Monday, 7 December 2020

#TeL in MedEd during COVID-19, looking back and looking forward



"The lessons learned for using Technology Enhanced Learning during the COVID-19 pandemic"
Symposium, August 27-31, 2021
(Hybrid AMEE 2021)

Title: The lessons learned for using Technology Enhanced Learning during the COVID-19 pandemic
Presenters: J Sandars, D Fernandes, PS Goh, R Patel
Date: Sunday 29th August 2021
Time (UK): 1000-1130 (start/end)


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Chair - John Sandars

Poh Sun - using Technology Enhanced Learning in MedEd - Lessons from Design, Development and Use during COVID-19

John - lessons about implementation - complex socio-cultural systems and the challenge of rapid change

Rakesh - lessons about online clinical skills teaching

Dario Fernandes - lessons from a LMIC perspective






Lessons from Design, Development and Use during COVID-19
Poh-Sun Goh

Transcript

Hello

Thank you to Professor John Sandars, chairman of the AMEE TEL Committee for leading our symposium team, for his opening comments, and setting the stage. I will briefly add to his slides, before handing on the baton to Rakesh and Dario.

My presentation focuses on Lessons Learnt during the Development, Design and Use of Technology Enhanced Learning during COVID-19. In two main sections, in two main areas - our ‘Use’ of TEL; and our opportunity to relook at how we ‘Design and Develop’ process. [Opening Slide]

Thinking in this presentation builds on and extends upon previously published work [Slide 2]

Let’s first look at our ‘Use’ of TEL. During COVID-19, many of us applied ‘emergency measures’ including in eLearning (emergency eLearning or emergency TEL), using (digital) content at hand, combined with digital tools and platforms which were available, off the shelf or repurposed [Slide 3]

Elaborating on how we might re-look at our ‘Design’ and ‘Development’ of TEL - Living with COVID-19/after COVID-19, we now have the opportunity of being more intentional about our design and development of TEL, looking at ‘What’ we are trying to achieve, before ‘What we do, ‘Why’ we do this, before examining and critically re-looking at ‘Why’ certain content, platforms and tools were chosen and used - ‘How” we go about using TEL (What/Why before What/Why and How [Slide 4]

In essence, in the educational and training process, we blend a series of ‘ingredients’, to use a culinary analogy. We work with content, and have certain specific outcomes in mind. What success looks and feels like - what our students and trainees will know, do and feel. Working with subject matter experts, as subject matter experts. The content we use, curated (with permission and attribution) and created, the engagement process, including practice (by recall - of knowledge, use of and applying skills) [Slide 5]

Ideally, our practice is informed by Learning Science - including design and use of Spaced, Interleaved and Block practice, in a Mastery Training and Deliberate Practice framework (implemented through faculty development, embodied and designed into the curriculum, with learning and digitally literate students and trainees) [Slide 6].

Adding to the (ingredient) mix ideally involve faculty acutely aware of, and taking into account Cognitive Load Theory, and making sure each learning and training session, and curricular time does not ‘overload’ the student and trainee [Slide 7].

Our engagement, educational, and training process ideally presents content, and facilitates learning and transfer to practice by awareness and application of Meyer’s 11 instructional design principles [Slide 8]. 

We then add to the mix Design Thinking and Action Research through usability testing and rapid prototyping [Slide 9]. 

This ‘culinary’, design and development ‘blend’ is rarely embodied in one person - We do not have to, and should not work in isolation, and this applies even in challenging resource environments - reach out, team up, work together. Read. Get trained. Seek help. Collaborate. Connect with networks through technology tools and platforms - professional organisations and associations. Social media used for professional and educational purposes.

