Case Study: ONC8030 Branching Activity

The Idea

Inspired by an H5P talk at the NU Learning and Teaching conference, Kay McAlinden, module leader for ONC8030 Psychosocial Issues in Advanced Disease, approached the FMS TEL team about creating a branching activity.

We jumped at the opportunity to be involved and offered our services to film and edit the videos, and also build the activity in H5P and Canvas.

Bringing to idea to life

Kay took the lead in crafting the scripts and coordinating an actor. Pip Davies, roleplaynorth Co-Ordinator, kindly offered to play our patient and Kay would take the role as the Health Care Professional.

Emily Smith and Tracy Connell from the FMS TEL Team volunteered to be our videographers and canvased the campus to find a suitable room to be our ‘doctors office’. Once the scripts were finalised and the room was staged, filming commenced. Using two cameras and a team of two videographers we were able to film both the patient and the health care professional scenes at the same time. This aided in the flow of the conversation for the actors and filming was able to be completed within a couple of hours, with brief interruptions for the inevitable giggles and occasional bloopers.

showing branching activity in H5P editor mode — Editor View of H5P Activity

Next, we moved onto the task of editing the footage, which was completed in Adobe Premiere Pro, and building the task in H5P. We had filmed two options for the patients thoughts so a few different variations were created. After choosing a variation, making any further adjustments and proofreading of the captions, the activity was finalised.

All in all, the process took around a week of work.

The Final Layout

The activity is situated within a discussion board on Canvas, providing students with the opportunity to complete the task and subsequently engage in discussions with their peers. This setup also enables us to gather valuable feedback regarding the students’ perceptions of the task.

Canvas discussion board with embedded H5P activity — Canvas Discussion Board

After the introduction and instruction slides the first statement is introduced. Students are then prompted to pick from 3 responses. The corresponding response video is played, and students get a opportunity to reflect on the response and consider the patients perspective. Finally, we get to hear the patient’s thoughts. There are 7 statements for the students to work through, guiding students through a sequential conversation with the patient, fostering a sense of engagement and interaction.

Student Responses

While the activity is not actively monitored we are able to track which students have completed the task, view their selected options, and read their written responses. These insights will prove valuable when we conduct future reviews of the activity.

H5P results page showing student chose option 3 — Results page – Branching Route

results view of H5P showing free text comments — Results page – Free text comments

Student feedback

We have been inundated with wonderful feedback from all the students. Below are some of our favourite quotes:

“This was a really valuable reflection for me. I could think back to how I had previously handled discussions like this. Had I perhaps been too quick to try and offer solutions and fix things. “

“This was quite an interesting exercise. It is quite easy to tip into problem solving and fixing, however what this highlights is that stepping back, allowing space for difficult emotions to be expressed”

“This was really interesting, I liked that there was not necessarily a wrong answer but makes you think about how you are wording answers to patients and the sequence to presenting the information to the patient.”

“I thought that was an interesting activity. It highlighted the importance of actively listening to what your patient is telling you and not just them with more information…. It was interesting sometimes the one i picked wasnt said in the way I would have said and therefore the response from the patient wasn’t what I would have expected.”

“I thought this was a really effective activity; it made me really think about how I would respond in these situations and how to put myself in Linda’s shoes to try and understand her feelings. I found that my responses developed through the activity and could see how by offering more space and time for Linda to talk it allowed her to open up and feel understood. At the start I definitely could see myself trying to find solutions to her problems but it became apparent that answers weren’t what Linda was seeking, she just wanted reassurance and to be understood. This will be useful to take into practice.”

“As a healthcare professional, this activity has opened my eyes to the fact that more often then not, we have been taught to focus on the physical issues and to prioritise first the physical health, and then the psychosocial aspects of the person’s life. During this activity, I realised how therapeutic empathy can be in itself.“

Final Thoughts

The creation of this branching activity, led by Kay McAlinden and supported by RolePlay North and the FMS TEL team, has been a successful collaboration. Scriptwriting, filming, and editing, came together to create an engaging and interactive learning experience for the students.

The use of technology, including Premiere Pro and H5P, was essential for executing the activity seamlessly and collecting valuable data for future improvements.

The overwhelmingly positive feedback from students underscores the effectiveness of this activity in enhancing their learning experience. It’s a fantastic example of how technology and teamwork can result in innovative and impactful activities that students truly enjoy and appreciate.

Your Next Step: Resource and Support

This activity has kindly been shared with all staff at Newcastle University and is available in the Faculty of Medical Sciences > Generic Content folder within H5P.

