Developing Online Resources for Dental Education - A Scottish Health Perspective

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1 Developing Online Resources for Dental Education - A Scottish Health Perspective PROFESSOR JENNI HARRISON FORMERLY OF NHS EDUCATION FOR SCOTLAND 18 SEPTEMBER 2013

2 Aims What is SDEO? Who is involved with SDEO? Why was SDEO needed? What did SDEO set out to do? Resources & demos Governance Evaluation Lessons learned from this project Where to next?

3 What is SDEO? Scottish Dental Education Online national collaboration project of five Scottish Dental Schools (3 year project) NHS Education for Scotland University of Aberdeen Dental School University of Dundee Dental School University of Edinburgh Postgraduate Dental Institute University of Glasgow Dental School

4 What issue was SDEO addressing? Technology- enhanced learning showed benefits elsewhere, not realised in Scotland (Ellaway & Dewhurst, 2007) Healthcare education and training across Scotland - disparate & multifaceted The Dental Team complex - consisting of dental practitioners, dental nurses, therapists, technicians, hygienists & practice managers Education delivered by multiple organisations including Unis, FE Colleges, Royal Colleges, NHS, private etc.

5 SDEO - Objectives SDEO aims to: build multiple digital resources covering selected dental curriculum topics develop resources using agreed standards & specifications to meet technical, ethical and legal requirements ensure compatibility with various technology platforms (inc mobile) make resources accessible from a central, secure searchable repository always use dental experts to quality- assure all resources make resources available for sharing across the wider dental, medical & healthcare professional communities

6 The learner interface Inside the repository

7 SDEO Content Resources & objects O B JE C T Resources a item (teachers) Object a stand alone resource (students) RE SO URC E S

8 SDEO Resources What can these be used for? Resources may be used in: a lecture, tutorial or lab, a Digital Object Identifier an e- book, wiki or web resource Resources (to date) include > 560 images, > 20 videos & >40 standalone flash activities

9 What is available? (complete packages) Resources 1. Electromyography practical class 2. Oral mucosa 3. Swallowing 4. Tooth transplantation 5. Infections of the pulp & periapical tissues 6. Primary herpetic gingivostomatitis 7. Xerostomia 8. Common odontogenic cysts 9. Early tooth Development 10. Squamous cell carcinoma & lateral border of the tongue 11. Management of sharps injuries Resources (cont) 12. Making a good alginate impression 13. Matrices for direct restorations 14. Rubber Dam 15. Provisional restorations 16. Principles of crown preparation 17. Gingival Retraction (soft tissue management) 18. Dental decontamination / Hand Hygiene 19. Tooth Morphology 20. Gingival Margin 21. Hand-pieces 22. Virtual Patient: Best practice for patients with mental health issues 23. Virtual Patient: Smoking cessation strategies

10 SDEO - Demos Hard to visualise or hard to teach

11 Who did what? School Topics Approach Aberdeen Dental School (ADS) Dundee Dental School (DDS) Edinburgh Postgraduate Dental Institute (EPDI) Glasgow Dental School (GDS) NHS Education for Scotland (NES) Oral histology Geriatric dentistry Social & communication skills General anatomy Physiology Embryology & developmental biology Pharmacology Histopathology Dental procedures and skills Dental materials Microbiology/immunology (see animation) Histology Dental anatomy Dental decontamination & Patient Safety Interactive case studies with selfassessment quizzes 3-D animations, simulations of practical classes Interactive tutorials combining video, images, animations, quizzes Interactive tutorials with voice-over, mini-cases, video and selfassessment quizzes Interactive tutorials combining video, images, animations, quizzes

12 SDEO Governance of a shared repository Issues of consent, copyright, general use (access, upload & download) Five basic principles to be adopted: only hold data with clear copyright permission exclude patient identifiable data exclude plagiarised, defamatory, obscene or offensive material only ever hold data in EEA materials provided (where possible) in accessible formats (UK Copyright and Visually Impaired Persons Act, 2002)

13 SDEO - Feedback Student quotes: I definitely found this an extremely useful way of studying.found it very interactive and feel more comfortable with this subject would like more classes like this

14 SDEO - evaluation data (central incisor resource) No of responses received per question Responses from first year dental students on the SDEO Central Incisor resource (n=51) Resources are interesting & stimulating Opportunity to assess my understanding of incisor morphology Stongly agree Agree Neither agree/disagree Disagree Presented the material clearly Similar resources should be developed in other topics Contains challenging & motivating materials for this subject matter Free of confusing/conflicting concepts & mechanisms Appropriate for my level of education Not too lengthy/complex Educationally attractive due to novelty of style& format 36 Interactive which facilitated my learning of this topic

15 % Completed resource by registered student %Resource completion

16 SDEO - Assessing use & Future work Evaluation incomplete What are the demographics of the individuals who completed? (e.g what stage were they in their career) There were at least 3 resources, where individuals registered, but no one completed why? Relevance? Content of the package? Presentation? Assumed prior knowledge?

17 SDEO benefits of collaboration Bespoke learning & teaching resources globally recognisable, high- quality interactive content Widespread recognition healthcare staff have made considerable progress in use of e- learning & novel teaching Active collaboration between clinical & non- clinical staff Academics motivated to actively seek collaborative opportunities in R & T Development of skills & knowledge of e- learning / digital technology Opportunities for HCP to share resources continuous quality improvement

18 Scottish Dental Education Online - Lessons Learned Takes a long time but is highly worthwhile!

19 What else is possible? Virtual Patients benefits: able to describe difficult clinical & non clinical scenarios able to describe non- routine situations Learners can repeat scenario many times, practicing various approaches to understand how actions lead to outcomes able to provide feedback from (virtual) patient s perspective support understanding of holistic approach to healthcare SAFE no patients are harmed

20 What might a virtual patient might look like?

21 Virtual P atients i n v arious g uises & h ealthcare environments

22 Thanks for your attention! Thanks to ECU (Research Week) Thanks to NHS Education for Scotland Special thanks to collaborators Professor David Dewhurst (University of Edinburgh), Drs Andrew Forgie and David Felix (NES)

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