1. SNOMED CT E-Learning October 2014 Status & Planning Update (for ELRG)
David Markwell
Head of Education
IHTSDO

2. Education and Training Audiences
Various possible views of audiences
Risk of fragmentation of audiences to a level where focused training cannot realistically provide for all of them
Preferred options
Small broad groups of audience types
Additional learning needs identified by task within these broad groups

3. Education and Training Audiences
General
Informal: Basic information on benefits and other topics of general interest
Formal: Foundational knowledge for all other audience groups
Users
Clinicians and other users engaged in entry, storage, retrieval, aggregation, analysis and reuse of clinical information
Designers and Developers
Those designing, developing, configuring or deploying systems, or standards, that use SNOMED CT
Terminology Developers
IHTSDO and Members developing and distributing SNOMED CT content and derivatives including subsets, maps and other supporting artefacts
Strategy and Procurement
General with emphasis on benefits
Designer perspective on requirements to support procurement
User perspective to support roll-out and user acceptance
Educators and Trainers
Sufficient understanding of the topics and skills they teach or supervise

4. Training approach for 2015
No assignment funded trainees (unlike current SIA scheme)
Assignment for education and training (not for deliverables)
No fees for IHTSDO online courses
We should not create barriers that limit access to education
Cost recovery may be needed in future where there is a need for one-to-one tutoring
No face-to-face sessions planned for courses in 2015
Immediate priority is a scalable service within a limited budget
Face-to-face sessions enhance interaction and learning and may be considered in future
Small online tutorial groups to enable effective engagement
Parallel groups based on geographic areas and time zones

5. Education and training levels – from 2015
Alumni
Advanced courses
Foundation course with online tutorials
Open access training material without tutorials

6. 1. Open access to online training materials
Open entry
Online publicly available presentations
Foundation course materials
Selected additional materials
Informal online skills assessments
No curriculum
No tutorials
No progress monitoring
Self assessment (no pass or fail)
Alumni
Advanced courses
Foundation course with online tutorials
Open access training material without tutorials

7. 2. SNOMED CT Foundation course
Alumni
Advanced courses
Foundation course with online tutorials
Open access training material without tutorials

8. SNOMED CT Foundation Course
Courses
One course as starting point for all SNOMED CT students and trainees
Entry
Controlled to manage numbers and balance intake – no prerequisite knowledge level
Duration
3 months
Frequency
3 or more intake dates per year (depending on demand and tutoring resources)
Commitment
26 hours (average of two-hours per week) divided as shown below
Presentations
18 E-learning presentations (x 20 minutes)
8 hours (allowing for pause/rewind)
Tutorials
3 Webinar tutorials (x 90 minutes)
5 hours
Study
Estimated 10 hours of personal study time
10 hours
Assessment
3 interim online assessments (x 30 minutes)
1 final online assessment (90 minutes)
3 hours (longer for short test retakes)
Completion
All presentations taken
Three tutorials attended (note: alternative time slots may be offered for each tutorial)
All interim assessments completed with required pass marks*
Final assessment completed with pass score**
Benefits
Completion report/certificate
Pre-qualified for Advanced courses
*Maximum of two interim retakes permitted during entire course. **One retake of final assessment if score is borderline.

9. Foundation Course - presentations
Introduction to SNOMED CT
Implementation
Learning about SNOMED CT
Content development
Benefits for organizations
Extensions
Clinical terminology matters
Customisation
Exploring SNOMED CT content
Language preferences & translation
Building blocks: concepts, descriptions & relationships
Mapping introduction
Reference sets introduction
Release files & formats
Concept model
IHTSDO bodies
Expressions
Licensing

10. 3. Advanced courses Alumni Advanced courses
Foundation course with online tutorials
Open access training material without tutorials
Content editing and authoring
Implementation
… other topics in future

