Tuesday, 1 December 2015

Opening up to Open Educational Resources

by Dirk Van Damme
Head of the Innovation and Measuring division, Directorate for Education and Skills

Technology has a profound impact on our lives. A few days ago, an inmate who spent 44 years
behind bars was released from prison and could not believe what he saw on the streets: people with wires in their ears using strange devices to talk to invisible friends. Maybe his confrontation with the modern world would have been less of a surprise if he had visited a school first.

Technology has indeed entered the classroom; but it has not yet changed the ways we teach and learn to the same extent that it has transformed our way of communicating in the outside world. In our private lives we freely share experiences, thoughts and feelings with friends all over the world; but in classrooms we tend to stick to the traditional carriers of knowledge – textbooks, which are certified for use by the bureaucracy and well-aligned to a prescribed curriculum.

But maybe this is about to change. Technology could give education access to the nearly unlimited teaching and learning materials available on the Internet, which are often in much nicer and pedagogically better-designed formats than can be developed by individual teachers. “Open Educational Resources”, or OER as we call them, are not new, but we are now seeing a real breakthrough in availability, usability and quality. In 2007, the OECD analysed the emergence of OER in its book, Giving knowledge for Free. A new publication, Open Educational Resources: A Catalyst for Innovation, supported by a generous grant from the William and Flora Hewlett Foundation, takes stock of where we are in 2015.

The most immediate benefit of OER is the open (through open licenses) and free (in most cases at no cost) access to quality teaching and learning materials, often in multimedia formats. OER provide an alternative to costly textbooks and, hence, might lead to significant savings for both schools and learners. International organisations, such as UNESCO, and national governments, such as the federal government in the United States, see an enormous opportunity in OER to widen access to high-quality teaching and learning resources in poor countries or among disadvantaged communities of learners.

A few years ago, the development of free and accessible resources was stymied, partly because of some resistance among education publishers and ill-adapted intellectual property regulations. But over the past few years we’ve seen OER mainstreamed into several education systems.

But OER has an even much richer potential. As the title of the new book suggests, OER is also a catalyst for innovation in education. For example, we know from the OECD Teaching and Learning International Survey (TALIS) how important teacher collaboration is for the development of professional practice, efficacy and job satisfaction. We also know how difficult it is to convince teachers to work together, even within the same school. One of the most interesting characteristics of OER is that, if licensed properly, they invite users to continuously improve and update educational resources. OER enables teachers to engage in communities of practice not only for exchanging resources, but also for modifying and developing resources collaboratively. Teachers willing and able to enrich their teaching practices beyond the prescribed curriculum and available textbooks will find OER to be a fantastic way to connect to colleagues all over the world to jointly develop new resources. The OER depositories are full of resources that have been developed by inspired teachers working together.

Some people and organisations fear that technology will lead to the de-skilling and disempowerment of teachers. Yes, there is a risk that the availability of an infinite wealth of information on the Internet may deprive teachers of their authority as being the possessors of knowledge, or that it may engender a laissez-faire attitude among teachers. But the professional responsibility of teachers goes well beyond asking students to look for information in Wikipedia. OER invite teachers to reinvent their professional responsibilities and add to their pedagogical expertise and experience to enable students to turn information and knowledge into real learning.

The potential of OER to catalyse change and innovation in education is not yet well understood by many governments. But that is changing, too. A small survey, the results of which appear in the book, found that most governments are now considering various policies to support the production and use of OER, such as indirectly or directly funding them, developing codes of practice or guidelines for the production or use of OER, launching information campaigns aimed at schools, legislating the use of OER, supporting the development of OER repositories and/or encouraging research into OER. In the end, perhaps OER will be one of the most significant and substantive ways that technology will transform teaching and learning.

Links:
Photo credit: © vege - Fotolia.com

Friday, 27 November 2015

Good communication makes our work interesting, richer and deeper

Good communication makes our work interesting, richer and deeper. But empathy may dry up over time, hence the need to refresh/recharge periodically.

The most open question is "How are you?" The direction a patient chooses offers valuable information during this first "golden" minute in which you are silent.

Share management plans: "What can we do about this"? Unless you become patient-centered, your patient may never be satisfied with you, or fully cooperative.