Briefly, we have reviewed the emergency ‘Use’ of TEL, and then looked at how we might take some breathing room, a strategic and tactical ‘pause’, to relook at how we might intentionally design and develop TEL, to live ‘with’ COVID-19, and do better ‘after’ COVID-19 [Slide 10]

Thank you [closing slide, Slide 11]




To sum up my presentation section - few takeaways, and areas/questions for discussion - related to screenshots closing slides above, include --> faculty development (and student-trainee capability building by 1) building digital literacy, 2) role of and skill in applying learning science, and 3) skilling up our human capabilities (connecting + trust building + connecting + collaborating/working effectively and efficiency through human networks amplified by and blending with technology [COP and COI] specifically skills in communication, empathy, innovation, design thinking, action research, our 'intellect' and 'skill in using tools' - by AI - augmenting 'human' intelligence blended with artificial intelligence, data (quantitative and qualitative) and technology: Poh-Sun Goh, 7 July 2021, 0358am, Singapore Time








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Goh Poh-Sun
Associate Professor, Department of Diagnostic Radiology, Yong Loo Lin School of Medicine, National University of Singapore, Senior Consultant, Department of Diagnostic Radiology, National University Hospital and Associate Member, Centre for Medical Education, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Member, AMEE TEL (Technology Enhanced Learning) Committee (since 2011)

Poh-Sun (MBBS(Melb) 1987, FRCR 1993, FAMS 1998, MHPE(Maastricht) 2012 and FAMEE 2017) practices on the clinician educator tract (80/20 time allocation clinical/education) augmenting his education and training time allocation with technology, and regular cumulative early morning focused scholarly efforts, spent developing and evaluating the use of open access online digital repositories in clinical training, and medical education faculty development, under a mastery training and deliberate practice framework. He focuses his efforts on the challenge of transfer to practice, in the widest possible settings, through use of reusable comprehensive digital content, iterative low cost proof of concept implementation combined with collaborations and partnerships to scale, all anchored on a solid foundation of theory and evidence.




Dr Poh-Sun Goh
吳 宝 山
Short Bio:

Am a Clinical Radiologist at NUHS/YLLSOM@NUS. Working at NUH since 1989.
Also Medical Educator, with Masters in Health Professions Education (MHPE) from Maastricht University (2012); with deep passion for both eLearning/Technology enhanced Learning and Faculty Development - locally and internationally.

Latest publication below
Goh, PS. 'Medical Educator Roles of the Future'. Medical Science Educator. Online publication 30 September 2020. https://doi.org/10.1007/s40670-020-01086-w

My signature achievement is to have a curry named after me, Poh-Sun's Chicken Curry.

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Further Reading Below

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Goh P.S, Sandars J. (2020) 'Rethinking scholarship in medical education during the era of the COVID-19 pandemic', MedEdPublish, 9, [1], 97, https://doi.org/10.15694/mep.2020.000097.1

https://www.mededpublish.org/manuscripts/3116

Sandars, J., Correia, R., Dankbaar, M., de Jong, P., Goh, P.S., Hege, I., Masters, K., Oh, S.Y., Patel, R., Premkumar, K., Webb, A., Pusic, M. (2020). 'Twelve tips for rapidly migrating to online learning during the COVID-19 pandemic'. MedEdPublish, 9, [1], 82, https://doi.org/10.15694/mep.2020.000082.1

https://www.mededpublish.org/manuscripts/3068

Goh P.S, Sandars J. (2020) 'A vision of the use of technology in medical education after the COVID-19 pandemic', MedEdPublish, 9, [1], 49, https://doi.org/10.15694/mep.2020.000049.1

https://www.mededpublish.org/manuscripts/2943

Sandars, John & Patel, Rakesh. (2020). The challenge of online learning for medical education during the COVID-19 pandemic. International Journal of Medical Education. 11. 169-170. 10.5116/ijme.5f20.55f2. 

https://www.researchgate.net/publication/343810557_The_challenge_of_online_learning_for_medical_education_during_the_COVID-19_pandemic

Cecilio-Fernandes D, Parisi M, Santos T, Sandars J, 2020, 'The COVID-19 pandemic and the challenge of using technology for medical education in low and middle income countries ', MedEdPublish, 9, [1], 74, https://doi.org/10.15694/mep.2020.000074.1

https://www.mededpublish.org/manuscripts/3024

Al-Balas, M., Al-Balas, H.I., Jaber, H.M. et al. Distance learning in clinical medical education amid COVID-19 pandemic in Jordan: current situation, challenges, and perspectives. BMC Med Educ 20, 341 (2020). https://doi.org/10.1186/s12909-020-02257-4

https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-020-02257-4#change-history

