Beyond the Blackboard: Using Technology to Enhance Psychiatric Education Sudha Prathikanti, MD Beyond the Blackboard: Using Technology to Enhance Psychiatric Education Sudha Prathikanti, MD

Education Technologies Search Tools & Digital Databases Search Tools & Digital Databases Hand-held Devices Hand-held Devices Presentation Software Presentation Software Web DVD Modules Web DVD Modules Virtual Classrooms Virtual Classrooms Telepsychiatry Telepsychiatry Computer-aided Decisionmaking Tools Computer-aided Decisionmaking Tools Online Evaluation Tools Online Evaluation Tools Curriculum Management Tools Curriculum Management Tools

Web-DVD Architecture Integrates Web-based course with DVD on local disk Integrates Web-based course with DVD on local disk Allows smooth viewing of large video files Allows smooth viewing of large video files Relatively independent of high-speed Internet connection Relatively independent of high-speed Internet connection

Web-DVD Interactive Case Modules Web-DVD Interactive Case Modules Ample use of video clip vignettes Ample use of video clip vignettes Trainees can detect and "work up" a typical outpatient psychiatric complaint from start to finish. Trainees can detect and "work up" a typical outpatient psychiatric complaint from start to finish. Algorithmic approach akin to evaluating and treating other medical complaints. Algorithmic approach akin to evaluating and treating other medical complaints.

Web-DVD Module: Schematic Outline OPTION A Completely misses possible psych symptom OPTION B Correctly recognizes possible psych sx. Pursues appropriate f/u OPTION C Misinterprets nature of psych sx, Pursues inappropriate f/u Negative consequences seen on video clip Explanation & optional content module offered Re-direct to Decision #1 Patient confirms psych symptom on video clip Trainee congratulated & optional content module offered Proceed with case Negative consequences seen on video clip Explanation & optional content module offered Re-direct to Decision #1 Video Clip of Clinical Encounter Decision #1: What will you do now?

Web-DVD Schematic (continued) Decision #2: What will you do now? Decision #3: What will you do now? OPTION A Overlooks possible severity of psych sx OPTION B Asks about severity of psych sx OPTION C Becomes prematurely alarmed & asks for emergent psych consult Negative consequences seen on video clip Explanation & optional content module offered Re-direct to Decision #1 Patient elaborates upon symptom severity on video clip Trainee congratulated & optional content module offered Proceed with case Negative consequences seen on video clip Explanation & optional content module offered Re-direct to Decision #1

Web-DVD Modules: Resource Intensive Authoring Requirements Lots of Time! Lots of Time! Patient Consent vs. Actors to Simulate Patients Patient Consent vs. Actors to Simulate Patients Software Programmer/Web Designer Software Programmer/Web Designer Digital Video Camera & Filming Accessories Digital Video Camera & Filming Accessories Computer with Firewire, DVD Drive & Disk Space Computer with Firewire, DVD Drive & Disk Space DVD Burner DVD Burner Digital Video Editing Program Digital Video Editing Program HTML Editing Program HTML Editing Program (Custom) Web Application Program (Custom) Web Application Program

Web-DVD Modules: Resource Intensive Deployment Requirements Instructor Instructor Administrative access to large Web Server Administrative access to large Web Server Technical support to manage user problems Technical support to manage user problems Student Student Computer with DVD Drive Computer with DVD Drive Internet Connection Internet Connection Recent Browser with Javascript Recent Browser with Javascript

Web-DVD Modules as Teaching Tools Modules projected onto screen in traditional classroom could enhance face-to-face didactic instruction with key audiovisuals. Modules projected onto screen in traditional classroom could enhance face-to-face didactic instruction with key audiovisuals. Modules integrated into web-based curriculum could provide opportunity for independent, student-controlled learning. Modules integrated into web-based curriculum could provide opportunity for independent, student-controlled learning. Modules could be integrated into virtual classroom for trainees in remote teaching hospitals without psychiatric specialists. Modules could be integrated into virtual classroom for trainees in remote teaching hospitals without psychiatric specialists.

Web-Based Learning: Conclusions Evaluation Still in Infancy Evaluation Still in Infancy Valuable Addition to Education Valuable Addition to Education Can’t Replace Traditional Methods Can’t Replace Traditional Methods No Convincing Evidence of Superiority No Convincing Evidence of Superiority Well-designed Curriculum Best Indicator of Satisfaction, Web-based or Not Well-designed Curriculum Best Indicator of Satisfaction, Web-based or Not Connection Speed/Bandwidth Critical Connection Speed/Bandwidth Critical Possible Increase in Learning Efficiency? Possible Increase in Learning Efficiency? Relative Costs Must be Better Examined Relative Costs Must be Better Examined