Blended teaching of clinical skills (optometry)

Blended Learning: 

The training is divided into 7 short course units. Each unit relates to a specific core competency derived from existing ophthalmic speciality competency frameworks that define the knowledge, skills and attributes to undertake extended practice in Medical Retina. Each unit is equivalent to a 1 hour face-to face lecture.

  • Material, activities and recordings centralised on the Moodle module. 
  • Independent learning online with narrated Powerpoints for lecture content 
  • Interactive webinars incorporating case-based discussions. Recordings made available on Moodle 
  • Online quiz as formative assessment to provide ongoing feedback, monitor progress and identify learning needs. 
  • Face to face clinical sessions.  
  • Summative assessment:  a formal accreditation assessment in the form of an online test 

Learners expected to study for 50 notional hours over 3 months. Of these hours approximately 10 deemed contact hours: 7 x 1-hour online lectures, 3 x 1-hour webinars. 

Strength: authentic material and learning

“John’s narrated PowerPoints were really well designed i.e great use of clinical imagery which he then explained” Thomas Hanley, Educational Technologist supporting the project

The Moodle quiz used retinal scans taken from the electronic patient record database at Moorfields Eye Hospital London. Anonymised scans showing disease progression or stabilisation of patients with age-related macular degeneration over multiple clinic were used to assess clinical decision-making.

 

The synchronous sessions also aimed to provide an authentic experience. They were delievered by an external clinical expert who accessed the clinical database in real time (patient details were anonymised by obscuring part of the screen)

Feedback

A survey was sent to the course’s participants to obtain their feedback on the content and format. Overall there was very positive feedback from a great majority of respondents with regards to the online content, format and delivery.

How did you feel about studying online as opposed to receiving face to face training? 

Chart of overall satisfaction with online learning

Some takeaways and considerations for your own practice:

“All good, but a development point could be to adapt teaching style for online presentation. [In my opinion] there is no need to read out the PowerPoints, but perhaps highlight certain points. Keep the presentations to under 20 minutes. I’m afraid I was in danger of getting distracted with the longer ones. – Survey respondent

Most survey respondents did not have an issue with only participating in the webinars via chat.

“Text was much better as less interuptions and the audio of the presenter is clearer without everyone else’s microphones enabled” – Survey respondent

Most survey respondents also agreed that it would have been helpful to use discussion forums during and after the training for peer support.

Students on the training were also provided with some guidance on using the features of Adobe Connect for the live sessions


 

Developing First Aid Skills Online

HS1925 Practice 1: Foundations in Nursing Care

Developing first aid skills

What the academics did: Usually a practical element of the course. The academics used the Moodle lesson activity and Moodle quiz to create interactive resources for students. In total 6 activities and 9 resources were created. Students were told the whole section would take around 4 hours (6 hours maximum) to complete and they were given 3 weeks to complete it. They were expected to complete the activities in order. Reports on Moodle were used to identify if students had completed the activities and a Q&A forum was used to get feedback from students on the activities.


1. Narrated PowerPoint (Present)

Welcome presentation (4.35mins long)
Goes through the organsiation and content of activities.
Tells students that the whole section will take around 4 hrs (maximum 6 hours)

Course welcome presentation Course welcome presentation


2. Lesson activity (Apply and review)
6 minute video followed by quiz questions

Lesson activity in Moodle Lesson activity in Moodle


3.
Presentation and links to reading followed by Quiz activity (Present, apply, review)

Students are provided with links to the legislation and are then required to take a quiz to apply and review their knowledge on the key bits of legislation.

Reading on HS1925 Links to reading followed by quiz questions

4. Instructional video (Present and apply)

Short (6.45min) home made video to demonstrate practical skills for students to try out at home.

Instructional video Instructional video


5. Scenarios –
using the lesson activity (which allows branching) (Apply and Review)
Students are given a 2.33min introduction with instructions. They required to select three First Aid scenarios (out of a total of 9)
They note down their answers and get instant feedback on their analysis of the condition and suggested treatment.

Scenario activity in Moodle lessonlesson Scenario activity in Moodle lesson

 

6. Build a first aid kit exercise (Present, apply, review)
Students are required to use the online resources to find out what equipment a workplace first aid kit should contain. They then apply this knowledge to build their own kit online using the Moodle feedback activity. Students receive instant feedback on whether their choices were correct or incorrect.

7. Video resources (Present)
Students are provided with several YouTube video resources created by the Red Cross.

Video resources YouTube video resources