improving clinical reasoning skills by means of electronic voting
DESCRIPTION
Presentation held at the Ottawa Conference, 2008, Melbourne AustraliaTRANSCRIPT
Improving clinical reasoning skills by electronic voting
Dr. Peter de JongLeiden University Medical Center
The Netherlands
Nynke BosRoel SijstermansDr. Mario MaasAcademic Medical CenterThe Netherlands
Electronic voting?
• Audience Polling System• Vote with clicker, laptop or PDA• Real-time results
Where are you from?
0% 0% 0%0%0%0%
1. Africa2. North America3. South America4. Asia5. Europe6. Oceania
10
Why electronic voting?
• Activates & stimulates learning• Gains insight in level of students’ knowledge • Tutor adapts to lack of knowlegde• Discussion• Data for evaluation and research
Different ways to use…
• Pre- and Post testing• Entrance level determination• Evaluation• Competition• Clinical reasoning
Current situation
• 350 medical students each year• Divided into 30 groups• Each group his own professor• 10 times a year• Prepare medical case on paper• Discussion
Pilot situation
• Implementing clinical reasoning skills in the lecture hall
• 350 students with clickers• 1 professor• Each lecture can be a clinical reasoning lecture
How does it work?
• Clinical case with multi media• Branching slides• Students determine clinical reasoning path• Majority of votes counts
Clinical Case: Debby
• A 17 year old girl is brought into the ER after a scooter accident. She was shortly unconscious at the scene. She complaints of headache and a painful right knee
Prioritize
0%0%
1. Head2. Knee
10
X- right knee
In the meantime…
While waiting for the X- ray of the right kneepatient starts to vomit.
She also complaints of enormous headache.
What will you do now?
Head
10
0%0%
1. X- ray2. CT
X - head
CT head
Team Scores
200 Oceania
200 North America
177 Asia
150 Europe
Advantages
• Presenting cases with multi media• More times a year• Less professors needed• Mistakes in clinical reasoning can be corrected
on the spot• Insight in level of clinical reasoning skills of
large group of students• Reduces the costs and logistics• More interactive lectures
Disadvantages
• Professor needs more time to prepare one case
• Majority feedback instead of individual• Inactive students less involvement
Conclusions
• Clinical reasoning with clickers is a good supplement to the current small group situation
• Clickers offer change to practice more cases of clinical reasoning
Further information
• www.keepad.com • Software: www.turningtechnologies.com
1RF-receiver for 1000 clickers
Questions
?
The use of clickers in large groups is a good method for training students in clinical reasoning
0% 0% 0%0%0%
1. Strongly agree2. Agree3. Neutral4. Disagree5. Strongly disagree
10
I’m using or thinking about using clickers in my classroom or faculty
0% 0% 0%0%0%
1. Strongly Agree2. Agree3. Neutral4. Disagree5. Strongly Disagree
10
PLEASE RETURN THE CLICKERS
Pilot results
• Compare midterm exams with last year students on clinical reasoning exam
• Level = results exam of this year must be improved
• Exam date June 5th
• Current data: opinions of students (n=270) and professors (n=7)
The project
• Collaboration AMC and LUMC• Financed by SURF Foundation• AMC: clickers and RF receiver• LUMC: laptops and WiFi
Stimulate and train tutors to use electronic voting as a tool for improving their lectures and increase interaction during lectures