Medical e-ducation in India

Where do we stand?

The state of medical education in India presents a scenario marked by rhetoric and wishful thinking rather than concrete steps in right direction

Rita Sood*, BV Adkoli*http://medind.nic.in/jac/t00/i3/jact00i3p210.pdf

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Traditional lecture based approach is often teacher oriented.

Deprives the students of active learning with less clinical content.

Poor development of student skills.

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Ensuring quality medical education in all the medical colleges across India based on uniform curriculum prescribed by a regulatory body and maintaining a uniform standard are dependent on availability of an excellent infrastructure. Such infrastructure includes qualified teachers, knowledge resources, learning materials, and advanced education technology

Ashok Kumar Mahapatra, et al.http://tinyurl.com/mxn2hn

Recent steps for improvement

• A task force of the Union health ministry has decided to scrap all regulatory bodies, including the Medical Council of India, Dental Council of India, Pharmacy Council and the Nursing Council.

• There will instead be a single regulatory body National Council for Human Resources in health

http://timesofindia.indiatimes.com/videoshow/4943563.cms

The Goal of Medical Education

The ultimate aim of the MBBS program is not only to enable medical graduates acquire competencies related to knowledge, skill and attitude required of a medical graduate on completion of undergraduate medical education but also to provide sufficient opportunity to them to become familiar with the know how of medical informatics that would ultimately help them work efficiently.

Physician of the 21st century

• Effective Medical and Health Communication.

• Good clinical skills.

• EBM based Diagnosis, Management, Therapeutics

• Lifelong Learning.

• Social & Community Contexts of Health Care.

• Ability to effectively use tools of medical informatics

Mayo Clinic Research Review Shows Internet-based Instruction Effective for Teaching Health Care Professionals

http://www.mayoclinic.org/news2008-rst/4975.html

Technology based education in Medicine

Medical sciences especially suitable for T.B.L.(Technology Based learning)

Blended learningBlended learning is learning that is facilitated is learning that is facilitated by the effective by the effective combinationcombination of of different modes different modes of delivery, models of teaching and styles of of delivery, models of teaching and styles of learninglearning, and is based on , and is based on transparent transparent communication amongst all partiescommunication amongst all parties involved with involved with a course.a course.

SPICES Model of Medical Education

• Student-centered ---x Teacher-centered

• Problem-based---- x Information-oriented

• Integrated -----x Discipline-based

• Community-based ----x Hospital-based

• Elective ----x Uniform

• Systematic ---x Apprenticeship

• Delivery of student assessments and course critiques and the collection of responses

• Tracking of learner progress• Virtual classrooms• Collaboration between learners• Record of learners’ acquisition of

knowledge, skills, and competencies.

Importance of LMS

Moodle is a course management system (CMS) -a free, Open Source software package (FOSS) designed using sound pedagogical principles, to help educators create effective online learning communities'.  It is distributed under the GNU General Public License and is an active and evolving work in progress, subject to a roadmap.

Higher-ed LMS market penetration:

Moodle vs. Blackboard+WebCT vs. Sakai

54% market share

Moodle versus BlackBoard

Free and open source Commercial software

Easy to customizeRequires after sales services

Needs slightly higher skill sets

Easier to use.

Other LMS in the market

Use of Moodle in Healthcare

http://www.youtube.com/watch?v=yTKQ7XyD4Zg

EthosCE is a full-featured, open source Web platform designed for continuing medical education (CME). It integrates Drupal™ Content Management System (CMS) and Moodle™ Learning Management System (LMS)

http://moodle.org/mod/forum/discuss.php?d=93663

E-Learning2.0 - emphasis on social learning and use of social software such as blogs, wikis, pod casts and virtual worlds like Second Life. This is also referred to as Long Tail Learning

Virtual worlds in Medical education

SLENZ

Second Life Educationin New Zealand

slenz.wordpress.com

• Anytime

• Anywhere

• As often as needed

• Face to face- Patient encounters and clinical knowledge by continuous training

• Fact based theory can be shifted to online environment

• Use of wikis and blogs for collaborative learning• Use of synchronous and asynchronous

communication• Use of Podcasts, videos and animation, live

lectures, textbooks, etc to accommodate all types of learning styles.

Advantages to Students

• Anytime Anywhere Self paced learning

• Create your own Personal learning environment

• Add your own notes, Share notes, ask questions, e-Mail , timetable, check personal attendance, Chat, etc.

• Take simulated tests for exam preparation - Know your own strengths and weaknesses - Know where to devote more attention

Advantages to Medical Colleges

- Simplify administration and examinations.

– Reduce paper records and errors.

– Offer a bundle of new services for students.

– Improve communication between faculty and students

– New source of Revenue.

– Digitize lectures of senior staff for long term use.

Advantages to College Management

• Technologically on par with campuses around the world 

• Counter shortage of teachers

• Improve efficacy of Education 

• Track student progress at click of a button from 1st year to final year across all subjects

Advantages to Faculty

• Empowered to teach using modern

audiovisual aids.

• Easily Create question papers and

MCQ’s for Easy real time assessment.

• Convert to digital publications of books

and journals.