OLT MERQ 5_8_2015

Medicine, Nursing and Health Sciences

OLT-funded online interprofessional

learning: PACTS Project Dr Juanita Fernando, A/Prof Jan Coles, Dr Heather McKay,

MERQ Education Forum, 5th August 2015

The PACTS Project

PACTS - An innovative Primary care program

Advancing Competency To Support

family violence survivors

August 2015 PACTS MERQ 2

What was the problem? 1

No increase in violence teaching in 20 years

despite evidence of health impacts;

Dispersed student clinical and education

experiences;

If no champions “falls off” the curriculum;

Hidden curriculum “too hard” “no expert”

interpreted by students as = “not important”;

A problem across disciplines.


What was the problem 2

2013, WHO released clinical guidelines and

identified violence training as essential for health

care providers

2009, the majority of Australian medical schools

had less than 2 hours of teaching (predominately

lectures and small group teaching) on family

violence, with the maximum taught being 4 hours

2013-14, 57-82% practitioners felt that they would

benefit from further training in asking questions and

supporting survivors


WHO DO YOU

CALL?


Fun to work on a teaching resource with a multidiscipline team

The PACTS project aims To improve effective digital learning and teaching on family violence (FV) in pre-

vocational primary health care courses in Australia to better equip graduates

with the skills to recognise FV, and respond and intervene appropriately. The

specific goals were:


Produce an online, evidence-based, effective, learning package concerning family violence for primary health care students.

Pilot the online learning package in four Australian universities.

Disseminate the online learning package through an open access website and championing the use, development and adaptation of the resources by teachers and students.

The OLT-funded project in a nutshell

A resource for teaching primary health care students how to

recognise and effectively support patient/clients who

experience family violence

Deliverables

6 hour online learning package

Evaluation with students

Focus group Acceptability Accessibility Utility

Pre and post course survey testing

Post module survey testing

Outcome

Promote and champion use and extension.


Knowledge

Attitude

Preparedness

Learning Theory to maximise impact: 1

Adult Learning Theory

Learner brings experience

Builds on existing knowledge (community and academic)

The learner is self directed

Options for choice in how the modules are used

Deeper learning with problem-centred learning

Cases to consider as learner progresses through modules


Learning Theory to maximise impact: 2

Dreyfus & Dreyfus Model for Skills Acquisition


Beginner Learner needs rules

• How to ask

• Reporting requirements

• Management and referral pathways

Beginner Learner’s situational

perception is limited

• Cases

• Describe clear management pathways

Beginner Learner has no discretionary

judgement

• Mandatory reporting rules

Comparator with previous FV curriculum

in train

A safe, effective learning environment, before students

address family violence in real world practice, by

comparison with earlier curriculum.


The intervention –

Six learning modules @

http://www.pactsproject.org/


PACTS Evaluations 1

Evaluation outcomes (n=27) Agree % Unsure% Disagree%

Topic provided essential learning 88-90 10-12 0

e-format aided my learning 85-89 11-15 0

Content addressed learning outcomes 93-96 3-4 0-3

Content appropriate to my health discipline 89-96 3-11 0-3

Content addressed my learning needs 85-96 4-11 0-4

e-learning format was very appropriate for the content 77-92 8-14 0-4


Quantitative so far …

PACTS Evaluations 2


Qualitative so far …

“In our classes a few times, we watched a video

and I was in tears, and I couldn’t recover for a few

days, because content was just too much of a

shock. I like having the option of whether you

watch video or not, or read text, or sometimes -

maybe just going very easy [is important]. Some

people might be very sensitive.”

*Student attitude data still to be analysed

Where to next?

Dissemination and embedding as a national

resource;

Developing “train the trainer” modules, fund and

roll out;

Progress the World Health Organization

relationship


“PACTS PROJECT” WINS FMNHS

DEAN’S TEACHING INNOVATION

AWARD 2015 August 2015 PACTS MERQ 15

Our thanks


The Promoting Excellence Team

The FMNHS IT Team

The Victorian Women’s Trust

Our partner universities

The collegiality of SPHC

OLT Support for this project has been provided by the Australian

Government Office for Learning and Teaching. The views in this project

do not necessarily reflect the views of the Australian Government Office

for Learning and Teaching.

OLT MERQ 5_8_2015

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