Despite being commonly prescribed, opioids account for more reported drug errors than any other high-risk medication (Alanazi et al, 2016). They represent a significant patient safety and public health issue.
A new free online course from Newcastle University will help healthcare professionals increase their knowledge of the basic pharmacology of opioids so they are better able to prescribe opioids safely and effectively in the treatment of cancer-related pain.
Opioid Analgesics: Treating Pain in People with Cancerstarts on 29 July and is designed to increase safe prescribing and monitoring practice for this patient group. This three week course covers the pharmacology of opioids, principles for safe prescribing, the rationale for prescribing opioids to treat cancer pain and the proactive management of adverse events.
This course is for qualified healthcare professionals who prescribe opioid drugs and/or care for patients who are taking opioids anywhere in the world. It will be of particular use to general practitioners, palliative care specialists, acute hospital practitioners (surgical and medical disciplines), pharmacists and those with an interest in pain management, including medical and non-medical prescribers and those professionals involved in monitoring and supervision of opioid prescribing.
Opioid Analgesics: Treating Pain in People with Cancer is led by Dr Victoria Hewitt and Dr Paul Coulter. Vicky is a Specialist Palliative Care Physician and Curriculum Director for Masters programmes in Oncology and Palliative Care at Newcastle University, and has a special interest in safe medicines management at end of life. She has been blogging about the course here. Paul is a Consultant in Palliative Medicine, based at the Queen Elizabeth Hospital in Gateshead.
“I believe strongly that we have a moral obligation to use open courses to widen access to medical education and improve patient outcomes. Lack of education for prescribers has been recognised as contributing to the so-called “opioid crisis” and was highlighted by the Gosport War Memorial inquiry. Despite this, few courses about opioids are currently available outside the field of specialist addiction services.
This MOOC has been designed to address this unmet educational need and expands Newcastle Unversity’s profile within the global cancer and palliative care communities, positioning it as a key influencer of national and international opioid-prescribing agendas”. Dr Victoria Hewitt
Following on from the interest shown in a session, run by Ruth Graham and Sandy Alden, at the 2018 Learning and Teaching Conference, on designing inclusive learning, you can now sign up for two free online courses.
Explore the barriers experienced by disabled students and learn how to overcome these barriers through inclusive practices.
Digital Accessibility: Enabling Participation in the Information Society runs from Oct 8th for five weeks, and has 8 universities discussing different aspects of digital technologies and accessibility from the developer and user’s point of view. It features case studies, new technologies and the latest news about legal standards and guidelines for web, mobile, documents, IoT etc. When there is:
“a better understanding of users’ needs, technologies can be developed to be accessible & provide a more inclusive environment”
Both courses are free, and offer practical hints and tips you can use straight away to make your own resources more inclusive.
The LTDS Online Courses Team have been experimenting with a number of online tools to support team-working and in the process have become great fans of Trello.
A team in different places
Trello gives us a live representation of the project and current responsibilities. It is easy for us to add new people to the Trello Board as the project progresses irrespective of where they are.
To put on a course we bring together a team – academic colleagues, digital media, LTDS. We are in different locations, and our academic leads can often be off campus. An online tool works really well for us.
Enterprise Shed 2 Trello Board
Mocking up courses
Trello comes into its own after we have done a good deal of planning (on Post-it notes and paper). We create a Trello List for each Week and give each step a Trello card.
By mocking up the course in this way it makes it easy to check that we have variety of media/approaches and it enables us to experiment with different routes through the learner activities.
If we think the content could be ordered better, then Trello allows us to drag and drop elements.
We also tend to add extra Trello Lists to the board to share project documents and resources eg actions around Marketing. This gives us a a complete “dashboard” for the project.
Customising Trello – agreeing conventions
One of the best things about Trello is that it is so easy to customise to meet your needs. If you can agree conventions with your team before you start you will reap the rewards later.
Here are some examples of what we did:
To help us see the mix of content in each week we defined labels that related to the activity type for each step, and applied these labels to the steps.
We added Trello checklist to steps to record work to be done and progress.
We dragged cards which were finished to the “done” list once work on the associated step was complete.
Borrowing from agile practitioners, we indicated the amount of work left on a card by adding a number of asterisks to the end of each card’s title. (*) trivial, through to (***) significant
We put links on each card so that we could go straight to the step on the course. That way if you spotted your name on a card, had time to give you could click through and edit the course content in a couple of clicks.
