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e-Learning, Adaptive Learning and Mobile Learning

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Rheumatology Teaching

Abstract

Electronic learning, or e-learning, describes the use of information technology or the Internet for learning activities. The integration of e-learning into undergraduate, graduate and continuing medical education is consistent with adult learning theory and presents a revolution in medical education. Technology is a powerful tool for effective teaching and deeper learning. Incorporating technology into teaching and learning activities introduces new thinking about teaching effectively. It also increases opportunities to invent new learning experiences for students that will take us further beyond traditional classroom or lecture-based learning. This chapter will start by discussing the differences between e-learning, e-teaching and e-training, followed by the reasons for introducing e-learning in the medical education process. It will discuss also components of e-learning, the e-learning and the science of adult learning and the role of the teacher in e-learning. It will expand to discuss the perceptual as well as blended learning, to conclude on the future of e-learning.

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References

  1. Ozuah PO. Undergraduate medical education: thoughts on future challenges. BMC Med Educ. 2002;2:8–10.

    Article  PubMed Central  PubMed  Google Scholar 

  2. Nair BR, Finucane PM. Reforming medical education to enhance the management of chronic disease. Med J Aust. 2003;179:257–9.

    PubMed  Google Scholar 

  3. Leung WC. Competency based medical training: review. BMJ. 2002;325:693–6.

    Article  PubMed Central  PubMed  Google Scholar 

  4. Rosenberg M. E-Learning: strategies for delivering knowledge in the digital age. New York: McGraw-Hill; 2001.

    Google Scholar 

  5. Wentling T, Waight C, Gallaher J, La Fleur J, Wang C, Kanfer A. E-Learning: a review of literature 2000. http://learning.ncsa.uiuc.edu/papers/elearnlit.pdf. Accessed 14th Feb 2018. 2005. Urbana: University of Illinois National Center for Supercomputer Applications; 2000.

    Google Scholar 

  6. Rice S, McKendree J. In: Swanwick T, editor. Understanding medical education: evidence, theory and practice. 2nd ed. Oxford, UK: Wiley; 2014. p. 161–73. Chapter 12.

    Google Scholar 

  7. Moberg TF, Whitcomb ME. Educational technology to facilitate medical students’ learning: background paper 2 of the medical school objectives project. Acad Med. 1999;74:1146–50.

    Article  CAS  PubMed  Google Scholar 

  8. Ward JP, Gordon J, Field MJ, Lehmann HP. Communication and information in medical education. Lancet. 2001;357:792–6.

    Article  CAS  PubMed  Google Scholar 

  9. Ellaway R, Masters KAMEE. Guide 32: e-learning in medical education. Part 1: learning, teaching and assessment. Med Teach. 2008;30:455–73.

    Article  PubMed  Google Scholar 

  10. Masic I. E-learning as new method of medical education. Acta Inf Med. 2008;16(2):102–17.

    Article  Google Scholar 

  11. Chodorow S. Educators must take the electronic revolution seriously. Acad Med. 1996;71:221–6.

    Article  CAS  PubMed  Google Scholar 

  12. Ruiz J, Mintzer M, Leipzig R. The impact of E-learning in medical education. Acad Med. 2006;81(3):207–12.

    Article  PubMed  Google Scholar 

  13. Ward JP, Gordon J, Field MJ, Lehmann HP. Communication and information technology in medical education. Lancet. 2001;357:792–6.

    Article  CAS  PubMed  Google Scholar 

  14. Chu LF, Chan BK. Evolution of web site design: implications for medical education on the Internet. Comput Biol Med. 1998;28:459–72.

    Article  CAS  PubMed  Google Scholar 

  15. Gibbons A, Fairweather P. Computer-based instruction. In: Tobias S, Fletcher J, editors. Training & retraining: a handbook for business, industry, government, and the military. New York: Macmillan Reference USA; 2000. p. 410–42.

    Google Scholar 

  16. Clark D. Psychological myths in e-learning. Med Teach. 2002;24:598–604.

    Article  PubMed  Google Scholar 

  17. Emami H, Najafi L. Key success factors in E-learning in medical education. Aust J Basic Appl Sci. 2011;5(10):1359–64.

    Google Scholar 

  18. Smith R. Guidelines for authors of learning objects. http://www.nmc.org/guidelines/NMC/20LO/20Guidelines.pdf. Accessed 22 Mar 2018. Austin: The New Media Consortium; 2004.

    Google Scholar 

  19. Littlejohn A. Issues in reusing online resources. In: Littlejohn A, editor. Reusing online resources: a sustainable approach to eLearning. London: Creative Print and Design; 2003. p. 1–6.

    Google Scholar 

  20. Johnson CE, Hurtubise LC, Castrop J, et al. Learning management systems: technology to measure the medical knowledge competency of the ACGME. Med Educ. 2004;38:599–608.

