2. The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution  Explore the role of Medical Informatics in teaching and learning medicine  Briefing about Annex Building Facilities (ABF)  Multimedia labs  Telemedicine  Define the integration and adoption process  Review some examples of Medical e-learning tools  Visions and Future directions Outline ICT_Learn2004 October 11-13, 2004 At the College of Medicine & Health Sciences –SQU. OMAN

3. The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution  Remarkable changes in medical education associated with  changes in healthcare delivery,  advances in medicine and  advances in medical and learning technologies.  The changes will not slow down over the next several decades. ICT_Learn2004 October 11-13, 2004 At the College of Medicine & Health Sciences –SQU. OMAN

4. The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution Medical education is moving to a new world which requires a new mindset. ICT_Learn2004 October 11-13, 2004 At the College of Medicine & Health Sciences –SQU. OMAN

5. The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution Challenges facing medical schools  Transforming how students learn  Sharing expertise and resources  Delivering a high quality and financially sustainable program  Increasing access to medical education  Working in partnership with postgraduate and continuing education, and with the other health care professions ICT_Learn2004 October 11-13, 2004 At the College of Medicine & Health Sciences –SQU. OMAN

6. The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution  Overcrowded curriculum  Rote memorization of medical facts  Learner passivity  Cases out of reach  Student-consultant ratios Limitations of the traditional medical-school curriculum ICT_Learn2004 October 11-13, 2004 At the College of Medicine & Health Sciences –SQU. OMAN

7. The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution Features of e-Leaning environments The true power of e-Learning is likely to be found in its potential to provide the right information to the right people at the right times and places. E-Learning is often a more effective and efficient way to educate learners because it is… ICT_Learn2004 October 11-13, 2004 At the College of Medicine & Health Sciences –SQU. OMAN

8.  Personalized – it allows entire programs of study to be customized for an individual learner;  Interactive – it engages the learner in a give-and-take type of learning that involves simulations of real-world events and sophisticated collaborations with other learners and the instructor;  Just-in-time - it moves training away from the "just-in-case" model in which learners engage in event-based sessions that require learning to take place outside of the context in which it will be used;  Current - it allows training providers to offer learners always up-to-date materials; and  Learner-Centred - it focuses primarily on the needs of the learner. (Kerrey, et al., 2000) Features of e-Leaning environments ICT_Learn2004 October 11-13, 2004

9. The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution  No danger or inconvenience to real patients  Students try “what-if” exercises.  Full clinical responsibilities for patients  Students learn the effects of interventions through doing  Students manage a greater number and variety of patient cases  Manage cases as diseases evolve over time  Standard cases can be used to assess problem-solving competency Advantages of e-Learning for Medical Education ICT_Learn2004 October 11-13, 2004 At the College of Medicine & Health Sciences –SQU. OMAN

10. The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution Types of e-Learning Environments in Medicine  Computerized clinical simulation  Expert system  Intelligent tutoring system  Interactive multimedia learning environment  Web-based learning ICT_Learn2004 October 11-13, 2004 At the College of Medicine & Health Sciences –SQU. OMAN

11. The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution  Laparoscopic techniques, which provide junior surgeons with an opportunity to practice surgical skills without risk to patients.  Anesthesia simulators, which have controlled responses that vary according to numerous possible scenarios.  Cardiovascular disease simulator, which used to simulate cardiac conditions. Computerized clinical simulation ICT_Learn2004 October 11-13, 2004 At the College of Medicine & Health Sciences –SQU. OMAN

12. The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution  Embody an explicit teaching strategy  The design of this program is to:  Specify a learning objective  Set a task according to a strategy for achieving that objective  Interpret students performance on the task  Use this to select appropriate feedback or help  Use the student’s performance so far to select the next task  It offers feedback on students actions and adaptive task focus related to previous actions and the overall goal. Intelligent Tutoring System or Adaptive Media ICT_Learn2004 October 11-13, 2004 At the College of Medicine & Health Sciences –SQU. OMAN

13. The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution Dynamic platform that  Assessing performance  support the tracking of learners  Deployment of content  Access to user records  Providing an environment for  Chat rooms  Threaded discussions  Synchronous learning environments Learning Management Systems (e.g., Web CT & e-Learning Suite) ICT_Learn2004 October 11-13, 2004 At the College of Medicine & Health Sciences –SQU. OMAN

