Monday 16 November 2020

Supplementary "Slides" and Additional Reading for Plenary Presentation "Medical Education Disrupted by Technology, What is Gained and Potentially Lost"

 https://medicaleducationelearning.blogspot.com/2020/06/medical-education-disrupted-by.html

(conference presentation blog - above link)

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➡️Thought experiment 3 - Adaptive learning by blending AI and human input, in digitally literate, learning science trained students (and faculty)
Poh-Sun Goh, 3 October 2020 @ 0846am

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➡️Thought experiment 3 - Access to, and Learning from the very best content, teachers, instructional and training paradigms, globally; customised and adapted to an individual learner's requirements by AI, and an expert, experienced local instructor; guided by usage and performance data from video and human observations, eye tracking data, human-computing interface interactions, as well as evidence of information registration, short and long term processing of this content for successful learning, and transfer to practice.

To use an analogy from an earlier era; motivated, interested and ambitious students would do 'deep dives' into textbooks, scour the library for information; read and re-read, make notes of, discuss and use what they have learnt, and transfer this into practice. With the advent of the internet, digitisation of content; access to the very best didactic 'lectures', now increasingly in modular, short format videos; the challenge for students now is to find not only the 'best' information, but also the most appropriate ones, for their learning and training needs, on an ongoing basis. This requires not only scanning, skimming through, and sampling what is popular, and recommend by fellow users and peers, and what is related to the current topics and key words that they are searching for; but also a deeper appreciation for the relevance, usefulness, and quality of the material that they are planning to use to learn and train with. This will require more than a reliance of low level AI algorithms driving search results from online search engines. It will required an ability and skill in the student to evaluate the quality, relevance, and suitability of what a search engine throws up on the first page of search results - by understanding how popularity, key words, sustained engagement with the content by other similar online users, likes and recommendations feed search algorithms. Ultimately, only by reflecting upon, and using (digital) content, and getting feedback from the products and outcomes of their learning efforts, initially from informal feedback and formal assessments, and then later from measurable results in the workplace; will learners develop an appreciation of the value, and utility of the content, and training process which they have undertaken. The combined and blended role of AI, and trained experienced human instructors, guides and coaches will be key.

by Poh-Sun Goh, 3 October 2020 @ 0836am

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above from
(see Thought Experiment 3)

Goh, Poh-Sun & Sandars, John. (2020). A vision of the use of technology in medical education after the COVID-19 pandemic. MedEdPublish. 9. 10.15694/mep.2020.000049.1. 

Thistlethwaite, J. (2020), Disrupting clinical education: what could, or should, this mean?. Clin Teach, 17: 119-121. doi:10.1111/tct.13156

Saleem, S.M., & Gouse, H.S. (2018). Constructive Disruption in Medical Education. International Journal of Medical Research and Health Sciences, 7, 141-149.


Strengthening the Connection Between Health Professions Education and Practice: Proceedings of a Joint Workshop (2019)
Chapter: 7 Disruption in Health Education and Practice

Buja L.M., 2019, "Disruptive change in contemporary medical education: Unintended consequences and risks"Research OUTREACH (110). Available at: https://researchoutreach.org/articles/disruptive-change-contemporary-medical-education-unintended-consequences-risks/ (Accessed 2020/10/10)

Buja, L.M. Medical education today: all that glitters is not gold. BMC Med Educ 19, 110 (2019). https://doi.org/10.1186/s12909-019-1535-9

Williams D. E. (2016). The Future of Medical Education: Flipping the Classroom and Education Technology. The Ochsner journal, 16(1), 14–15.

Guze P. A. (2015). Using Technology to Meet the Challenges of Medical Education. Transactions of the American Clinical and Climatological Association, 126, 260–270.

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Case study (Zoom meeting to plan nitty gritty of conference Panel discussion, see screenshot above)
- Reflecting on theme of conference ... Medical Education Disrupted by Technology, What is Gained, and Potentially Lost

Reflecting on this recent Saturday 10 October 2020 @ 1130 (Hong Kong time) Zoom meeting, my immediate reflections are:
- Substitute 'Faculty Development ' for 'Medical Education'
- Technology, in this case study example 'Zoom meeting' facilitated pre-meeting email information sharing, proposed questions to be aired, and early reactions including cited references to be shared, in the lead up to this one hour online meet-up
- The 'pedagogy' is not unlike that of a 'Flipped Classroom'
- Engagement level was high (smiles, level of online 'live' interaction)
- This was a group, at least for one US stateside, and one Singapore participant, who had not met in person before
- Technology brought us all together, glitch-free, with no travel costs incurred, with meeting participants mask free, and not requiring temperature monitoring, travel declaration, or details logged for potential future contact tracing
- We engaged, and then proceeded to off-live further one to one WhatsApp interaction, not unlike a post meeting informal 'corridor-chat' outside the meeting venue, and further exchange of information
- Meetings like this brings individuals together, in this case faculty/panelists, but can easily substitute with students and instructors/facilitators

Can only think of many 'pluses', and 'what is gained'. Nothing comes to mind about what is (potentially) lost from use of technology.

