Hippocrates: Online medical tutorials - Case study Video Lecture | Teach Online: A Comprehensive Approach for Teaching Online - Professional Skills

Hippocrates is a free open access
website created by the Center for
medical education at the University of
Bristol it contains a growing number of
short interactive tutorials designed to
help students prepare for their
face-to-face seminars in this case study
dr. Stephanie air cold and Dominic alder
talked about the need for the project
the pedagogy behind it and how it
supports medical students when they're
on clinical placements at hospitals
around the United Kingdom
essentially the project was conceived to
support third-year medical students in
particular so this is the first clinical
year of a five-year medical course that
they go through at the University of
Bristol and it's essentially a series of
basic web pages with a navigatable menu
on the left-hand side and within those
pages we add various interactive
exercises a typical tutorial would
consist of say 10 10 to 15 questions and
these questions would be based around a
case study or an image a medical image
or or a sentence or a phrase and we'd
have the answer questions we've tried to
keep those quite short so students can
do them either the day before or even
just the morning of their face-to-face
teaching session so it's like
just-in-time teaching it's there it's
ready for them it's you know it's in
there in their brain and then they can
apply it and that would basically give
us the core scientific knowledge that
was required to then complete the second
part which would be a group tutorial in
in our clinical environment with a led
biased facilitator who would be a doctor
in that particular area this is the
properties website that we've we've
built Imfurst we're going to go into the
medicine and surgery section which is
slowly being populated with material and
I'm going to go down into the renal
section and find the Aki acute kidney
injury core topic so the idea is for the
students study the Aki tutorial in their
own time before they then go to the
seminar based on that on that tutorial
so the students are given some some
tables and things that they can apply in
some of the exercises as they go through
we would expect them to download these
pin tonight and have them next then as
they go through the go through the
tutorial they gave them a basic warmup
exercise to start with and this is stuff
they should really already know this is
nothing new to them but it's just to
give them the warm-up as they start to
go through the tutorial and then as they
go through they're given layered
information for example in this in this
page the the core information that they
need to take away is presented on the
page itself if they want to go into some
of the definitions in more detail then
they can go into the pop-up links
underneath such as this one here
interactive questions and things that
they can study as they go through some
of them give them instant feedback such
as these ones on the screen some of the
others we ask them to think actually
think about the question maybe write it
down and then look at the feedback and
then they've got something written down
that they can then compare with what's
on the screen and they can take all that
forward into the seminar with them we
also use this tool in various places in
the exercises we're going to show you
it's essentially a labeling tool so it
allows you to drag drag labels into the
table and the user can prevent presenter
with feedback as to whether big or the
answer right or wrong it's quite a
flexible tool that's called dragster
there's lots of different ways it can be
used as well as the core topic material
that I've just shown you that's divided
up into specialties there's other
sections as well because the website was
really designed not just to to give
people core topic teaching but also to
help them adjust to life in clinical
medicine so there's these sections down
the left-hand side that you can see that
help students adjust to that so is this
one that covers a lot of the key
concerns that students have when they go
out onto the wards but there's also the
video library which goes through is it's
not it's not the whole stage of managing
the complaint that it's the actual
examination part of it and there are
some various videos as we go through
this I'll just go into a couple of them
here so let's start with the cranial
nerves examination this was actually
written by a student a few years ago and
they did an excellent job with this
tutorial so I go into some of the videos
that they produced okay sure you just
cover up your left eye for me okay so
I'm going to cover up my opposite I know
okay brilliant and you just tell me when
you see my finger wiggling so I'm first
assessing Sean's temporal field in his
right eye okay yeah
this was the first video tutorial that
Stefan and I produced this is an
examination of the cardiovascular system
the the examination is divided up into
the key aspects which are each presenter
with a video clip some are built into
questions with feedback different videos
as to where the student gets the
question right or wrong and then at the
end of the the end of the tutorial the
presenter goes through the examination
as if the camera isn't there do you have
any pain in your shoulders what I'm
going to do is just lift your arm up
I mean one of the best things about the
tutorial is the ease of use
I'm as soon as it was uploaded it was
really suffix benefi where you could go
you really feel set up for the tutorial
when you go there which is something
that you don't always feel and we
thought it was something that we could
always revisit say there are things that
we didn't really understand overall they
responded very well to it they liked the
fact they knew what they were going to
be dealing with in a face-to-face
session they they liked the fact that
they were prepared and they felt
generally more confident or more almost
in tired the entirety of the students in
my experience had done the tutorial did
come with questions came with ideas and
had that knowledge that made the group
tutorial a lot more dynamic a lot more
interesting and I think the facilitators
found it more rewarding that we could
all participate in the discussion
because we had that prior knowledge
before returning up tissue throws
the transition from a medical student to
a student doctor happens in these three
clinical years and at the end of that
you need skills and knowledge but you
also need to have developed at all
learning behaviors so a lot of the setup
and the way the tutorials run was was
driven by how do we do this how do we
make these people into independent
learners the idea was that by giving
them this structure of preparation and
then face to face teaching they would
learn the the benefit of preparation I
think setting up for things in advance
is something that we should be doing but
maybe aren't maybe aren't doing and I
think this gives us the encouragement to
be preparing in advance which is what we
should have been doing all along and
also within the tutorials we've tried to
introduce things like if you don't know
about this look it up look it up in a
book you know look if you don't know
about this drug look it up in a book so
not just give everyone well here's a
pop-up box that tells you what this does
know you need to go outside and you need
to look stuff up and because that's
that's simulating the real situation
when these students are doctors
we were really keen to make teaching
more rewarding and more efficient for
the for the teachers we've taken time to
educate people and spend time showing
them how easy the resources to use and
some of the resources that are on it and
once you actually can show people in a
sub you know even the teachers in a
supportive environment how to use these
things and how to look at them we've had
really good feedback from them
I think this whole project has been
really worthwhile I think there's a long
way to go with the website if you go
into the website there's a lot of empty
spaces that we need to work on but I
think as a concept having an open access
resource with some really high quality
material it's been it's been it's been a
great thing to work on and we're really
excited by where it's going I think
there's definitely scope for an gettin
contribution from other institutions and
also from other countries and I think
really working towards an open access
network you know of of knowledge for
medicine specifically would be
absolutely fantastic
you