E-modules in clinical Paediatrics

By Dr Ian Sinha and Sanjay Patel

Acknowledgements

• Dr Mark Dalzell and Dr Melissa Gladstone• University of Liverpool – Debbie Prescott and

R&D subgroup for funding• Tutors at Alder Hey• Children and parents• Alder Hey nursery• Department of Medical Illustration

Why did we do this?

• Theory needs to be learned, and then the skills must be practiced– time spent examining children is irreplaceable

• Observation is a powerful tool• Examination of children different to adults– Some students struggle to make the transition

• Development very difficult to teach using textbook

Aim

• Develop e-modules which show students how examinations should be done

• Develop an innovative format for teaching child development : “longitudinal”

Recruitment and Consent

• Children recruited from nursery and wards. • Before project – Ethics committee approval – Parental consent

• Following the project – Each parent received a copy of their child’s

examination and parents/participants were given a payment

– Patient identifiable information kept confidential

Method: Filming

• What did we film – Development videos – Examinations – Lectures

• Filming – Completed over 2 days + other sessions by the medical

photography department at Alder Hey– Examinations and lectures demonstrated by staff at Alder Hey – Melissa Gladstone completed the development examinations.– All performed within Alder Hey hospital grounds

Method: Editing

• Completed by myself with the help of Ian Sinha and Melissa Gladstone.

• How were the videos made? – Recordings were split into clips showing individual

developmental milestones– Individual clips were complied to demonstrate

progression • Required lots of time and video editing

software

Example MCQ

• Which of the following are causes of speech delay in children? (tick all that apply)?– Deafness– Autism– Duchenne muscular dystrophy– Cerebral palsy– Tongue-tie

What have we learned?

• Innovation is possible with enthusiastic staff• E-modules take time to develop• Need somebody with dedicated time• Organisation is key• Students seem to like this format – (pending formal evaluation)