1. Short Interactive Anytime Lectures an Approach to Night Time Resident TrainingMark D. Pease MD PhD & Elizabeth A. James PhDTulane University School of Medicine, Department of Pediatrics and Public Health and Tropical Medicine, New Orleans, LA IntroductionBlended Learning EnvironmentsWiki Archive Peer Production SiteRestrictions in the duty hours of residents has resulted in Blended environments are a blending of physical and virtual elements creating aincreasing the frequency of patient turnovers and decreasing learning experience.the face-to-face training time. On an institution level, it is more Physical Spacedifficult to have all relevant team members together at one Virtual Social Space i.e. Facebook etctime and in one place. Virtual Public Communication Space i.e. Adobe Connect Virtual Private Space i.e. Adobe Connect, email, IMWith this in mind, online teaching methods have been shown Real Time Virtual Environment such as Adobe Connects Center allows:to be a successful alternative to traditional training.1 Online Participation from any platform i.e. smart phone, iPad, Computer, etc.methods have been used to expand basic resident education Participants can be present via live video, static image, texting, listening orbut also to facilitate patient turnover or handoffs. 2. Duke hasbroadcasting (oral)developed a resident Web-based training system that Includes the ability to share: data, text, image and video i.e. lab results, imagessuccessfully incorporates streaming video that is available Polling to facilitate engagement of participants and as an assessment / consensusonline.3tool Meetings can be automatically recorded and pod casts generated for futureOne of the limitations of current established online training isresource and training.the lack of interactivity,4 thus weakening Texting during Easy real time entry for one, two or many individuals to access.teaching, development of problem solving skills, optimization Virtual Classroom Real Time Interaction meeting. Built in video and pod cast recordings generated fromdiscussionVirtual Meeting Recorded (automatically)of patient care, team building and learner engagement.Video & Pod Cast Added to Wiki (persistent media)Accessible from Multiple Platforms Available for Multiple Format PostingsObjectivePresented here is a method to have real time interactivetraining that is location and platform independent that may bearchived as a persistent learning resource. Wiki sites are tools that can be used for peer production Short videos or pod casts created by attending to develop and maintain knowledge for use by physicians, consultants, residents, and/or internsindividuals and a community. that are directly related to a patient currently May also be used as a repository for information receiving treatment via use of the virtual classroom. including that generated in the Virtual Classroom. Video, pod casts or image files may be posted on a Co-creation of materials, services and end product Learning Management (LMS) system such asdevelopment (prosumer i.e. producers as well as Blackboard or a Wiki for collaborative development. consumer.) Wiki & LMS are compatible for use with discussion Peer production efforts not only enhance the cohesion boards or Blogs for ongoing discussion.Polling of the team but help to focus on genuine needs of the The learning experience is made real time by a community which are not always perceived correctly number of technological innovations.from the outside. One-on-One training as well as on the fly group Peer production in wiki, blogging and virtual on line teaching can be accommodated by enlisting meetings leads to a directed evolution of solutions and different platforms for example the virtual drives innovation and growth as a function of their co- classroom Adobe Connect facilitates face-to-faceinnovation. group meetings with multiple remote participants. Transparency in contribution and training of Night Time Technologies such as duel camera phones andResident and all participants is critical for speeding up FaceTime allow a dynamic one on one video development and implementation of innovative solutions Platform Independent Virtual Conference Room Access conversation. References solutions. to problems as well as repurposing Principles of structure: openness, peering, sharing and acting globally. Patient and Web Data 1.Efficacy and efficiency of Webcast orientations versus live resident orientations:Results of a 2-year survey. J Grad Med Educ. 2010;2:136-140Uploaded in Real Time 2.Hospital Handoffs for Intern Orientation (video).http://www.slideshare.net/MergeLab/hospital-handoffs-for-intern-orientation. AccessedMedical Image Data Lab Data WebDec 15, 2011.3.The development of a Web-based resident signout training program. Conf Proc IEEE Int ImagesConf Syst Man Cybern. Dec 4, 2009, 2509-2514.Participants4.Handoffs in the Era of Duty Hours Reform: A Focused Review and Strategy to AddressChanges in the Accreditation Council for Graduate Medical Education Common Program Attending, Residents, Students, Guests Requirements, Academic Medicine, Vol. 87, No. 4 April 2012 Seamless mobile e-learning and e-participation makes5.Decreasing Adverse Events through Night Talks: An Interdisciplinary, Hospital-BasedQuality Improvement Project, The Permanente Journal/ Fall 2009/ Volume 13 No. 4this platform convenient for all users. 6.Adequacy of information transferred at resident sign-out (in hospital handover of care): Platforms can include smart phones, iPads, Mac Patient data in many formats can be used via the virtual and directly viewed and edited. a prospective survey, Qual Saf Health Care 2008;17:6-10computers , PCs White board options for idea development.7.Understanding the mobile internet to develop the next generation of online medical FaceTime can be fully HIPAA-compliant through teaching tools, J Am Med Inform Assoc 2011;18:875-87 Use smart phon technology, real time diagnostic, treatment and pathophysicalolgy,8.Rich internet application system for patient-centric healthcare data management usingproper configuration. Drug information is coming from automatically updated drug databases. Orders written handheld devices. Engineering in Medicine and Biology Society, 2009. EMBC 2009. Virtual Classroom by Adobe can be HIPAA compliantat nurses stationAnnual International Conference of the IEEEif installed on compliant server. Teaching happens 9.Using the Battlefield Telemedicine System (BTS) to Train Deployed Medical Personnel inComplicated Medical Tasks - A Proof of Concept. Adobe Connect, Stud Health Technol Virtual Learning Environments Night Shift ResidentsInform. 2012;173:215-7 Tulane University CAEPH Distance Learning