Every hospital has a department of reflection. It exists in your mind, don't forget to visit there from time to time.

These are excerpts from the Oxford Handbook of Clinical Medicine. Read more on page 4, Asking questions:



Here is the famous Cleveland Clinic video "Empathy: The Human Connection to Patient Care: Patient care is more than just healing -- it's building a connection that encompasses mind, body and soul. If you could stand in someone else's shoes . . . hear what they hear. See what they see. Feel what they feel. Would you treat them differently?"



The challenges of widening participation in PISA

by Andreas Schleicher
Director, OECD Directorate for Education and Skills
Claudia Costin
Senior Director, Education Global Practice, World Bank

Since 2000, the OECD Programme for International Student Assessment (PISA) has been measuring the skills and knowledge of 15-year-old students in over 70 countries. PISA does not just examine whether students have learned what they were taught, but also assesses whether students can creatively and critically use what they know.

Of course, such international comparisons are never easy and they aren’t perfect. But they show what is possible in education, they help governments to see themselves in comparison to the education opportunities and results delivered by other education systems, and they help governments to build effective policies and partnerships for improving learning outcomes.

But as the number of countries joining PISA kept rising, it became apparent that the design and implementation models for PISA needed to evolve to successfully cater to a larger and more diverse set of countries, including a growing number of middle-income and low-income countries who want to participate in the assessment.

In response to these challenges, the OECD and the World Bank just released a report titled The Experience of Middle-Income Countries Participating in PISA 2000-2015, which provides valuable lessons and insights based on the experiences of more than 40 PISA-participating countries. It establishes a strong rationale and foundation for enhancing PISA to make it more relevant to a wider range of countries. It also provides insights for the World Bank and other development partners on how to better support countries to participate in these exercises and to analyse and use the data in effective ways.

The report shows that while demand for participation in PISA among middle-income countries is increasing, these countries face both financial and technical obstacles to participating, including the need to translate and manage the assessment, and code student responses. The report also shows that the political, regulatory, and cultural environment of these countries can also affect whether, and how easily, the assessment can be conducted.

To maximize the benefits of participating in PISA, the report recommends that the OECD take five actions:

  1. Adjust the PISA test instruments to better measure differences between the highest- and lowest-performing students and, in particular, distinguish performance differences at the lowest levels of proficiency;
  2. Revise the contextual questionnaires so they are more relevant to low-income country contexts and policy issues;
  3. Evaluate the impact of PISA participation on middle-income countries’ capacity to conduct international assessments; 
  4. Tackle financial and technical challenges through partnerships with donors and through capacity building; and
  5. Extend outreach to local stakeholders in these countries.

Action is already being taken on these recommendations through the PISA for Development initiative. This project is already working to enhance the PISA instruments and will undertake field trials in seven developing countries during 2016. The final results of PISA for Development, which are expected in 2018, will provide local policy makers with new evidence to diagnose shortcomings in their education systems and inform new policies. In the meantime, the PISA for Development countries will benefit from peer-to-peer exchanges with other members of the PISA global community. The enhanced PISA instruments will be made available to all countries for the 2021 cycle of the assessment.

The OECD remains committed to working with the World Bank and other partners in maintaining and developing PISA as a global yardstick for measuring success in education. This is especially relevant in the context of the recently adopted Sustainable Development Goals as PISA provides valuable information about the level and distribution of quality and equity within a country’s education system.

Together, we will continue to contribute our expertise and platforms to encourage international collaboration on education through the PISA surveys, and to assist policymakers and practitioners throughout the world to use them more productively. 

Links:

Monday, 9 November 2015

App uses a network of smartphones to help research cancer: your phone crunches numbers while your sleep

The company DreamLab says will allow users to "donate" their smartphone's processing power while their owners are sleeping:

"Cancer affects so many of the people we love. But what if you could help by speeding up cancer research, simply by going to bed. Researchers are hindered by limited access to supercomputers. So that’s where you and the DreamLab app come in. It’s a free to purchase app* that uses the processing power of your idle phone to solve a piece of the cancer research puzzle. If just 1,000 people used the app, cancer puzzles would be solved 30 times faster."

http://www.vodafone.com.au/aboutvodafone/vodafoneaustraliafoundation/dreamlab



"When a phone is plugged in and fully charged, it is sent a tiny genetic sequencing task by Australia's Garvan Institute of Medical Research to solve. When it is completed, the data is sent back to the Garvan Institute, which can use it as part of their research.

