Introducing Cameo for PowerPoint

FMS TEL have been checking out an exciting new PowerPoint feature from Microsoft. It allows you to put your live video feed on a PowerPoint slide. You can add transitions and other effects to it, just as you can to other objects.

Check out this video for more information:

More details can be found on the Microsoft 365 Insider Blog website.

Preparing for a new term

The FMS TEL Team work with schools across the faculty to maintain and improve our E-Learning offerings. At the moment, this is around 40 modules.

Join us in this blog post for a behind the scenes peek in our last minute checks before publishing the new courses for September 2023.


What have we already done?

During the summer we imported last years content, updated the timetables, and refreshed any padlets or wiki pages. We review the student feedback received from the previous year, and see if there are any quick wins we can do, or any larger problems which are being mentioned multiple times or have been mentioned over multiple years. Suggestions are made to our Module Leaders and agreed improvements are actioned. These will usually consist of activity revamps, updating outdated information, and excessive reading materials replaced with graphics or videos.


The final checks

Our last minute checks will always consist of:

Run the Link Validator 

found 2 broken links, home page, students may not be able to access these links
Example of Link Validation results

What: The Link Validator will find any broken links within your content. It will display a list of the page/discussion/assignment where the broken link is located and what the broken content is, as well as how it is broken.

Where: Settings > Validate links in content > Start link validation

How: We review every broken link. Sometimes an external website may have changed their website layout so a new path is required. Other times a resource might not longer be available and an alternative source will need to be found. We go through the list, fixing what we can and send a list of any unfixable links to our Module Leaders to review.

Learn more in this Canvas Guide: How do I validate links in a course?

Check course accessibility 

preview of ally checks showing 99%
Example of Accessibility Report

What: Canvas has an integrated Accessibility Report using Ally that will check all content; including documents, images and HTML content. The University has no baseline score, however it is highly recommended that your course is as accessible as possible. For E-learning courses in FMS we aim for a score of at least 95%.

Where: Canvas course > Accessibility Report (side menu)

How: The majority of improvements are easy to make and Ally takes you through the process step by step. Most of the time it will be tagging PDF documents, adding alt text to images or editing images that are over exposed (usually screenshots). We start with the red items and move onto the amber items. It is usually a case of following the on screen instructions. We have a walkthrough document available on the FMS Community as well as a few other posts on Accessibility.

Learn more on the LTDS Digital Technologies website: Ally for Canvas

Create Groups and Journals 

students group patient 1 6 students patient 2 7 students
Example of groups in Canvas

What: On larger modules we tend to put students into groups for certain tasks. We find this helps with engagement, there is nothing worse than joining a task late and finding it already completed. Group tasks are also a great way to distribute workload and encourage teamwork. Some tasks also require privacy or independent thinking, for those tasks journals are a great addition.

Where: Canvas > People > +Group Set

How: Using the groups function in Canvas you can create custom groups, automatically assign groups or create journals by creating a group set with a size of 1. We will start assigning groups once students are added to canvas in the first week in September and then do daily checks for new arrivals every couple of days for the first few weeks of term. I also add a little message to the main board on my group activities asking students to get in touch if they haven’t been assigned to a group/journal yet.

discussion message asking to email for allocation
Example message on group discussion board

Learn more in this Discussion Board video series we created or in these canvas guides: Instructor Guides for Groups

Prerequisites and Requirements  

showing settings for lock until, pre req of previous module, requirements on all pages
Example of settings within Canvas

What: There are various ways to organise the flow of your courses. Adding requirements to your content creates a little tick box next to each item, so students can easily pick up where they left off. Using requirements also allows us to add prerequisites, which control when students can move on. They may have to contribute to a discussion board, or pass a test before moving on. We can also control the date and time certain content is made available.

Where: Modules > 3 dot menu > Edit

How: Most modules will have a lock until date, so content is released gradually. All modules include requirements on every page but they will vary from module to module. Some will just be “view” for everything so students can see where they are up to, other modules require students to complete certain tasks to get their tick. A few modules will use the prerequisite option to stop student continuing until they have completed certain tasks.

compete all items bar at the top, each item states view or contribute, various items ticked
Student View of requirements and prerequisites

Learn more in these canvas guides: Prerequisites and Requirements


We hope this little insight into our practice was interesting. Good luck for 2023!

Taking Ctrl: Arrange Windows

The Problem

When working on one screen it can be quite fiddly to view windows side by side.

