a paperless pilot: a perspective from nottingham
TRANSCRIPT
A Paperless Pilot:A Perspective from Nottingham
Dr James EllisonClinical Assistant Professor of Medical Education &
General Adult Psychiatry
Outline• The Nottingham Course
• Current WPBA system
• Drivers
• Barriers & Hurdles
• Why a pilot?
• The Plan
• Issues & Challenges
The Nottingham Medical Course
Clinical Phase 3 (CP3) -Advanced Clinical Experience (Medicine, Surgery, Musculoskeletal Disorders and Disability, Primary Care, Critical Illness)
Clinical Phase 2 (CP2) - Child Health, O&G, Psychiatry, Health Care of the Elderly, Dermatology, Ophthalmology, ENT, Special Study Module
Clinical Phase 1 (CP1) - Medicine & Surgery, CFU, Infection, Therapeutics
BMedSci Research Project
A100 Years 1 & 2
Basic Medical SciencesClinical Professional Development
A101 First 18 months
PBL courseClinical Professional Development
MACCS
• Mandatory Assessment of Core Clinical Skills
• Nottingham’s WPBA
• Introduced 2007/8
• System developed organically
• Complicated
• Resource-heavy
Logbooks
• Across all years annual cost >£30,000
• ACE/CP3 logbook - most costly
• Revised/reprinted annually
• £3736.09 for 420 copies = £8.90 each
Current MACCS Process
Meeting with students with MACCS outstanding
Student registered completed MACCS via moodle
Assessor completes checklist & signs MACCS form
Student completes task
Assessor form completed(once only)
Student identifies assessor
Students with MACCS issuescontacted
10% sample of logbookschecked
At end of phase databasechecked for blanks
Informal monitoring ofMACCS database by staff
Drivers
• Administrative burden
• Printing costs
• Environmental costs
• Archiving issues
• Proving competence down the line
• National Student Survey
Barriers & Hurdles• Inertia
• Expense
• Tech-averse staff
• Staff anxieties
• University IT support
• University policy/initiatives
Why a pilot?
• Justification to University
• Cost
• Strategic considerations
• Proof of concept
The Plan
• 20 CP3 students to take part
• Half to be loaned a tablet PC
• Half to use their own device
• Carry logbook as a ‘safety net’
• Regular focus groups
• Feedback from assessors
Recruitment
• Email sent to all potential CP3 students
• £50 voucher incentive
• 49 volunteers out of 421 students
• 7 rejected due to early commencement of CP3
• Students selected semi-purposively
Work So Far
• Dedicated time from IT Officer
• Upload of existing MACCS to MyProgress
• Checking & correcting
• Informal field-testing
• Development of assessor feedback questions
Issues & Challenges
• Provided device vs BYOD
• Tablet devices - to lock or not?
• (?Mythical) Machiavellian students
• Culture change
• Reducing students’ reliance on paper
• Supporting the tech-averse
