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@HEAcademy@epictalk
For all the latest news about the event follow us on Twitter
@epictalk @HEAacademy and use the hashtag #mRealDeal
Integrated Technology
Enhanced Learning (TEL)
Chris Munsch
Yorkshire Heart Centre
Better Training Better Care: identifying and
sharing good practice in the use of
simulation, e-learning and mobile
applications to improve training and
education for doctors.
@HEAcademy@epictalk #mRealDeal
Medical training:
the apprenticeship model
• Experience
• Responsibility
• Relationship with ‘the boss’
• Seemed like fun at the time
• Patient safety?
@HEAcademy@epictalk #mRealDeal
50,000 hours of medical training
“The acquisition of procedural skills requires many
hours of practice.”
“Experience is the name everyone gives to their
mistakes.”
“Learn from the mistakes of others – you will never
live long enough to make them all yourself.”
@HEAcademy@epictalk #mRealDeal
„Progress‟ in medical training
(1994 – 2010)
• Calman reforms
• Modernising medical careers
• Regulation of training
• Hours in training (EWTD/
New Deal)
• Foundation Trusts
• HEE/LETBs
@HEAcademy@epictalk #mRealDeal
@HEAcademy@epictalk #mRealDeal
“Training surgeons
now to ensure patient
safety in 20 years
time.”
Professor Sir John Temple’s Report
@HEAcademy@epictalk #mRealDeal
BTBC
Temple:
The co-ordinated, integrated use of simulation can provide
a safe, controlled environment and accelerate learning.
Where appropriate, skills and expertise should be learnt in a
simulation environment and from other modern techniques,
not on patients.
Collins:
Concerted efforts need to be made across the different
organisations involved to co-invest in facilitating innovations
in the delivery of education and training.
@HEAcademy@epictalk #mRealDeal
We can train
surgeons like
pilots!
@HEAcademy@epictalk #mRealDeal
2011
A framework for
technology enhanced learning
The six core principles
• Be patient-centred and service-driven
• Be educationally coherent
• Be innovative and evidence-based
• Deliver high quality educational outcomes
• Deliver value for money
• Ensure equity of access and quality of provision
@HEAcademy@epictalk #mRealDeal
What we want to see
• Improvements to education and experience for trainees
• Identified good practice in simulation, e-learning and
mobile applications
• Raised awareness and encourage greater uptake of the
DH TEL framework
• Shared resources and standardised approach in
education and in curricula
• Improvements to patient safety and experience.
@HEAcademy@epictalk #mRealDeal
Simulation
Mobile
applications
E-learning
Integrated technology
enhanced learning
What about the trainees:
Practicing medicine in the age of
Facebook
• Work-life balance
• Assertive
• Narcissistic
• Conservative
• Miserable
• Adept with digital technology
Jones R
Generation ME and Us, Medical Education
43:219, 2009
@HEAcademy@epictalk #mRealDeal
What we know
• Trainees expect high-quality learning experiences
• Integrated technology enhanced learning that is:
o Flexible
o Responsive
o Active
o Problem-based
o ‘Just-in-time’
o ‘Just-for-me’.
• Personalisation, mobility, choice and sociability are key.
@HEAcademy@epictalk #mRealDeal
Just in time!
What now?
• Engaging with key partners and organisations to share
and showcase TEL good practice
• Focused on simulation, e-learning and mobile
applications
• Work will be delivered jointly with the Higher Education
Academy (HEA)
• Shared with appropriate partners across postgraduate
and higher education and across the UK.
@HEAcademy@epictalk #mRealDeal
TEL Group
1. Technology Enhanced
Learning (TEL) steering group
3. Scoping and review
sub-group
6. Technology sub-group
5. Education review, evaluation
and regulation sub-group
4. Students and trainees
sub-group
2. Communications and
engagement sub-group
Next steps
• Bringing together our partners and key stakeholders
• Agreeing on the governance
• Taking forward the work:
o Scoping and relationship building
o Identifying good practice
o Showcasing the work and further engagement and
collaboration.
@HEAcademy@epictalk #mRealDeal
Our vision
• The widespread adoption of TEL
• Ensure that blended learning becomes commonplace in
curricula and in continuing professional development.
@HEAcademy@epictalk #mRealDeal
Patient
care
Change practice
Learning happens
Satisfaction
Participation
Does it work?
Outcomes
“HEE exists for one reason alone – to
improve the quality of care delivered
to patients.”
• Success criteria
• Improvements in safety
• Improvements in experience
• Improvements in clinical
outcomes
• Spreading innovation
• The widespread adoption of TEL

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Integrated Technology Enhanced Learning (TEL)