11. SNOMED CT Advanced Courses
Courses on different topics focused on particular audiences: Implementation, Authoring/Editing, Mapping, etc.
Entry
Successful completion of Foundation course or demonstration of equivalent prior knowledge. Total intake controlled to manage numbers and balance intake
Duration
6 months
Frequency
2 or more intake dates per year (depending on demand and tutoring resources)
Commitment
75 hours (average of 3 hours per week) divided as shown below
Presentations
40 E-learning presentations (x 30 minutes)
25 hours (allowing for pause/rewind)
Tutorials
8 Webinar tutorials (x 90 minutes)
12 hours
Study
Estimated 30 hours of personal study time
30 hours
Assessment
6 interim online assessments (x 30 minutes)
4 short essay assignments (x 45 minutes)
1 final online assessment (90 minutes)
8 hours (longer for any retakes)
Completion
All presentations completed
Three tutorials attended (note: alternative time slots may be offered for each tutorial)
All interim assessments completed with required pass scores
Final assessment and short essay assignments completed with required pass score
*Maximum of three interim retakes permitted during entire course. **One retake of final assessment if score is borderline.

12. Goals in 2014 - 2015 Foundation course Implementation course
Complete online materials with same scope as SNOMED CT Starter Guide by end 2014
Launch first iteration 1st Feb 2015
Implementation course
Complete online materials equivalent to SIA scheme by April 2015
Launch first iteration 1st May 2015
Enable follow-on from end of Foundation course if requested
Authoring / editing focused course
Content team to progress this
Launch dates to be confirmed
Effective working with Members involved in SNOMED CT education and training
Sharing ideas, content, resources, enabling translation, supporting national initiative, etc.

13. Implementation focused course
Course Modules:
SNOMED CT design and distribution
Terminology access and use
Content
Concept model – for implementers
SNOMED CT Implementation
SNOMED CT in Records
Subsets
SNOMED CT Mappings
Description Logic
Supplementary topics
Each module comprises 3 to 6 presentations

14. A: SNOMED CT design and distribution
Implementation focused course module
A: SNOMED CT design and distribution
Logical design
Licensing and distribution
Release Format 2 files and formats
Types of Reference Sets
Extensions
SNOMED CT versioning

15. B: Terminology access and use
Implementation focused course module
B: Terminology access and use
Importing release files
Accessing components
Searching SNOMED CT
Subtype Testing
Codes, expressions and postcoordination
Expression transformation and subtype testing

16. C: Content Search and browsing content Missing content – options
Implementation focused course module
C: Content
Search and browsing content
Missing content – options
Extension content
Request submission process

17. D: Concept model – implementation perspective
Implementation focused course module
D: Concept model – implementation perspective
Concept model basics – domains, attributes and ranges
Concept model – findings
Concept model – procedures
Concept model – situations with explicit context
Concept model – observables
Concept model
Pharmacy
Anatomy
Events

18. E: SNOMED CT Implementation
Implementation focused course module
E: SNOMED CT Implementation
Implementation overview
Implementation types
Implementation architecture
Implementation levels and approaches

19. F: SNOMED CT in Records Overview Data entry Data storage
Implementation focused course module
F: SNOMED CT in Records
Overview
Data entry
Data storage
Retrieval and analytics
Terminology binding and expression constraints

20. G: Subsets Subset, Refsets definitions and differences
Implementation focused course module
G: Subsets
Subset, Refsets definitions and differences
Using content subsets
Sharing and reusing subsets
Extensional and intensional subsets
Creating and distributing a subset
Using and applying intensional subsets

21. H: SNOMED CT Mapping Mapping basics Mapping to ICD-10
Implementation focused course module
H: SNOMED CT Mapping
Mapping basics
Mapping to ICD-10
LOINC and SNOMED CT
Mapping from legacy systems to SNOMED CT

22. I: Description Logic Description Logic basics
Implementation focused course module
I: Description Logic
Description Logic basics
Description Logic application
Description Logic advanced

