tecs: cognitive scaffolding… shashidhar venkatesh murthy b.sc, mbbs, md(path), gctt, mba(edu),...

TECS: Cognitive Scaffolding…

Shashidhar Venkatesh Murthy B.Sc, MBBS, MD(path), GCTT, MBA(Edu), IFCAP

Associate Professor & Head of PathologyJames Cook University, School of Medicine & Dentistry.

QLD 4811 - AUSTRALIA

Effective teaching of Pathology in a Rural Medical School, using Technology Enhanced Cognitive Scaffolding (TECS).

Concept for a new education model.

JCU Innovation….!


Pathology Teaching: Challenges

KnowledgeSkills. - Lab, micro, gross*

Assessment - Lab, micro, gross*

Support ...?

Students ***

Staff 16 2


At Manipal University, India (23 Jan 2010)

Pathology (& Other) StaffAcademic, Full time, on campus

Dr. KRNMy prof. & VC


At JCU SOMD, Australia (12 Aug 2010)

Pathology (& Other) StaffAcademic, Full time, on campus

1 Pathologist & 1 Microbiologist…..!

. . . the dream of “global educational opportunity for everyone on earth” is impossible if education is visualized as it always has existed in recent centuries: a school-room with a teacher and students , an impossible model for world education at the beginning of a newmillennium. . . . we need a completely new plan and vision for worldwide access to education at all levels, if the next century is to see a quantum leap in educational opportunities everywhere.

Obviously, this is a great challenge and no easy task.

-- Theodore Hesburgh,in John Templeton, ed.,Looking Forward: The Next Forty Years (1993)


Degeneration& Regenerationof Pathology….!


Teach Pract. AssessSupp.


LECTURALGIA(Painful lecture)

“Syndrome experienced by members of the lectured-to audience”

Frequent cause of morbidity for both teachers and learners…

McLaughlin K, Mandin H. – Medical Education 2001; 35:1135-1142


• Poor judgement; • Poor organization; • Poor delivery• Pathology…!

Causes of Lecturalgia

Pathology The Foundation of medicine


• 2002 – Online teaching resources.• 2005 - Online self evaluation. (Quiz)• 2006 – Digital Pathology museum.• 2007 – Electronic Student Response ESRS.• 2008 – Digital Microscopy - Online slides.• 2009 – “Winners Club” - Cognitive Scaffolding. • 2010 – Quick Pathology Review for Clinicians *• 2011 - New concept education module *

New Ideas: 1988 2010...contd.


Delivering Knowledge:

• Challenges:– Complex, lab stuff, Basic, Boring, get over it!– But it Important… !

• Solutions: …First step - Scrap old curriculum…!– Integrated Clinical Pathology Curriculum. CPC*– Problem/Scenario based learning (SBL)– Pathology as a tool to

understand & solve clinical problems

Weekly CPCMD4020 – Sep 2010 • Integrated Clinical

Pathology• Detailed teaching

outline to tutors (clinicians).

• Clear Learning Objectives.

• Major & Minor CLI’s • Self assessment –

Keepads, quiz (print & Online)

• Regular feedback from tutors and students.

Basic Science review(SELF study)

Gross Specimens – Digital Museum (2006)

Laboratory session:

Video recording & streaming

Video recording & Webcasting

Digi.Microscopy:

Microscopy Tutorial without Microscope..!

(First in Australia) *

Classroom Soft. + Digital Pathology..!

Did they understand..?


Electronic Student Response System: ESRS Electronic Student Response System(ESRS) - 2007

59y Male, obese, Diabetic patient presents to ER with sudden severe chest pain, This is the specimen of his Aorta. What is the diagnosis ?

1 2 3 4 5

0 0 0

16

2

1. Atheromatous plaque.

2. Thrombosis on plaque.

3. Fusiform aneurysm.

4. Dissecting aneurysm.

5. Berry aneurysm.

TECS: Cognitive Scaffolding…ESRS: Promotes Serious Learning…

ESRS: Interactive & deep learning

ESRS: Instant Student Feedback…!

They didn’t get it…!

ESRS: Feedback: Satisfaction at last.….(?)

Few need more help...!

*

*

“is what a teacher does when working with a student to solve a problem, carry out a task, or achieve a goal which would be beyond his unassisted efforts”

- Wood, Bruner, & Ross, 1976

….. inquiry as a matter of steps or phases conducted in succession or in cycles expressed in terms of expected student cognition….

Romberg & Carpenter, 1986.

Cognitive scaffolding… Winners Club*(Individualized support for weak…)


Winners Club: (Technology enhanced cognitive scaffolding)

• Identifying Weak students – ESRS.

• Identifying specific needs – Interview.

• Motivation, Guidance – Mentoring.

• Monitoring progress – Feedback, ESRS.

• Celebrate Win….!


Teacher’s Role:• Inform

• Influence

• Inspire*“Mentoring is transformational because it’s not just about

behaviour, it’s about a change of heart.” Ellis A. Ingram, MD, FCAP

Only in a class room.. !

You are the stone, You are the chisel, and You are the sculpture….!

www.akshardham.com

Take the Y4 Challenge….!

Jan 2009:

4th Year Students at JCU School of Medicine set new record.…!!!100% Pass & Class Average of >70%99% Pass & Class Average 68%

Highest

There is no limit to what we can achieve..!Osama…or ..Obama….!

Yes We Can…!

Thank You

Will the class room survive..?

Yes...Until technology develops personality....!

http://www.jcu.edu.au/path/Index.htmlhttp://www.jcu.edu.au/path/Index.html

http://www.jcu.edu.au/path/Index.html

How about a….??Comprehensive

online Pathology course…

Online Pathology Course…

Winners Club

ESRS-Feedback

Digital Path Museum

Digital Path Lab

Lecture+Podcast

Web resources

Staff support <10%

SWOT Analysis:• Strengths:

– JCU has Infrastructure, motivation & support (SOMD)• Weakness:

– New technology, new concept – prone for change.– High Initial cost – IT, resources, staff.

• Opportunities:– Lack of efficient basic science education – Opportunity * – Concept courses: Medicine, Allied health, Science…. Etc.– JCU could market to other universities… global Leader *

• Threats:– Competition - Global – Staff retention, dependency *

JCU

Projects in Pathology:

• Digital Pathology Web slides in teaching pathology In collaboration with IOWA University, USA.

• Online Virtual Pathology museum in teaching Undergraduate Pathology.

• Winners Club: Cognitive Scaffolding to support weak students.

• Authors Club: Team motivation to stimulate good students.

• Pathology department web: http://www.jcu.edu.au/path/Index.html

http://www.jcu.edu.au/path/Index.html


Sample Lecture from Medscape CME:

• Multimedia enhanced Lecture.• Dynamic Interactivity.• Interactive learning assessment.• Feedback & Support.

http://cme.medscape.com/viewarticle/703121

http://cme.medscape.com/viewarticle/703121

tecs: cognitive scaffolding… shashidhar venkatesh murthy b.sc, mbbs, md(path), gctt, mba(edu),...

Documents

cognitive scaffolding

cognitive scaffolding

new education model

lecturalgia pathology

medical education

world education

vc slide

new concept education