1. Dr Ian Graham MBBS; M. Health Planning; FRACMA HeLMS - Development and Implementation of a Health e-Learning Management System Framework for the Clinical Workplace

2. Roles and Disclosure Medical Practitioner - Specialist in Medical Management (FRACMA) Consultant in Medical Workforce Management & Health Informatics -Peninsula Health, Melbourne Health, RACS, RACP Internal Auditor (healthcare) with Ernst & Young (Australia) Medical Director - West Wimmera Health Service Consultant in Workforce Development & Innovation, Postgraduate Medical Council of Victoria Advised Allocate (London) on the implementation of medical rostering systems and Cal2Cal (Australia) on the development of mobile clinical and health education applications (honorary) No other affiliation (financial or otherwise) with any pharmaceutical, medical device or communications organisation

3. Challenges and Opportunities Developing, expanding and ensuring the sustainability of the Australian health workforce (Health Workforce Australia and Australian Health Practitioners’ Regulation Authority) 20 medical schools (including new rural schools), 7 state and territory prevocational organisations, 16 medical colleges Integrating workforce planning, policy and reform with the necessary and complementary reforms to education and training Four main areas of activity at Health Workforce Australia: -workforce planning, policy and research; -clinical education; -innovation and reform of the health workforce; and -the recruitment and retention of international health professionals Taking advantage of the latest clinical and educational technologies

4. Learning in the clinical workplace Health e-Learning Management System Implementation of a standards-based, virtual learning environment, education administration and performance management system for medical practitioners, nurses and allied health professionals throughout Australia through the specification, acquisition, adaptation and development of a digital media repository and best of breed clinical education technology Reflective practice Deliberate practice Apprenticeship & role modeling Didactic teaching Self-directed learning Simulated practice Interdisciplinary learning

5. Clinical Learning Objects 'Containers', structured in a meaningful way, tied to educational objectives and characterised by being stand-alone, reusable, interactive, aggregative, interoperable & accessible DEEWR - Australian Flexible Learning Framework ANSI / European Union - MedBiquitous SCORM for Healthcare AMC compliance AHPRA compliance NEHTA compliance XML and Web service standards 'Sushi Train' analogy - similar containers with varying content

6. HeLMS Framework e-Deployment e-Learning Curriculum Mapping Learning Resources Authoring tools e-Portal e-Performance Supervision Appraisal & Feedback Metrics & KPIs e-Portfolio On-line Assessment Credentialling Reflection & Planning e-Practice Allocation Macro (term) roster Micro (shift) roster Log-book & Quality Simulation & Rehearsal Scope of Practice Access & Security Networking & Collaboration Bulletins & Alerts Standards-based Interoperability Digital Media Repository

7. HeLMS e-Portal e-Deployment e-Performance e-Portfolio e-Practice e-Learning e-Portal Access & security Networking & collaboration Bulletins and alerts ORGANISATION CHART Professional Profile

8. HeLMS e-Learning e-Deployment e-Performance e-Portfolio e-Portal e-Practice e-Learning CURRICULUM INVENTORY e-Learning Curriculum mapping Learning resources Authoring tools Learning Object

9. HeLMS e-Portfolio e-Deployment e-Performance e-Portal e-Practice e-Learning e-Portfolio COMPETENCY FRAMEWORK e-Portfolio On-line Assessment Credentialling Reflection & Planning Learning Trajectory

10. HeLMS e-Practice e-Deployment e-Performance e-Portfolio e-Portal e-Learning e-Practice Log-book & quality Simulation & rehearsal Scope of practice PATIENT (VP) MASTER INDEX Activity Log

11. HeLMS e-Performance e-Deployment e-Portfolio e-Portal e-Practice e-Learning e-Performance Supervision Appraisal & feedback Metrics & KPIs Appraisal & Metrics PERFORMANCE FRAMEWORK

12. HeLMS e-Deployment e-Performance e-Portfolio e-Portal e-Practice e-Learning e-Deployment Allocation Macro (term) roster Micro (location & shift) roster HOSPITAL ALLOCATION Shift Object

13. HeLMS Framework e-Deployment e-Learning Curriculum Mapping Learning Resources Authoring tools e-Portal e-Performance Supervision Appraisal & Feedback Metrics & KPIs e-Portfolio On-line Assessment Credentialling Reflection & Planning e-Practice Allocation Macro (term) roster Micro (shift) roster Log-book & Quality Simulation & Rehearsal Scope of Practice Access & Security Networking & Collaboration Bulletins & Alerts Standards-based Interoperability Digital Media Repository

14. Conclusion A framework to specify a virtual learning environment for health professional training in the Australian clinical workplace Utilising Clinical Learning Objects to achieve standards-based interoperability but ensuring that it is meaningful and understandable A modular approach supporting the acquisition, adaptation and development of best of breed education technology Six interrelated domains: -e-Portal (Organisation Chart / Professional Profile) -e-Learning (Curriculum Inventory / Learning Event Object) -e-Portfolio (Competency Framework / Learning Trajectory) - e-Practice (Patient / VP Master Index / Activity Log) - e-Performance (Performance Framework / Appraisal Object) -e-Deployment (Hospital Allocation / Shift Object)