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Quality electronic Continuing Medical Education  (eCME) ¿ How to meet physician' needs through learning technology?   Ricard Robledo Elsevier Iberoamérica
 
Need of lifelong learning 1,2,3 : “… the educative means of updating, developing and enhancing how doctors apply the knowledge, skills and attitudes required in their working lives.” (UEMS, Basel Declaration, 2001)
¿How physician´s needs are covered by eCME? Ramon y Cajal giving an anatomy lesson  (1915) Tutor oriented vs learner oriented
¿How physician´s needs are covered by eCME? Ease in updating content Personalized instruction Interactive learning  3 Learning progress and control
¿How physician´s needs are covered by eCME? Improvement of  clinical competence Patient outcome eCME=  efficient  CME 4
Learning technology for eCME Importance of instructional design
Learning technology for eCME Training of  clinical decision making :  Efficiency  of  virtual patient simulator  5,6,7,8 1 2 3 4 5
¿How to measure the quality of an eCME activity? Phisycian´ needs Efficiency Accreditation system QUALITY LEARNER
Five quality criterion for eCME  Accredited activity 9   Instructional design 10   Multimedia resources 11,12   Rapid feedback 13   Quality Standards  14,15
 
Choudhry NK, Fletcher RH, Soumerai SB. Systematic review: the relationship between clinical experience and quality of health care.  Ann Intern Med  (2005) 142:260–273 Richard  JD, Pan MD. Physician lifelong learning.  Report of the council on medical  Ruiz GJ, Mintzer M, Rosanne M, The impact of e-learning in medical education.  Academic medicine , (2006) vol 81, nº3,  Comparison of the Instructional Efficacy of Internet-Based CME with Live Interactive CME WorkshopsA Randomized Controlled Trial  JAMA ,  (2005) –Vol294, No. 9 Holzinger A, Kickmeier-Rust M, Wassertheurer S, Hessinger M. Learning performance with interactive simulations in medical education: Lessons learned from results of learning complex physiological models with the HAEMO dynamics SIMulator.  Computers&Education  (2009), 52:292-301 Hofmann B.   Why simulation can be efficient: on the preconditions of efficient learning in complex technology based practices.  BMC Medical Education  (2009), 9: 48 Leigh LoPresti, MD; Patrick Ginn, MD, MBA; Robert Treat, PhD. Using a Simulated Practice to Improve  Practice Management Learning.  Family medicine  (2009), 41(9): 640-5 John Wiecha 1 , MD, MPH; Robin Heyden 2 , BS; Elliot Sternthal 3 , MD, FACP; Mario Merialdi 4 , MD, PhD.  Learning  in a Virtual World: Experience With Using Second Life for Medical Education.  JMIR  (2010) Vol 12 nº1 UEMS 2008/20 Rev. The accreditation of e-Learning materials by the EACCME Geoff Wong, Trisha Greenhalgh, Ray Pawson Internet-based medical education: a realist review of what works, for whom and in what  circumstances  BMC Medical Education (2010), 10:12 Lim, R F.; Hsiung, B C.; Hales, DJ.  Lifelong Learning: Skills and Online (2006)  Academic Psychiatry, v30 n6 p540-547 Casebeer, L,  Bennett N, Kristofco R,  Carillo A , Centor R.  Physician Internet Medical Information Seeking  and On-line Continuing  Education Use Patterns  The Journal of Continuing Education in the Health Professions,  (2002)  Volume 22, pp. 33–42. Chen, J.C.  Whittinghill, D.C.  Kadlowec, J.A. . Using Rapid Feedback to Enhance Student Learning and Satisfaction . Frontiers in Education Conference, 36th Annual. (2006) 13-18 Hilera Gonzalez JR. UNE 66181:2008, el primer estándar sobre calidad de la formación virtual.  RED  (2008). Número monográfico VII Hilera Gonzalez JR. Creación de una guía de consulta de estándares de e-learning. FINTDI (2009) ISBN 978-84-8158-463-9