'One more thing ...', have you noticed that the Zoom meeting format facilitates a 'closer' interaction between participants ... with the physical separation of a meeting venue, hierarchy of seating arrangement around meeting table or in a meeting room absent. A true democratisation and flattening of some of the barriers to 'speaking up', and sharing/interacting in a live discussion.




https://jwel.mit.edu/assets/video/tips-teachers-engaging-students-online-live-sessions-and-asynchronous-discussions





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https://www.zarvana.com/experiencing-zoom-fatigue-heres-how-to-cope/

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A Time to Experiment (from “Telling to Mentoring” in Engineering Courses) (Tomorrow's Professor Posting: Message Number 1817)

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

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

Goh, P.S., Sandars, J. (2019). Using Technology to Nurture Core Human Values in Healthcare. MededPublish, 8, [3], 74, https://doi.org/10.15694/mep.2019.000223.1
https://www.mededpublish.org/manuscripts/2706

Goh PS., Sandars J (2019). Increasing tensions in the ubiquitous use of technology for medical education. Med Teach. Accepted for publication, 22 October 2018, published online 16 January 2019.
DOI: 10.1080/0142159X.2018.1540773
https://www.ncbi.nlm.nih.gov/pubmed/30646780

'Where we spend our time, what we spend our time on, and what we discuss are indicators of what we value, and what is valuable (to us).'
above quote from
Goh PS., (2016). 'The value and impact of eLearning or Technology enhanced learning from one perspective of a Digital Scholar', MedEdPublish, 5, [3], 31, https://doi.org/10.15694/mep.2016.000117

'Important considerations to be kept uppermost in our minds relate to the usability of any current or “new” technology or platform to support and enhance learning, and our teaching ... ; the cost of access and cost of development (in money, time and effort) of useful and high quality educational content ... ; the requirement to have a firm pedagogical grounding and use best practices in instructional design, and finally to always have a scholarly and experimental mindset ... What is “new”, must be shown to not only be “useful”, but also to add value to what we already have.'
above quote from
Goh, P.S. Technology enhanced learning in Medical Education: What’s new, what’s useful, and some important considerations. MedEdPublish. 2016 Oct; 5(3), Paper No:16. Epub 2016 Oct 12.
http://dx.doi.org/10.15694/mep.2016.000102

Goh, P.S. A series of reflections on eLearning, traditional and blended learning. MedEdPublish. 2016 Oct; 5(3), Paper No:19. Epub 2016 Oct 14.
http://dx.doi.org/10.15694/mep.2016.000105
https://www.mededpublish.org/manuscripts/607

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
http://www.ncbi.nlm.nih.gov/pubmed/26982639

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.
http://www.ncbi.nlm.nih.gov/pubmed/26558420


Lee, W. W., Alkureishi, M. L., Wroblewski, K. E., Farnan, J. M., & Arora, V. M. (2017). Incorporating the human touch: piloting a curriculum for patient-centered electronic health record use. Medical education online, 22(1), 1396171. https://doi.org/10.1080/10872981.2017.1396171
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5678228/

Bullock A, Webb K. Technology in postgraduate medical education: a dynamic influence on learning?Postgraduate Medical Journal 2015;91:646-650.

Tim Goodchild & Ewen Speed (2019) Technology enhanced learning as transformative innovation: a note on the enduring myth of TEL, Teaching in Higher Education, 24:8, 948-963, DOI: 10.1080/13562517.2018.1518900

Kirkwood, A., & Price, L. (2014). Technology-enhanced learning and teaching in higher education: what is ‘enhanced’ and how do we know? A critical literature review. Learning, Media and Technology, 39, 36 - 6. https://www.semanticscholar.org/paper/Technology-enhanced-learning-and-teaching-in-higher-Kirkwood-Price/023c00b1bcdf9dbf9b1bf8782e02a9b1898d9925


Pacifico Silva, H., Lehoux, P., Miller, F.A. et al. Introducing responsible innovation in health: a policy-oriented framework. Health Res Policy Sys 16, 90 (2018). https://doi.org/10.1186/s12961-018-0362-5
https://health-policy-systems.biomedcentral.com/articles/10.1186/s12961-018-0362-5