Mseleku, Z. (2020). A Literature Review of E-Learning and E-Teaching in the Era of Covid-19 Pandemic. SAGE, 57(52), 6. https://ijisrt.com/assets/upload/files/IJISRT20OCT430.pdf

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Balakrishnan Ashokka, Say Yang Ong, Kwang Hui Tay, Ne Hooi Will Loh, Chen Fun Gee & Dujeepa D. Samarasekera (2020) Coordinated responses of academic medical centres to pandemics: Sustaining medical education during COVID-19, Medical Teacher, 42:7, 762-771, DOI: 10.1080/0142159X.2020.1757634

https://www.tandfonline.com/doi/full/10.1080/0142159X.2020.1757634

Samarasekera D, Goh D, Yeo S, Ngiam N, , et al. 2020, 'Response and Lessons Learnt Managing the COVID-19 Crisis by School of Medicine, National University of Singapore', MedEdPublish, 9, [1], 92, https://doi.org/10.15694/mep.2020.000092.1

https://www.mededpublish.org/manuscripts/3034

Yong X, Chew C, Chin C, Ong C, , et al. 2020, 'COVID-19 in Singapore: Graduate Medical Education in The Face of a Global Pandemic', MedEdPublish, 9, [1], 189, https://doi.org/10.15694/mep.2020.000189.1

https://www.mededpublish.org/manuscripts/3471

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Say Goodbye to Best Practices in Higher Ed (Tomorrow's Professor, posting number 1839)

https://tomprof.stanford.edu/

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https://www.exed.hbs.edu/videos/harvard-business-school-live-online-classroom

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http://www.smj.org.sg/covid-19

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How 2020 changed the way we use technology (Financial Times, January 3, 2021)

Where’s the spark? How lockdown caused a creativity crisis (Financial Times, January 18, 2021)

https://www.nytimes.com/interactive/2020/04/07/technology/coronavirus-internet-use.html (NY Times, April 7, 2020)

How Has 2020 Changed Our Technology Use? (Lumavate, Oct 1, 2020)

https://www.deloittedigital.com/us/en/blog-list/2020/how-technology-is-changing-the-world-during-covid-19.html (May 21, 2020)

https://www.accenture.com/us-en/insights/technology/tech-vision-coronavirus-trends (June 19, 2020)

https://www.mckinsey.com/featured-insights/mckinsey-global-surveys

https://library.educause.edu/resources/2020/3/2020-educause-horizon-report-teaching-and-learning-edition


https://failuretodisrupt.com/

https://jwel.mit.edu/sites/mit-jwel/files/assets/files/reich_pandemic_slides.pdf

Failure To Disrupt Book Club: September 21, 2020 (YouTube)

Failure to Disrupt: Why Technology Alone Can't Transform Education (YouTube)

Justin Reich, “Failure to Disrupt: Why Technology Alone Can’t Transform Education” (YouTube)

Failure to Disrupt: Why Technology Alone Can't Transform Education (YouTube) - This session is hosted as part of the Gamification, Technology and Learning Motivation (GTLM) course offered by Prof. Kathan Shukla, RJMCEI, IIM Ahmedabad. Guest speaker: Prof. Justin Reich

https://failuretodisrupt.com/keynote-sharing-change-and-constancy/

Failure to Disrupt Why Technology Alone Can’t Transform Education Justin Reich (Harvard University Press)

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http://www.nus.edu.sg/alumnet/thealumnus/issue-124/perspectives/focus/joining-the-dots-to-map-out-tomorrow

https://news.nus.edu.sg/a-degree-in-learning-to-be-human/

http://nus.edu.sg/cdtl/professional-development/expand/toolkit-for-e-learning

http://www.cit.nus.edu.sg/teaching-learning-continuity/

http://www.cit.nus.edu.sg/docs/Teachingfromhome-QuickStart-guide.pdf

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https://www.straitstimes.com/opinion/home-based-learning-3-digital-myths

https://www.kbsingapore.org/kb-teachers-and-students-reflections/home-based-learning-what-have-we-learnt

https://www.straitstimes.com/singapore/panic-buying-circuit-breaker-and-reopening-a-timeline-of-spores-covid-19-fight

https://www.straitstimes.com/singapore/covid-19-one-year-on-how-singapore-adjusted-to-pandemics-dark-clouds

https://www.straitstimes.com/multimedia/graphics/2020/12/coronavirus-one-year-on-singapore-asia/index.html?shell

https://www.straitstimes.com/multimedia/graphics/2020/12/covid19-inventions/index.html?shell

https://www.straitstimes.com/singapore/budget-debate-at-a-glance-transforming-singapore-for-a-post-covid-19-future

https://9to5mac.com/2021/03/18/tim-cook-routine-apple-work/

https://people.com/human-interest/apple-ceo-tim-cook-expects-return-to-office-post-pandemic/