  • 1. @HEAcademy@epictalk For all the latest news about the event follow us on Twitter @epictalk @HEAacademy and use the hashtag #mRealDeal Integrated Technology Enhanced Learning (TEL) Chris Munsch Yorkshire Heart Centre
  • 2. Better Training Better Care: identifying and sharing good practice in the use of simulation, e-learning and mobile applications to improve training and education for doctors.
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  • 5. Medical training: the apprenticeship model • Experience • Responsibility • Relationship with ‘the boss’ • Seemed like fun at the time • Patient safety? @HEAcademy@epictalk #mRealDeal
  • 6. 50,000 hours of medical training “The acquisition of procedural skills requires many hours of practice.” “Experience is the name everyone gives to their mistakes.” “Learn from the mistakes of others – you will never live long enough to make them all yourself.” @HEAcademy@epictalk #mRealDeal
  • 7. „Progress‟ in medical training (1994 – 2010) • Calman reforms • Modernising medical careers • Regulation of training • Hours in training (EWTD/ New Deal) • Foundation Trusts • HEE/LETBs @HEAcademy@epictalk #mRealDeal
  • 9. “Training surgeons now to ensure patient safety in 20 years time.” Professor Sir John Temple’s Report @HEAcademy@epictalk #mRealDeal
  • 10. BTBC Temple: The co-ordinated, integrated use of simulation can provide a safe, controlled environment and accelerate learning. Where appropriate, skills and expertise should be learnt in a simulation environment and from other modern techniques, not on patients. Collins: Concerted efforts need to be made across the different organisations involved to co-invest in facilitating innovations in the delivery of education and training. @HEAcademy@epictalk #mRealDeal
  • 11. We can train surgeons like pilots!
  • 13. 2011 A framework for technology enhanced learning
  • 14. The six core principles • Be patient-centred and service-driven • Be educationally coherent • Be innovative and evidence-based • Deliver high quality educational outcomes • Deliver value for money • Ensure equity of access and quality of provision @HEAcademy@epictalk #mRealDeal
  • 15. What we want to see • Improvements to education and experience for trainees • Identified good practice in simulation, e-learning and mobile applications • Raised awareness and encourage greater uptake of the DH TEL framework • Shared resources and standardised approach in education and in curricula • Improvements to patient safety and experience. @HEAcademy@epictalk #mRealDeal
  • 17. What about the trainees: Practicing medicine in the age of Facebook • Work-life balance • Assertive • Narcissistic • Conservative • Miserable • Adept with digital technology Jones R Generation ME and Us, Medical Education 43:219, 2009 @HEAcademy@epictalk #mRealDeal
  • 18. What we know • Trainees expect high-quality learning experiences • Integrated technology enhanced learning that is: o Flexible o Responsive o Active o Problem-based o ‘Just-in-time’ o ‘Just-for-me’. • Personalisation, mobility, choice and sociability are key. @HEAcademy@epictalk #mRealDeal
  • 20. What now? • Engaging with key partners and organisations to share and showcase TEL good practice • Focused on simulation, e-learning and mobile applications • Work will be delivered jointly with the Higher Education Academy (HEA) • Shared with appropriate partners across postgraduate and higher education and across the UK. @HEAcademy@epictalk #mRealDeal
  • 21. TEL Group 1. Technology Enhanced Learning (TEL) steering group 3. Scoping and review sub-group 6. Technology sub-group 5. Education review, evaluation and regulation sub-group 4. Students and trainees sub-group 2. Communications and engagement sub-group
  • 22. Next steps • Bringing together our partners and key stakeholders • Agreeing on the governance • Taking forward the work: o Scoping and relationship building o Identifying good practice o Showcasing the work and further engagement and collaboration. @HEAcademy@epictalk #mRealDeal
  • 23. Our vision • The widespread adoption of TEL • Ensure that blended learning becomes commonplace in curricula and in continuing professional development. @HEAcademy@epictalk #mRealDeal
  • 25. Outcomes “HEE exists for one reason alone – to improve the quality of care delivered to patients.” • Success criteria • Improvements in safety • Improvements in experience • Improvements in clinical outcomes • Spreading innovation • The widespread adoption of TEL

Notas del editor

  1. Pt care at the top of Kirkpatricks could be exchanged for cardiothoracic educationAt each level:Participation…straightforward Satisfaction measured through an immediate post course questionnaire via email scoring the following on strongly agree to strongly disagree Faculty on this programme so far, have:  Been enthusiastic and stimulating Used techniques to challenge thought and stimulate discussion Provided sufficient direction and feedback Used a variety of teaching techniques Had the respect of the group Not intimidated or patronised Been sensitive and respectful of the dignity of individual learners Been aware when they were not understood Adapted to the needs of individuals without losing the interest and attention of others Maintained the focus of the group and knew when to terminate discussion Encouraged expression of views in conflict with their own Directed learners to useful additional material Every respondent scored “strongly agree” Learning happens measured through post course interviewsA sample of the participants were interviewed to assess learning and planned actionsChange in practice explored through action plans and reviewEg establishing wet labs – Alan B increase in quality and quantity of based work assessments for trainees motivation to tackle ongoing difficult situations - SashaAction plans arent enough as they dont allow for some of the “incidentals”. Some fantastic changes are made but not planned for eg Max setting up community of practice through Free Forums and sharing documents through gmail…also set up by MaxWill be looking at 6 months to a year Progress on action plans Any change in formal educational rolesPatient Care the proof of this pudding will be in the eating. However, some actions have already been executed:Incorporation of medical students into the cardiothoracic team- AlanPlans in place for human factors training for cardiothoracic surgeons MikeOpening of wet lab - Alan