Saturday, 30 March 2013

Second Basic Workshop on Medical Education Technology (MCI Regional Centre AMC Vizag)


Welcome to the Second Basic Workshop 
on Medical Education Technology for Medical Teachers being conducted by the Regional Centre of the MCI for MET 
at Andhra Medical College Visakhaaptnam. 
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 Gynaecology Seminar Hall, KGH (King George Hospital). 
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 colleget on the southern side.
The hospital - KGH or King George Hospital is very popular and once you get into its Main Gate, you can ask for the OBstetrics /Gynaecology ward /dept. The ward is towards the main road and faces west; behind it is the 'Gynaec Institute' which has some resident rooms and the Seminar Hall where our workshop will be going on. 
For those of your religiously inclined, there is also the Sand Hill (Isuka Konda) Satyanarayana Temple nearby in the same campus almost. You can visit it any day if you wish to. 


day 1-  Starts at 8.30 AM - Please note . 

day 1-  Starts at 8.30 AM - Please note . 

Day 1 
Time
Topic
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 -11.40
T/L media (BB, OHP, computers, others)
11.40 -12.00
T/L Media –Powerpoint
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 
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 

          Psychomotor = practical /manual skills 

          Affective = attitudes & behaviour 

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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MCI Basic Workshop  in Medical Education Technology compulsory for medical teachers

MCI BOG meeting of 3rd May 2013 -
1.      Training of medical college faculty up to level of Associate Professors in MCI Basic Course Workshop would be compulsory hereafter,
                               
2.      The MET training would be added to the credit hours of the concerned faculty,

3.      The medical college faculty up to level of Associate Professors would undergo training in MCI Basic Course Workshop once every 5 years.
MCI BOG meeting of 6 & 7 August 2013 -
The Board of Governors decided that faculty should complete training in MCI Basic Course Workshop in Medical Education Technologies either, before joining service but after selection, or during the probation period.

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CREDIT HOURS FOR CME /CONFERENCE etc.

MCI BOG meeting 7&8 August 2013 -
The members of the Academic Council noted that there is no uniformity in the credit hours awarded by different State Medical Councils.
The Academic Council recommended that for a medical college teacher
- attending a Conference/CME programme/Workshop of minimum 08 hours duration/day, the credit hours to be awarded are as under:
03 credit hours/day/ speaker

02  credit hours/day/participant

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