Tag: enurse

Job roles of the 2025 Medical Educator

Job roles of the 2025 Medical Educator

Paul Ross

Journal Club Article:

Simpson, D., Marcdante, K., Souza, K. H., Anderson, A., & Holmboe, E. (2018). Job roles of the 2025 medical educator. Journal of Graduate Medical Education, 10(3), 243-246.

Keywords: future ready, adaptability, devices, future systems, curator, role model, medical educator.

Background: Need to understand these changes and design education to be consistent with the roles of physicians in this future system consistent with the roles of physicians in this future system consistent with a true competency-based approach to education.

Job analyses reveal for physicians in 2020 must be:

  • competent health care clinicians for patients and populations,
  • superb communicators,
  • luent with digital data and technology, agile and innovation-driven,
  • capable as leaders and members of interprofessional teams .

Education, changes will be driven by anytime and anywhere adaptive strategies:

  • learning analytics
  • virtual and augmented reality,
  • gamification,
  • mobile/wearable technologies

Future Trends

  • Outsourcing of Education: Textbook publishers have built software platforms where students can do homework exercises and get real-time feedback.8 Education-oriented partnerships between academics, professional societies, and vendors are increasing. Examples include the Surgery Resident Skills Curriculum developed by the American College of Surgeons and Association of Program Directors in Surgery, the AAMC/Kahn Academy for MCAT Prep, the MedU Cases completed by more than 40 000 students each year, and the in-training examinations and prep courses delivered by specialty/professional societies.
  • Technology: Virtual and augmented reality technology, combined with built-in learning analytics, are used to create virtual companions that support trainee learning and new forms of real-time assessment.
  • Learning Analytics/Big Data in Education: The use of big “education” data facilitates personalized learning for individuals and groups, as well as use of assessment data for program evaluation. Examples include the ACGME’s analysis of milestone data and the emergence of conferences highlighting how to analyze and use big data.
  • Learner as Consumer and Co-Designer: Examples include mobile 24/7 anytime/anywhere learning and testing and micro/nano degrees that allow students to take a series of short online courses, finish a capstone project, obtain a certificate, and prepare for a specific role or job.
  • Regulation and Alignment: Increasingly, regulators and accreditors will focus on integrating and aligning education and clinical care outcomes (health care quality, safety, patient experience) as the primary driving force for the design of medical education programs across the continuum. There also is increasing emphasis on team/interprofessional collaborative care and education as decisions and actions will no longer be a solo act. Decision-making will be distributed among the team members based on their license and scope of practice, and supported by artificial intelligence/machine learning (eg, Watson).”

Roles of the Future Medical Educator

  • Diagnostic Assessor: “Use results of big data to identify individual/group performance gaps to individualize training
  • Content Curator: Access, select, sequence, and deliver high-quality content developed by national experts
  • Technology Adopter: Be an early adopter and fluent in selecting and using appropriate technology tool(s)
  • Learner-Centered Navigator and Professional Coach: Guide learners’ use of resources and practice to achieve identified performance targets
  • Clinician Role Model: Exemplar for the various 2025 physician job roles
  • Learning Environment Designer, Engineer, Architect, and Implementer: Designs the “space” to optimize learning informed by sciences (eg, learning).”

Summary

As education evolves, medical educators must embrace these role changes and a new professional identity.

Artificial Intelligence in The Classroom: A Step Too Far?

Paul Ross

Education Approach

This is called the Intelligent Classroom Behavior Management System and is using facial recognition technology system to scan and observe student’s behaviour in the classroom. 7 difference expressions are recognised such as angry, disappointed, happy, neutral, sad, scared and surprised (yet no bored classification!). The system scans the students every 30 seconds so no room for a quick sleep or messing around here.

A.I. Too Far?

Imagine being constantly watched in the classroom. The systems allows greater feedback and classroom awareness, but what about the impact on behaviour and creativity? This has the potential for enforcing expected behaviours and expressions, rather than allowing individuality. All to much like big brother for me, take a read of 1984 by George Orwell. But it will be interesting to see how surveillance and AI is viewed by students and societies across the world. Let’s hope student freedom to learn is the focus and not safety fears.

