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With three decades of e-learning experience, Dr. Levy will present innovations in technology-enhanced education from the past, present, and into the future. He will highlight some of his medical education inventions and advances including some of the first laser discs, CD-ROMs, online case-based education, 3-D anatomical and procedural animations, robotic-assisted surgery, and virtual reality surgical simulation. He will describe the role of artificial intelligence and machine learning in medical education and clinical decision support and some future work in augmented reality. It is true that what were once dreams are now reality, but there are certainly more dreams to come.
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The Future of Medical Education The Future of Medical Education From Dreams to Reality (VR, AR, AI) Jeffrey Levy, MD CEO, CaseNetwork Assistant Professor, Department of Ob/Gyn Drexel University College of Medicine
Educational Objectives • At the conclusion of this presentation, you will be able to: – Define learning and intelligence – Describe innovations in technology enhanced cognitive education – Explain innovations in visual-spatial training – Discuss advances in psychomotor training – Describe education of the future using AI
Personal Education Quest Create a global standard for education and training of healthcare professionals by providing the most advanced and innovative framework for conveying content, measuring skills, and improving proficiencies.
Learning Definition • All processes that lead to lasting changes in capacity of cognitive, motor, and behavioral (emotional, motivational, or attitudinal) skill, or social (external participation, communication, cooperation) character Cognitive Motor Behavioral Social
Components of Teaching Education and Training Cognitive Technical Skills (Psychomotor Skills) Non-Technical Skills (Communication Skills) (Basic & Applied Knowledge) Teamwork Communication Leadership Situational Awareness Shared Mental Model Decision Making Psychomotor Perceptual/Visual Spatial Dexterity Tissue Handling Force Anatomy Indications Pre-Op Prep Operative Steps Judgment Post-Op Care
What Is Intelligence? • Intelligence is the ability to acquire and apply knowledge and skills; the ability to learn.
Cognitive Education Past Present Future The information in this presentation is confidential and may not be distributed or shared without written permission from CaseNetwork, LLC.
Masters in Clinical Practice and Education “Principles and Practices of Medicine, Designed for the Use of Practitioners and Students of Medicine”, Appleton, New York, 1892 William Osler, MD considered the “Father of American Medicine” interacts with a patient (taken at Johns Hopkins Hospital, 1880s)
Apprenticeship Model “See One, Do One, Teach One…”
The Perils of the Classroom Norman Rockwell Classroom (1967) Most Residency Programs in the US (2018)
Evolution of Education Apprenticeship Formal Lectures Technology-enhanced education
First Technology Enhanced Medical Education • • ARPANET developed in 1983 Developed the first laser disc to begin to standardize medical education in 1988 Developed first 5 CD-ROMs in the field of Ob/Gyn from 1990 -1995 • • • World Wide Web invented 1990 First browser invented in 1992 • Developed fist online cases-based education in 1995
Online Problem/Case-Based Learning • 1995 developed online “Cognitive Simulations” • Structured knowledge • Actively link and apply new information in a way that is clinically relevant • Jefferson medical student survey showed Case- Based Learning: – More interesting and enjoyable – Students are more satisfied – Students showed more self- direction in their learning
Power of Simulated Patient Encounters • Developed 600 cases in 20 different specialties covering 5000 conditions and disease states • Educated 400,000 physicians across the world • In 2001 partnered with the CDC to develop an Anthrax case within 7 days of the first US outbreak and educated 20,000 physicians over the next 30 days • Later did the same thing for SARS and MERS
Effective Educational Approach Case-based Training Interactive, decision-oriented, evidence-based learning utilizing simulated patient encounters Focus on Competencies Map competencies to content to provide a more explicit definition of expected learner knowledge, skills, attributes, and performance Assessment and Reporting Objective, consistent assessment and feedback against best practices, with comparisons to peers
Milestone Reports Objective and consistent reporting around ACGME competencies and milestones. Gaps in progress Missed 80% level