Presentation on theme: "ANN S. BOTASH, MD PROFESSOR, PEDIATRICS JASON PEREZ, MS, FNP GRADUATE, COLLEGE NURSING PATRICIA D. POWERS, DNP, MPA, RN, FNP-C, NPP CLINICAL ASSISTANT."— Presentation transcript:
ANN S. BOTASH, MD PROFESSOR, PEDIATRICS JASON PEREZ, MS, FNP GRADUATE, COLLEGE NURSING PATRICIA D. POWERS, DNP, MPA, RN, FNP-C, NPP CLINICAL ASSISTANT PROFESSOR, NURSING CAROL RECKER-HUGHES, PT, PHD ASSOCIATE PROFESSOR, PHYSICAL THERAPY CARRIE ROSEAMELIA, MA FAMILY MEDICINE PAMELA YOUNGS-MAHER, M. ED. COORDINATOR, ONLINE LEARNING Distance Faculty Observation Using iPads Upstate Medical University
Where We Work College of Medicine (Ann) College of Nursing (Patty) IT (Pam) Physical Therapy (Carol) Family Medicine (Carrie)
Background & Purpose 1. Clinical Education 2. Goals of Project 3. Literature Review
Education: From Classroom to Clinic Academic Faculty Clinical Supervisors Clinical teachers in traditional & Practicing clinicians who supervise non-traditional classroom settings students in the clinic Education: From Classroom to Clinic
Challenges of Clinical Teaching: Juggling Act Variability teaching & learning Lack of effective feedback skills Time
Goals of the Project Assess FaceTime as a mechanism to bridge time/distance barriers in observing students Improve students’ clinical skills through use of formative feedback Develop a shared observation tool across multiple disciplines to define core, observable clinical skills
Fosters appreciation & understanding of other disciplines Challenges norms & values of each discipline Promotes student participation Models strategies for future practice Past to Future An Interdisciplinary (Ad)Venture COM CON CPT
Literature Review Distance Technology : 1. Provides a mechanism for valuable feedback on performance and promote mastery of clinical skills (Bulik, Frye, Callaway, Romero, & Walters, 2002; Clever, Novack, Cohen, Levinson, 2003; Novack, Cohen, Peitzman, Beadenkopf, Gracely, & Morris, 2002). 2. May be used for long-distance communication assessment for a variety of learners ( Bulik, Frye, Callaway, Romero, & Walters, 2002; Clever, Novack, Cohen, Levinson, 2003; Mattheos, Nattestad, & Attström, 2003; Novack, Cohen, Peitzman, Beadenkopf, Gracely, & Morris, 2002). 3. Can be distracting/problematic (Curran, Aziz, O'Young, Bessell, & Schulz, 2005; Clever, Novack, Cohen, Levinson, 2003).
Planning IRB Process Describe what we plan to do & with whom Seek exempt status Identify common ground across disciplines for patient examination Taking a patient history Create form with essential elements Define PI Roles
Communication Communication with: The project team Academic Faculty Students Clinical sites Tools Blackboard Google Drive Email
Research Methods Develop Tools for Data Collection: Student & Faculty Technology Survey Student Survey on Faculty Feedback Create Focus Group Questions for Faculty Develop Protocols: Patient Recruitment Student & Faculty FaceTime Encounters
Recruitment of Sites & Students Recruitment Sites HIPAA Wi-fi access Policies & Procedures Some sites could not participate Students Expectations of participants Overview of the Project and iPad training Completing 2 Surveys online
Faculty Recruitment Principal Investigators recruited faculty iPad was an incentive Required commitment 3 hours of faculty development 1-2 hours/month January-May Complete survey and focus group Memorandum of Understanding (MOU)
Faculty Training Set up and use of iPads 1 hour session (by department) Introduction to Face Time, Apps, and Settings Observation/Feedback Workshop 2 hour session Simulation in Clinical Skills Center Practice, Practice, Practice
Feedback Workshop Objectives Following this workshop, faculty will: Differentiate between characteristics of effective versus ineffective feedback. Use open-ended questions to promote student reflection and decision making. Engage in a formative feedback session using Face Time. Assess challenges of technology in the delivery of feedback.
Effective Feedback Promotes self-directed learning and professional development Facilitates effective problem solving Requires ability to: question appropriately listen actively I’m questioning
Data Collection & Analysis Data Collection and Analysis: 1. Faculty Survey 2. Student Surveys 3. Faculty Focus Groups
Results: Technology Surveys Did you experience difficulty connecting to FaceTime? Did you experience difficulty staying connected to FaceTime? Faculty: It took multiple attempts before the call went through. Audio was choppy, the camera froze several times. Student: Preceptor was unfamiliar with the technology.
