copyright mary y. lee, md, 2006. this work is the intellectual property of the author. permission is...

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Copyright Mary Y. Lee, MD, 2006. This work is the intellectual property of the author. Permission is granted for this material to be shared for non- commercial, educational purposes, provided that this copyright statement appears on the reproduced materials and notice is given that the copying is by permission of the author. To disseminate otherwise or to republish requires written permission from the author. EDUCAUSE Dallas, Texas October, 2006

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Copyright Mary Y. Lee, MD, 2006. This work is the intellectual property of the author. Permission is granted for this material to be shared for non-commercial, educational purposes, provided that this copyright statement appears on the reproduced materials and notice is given that the copying is by permission of the author. To disseminate otherwise or to republish requires written permission from the author.

EDUCAUSEDallas, TexasOctober, 2006

Formative and Competency-Based Assessment of Learners in a

Longitudinal Curriculum

EDUCAUSEDallas, TexasOctober, 2006Mary Y. Lee, MDAssociate ProvostTufts University

By the end of this session you will:

Exposed to examples of curriculum and assessment tools and their uses

Think more longitudinally about curriculum development and assessment

Reflect on linking program assessment more tightly with learning outcomes

Consider engaging a broader team for curriculum and assessment design

How does medical education work?

Four years of undergraduate education– Basic and clinical sciences

Accreditation standards– Learning objectives– Written curricula– Formative and summative assessment– Learning outcomes/competencies

What does medical education look like?

Curriculum is highly integrated– Horizontal– Vertical

Online tools to– Create– Coordinate, integrate– Document progress and outcomes

What has Tufts used to develop online tools?

Tufts University Sciences Knowledgebase

TUSK as a Complete System

INFRASTRUCTURE

CONTENT

USERS

Flexible and Extensible

Personalized tools

Development and

Management Tools

What is unique about TUSK?

Rearrange/enhance/link “atoms” of UMLS-tagged information” to suit curricular needs

New Links

Enhancing Text Documents with XML

Highlight objectives, key words, key concepts, pearls, important notes

[Student’s notes would appear here]

Add notes to personal folders

Online text with Imbedded Multimedia

Virtual Case Player that meets emerging virtual patient standards

Histology image used across three schools

What do you need to do to lay the groundwork?

What student outcomes do you desire? What are the learning objectives?

– What do students want/need to learn?– What learning behaviors do you want to promote?

What are external requirements?– State examinations– Licensing examinations– Accreditation requirements

Do your online assessment methods match your objectives?

Provide formative feedback to learners Document adequate preparation for the next

level of learning Create synergies with other assessment

methods to provide the most complete reflection of student learning

Starting an e-portfolio with a patient log system

How can a student track his/her progress?

How do students use logs to track objectives and find learning resources?

How do faculty use logs to provide formative feedback to a student?

How do faculty at one site assess program effectiveness?

How can faculty track aggregate student performance across sites?

How can faculty and deans assess program effectiveness across sites?

How can logs be combined with other assessment tools?

Clinical performance in hospitals– Direct observation by faculty and residents– Cumulative evaluations each month

Online quizzes, virtual cases Standardized patients National licensing examinations

– MCQ subject tests– Clinical Skills Examination

What are the challenges of implementing these tools?

Student training Faculty training Faculty and students at multiple sites Integration with other tools Integration with other parts of the curriculum

How does a team approach improve curriculum and tool design?

Educational Technologists Educational specialists Faculty Students Librarians Administration

Who else is using TUSK’s infrastructure for their own content?

New York Medical College University of Hawaii Boston University New York University Kenya, Tanzania, Uganda India

TUFTS CONTENT

MUHIMBILI(TANZANIA)

COTENT

JOINTLY DEVELOPED

CASE STUDIES

Muhimbili University College of Health Sciences, Dar es Salaam

Prof. J Griffiths, ”(NIH K07 GM072954) working with Prof. M Mathiu, Tanzania

By the end of this session you will:

Exposed to examples of curriculum and assessment tools and their uses

Think more longitudinally about curriculum development and assessment

Reflect on linking program assessment more tightly with learning outcomes

Consider engaging a broader team for curriculum and assessment design

TUSK Components

Administration ContentAuthoring Tools

Schedule

Users

Enrollment

Evaluation

Surveys

Grades

Logs

Search

Groups

Text with semantic markup

Literature Links

Multimedia: video, audio, flash, zoomable images

Quizzes

Virtual patients

Downloadable files

Search

Forums

Authoring Tools – CMS

Upload content

Create, input, import and display administrative data

Content Creation Tools

QuizVirtual patient TUSK “style” in wordSurvey toolsEvaluation toolsPatient logs

TUSK DataTUSK Data

TUSK Components

Programming Interface

Data Model

User Interface

Author Interface

AdminInterface

ExternalInterface

TUSK Technology Stack

Operating system: Solaris (or Linux) Database: MySQL Webserver: Apache Application environment: Mod_perl Templating engine: HTML::Mason

HTML::EmpPerl

How can technology support your objectives?

Viewing objectives – On homepage– For each lecture– For each log/portfolio entry

Linking learning resources to each objective

Enhancing Text Documents

Slides from collections can been seamlessly integrated into syllabi text