    Article  PubMed  Google Scholar 

  21. Phelps C, Michea YF. Learning management systems’ evaluation focuses on technology not learning. AMIA Annu Symp Proc. 2003:969.

    Google Scholar 

  22. Fallon C, Brown S. E-learning standards: a guide to purchasing and deploying standards-conformant E-learning. Boca Raton: St Lucie Press; 2003.

    Google Scholar 

  23. The MedBiquitous Consortium: new educational achievement standard unveiled to track learner progress and milestones. 2017. https://www.medbiq.org/new_educational_achievement_standard_unveiled_to_track_learner_progress_and_milestones. Accessed on 25 Mar 2018.

  24. Harden R, Laidlaw J. E-Learning. In: Essential skills for a medical teacher. Churchill: Elsevier; 2012. p. 165–70.

    Google Scholar 

  25. Dennick R, Wilkinson S, Purcell N. Online assessment. AMEE guide No 39. Med Teach. 2009;31:192–206.

    Article  PubMed  Google Scholar 

  26. Kirkpatrick DL. Evaluating training programs: the four levels. San Francisco: Berrett-Koehler; 1994.

    Google Scholar 

  27. Ellaway R, Poulton T, Fors U, McGee J, Albright S. Building a virtual patient commons. Med Teach. 2008;30:170–4.

    Article  PubMed  Google Scholar 

  28. Harless WG, Drennon GG, Marxer JJ, Root JA, Miller GE. CASE: a computer-aided simulation of the clinical encounter. J Med Educ 1971. 1971;46(5):443–8.

    CAS  Google Scholar 

  29. Kononowicz A, Hege I. Virtual patients as a practical realisation of the e-learning idea in medicine. In: Soomro S, editor. E-learning experiences and future. InTech. ISBN: 978-953-307-092-6. Available from: http://www.intechopen.com/books/e-learning-experiences-and-future/virtual-patients-as-apractical-realisation-of-the-e-learning-idea-in-medicine.

  30. Barrows HS. An overview of the uses of standardized patients for teaching and evaluating clinical skills. AAMC Acad Med. 1993;68(6):443–51. discussion 451–3

    Article  CAS  PubMed  Google Scholar 

  31. Bradley P. The history of simulation in medical education and possible future directions. Med Educ. 2006;40:254–62.

    Article  PubMed  Google Scholar 

  32. Zemsky R, Massy WF. Thwarted innovation – what happened to e-learning and why? A final report for the weather station project of the learning alliance at the University of Pennsylvania in cooperation with the Thomson corporation. Pennsylvania: The University of Pennsylvania; 2004. p. 1–76.

    Google Scholar 

  33. Miayzoe T, Anderson T. Interaction equivalency in an OER, MOOCS and informal learning era. J Interact Media Educ. 2013;2:Art 9. Available online from: http://jime.open.ac.uk/articles/10.5334/2013-09/. Last accessed Mar 2018

    Article  Google Scholar 

  34. Itself, Sharma N, Doherty I, Dong C. Adaptive learning in medical education: the final piece of technology enhanced learning? Ulster Med J. 2017;86(3):198–200.

    Google Scholar 

  35. Zimmer T. Rethinking higher Ed: a case for adaptive learning. Forbes. 2014. Available online from: http://www.forbes.com/sites/ccap/2014/10/22/rethinking-higher-ed-a-case-for-adaptivelearning/#65a9f1126293. Last accessed Nov 2016.

  36. Paramythis A, Loidl-Reisinger S. Adaptive learning environments and eLearning standards. Electron J e-Learning. 2004;2:181–94.

    Google Scholar 

  37. Plass, J. (2014). Elsevier adaptive learning. [Internet]. Available online from: http://www.elsevieradvantage.com/article.jsp?pageid=12132. Last accessed Mar 2018.

  38. McMahon GT, Drazen JM. Introducing NEJM knowledge+ and its adaptive personalized learning. New Engl J Med. 2014;370(17):1648–9.

    Article  CAS  Google Scholar 

  39. Kellman PJ. Adaptive and perceptual learning technologies in medical education and training. Mil Med. 2013;178(10 Suppl):98–106.

    Article  PubMed  Google Scholar 

  40. Krasne S, Hillman J, Kellman P, Drake T. Applying perceptual and adaptive learning techniques for teaching introductory histopathology. J Pathol Inf. 2013;4:34.

    Article  Google Scholar 

  41. Kellman PJ, Kaiser MK. Perceptual learning modules in flight training. Proceedings of the 38th annual meeting of the human factors and ergonomics society, vol. 18. Santa Monica: Sage Publications; 1994. p. 1183–7.