23. J: Supplementary topics
Implementation focused course module
J: Supplementary topics
Diagramming Guidelines
URI Standard

24. Authoring / editing focused course
Course Modules:
Concept model – for authors / editors
Terming for editors
Description Logic for terminologists
Content Development Process
IHTSDO Quality Framework
Stakeholder Engagement
Creating and Maintaining Maps, Subsets, Expression Libraries
Supplementary topics
Outline content of each module on following slides (all are drafts subject to change)

25. A: Concept model for authors / editors
Authoring / editing focused course module
A: Concept model for authors / editors
Current concept model
Concept model in development

26. B: Terming for authors / editors
Authoring / editing focused course module
B: Terming for authors / editors
Fully specified names
Synonyms
Language reference sets & preferences
Terming patterns

27. C: Description logic for terminologists
Authoring / editing focused course module
C: Description logic for terminologists
DL basics: concept axioms, object properties
Open world assumption
Expressions and composition
Classifiers & effects of classification
Relationship groups and nesting
Attribute hierarchies
Advanced topics
Concrete domains, General concept inclusions, Disjunction and pseudo-disjunction, Negation, Role chaining, Transitivity

28. D: Content development process
Authoring / editing focused course module
D: Content development process
Inception
Elaboration
Construction
Transition

29. E: IHTSDO Quality Program – applied to editing
Authoring / editing focused course module
E: IHTSDO Quality Program – applied to editing
The Quality Framework and templates
Quality criteria
Measurement

30. F: Stakeholder engagement
Authoring / editing focused course module
F: Stakeholder engagement
Principles and criteria for undertaking engagement
Stakeholder engagement processes
Assessment of risk profile
Selection of engagement methods
Identification of stakeholders
Criteria for successful engagement

31. G: Creating and maintaining subsets, maps, etc
Authoring / editing focused course module
G: Creating and maintaining subsets, maps, etc
Maps
Subsets
Expression libraries

32. H: Supplemental topics
Authoring / editing focused course module
H: Supplemental topics
OWL and the OWL API
Scripted or templated authoring
Generic tools: MySql, Access, Spreadsheets

33. 4. Alumni Based on completion of Advanced course(s)
Requires regular reassessment
Reassessment regularly based on skills assessments and/or assignments
Benefits
Website recognition (registration)
Prequalified for additional training opportunities
Prequalified for relevant work
Access to full range of training resources (e.g. including updates to course specific materials)
Alumni
Advanced courses
Foundation course with online tutorials
Open access training material without tutorials

34. Working with Members to deliver E-Learning
E-Learning Reference Group
Task and finish focused on E-Learning developments
Communication channel between IHTSDO team and Members
Meeting on Tuesday afternoon in Amsterdam
Member education representative has precedence
Open to other Education specialists if space permits
Review of training materials
Rapid initial review
Continuing in use review
Sharing of materials
Further notes on following slide
Guiding on issues of specific interest to Members
For example – course entry criteria … discussed later …

35. Sharing E-Learning materials with Members
Access to IHTSDO training source files
Allowing reuse and/or translation by Members
ELRG CollabNet site will provide access
Access will initially be limited to one nominated education representative per Member
Responsible for maintenance in line with IHTSDO materials to limit risk of perpetuating obsolete information
IHTSDO welcomes access to Member training materials
If these can be freely reused by IHTSDO to benefit all Members

36. Course entry criteria Key issues Approach to resolution
Need to establish demand and numbers that we can accommodate within available resources
Balancing intake between Members (possibly taking account of specific needs of newer Members)
Course accessibility for wide range of stakeholders
Advanced course competency based entry requirements need to be met by applicants
Must be ready to issue initial call for applications to join Foundation course in early December (for February start)
Approach to resolution
Entry criteria options will be discussed with ELRG (October 28th)
Recommendations from the group to come back to MF meeting in November prior to launch of call for applications

37. Questions / Discussion