project medumobile mobile campus charité berlin, 03.12.2003 nguyen-dobinsky trong-nghia, kaiser...
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Project MeduMobileMobile Campus Charité
Berlin, 03.12.2003Nguyen-Dobinsky Trong-Nghia, Kaiser Gerd
Charité – University Medicine Berlin
UNIVERSITÄTSKLINIKUM · MEDIZINISCHE FAKULTÄT DER HUMBOLDT-UNIVERSITÄT ZU BERLIN
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Charité: University Hospital with four
Campuses
Campus Wedding
Campus Buch
Campus Mitte Campus Steglitz
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Charité at a Glance
PatientsBedsClinicsInstitutesTreatmentsEmployeesStudents
580.000 3.347 63 25 2,3
Million 14.000 9.600
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Features of Medical Education
• Audio-visual senses and methods • Patient-oriented training• Interaction, communication• Case-based learning/working• Emergency and rare disease: Problem
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Bedside Teaching Today
Students come to patient (up to 20).
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Problem Specification
• Patient‘s presence too short (5 days) • Too many students (20 students/bed)• Stress for patients (i. e. obstetrics,
pediatry)• No access for students (if patient in
emergency room)• Emergency treatment can not wait for
students
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Solution: MeduOnCall
• Students don‘t need to come to patient
• Bedside teaching anywhere, anytime
• Students will be alarmed by SMS• Using WLAN and Notebook and• Audio-video conferencing
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MeduOnCall Workflow
Emerging Case
CharitéOnAir
MeduOnCall Team Case Databsase
MeduCase SymPol Dejavu Vision 2003 CasePort
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MeduOnCall Scenario
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Aims of the Project
• Do not replace beside teaching• But improve it• Patients with rare disease or cases
with didactical value• Interdisciplinary scenarios• Concurrent use of real cases and
case data bases and other information sources.
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Requirements
Data protection
Smooth workflow
Anytime, anywhere
Integration in routine work
Reducing stress for patients
Scenarios with didactical value
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Data Protection Measures
a) No data storage on client computer
b) Protocolling of all sessionsc) Using of security technologiesd) Test attack of the networkse) Informed consent for patientsf) Evaluated by data protection
authorityg) Evaluated by TÜV (Common
Criteria)
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Data Protection Measures
Firewall, VLAN, DMZ, RadiusIntrusion Detection System, VPN
Portal Server
Firewall
Radius Server Directory Service
ServerApplication
ServerApplication
IPSec-Client
(1) (2) (3)
(4)
(5)
(6)VPN-Tunnel
(7)
(8)
(9)
(10)
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Didactic Concept
•Goal
•Methods
Scenario
•What
•Who
•Wenn
•Where.
From Didactics to Screen Play
Screen Play
•Workflow
•Camera position
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Development of Screen Play
MOCS
2
1
Kamera 1
HL
MOCA
C-BogenPerfusor-Armaturen,ICU-Monitoring
ASA
Kardio-versionsgerät
Anästhesist
Kamera 2
MOCT
Lehrpatient
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Test of Screen Play
Test of a screen play in cardiology
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Evaluation
• Didactic benefits• Efficiency of the learning process• Improvement of computer literacy• Acceptance of students• Stress for patients• Integration in routine works
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Lectures in Summer 2003
• Lectures: 19– With patient presence: 11– Number of patients: 23
• Students– Human medicine: 23 – Reformed study (HM): 28
• Disciplines:– Dermatology (6), Radiology (4), Pediatry (2),
Pathology (3), Obstetrics (2), Cardiology (1), Onkology (1), Reformed study (3)
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Didactic Benefits
Student answers to questionnaire
• I can achieve the same learning results
• I work more effectively
• Learning is more interesting for me
• Learning is more enjoyable
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Computer Literacy
deutlich verbessert
etwas verbessert
nicht verbessert
7
1
5
not improved
strong improvement
fewimprovement
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Acceptance
• Students accepted the new learning method
• Students have no problem using the new software and hardware
• The most important factor is the audio quality
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Integration
• No integration problem (in routine work).
• Collision with other mandatory lectures
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Stress for Patients
12 patients interviewedAge Ø 46 years, max. 67 years, min. 12 years
sehr wohl
wohl
neutral
How do you feel?
3
1
8
neutralvery good
good
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Stress for patients
wenig belastet
nicht belastet
Do you feel more stress?
7 5no more stress
less stress
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Conclusion
• Acceptance of students exists• Audio quality is the most important factor• Stress for patients can be reduced• Organisation problems must be solved:
– No charging station for notebook battery– Notebook too heavy (3 Kilo, under 1000 €)
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Contact Address
Charité – University Medicine BerlinMulti Media Centrum CharitéCampus Charité MitteD-10098 [email protected]+49 (30) 450 564 118
Thank you for your patience