1. Discipline of Paediatrics & Child Health Sydney Medical School Mobile case-based learning in Paediatrics Dr Karen Scott Lecturer, Education Discipline of Paediatrics and Child Health The Children’s Hospital at Westmead Clinical School

2. Discipline of Paediatrics & Child Health Sydney Medical School Context: Paediatrics Problem-based learning - years 1 & 2 8 week term – year 3/4: –85 students x 4 –2 lecture weeks + 5 clinical weeks –Tutorials: medical bedside, clinical reasoning, surgical –Exam week: all paediatric content

3. Discipline of Paediatrics & Child Health Sydney Medical School Background: Medical Program 2007-8 Sydney Medical Program review: –Change in structure of Year 1 –3 Paediatric problem-based learning cases moved –Existing web-based cases: open questions –2 paediatric self-directed cases

4. Discipline of Paediatrics & Child Health Sydney Medical School 2008 research - online formative assessment: –Open vs closed questions –Self-directed learning –Engaged enquiry / “Professional learners” MacLean et al. (2011) Background: Self-directed learning

5. Discipline of Paediatrics & Child Health Sydney Medical School 2008-9 research - student expectations & experience: –Clinical attachments –Ways of learning Scott et al. (in press) Background: Clinical attachments

6. Discipline of Paediatrics & Child Health Sydney Medical School

7. Mobile learning “Learning that used to be delivered ‘just-in-case’ can now be delivered ‘just-in-time’, ‘just enough’ and ‘just-for-me’. [The focus is ] finding information rather than possessing it or knowing it”. Traxler 2007

8. Discipline of Paediatrics & Child Health Sydney Medical School Challenge: Privacy Camera Web-enabled Social media

9. Discipline of Paediatrics & Child Health Sydney Medical School Aim Mobile case-based learning scenarios: –Engage –Flexible access –Resources for learning at the patient bedside

10. Discipline of Paediatrics & Child Health Sydney Medical School Development process Stage 1, 2008-9: –Pilot case (anorexia nervosa) + evaluation Stage 2, 2010: –Review + 2 cases (rubella; in-born error of metabolism) + evaluation in 2011 Stage 3, 2012–13: –Review + 2 cases (pyloric stenosis; febrile seizures) + 7 emergency medicine modules

11. Discipline of Paediatrics & Child Health Sydney Medical School Project team Paediatrics & Child Health: –Dianne Campbell, Meg Phelps, Anne Morris, Hasantha Gunasekera & Karen Scott Sydney Medical School: –Daniel Burn Sydney eLearning: –Marianna Koulias, Sharon Kitching, Jo Lockwood & Pamela Bramas

12. Discipline of Paediatrics & Child Health Sydney Medical School Format: Clinical reasoning

13. Discipline of Paediatrics & Child Health Sydney Medical School

14. Integrated resources

15. Discipline of Paediatrics & Child Health Sydney Medical School Formative assessment

16. Discipline of Paediatrics & Child Health Sydney Medical School Introductory quiz

17. Discipline of Paediatrics & Child Health Sydney Medical School Scoring

18. Discipline of Paediatrics & Child Health Sydney Medical School Evaluation 111 students - semester 1, 2011 97% response rate Survey - quantitative & qualitative Koulias et al (2012) Scott et al (2010)

19. Discipline of Paediatrics & Child Health Sydney Medical School Answered questions, read explanations

20. Discipline of Paediatrics & Child Health Sydney Medical School Used on clinical attachments

21. Discipline of Paediatrics & Child Health Sydney Medical School “I just wanted to say thank you-- I have been doing the self- directed cases all weekend and they're WONDERFUL. Would that every other block could be taught like paediatrics! I even did some cases while out camping thanks to the mobile cases”.

22. Discipline of Paediatrics & Child Health Sydney Medical School Following steps Use of mobile devices in hospital settings Learning & teaching Ethics, etiquette, technology & security Culture of clinical teaching environment

23. Discipline of Paediatrics & Child Health Sydney Medical School References Koulias M, Leahy G, Scott KM, Phelps M & Campbell D (2012) "Wherever, whenever" learning in Medicine: Evaluation of an interactive mobile case-based project. Proceedings, Future Challenges | Sustainable Futures Australian Society for Computers in Learning in Tertiary Education (ascilite) conference, 25th – 28th November 2012, Wellington, New Zealand. Scott KM, Kitching S, Burn D, Koulias M, Campbell D & Phelps M (2010) Wherever, whenever learning in medicine. In C. Steel, M.J. Keppell & P. Gerbic, (Eds.) Curriculum, technology & transformation for an unknown future. Proceedings, ascilite conference, 6 – 7 December Sydney 2010. MacLean JE, Scott KM, Marshall T & Van Asperen P (2011) Evaluation of an elearning teaching resource: What is the medical student perspective? Focus on Health Professional Education: A Multi-disciplinary Journal, 13, 2: 53-64. Scott KM, Barrett J, Cheetham V, McCallum Z, Barzi F & Phelps M. (in press) Mismatch between medical student expectations and experiences: Student over-entitlement or medical programs needing reform? Focus on Health Professional Education: A Multi- disciplinary Journal. Traxler, J (2007) Defining, Discussing and Evaluating Mobile Learning: The moving finger writes and having writ. The International Review of Research in Open and Distance Learning, 8.

24. Discipline of Paediatrics & Child Health Sydney Medical School Acknowledgements Sydney eLearning A/Prof Sandra West Dr Jo Lander Melinda Lewis Apple

25. Discipline of Paediatrics & Child Health Sydney Medical School Thank you Questions? karen.scott@sydney.edu.au