Transcript Document
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MedBiquitous Orientation Chara Balasubramaiam
MedBiquitous Europe
Valerie Smothers
MedBiquitous MedBiquitous Annual Conference May 9, 2011
Objectives
• • • At the conclusion of the workshop, participants will be able to: Describe what a technology standard is and the potential benefits standards afford Describe technology standards developed by MedBiquitous Identify opportunities for collaboration and integration leveraging standards ®
Overview
• • • • • Introductions What is MedBiquitous?
What advances have been made?
Summary How to participate ®
Introductions
What do you hope to learn today?
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What is MedBiquitous?
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MedBiquitous Mission
To advance healthcare education through technology standards that promote professional competence, collaboration, and better patient care.
Not-for-profit, member-driven, standards development organization
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The Fragmented Healthcare Industry
Accrediting Bodies Universities Licensing Boards
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Societies Certifying Boards Government International Partners ®
How it all started…
And it kept growing… ®
MedBiquitous: Technology Standards for Healthcare Education
• • • • 50 member organizations 8 Working Groups ANSI process • • • • Openness Transparency Consensus Due process Work with leading organizations that can drive adoption
Professional Profile Activity Reporting Virtual Patients Competencies Learning Objects Metrics Curriculum Inventory Educational Trajectory
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MedBiquitous Goals
• • • • Better
tracking
and evaluation of professional education and certification activities Easier
discovery
of relevant education and information resources when and where needed
Interoperability
online education and sharing of high quality
Coordination
and tracking of competence assessment data ®
MedBiquitous Process
Executive committee Working groups Standards committee • Approves new standards projects • • Meets via telco, in person Develops specifications • • Consensus body Votes ANSI • Final approval ®
Why standards?
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Why standards?
Activity
You are designing your own searchable cookbook for all of the recipes you download from the internet.
Develop a data structure for a cooking recipe. Describe some of the benefits of having this standard.
10 min
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Why standards?
• • • To facilitate exchange of data and resources To enable collaboration To create economies and networks of scale ®
Your Challenges
Activity
What information exchange, coordination, or integration challenges do you have?
5 min
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What Standards has MedBiquitous created?
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Sharing Educational Resources
• • • • MedBiquitous Virtual Patient (Chara) The eViP Programme (Chara) Healthcare LOM (Valerie) mEducator (Chara) ®
Virtual Patients
Definition: An interactive computer simulation
of real-life clinical scenarios for the purpose of medical training, education, or assessment.
Why?
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Several schools are developing
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Need a framework that would allow these virtual patients to be shared across systems
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Why Share Virtual Patients?
• • • Costly to develop Time consuming to develop Requires significant technical, subject matter, and pedagogical expertise ®
How Technology Standards for Virtual Patients Could Work
Institution A
Network Effect
Created by Derrick Coetzee ®
Why technology standards?
• • • • Leverage content developed elsewhere (VP banks) Coordinate development efforts across a discipline (ex. Geriatrics Education) Coordinate with other learning systems (SCORM 2004) Provide flexibility in choosing VP authoring and delivery system (protecting your investment) ®
MedBiquitous Virtual Patient Specification SCORM Package
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electronic Virtual Patients
• 3-Year programme involving 6 separate projects • 9 European partners and other collaborators • Co-funded by the European Commission
“To create a shared online bank of virtual patients, adapted for multicultural and multilingual use, for the improved quality and efficiency of medical and healthcare education across the world”
www.virtualpatients.eu
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6.
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9.
1.
eViP Partners
St George’s, University of London, UK 2.
3.
4.
5.
Karolinska Institutet, Sweden Ludwig-Maximilians-University, Munich, Germany University of Warwick, UK Universiteit Maastricht, Netherlands Heidelberg University, Germany University of Medicine Cluj-Napoca, Romania Uniwersytet Jagiellonski, Poland University of Witten Herdecke, Germany www.virtualpatients.eu
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VP Repurposing and Enrichment
“Repurposing is to convert a VP created for one purpose into a VP fit for another purpose” “Content enrichment is to add different learning objects such as text, videos, sounds, images, animations, assessments and even Second Life scenarios to an existing VP in order to enhance the educational value of that VP”
eViP definition: http://www.virtualpatients.eu/about-evip/about-the project/evip-definitions/
Led by Karolinska Institutet (Sweden) involving all partners
www.virtualpatients.eu
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Typical Repurposing Workflow
UM Workflow Identify ‘paediatric VPs’
delivered in HD
Lars START Select VPs from HD
not yet available in UM Repurposed and enriched demo cases available here: http://www.virtualpatients.eu/resources/demos/ curriculum and
identify
native speaker to Dutch culture)
missing content to
experts at UM
enrich Repurpose and enrich VP
for local culture and educational scenario
Customise VP player user interface
(e.g. from HD to UM)
Adapt Virtual Learning Environment
to fit the VP
Test and GO-LIVE FINISH
www.virtualpatients.eu
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How are VPs used?