The Solution

A quick way to manage how windows are arranged on screen is to use the Windows key + the directional arrows (the ones on the number pad work too).

Windows + left/right will move your current window to that side of the screen. Keep tapping the direction arrow to move it across further, or to the next monitor along in a multi-monitor setup.

Windows + up makes your current window full screen, while Windows + down will stop it being full screen.


Enjoy this post? Check out the others in our Taking Ctrl series.

GigXR

FMS TEL recently attended a presentation on a mixed reality platform called GigXR, a clinical simulation platform with a number of apps, including HoloScenarios and HoloHuman.

The target audience is mainly medical education courses at the moment.

This technology aims to:

  • create a consistency of experience for all students
  • provide repetitive training in a safe-fail environment
  • reach rural learners
  • reduce instructor time

How it works

A headset is connected wirelessly to a computer which generates a hologram of a patient into the room through the headset. There is equipment nearby, such as oxygen masks and blood pressure cuffs. You can interact with items and use them on the patient.

You are able to insert your own 3D digital objects into the software. For example, if you have created a 3D image of a heart from CT scans. GigXR can create a holographic version which you can view through the headset.

Conversational AI is being integrated, so you can talk to the patient and ask questions. Currently this is in text format using ChatGPT, but developments are being made and hopefully soon you will be able to actually speak to the patient.

For more information, see the Gig XR website

Adding Audio to pdf Documents

During the recent Teaching and Learning Conference, prompted by Michelle Miller’s poster on Adobe Acrobat, we were asked if it was possible to add audio to a pdf document. Here’s how to do it:

Add Audio in Adobe Acrobat Reader

  • Click on Comments
  • Click on the attachments icon
  • Select Record Audio
  • Click the cursor where you want the audio to appear. A Sounder Recorder prompt will appear.
  • You now have two options:
    • record directly into acrobat
    • browse for an existing file

Record audio comments directly into Acrobat

  • Click the Record button and speak into your microphone. Click the Stop button when you have finished.
  • Click OK to add the recorded audio
  • Select your preferred icon and colour, then click OK

Embed an existing audio file

  • Click the Browse button
  • Navigate to your existing audio file
  • Click Open
  • Click OK to add the audio file
  • Select your preferred icon and colour, then click OK

Note: this only supports uncompressed WAV and AIFF files.

Giving new life to an old presentation: A Module Revamp Case Study

The Situation

Have you ever heard students complain about a particular topic? Module Leaders for our Chemotherapy Nurse Training module often come across such complaints for their Cell Cycle topic. As the issue was becoming a perennial problem, we decided to thoroughly review the topic that was causing frustration among our students. This blog post shares our project and the transformative impact it had on our students’ perception and understanding of the once-hated topic.

Revamping the Content

We started with the learning objectives for the topic. Using Blooms Verb Wheel as a guide we changed the wording so the objectives would be measurable, and therefore the students could better understand what was expected of them. We removed words such as “understand” and replaced them with “describe”.

Next we reviewed the flow of the topic. We started with a text heavy page with stock images covering; cell basics, cancer, chemotherapy, and ending with the phases of the cell cycle. This page was edited, removing over 100 words, and rearranged so we covered; normal cells and their cycles, then moved onto cancer and chemotherapy. The stock images were converted into animated infographics that were tailor made for the content being discussed.

The biggest change was with the asynchronous lecture. The audio was good quality and the messages were still relevant, however the lecture slides were text heavy and had an outdated look.

blue slide with lots of yellow text
Original slide: What is the cell cycle
another blue slide with yellow text in bullet points
Original slide: This is good news, but…

The slides were given a facelift and where possible, animations were used to replace the text. We hoped the animations would assist the students in visualising the processes being described by the voiceover.

slide showing cells splitting
Updated slide: what is the cell cycle
slide showing checkpoints disappearing and slides duplicating with errors
Updated slide: This is good news, but…

Next the students had two tasks to complete. One was to answer some basic questions, and the other was to put their knowledge into action within a group activity. We spruced up the tasks visually, but didn’t make any other changes to them.

We chose to add a “check your knowledge” type quiz, using H5P, at the end of the topic. The questions directly linked to the learning outcomes and we hoped would help the students confidence with the topic.

view of quiz starting page

Student feedback (before):

Found the cell cycle topic very difficult to understand.

I am dreading the cell cycle topic

Student feedback (after):

The topic I have enjoyed most was topic 3 (The cell cycle) 

I have particularly enjoyed topics 3 – going further in depth into the cell cycle and pharmacology of the drugs we use has been really useful  

I quite enjoyed the cell cycle section…I enjoy the lightbulb moments I’ve had understanding how everything links together. 