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Quality e-CME

  • 1. Quality electronic Continuing Medical Education (eCME) ¿ How to meet physician' needs through learning technology? Ricard Robledo Elsevier Iberoamérica
  • 2.  
  • 3. Need of lifelong learning 1,2,3 : “… the educative means of updating, developing and enhancing how doctors apply the knowledge, skills and attitudes required in their working lives.” (UEMS, Basel Declaration, 2001)
  • 4. ¿How physician´s needs are covered by eCME? Ramon y Cajal giving an anatomy lesson (1915) Tutor oriented vs learner oriented
  • 5. ¿How physician´s needs are covered by eCME? Ease in updating content Personalized instruction Interactive learning 3 Learning progress and control
  • 6. ¿How physician´s needs are covered by eCME? Improvement of clinical competence Patient outcome eCME= efficient CME 4
  • 7. Learning technology for eCME Importance of instructional design
  • 8. Learning technology for eCME Training of clinical decision making : Efficiency of virtual patient simulator 5,6,7,8 1 2 3 4 5
  • 9. ¿How to measure the quality of an eCME activity? Phisycian´ needs Efficiency Accreditation system QUALITY LEARNER
  • 10. Five quality criterion for eCME Accredited activity 9 Instructional design 10 Multimedia resources 11,12 Rapid feedback 13 Quality Standards 14,15
  • 11.  
  • 12. Choudhry NK, Fletcher RH, Soumerai SB. Systematic review: the relationship between clinical experience and quality of health care. Ann Intern Med (2005) 142:260–273 Richard JD, Pan MD. Physician lifelong learning. Report of the council on medical Ruiz GJ, Mintzer M, Rosanne M, The impact of e-learning in medical education. Academic medicine , (2006) vol 81, nº3, Comparison of the Instructional Efficacy of Internet-Based CME with Live Interactive CME WorkshopsA Randomized Controlled Trial JAMA , (2005) –Vol294, No. 9 Holzinger A, Kickmeier-Rust M, Wassertheurer S, Hessinger M. Learning performance with interactive simulations in medical education: Lessons learned from results of learning complex physiological models with the HAEMO dynamics SIMulator. Computers&Education (2009), 52:292-301 Hofmann B. Why simulation can be efficient: on the preconditions of efficient learning in complex technology based practices. BMC Medical Education (2009), 9: 48 Leigh LoPresti, MD; Patrick Ginn, MD, MBA; Robert Treat, PhD. Using a Simulated Practice to Improve Practice Management Learning. Family medicine (2009), 41(9): 640-5 John Wiecha 1 , MD, MPH; Robin Heyden 2 , BS; Elliot Sternthal 3 , MD, FACP; Mario Merialdi 4 , MD, PhD. Learning in a Virtual World: Experience With Using Second Life for Medical Education. JMIR (2010) Vol 12 nº1 UEMS 2008/20 Rev. The accreditation of e-Learning materials by the EACCME Geoff Wong, Trisha Greenhalgh, Ray Pawson Internet-based medical education: a realist review of what works, for whom and in what circumstances BMC Medical Education (2010), 10:12 Lim, R F.; Hsiung, B C.; Hales, DJ. Lifelong Learning: Skills and Online (2006) Academic Psychiatry, v30 n6 p540-547 Casebeer, L, Bennett N, Kristofco R, Carillo A , Centor R. Physician Internet Medical Information Seeking and On-line Continuing Education Use Patterns The Journal of Continuing Education in the Health Professions, (2002) Volume 22, pp. 33–42. Chen, J.C.  Whittinghill, D.C.  Kadlowec, J.A. . Using Rapid Feedback to Enhance Student Learning and Satisfaction . Frontiers in Education Conference, 36th Annual. (2006) 13-18 Hilera Gonzalez JR. UNE 66181:2008, el primer estándar sobre calidad de la formación virtual. RED (2008). Número monográfico VII Hilera Gonzalez JR. Creación de una guía de consulta de estándares de e-learning. FINTDI (2009) ISBN 978-84-8158-463-9