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https://telmeded.blogspot.com/2021/01/new-tech-2021.html

https://www.straitstimes.com/opinion/go-glocal-to-grow-in-asean

https://www.edb.gov.sg/en/edges-of-southeast-asia.html



To sum up my presentation section - few takeaways, and areas/questions for discussion - related to screenshots below, include --> faculty development (and student-trainee capability building by 1) building digital literacy, 2) role of and skill in applying learning science, and 3) skilling up our human capabilities (connecting + trust building + connecting + collaborating/working effectively and efficiency through human networks amplified by and blending with technology [COP and COI] specifically skills in communication, empathy, innovation, design thinking, action research, our 'intellect' and 'skill in using tools' - by AI - augmenting 'human' intelligence blended with artificial intelligence, data (quantitative and qualitative) and technology: Poh-Sun Goh, 28 June 2021, 0628am, Singapore Time

My 'thinking' about use of Technology in (Medical) Education and Training in general are summed up in the closing Slide  - screenshot below - with further screenshots of sections of this slide, and links to an elaboration on the idea of #MicroScholarship (in the context of #FOAMeded) and full Slide Deck last.





#FOAMedEd + #Micro-Scholarship

#FOAMedEd

FOAMedEd embodies content (knowledge, skills, attitudes) curated by a COP (community of practice) and COI (community of interest) - customised for a particular 'historical' (at the point of creation + curation of this content) 'job to be done' (specific task + localised and contextualised) - this 'historical' and 'context' information should be added to 'reusable' digital artefact - which is ideally in its most granular, reusable, platform agnostic format - text, illustration, micro-content (media)

Customisation and Personalisation requires combination of digital literacy + personal user insight into task and whether content 'works' + sensitivity and openness to situational 'feedback' and 'coaching' (both human and AI - artificial and augmented human intelligence)

Poh-Sun Goh, 17 June 2021, 0737am, Singapore Time


#Make #Each (and #Every) #Step Count, and be #Counted, #Daily, #Cumulatively - #makeVisible #Path #Steps #Journey #Milestones and #endGoals
Poh-Sun Goh, 9 July 2021, 0529am, Singapore Time

above from


#Micro-Scholarship: Three Threads
by
Poh-Sun Goh
19 April 2021 @ 06.58am, Singapore Time

Thread 1

scholarship, like clinical or educational practice occurs in small sequential steps (ideally taken at regular, even daily intervals)

each step is additive, and cumulative, as part an academic journey

each step can be documented, digitally, and visible - for open access, inspection, review

each step can be created, or curated with proper attribution, and 'value add' e.g. commentary, customisation, to enable each step to be a modular, free-standing, usable 'piece' of 'Micro-Scholarship

Thread 2

our efforts (as open, digital scholars), when aligned with the needs and requirements of our users, including communities of practice and organisations become useful, recognised and valued

recognition by an organisation or institution includes awarding certifications of performance levels + (AND) contribution impact value levels (AS VALUED BY the institution or organisation - e.g. Associate or Professor level performance, Associate or Fellow level performance by AMEE

Thread 3

the concept of 'Micro-Scholarship' is a usable, practical and sustainable framework and recipe, similar to practices in the culinary arts, or the arts

where each ingredient, when selected, curated, and prepared (for cooking), is individually of value, visible and can be assessed, tasted, and valued (and is valuable), as well as the completed 'dish', and 'recipes' - all of which can be made openly accessible, for viewing, consumption, and 'sale' to be bought be a consumer or organisation

the idea of taking small cumulative steps, on a regular basis is an analogy that all of us, and the reader, can identify with

the idea of Micro-Scholarship is that each step 'is' usable, valuable, and can be valued and assessed, and recognised - at individual, community of practice, and institutional levels (with metrics of audience size - use, commentary and incorporation into practice - citations, 'valued ' as 'judged' as attaining a certain band of performance - e.g. Associate or Full, Associate or Fellow level performance, and 'valued' for contribution impact by promotion and increasing salary band levels.