    Google Scholar 

  42. Guerlain S, La Follette M, Mersch TC, Mitchell BA, Poole GR, Calland JF, et al. Improving surgical pattern recognition through repetitive viewing of video clips. IEEE Trans Syst Man Cybern A Syst Hum. 2004;34:699–707.

    Article  Google Scholar 

  43. Kellman PJ, Massey CM, Son JY. Perceptual learning modules in mathematics: enhancing students’ pattern recognition, structure extraction, and fluency. Top Cogn Sci. 2010;2:285–305.

    Article  PubMed  Google Scholar 

  44. Sowden PT, Davies IR, Roling P. Perceptual learning of the detection of features in X-ray images: a functional role for improvements in adults’ visual sensitivity? J Exp Psychol Hum Percept Perform. 2000;26:379–90.

    Article  CAS  PubMed  Google Scholar 

  45. Kellman PJ. Adaptive and perceptual learning technologies in medical education and training. Mil Med. 2013;178:98–106.

    Article  PubMed  Google Scholar 

  46. Mettler E, Massey C, Kellman P. Improving adaptive learning technology through the use of response times. In: Carlson L, Holscher C, Shipley T, editors. Proceedings of the 33rd Annual Conference of the Cognitive Science Society. Boston: Cognitive Science Society; 2011. p. 2532–7.

    Google Scholar 

  47. Nodine CF, Kundel HL, Mello TC, Weinstein SP, Orel SG, Sullivan DC, et al. How experience and training influence mammography expertise. Acad Radiol. 1999;6:575–85.

    Article  CAS  PubMed  Google Scholar 

  48. Speelman C, Martin K, Flower S, Simpson T. Skill acquisition in skin cancer detection. Percept Mot Skills. 2010;110:277–97.

    Article  PubMed  Google Scholar 

  49. Albarrak A. E-learning in medical education and blended learning approach. In: Mendez-Vilas A, editor. Education in a technological world: communicating current and emerging research and technological efforts. Badajoz: Formatex; 2011. p. 147–53.

    Google Scholar 

  50. Hayashi T, Tominaga H, Yamasaki T. Blended learning contents for university education. In: The 7th International conference on information technology based higher education and training. Piscataway: IEEE; 2006. p. 499–502.

    Google Scholar 

  51. Oakman H. Blended learning – the new normal. Education technology. 2016. https://edtechnology.co.uk/Article/blended-learning-the-new-normal. Accessed on 26 Mar 2018.

  52. Gagliani SM, Topol EJ. iMedEd: the role of mobile health technologies in medical education. Acad Med. 2014;89:1207–9. https://doi.org/10.1097/ACM.0000000000000361.

    Article  Google Scholar 

  53. Payne KB, Wharrad H, Watts K. Smartphone and medical related app use among medical students and junior doctors in the United Kingdom (UK): a regional survey. BMC Med Inform Decis Mak. 2012;12:121. https://doi.org/10.1186/1472-6947-12-121.

    Article  PubMed  PubMed Central  Google Scholar 

  54. Mosa AS, Yoo I, Sheets LA. A systematic review of healthcare applications for smartphones. BMC Med Inform Decis Mak. 2012;12:67. https://doi.org/10.1186/1472-6947-12-67.

    Article  PubMed  PubMed Central  Google Scholar 

  55. Bullock A, Fox F, Barnes R, et al. Transitions in medicine: trainee doctor stress and support mechanisms. J Workplace Learn. 2013;25:368–82. https://doi.org/10.1108/JWL-Jul-2012-0052.

    Article  Google Scholar 

  56. Hardyman W, Bullock A, Brown A, et al. Mobile technology supporting trainee doctors’ workplace learning and patient care: an evaluation. BMC Med Educ. 2013;13:6. https://doi.org/10.1186/1472-6920-13-6.

    Article  PubMed  PubMed Central  Google Scholar 

  57. Franko OI, Tirrell TF. Smartphone app use among medical providers in ACGME training programs. J Med Syst. 2012;36:3135–9. https://doi.org/10.1007/s10916-011-9798-7.

    Article  PubMed  Google Scholar 

  58. Mickan S, Atherton H, Roberts NW, et al. Use of handheld computers in clinical practice: a systematic review. BMC Med Inform Decis Mak. 2014;14:56. https://doi.org/10.1186/1472-6947-14-56.

    Article  PubMed  PubMed Central  Google Scholar 

  59. Chang AY, Ghose S, Littman-Quinn R, et al. Use of mobile learning by resident physicians in Botswana. Telemed J E Health. 2012;18:11–3. https://doi.org/10.1089/tmj.2011.0050.

    Article  PubMed  PubMed Central  Google Scholar 

  60. Lippman H. How apps are changing family medicine. J Fam Pract. 2013;62:362–7.

    PubMed  Google Scholar 

  61. Bullock A, Webb K Technology in postgraduate medical education: a dynamic influence on learning? In: Postgraduate Medical Journal Published Online First. 2015. https://doi.org/10.1136/postgradmedj-2014-132809.