Results: Technology Surveys FaceTime is an effective mechanism for delivering student feedback I would recommend the use of FaceTime technology on a regular basis Faculty: Promising but doesn't have it's sea-legs yet.
Results: Student Reflections The faculty member provided meaningful feedback about…
Results: Student Reflections The faculty member provided….. “tricks of the trade” advice or helpful tips Students Agree Disagree Unsure Results 76% 14% 10%
Themes: Faculty Focus Groups What Worked? Assessing Students Providing Feedback Communication with the Onsite Faculty What Did Not Work? Imposition & Scheduling Connectivity Viewing Patients & Students Student Initiative & Accountability
Themes: Faculty Focus Groups Suggestions Expand Use of iPad Observations Earlier & more frequently History and physical examination Connect with clinical faculty Use for Site Visits Teaching Tools iPad Apps Additional Faculty Development
Students Recruitment Sample of convenience “Carrot or Stick”=Participation Training Memorandum of understanding Practice, practice, practice! In the Clinic Variable support of instructors Informed consent process Survey Completion
Faculty Recruitment Training Commitment PI Support
Pilot Study…..Next Steps? Expand use across colleges Implement “carrot or stick” policies Consider cross discipline observations Use, and validate, forms across disciplines Guidelines for delivery of feedback Observation tool Observe history AND physical examination
Next Steps for Faculty Use? Communication skills workshops For new and current faculty Inter professional Professional development iPad use Apps Use of the iPad for “site” visits Rural and remote settings
References Bulik, R., Frye, A., Callaway, M., Romero, C., & Walters, D. (2002). Clinical Performance Assessment and Interactive Video Teleconferencing: An Iterative Exploration. Teaching and Learning in Medicine, 14 (2), 124-132. Clever, S., Novack, D., Cohen, D., Levinson, W. (2003). Evaluating surgeons' informed decision making skills: Pilot test using a videoconferenced standardized patient. Medical Education, 37 (12), 1094-1099. Curran, V., Aziz, K., O'Young, S., Bessell, C., & Schulz, H. (2005). A comparison of face-to-face versus remote assessment of neonatal resuscitation skills. Journal of Telemedicine and Telecare, 11 (2), 97-102. Glavaz, G., Parish, T., Byous, R., Chambers, D., Gerdom, L., Leffert, J., & Wright T. (2012). The use of videoconferencing for clinical site evaluations. Journal Physician Assistant Education,23(2), 50-55. Lentz, L.M., & Fincher, R.M. (1999). Using telemedicine and standardized patients to evaluate off-campus students' skills. Journal of the Association of American Medical Colleges, 74 (5), 598-599. Mattheos, N., Nattestad, A., & Attström, R. (2003). Feasibility of and satisfaction with the use of low-bandwidth videoconferencing for examination of undergraduate students. Journal of Telemedicine and Telecare, 9(5), 278-281. Novack, D., Cohen, D., Peitzman, S., Beadenkopf, S., Gracely, E., & Morris, J. (2002). A pilot test of WebOSCE: A system for assessing trainees' clinical skills via teleconference. Medical Teacher, 24 (5), 483-487. Robinson, S. (2011). Promote active learning with iPads. Radiologic Technology, 83(2), 204- 207. Smith, C., & Skandalakis, J. (2005). Remote presence proctoring by using a wireless remote- control videoconferencing system. Surgical Innovations, 12(2), 139-143.
Upstate Medical University Any “burning” questions??
What we are doing…. CNY Central: http://www.cnycentral.com/news/story.aspx?id=878617#.UVnRc jnWaf8 http://www.cnycentral.com/news/story.aspx?id=878617#.UVnRc jnWaf8 What's Up at Upstate: http://whatsupatupstate.wordpress.com/2013/04/01/professors- use-ipad-facetime-feature-in-teaching-medical-students/ http://whatsupatupstate.wordpress.com/2013/04/01/professors- use-ipad-facetime-feature-in-teaching-medical-students/ Student interview: http://www.youtube.com/watch?v=p7KDIYU3Ngc&list=UUIC6B4 ULFCqa8bXKVc1sjYA&index=1 http://www.youtube.com/watch?v=p7KDIYU3Ngc&list=UUIC6B4 ULFCqa8bXKVc1sjYA&index=1