Problem-based learning Teaching Learning Exams www.virtualpatients.eu
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Problem-based Learning Sessions
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Teaching Sessions
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Self-directed Learning
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Formative and Summative Exams
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Outcomes
• Referatory of 320+ collective VPs for multilingual, multicultural access, and integrated into curricula • Tried and tested standards • Sustainable network of faculties for the development and exchange of VPs • Common content licensing model
Major resource for medical and healthcare education to be shared by all institutions across the sector
www.virtualpatients.eu
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Healthcare LOM
• • • • Mechanism for describing images and learning content in a repository & portfolio Easier search and discovery, potentially automated Extends IEEE LOM Used by AAMC, HEAL, VA ®
Healthcare LOM Uses
Title: Aresenic Toxicity Keyword: Environmental medicine, MeSH D019550 Target audience: Physician, registered nurse Credits:: CME 1.5 AMA PRA Category 1; CNE 1.7 contact hours Health Education Title: Preventing sports injuries Target audience: Patient Database B ®
Healthcare LOM Structure
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Healthcare LOM Structure
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mEducator: A Best Practice Network for Repurposing and Sharing Medical Educational Multi-type Content co-funded by the European Commission eContentplus programme http://www.meducator.net
co-funded by the European Commission eContentplus programme
Setting the Scene
Academic Institution has/creates autonomous specialized educational modules
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co-funded by the European Commission eContentplus programme
Setting the Scene
Academic Institution Academic Institution autonomous specialized educational modules autonomous specialized
educational modules
Inter-Institution Communication cannot always be effective
autonomous specialized educational modules
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co-funded by the European Commission eContentplus programme
Setting the Scene
Need of virtual distributed pools of autonomous specialized educational modules Class Discussion Forums Class Wikis
mechanisms for
Searching
Rating Retrieving
Adapting Evaluating
Revising educational content in Medicine and Life sciences
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co-funded by the European Commission eContentplus programme
mEducator
project title: mEducator: Multi-type Content Repurposing and Sharing in Medical Education project type: Best Practice Network programme : eContentplus Information Society & Media Directorate General, Εuropean Commission duration : 2009-2012 consortium : 14 partners from 10 EU countries, lead by AUTH (GR) website : http://www.meducator.net/ ®
Aim:
To enable specialized state-of-the-art medical educational content of varying types to be discovered, retrieved, shared and re-used across European higher academic institutions.
How:
By implementing and evaluating two different solutions • A “mashup” platform that aggregates content published in isolated Learning Content Management Systems (LCMS) • A federated architecture of LCMSs based on Semantic Web Services for search, interchange and delivery of learning objects ®
Openness
mEducator project aims at Openness and Open Educational Resources
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How can you benefit?
Register
and join the
mEducator
community http://www.meducator.net
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Your Experience
Activity
Have you shared resources with other organizations? What are the benefits and complications of sharing resources?
5 min
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Break – 15 minutes
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Tracking and Measuring Competence
• • • • • Professional Profile Competency Framework Educational Trajectory Activity Report Medical Education Metrics ®
Professional Profile Use Case
• • Common format for exchanging information about healthcare professionals • • • • • • • • Contact Education Training Certification License Disciplinary action Academic appointments Memberships Facilitates cross organization collaboration ®
Benefits of standardization
• • • • Faster to process standardized data Faster to develop new applications Easier to work with partner organizations Able to automate many business processes • Users: ABMS, AOA for faster credentialing ®
Status of Professional Profile
• • Approved standard Revising standard as part of required maintenance ®
Competency Object
• Any abstract statement of learning or performance expectations, and information related to the statement. ID Title Description Category ®
Competency Framework
• An organized and structured representation of a set of interrelated and purposeful competency objects.
