1. Teaching And Learning In A Digital Age: Using Technology To Enhance Physical Therapy Education The Flipped and Blended Classroom Eric Robertson, PT, DPT, OCS, FAAOMPT Regis University, Denver, CO

2. Objectives Define Blended Learning Identify and discussed the 6 primary blended learning models. Describe characteristics of successful on-line learners & teachers. Describe the flipped classroom model. Identify key technical & pedagogical components required to successfully implement the flipped classroom model in DPT education. Discuss the benefits, risks, and challenges of this model. 3. http://www.knewton.com/blended-learning/ 4. Blended Learning: Defined 5. Not Its coming soon..Its here! 6. The Blended Learning Matrix Blended?ANoHome Schooling without online deliveryCMaybePurely virtual schoolDYesTheoretical, online delivery in a supervised brick-and-mortar settingYes!Mix of online/offline, supervised and remoteCA OfflineTraditional brick-and-mortar schoolBDContent DeliveryOnlineNoB Geographic LocationBrick-and-mortarRemote 7. http://www.knewton.com/flipped-classroom/ 8. Simplify, simplify, simplify. 9. Job (in)Security? http://www.stumbleupon.com/su/2CrIx9/www.good.is/post/will-a-harvard-professor-s-new-technology-make-college-lectures-a-thing-of-the-past/ 10. Promising Results 11. Lecture Capture Helps Med Students Improve Gradeshttp://www.centerdigitaled.com/classtech/Lecture-Capture-Helps-Medical-Students-Improve-Grades.html 12. Online education: a reality in our time (but can it work for PT?!) 13. Is a Blended Learning Model for a hands-on profession like PT REALLY Possible?! 14. Internet vs non-instruction & Internet vs Traditional Instruction (study n=201) Outcomes assessed Knowledge Skills acquisition Behaviors in clinic/effect on patients Learner SatisfactionResult: Internet-based superior to non-instruction (Large + effects) Internet-based vs traditional instruction= similarly effective 15. Flipping Technologies & Approaches 16. Considerations for Flipping To Flip or Not to Flip: Points of Consideration CurricularHow does your agenda fit the greater overall curriculum?Personal TechnologyDo you you have the skills to develop this content? Time cost?System TechnologyWhat resources can you leverage from campus/facility?Course ConsiderationsTime relief for flipped lecture hours? How does this help achieve your educational objectives?Debriefing StrategyHow do you integrate flipped content into your in-class time? 17. Considerations for Flipping Curricular How many classes incorporate flipped content? Is there consistency in the approach? Student time burden? Per day/week/class? Is their consistency in the debriefing strategy? 18. Considerations for Flipping Personal Technology Whats your comfort with a given technology? Time cost for development? (Recouped later) Integrative plan? Development of support materials 19. Considerations for Flipping System Technology University resources can lower costs Video servers? Internet connection consistency Instructional Technology support for faculty 20. Considerations for Flipping Course-level considerations Contact hours issue In what way does blending/flipping help? Support materials Ratio of in-class to online/recorded content? 21. Considerations for Flipping Debriefing Strategy In-class review? Student driven vs. faculty facilitated? What do you do with the extra time? Establish Expectations 22. Photo courtesy white-balance via flickrChoosing the right medium, so that it disappearsTHE TOOLS OF THE FLIP 23. VIDEO CREATION 24. VIDEO HOSTING 25. LMS PLATFORMS 26. Why Do We Do This? 27. DEVICE AGNOSTIC 28. EXAMPLE 29. Streaming Video & Lectures Moodle Anywhere 30. Course Number and Title: Cohort Code and Semester:PT 734 Musculoskeletal Physical Therapy 1 DPT 3 Semester 3 31. EMBEDDED WITHIN ONLINE CURRICULUM 32. I believe another problem is that we still don't understand the true mechanism of many cases of LBP. As was mentioned in one of the video lectures, even society's favorite "go-to" to find answers (diagnostic imaging) will likely be inconclusive, as degeneration is a normal part of the aging process. Even an image with a positive "deformity" finding might not be the true cause of the pain. So not only is over-treatment an issue, but I would argue that "over-diagnosing is as well. 33. Questions: Describe the Regional Interdependence (RI) concept Define and describe the 2-Joint Rule Discuss examples from the literature representing a variety of reports types (RCT, case-series, correlational work, etc.) that support the concept of RI 34. Faculty Benefits 35. Flipper Confessions 36. Flipping Texas State Universitys Entry-level Physical Therapist Musculoskeletal Curriculum and Implementation of a Hybrid Learning Model Boucher BB, Robertson R, Wainner RS, Sanders B. (In Press) 37. Challenges Applied profession: skills mastery as well as knowledge acquisition Limited resources: faculty, up-to-date information, time Students: expectations, learning style variability, location, competing demands 38. Flipping it from 2009 Present Out-of-Class On-line lectures Lecture Prep sheets and handouts Selected primary readings Skills practical in clinic with clinician examiners In Class Interactive discussion, problem solving and casebased clinical reasoning and decision making Formative mini-lab exams (FMLE) Evidence-based practice (EBP) assignments 39. Technology Pre-class preparation Screen capture Researched topic and Scripted audio (in-house and later collaborative) Uploading to central server LMS formatting and preparation Mobile devices in mind In-class Execution Smart classroom station Ceiling mounted projection camera (lab) 40. Recorded Lecture Use 41. Survey Outcomes 42. Academic Outcomes Course grade averages (practical & written) remained relatively unchanged No practical failures 1st year of fully implementation* *Clinician examiners 43. Selected Student Comments 44. Selected Student Comments 45. Selected Student Comments 46. Benefits Customize learning to the specific needs of the individual Provide immediate feedback Create a constructive learning environment Motivate students to perform beyond externally imposed requirements Build enduring conceptual structures Forearm J. 5 ideal learning standard. Next-generation educational technology versus the lecture. ) EDUCAUSE -Review. 2003;July/August:1222 47. How I develop blended learning experiences.ERICS PROCESS 48. Constructing the Base I develop a PowerPoint Presentation 49. Slide Design Font. 50. Currently, there are over 80,000 ACL injuries in the U.S. each year. Over 90% of those will be surgically repaired. Cochrane SR, 2005, Benjaminse, 2006Its a paradigm DPTMWG 51. Pros and Cons of Slide-by-Slide Audio Takes more time Can feel disjointedRequires logistics planning Can update slides laterCan move slides around Time investment stays up front 52. On scripts 53. Play the PowerPoint Screen capture Things I do when recording: Set Up Slideshow: Present from window Camtasia: Custom screen size System Audio plugin active May or may not use timings to advance slides 54. Work Area in Camtasia 55. Getting Fancy! 56. Getting Fancy! 57. Making a Movie Advanced Export as an MP4 file Upload file to Vimeo Pro Account Can control access to source video file Mobile ready I pay for this personally, just FYI. Worth it to me. 58. Insert into Learning Platform 59. Apply Student-lead discussions Group work sheets Quizzes Lab Activities 60. DISCUSSION TIME