

-          National objectives (broad goals of medical education)

-          Institutional Objectives (for the college)

-          Departmental objectives (for the particular dept./ speciality)

-          Specific Learning objective (for a given task/ knowledge)


SIO / SLO : A specific learning or instructional objective must be 
                                    ‘FORUM’ –

Feasible

Objective

Relevant

Unequivocal & clear

Measurable

e.g. at the end of the posting in Gynaec, the 3rd semester student must be able to

- perform the 4 grips in abdominal examination of a pregnant woman

- mention the normal values of Hb, urinalysis & GTT in a pregnant woman

            - interpret the lab report of GTT of a pregnant woman as normal or diabetes  

            - be gentle & maintain privacy when performing a pelvic examination

3 taxonomical domains of learning –

-          Cognitive = theoretical / knowledge domain (Head)

-          Psychomotor = practical skills (Hand)

-          Affective = attitudes (Heart)

e.g. in the above objectives, 1 is psychomotor, 2&3 are cognitive and 4 is affective.

Curriculum –

Is more than syllabus. Besides the syllabus or knowledge to be learnt, curriculum includes how the knowledge will be learnt, when, by whom, with what aids and how it will be assessed. It is a written description of what happens during the educational course.

Teaching /learning principles –

Memory consists of 3 stages – Receiving the stimulus, Primary or short term memory & Permanent or long term memory

Learning is influenced by

-          Frequency of stimulus

-          Reinforcement

-          Internal motivation

-          Logical sequence, relating unknown to known

-          Competition with peers

-          Personal experiences

Teaching /learning methods -

Large group teaching – for 30 or more students –

-          Lecture

-          Symposium – by  a group of experts speaking serially

-          Panel – experts interact with a moderator

Small group teaching / learning methods – for < 30 students

Group discussion – free or controlled by a teacher.

Seminar – usually by advanced learners

Tutorial – teacher guides a group, clarifies doubts, etc.

Workshop – for hands on experience

Bedside Clinics

Demonstration

Role play

Field visits

Buzz group

Syndicate

Individual learning methods

-          Reading / self study

-          Programmed learning – e.g. with a computer

-          Project

-          One to one conference

-          Simulation
Teaching learning aids –

Visual –          Non- projected – blackboard, marker board, other boards, charts, pictures,

Specimens, models, photographs, microscope slides, 

-          Projected – OHP, slide projector, silent films, epidiascope, projector,

LCD projector /powerpoint



Audio –           Microphone/speakers, record player, CD /cassette player, Radio



Audiovisual – Synchronized Tape-slide, Video films, TV, cine films, computer  /DVD



Others –          Simulators, manikins (for psychomotor skills), computers for simulation, etc

Chalkboard – inexpensive; can solve problems, explain organization of a concept; only smaller group can see; no eye contact

Plan; don’t overcrowd board; be neat and simple.



Overhead Projector – need not switch off lights; easy to prepare; can reuse.

Can write / draw /Xerox. Eye contact present.

Use only 1 or 2 colors. Preferably <7  lines per sheet. Letters at least 7 mm. high & at least 7 mm. apart. One concept per sheet.

Evaluation –

Determining how well (the extent to which) the student has acquired the educational objective. A test is a tool for evaluation and has a series of items /questions. Evaluation or the tests of evaluation may be –

1.      Formative (to provide feedback to student for improvement) or

-          Summative (test for certification for pass /fail)

2.      Subjective – e.g. essay q., orals,

-          Objective – e.g. MCQs, OSCE,

3.      Supply type – e.g. fill in blanks, essay q.

-          Selection type – e.g. MCQs, True/false

4.      Open ended – e.g. essay

-          Closed ended – e.g. MCQs, true /false

5.      Internal exam – examiner involved in instruction

-          External exam – examiner not the teacher of the student

6.      Criterion based evaluation – a set pass mark is pre-fixed & those who get it pass

-          Norm based evaluation – a set proportion of students are passed

7.      Product evaluation – seeing if student got answer

-          Process evaluation – seeing how student proceeded to the answer

8.      Written / oral / practical

9.      Continuous evaluation

-          Terminal evaluation

Written tests can be – Long essay question, Structured essay q., Short answer question (short notes), Multiple choice questions, fill in the blanks, true/false, matching,



Practicals can be experiments, clinical examinations, OSCE/OSPE, standaradised patients,



Orals /viva voce



Other evaluation methods – observation & global rating, structured observation, role play, project work, Self assessment, peer assessment, patient assessment (360 degree assessment), portfolio, logbook, record, interview.



OSCE / OSPE – Objective Structured Clinical / Practical Examination is a way of structuring the clinical /practical exam to make it more objective. There are several ‘stations’ and students keep rotating from one to the next. The student performs a given task at each station where he is observed by an observer/ faculty with a check list to see which steps he has done, which he has omitted, etc. This can be used for evaluation and also as formative evaluation for feedback.

Microteaching – is a method to improve one’s teaching/ presentation skills. The teacher takes a short ‘class’ to a small group of 4 or 5 peers or students, after deciding which skill he will practise. The group gives feedback and the teacher may once again take a class if needed to improve that skill. (e.g. skill of maintaining eye contact, or voice modulation, etc.)

Micropresentation is a modification of the above technique which can be used to train PGs / UGs in presentation skills – like case presentation, or viva voce. The emphasis here is on presentation skills and not on subject content per se.
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