We added comments to Trello cards to remind ourselves of where we had got to, and to leave notes for other team members.
Other useful things
It is mobile friendly – Trello works really well on phones and tablets and has mobile apps available from the relevant appstores.
Trello has a good search function – eg “#video WEEK 2” gives the status of steps in Week 2 that have been labelled as video.
I was delighted to be asked to represent one of three UK FutureLearnpartner institutions at the first FutureLearn Asia Pacific Partner Forum, held in Shanghai, 24 & 25 November 2015.
Partner Forums are one of the things that make working with the FutureLearn partnership so useful. A chance to meet others a few times a year who are facing the same challenges, providing regular opportunities to share experiences and learn from each other, as well as influence the development of the platform. And we do really influence the development of the platform. Previously Partner Forums have happened in London, but with recent expansions in the Asia Pacific partnership, an inaugural Forum was planned in Shanghai, aiming to replicate meetings in the UK, but for Asia Pacific partners.
I set off to meet up in Shanghai with Kate Dickens, Project Lead for FutureLearn from University of Southampton, Joanna Stroud, Project Lead for FutureLearn from London School of Hygiene and Tropical Medicine, Simon Nelson, CEO of FutureLearn, and 4 of his staff. We took part in a very well organised and intensive two day forum with around 70 representatives from HEIs and specialist organisations based in the Asia Pacific region, from countries including Australia, Malaysia, Japan, and Korea, as well as several Chinese institutions and representatives from the British Council and Consulate.
In a packed two days, as well as getting to know each other, we got to know a bit about how the approaches developed within UK and European FutureLearn partners were being received by more recent Asia Pacific partners, and had the opportunity to share with each other some of the things we have learned in our time developing and delivering free online courses with FutureLearn.
FutureLearn’s mantra for free online courses, which appears at the beginning of nearly every presentation, is to ‘Tell stories, provoke conversation and celebrate success’.
As Newcastle University courses have consistently succeeded in achieving higher than average engagement with our courses, I was asked to present a session on Effective Storytelling in Newcastle’s free online courses, and to sit on a panel discussing approaches to course development and sharing top tips.
For the panel session, which took place on the morning of day 2, I was on the stage with Kate Dickens from University of Southampton, David Major, Learning Technologist from FutureLearn, and Professor Hongling Zhang from Shanghai International Studies University (SISU), Lead Educator on the Intercultural Communication free online course. The session was facilitated by Kate Sandars, Partnership Manager from FutureLearn and was based on questions from the floor, which were many, and discussion around them, which was lively. The session was very much about the practical aspects of developing and delivering free online courses, and about how this aligns with institutional strategy. The panel session overran and there was much continued discussion in the following tea break.
Just before lunch on day 2 I presented a half hour slot on ‘Effective Storytelling’ in our free online courses at Newcastle University. I was pleased to be asked to do this session, as our courses consistently achieve higher than the FutureLearn average for social learning (engagement of learners with discussion and comments), and we also achieve higher than the average FutureLearn full participation rate (the nearest metric we have to ‘course completion’) – with our Ageing Well: Falls course having the highest full participation rate of any FutureLearn course to date, at 57% of those who started the course.
This indicates to us that there is something about our approach to working with teams of educators on developing our courses which works. Our focus on learning design is crucial to course success and we do focus on it a lot, right from course conception to delivery.
Why is storytelling so important? Well I think that the telling stories analogy is a great one for us to focus on. It enables us to talk about course creation in a different way, it encourages us to examine what is special about storytelling and storytellers. Why do stories work? Why are they compelling? What qualities to they have which are different to campus based courses? How can we replicate some of that in free online courses? And why is making courses online so different to making campus based programmes?
The session went down really well, and there was further lively discussion afterwards over a delicious lunch with colleagues from Monash University, the University of Malaya, RMIT, Fudan University, SISU and others.
An afternoon tea reception hosted by the British Council ended the Forum, which was an amazing privilege to be asked to attend, and which profiled the work of the University and its approach to online course development which has generated much interest from Asia Pacific HEIs. We look forward to following up with these contacts over the coming weeks. Many thanks go to Simon Nelson and his team at FutureLearn for asking us to represent established partners, for giving us the opportunity to profile our work and courses in the Asia Pacific region, and for looking after us so well in Shanghai.
