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Theory Driven Designs to Support International Medical Communities of Practice: Fostering Emotional Regulation and Cultura l Diversity using a Problem Based L earning Approach. Researchers. Co- Applicants: Susanne P. Lajoie 1 , Cindy Hmelo-Silver 2 , Jeff Wiseman 1 , Ricki Goldman 3
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Theory Driven Designs to Support International Medical Communities of Practice: Fostering Emotional Regulation and Cultural Diversity using a Problem Based Learning Approach
Researchers Co- Applicants: Susanne P. Lajoie1, Cindy Hmelo-Silver2, Jeff Wiseman1, Ricki Goldman3 1McGill University, 2Rutgers University, 3New York University Collaborator: ReinhardPekrun Partners: Institute of Medical and Health Sciences, University of Hong Kong,Centre for Medical Education, McGill, CRIM LEADS Students (Paid and Unpaid) : Ilian Cruz-Panesso, Eric Poitras, MaedehKazemitabar, Christina Summerside, Lila Lee, Roberta Hunter, Helen Kwah, Ofelia Denise Mangen, Steve Yavner
Outline • Looking at the intersection between emotional regulation, decision making and communication in culturally diverse groups in medical contexts • The technology supports an international community of inquiry of medical students, standardized patients and tutors around the topic of giving bad news to patients • Problem Based Learning • Practice Environment • Methods • Research Questions • New Directions
Research Questions • Can we enhance emotional regulation in medical students? • How does the technology-rich cross-cultural setting affect the PBL tutorial process? • To what extent can we use video-triggered technology-rich PBL to create a community of inquiry? • How does this technology-rich learning environment affect student learning?
Data • Case Study Participants • Medical Students: 2 Canadian, 2 Hong Kong • Medical Instructors: 1 Canadian, 1 Hong Kong • Expert PBL Facilitator: US • Discourse analyses • Pre-post test changes emotional regulation in communicating bad news to patients • Pre-post test changes in use of SPIKES algorithm • Analyses of PBL sessions (inductive, deductive) • Focus Group
RQ1: Can we enhance emotional regulation (Gross & Thompson, 2007) in medical students?
RQ2: How does the technology-rich cross-cultural setting affect the PBL tutorial process?
RQ3: To what extent can we use video-triggered technology-rich PBL to create a community of inquiry?
RQ4: How does this technology-rich learning environment affect student learning?
Conclusions • Proof-of-concept • Prototype fosters monitoring skills (intrinsic and extrinsic regulation) in medical students as indicated by appropriate communication strategies when giving bad news • On-line PBL resulted in engagement about affect in medicine as well as cultural issues and the common culture of medicine • Expert facilitators can provide just-in-time coaching • Technology, context and human facilitation support the teaching, social, and cognitive presence
Next Steps • Replication of methodologies with larger samples to assess and appraise emotional regulation, PBL engagement and COI • New theoretical considerations i.e., perspectivity theory • New methods for assessing core competencies • New methods for analysis • Decreasing volume of discourse analysis • Video and voice analysis for registering emotional content • Scalability (timezones, bandwidths) • Possible use of 2nd life immersive technologies for meeting in new spaces, tutoring and learning at a distance
Technology: Online Video Conference (Adobe Connect) GLOBAL VILLAGE Instruction: PBL/ Video Vignettes Assessment: Practice with Standardized Patients(SPs) Learning Learning: SPIKES Model S: Setting P: Perception I: Invitation K: Knowledge E: Empathy S: Summary/ Strategy Instruction Assessment Affect: - Empathy - Self-Efficacy Beliefs Questionnaire Affect