Users can select what project they want to contribute to, whether it is breast cancer, ovarian cancer, pancreatic cancer and prostate cancer. According to Vodafone, 1,000 smartphones using the app can speed up research by 30 times.

While the service can use a significant amount of data, users can choose limits of 250MB, 500MB and 1GB to send, with the data free for Vodafone Australia customers, or available to send over WiFi."

References:

Vodafone app turns your smartphone into a powerful cancer research machine - Telegraph http://buff.ly/1iNFvnr
App creates 'smartphone supercomputer' to cure cancer http://buff.ly/1NZgbpD
DreamLab - Android Apps on Google Play http://buff.ly/1kkrhfm

Sunday, 18 October 2015

How to avoid doctor dependency

How to avoid doctor dependency:

Buy stuff over the counter
Take advice from grandma
Use self-made remedies, e.g. lemon and honey or sensible complementary therapies
Team up with people with the same condition for mutual support
Augment your own mental health and resilience
Rest or exercise
Eat a sensible diet

These are excerpts from the Oxford Handbook of Clinical Medicine:



Reply to comment below:

Yes, the OHCM is great. It's probably one of the most valuable medical textbooks I have ever encountered, It pays off to re-read it from time, at least with every new edition. I have recommended it to residents and students here in the US but Pocket Medicine and other handbooks are more popular here.

Saturday, 17 October 2015

"Don't go so fast: we're in a hurry!"

"Don't go so fast: we're in a hurry!" -- Talleyrand to his coachman. Charles Maurice de Talleyrand-Périgord (1754–1838) was a French bishop, politician and diplomat. Due to a lame leg, he was not able to pursue the military career that had originally been foreseen for him by his family. Instead he studied theology. Unique in his own age and a phenomenon in any, Charles-Maurice, Prince de Talleyrand, was a statesman of outstanding ability and extraordinary contradictions. He was a world-class rogue who held high office in five successive regimes.

---

From OHCM: "We aim to encourage the doctor to enjoy his patients: in doing so we believe he will prosper in the practice of medicine."

Aim to:

- reassure
- treat
- refer
- palliate

These are excerpts from the Oxford Handbook of Clinical Medicine:



References:

Charles Maurice de Talleyrand-Périgord - Wikipedia, the free encyclopedia http://buff.ly/1LfmuUV
Amazon.com: Talleyrand (9780802137678): Duff Cooper: Books http://buff.ly/1Lfmvs5

Monday, 5 October 2015

AA: 2015 Nobel Prize in Physiology/Medicine goes to discoverers of antimicrobials Artemisinin and Avermectin

From DW:

Youyou Tu, the chief professor at the China Academy of Traditional Chinese Medicine, began her work with traditional herbal remedies in the 1960s.

Focussing on plant Artemisia annua, Tu extracted the active Artemisin ingredient found in plants, then purified it. Tests conducted by the now 84-year-old showed her trials had “unprecedented potency” in treating Malaria, which infects close to 200 million people every year. The infection leaves more than 450,000 people dead globally annually, with most of the victims being children.

The other 2015 Nobel prize was for another antimicrobial therapy with an "A", Avermectin.

Nobel Medicine Prize 2015 - Announcement And Explanation:



Read more here:
http://buff.ly/1VALadf
Nobel Prize for anti-parasite drug discoveries - BBC News http://buff.ly/1M6DTkL

Full video is below (42 minutes):

Thursday, 1 October 2015

70,000 Ways to Get Sick or Die - the switch to ICD-10 in US

From the WSJ: Under a new system, the number of diagnostic codes doctors must use to get paid is expanding from 14,000 to 70,000, including codes for ailments such as "underdosing of caffeine" (video):



Here are some of the new codes:

- Z63.1: “Problems in relationship with in-laws”
- V91.07XA: “Burn due to water skis on fire.”

At the end of the day, this code probably applies to the majority of healthcare administrators in the US today:

F43.22: “Adjustment disorder with anxiety.”