Resource

Techjuice. (2018). This school scans classrooms every 30 seconds through facial recognition technology.

 

Social Media Analytics & Big Data: Symplur Healthcare Hashtags

Paul Ross

Using analytics and big data in education can provide patterns of communication and connectivity when engaging on social media platforms. Following a hashtag from a conference, online journal club, Tweetchat or online forum can open up a new community of practice around various healthcare specialities. As a facilitator wouldn’t you want to look at the trending words, discussion themes, the number of connections (network analysis) and members of the community (and the influencers)?

Tools such as Symplur can provide social media analytics.

Here are a couple of hashtags to follow and see who the main influencers are:

  1. #FOANed
  2. #eNurse
  3. #nurseeducator
  4. #Ecmologist (one for the future?)

 

Published Articles Using Analytics 

Nason, G. J., O’Kelly, F., Bouchier-Hayes, D., Quinlan, D. M., & Manecksha, R. P. (2015). Twitter expands the reach and engagement of a national scientific meeting: the Irish Society of Urology. Irish Journal of Medical Science (1971-), 184(3), 685-689.

Roland, D., Spurr, J., & Cabrera, D. (2017). Preliminary evidence for the emergence of a health care online community of practice: using a netnographic framework for Twitter hashtag analytics. Journal of medical Internet research, 19(7).

Thoma, B., Rolston, D., & Lin, M. (2014). Global emergency medicine journal club: Social media responses to the march 2014 annals of emergency medicine journal club on targeted temperature management. Annals of Emergency Medicine, 64(2), 207-212.

Nursing Theories: Back to basics

Paul Ross

Nursing is often voted the most trusting profession, is this due to the humanistic approach of traditional nursing or looking further back into the history of nursing and the vocational ‘Florence’ holistic caring approach? As nurses engage in technology to deliver care and encroach into areas of medicine to increase the nursing scope of practice, are we at risk of losing the therapeutic nurse-client relationship?  If we reflect on the fundamentals of nurse training, it was likely based around nurse theory and systems of care, and surprisingly not the core standards that hospitals use as measurements of quality that nurses are faced with on a day to day basis no matter what the level of acuity or staffing. Theorists and models of care such as Benner, Henderson,  Orem, Rogers, Roy and Roper, Logan & Tierney – and each country will likely have certain theories that form the backbone of its nurse training curriculum. Look at the concepts, and see we are still trying to encourage independence, return power to the patient, end pyjama paralysis, provide effective rehabilitation and ensure healthcare is evidence based and ideally available for all.

Keywords: Care, compassion, competence, communication, courage and commitment (The 6 C’s).

Below are some great online resources, don’t forget to revisit those text books gathering dust on your healthcare book shelf.

Books

Online Resources

 

 

 

Meet The Avatars: Virtual Reality and Virtual Humans

Paul Ross

Virtual Reality and Virtual Humans

This great video shows some of the complexities of technology, especially around virtual reality and how to combine with humans. The emotions when we get down to relationships from the humanistic aspect are amazing, a little lump in the throat. Have a watch, and take the time to think if you could interact with a friend or family who is no longer alive, firstly would you use VR to connect and how would you prepare for the feelings and experience? This great piece shows the difficulty in entwining technology around what makes us human.  Not forgetting history is important too, and VR can help save memories from the people experiencing them like no history book every could. This is human endeavour pushing the boundaries.

“A people without the knowledge of their past history, origin and culture is like a tree without roots” quote by Marcus Garvey.

Meet The Avatars

Some additional resources from Meet The Avatars

  • Follow Dr. Jordan Nguyen on Twitter

Light Stage

Eye Gazing

The Rise of eSports

Paul Ross

eSports 

Moving from the bedroom to filling out stadiums, welcome to eSports. Think this is just a hobby? Think again. With increasing sponsorship and media interest, this a rising sporting extravaganza. Take a read of this great review on the atmosphere and experience attending an eSports event by MishManners.

A little About eSports 

FIFA Interactive World Cup

 

The following is a list of eSports resources and tournaments.

ESPN. (2018). eSports.

FIFA.com (2018). FIFA eWorld Cup 2018.

