Education Technologies

1. Beyond the Blackboard:Using Computers to Enhance Psychiatric EducationSudha Prathikanti, MDLee Rawitscher, MDAmy Berlin, MD

2. Education Technologies • Search Tools & Electronic Databases • Hand-held Devices • Presentation Software • Interactive Case Modules • Virtual Classrooms • Telepsychiatry • Online Evaluation Tools • Curriculum Management Tools • Computer-aided Decisionmaking Tools

3. Computer-aided Education:Possible Advantages • “Universal” Accessibility • Removal of Time/Geography Barriers • Self-directed Education • Hyperlink Capability • Standardization of Content • Ease of Updating Content • Efficiency in Didactic Instruction • Efficiency in Course Coordination • Efficiency in Content Distribution

4. Computer-Aided Education:Possible Disadvantages • Hardware/Software Requirements • Bandwidth Requirements • Technical Maintenance & Support • Time-Intensive Course Development • Asynchronous Communication • Uni-dimensional Communication • Faculty Knowledge Deficit • Student Knowledge Deficit

5. Evaluation of Web-Based Learning • Still in infancy • Valuable Addition to Education • No Clear Evidence of Superiority • Well-designed Curriculum Best Indicator of Satisfaction, Web-based or Not • Connection Speed/Bandwidth Critical • Possible Increase in Learning Efficiency? • Relative Costs Must be Better Examined

6. Computers and Students Lee Rawitscher, M.D.

7. Overview • Ilios – UCSF designed database • iRocket – Online curriculum • Colorado University Case Software • Evalue – Commercial evaluation software

8. Ilios • Developed entirely by UCSF • Data storage program • Faculty, resident and student data • Course schedules • Search engine • Primary method for module creation

13. iRocket • Based on a commercial product called Web CT • Modified by UCSF to fit culture and needs • Online Curriculum • Learning objectives • Site information • Discussion forum • Key links

26. Colorado University Case Software • Developed by University of Colorado Department of Pediatrics • Offered free of charge • Self contained teaching units • UCSF uses a CD Rom in conjunction • Video Clips • Quizzes • Allows for standardization of curriculum

27. E-Value • Purely commercial (UCSF subscribes) • Online evaluation • Attendings and residents evaluate students • Students evaluate all their teachers • Teachers can be ranked • Evaluations reviewed by directors • Increases number of evaluators • Simplifies reading your evaluations

30. Areas of Evaluation • Fund of Knowledge • History Taking • Mental Status Exam • Oral Case Presentations • Record Keeping • Problem Solving • Professional Attributes Responsibilities • Self Improvement • Relationships with Patients and Family • Relationships with Members of the Health Care Team • Summary Comments

35. Summary • Data Storage and Search Engine • Course Descriptions and Internet Links • Standardized Teaching Modules • System for Evaluation

36. Behavioral Medicine Curriculum for Primary Care Residents Sudha Prathikanti, MD

37. Limitations ofMany Behavioral Health Curricula Often more emphasis on communication than on diagnosis and treatment. Rarely incorporate significant audiovisual components. Often lack the algorithm-based teaching approach commonly used in other areas of medicine.

38. Web-DVD Module: Clinical Scenario Video Clip of Clinical Encounter

39. Web-DVD Module: Decision Tree Video Clip of Clinical Encounter Decision #1: What will you do now? OPTION A “You’re going thru a rough period, but you’ll be fine.” OPTION B “You seem overwhelmed; do you ever think of ending your life?” OPTION C “Hmm…I think some meds will make you feel better.” Negative consequences seen on video clip Explanation & optional content module offered Re-direct to Decision #1 Patient confirms severity of psych symptom on video clip Trainee congratulated & optional content module offered Proceed with case Negative consequences seen on video clip Explanation & optional content module offered Re-direct to Decision #1

40. OPTION C “Hmm…I think some meds will make you feel better.” Negative consequences discussed Optional content module offered Re-direct to Decision #1

41. Web-DVD Module(continue Decision Tree) Decision #2: What will you do now? OPTION A Overlooks medical etiologies: “This guy must have Major Depression!” OPTION B Considers wide differential: “Let’s review all the possible causes for these mood symptoms.” OPTION C Overlooks psych etiologies: “This is probably just steroid-induced.” Negative consequences seen on video clip Explanation & optional content module offered Re-direct to Decision #1 Patient elaborates upon symptom severity on video clip Trainee congratulated & optional content module offered Proceed with case Negative consequences seen on video clip Explanation & optional content module offered Re-direct to Decision #1 Decision #3: What will you do now?

42. Web-DVD Modules asTeaching Tools • In traditional classroom. • In web-based course for independent study • In virtual classrooms

43. Web-DVD Modules: Resource Intensive Authoring Requirements • Lots of Time! • Actors to Simulate Patients • Software Programmer/Web Designer • Digital Video Camera & Filming Accessories • Computer with Firewire, DVD Drive & Disk Space • DVD Burner • Digital Video Editing Program • HTML Editing Program • (Custom) Web Application Program

44. Web-DVD Modules: Resource Intensive Deployment Requirements • Instructor • Administrative access to large Web Server • Technical support to manage user problems • Student • Computer with DVD Drive • Internet Connection • Recent Browser with Javascript

45. Web-DVD Modules: One Part of Overall Curriculum • Classroom Didactics • Classroom PBL with Movie Clips • Live Patient Interview • Clinic Preceptorship • Downloadable Reading Assignments • Web-based Discussion Group • Web-based Multiple-choice Exams • Web-DVD Interactive Case Modules

46. COMPUTERS & MEDICINE: FANTASY vs. REALITY Amy Berlin, MD

47. How does improving the technological sophistication with which we deliver educational material affect the quality of the educational experience?

48. CLINICAL DECISION SUPPORT SYSTEM =CDSS

49. SCENARIO YOU: YOUR CLINIC:

50. Electronic Medical Record ONLINE • Problem list • Medication list • Allergies