Lehoux, P., Roncarolo, F., Silva, H., Boivin, A., Denis, J., Hébert, R. (2019). What Health System Challenges Should Responsible Innovation in Health Address? Insights From an International Scoping Review. International Journal of Health Policy and Management, 8(2), 63-75. doi: 10.15171/ijhpm.2018.110
https://www.ijhpm.com/article_3572.html


'Everyone can search for—and usually find—information on the Internet; the rewards now accrue to those who know what to do with that knowledge.'
and
'The value of teaching as a key differentiator is bound to rise as digitalisation drives forward the unbundling of educational content, delivery and accreditation in higher education.'
above quotes by
Prof. Dr. Andreas Schleicher, Director for the OECD’s Directorate of Education and Skills
from blog below
titled WHY GOOD TEACHING IS CRUCIAL FOR PREPARING STUDENTS FOR A DIGITISED WORLD, accessed 25 July 2020
https://hochschulforumdigitalisierung.de/de/blog/shaping-digital-turn-andreas-schleicher

US universities under pressure to cut fees because of remote learning (Financial Times, accessed 25 July 2020)

https://knowledge.insead.edu/blog/insead-blog/deconstructing-learning-reconstructing-education-15111


 



 
What is role of the learner, teacher, and environment in supporting and enhancing optimal learning and performance? from Poh-Sun Goh 

 




 
Performance drives Learning from Poh-Sun Goh 

 

for above, see additional notes related to Slideshare post on Slideshare post webpage
at bottom of Slide, after date of posting

 

 

 

 
 

 

 
Technology enhanced learning in medical education - Fireside chat from Poh-Sun Goh 


 









- Michael Fullan

- Andreas Schleicher

Matt Renwick, EdTechMagazine, Aug 24, 2016





 
 







Delgaty L, Fisher J, Thomson R, 2017, 'The ‘Dark Side’ of Technology in Medical Education', MedEdPublish, 6, [2], 19, https://doi.org/10.15694/mep.2017.000081









Terry, C., & Cain, J. (2016). The Emerging Issue of Digital Empathy. American journal of pharmaceutical education, 80(4), 58. https://doi.org/10.5688/ajpe80458

The New Development of Technology Enhanced Learning
Concept, Research and Best Practices
Editors (view affiliations)
Ronghuai Huang KinshukNian-Shing Chen


The value of human touch in health care
https://www.optum.com/health-insights/human-touch.html

https://www.healthcareitnews.com/ai-powered-healthcare/ai-protecting-human-touch-more-important-ever

https://www.raconteur.net/healthcare/patients-tech-human-touch

https://www.nytimes.com/2018/10/08/well/live/the-importance-of-medical-touch.html

https://theconversation.com/touch-creates-a-healing-bond-in-health-care-59637


'... technological innovations that reduce interpersonal contact are met in our society with a demand for increased contact ...the specialty has accepted and joined in the criticism of the medical establishment as too concerned with technology at the expense of human relationships.'
above quote from
Charles Christianson in Family Practice as an Anti-Establishment Movement, page 195 in
Family Medicine: The Maturing of a Discipline

https://www.amazon.com/High-Tech-Touch-Technology-Meaning/dp/0767903838

https://www.quotetab.com/quote/by-john-naisbitt/the-more-technology-we-introduce-into-society-the-more-people-will-aggregate-wi

https://www.quotetab.com/quote/by-john-naisbitt/we-are-drowning-in-information-but-starved-for-knowledge


'All successful innovation is the mixture of high tech and high touch.'
above quote from
Darren McKnight in High Tech, High Touch, page 28 in
Hitting the Innovation Jackpot: Practical Essays on Innovation


https://medicalfuturist.com/category/medical-education/

https://medicalfuturist.com/medical-specialties-with-the-biggest-potential-in-the-future/


'Schools could embrace an older style of teaching used by British universities — the tutorial system — and adapt it for the online world.'
above quote from article below
College Courses Online Are Disappointing. Here’s How to Fix Them
https://www.nytimes.com/2020/07/08/opinion/college-reopening-online-classes.html


'One challenge to authentic learning while working from home lies in the absence of a chance to learn informally. Physical offices enable workers to pick up knowledge and problem-solving skills through daily interactions.'
quoted from article below
https://www.businesstimes.com.sg/opinion/reimagining-learning-post-pandemic

https://www.straitstimes.com/lifestyle/internship-woes-19-during-a-time-of-covid-19

