السلام علیک یا ابا صالح المهدی

2. السلام علیک یا ابا صالح المهدی

3. میلاد با سعادت مولای متقیان حضرت علی (ع) مبارک باد

4. الفكر نزهة المتقین حضرت علی (ع)

5. Log Book Educational Management in Clinical Rotation • دکتر کوروش وحید شاهی (M.D) • دبیرخانه شورای آموزش پزشکی وتخصصی مرکز توسعه آموزش دانشگاه علوم پزشکی مازندران

6. This workshop is based on Practical View

7. Log book □Bases and Domains □Course Orientation & Planning □ Structure & Implementation →Exercise □ Problems & Barriers

8. “Capture the teachable moment.” Senior teacher

9. Bases & Cornerstones of logbook ■Documentation -Record of All Events (Educational , Professional ,…,Individual) In details As possible – Survey →Cumulative Study Quality Assessment , Q. Monitoring , Continues Quality Improvement

10. Bases & Cornerstones of logbook ■ Decision Making, Planning,.. →Absolutely should be based on: - Documentations -Evidences

13. It is a very sad thing that nowadays there is so little useless information” “ Oscar Wild ”

14. Bases & Cornerstones of logbook Student Centered Education: -High Expansion Rate of Sciences -In Depth Conceptual Learning -Life Long Learning →Self Directed -Monitoring -Learning • An Obvious Rule

15. The only man who is educated is the man who has learn how to learn. “ Roger “

16. Bases & Cornerstones of logbook Outcome Based Education: -Importance of Final Results / Outcomes of Medical Education

18. The Curriculum is not the intention orprescription but what happens in real situation. “ Stenhouse 1976 “

19. Outcome Based Education: Traditional Instruction:  Delivery of teaching task - Results/changes in real situation is unclear/ is not specially important.  Responsibility for improvement??? • Outcome based • Not only Delivery but also Results is important From the end

20. Outcome Based Education: →On Health System Quality Assurance →Instruction/ Assessment: Responsibility : All parts (Teacher , student,….) َ

21. Say me, and I forget, Show me, and I remember, Involve me, and I learn. (Confucius)

22. Practice based learning “ Knows - Knows how – Shows How – Does” Experience Based Learning Exposure ….. Performing “Experience isa vital source of learning”  Reflective Learning Supervision / Feed back -UK, Netherland: Clerkship of Internal Medicine 60% time! Unsupervised Activities

23. Domains of Usage of Logbook □Teaching / Learning □Assessment □Program Evaluation/ Accreditation

24. ■Teaching /Learning • Content: -Must Learn →For trainees : Focusing → For trainers : Survey of Attainment by Trainees Missing of Core Content  Method; Collaborative , Continuous,….

25. Assessment: -AssessmentofStudents by Trainers: → Continuous vs. Cut Point More adjusted to justice →Formative vs. Summative More effective in modification → Multidimensional More related to outcome as a physician

26. →Assessment of Trainers by the Students -Live, Appropriate Tool for Assessment → Self Assessment

27. Trends in Student Assessment • According to Teaching/ Learning Theories  Objectivism  Expansion of Dimensions/ Different Aspects  Multiple/ Continuous  Outcome Based/ Real Situation  Optimal Integration of Assessment with Instruction  Student Centered Education/ Assessment

28. Feed back:?

29. Feed back: Immediately - Daily- Weekly -Mid Rotation -Responsibility of System/Teacher →For Optimized Learning ►Helping someone to extend professional skills. RESPONSIBILITY FOR IMPROVEMENT -Obligation …. →Internalized value

30. Feed back: - Real time • Report Back • Rules: • Sharp • Conclusive • Gentle delivery

32. Program Evaluation Accreditation: Present Education → Expected Education → Pitfalls - Problems -Send to Director /Faculty /National Body -LCME Liaison Committee on Medical Education

33. Program Evaluation -UCLA: Emergency Medicine Internship -Hong Kong: Residency Program of Anesthesiology -Iraq ,Mosul: Family Medicine in Curriculum

34. Structure of Log book □ Preface □ Rules and Disciplines of the Department □ Close Items( Must Learn) □ Open Items □ Empty/Free Pages □ Assessment/feed back □ Scaled Total Mark □ Out Come- Follow up

35. Structure of Log book □Preface : →Trainee / Trainer Relationship □Rules and Disciplines of the Department →Comfortable Climate

36. Structure of Log book □Open Items: Record of Experiences →All Events: -Topics: Lecture - Conference Discussion -Exposure: Rounds – Clinic -Procedure: Observe – Perform Degree of involvement  Degree of supervision

37. Structure of Log book □ Close Items: -Must Learn -Level of Supervision / Involvement □Assessment: -Ass. of Student by Trainer: →Each Session → Summative / Periodic -Ass. of Trainer by The Student

38. Structure of Log book □ Empty/Free Pages →Learning Impacts → Opinions □Scaled Total Mark □ Out Come- Follow up

39. Some Experiences , Example →North America- Europe-…. Asia: Hong Kong - Iraq →Recommendation for Undergraduate and Postgraduate: -Association of Surgeons of Great Britain and Ireland -European Board of Psychiatry -Royal Australian College of Surgeons →Every Student in North America.

40. Opinions: Finland: 94.2% of Students: Positive Attitude  Maryland book: Acceptable Educational Tool in Clerkship  Glasgow .UK: Use of Log Book can improve skills/ patient care : 30% of Students Oxford: Community Nurses : Positive Attitude

41. Examples of Log books Netherlands -Internship , 231 topics Analysis by Department Faculty Finland OB Gyn -28 P-13 Most Imp .Skills Hong Kong

47. ExerciseSome Examples Problem & Barriers ForOptimal Implementation

48. Problems □Reliability /Validity: -Netherlands Attending  Students At ≈ st 52%(t) 46%(c) At > st 31%(t) 37%(c) At < st 17%(t) 18%(c) Agreement 0.23 0.36 →Data Are Not Fully Consistent

49. Problems □ Time Consuming □ Anxiety □Laborious …

50.  Ways For Improvement: ■Explanation and Instruction -Verbal -Written …Video (Hong Kong) -Essentiality & Importance ■Unequivocal /Sharp Literature