A Novel Method to assess effectiveness of digital media (iCT) to improve radiology teaching in Emergency Department.
Pourmand A, Shokoohi H. Accepted as an oral presentation in Madrid, Spain.Nov 2011
Background: Real time CT scan interpretation by emergency physicians and residents is becoming widely popular in Emergency Departments. Educational multimedia has been identified as an effective tools to provide EM residents as an off line source of information.
Objective: The purpose of this educational module is to improve knowledge acquisition and to enhance real time decision making process among EM residents through improving accuracy of their CT scan interpretations.
Method: To conduct this project we perform a need assessment protocol and develop three digital education modules with the help from Radiology experts. Digital video image capturing consists of normal and abnormal CT Scan reading. We identified target trainee on 40 EM resident and 40 medical students during their clerkship ED rotation Multimedia programming will incorporate typical didactic components of an introductory CT scan with audio, digital images, and video. Evaluation of the educational multimedia by the administration and collect pre- and post-tests and measure the proficiency checklist to assess volunteer skill in interpreting normal and abnormal CT Scan reading.
Results: Investigators believe that increasing use of multimedia in medical education necessitates the development of standardized tools for determining the quality of teaching and learning.
Conclusion: This program may be a beneficial adjunct to residency training programs to augment bedside teaching and as well to use educational technology to enhance residency training
Effectiveness of an Online Curriculum Using Educational Technology for Emergency Medicine Residency Training, From Virtuality To Functionality Pourmand A, Shokoohi H, Accepted as an oral presentation in Barcelona, Spain. July 2011
Background: Accreditation Council for Graduate Medical Education (ACGME) required
Emergency Medicine (EM) residents to fulfill weekly educational didactics. Residents with clinical shift conflicts and those in non-EM rotations would have difficulty meeting this goal. Objectives: To assess the feasibility of utilizing an interactive online curriculum as a substitute for in-person training and to enhance training with providing supporting digital educational materials across the EM core competencies provided by ACGME.
Methods: The study was conducted in three phases. In phase 1, we developed the online
curriculum consistent with the latest evidence based medicine recommendations and standard tenants of EM to meet the core competency provided by ACGME. The curriculum includes session objectives, supporting educational materials and self-assessment quizzes reported to the residency program director. In phase 2, we captured real time grand round presentations followed by audio/video editing and adding multimedia animations streamed to the online resources asynchronously. The content were online for certain duration that residents had to complete their review and quizzes. In phase three, we conducted monthly quality assurance on provided materials and monitored residents’ performances on web-based self-assessment quizzes.
Result: In the first eight months of the curriculum implementations, we provided 22 grand round sessions to include all attending lectures, supporting educational materials and the quizzes. EM resident received a median score of 92/100 on all the quizzes. The resident reported 95% satisfaction with the contents, methods and web-based curriculum. Rate of attendance from 56-68% among residence dramatically changed to 92-98% including virtual attendance. Asynchronous availability of resources, high quality multimedia and supporting educational materials were reported as the main strength of the program. The virtual curriculum was integrated as part of the program curriculum and concluded an hour per week of the EM residents’ didactic.
Conclusions: online curriculum using educational technology can be used as an alternative and supportive method to enhance didactic EM residency training.
Developing Modular E-Learning To Enhance Post-Graduate International Emergency Medicine Training in India.
Pourmand A, Shokoohi H, Smith J, Tanski M. Accepted for an oral presentation in Barcelona, Spain. July 2011
Background: The Post Graduate Program in Emergency Medicine provides a wide range of
patient care experiences to best prepare Fellows to practice Emergency Medicine. This
International collaborative program was designed to complement the formal didactic components of a fellowship program and provide educational materials for independent learning. Modular E-Learning provided scheduled E-Curriculum to enhance program didactic including multimedia procedures, podcasting, and synchronous online modules.