MishManners. (2018). Australia takes Esports to the Next Level. Hackathon Queen.

Red Bull eSports. (2018). eSports.

Wikipedia. (2018). eSports.

Wikipedia. (2018). Lists of eSports leagues and tournaments.

From the Premier League, Manchester City and West Ham United have signed up an eSports player as member of their squad to represent them in eSports competitions.

 

The Celebrity Millionaires of Competitive Gaming

 

Gaming Addiction: Disorders Due to Addictive Behaviours

Paul Ross

As education continues with an increasingly e-learning approach to delivery, its worthwhile to consider some of the precautionary aspects. Gamification and social media may enhance and offer different learning opportunities but the potential to create or exacerbate disorders due to addictive behaviours from gaming addiction, will need to be considered when delivering the e-learning approach and consideration of the well-being of students. Patterns of gaming behaviour when interfering with normal daily activities, and any changes in physical or psychological health will need to be monitored.

World Health Organisation: International Classification of Diseases (ICD)

Disorders due to addictive behaviours from gaming addiction:

“Gaming disorder is defined in the draft 11th Revision of the International Classification of Diseases (ICD-11) as a pattern of gaming behavior (“digital-gaming” or “video-gaming”) characterized by impaired control over gaming, increasing priority given to gaming over other activities to the extent that gaming takes precedence over other interests and daily activities, and continuation or escalation of gaming despite the occurrence of negative consequences” (WHO, 2018).

 

Symptoms to monitor:

  • impaired control over gaming (frequency, intensity, duration)
  • increased priority given to gaming
  • continuation or escalation of gaming despite negative consequences

Gamification

Some questions around gaming:

  • Keen gamer or problem with addiction, at what point is too much and does age/maturity need to be factored into the guidelines?
  • How does a sensible mix of connectivity with social media, gaming, work and social time look?
  • The developing technology such as augmented reality (AR), simulation technology and virtual reality (VR). How will they be introduced and controlled?

A quick Google Scholar search using ‘gaming addiction’ shows there are plenty of research papers on this topical subject.

References

Petry, N. M., & O’brien, C. P. (2013). Internet gaming disorder and the DSM‐5. Addiction, 108(7), 1186-1187.

Woodward, A. (2018). The World Health Organization Identifies Gaming Disorder as a Mental Health Condition. Futurism.com

World Health Organisation. (2018). Gaming Disorders.

 

 

 

Want Your Graduates to Succeed? Teach Them to Think!

Want Your Graduates to Succeed? Teach Them to Think!

Paul Ross

Journal Club Article: Caputi, L. J., & Kavanagh, J. M. (2018). Want Your Graduates to Succeed? Teach Them to Think!. Nursing education perspectives, 39(1), 2-3. [abstract]

Thinkers and Knowledge Workers

This guest editorial discusses the importance and need for the preparation of new graduate nurses for the complex demands of professional practice they are about to enter. The challenge of the “explosion of knowledge, intensify the need to produce graduates able to succeed in the demanding world of healthcare as thinkers and knowledge workers.” 

The power to think in an age of information technology that brings information overload, add to this the increase in healthcare knowledge, research publications and curriculum content overload, the world the graduate nurse now enters is very different with each passing year and academia needs to deliver appropriate education.

Critical Thinking & Reasoning

The transition shock into practice from undergraduate to qualified nurse and the subsequent responsibilities are well known , with the subsequent impact on turnover rates for newly qualified nurses (Duchscher, 2009). Marry all this with increased inpatient acuity yet decreased length of hospital stay, and the healthcare system is a stressful and challenging work environment. Linking quality care delivery with the competency of the nurses is key, with critical thinking and reasoning, essential components of the preparation-practice gap.

Tanner’s Clinical Judgement Model

Academia must use a framework to teach clinical reasoning and clinical judgement such as Tanner’s (2006) 4 Step Approach to Clinical Reasoning:

  1. Noticing
  2. Interpreting
  3. Responding
  4. Reflecting

Summary

“The key to new-graduate success and improving patient outcomes might well lie in the way we teach students to think – something to think about.”