View and Reuse this activity in your teaching
LTDS Guides to create and insert H5P Content into Canvas and MLE
Create your own branching activity with the H5P tutorial and guide
Reach out to the FMS TEL team for personalised assistance

all content, FMS, generic content, making empathic responses — Folder View in Canvas H5P app.

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.

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.

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.

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.
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.
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

Using overlays to make engaging videos

This post, kindly provided by Module Leader David Thewlis, discusses the use of OpenShot Video Editor to add overlays into videos for teaching.

Check out the resources section at the bottom of this post for step-by-step guides.

*Example taken from MEE8079, Assessment in Medical Education, 2023*

Why I use overlays?

I started my approach to online lecturing by recording in PowerPoint. Then I moved to recording in ReCap/Panopto. Neither were quite right for me, I felt limited in my delivery compared to in-person teaching. I found using props difficult when you only take up a small portion of a screen and emphasis on what really matters can be lost when you can’t feel the energy of the room.

I realised my biggest issue with my lectures was that I was relegated to a tiny corner and the slides had become central.

You want the slides to be condiments to what you’re saying, not be the main event.
Patrick Winston, How to Speak

Bell Hooks writes about academics hiding behind the pedestal lose engagement with the class. Unfortunately, online lectures can create a similar barrier between us and our students. Overlays is the approach I decided on to help reduce this barrier in my teaching.

I hope I am not the only person who spends hours watching videos on YouTube for inspiration. The videos I found most interesting (even if they were long) were simple speaker focused talks, which showed media when it was helpful. Replicating this type of content was my aim.

What can you use overlays for?

Overlays replace slides by allowing the speaker to have greater control over where and when to place media. You can incorporate pictures, videos, audio, and titles into a single talk with reasonably little skill (I have managed – you can too!). You can choose to direct focus in the frame. Wes Anderson has made a film director’s career out of this skill, perhaps we can learn from it.

Types of overlays:

Picture – these can act very much like slides. Placing them in a corner of the screen, or covering the whole screen can offer different experiences.
Titles – these are text which appears in picture. They can be used as a title, but I like to use them to correct a mistake I’ve made in wording I also use them to throw forward to an idea or call back something discussed earlier in the lecture or course.
Video – adding another video within your video can serve as a much better example than just simple explanation. I have done this a few times with examples of good teaching models recorded by my colleagues. I have also seen some effective uses of people having brief conversations with themselves using picture in picture overlays.
Audio– if you have a flair for the dramatic backing music might help at some point in your talk. Audio Commentaries can also create a richer resource, see our case study.
Emojis – They’re there. Why not?

How I set up overlays

You will require some basic video editing software – I like OpenShot Video Editor. It’s free and reasonably simple. Simplicity is the theme of my advice.

1. Create/choose your media

Create a recording of your lecture using whatever recording device you have available. Errors or issues with the recording can be fixed in the editing process if needed. In this example on YouTube an instructor made a mistake with wording. Rather than re-record the entire video, which is otherwise good value, they corrected with an overlay title.

Making your images can be equally as easy. Saving pictures to an appropriate folder is one approach. I like to insert my pictures into a PowerPoint presentation to give myself the opportunity to get the structure clear in my head. I then save each slide as a picture.

2. Organise your content

Keep it simple and experiment with different formats. Layouts, text sizes, fonts, and colours all can have an impact on what you are communicating. Ensure that your titles are legible, and contrast appropriately with your background. I like the background to be the video of me generally, but I’ve seen solid examples of it being a slide or set of slides.

3. Put the video together

I recommend you take your time editing your first few videos.

Regardless of the software you decide to use I recommend you save your project often! Losing an almost completed video is very frustrating.

You can clip your videos to remove errors. Insert other videos in the middle of your talk. Explore effects if you are delivering a narrative.

The export time can be quite long (mine usually run around 40 minutes for a 10-15 minute video). This is an opportunity to make a coffee, have a stretch, and look away from a screen.

Conclusion

Although it may need more initial time investment it is worth it. Using overlays can add a personal touch to any asynchronous video content.

Resources

Software: OpenShot Video Editor
FMSTEL Community Guide: How to set up overlays with OpenShot Video Editor
Microsoft Guide: Save slides as images
Colour Contract Checker: A11Y

References

Winston, Patrick (2018) How to Speak. MIT OpenCourseWare
Hooks, Bell (1994) Teaching to transgress : education as the practice of freedom. New York: Routledge.

Technology Showcase – UTME Study Day 2023

The FMS TEL team participate in an annual study day on the Utilising Technology in Medical Education (UTME) module offered by the School of Medical Education.

The module aims to raise students’ awareness of how technology enhanced learning is currently used in health care education and gives students the opportunity to explore technologies and investigate theoretical underpinnings. Based on these aims we put together a 3 part presentation.