14. The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution  Facilitate interaction and communication among online learners (i.e., Immediate access to instructors and online mentors to ask questions and receive answers).  Conferencing software & Streaming media  Fosters students’ learning through interactivity. Collaborative Technologies ICT_Learn2004 October 11-13, 2004 At the College of Medicine & Health Sciences –SQU. OMAN

15. The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution Annex Building Facilities (ABF)  Multipurpose Computer Labs  Telemedicine  Multi-Skills Lab ICT_Learn2004 October 11-13, 2004 At the College of Medicine & Health Sciences –SQU. OMAN

16. The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution Multipurpose Computer Labs  2 Multimedia Computer Labs – 50 PCs/lab  Small tablet PCs with TFT screen  Smart screen  Instructor full control of each PC or group of PCs  Grouping of students in the lab  Multimedia broadcasting of information or programs  Normal Computer lab – 70 PCs  Small tablet PCs with TFT screen ICT_Learn2004 October 11-13, 2004 At the College of Medicine & Health Sciences –SQU. OMAN

17. The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution The e-Learning EvolutionTelemedicine  Electronic transmission of medical information and services (voice, data, video) from one site to another using telecommunication technologies.  Goals of telemedicine at SQU: –access to international expertise to seek second opinion, –live broadcasting of seminars, workshops, specialized surgical training sessions.  Telemedicine applications show potential significance for improving access to specialized training and consultation. ICT_Learn2004 October 11-13, 2004 At the College of Medicine & Health Sciences –SQU. OMAN

18. The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution Benefits of Telemedicine  Provide monitored appropriate care from a distance  Integrate scattered healthcare  Access to huge database of medical information  It will be used to train medical students remotely and also for practical training for professional development (CME courses)  Cost saving in providing health service such as saving on the transportation cost of patients and other resources ICT_Learn2004 October 11-13, 2004 At the College of Medicine & Health Sciences –SQU. OMAN

19. The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution Benefits of Telemedicine -2  Provide decision support tools to medical professionals to locations connected with telecommunication links  Improvement of healthcare in rural areas  Modern tools available to analyze data (both on-line and store-and- forward) images to biosignals  Immediate access to patient records and hospital information  Reduce the need to transfer most of the patients from periphery to tertiary hospitals ICT_Learn2004 October 11-13, 2004 At the College of Medicine & Health Sciences –SQU. OMAN

20. The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution The e-Learning EvolutionTelemedicine Equipments available at SQU for a real-time telemedicine conferencing are: -  Digital image capture systems  Digital data transmission system  Digital data connection  Digital data receiver system  Digital data display system  Storage and archive system  Patient information system interface ICT_Learn2004 October 11-13, 2004 At the College of Medicine & Health Sciences –SQU. OMAN

21. The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution The e-Learning EvolutionTelemedicine SQUH OT Annex MLT OT Seminar Skills lab/ multipurpose lab/ Comp. lab Fiber Optics Broad Band ICT_Learn2004 October 11-13, 2004 2 Portable Units At the College of Medicine & Health Sciences –SQU. OMAN

22. The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution Multi-skill lab DV VCR-DV DVD Visual presenter Distribution Amplifiers Mobile PTZ Cameras From Remote Matrix Projectors Remote site channel Sound from remote site Mixer Zonal Amplifier 8 Ceiling speakers in each zone 32’’ Plasma - 132’’ Plasma - 232’’ Plasma - 16 ICT_Learn2004 October 11-13, 2004 At the College of Medicine & Health Sciences –SQU. OMAN

23. The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution Annex AV Control Room 24 x 24 Matrix OT Control Room Multi-skill lab Multimedia Computer Computer lab Seminar Room - Annex MLT VC IN OT Control Room Multi-skill lab Multimedia Computer Computer lab Seminar Room - Annex VC IN MLT At the College of Medicine & Health Sciences –SQU. OMAN ICT_Learn2004 October 11-13, 2004

24. Security System Camera 1 Camera 2 Camera 3 Camera 4 Camera 12 12 CH MUX – 160 GB HD LAN Control Key or Keyboard 14”Screen 21”MUX ICT_Learn2004 October 11-13, 2004

25. The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution Harvey & UMedic  Man-sized medical cardiology patient simulator  Extremely useful teaching tool which helps medical students study cardiology in a novel and very practical way.  Can mimic 27 different heart conditions  Give students "hands-on" clinical experience on the simulator before transferring their skills to the examination of real patients.  Practice taking the pulse, measuring blood pressure and listening to a variety of heart murmurs. ICT_Learn2004 October 11-13, 2004 At the College of Medicine & Health Sciences –SQU. OMAN

