Tulane University School of Medicine Education hosted their annual School of Medicine's Teaching Scholar Award Ceremony & Education Day: Research in Medical Education. One of the goals of Education day is to provide faculty, fellows and residents in the School of Medicine and the School of Public Health and Tropical Medicine with the opportunity to present new and innovative work in health sciences education. Toward that end Mark Pease MD PhD (Pediatric Resident in the School of Medicine) and Elizabeth James PhD (Director of Distance Education School of Public Health) presented a poster titled "Short Interactive "Anytime" Lectures an Approach to Night Time Resident Training"

1. Short Interactive “Anytime” Lectures an Approach to Night Time Resident Training
Mark D. Pease MD PhD & Elizabeth A. James PhD
Tulane University School of Medicine, Department of Pediatrics and Public Health and Tropical Medicine, New Orleans, LA
Introduction Blended Learning Environments Wiki Archive Peer Production Site
Restrictions in the duty hours of residents has resulted in
Blended environments are a blending of physical and virtual elements creating a
increasing the frequency of patient turnovers and decreasing
“learning” experience.
the face-to-face training time. On an institution level, it is more
• Physical Space
difficult to have all relevant team members together at one
• Virtual Social Space i.e. Facebook etc
time and in one place.
• Virtual Public Communication Space i.e. Adobe Connect
• Virtual Private Space i.e. Adobe Connect, email, IM
With this in mind, online teaching methods have been shown
Real Time Virtual Environment such as Adobe Connects Center allows:
to be a successful alternative to traditional training.1 Online
• Participation from any platform i.e. smart phone, iPad, Computer, etc.
methods have been used to expand basic resident education
• Participants can be present via live video, static image, texting, listening or
but also to facilitate patient turnover or handoffs. 2. Duke has
broadcasting (oral)
developed a resident Web-based training system that
• Includes the ability to share: data, text, image and video i.e. lab results, images
successfully incorporates streaming video that is available
• Polling to facilitate engagement of participants and as an assessment / consensus
online.3
tool
• Meetings can be automatically recorded and pod casts generated for future
One of the limitations of current established online training is
resource and training.
the lack of interactivity,4 thus weakening Texting during
• Easy real time entry for one, two or many individuals to access.
teaching, development of problem solving skills, optimization Virtual Classroom Real Time Interaction meeting.
• Built in video and pod cast recordings generated from discussion Virtual Meeting Recorded (automatically)
of patient care, team building and learner engagement. Video & Pod Cast Added to Wiki (persistent media)
Accessible from Multiple Platforms Available for Multiple Format Postings
Objective
Presented here is a method to have real time interactive
training that is location and platform independent that may be
archived as a persistent learning resource. • Wiki sites are tools that can be used for peer production
• Short videos or pod casts created by attending to develop and maintain knowledge for use by
physicians, consultants, residents, and/or interns individuals and a community.
that are directly related to a patient currently • May also be used as a repository for information
receiving treatment via use of the virtual classroom. including that generated in the Virtual Classroom.
• Video, pod casts or image files may be posted on a • Co-creation of materials, services and end product
Learning Management (LMS) system such as development (prosumer i.e. producers as well as
Blackboard or a Wiki for collaborative development. consumer.)
• Wiki & LMS are compatible for use with discussion • Peer production efforts not only enhance the cohesion
boards or Blogs for ongoing discussion.
Polling
of the team but help to focus on genuine needs of the
• The learning experience is made real time by a community which are not always perceived correctly
number of technological innovations. from the outside.
• One-on-One training as well as on the fly group • Peer production in wiki, blogging and virtual on line
teaching can be accommodated by enlisting meetings leads to a directed evolution of solutions and
different platforms for example the virtual drives innovation and growth as a function of their co-
classroom Adobe Connect facilitates face-to-face innovation.
group meetings with multiple remote participants. • Transparency in contribution and training of Night Time
• Technologies such as duel camera phones and Resident and all participants is critical for speeding up
FaceTime allow a dynamic one on one video development and implementation of innovative solutions
Platform Independent Virtual Conference Room Access
conversation. References solutions.
to problems as well as repurposing
• Principles of structure: openness, peering, sharing and
acting globally.
Patient and Web Data 1. Efficacy and efficiency of Webcast orientations versus live resident orientations:
Results of a 2-year survey. J Grad Med Educ. 2010;2:136-140
Uploaded in Real Time 2. Hospital Handoffs for Intern Orientation (video).
http://www.slideshare.net/MergeLab/hospital-handoffs-for-intern-orientation. Accessed
Medical Image Data Lab Data
Web Dec 15, 2011.
3. The development of a Web-based resident signout training program. Conf Proc IEEE Int
Images
Conf Syst Man Cybern. Dec 4, 2009, 2509-2514.
Participants 4. Handoffs in the Era of Duty Hours Reform: A Focused Review and Strategy to Address
Changes in the Accreditation Council for Graduate Medical Education Common Program
Attending, Residents, Students, Guests Requirements, Academic Medicine, Vol. 87, No. 4 April 2012
• Seamless mobile e-learning and e-participation makes 5. Decreasing Adverse Events through Night Talks: An Interdisciplinary, Hospital-Based
Quality Improvement Project, The Permanente Journal/ Fall 2009/ Volume 13 No. 4
this platform convenient for all users. 6. Adequacy of information transferred at resident sign-out (in hospital handover of care):
• Platforms can include smart phones, iPads, Mac • Patient data in many formats can be used via the virtual and directly viewed and edited. a prospective survey, Qual Saf Health Care 2008;17:6-10
computers , PCs • White board options for idea development. 7. Understanding the mobile internet to develop the next generation of online medical
• FaceTime can be fully HIPAA-compliant through teaching tools, J Am Med Inform Assoc 2011;18:875-87
• Use smart phon technology, real time diagnostic, treatment and pathophysicalolgy, 8. Rich internet application system for patient-centric healthcare data management using
proper configuration. • Drug information is coming from automatically updated drug databases. Orders written handheld devices. Engineering in Medicine and Biology Society, 2009. EMBC 2009.
• Virtual Classroom by Adobe can be HIPAA compliant at nurses station Annual International Conference of the IEEE
if installed on compliant server. • Teaching happens 9. Using the Battlefield Telemedicine System (BTS) to Train Deployed Medical Personnel in
Complicated Medical Tasks - A Proof of Concept. Adobe Connect, Stud Health Technol
• Virtual Learning Environments Night Shift Residents Inform. 2012;173:215-7
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