above posted on blog link below


Thursday, 26 November 2020

Data (analytics) informing (e)Teaching and (e)Learning




Goh PS, Sandars J. (2019). Digital Scholarship – rethinking educational scholarship in the digital world, MedEdPublish, 8, [2], 15, https://doi.org/10.15694/mep.2019.000085.1

Samarasekera DD, Goh PS, Lee SS, Gwee MCE. The clarion call for a third wave in medical education to optimize healthcare in the twenty-first century. Medical Teacher (accepted for publication, July 2018; epub 9 October 2018).
(see section on Learning Analytics and Digital Scholarship within article)

Goh, P.S. Learning Analytics in Medical Education. MedEdPublish. 2017 Apr; 6(2), Paper No:5. Epub 2017 Apr 4. https://doi.org/10.15694/mep.2017.000067

Goh, P.S., Sandars, J. Insights from the culinary arts for medical educators. MedEdPublish. 2017 Jan; 6(1), Paper No:10. Epub 2017 Jan 18.

Goh, P.S. eLearning or Technology enhanced learning in medical education - Hope, not Hype. Med Teach. 2016 Sep; 38(9): 957-958, Epub 2016 Mar 16

Goh, P.S. Using a blog as an integrated eLearning tool and platform. Med Teach. 2016 Jun;38(6):628-9. Epub 2015 Nov 11.




above from
Goh, P.S. Learning Analytics in Medical Education. MedEdPublish. 2017 Apr; 6(2), Paper No:5. Epub 2017 Apr 4. https://doi.org/10.15694/mep.2017.000067


"Requirements for Data Informed Personal, and Personalised eLearning and eTeaching

Privacy. Data Security. Responsible Access/Use. Awareness. Digital literacy. Thoughtful use. Confidence. Public networks and platforms + "Free" commercial/ad driven networks and platforms vs Private/Institutional Intranets and Learning Management Systems

What are some of the key requirements necessary to take full advantage of an eLearning/Technology enhanced learning platform and process?

How can we take advantage of the flexibility, low cost (often "free"), scale and reach of public networks and platforms (for example Instagram, WhatsApp, WeChat, Facebook, Blogger, LinkedIn), and combine this with the greater privacy, rule based use and governance of private (password, dual-key, biometric secured) and institutional networks, which are still potentially vulnerable to potential data breeches, data misuse, hacking, and data loss/theft?

Do we respond by not participating? or restricted/limited participation? creating silos, both online, and some off-line? Not using digital formats? Going offline?

I believe one sensible, and safe approach is to combine, or blend the use of fully public, semi-private, and private digital platforms and approaches, some off-line, some online.

We can learn from our current cautious, and informed use of digital medical records by our healthcare systems; and translate strategies and approaches to the use of student and trainee records and data (learning and training logs, data streams and artefacts). We can also learn from financial practice and the finance industry, in their use of encryption and blockchain for example, at an institutional and system level."
above from
https://medicaleducationelearning.blogspot.sg/2017/10/requirements-for-data-informed-personal.html











Modular Blended eFaculty Development using Blogs and Instagram

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Instagram stream (below) as hyperlinked, online-mobile accessible, interactive SlideDeck

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Concrete examples data informing teaching and learning from Poh-Sun Goh


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Instagram - for grabbing attention, showing value

Slideshare - for access, analytics (views, downloads, clipping)

Blogger - for access, analytics, as digital repository
Goh, P.S. Using a blog as an integrated eLearning tool and platform. Med Teach. 2016 Jun;38(6):628-9. Epub 2015 Nov 11.

Padlet - as online bulletin board, for access
Goh, P.S., Sandars, J. An innovative approach to digitally flip the classroom by using an online "graffiti wall" with a blog. Med Teach. 2016 Aug;38(8):858. Epub 2016 Jul 14.


click on tile above to access website