Final Thoughts

The module team is thrilled with the amazing transformation we witnessed. Our goal was to address the complaints and make things better for the students. But we ended up surpassing our own expectations. The topic that used to be dreaded by the students has now become one of their favourites. The positive feedback from the students has made us proud and motivated us to continue on our journey for improvement. It’s really amazing to see such a big change in how they feel about the subject, with only a few tweaks in how the content was delivered.

Three Rivers Conference: Escape Room Style Seminars in Neurological Clinical Reasoning

Following their successful presentation at our FMS TEL Conference, Rebecca Handcock and Bas Olthof presented at the regional Three Rivers Conference on 27 June 2023, discussing their escape room style seminars in Neurological Clinical Reasoning.

Students are organised into groups of 6-8 in learning labs. They work through eight clinical cases to identify the neurological diagnosis through peer-led clinical reasoning. Each case has hidden puzzles which students complete to get more information for their diagnosis.

Students are provided with a link to access the first puzzle. They must put in the most likely diagnosis before they can proceed to access the scan images. They receive automated feedback from the system, as well as feedback from tutors who facilitate the seminars.

The exercises help with critical thinking and problem solving skills, diagnosis skills, communication, teamworking, and create a little bit of competition between groups.

The escape rooms are created using H5P, which can consist of drag and drop exercises, branching scenarios, images with information hotspots detailing medical history and symptoms etc.

Resources

Taking Ctrl: Insert a Link

The Method

Highlight the text you want to make into a link and then…

  • Windows: Ctrl + K
  • Mac: Command + K

Applications

Ctrl/Command +K will insert a hyperlink in:

  • Excel, Word, PowerPoint
  • Outlook – within the message body and also searches the address book for names typed in the address fields
  • Rich Content Editors, including Canvas, MLE and WordPress

Enjoy this post? Check out the others in our Taking Ctrl series.

Developing Online Asynchronous Materials – An Associate Lecturer’s Perspective

This year, FMS TEL assisted in the development of learning materials about unconscious bias in healthcare settings. This week we are sharing how we worked with Associate Lecturer Ann Johnson to design and create these materials.

As this was Ann’s first year as part of the module team, it was an exciting challenge to be involved in creating her first set of blended learning materials on Canvas. The process was highly collaborative, and the FMS TEL Team were able to contribute our knowledge of pedagogy – particularly online teaching – and the technical know-how to make the materials in Canvas and ensure they would work as needed.

To start the process, Ann outlined her goals for students, which we were able to shape into learning outcomes. She provided the final discussion topic exercise, and we discussed the issues to be considered as part of that discussion.

“How can I get people to challenge their own thinking?”

We discussed the learning outcomes and concepts, and this meant that I was able to suggest scaffolding activities for students to undertake in order to give students a solid foundation and build their confidence to answer the complex question at the end of the topic.

The design process was undertaken through a series of video calls during which we discussed the materials and reviewed how they worked on Canvas, finishing with a few action points for each of us. We discussed the learning journey in detail and stepped through content logically to ensure clarity. The development phase prompted questions and refinements – such as looking for specific resources or articles that could support the teaching.

“it improved my practice”

Activities added included short text and video input – written and sourced by Ann – which highlighted key concepts. A quiz was added so that students could test their knowledge of these important definitions and concepts. This allowed students to feel confident that they had a good grasp of the basics before applying them to their own contexts.

As an experienced facilitator, Ann identified where students might find the materials challenging, as the topic to be explored has a very personal dimension. We worked together to put in place alternative activities for students who preferred to reflect personally, discuss privately, or in an online seminar that Ann would facilitate.

At the end of the design process, the created materials were approved for inclusion in the module by module leader Fraser Birrell and will be part of MCR8032 in coming years. Working together with FMS TEL enabled the creation of high-quality and interactive online learning resources and allowed Ann to upskill in the area of asynchronous online teaching.

Associate Lecturer Profile

Ann Johnson has been a Patient and Public Involvement (PPI) Advocate, Lay tutor, and facilitator for twenty-five years, researching and creating a Patient Involvement Framework for Leicester University Medical School. She has conducted extensive community outreach in London, Leicester, and Florida USA with the goal of bridging communications between patients and practitioners. She is continuing her work as an Associate Lecturer and PPI Advocate at the School of Medicine.