    Article  PubMed  Google Scholar 

  62. Dala-Ali BM, Lloyd MA, Al-Abed Y. The uses of the iPhone for surgeons. Surgeon. 2011;9(1):44–8.

    Article  PubMed  Google Scholar 

  63. Ozdalga E, Ozdalga A, Ahuja N. The smartphone in medicine: a review of current and potential use among physicians and students. J Med Internet Res. 2012;14(5):e128.

    Article  PubMed Central  PubMed  Google Scholar 

  64. Prgomet M, Georgiou A, Westbrook JI. The impact of mobile handheld technology on hospital physicians’ work practices and patient care: a systematic review. J Am Med Inform Assoc. 2009;16(6):792–801.

    Article  PubMed Central  PubMed  Google Scholar 

  65. Boruff JT, Storie D. Mobile devices in medicine: a survey of howmedical students, residents, and faculty use smartphones and other mobile devices to find information. J Med Libr Assoc. 2014;102(1):22–30.

    Article  PubMed Central  PubMed  Google Scholar 

  66. Ventola CL. Mobile devices and apps for health care professionals: uses and benefits. Pharm Ther. 2014;39(5):356–64.

    Google Scholar 

  67. Franko OI, Tirrell TF. Smartphone app use among medical providers in ACGME training programs. J Med Syst. 2012;36(5):3135–9.

    Article  PubMed  Google Scholar 

  68. Oehler RL, Smith K, Toney JF. Infectious diseases resources for the iPhone. Clin Infect Dis. 2010;50(9):1268–74.

    Article  PubMed  Google Scholar 

  69. Aungst TD. Medical applications for pharmacists using mobile devices. Ann Pharmacother. 2013;47(7–8):1088–95.

    Article  PubMed  Google Scholar 

  70. Gray TG, Hood G, Farrell T. BMJ Innov. 2015;1:25–32. https://doi.org/10.1136/bmjinnov-2014-000011.

    Article  Google Scholar 

  71. UK Department of Health. High quality care for all. 2008. http://webarchive.nationalarchives.gov.uk/+/www.dh.gov.uk/en/healthcare/highqualitycareforall/index.htm. Accessed 27 Mar 2018.

  72. Kern D, Thomas P, Howard D, Bass E. Curriculum development for medical education. Baltimore: Johns Hopkins University Press; 1998.

    Google Scholar 

  73. Reddy R, Wladawsky-Berger I. President’s information technology advisory committee. Transforming health care through information technology. Arlington: National Coordination Office for Information Technology Research & Development; 2001.

    Google Scholar 

  74. Internet 2 Web page http://www.internet2.edu. Accessed 22 Nov 2005. Ann Arbor: Internet 2 Consortium. 2005.

  75. Walker R, Dieter M, Panko W, Valenta A. What it will take to create new Internet initiatives in health care. J Med Syst. 2003;27:95–103.

    Article  PubMed  Google Scholar 

  76. Tidmarsh PJ, Cummings J, Hersh WR, Freidman CP. Distributed medical informatics education using Internet2. Proc AMIA Symp. 2002:787–91.

    Google Scholar 

  77. Vincent DS, Berg BW, Hudson DA, Chitpatima ST. International medical education between Hawaii and Thailand over Internet2. J Telemed Telecare. 2003;9(2 suppl):S71–2.

    Article  PubMed  Google Scholar 

  78. Kim S. The future of e-learning in medical education: current trend and future opportunity. J Educ Eval Health Prof. 2006;3:3. https://doi.org/10.3352/jeehp.2006.3.3.

    Article  PubMed  PubMed Central  Google Scholar 

  79. Wiecha J, Barrie N. Collaborative online learning: a new approach to distance CME. Acad Med. 2002;77:928–9.

    Article  PubMed  Google Scholar 

  80. Wiecha JM, Gramling R, Joachim P, Vanderschmidt H. Collaborative e-learning using streaming video and asynchronous discussion boards to teach the cognitive foundation of medical interviewing: a case study. J Med Internet Res. 2003;5:e13.

    Article  PubMed Central  PubMed  Google Scholar 

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Authors and Affiliations

  1. King’s College London, Darent Valley Hospital, Dartford, Kent, UK

    Yasser El Miedany

  2. Rheumatology and Rehabilitation, Ain Shams University, Cairo, Egypt

    Yasser El Miedany

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El Miedany, Y. (2019). e-Learning, Adaptive Learning and Mobile Learning. In: Rheumatology Teaching. Springer, Cham. https://doi.org/10.1007/978-3-319-98213-7_13

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  • DOI: https://doi.org/10.1007/978-3-319-98213-7_13

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