1. O O rientation Supporting Evidence-based Education & Research via the E-learning Platform: a Curriculum-integrated Approach Julia L.Y. Chan Medical Librarian Branch Libraries Services Team Leader Yu Chun Keung Medical Library University of Hong Kong Hong Kong, China

2. O O rientation University of Hong Kong

3. O O rientation Founded in 1911 Oldest tertiary institution in Hong Kong LKS Faculty of Medicine Founded in 1887 as the Hong Kong College of Medicine for Chinese Accorded the position of premier Faculty when the University was opened in 1912 University of Hong Kong

4. O O rientation LKS Faculty of Medicine

5. O O rientation YCK Medical Library

6. O O rientation Departments: 17 Institutes & Centers: 18 School of Chinese Medicine Teaching staff: 228 full-time Honorary teachers: 2,000 (doctors in public hospitals / private practitioners) Students: 2,484 Faculty of Medicine (1)

7. O O rientation Undergraduate program: 5 years Pre-clinical: 2 years Clinical clerkship: 3 years Faculty of Medicine (2)

8. O O rientation Hybrid – PBL, lectures, practicals Integrated – interconnections between: different fields of knowledge functions of organ systems of the body essential elements of basic science clinical practice Undergraduate curriculum (1)

9. O O rientation Undergradate curriculum (2)

10. O O rientation Nov 1995 - Faculty workshop on medical education - need for change, moved towards integrated and problem-based teaching Feb 1996 - International workshop on “New Innovation in Medical Education” 1997/98 - new medical curriculum commenced EBP Curriculum

11. O O rientation Invited to Faculty Teaching Quality Committee Participated in Faculty-based Curriculum Review & Teacher Training Project Participates in medical informatics curriculum Offers curriculum-related evidence-based training to medical & nursing students Role of Medical Library

12. O O rientation 12 Role of Medical Library Information Literacy Program

13. O O rientation Students become more independent More self-directed More self-discipline Web-enhanced Learning – Thiele (2003)

14. O O rientation Online content and activities can augment student learning Simple online tasks incorporated into the program will increase IT literacy skills & confidence in use of internet resources Web-enhanced Learning – Creedy (2007)

15. O O rientation Ease of access to information Flexibility to learn at own pace Support learner-centered approach Create learning communities - opportunity for peers to connect, share information, and collaborate on coursework Web-enhanced Learning – Billings (2003)

16. O O rientation Absence of visual cues - inability to view face-to- face, nonverbal aspects of communication Loss of personal interaction with instructors and peers Sense of isolation - reduced opportunities for socialization Problems with hardware, software, or Internet connectivity Web-enhanced Learning – Billings (2003)

17. O O rientation Economic & resource factors Reduce overhead Manage ever increasing student numbers Flexibility in the provision of continuing education development Improve accessibility and quality of learning materials Produce efficiencies in lecturing time, room bookings and administration cost Web-based / enhanced Learning – Kenny (2000)

18. O O rientation Commenced approx. 4 years ago Enhance traditional methods of course delivery Students retain regular contact with teaching staff Dept of Community Medicine WebCT enhanced learning (1)

19. O O rientation Course syllabus Lecture notes Videos Quizzes Forum for comments/suggestions Dept of Community Medicine WebCT enhanced learning (2)

20. O O rientation Collaborate with Dept of Community Medicine Integrate information literacy skills into the curriculum within the course management system (WebCT) Library Initiatives (1)

21. O O rientation To investigate learning effectiveness in the e- learning environment To test/ assess feasibility, appropriateness, efficacy of the new educational technique To facilitate timely, efficient use of resources – ‘just-enough-just-in-time’ information within the course management system To promote student’s information seeking & life-long learning behavior Library Initiatives (2) Objectives

22. O O rientation Introduction to library services, facilities, resources Basic & advanced library catalogue search Access to e-resources via the Library Web page Library Workshop Searching for Evidence - Basic Skills 1

23. O O rientation Research process Topic analysis: identify keywords & synonyms PubMed/ Ovid Medline search features & strategies Precise searching using MeSH Compile and manage a bibliography Library Workshop Searching for Evidence - Basic Skills 2

24. O O rientation Training on Core EBM databases (Cochrane Library, Clinical Evidence, ACP Journal Club..) Research methodology filters to identify EBM articles – Medline (clinical queries, etc.) Strategies to find information to answer clinical questions WWW resources and search engines Critical assessment of quality of resources Library Workshop Searching for Evidence - Advanced Skills 1

25. O O rientation  Introduce EBM cycle, PICO elements  Strategies to formulate clinical questions & search for evidence  8 case-based exercises  Help via email Library Workshop - intervention Searching for Evidence – WebCT

26. O O rientation Case-based exercise to test the students’ acquired knowledge Presentation of the exercise Librarian to provide clarification & misunderstanding Library Workshop Searching for Evidence - Advanced Skills 2

27. O O rientation EBM resources: e-journals, databases, books/ebooks, evaluated websites, guidelines … Medical Library homepage Online catalogue Tutorials/ video tutorials Library Resources in WebCT

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33. 1. Aspirin & prevention of heart attack 2. Breast cancer screening 3. High cholesterol & heart attack 4. Antibiotics & common cold 5. Hormone replacement therapy & breast cancer 6. Prostate cancer screening 7. Quit smoking / nicotine patch 8. DOT & tuberculosis Practices

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42. Pre- & post-test Identify the PICO element Formulate clinical questions Search for evidence Retrieve appropriate evidence Evaluation – Quantitative (1) scores / grades

43. O O rientation Questionnaire - 5-point Likert scale Usefulness Satisfaction computer literacy perceived support effectiveness of educational intervention Evaluation – Quantitative (2)

44. O O rientation Focus Group Students’ experience of library workshop/ tutorial Views of the teaching method (usefulness, content, modes of delivery …) Views of modes of learning (length of program, knowledge and skills to be attained, applicability to their study) What would they like to include in the program Strengths and weaknesses of the program Evaluation - Qualitative

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46. Extend the initiative of evidence-based approach in information literacy programs to other faculties Nursing EBP curriculum E-health literacy course for HKU students Goal

47. O O rientation Online platform (WebCT) Case studies Use problem-based learning approach Facilitate students to search for reliable health information based on case scenarios E-Health Literacy - key component

48. O O rientation Inline with HKU new four-year undergraduate curriculum’s Action Plan – underlying theme – transforming student learning Promote increased flexibility in the delivery, participation and modes of learning (visual, aural, tactic) in the curriculum reform Promote information technology in education Goal - University-wide (1)

49. O O rientation Encourage students to develop self-directed learning through active participation & conceptualization of learning using the problem- based approach Extend the initiative of evidence-based approach in information literacy programs via the e-learning platform across discipline boundaries to other faculties in the university - benefiting all students, staff and the entire learning community Goal - University-wide (2)

50. O O rientation Questions ? Thank you