1. Health Sciences and Practice & Medicine Dentistry and Veterinary Medicine Higher Education Academy Subject Centres Mr Stewart Cromar MSc, BSc (Hons) Senior e-learning Developer, The University of Edinburgh eLearning in Health 2011 conference collaboration, sharing and sustainability in the current environment Game-Informed Risk Assessment? A Labyrinth based toolkit for managing a good practice risk assessment workflow and guidance for open educational resources

2. MEDEV good practice and risk assessment toolkit To help in gauging risk in sharing learning and teaching resources as OERs Michael Begg, Suzanne Hardy, James Outterside, Lindsay Wood, Stewart Cromar, Megan Quentin-Baxter, David Dewhurst

3. Labyrinth @ Edinburgh FAQ Case sequencing tool, supporting branching logic. – Virtual patient authoring & delivery system – Developed in-house February 2005 – 1200+ Labyrinths created so far – Examples include virtual patients, quizzes, games and instructional tutorials – Currently used by Edinburgh University staff & students, NHS staff, UK and overseas collaborators – Open-source version available Gaming Elements ① Adaptive difficulty ② Replay value ③ Scoring mechanisms ④ Role-play ⑤ Save progress, continue later

4. Exemplars eeSURG (Edinburgh Surgical Sciences Qualification) – 50+ Labyrinth cases – CVS, GI, Locomotor and Specialties – http://demo.essq.ed.ac.uk/ http://demo.essq.ed.ac.uk/ Malawi: Scotland (Virtual Patient Development) – 37 completed Surgical and Clinical virtual patients – http://malawi.mvm.ed.ac.uk/ http://malawi.mvm.ed.ac.uk/ STARS (Stroke Training and Awareness Resources) – 100+ Labyrinth tutorials, virtual patients and exams – http://www.stroketraining.org/ http://www.stroketraining.org/

5. Typical Structure OrientationTake a historyPatient Story 1 Start treatment Review her oxygen therapy Increase O2 to 40% … Prescribe a nebuliser Combivent Salbutamol 5mg Salbutamol 2.5mg …

7. Toolkit @ Newcastle Good Practice Risk Assessment Toolkit Will guide you through the maze of information available to help you judge the risk involved in sharing your learning and teaching resources openly as Open Educational Resources (OERs).

8. Collaboration MEDEV Toolkit CreationEDI UNI Labyrinth Integration MEDEV Final Toolkit OOER Basic Toolkit PORSCHE Toolkit Refinement ACTOR Toolkit Refinement The workflows associated with each toolkit comprised common start and endpoints. Between these points lay various possibilities for navigating all relevant decision points. Labyrinth was customised with a suite of extensions to develop its potential as a workflow management and guidance presentation tool.

9. Toolkit Overview Step-by-step 1.Add resource (accept disclaimer) 2.Guidance Sections a)Copyright b)Consent c)Quality Assurance 3.Licence & Sign Off Websites 1 MEDEV 2 Labyrinth 3 MEDEV

11. Step 1) Add a resource Basic Metadata ① Title ② Author ③ Subject ④ Description ⑤ Publisher ⑥ … “URL Resource”

13. Step 2) Guidance Sections Example Content Primary information – Ownership checklist – Accessibility guidance Key questions – Is there any evidence of properly informed written patient consent? – Is there a single point of IPR? External resources – GMC definitions – Web2Rights OER IPR risk management calculator Internal Wiki – Patient consent, pedagogy, glossary… “Typical Labyrinth Page”

15. Labyrinth Extensions New OOER Functionality Bookmarks Public comments Personal annotations Workflow map - visualizer “Visualizer”

17. Cross-site Communication MEDEV website MEDEV user authentication Token passed to Edinburgh User traverses Labyrinth from Edinburgh website User history data kept at Edinburgh User exits Labyrinth EDI data available to NCL via API’s

18. Seamless User Experience Functionality Stop and start – Resume workflow on Edinburgh Labyrinth Review history – Visualizer instance installed on MEDEV “Workflow Progress”

20. Final Steps Step 3) CC Licence & Sign Off ① CC by ② CC by-sa ③ CC by-nd ④ CC by-nc ⑤ CC by-nc-sa ⑥ CC by-nc-nd “I hereby declare that to the best of my knowledge the resource(s) I have uploaded for sharing online conform to best practice guidelines as outlined in the MEDEV OER risk assessment toolkit.” Metadata Syndication MEDEV Jorum OpenXpert Other Repositories Other Referatories

21. Further Information Websites labyrinth.mvm.ed.ac.uk stewart.cromar@ed.ac.uk @tweelearning www.medev.ac.uk enquiries@medev.ac.uk References M. Begg, D. Dewhurst, et al (2005). “Game Informed Learning: Applying computer game processes to Higher Education.” Innovate Vol 1 (6). http://www.innovateonline.info/