Collaborative Learning in Medicine over Internet2 Patricia Youngblood, PhD, Associate Director for Evaluation SUMMIT (Stanford University Medical Media

Collaborative Learning in Collaborative Learning in Medicine over Internet2Medicine over Internet2

Patricia Youngblood, PhD, Associate Director for EvaluationSUMMIT (Stanford University Medical Media & Information Technologies)Parvati Dev, PhD, Director Information Resources and TechnologyStanford University School of Medicine

September 2004 Stanford University

Global Collaborations• HAVnet Project: CSIRO Haptic Workbench-

Australia: – Chris Gunn (CSIRO) & Dr. LeRoy Heinrichs (Stanford)

• Wallenberg Global Learning Network (WGLN)-Sweden:– Virtual Labs, Dr. Cammy Huang– WebSP, Dr. Uno Fors, Jenn Stringer– Virtual Emergency Department,

• Drs. LeRoy Heinrichs, Sakti Srivastava, Pat Youngblood, Phillip Harter (Stanford)

• Drs. Li Tsai, Carl-Johan Wallen, Leif Hedman (Sweden)

• AIM e-Learning Project-Southeast Asia & Africa: – Pauline Brutlag (Stanford)

• Apeejay CME Project-India: – Drs. Parvati Dev, Sakti Srivastava, Cammy Huang


Relevant Disciplines & Learners

• Anatomy and surgery education for medical students, residents and practicing surgeons in Australia and California (HAVnet)

• Physiological simulations for informatics & biology students in Sweden and California (Virtual labs)

• Interactive patient cases for nutrition education for medical students in Sweden and California (WebSP)

• Training in EMCRM (emergency medicine crisis resource management) for medical students & residents in Sweden and California (Virtual ED)

• Vaccine education for immunization managers in Southeast Asia & Africa (AIM)

• Continuing medical education for medical practitioners in India (Apeejay CME)


Why Internet2?

• The student who will enter medical school in 5-10 years can absorb multiple channels of information

lecture

Second

screenDynamic

charts

messaging

Communal

note taking


Learning Resources over I2

• Rich media, including 3D stereo images, animations, video & haptics

• Interactive patient cases for PBL • Collaborative, distributed learning• Surgical simulation • Virtual emergency department• 3D modeling• Wireless access to media resources


HAVnet Project

Anatomy test bed: Dr. Sakti Srivastava

• Collaborative teaching & learning• Collaborative content

development– Korea, Canada, Egypt

• Large media collections are available around the world

• Over 3000 stereo images of dissection– At Stanford and Wisconsin

• Interactive rotation and dissection– Bandwidth up to 40Mbps per stream


Collaborative teaching & learning


HAVnet Project

Clinical skills test bed: Dr. LeRoy Heinrichs

• Laparoscopic/endoscopic surgical simulation• Validation of simulators:

– SLS– AAGL– Surgical Science,

Sweden– Imperial College,

London

• Haptic Workbench: CSIRO, Australia


Haptic applications

• “Haptic” is the sense of touch and kinesthesis

• Touch and feel virtual anatomy• Touch across the Internet• Follow a remote guided

movement• Sensitive to delay


CSIRO Haptic Workbench

• Provides learners the opportunity to learn surgical skills from a master surgeon

• Users manipulate shared graphics and feel the force feedback of the remote user’s actions

• Each haptic workstation provides co-location of the user’s hand with the virtual object

• Network transfers updates between users regarding the state of the object/environment

• Advantages: – Excellent for surgical planning & development of

technical skills of surgery– Users can practice the real thing, make mistakes

and learn from their mistakesHAVnet website: http://havnet.stanford.edu


Virtual ED

• Multiple users• One 3D space


Virtual ED• Virtual reality simulation of an Emergency

Department• Simulation-based learning over the Internet• Advantages:

– distributed training for health care teams; – debrief of the learning experience with a live instructor;– lower cost than full scale simulation training facilities.

• Requires reliable, high quality audio• Users give it high ratings for ‘realism’• Provides practice for team leader and team

members with a wide range of trauma cases• Provides a more ‘standardized’ patient

management experience for assessing team skills


AIM e-Learning Project

• Provides up-to-the-minute content for immunization managers in SE Asia & Africa

• Media-rich graphics & animations• Interactive quizzes, case studies, &

calculators• Downloadable documents• Accessibility for low-bandwidth connections &

small screen resolutions• Delivered over the internet or CD-Rom• Extensive assessment of users’ needs• XML site architecture for easy updating• Multi-language support• Contact [email protected]


Apeejay Education Society

• Continuing medical education for medical practitioners in India (Apeejay CME)

• ACME project will develop, deliver and certify a variety of CME programs

• Uses Internet based, distributed technologies to reach practitioners at a time & location of their choice

• First course will be “In Vitro Fertilization & Assisted Reproductive Techniques”

• Courses will incorporate both web-based & simulation-based learning

http://www.apeejay.edu/heducation.htm


Lessons Learned• Collaboration can be encouraged through the grant

application process (RFP, subcontracts)• Importance of “people” networking

– Get yourself a LeRoy Heinrichs!

• Find colleagues who share your enthusiasm for a particular teaching & learning application – 3D modeling – Surgical simulation– 3D virtual worlds

• Provide at least a 50% FTE support person at remote locations

• Keep communicating—in person, over email, video and teleconferencing, and “in the world”

• Testing, testing, testing• Start small & with collaborators nearby (your time

zone?)


The Team

• Stanford– SUMMIT– Biocomputation– Surgery– Anatomy– Biomechanical Engineering– Computer Science– Electrical Engineering– Informatics

• Univ. of Wisconsin• Immersion Corp.• Barco Corp.• Texas Tech University• University of Pittsburgh• CSIRO, Australia• Univ. of Michigan - Visible Human Collaboratory


Websites:

• Stanford HAVnet Project (California): http://[email protected]

• CSIRO Haptic Workbench (Australia):http://www.ict.csiro.au/e-health

• WGLN Projects (Sweden):– Virtual Labs– WebSP– Virtual ED: http://simtech.stanford.edu

• AIM e-Learning (Southeast Asia, Africa):http://summit.stanford.edu/research/aim_frame.html

• Apeejay CME (India):http://www.apeejay.edu/heducation.htm

http://www.internet2.edu/http://summit.stanford.edu/

[email protected]@stanford.edu

Questions

Documents

Collaborative Learning in Medicine over Internet2 Patricia Youngblood, PhD, Associate Director for Evaluation SUMMIT (Stanford University Medical Media