Keywords: Critical thinking; Knowledge worker; Reflection; Take the time; Motivation; Think, Think.

 

References

Caputi, L. J., & Kavanagh, J. M. (2018). Want Your Graduates to Succeed? Teach Them to Think!. Nursing education perspectives, 39(1), 2-3. [abstract]

Duchscher, J. E. B. (2009). Transition shock: the initial stage of role adaptation for newly graduated registered nurses. Journal of advanced nursing, 65(5), 1103-1113.

Tanner, C. A. (2006). Thinking like a nurse: A research-based model of clinical judgment in nursing. Journal of nursing education, 45(6).

3D Printing in Healthcare

Paul Ross

Innovations and Making a Difference

Printing technologies for building prosthetics, drugs, cells and organs can be an alternative, quicker and cheaper way to develop healthcare into the future. 3D printing can be a disruptive power enabling building at a local level and smaller scale to meet specific needs.


BigRep-One3-D Printed Prosthetic Hand - blue (5229) (18492491235)

 

 

 

 

 

 

What Is 3D Printing and How Does It Work?

 

Transforming Lives with 3D Printing – Future of Health

 

Resources

Enabling The Future (2017) A Global Network Of Passionate Volunteers Using 3D Printing To Give The World A “Helping Hand.”

Mesko, B. (2017). The Ultimate List of What We Can 3D Print in Medicine And Healthcare! The Medical Futurist.

Open Hand Project (2017) Open Hand Project.

Wikipedia (2017) 3D Printing.

Authentic, Engaging & For The Learning

Paul Ross

Authenticity is key, don’t worry too much on making everything beautiful and perfect is the message when creating online resources. Visualisation is important to grab attention, and imagery can portray powerful messages but follow the substance over style to start with. Authenticity can be seen in a range of ways from the delivery, to the content created with the target audience in mind for a personalised approach to education. Yes something more visual may be more eye-catching and engaging but we don’t all have the skills, resources or time to create such masterpieces (slide-ology). Just add this skill as part of your professional development or outsource it to an expert.

Focus on authenticity, engagement, participation, collaboration and learning new skills. Try to forget about worrying about the type of learning management system or password protection in the learning environment. Technology develops so fast that why not go with the free and open technology to prevent wastage of valuable money? It’s an expensive lesson when technology does not meet your training needs, becomes quickly outdated and requires specialist training for staff to understand and engage. Also if the resource was quick and cheap to make, your more likely to update and replace this resource than an expensively created one that you hang onto and over time becomes obsolete. In the real world, consider where you, your colleagues and students are communicating, it’s likely not in a learning management system. In everyday lives we use social media to network (socially and professionally), so why not engage and set some learning tasks in the online domain? Provide support to guide discussion around the topic and maintain confidentially (check your employer and national body social medial compliance rules if your the facilitator).

Learning Networks

Don’t forget using different media and resources can allow greater connection and engagement to a wider community of students, professionals and experts. Become a global citizen, who want’s to work in silo’s anyhow?

Task

Dedicate some reading time from the resource section below, focusing on the potential benefits of how an open pedagogical approach can benefit learning for both student and educator. David Price (OBE) book on education OPEN: How we’ll work, live and learning the future is a fantastic look into the school, higher education and workplace of the future.

Inspiration: Take a look at this bio on Sir Tew from Wikipedia and using open access in education, “The end of throwaway assignments and the beginning of real-world impact for student editors”.

Skills Learnt

  • Digital literacy
  • Collaboration
  • Engagement
  • Creating
  • Authorship

Aspirational

Keywords

#InternetAsThePlatform, #PersonalLearningNetwork, DigitalLiteracy, #FOANed, #FOAMed

Resources

DeRosa, R. (2016) My Open Textbook: Pedagogy and Practice. Actualham.

Blackall, L. (2016) No LMS- an argument for when your institution comes to reviewing their Learning Management System. Leigh Blackall Blogspot.

Price, D. (2013). OPEN: How we’ll work, live and learning the future. Crux Publishing Ltd. [sample here]

University of South Australia. (2013) Resourcing and Materials – Teaching and Learning Languages: A Guide.

Wikiversity (2015) Human Vision and Function.