1. eDoctoring Enhancing clinical learning through interactive cases

2. Background to eDoctoring • Collaboration between Universities of California and Newcastle • Tackles issues surrounding clinical practice • Uses linear case-based scenarios • Online delivery of learning • Interactive graphical environment • Videos • Audio • Tutorials

3. Integrating eDoctoring and CSIM • HEFCE Windfall Project • Newcastle’s CSIM course • revisiting academic information in a clinical scenario • group based working • support available (clinical, technical) • Integrating eDoctoring • did not change the method of learning • did change way student worked through material • staged process of introduction

4. Staged production process • Traditional text format • LSE case delivery engine (including timed release of content) • text only with access to resource images

5. Staged production process • Traditional format with video embedded • used existing LSE case delivery engine • videos embedded in case • video production was unscripted (roleplayers)

6. Staged production process • Full eDoctoring format • linear highly visual case with narration • access to resources and questions • video production fully scripted (roleplayers and clinicians)

7. Learner reaction to cases • CSIM evaluation • 700+ medical students over 2 years • standard MBBS evaluation (quantitative and qualitative) • data from 2006/7 evaluation (350 learners responses) • US learner evaluation • 550 residents over 18 months • evaluation data collected as part of post test • data from 2006/7 evaluation (237 learner responses)

8. Suggestions for improvement • 65 respondents gave free text comments • Main issue was the decision not to allow progression past case questions • Linear nature of navigation was also an issue • Content and realism raised both positive and negative comments

9. Suggestions for improvement • 65 respondents gave free text comments (US - 87) • Main issue was the decision not to allow progression past case questions • Linear nature of navigation was also an issue • Content and realism raised both positive and negative comments

10. Positive comments • 44 respondents gave free text comments • Realism and the idea that this made the case more memorable • Interactivity and fun cropped up often in the comments • Video featured in the realism comments but also in relation to viewing consultations etc

11. Positive comments • 44 respondents gave free text comments (US - 87) • Realism and the idea that this made the case more memorable • Interactivity and fun cropped up often in the comments • Video featured in the realism comments but also in relation to viewing consultations etc

12. Questions for educational design • Interpreting and responding to feedback • moving students out of their “comfort zone” • engaging with material in a linear manner • feedback clearly reflected this • New cases incorporating feedback • access to questions and resources open • answers to questions still required • video production fully scripted (actor and clinicians)

13. Future of eDoctoring in CSIM • eDoctoring • new subject areas • system improvements • Future materials CSIM • is an immersive environment appropriate to CSIM? • focus on procedures and approaches • scripted vignettes (actors and clinicians)