26. The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution PixEyes – Ophthalmic Simulator  It simulates diseases of : Retina, Glaucoma & Gonioscopy  Realistic handling of contact lens  Realistic synthetic images projected into a binocular  Adjustments similar to a slit lamp (width, height & brightness,..)  Accurate simulation of laser ( power, duration, micromanipulator, etc)  Different configuration: –Teacher –Students –Teacher & Student (ITS) ICT_Learn2004 October 11-13, 2004 At the College of Medicine & Health Sciences –SQU. OMAN

27. The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution Interactive multimedia learning environment Interview the Patient  Has over 250 interview questions in 20 interview categories, ranging from present illness to specific patient history questions.  Students are encouraged to form a hypotheses list and then begin relating these hypotheses to pertinent interview questions. Physical Examination  G ives student 18 exam tools that make over 425 physical and neurological exams available.  Real heart and breath sounds are presented with each case. Some has digital video presentations. ICT_Learn2004 October 11-13, 2004 At the College of Medicine & Health Sciences –SQU. OMAN

28. The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution Detailed evaluation and Class Comparison  It allows the instructor to evaluate many elements of the students’ performance.  To compare it with the performance of the class as a whole.  The instructor is given the right to view student notes, answers to questions, and the differential diagnosis list.  The instructor can obtain immediate feedback regarding learning issues that were possibly overlooked or not obtained by the students. ICT_Learn2004 October 11-13, 2004 At the College of Medicine & Health Sciences –SQU. OMAN

29. The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution Immediate Self-Assessments  Students are given the chance to view their answers and to compare it with faculty criteria for each case.  Student’s data are saved and assessed in respect to diagnosis, considered items, justifying items, competing items, and management. Student Record  For each student a unique record is created for each case.  This is a valuable tool for assessing individual students and class performance. ICT_Learn2004 October 11-13, 2004 At the College of Medicine & Health Sciences –SQU. OMAN

34. The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution ICT_Learn2004 October 11-13, 2004 Define the integration and adoption process  Are you using certain educational software in teaching core courses?  Which courses do you think you can teach electronically?  Which courses do you think we should start developing e- learning tools for it?  Does your department has an initial plan on how you may utilize the e-Learning, the multimedia lab, and the telemedicine in teaching core courses?  What pre-requisites students will need on the online courses? At the College of Medicine & Health Sciences –SQU. OMAN

35. The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution  A multidisciplinary field that concerned with the application of information science and technology to medical education, research and patient care.  It provides training and research to assess, develop, and implement new technologies that will support health care professionals and biomedical scientists.  It is a diverse field that includes computer scientists, educators, and clinicians. At the College of Medicine & Health Sciences –SQU. OMAN ICT_Learn2004 October 11-13, 2004 Future Direction - Medical Informatics Unit

36. The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution At the College of Medicine & Health Sciences –SQU. OMAN ICT_Learn2004 October 11-13, 2004  Provide consultation to medical professionals in the field of medical informatics and the implementation of e-learning  Design and evaluate multimedia instructional courseware for clinical students  Promote and conduct active multi-disciplinary research to broaden medical informatics knowledge and to study the effectiveness of using the latest networking technology products  Serve medical community by providing state of the art Technology for teaching and research Goals of Medical Informatics Services

37. The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution The next step should aim to practically evaluate the effectiveness of different e-learning programs and the type of learning it endorses in order to take advantage of such technologies to produce quality medical graduates. Conclusion ICT_Learn2004 October 11-13, 2004 At the College of Medicine & Health Sciences –SQU. OMAN

38. The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution ICT_Learn2004 October 11-13, 2004 At the College of Medicine & Health Sciences –SQU. OMAN

39. The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution The e-Learning Evolution For more information contact: Computer & Information Technology Committee College of Medicine & Health Sciences Sultan Qaboos University P.O. BOX 35, P.C. 123 Sultanate of OMAN E-mail: rawahiz@squ.edu.omhttp://www.squ.edu.om/med/rawahiz@squ.edu.omhttp://www.squ.edu.om/med/ Phone # 00-968-515117 Fax # 00-968-513419 At the College of Medicine & Health Sciences –SQU. OMAN ICT_Learn2004 October 11-13, 2004