Part 1 – Tools for Student Interaction

PowerPoint Slide: FMS TEL Interactive Content, Instant/Quick Wins

Emily introduced a number of TEL tools including; Menti, vevox and padlet. Each tool was discussed; outlining its uses, pros and cons. Current examples of content designs, interactive activities and animations used throughout the faculty were shared.

Part 2 – Collaborating and Facilitating Group Work

PowerPoint Slide: FMS TEL Collaborating with Microsoft

Simon demonstrated how to use Microsoft 365 to co-author and co-edit documents, presentations and spreadsheets. Students were shown various features including; reviewing mode, version history and how to use Sharepoint to monitor breakout room activities.

Part 3 – Teaching Tools

PowerPoint Slide: FMS TEL Teaching Tools

Eleanor shared her experience of teaching with Zoom/Teams and tips on how to humanise online sessions. She discussed common barriers, such as awkwardness or long silences and strategies or tools to use as solutions.

Watch the recording (ReCap)

FMS TEL Stand – L&T Conference 2023

It was nice to see some familiar faces and meet new colleagues at last week’s Learning and Teaching Conference. Members of the FMS TEL team took turns answering queries during sessions breaks. We also had the opportunity to attend the talks ourselves, and pick up some helpful tips and tricks!

At the desk we were pleased to see a number of visitors take copies of our booklet, showcasing some of the best posts from the FMS TEL blog.

If you were unable to attend the conference and you really wanted a booklet, we’ve got you covered!

Case Study: Virtual Oral Presentations as a summative assessment

How do oral presentations work for 100% online modules?

Presentations helps students put across an idea while expressing their personalities, which is hard to do in an essay.

Introduction

Oral presentations are a popular choice of assessment in the Faculty of Medical Sciences, especially in our e-Learning modules. Students are asked to submit a pre-recorded presentation to Canvas and the markers watch the presentations at a time and place that suits them.

Diarmuid Coughlan, module leader for ONC8028 Practical Health Economics for Cancer, has kindly agreed to walk us through how the Virtual Oral Presentation element works on his module.

The Assessment

This year we had 14 students on the module. We asked the students to create a 15 minute presentation using either Zoom, Panopto (Recap) or PowerPoint.

We informed the students right at the start of the module that an oral presentation was part of the assessment and 4 weeks into the module we provided a formative assessment. The formative assessment allowed students to familiarise themselves with their chosen software, gain experience talking to a camera and also get some limited feedback on their presentation skills.

The submissions are double marked by 2 markers. Marking is completed separately by each marker outside of Canvas, then markers meet to discuss which marks/comments would be entered into Canvas and made visible to each student.

The Set Up

We provided 2 submission points in Canvas:

Recording Submission Point:

This area was used for the marking. It was set up as Media Recording for MP4 uploads (max of 500 mb) with a Text Entry option for Panopto users (no size limit).

We allowed students to choose which technology they were most comfortable with and provided video and written instructions for Panopto and Zoom. PowerPoint instructions were added later as an option with links to guidance provided by Microsoft.

We also provided some instructions so students could crop their recordings to comply with the 15 minute time limit.

You are limited by time so remember to edit your recording so it is no longer than 15 minutes. Instructions: Windows | Mac | Panopto

Slide Submission Point:

This area had a 0 point value. It was set up as a File upload area for students to submit their slides as .ppt or .pdf, this allowed us to get a turnitin plagiarism score for each presentation as well as a reference copy of the slides, should anything be unclear in the video recordings.

How did it go?

There was a lot of fear from students initially. We encouraged students to give it a go, informing them that we were not trying to trick them. We provided clear guidance on what we expected and provided a rubric with a breakdown of points, clearly showing only a small percentage of the grade would be based on their presentation style and delivery. The content of the presentation was the most important part!

The use of technology was varied:

As markers we also had to overcome our fears of technology.

PowerPoint is easier once you know how to access recordings (you have to download the file, then click start slideshow).

Sometimes the Panopto recordings were hard to find, especially if students had experience of using the technology in Blackboard and did not follow the Canvas instructions correctly.

What are your next steps?

We only provided grades with a short feedback comment last year, we plan to provide more extensive feedback going forward
We will add more video content into the module as examples of how to create engaging slides and showcase our presentation styles – hopefully leading by example
We would also like to provide examples of a good presentation vs a bad presentation

Technology Showcase – UTME Study Day

This weeks post shares a session FMS TEL were asked to participate in a study day on the Utilising Technology in Medical Education (UTME) module offered by the School of Medical Education.

The FMS TEL team were asked to participate in a study day on the Utilising Technology in Medical Education (UTME) module offered by the School of Medical Education.