The video presentation from Katie Wray (below) outlines her experience of translating classroom entrepreneurship education to an online course. We enjoyed working with Katie on delivering ‘The Enterprise Shed’, the third of our FutureLearn courses. Here she describes the process we went through and the pleasing results.
A learner from the Enterprise Shed (Newcastle University’s third MOOC) shared one of his favourite TED talks, in which Tom Wujec, a designer who has studied how we share and absorb information, explains how he watched many people try to effectively describe and solve a ‘wicked problem’, such as the best way to make toast.
What was the most effective approach Wujec found? Getting people with a range of skills to work together with post-it notes and paper to perfect the workflow. Interestingly he suggests it is even more effective when they work silently.
This struck a chord with us as we tend to work in similar ways when designing our MOOCs – though our team rarely work in silence (maybe something to try next time). We take cues from the JISC ViewPoints project and constructive alignment to plan and assemble each week of the course. With the academic team, we establish the audience, our motivations as well as those of the learners to clarify the aims and outcomes. We then use rolls of brown paper to create a course timeline, writing down what the learners must be able to do at the end of the course and for each week that they couldn’t do before they started. We ask how we/they will know they have attained this learning (some form of assessment in the loosest sense) and then plan activities and content that will get them to that point.
Post-it notes have the great advantage of being movable, whilst also allowing multiple people to contribute and collaborate on the whole. This is something Wikis aim to allow (though not always successfully). Started with pen and paper, rather than technology, helps us collectively produce something we can use very quickly and without many of the restrictions electronic tools tend to entail. As my colleague Nuala says, technology can get in the way at this stage.
Once planned on paper, we have found that using Trello is a bit like using post-it notes online, but with added ‘to do list’ and project management functionality. After planning on paper and in Trello, we then create the shell of the course in the FutureLearn platform. This helps visualise and restructure further, before testing on willing guinea pigs, and changing the design again. The bits we change and iterate the most tend to be the highest quality and most positively received elements of our courses.
MOOCs and collaboration
MOOCs themselves can become great collaborative spaces. We had many wonderful contributions from learners on our courses. For The Enterprise Shed, this was one of the lead-educator Katie Wray’s aims. The whole course was a bit like a World Cafe. We did as much as we could with the tools available to aid collaboration. We crowd-sourced ideas links and videos (including favourite TED talks such as the one at the start of this post) . Learners also shared designs through Padlet, another free collaborative technology which is a bit like paper and post-it notes. This is a great tool for sharing, but it could do with a commenting feature to facilitate feedback on posts.
Learners were able to gave each other feedback on ideas through comments in discussion and through the peer review tool in the platform.This was a really valuable element of the course, and something we would like to do more of.
Making MOOCs more collaborative
One of the tension for us with our courses at present is that the busier they are (the more active users) the harder it is to track what is going on in discussion boards, both for us and for the learners. It would be great if learners could tag posts so that people could find like-minded people and relevant posts more easily.
Small group discussions are coming in FutureLearn, but it will be wonderful if tools within MOOCs could be developed to aid the formation of groups around shared interests. Better still if we could have tools to collaborate in a way more like being in a room with paper and post it notes. We could really make a virtue of the Massive in MOOCs if we had these tools.
On our second run of Hadrian’s Wall we’ll be using this blog to address some of the frequently asked questions that arise on the course. A couple of learners have asked about the length of the videos.
You’ll find that all of our videos are under 5 minutes in length. That has been done intentionally so that no single step requires too much time. While this can be disappointing for a topic you are interested in, it works very well in practice, particularly if you consider the course in full with approximately 20 steps in each of 6 weeks. The short videos also force the educator to distil in a clear way what the main points are.
We know from research (eg this paper from Philip Guo) that when videos are longer that learners can lose interest. If you’d like to read a little more about some of our thinking on building the course have a look at our blog post on Educational Vodka.
We have had so many words of wisdom and so much great footage from the Enterprise Shed. One clip we didn’t manage to include in the course is Sugata’s explanation of two very different kinds of entrepreneur: the aggressively directed entrepreneur and the reluctant entrepreneur.