Read more about the materials we developed.

Case Study – Unconscious Bias in Healthcare

This case study concerns a range of activities created for MCR8032 Clinical Research Delivery in Practice. The module leader, Fraser Birrell, put me in touch with his colleague, Associate Lecturer Ann Johnson, to assist in the development of a piece of learning about Unconscious Bias in Healthcare.

Ann Johnson has been a Patient and Public Involvement (PPI) Advocate, Lay tutor, and facilitator for twenty-five years, researching and creating a Patient Involvement Framework for Leicester University Medical School. She has conducted extensive community outreach in London, Leicester, and Florida USA with the goal of bridging communications between patients and practitioners. She is continuing her work as an Associate Lecturer and PPI Advocate at the School of Medicine.

As part of this module, it was important to ensure that a patient-centred approach to healthcare was highlighted. As such, Ann’s experience in the field allowed her to challenge students to look at healthcare – and clinical trials in particular – from the patients’ points of view.

One particular topic inspired Ann to focus on the topic of unconscious bias in more detail. In cases of hypertension, GPs had been trained to prescribe different drugs and treatment plans to people based on ethnicity, even though there is no evidence to support this course of action (Gopal, D.P. et al., 2022). This is an example of taught bias – but at the same time, GPs were making assumptions about patients’ ethnicities which could also be erroneous. Naturally, this is an area of concern for patients.

Equality, Diversity and Inclusion and Bias

The difference between EDI concerns and bias is important to clarify at this stage. While EDI principles are focused on actively working to improve outcomes, unconscious bias is present in all of us as a survival instinct and extends beyond those ‘protected characteristics’ formalised in EDI policies. Unconscious bias allows us to make quick decisions based on assumptions – for example choosing to cross the road to avoid encountering someone walking along with an unleashed Pitbull Terrier.

As a clinician, it is especially important to recognise one’s own potential for unconscious bias as it can affect decision-making, resulting in poorer outcomes for some patients. When this bias extends to choosing who to include in clinical trials, it is easy to see how misconceptions or omissions could be compounded.


Discussion

You have been asked to become involved with the recruitment for the trial of Nosuchximab, a targeted therapy for Paediatric Lymphoma. The research target group is children aged between 02 and 14. There is a significant disparity in survival rates of the South Asian population and white European population. You have been asked to recruit children from the target age range. However, the NHS Foundation Trust site for the Nosuchximab trial is located within in a region where this population is under-represented – however, it is present (although in minimal number).

  • How might Unconscious Bias impact the outcomes of this trial?
  • Is it important to strategically recruit this cohort?
  • How might you put in place a strategy for recruiting those particular subjects?
  • What attempts should be made to minimalize barriers to their inclusion?

The above activity challenges students to consider a range of complex factors and is designed to explore the recruitment process for clinical trials, which can be affected by unconscious bias. As such, we designed a range of scaffolding activities to lead up to students exploring this topic in a more confident and informed manner.

The learning was divided into three stages, supported by Canvas’ tools.

  1. An introduction to unconscious bias with a test-your-knowledge quiz. This built understanding of the basics, and used the quiz to instil confidence into the students that they had understood the basics. The introduction was also written in such a way to highlight that this was a supportive environment.
  2. An opportunity to explore the effect of unconscious bias through a key reading, and a test that students could try to identify their own potential biases, followed by reflection in one of a few ways.
  3. Attempt the activity in discussion with others. A webinar is also available for students to join and discuss the activity with Ann and the other students, as well as to explore the topic further if needed.

We understood that the topic of unconscious bias could be challenging for students to confront, as it is intensely personal and potentially triggering. To allow students to explore this area in a supportive way, we suggested a range of activities, from private reflection to group discussion, about the topic in general, to allow students to examine this in an environment where they felt comfortable. We felt that this was especially important as this meant students would not feel they may be judged or blamed for sharing their experiences and feelings about bias, and this would make the entire topic much more approachable, and the learning more effective.

Next Steps

The activities will soon be live for students to try out the materials and share feedback. Anything highlighted by the student feedback will be discussed, and appropriate changes made to the activities if necessary. These materials will then run as part of the module next year. Further distribution of this content can also be done via Canvas Commons, should other module leaders wish to incorporate them into their teaching.

References

Gopal, D.P., Okoli, G.N. & Rao, M. Re-thinking the inclusion of race in British hypertension guidance. J Hum Hypertens 36, 333–335 (2022). https://doi.org/10.1038/s41371-021-00601-9