Objectives: The purpose of this study was to assess the applicability and achievability of using E-learning educational technology and to identify strengths and limitations of the unique E-learning in international Emergency Medicine Fellowship program.
Methods: We started a post-graduate fellowship training programs in 2008 that includes a 2 years program for Indians’ fellow in india. Modular curriculum was designed to cover core competency of Emergency Medicine for a 2 years Post-Graduate fellowship program in India. The E-curriculum included 12 online modules to cover the fellowship contents in emergency medicine. The E-curriculum was empowered by relevant monthly E-journal club, digital textbook, electronic simulation sessions, procedural multimedia, clinical case files, interactive electronic electrocardiogram, and digital ultrasound training materials. These modules were created under innovative educational technology and interactive case based modules dedicated to emergency medicine. Secured and time sensitive access to the materials was provided to fellows in India through online content management systems.
Result: The project were well received among fellows and instructors with daily access to the website. Posted online material beforehand of the actual didactic sessions were ranked among the major strength of the program. Fellows in India had direct access to real time educational session in the United States through this interactive program. The multimedia approach in teaching has improved fellowship training by providing self-directed modular training with audio, graphics, digital video, and interactive user-triggered features. Although, the E-curriculum has enhanced the international program the limited access to high speed Internet and labor intensive updates were scored among the limiting factors. From curricular standpoint, this educational module is much less time and labor-intensive as compared to a traditional lecture, followed by a small-group workshop.
Conclusions: The integration of E-learning into emergency medicine training internationally with advanced multimedia and educational technology can be used as an alternative and supportive method to enhance didactic EM post graduate training.
Podcasting in International Emergency Medicine, an Internet-based Model to Enhance Communication
A. Pourmand, J. Smith, H. Shokoohi, A. Mohammadi, Presented at Southeast-Society of Academic Emergency Medicine 2008
Innovations in information technologies have created incremental and radical transformations in the area of communication, especially within the past decade. The Internet has become an integral component of medical communication, providing physicians access to enormous resources and materials. M-learning, or “mobile learning”, is a new technology in this era related to electronic learning and distance education. Unlike other forms of electronic learning, M-learning emphasizes a focus on learning across contexts and with mobile devices. The scope of International Emergency Medicine (IEM) is to develop global Emergency Medicine. Podcasting is a key element that can provide education, training and communication at a reduced cost with less travel. A podcast is a digital media file, which aims to distribute content over the Internet using RSS technology for playback on mobile and digital audio/video players such as MP3 players, including iPods, cell phones, PDAs and personal computers. One of the greatest advantages of podcasting is based on pull technology which refers to the ability to select specific content from the internet. In January and February 2005, the Pew Internet and American Life Project conducted a survey of iPod and MP3 player users. It discovered that over 22 million of those aged 18 and older own an iPod or MP3 player. To our knowledge, the procedure of creating podcasts and the role in IEM education and communication have not been discussed in the published medical literature. The purpose of this article is to describe in detail the procedure for creating, distributing, and downloading a podcast and discuss the potential benefits of this technology.
Method: We will develop a database-driven web application to input and store subjects in IEM and automatically generate files that conform to Really Simple Syndication (RSS) 2.0,2 an XML schema that defines machine-readable descriptions and links to media in a web feed. These RSS files also contain specific tags that allow the feeds to be published in the. End users can subscribe to video and audio feeds through web-based podcast listeners or desktop-based feed aggregators that support file enclosures.
Results: Viewers can subscribe to the podcast by visiting their website and clicking on the subscribe link or by copying the URL of the RSS file into their feed readers. Podcasts can be downloaded and viewed in consistent quality regardless of connection speed or whether an internet connection is present at the time of viewing.We believe this method can facilitate communication among those who are working in the field of International Emergency Medicine.
Podcasting in Emergency Medicine, an Internet-based Model to Enhance Communication
Pourmand A, Smith J, Shokoohi H, Mohammadi A. Presented at Southeast-Society of Academic Emergency Medicine 2008