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
September 2004 Stanford University
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)
September 2004 Stanford University
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
September 2004 Stanford University
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
September 2004 Stanford University
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
September 2004 Stanford University
Collaborative teaching & learning
September 2004 Stanford University
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
September 2004 Stanford University
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
September 2004 Stanford University
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
September 2004 Stanford University
Virtual ED
• Multiple users• One 3D space
September 2004 Stanford University
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
September 2004 Stanford University
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]
September 2004 Stanford University
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
September 2004 Stanford University
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?)
September 2004 Stanford University
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
September 2004 Stanford University
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
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