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Expanding the use of Interactive Medical Ethics Cases across the UK: The G4.5 Project

Expanding the use of Interactive Medical Ethics Cases across the UK: The G4.5 Project. Ms Sheetal Kavia Dr. Carwyn Rhys Hooper Prof . Terry Poulton. Overview. What is an EVP? SGUL EVP trial in lectures Trial Feedback Going from G4 to G4.5 G4.5 student and tutor Feedback

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Expanding the use of Interactive Medical Ethics Cases across the UK: The G4.5 Project

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  1. Expanding the use of Interactive Medical Ethics Cases across the UK: The G4.5 Project Ms SheetalKavia Dr.Carwyn Rhys Hooper Prof. Terry Poulton

  2. Overview • What is an EVP? • SGUL EVP trial in lectures • Trial Feedback • Going from G4 to G4.5 • G4.5 student and tutor Feedback • What next

  3. Virtual Patients & Ethical Virtual Patients • A VP is… • “an interactive computer simulation of real-life clinical scenarios for the purpose of medical and healthcare training, education or assessment” • An EVP is… • same as above but with a heavy ethical, legal and/or professional element

  4. Ethics Lectures! The old way

  5. SGUL Trial • We have used 5 cases in actual teaching sessions (small and large group) • Collected feedback from 601 students • The feedback that we have received has been overwhelmingly positive.

  6. Student’s opinions on the use of VPs in lectures

  7. Key results • Students agreed/strongly agreed that the EVPs were…. • Interesting (96.7%) • Stimulating (95.1%) • Generated interesting debate (88.7%) • An improvement from static ethics cases used in lectures (69.4%) • More beneficial to be played within groups (95.1%)

  8. Grant from the Joint Information Systems Committee for £200,000 under its ‘Curriculum Transformation’ strand • Aim: To create a more interactive problem-solving curriculum, to allow authentic practice of clinical encounters • Deliver 2 formative assessment cases each week • Integrate with other interactive learning tools to allow self, and group assessment of competency

  9. Why Generation 4 (G4)? G1 - Subject- or discipline-based G2 - System-based G3 - Case based, but linear G4 - Interactive with options, consequences

  10. Generation 4.5 (G4.5) • JISC funded 12 month project to embed the benefits from the Generation 4 project • The use of VPs in medical ethics curriculum

  11. G4.5 Aims • Convert 5 EVP cases from text to video cases • End of life/Mental Capacity – DNAR case • HIV confidentiality • Student professionalism – Drugs and alcohol abuse • Organ transplant case • Truth telling – virginity test • Both video and text versions of the cases were offered • Tutors were free to use the case as they wish • Evaluate the cases using staff and student questionnaires

  12. G4.5 Partners and Consortium University of St Andrews Queen’s University Belfast University of Newcastle Durham University • University of Manchester University of Leeds University of Sheffield • University of Leicester Nottingham University University of Birmingham University of East Anglia University of Warwick St George’s University University College London Kings College London Imperial College London Swansea University University of Bristol • Peninsula College of Medicine and Dentistry University of Southampton

  13. Example of a Case Video • http://www.youtube.com/watch?feature=player_embedded&v=fRCDhAcOZLQ

  14. G4.5 Feedback • 12 out of the 20 universities filled out the student feedback survey after using the EVPs a total of 1,858 responses were collected • 21 staff responses were collected from 4 institutions • Both text and video versions of all cases were used • EVPs were using in each learning environment • SDL, PBL, Small group teaching(seminar), Large group teaching (lecture)

  15. G4.5 Student Feedback

  16. Student comments Majority vote Discussion Memorable Unrealistic Options Time consuming Fun Limitedoptions Visual stimulation Realistic Engaging Drastic Interesting

  17. G4.5 Tutor Feedback • All feedback was from using the cases in PBL or small group teaching sessions • 67% of the tutors had never used EVP cases before in their teaching • 48% Tutors felt video EVPs were most effective and 38% thought both text and video were • 75% Tutors thought they work best within small group teaching sessions

  18. G4.5 Tutor Feedback

  19. Tutor Comments Everyone’s involved Unrealistic Guidelines to Support Engaging Media Quality LimitedOptions Real Life Generating Discussion Interesting Interactive

  20. What’s next? • Analysis of results • Publications • Wider dissemination of cases • Ethics VP app

  21. Using the case in a lecture • http://www.youtube.com/watch?v=Yixt8xzfFKk

  22. Thank You http://www.elu.sgul.ac.uk/g4-5/

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