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Uses for a Competency Standard
• • • Allow learners to track their accomplishments against a list of relevant competencies Enable educators to see how their curriculum fits into a competency framework Enable content developers to tie educational activities to a competency framework ®
Learning Objects LMS Evidence Portfolio Curriculum Curriculum Mgt
Status of Competency Framework
Executive committee • Working drafts of schema and specification available Working groups • Working draft of competency object schema and specification available, too.
Standards committee ANSI ®
Educational Trajectory
• • Provides common format to support the tracking, planning, and audit of learners’ educational trajectory across medical schools and national organizations “the path of an individual learner through one or more programs of study…” ®
Year 05 – 06 06 – 07 07 – 08 08 – 09 09-10
John Doe’s Educational Trajectory
John Doe, December 8, 2009 http://www.example.edu/portfolio/1234 Quarter 1 (Jun Aug) Quarter 2 (Sep Nov) Quarter 3 (Dec – Feb) Quarter 4 (Mar – May) 02 02 02 03 01 02 03 01 02 03 01 02 02 01 02 01 Coursework leading to MD/primary degree Coursework beyond MD/primary degree Enrichment, priority Enrichment
Status of Educational Trajectory
• • Schema and specification available on MedBiquitous website Profile of LEAP2A specification ®
Activity Report
• • Provides a standard XML format for continuing education/continuing professional development certificates and Maintenance of Certification (MoC) activity reports Allows organizations to centrally track learning and performance improvement ®
Current Problems with CE Tracking
• • • • We aren’t tracking CE We don’t help the learner assess gaps We can’t tell if CE matches learner’s practice-based needs We don’t verify claimed credits for certification or licensure ®
Reporting and Tracking CE/MoC
Provider A
Activity report
CE Tracker
Dr. John Doe’s CE Tracker A: Asthma Management B: Bronchodialators A: Pain Management .5 cr .5 cr .5 cr Report to Board Activity report
Provider B
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Status of Activity Report
• • • Approved standard Maintenance of standard underway Users include American Board of Pediatrics, American Academy of Pediatrics, American Heart Association, HighWire Press, Mesdcape, AOA, and CECity ®
MEMS: Medical Education Metrics
• • Technology standard for core evaluation data Users •
Educators
want best practices, ability to compare •
Funders
want to measure reach and efficacy •
Accreditors
want to measure success of activity and provider ®
MEMS Data
• • • • Activity Description • What’s being evaluated Participant Activity Evaluation • What did participants think Participation Metrics • How many people participated Learner Demographics ®
MEMS Use Case
CE provider CE provider CE provider ACCME PARS ®
Status of MEMS
• • • Approved standard Used by ACCME for Program Activity Reporting System (PARS) CECity, Rievent Technologies, DLC Solutions have implemented ®
New Development
• • Curriculum Inventory Educational Achievement ®
Continuum of Learning Initiative (CLI) Pre-Med UGME Performance Improvement GME Performance Improvement Portal Curriculum Inventory Portal Innovations Portal MedEdPORTAL
Tracking professionals
Activity
How many are engaged in efforts to track credentials, competencies, or professional development?
5 min
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Summary
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Building the Foundation
* American National Standard e-folio ®
MedBiquitous Goals
• Better
tracking
and evaluation of professional education and certification activities • Activity Report • Medical Education Metrics • • Educational Trajectory Curriculum Inventory ®
MedBiquitous Goals
• • Easier
discovery
of relevant education and information resources when and where needed • Healthcare LOM
Interoperability
online education and sharing of high quality • MedBiquitous Virtual Patient ®
MedBiquitous Goals
•
Coordination
and tracking of competence assessment data • Professional Profile • • Competency Framework Educational Achievement ®
Curriculum Transformation
Activity
The Vice Dean wants you to prepare for the upcoming LCME accreditation review…
15 min
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Back to your challenges
• • • Can existing standards address any of the challenges you face?
Are there needs for other standards?
Are there potential benefits to using standards for your organization?
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How to Participate
• • • Become a member and sign up for working groups Become a member of the Standards Committee and vote on standards proposals Participate in meetings and share your work ®
Contact
Valerie Smothers [email protected]
Chara Balasubramaniam
www.medbiq.org
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