Part 1 – Tools for Student Interaction

Part 2 – Collaborating and Facilitating Group Work

Michelle demonstrated how to use Microsoft 365 to co-author and co-edit documents, presentations and spreadsheets. Students were shown various features including; reviewing mode, version history and how to use Sharepoint to monitor breakout room activities.

Part 3 – Teaching Tools

Watch the recording (Canvas)

Watch the Recording (MLE)

Embrace the silence: the use of timers in synchronous teaching

Learn how to use timers in your PowerPoint presentations to aid questions and answers for students and yourself.

As teachers or trainers we can often feel the pressure to fill the silence when presenting. How long should you wait for an answer? Or a better question might be, how long do you think you wait?

Research suggests that at least 3 seconds can provide positive outcomes for both teachers/trainers and students (Rowe, 1972).

Each task may require different lengths of silence, you will want to think about the time the students will need to:

process the question
think of the answer
formulate a response
(if teaching virtually) unmute or type their response

The concern is to provide the period of time that will most effectively assist nearly every student to complete the cognitive tasks needed in the particular situation.
Stahl, 1994

You may find yourself counting the 10 or 15 seconds in your head, but still the silence can feel unbearable.

PowerPoint Animations to the rescue

Using a consistent slide design with an animation will not only relieve the pressure on you to keep track of the time but also provide cues that students will become familiar with as your teaching progresses.

Below are examples and instructions for 4 different types of animations you can create in PowerPoint, ranging from super easy to slightly complex. At the bottom of this post you will find a template document of all the examples shown plus a few more complicated designs which you can download and use in your own presentations.

Example 1: Stopwatch

Insert a circle and style as required (holding shift will help you draw a perfect circle)
Add a “Wheel” animation to the circle and adjust to your chosen duration (max of 59 second)
Add the stopwatch icon (Insert > Icons > search for “Stopwatch”)

Example 2: Progress Bar

Example progress bar PowerPoint animation

Insert a rectangle, remove the outline and choose a fill colour
Add a “Wipe” animation to the rectangle, using the effect options drop down change the direction to “From left” or “From right”. Adjust to your chosen duration (max of 59 seconds)
Insert a second rectangle on top of the first, remove the fill colour and style the outline as desired.

Example 3: Count Down

Create a text box for each number required, style as required
Add the “Disappear” animation to all text boxes
Set the first number to start “on click” with a 1 second delay
Set all other numbers to start “after previous” with a 1 second delay
Stack each text box on top of each other in the correct order, you may want to use the arrange menu or the selection pane to assist with this
(optional) Add a text box at the back stating times up

Example 4: Scrolling counter

Example scrolling counter PowerPoint animation

Insert a rectangle, with no fill and an outline of your choice
Insert a text box and type in the required numbers, with a new number on each line
Add the “Lines” animation to the text box, move your text box so your first number aligns with the green arrow and your final number aligns with the red arrow (further guidance). Adjust to your chosen duration (max of 59 seconds)
Insert more rectangles above and below the first rectangle you created to hide the numbers as they scroll in and out

Resources

Animate text or objects, Microsoft Support Website
Set the start time and length of an animation effect, Microsoft Support Website
Add a motion path animation, Microsoft Support Website

Powerpoint Timer Template.ppt Download

References

Rowe, M., 1986. Wait Time: Slowing Down May Be A Way of Speeding Up!. Journal of Teacher Education, 37(1), pp.43-50

Stahl, Robert J. & ERIC Clearinghouse for Social Studies/Social Science Education. 1994, Using “Think-Time” and “Wait-Time” Skillfully in the Classroom [microform] / Robert J. Stahl Distributed by ERIC Clearinghouse [Washington, D.C.] <https://eric.ed.gov/?id=ED370885>

Medicine Focused H5P Examples

As part of the FMS TEL Conference last week members of the FMS TEL Team created a few medicine focused examples of H5P content.

We have shared these examples with the University to use in course content or to clone and edit to fit specific needs. You can find all of our examples in:
All content > Faculty of Medical Sciences > Generic Content

Example content includes:

Accordion: Vertically stacked expandable items
Agamotto: Sequence of images and explanations
Drag and Drop: Drag and drop task with images
Drag Text: Text-based drag and drop task
Flashcards: Stylish and modern flashcards
Image Hotspots: An image with info hotspots
Image Juxtaposition: Interactive images
Memory Game: Image pairing task
Timeline: Interactive timeline of event with multimedia

More Resources

Find out more on the H5P page on our Learning and Teaching website.
Watch our video guides for Canvas and MLE/blog users
Join our H5P@Newcastle Community