Education in HPB Surgery - role of online modules and distance learning in HPB training

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1 Education in HPB Surgery - role of online modules and distance learning in HPB training Professor James Garden Regius Professor of Clinical Surgery University of Edinburgh Conflicts of interest - Past President, IHPBA - Editor-in-Chief, HPB - Director of Surgical Distance Learning, Univ of Edinburgh

2 Outline of talk Background of our experience in masters online learning Where distance learning might fit in HPB fellowship training Outline of IHPBA myhpb website Experience of discussion boards for Americas/AHPBA fellowship training Future directions

3 Uniting Professional and Academic Excellence The Royal College of Surgeons of Edinburgh professional development - MRCS, FRCS The University of Edinburgh academic development - MB ChB, MD, PhD

4 Edinburgh Surgical Sciences Qualification professional and academic development R E G I S T R A R T R A I N I N G fellowship training FRCS MRCS Consultant Surgeon Specialist Surgical Training (ST7/8) Specialist Surgical Training (ST5/6) Specialist Surgical Training (ST3/4) Early Years Surgical Training ( CT1/2) Foundation Year 2 (FY2) Foundation Year 1 (FY1) Undergraduate Medical School Academic Surgeon Academic Training ChM Year 2 ChM Year 1 ESSQ Year 3 Masters - MSc ESSQ Year 2 Diploma ESSQ Year 1 Certificate A C A D E M I C D E V E L O P M E N T

5 Edinburgh Surgical Sciences Qualification - MSc in Surgical Sciences Year 1 Applied anatomy, radiology, physiology, pathology and bacteriology Certificate Case-scenarios (90) MCQs Discussion Boards end of year exam MRCS Year 2 Assessment and care of the surgical patient, research and communication skills Diploma Discussion Boards MCQs Mini-essays Case-scenarios (10) end of year exam Year 3 Research dissertation Master of Science (MSc) Independent research Supervisor Project outline e-poster dissertation Discussion Helpdesk

6 The rationale for the project Support surgical trainee in early years of surgical training acquire and apply applied basic surgical sciences consolidate knowledge base for MRCS curriculum support professional development complements in the work place training Opportunity for ambitious trainees to acquire additional qualifications which would enhance portfolio/cv promote career development provide trainee with essential academic tools to support life-long learning Opportunity for prospective academic surgeons to acquire qualification which would identify career intentions provide possible academic base for career development Equity of access to academic opportunities mentorship

7 Programmes delivered on dedicated VLE s

8 Why our model works Our students can study flexibly: Anywhere Anytime Any device

9 Successful elearning must be: Contextual Active Collaborative Positive and supportive Enjoyable and engaging

10 Contextual 20% UK Surgical Training Structure

11 Active Use of multimedia to deliver interactive content

12 Collaborative Discussion boards and webinars give students the opportunity to learn from each other, as well as from expert tutors

13 Positive and supportive

14 Enjoyable and engaging our student feedback I have really enjoyed the course and think it is a fantastic opportunity. I like the way that continual participation in discussion boards makes you learn as you go along, rather than leaving everything until 2 wks before the exam! The tutors have been great and post regularly, sharing their expertise without making us feel uncomfortable about mistakes. I found the online course material really helpful and find the course to be very well organised with help available at every opportunity. Very enjoyable and stimulating content. Thank you ESSQ team. I have enjoyed it a lot and would strongly recommend it. In fact, I already have. This is one of the greatest innovations in terms of surgical education. It is a revolution. I am constantly talking about it to everyone. Looking forward to year 2. Very interesting and academically challenging I have been able to remain in Malawi to learn, while continuing to treat those who need me most.

15 Edinburgh surgical online distance learning a growing suite of programmes with international recognition launch of the MSc in Surgical Sciences 2011 launch of the ChM in General Surgery 2010 Studentships created, elearning Award 2012 launch of the ChM in Urology and ChM in Trauma & Orthopaedics, external accreditation of programmes 2013 launch of the ChM in Vascular & Endovascular Surgery, Queen s Anniversary Prize 2014 launch of the MSc in Primary Care Ophthamology, new bursary schemes, and shortlisted for Reimagine Education Award Highly Commended

16 Global surgical education 60 countries to date

17 No. of students on programme MSc in Surgical Sciences/ESSQ is the largest-recruiting taught Masters programme at UoE MSc and subsequent Surgical Masters programmes have increased recruitment (total numbers over 450 students from 60 countries) Potential to develop further specialist masters, CPD programmes and increase international outreach MSc in Surgical Sciences ChM in General Surgery ChM in Trauma & Orthopaedics ChM in Urology ChM in Vascular Surgery MSc in Primary Care OPH

18 Where might distance learning fit in HPB fellowship training?

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25 Fellowship Council & AHPBA - Advanced GI Surgery Curriculum for HPB Surgery Fellowship Purpose - To provide structured educational and training experience necessary to achieve expertise in HPB surgery - curriculum - defines essential areas of knowledge and technical skills myhpb IS CONTEXTUAL

26 Contextual fellowship training HPB diploma HPB module UK Surgical Training Structure ChM FRCS (general surgery)

27 ChM in General Surgery - HPB hours/week for 30 weeks/year for 2 years

28 ChM in General Surgery HPB 15 week module

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30 ChM in General Surgery HPB wiki/resource content

31 5 week module 1 tutor/11 trainees 4 cases discussions assessed by level of contribution

32 ChM or HPB modules for Great Britain and Ireland (GBIHPBA)?

33 Education in HPB Surgery Our experience has shown that distance learning can supports professional and academic requirements of the surgical trainee Distance learning has to be contextual Asynchronous discussion boards ensure that it is collaborative, engaging and global Curriculum must be relevant Content has to be delivered in a modular manner to allow flexible learning The IHPBA myhpb educational website and discussion boards have worked well in supporting US HPB fellowship training Opportunity for any national group of fellows to use myhpb Trainers and trainees have to take ownership Scope for online masters programme in HPB surgery vs modules