FMS TEL Success – Publication – Ashley Reynolds

A piece of research I have recently been involved in has been published in the BMC Medical Education online journal and is available to read now. It can also be accessed via the University library here.

The paper, titled ‘Evaluation of the Training in Early Detection for Early Intervention (TEDEI) e-learning course using Kirkpatrick’s method‘ focuses on the need for training of healthcare professionals in early detection of atypical motor development (cerebral palsy) in infants up to six months old.

Working in collaboration with Dr Anna Basu and Janice Pearse as Subject Matter Experts (SMEs), I developed a video-based e-learning course to address this need, with results from a pre-course and post-course quiz being analysed to evaluate whether participation in the course had improved knowledge and changed the behaviour of healthcare professionals.

TEDEI Course User Interface

The two-hour course used a Traffic Light System to both demonstrate abnormalities and also quiz users on their understanding of them, and the potential need to monitor/refer.

Traffic Light System

As demonstrated by the research, the course received positive responses from all stakeholders. Healthcare Professionals (HCPs) who have taken the course have improved their knowledge and confidence in this area, leading to better outcomes for families.

The course is available free to staff from Newcastle upon Tyne Hospitals NHS Foundation Trust. More information about the course, including access and booking, can be found on the University Website.

References

Officer, E., Johnson, M., Blickwedel, J., Reynolds, A., Pearse, R., Pearse, J. & Basu, A.P. (2023) ‘Evaluation of the Training in Early Detection for Early Intervention (TEDEI) e-learning course using Kirkpatrick’s method’, BMC medical education, 23(1), pp. 129–129.

Exploring 3D Anatomy – A New MOOC Developed with FMS TEL

Over the past few months, the FMS TEL team have been working on bringing a Massive Open Online Course (MOOC) to life. The course, Exploring 3D Anatomy, is an active, hands-on, and engaging online course now available to Newcastle students and staff! The course was designed by Dr Iain Keenan of Newcastle University and Mr Leonard Shapiro of the University of Cape Town.

3D spatial awareness is a cognitive function. Improving it improves students’ 3D visualisation ability and spatial skills in anatomy learning.

In our experience, medical, dental, and other healthcare students can experience significant challenges in 3D spatial anatomy. Because of the three-dimensional arrangement of the human body, student spatial awareness can be a major influence on their anatomical education. In this online course, students can practice several  easy-to-follow, hands-on exercises that we have designed to address and improve 3D spatial awareness. Video demonstrations by Iain and Leonard guide students through each activity, which involve the use of  readily available household objects such as a piece of fruit, a jar, or a fork.

As simple as these exercises are to follow and carry out, the effect of such activities on improving 3D spatial awareness can be notable. What’s more, the exercises can be enjoyable too!

The Fruit Exercise: a guided dissection of this 3D object can improve 3D spatial understanding of the anatomical planes.

The practical exercises in the course are demonstrated by Iain and Leonard on video, allowing students to access the content at their own pace. These videos show the exercises in detail and allow students to hear the conversation as the exercise unfolds. Videos are short and simple to follow, and have been captioned by the team to ensure clarity.

Leonard Demonstrating the Fruit Exercise with a Lemon
Iain Starting the Fruit Exercise with a Lime

All Newcastle University staff and students can join the Canvas course, which is structured in three parts and requires around 4 hours of activity in total. We hope to expand access to an extended version of the course in 2022/23. For further information, please contact Dr Iain Keenan.

Contacts 

Dr Iain Keenan, Senior Lecturer in Anatomy, School of Medical Education, Newcastle University 

Mr Leonard Shapiro, Observation and Spatial Awareness Teacher, Department of Human Biology, University of Cape Town 

Further Reading 

This course is supported by the following research: 

Backhouse, M., Fitzpatrick, M., Hutchinson, J., Thandi, C.S. and Keenan, I.D. (2017), Improvements in anatomy knowledge when utilizing a novel cyclical “Observe-Reflect-Draw-Edit-Repeat” learning process. Anat Sci Educ, 10: 7-22. https://doi.org/10.1002/ase.1616

Ben Awadh, A., Clark, J., Clowry, G. and Keenan, I.D. (2021), Multimodal Three-Dimensional Visualization Enhances Novice Learner Interpretation of Basic Cross-Sectional Anatomy. Anat Sci Educ. https://doi.org/10.1002/ase.2045

Branson TM, Shapiro L, Venter RG. Observation of Patients’ 3D Printed Anatomical Features and 3D Visualisation Technologies Improve Spatial Awareness for Surgical Planning and in-Theatre Performance. Adv Exp Med Biol. 2021;1334:23-37. Available at https://pubmed.ncbi.nlm.nih.gov/34476743/

Reid, S., Shapiro, L. and Louw, G. (2019), How Haptics and Drawing Enhance the Learning of Anatomy. Anat Sci Educ, 12: 164-172. https://doi.org/10.1002/ase.1807

Shapiro, L., Bell, K., Dhas, K., Branson, T., Louw, G. and Keenan, I.D. (2020), Focused Multisensory Anatomy Observation and Drawing for Enhancing Social Learning and Three-Dimensional Spatial Understanding. Anat Sci Educ, 13: 488-503. https://doi.org/10.1002/ase.1929

Building Community

I recently spoke to Laura Leonardo about how she and her colleagues build community online. The case study is available to view on the LTDS Case Studies website.

You may find this particularly useful reading if you are working with PGR students who are off-campus or still abroad.

Communities of Practice and Building a Professional Identity

I was able to present an instance of FMS Journal Club in February 2021, and chose to present the paper Medicine as a Community of Practice: Implications for Medical Education (Cruess, Cruess and Steinert, 2018).

“Communities of practice can guide the development of interventions to make medical education more effective and can help both learners and educators better cope with medical education’s complexity.”

Cruess, Cruess and Steinert, 2018

The paper suggests the framework of the Community of Practice (CoP) for activities in medical education, specifically, cultivating a sense of belonging and professional identity associated with that community.

The authors put forward a long list of recommendations as to how CoPs as a framework can be embedded. The area I was most interested in was that of helping people to join these communities, particularly in relation to forming professional identity.

One of the key elements is that of regular meaningful interactions. This goes beyond simple matters of curriculum, but also incorporates something of a pastoral side. As well as bolstering students’ confidence in their skills, these interactions help students to form their identities as aspiring professional practitioners.

While video conferencing software offers a fairly rich interactive experience, there are many non-synchronous tools that provide arenas for interaction as well. The tool chosen is not the most important part – the important part is the regular, high-quality authentic interactions that can be facilitated between students and others with more experienced positions within their communities of practice.

What does this look like in practice?

  • Explicit acknowledgement of the difficulties faced when building a professional identity
  • Regular engagement with online discussions / Q+A / chat rooms
  • Unstructured / less structured time for students and teachers to talk less formally
  • Engagement with formal mentoring processes
  • Encouragement for students to form supportive relationships with one another

Further Resources

Communities of Practice overview from original authors

Journal Club (Newcastle University login required)

Medicine as a Community of Practice: Implications for Medical Education

Liaison Librarian team Case Study previous blog post on CoPs

Upcoming seminar for staff: Humanising the Online Experience

Building Community – Case study concerning connecting PhD students with one another and staying on track.