References:

There Are Now Officially 70,000 Ways to Get Sick or Die. Bloomberg, 2015.
http://goo.gl/NMJsab


Friday, 4 September 2015

Extroverts and neurotics tend to use Facebook and WhatsApp more

From a recent study:

20% of smartphone behavior can be accounted for by WhatsApp usage, and females use it 13 minutes longer than males.

Extroversion is of high importance in understanding WhatsApp usage, extroverts use it longer vs introverts.

High neurotics tend to use Facebook more as it facilitates communication without face-to-face interaction.

On the other hand, conscientiousness is inversely correlated with WhatsApp usage. Conscientious humans handle their digital consumption better and are less prone to Internet addiction.

Are you conscientious? Conscientious humans can be described as punctual, and diligently follow their daily routines.



Status updates. Image source: WeBlogCartoons, Creative Commons license.

In related research, there was no good news for science uses of social media:

I Like, I Cite? Do Facebook Likes Predict the Impact of Scientific Work? http://buff.ly/1LPj4Io - Not really.

Impact of Social Media on Dissemination and Implementation of Clinical Practice Guidelines: Zero http://buff.ly/1LPj5fH

References:

Smartphone usage in the 21st century: who is active on WhatsApp? Christian Montag et al. BMC Res Notes. 2015; 8: 331.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4522968/

Tuesday, 1 September 2015

Healthcare social media #HCSM - top articles

Here are my suggestions for some of the top articles related to healthcare social media (#HCSM) in the past 4-8 weeks:

Integration of Social Media in Emergency Medicine Residency Curriculum - Annals of Emergency Medicine http://buff.ly/1CcfgM9

Collaborative Economy Honeycomb http://bit.ly/1zoBreN - Not many companies in healthcare/wellness...

Risks in Using Social Media to Spot Signs of Mental Distress - NYTimes http://nyti.ms/1xYFumq -- NIH committed $11 million to support studies into using Twitter and Facebook to better understand substance abuse. Classification algorithm predicts whether a person was vulnerable to depression, from their Twitter posts, 70% accurate. “We could compute the unhappiest places in the United States,” Dr. Horvitz said. Social media analysis might also eventually be used to identify patterns of post-traumatic stress disorder immediately after events like tsunamis or terrorist attacks. “You can see the prospect of watching a news story break and using these tools to map the pulse of society.”
ike Twitter and Facebook to better understand, prevent and treat substance abuse.

20 Blogging Tips for Writing a Successful Blog http://buff.ly/16Xsu5q

Facebook can leave you with FOMO (fear of missing out) or even MOMO (mystery of missing out)? http://bit.ly/13Pj0aj

The selfie trend has increased plastic surgery in the US. Almost all the smartphones launched in 2014 have special functions to take selfies. The #selfie trend spins money for businesses - all new phones have selfie-friendly front cameras and apps. Selfie stick, a must have gadget http://buff.ly/13JzPDm

An evidence-based review: Distracted driver http://buff.ly/1xCGg5U

Learn to Embrace the Digital Detox - WSJ guide. Digital Detox: Participants trade smartphones for smarter life choices: exercise, art and face-to-face conversation. People don’t think they are addicted to technology because it’s so ingrained in our everyday life. “People don’t often recognize the effect their behavior has on them and those around them" http://buff.ly/1BqNc6D

Good to know for all us here: No increased stress from heavier social media use: survey | Reuters http://buff.ly/1Busk21

Student class standing, Facebook use, and academic performance = "it's complicated" relationship status http://buff.ly/15ujBiH

Establishing an International Consensus on Quality of Emergency Medicine and Critical Care Blogs and Podcasts http://buff.ly/1NCDSHn

Emergency Medicine Journal Club on Twitter: free, asynchronous way to engage a worldwide audience http://buff.ly/1aOsUfX

"A personal reflection on social media in medicine: I stand, no wiser than before" http://buff.ly/1IMgpNg -- “On your death bed, what do you think your biggest regret will be? … that you didn’t TWEET ENOUGH?”

The articles were selected from Twitter @DrVes and RSS subscriptions. Please feel free to send suggestions for articles to clinicalcases at gmail.com and you will receive an acknowledgement in the next edition of this publication.



Cycle of Online Information and Physician Education (click here to enlarge the image).