Transcript Document
® MedBiquitous Orientation Peter Greene MedBiquitous Chara Balasubramaiam MedBiquitous Europe Valerie Smothers MedBiquitous 2nd International Conference on Virtual Patient and MedBiquitous Annual Conference April 26, 2010 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 standards has MedBiquitous created? Summary How to participate ® Introductions What do you hope to learn today? ® What is MedBiquitous? ® 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 ® The Fragmented Healthcare Industry Accrediting Bodies Universities Licensing Boards Government Societies ? Certifying Boards International Partners ® How it all started… And it kept growing… ® MedBiquitous: Technology Standards for Healthcare Education • 59 member organizations • 8 Working Groups • ANSI process • • • • Openness Transparency Consensus Due process • Work with leading organizations that can drive adoption Professional Profile Learning Objects Activity Reporting Metrics Virtual Patients Point of Care Learning Competencies Educational Trajectory ® 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 and sharing of high quality online education • Coordination and tracking of competence assessment data ® MedBiquitous Process Executive committee • Approves new standards projects Working groups • Meets via telco, in person • Develops specifications Standards committee ANSI • Consensus body • Votes • Final approval ® Why standards? ® 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. ® 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 ® What Standards has MedBiquitous created? ® Sharing Educational Resources • MedBiquitous Virtual Patient • Healthcare LOM ® Building the Foundation POC Learning * Activity E-portfolio Report * Professional Profile * Virtual SCORM Metrics * Patients for Healthcare Healthcare Competency LOM * * American National Standard ® Virtual Patients Definition: An interactive computer simulation of real-life clinical scenarios for the purpose of medical training, education, or assessment. •Several schools are developing •Need a framework that would allow these virtual patients to be shared across systems ® Why Share Virtual Patients? • Cost to develop • Time to develop • Technical, subject matter, and pedagogical expertise ® How Technology Standards for Virtual Patients Could Work <XML> Institution A Institution B ® Network Effect Created by Derrick Coetzee ® ® ® ® Why technology standards? • Leverage content developed elsewhere (VP banks) • Coordinate develop 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 ® ® 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 eViP Partners 1. 2. 3. 4. 5. 6. 7. 8. 9. St George’s, University of London, UK 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 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-theproject/evip-definitions/ Led by Karolinska Institutet (Sweden) involving all partners www.virtualpatients.eu Typical Repurposing Workflow UM Workflow Lars START Identify ‘paediatric VPs’ delivered in HD Select VPs from HD not yet available in UM Repurposed and enriched demo casesofavailable here: Discuss suitability Check Select VP and Review selected German VPs for Dutch language with http://www.virtualpatients.eu/resources/demos/ translate (German HD VPs by curriculum and identify native speaker to Dutch culture) Repurpose and enrich VP for local culture and educational scenario Customise VP player userinterface (e.g. from HD to UM) missing content to enrich Adapt Virtual Learning Environment to fit the VP www.virtualpatients.eu experts at UM Test and GO-LIVE FINISH How are VPs used? Problem-based learning Teaching Learning Exams www.virtualpatients.eu Problem-based Learning Sessions Teaching Sessions Self-directed Learning Formative and Summative Exams 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 Healthcare LOM Course 2 Course 1 • Mechanism for describing images and clinical 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 Title: Preventing sports injuries Keyword: Environmental medicine, MeSH D019550 Target audience: Patient Target audience: Physician, registered nurse Credits:: CME 1.5 AMA PRA Category 1; CNE 1.7 contact hours Health Education Database B ® Healthcare LOM Uses CE Evaluation Evidence based practice Quality improvement Patient centered care Informatics ® Healthcare LOM Structure ® Healthcare LOM Structure ® Status of Professional Profile Executive committee Working groups Standards committee • Version 1 approved as an American National Standard • Requires reaffirmation or revision within 5 years (2013) ANSI ® 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 47 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 Academic always be effective Institution autonomous specialized educational modules 48 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 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/ Class Discussion Forums Personal Blogs Class Wikis Back Healthcare Consumers and Clinicians Collaborate – Social Bookmarking Back Back eTrace – Graphics annotation based lessons Back NanoMission Triage Trainer Medical data in a training scenario Developed by TrueSim/VEGA group in collaboration with the SGI Uses Virtual Patient concept – Sophisticated and dynamic model required for detailed simulation of casualties Developed by PlayGen, another SGI partner Introduces nanomedical concepts in an interactive and engaging way Requires data in formats that enable interactive and realistic interactions between user and biological system Back co-funded by the European Commission eContentplus programme Openness mEducator project aims at Openness and Open Educational Resources 57 co-funded by the European Commission eContentplus programme How can you benefit? Register and join the mEducator community http://www.meducator.net Your Experience Activity Have you shared resources with other organizations? What are the benefits and complications of sharing resources? 5 min ® Break – 15 minutes ® Tracking and Measuring Competence • • • • Professional Profile Competency Framework 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 crossorganization collaboration ® Why share profile data? • Credentialing • Unique identification • Patient saftey ® 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. ® 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 Evidence Curriculum LMS Portfolio Curriculum Mgt Status of Competency Framework Executive committee Working groups Standards committee • Working drafts of schema and specification available • Working draft of competency object schema and specification available, too. ANSI ® 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 and Measurement • 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 measure CE value consistently • We don’t verify claimed credits for certification or licensure ® Reporting and Tracking CE/MoC Provider A Activity report <xml> CE Tracker Activity report Dr. John Doe’s CE Tracker A: Asthma Management .5 cr B: Bronchodialators .5 cr A: Pain Management .5 cr Report to Board <xml> Provider B ® Status of Activity Report • Approved standard • Maintenance of standard underway • Users include American Heart Association, HighWire Press, Mesdcape, AOA, CECity, and RSNA a ® 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 ACCME PARS CE provider ® Status of Activity Report • Approved standard • Maintenance of standard underway ® Tracking professionals Activity How many are engaged in efforts to track credentials, competencies, or professional development? 10 min ® Summary ® MedBiquitous Goals • Better tracking and evaluation of professional education and certification activities • Activity Report • Medical Education Metrics • Easier discovery of relevant education and information resources when and where needed • Healthcare LOM ® MedBiquitous Goals • Interoperability and sharing of high quality online education • MedBiquitous Virtual Patient • Coordination and tracking of competence assessment data • Professional Profile • Competency Framework ® Curriculum Transformation Activity The Vice Principal wants a curriculum that integrates broad, practical experience with basic science, and she wants it in six months time. 15 min ® Back to your challenges • Can existing standards address any of the challenges you face? • Are there needs for other standards? ® Questions for you • Are standards a good idea? • Should you develop them within your own organization? • What are the benefits of standards to your organization? ® 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 [email protected] www.medbiq.org ®