The Informal Workplace Learning Experiences of Virtual Team Members: A Look at the Role of Collaborative Technologies
Jones, Frankie S.
Online Submission, Paper presented at the International Research Conference in the Americas of the Academy of Human Resource Development (Indianapolis, IN, Feb 28-Mar 4, 2007)
https://eric.ed.gov/?id=ED504836

Zhao, Fang & Kemp, Linzi. (2012). Integrating Web 2.0-based informal learning with workplace training. Educational Media International. 49. 10.1080/09523987.2012.738015.
https://www.researchgate.net/publication/263191445_Integrating_Web_20-based_informal_learning_with_workplace_training

Decius, J, Schaper, N, Seifert, A. Informal workplace learning: Development and validation of a measure. Human Resource Development Quarterly. 2019; 30: 495– 535. https://doi.org/10.1002/hrdq.21368
https://onlinelibrary.wiley.com/doi/full/10.1002/hrdq.21368


'Getting information off the Internet is like taking a drink from a fire hydrant.'
Mitch Kapor
https://www.brainyquote.com/quotes/mitch_kapor_163583


'Digital education is generating new learning opportunities as students engage in online, digital environments and as faculty change educational practices through the use of hybrid courses, personalized instruction, new collaboration models and a wide array of innovative, engaging learning strategies. Furthermore, a 21st century view of learner success requires students to not only be thoughtful consumers of digital content, but effective and collaborative creators of digital media, demonstrating competencies and communicating ideas through dynamic storytelling, data visualization and content curation.'
above quote from
David Goodrum, director of academic technology and information services, Oregon State University, in Campus Technology (page 3)


https://tophat.com/blog/6-pros-cons-technology-classroom/

https://www.classcraft.com/blog/features/pros-and-cons-of-technology-in-the-classroom/

https://inspirationfeed.com/negative-effects-of-technology-in-education/

https://www.viewsonic.com/library/education/5-disadvantages-of-technology-in-the-classroom-and-how-to-overcome-them/

https://www.theedadvocate.org/dark-side-educational-technology/

https://universityhomeworkhelp.com/15-disadvantages-of-technology-in-education/

Alhumaid, Khadija. (2019). Four Ways Technology Has Negatively Changed Education. Journal of Educational and Social Research. 9. 10-20. 10.2478/jesr-2019-0049.
https://www.researchgate.net/publication/336969538_Four_Ways_Technology_Has_Negatively_Changed_Education


https://www.slideshare.net/dnrgohps/learning-continuum-mapped-on-to-self-vs-instructor-directed-axes

https://www.slideshare.net/dnrgohps/online-learning-pathway-progression

https://www.slideshare.net/dnrgohps/effective-learning-is-a-repetitive-iterative-cumulative-process

Google search for 'how to maximise the strengths and minimise the weaknesses of online learning'

https://www.uis.edu/ion/resources/tutorials/online-education-overview/strengths-and-weaknesses/

http://academic.son.wisc.edu/wistrec/archive/OnlineLearning/Strengths.htm


https://www.mckinsey.com/featured-insights/future-of-work/jobs-lost-jobs-gained-what-the-future-of-work-will-mean-for-jobs-skills-and-wages


https://www.cnet.com/news/apples-future-ar-pieces-hide-in-the-corners-during-a-virtual-wwdc/

https://www.electronicdesign.com/industrial-automation/article/21119718/4-predictions-for-the-first-year-of-the-ambient-computing-decade

https://www.healthcare.digital/single-post/2019/07/31/Ambient-Computing-the-new-battleground-in-Digital-Health

Ambient AI And The Future Of Medicine

https://www.neurosciencemarketing.com/blog/articles/audio-vs-video.htm

Measuring narrative engagement: The heart tells the story
Daniel C. Richardson, Nicole K. Griffin, Lara Zaki, Auburn Stephenson, Jiachen Yan, John Hogan, Jeremy I. Skipper, Joseph T. Devlin
bioRxiv 351148; doi: https://doi.org/10.1101/351148

https://www.theverge.com/2018/3/12/17106688/bose-ar-audio-augmented-reality-glasses-demo-sxsw-2018

Cidota, M., Lukosch, S., Datcu, D. et al. Comparing the Effect of Audio and Visual Notifications on Workspace Awareness Using Head-Mounted Displays for Remote Collaboration in Augmented Reality. Augment Hum Res 1, 1 (2016). https://doi.org/10.1007/s41133-016-0003-x
https://link.springer.com/article/10.1007/s41133-016-0003-x

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