Archive for May, 2009

Twitter Weekly Updates for 2009-05-31

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Assessment in an outcomes based curriculum

I attended a seminar / short course on campus yesterday, presented by Prof. Chrissie Boughey from Rhodes University. She spoke about the role of assessment in curriculum development and the link between teaching and assessing. Here are the notes I took.

Assessment is the most important factor in improving learning because we get back what we test. Therefore assessment is acknowledged as a driver of the quality of learning.

Currently, most assessment tasks encourage the reproduction of content, whereas we should rather be looking for the production of new knowledge (the analyse, evaluate and create parts of Bloom’s top level cognitive processes).

Practical exercise: Pick a course / module / subject you currently teach (Professional Ethics for Physiotherapists), think about how you assess it (Assignment, Test, Self-study, Guided reflection, Written exam) and finally, what you think you’re assessing (Critical thinking / Analysis around ethical dilemmas in healthcare, Application of theory to clinical practice). I went on to identify the following problems with assessment in the current module:

  • I have difficulty assigning a quantitative grade to what is generally a qualitative concept
  • There is little scope in the current assessment structure for a creative approach

This led to a discussion about formal university structures that determine things like, how subjects will be assessed, as well as the regimes of teaching and learning (“we do it this way because this is the way it’s always been done”). Do they remove your autonomy? It made me wonder what our university official assessment policy is.

Construct validity: Are we using assessment to asses something other than what we say we’re assessing? If so, what are we actually assessing?

There was also a question about whether or not we could / should asses only what’s been formally covered in class. How do you / should you asses knowledge that is self-taught? We could for example, measure the process of learning, rather than the product. I made a point that in certain areas of what I teach, I no longer assign a grade to an individual peice of work and rather give a mark for the progress that the student has made, based on feedback and group discussion in that area.

Outcomes based assessment / criterion referenced assessment

  1. Uses the principle of ALIGNMENT (aligning learning outcomes, passing criteria, assessment)
  2. Is assessing what students should be able to do
  3. “Design down” is possible when you have standardised exit level outcomes (we do, prescribed by the HPCSA)
  4. The actual criteria are able to be observed and are not a guess at a mental process, “this is what I need to see in order to know that the student can do it”
  5. Choosing the assessment tasks answers the question “How will I provide opportunities for students to demonstrate what I need to see?” When this is the starting point, it knocks everything else out of alignment
  6. You need space for students / teachers to engage with the course content and to negotiate meaning or understanding of the course requirements, “Where can they demonstrate competence?”

Criteria are negotiable and form the basis of assessment. They should be public, which makes educators accountable.

When designing outcomes, the process should be fluid and dynamic.

Had an interesting conversation about the priviliged place of writing in assessment. What about other expressions of competence? Since speech is the primary form of communication (we learn to speak before we learn to write), we find it easier to convey ideas through conversation, as it includes other cues that we use to construct meaning. Writing is a more difficult form because we lack visual (and other) cues. Drafting is one way that constructing meaning through writing could be made easier. The other point I thought was interesting was that academic writing is communal (drafting, editors, reviewers all provide a feedback mechanism that isn’t as fluid as speech, but is helpful nonetheless), but we often don’t allow students to write communally.

Outcomes based assessment focusses on providing students with multiple opportunities to practice what they need to do, and the provision of feedback on that practice (formative). Eventually, students must demonstrate achievement (summative).

We should only assign marks when we evaluate performace against the course outcomes.

Finally, in thinking about the written exam as a form of assessment, we identified these characteristics:

  • It is isolated and individual
  • There is a time constraint
  • There is pressure to pass or fail

None of these characteristics are present in general physiotherapy practice. We can always ask a colleage / go to the literature for assistance. There is no constraint to have the patient fully rehabilitated by any set time, and there are no pass or fail criteria.

If assessment is a method we use to determine competence to perform a given task, and the way we asses isn’t related to the task physio students will one day perform, are we assessing them appropriately?

Note: the practical outcomes of this session will include the following:

  • Changing the final assessment of the Ethics module from a written exam to a portfolio presentation
  • Rewriting the learning outcomes of the module descriptors at this year’s planning meeting
  • Evaluating the criteria I use to mark my assignments to better reflect the module outcomes

Twitter Weekly Updates for 2009-05-24

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Results of a reflective blogging assignment in physiotherapy ethics

Earlier this year I gave my 4th year Ethics class an assignment in which they were required engage in a reflective exercise that not only encouraged interaction with others, but allowed them to see that their own perceptions of the world were different to others’.

Reflection has been shown to be a significant factor in developing clinical and ethical reasoning skills, so the initial requirement was to read two articles and then post a short reflection on each. Other students would then comment on your reflections and you would have to respond to that comment, hopefully having considered your colleagues comment. The learning objectives of the assignment were to:

  • Understand some of the ethical problems inherent in the South African healthcare system
  • Be able to discuss some types of ethical dilemmas in healthcare, even if they are not directly related to physiotherapy
  • Understand the role of reflection in your professional development, especially in the clinical and ethical reasoning process
  • Have participated in an online, networked conversation with your peers
  • Acknowledge the differing perspectives of others who may experience the world in different ways
  • Understand some of the advantages and disadvantages of using new technologies in healthcare education

I set up a WordPress blog on my own server because I wanted the students to have full control over their data (and it was surprisingly difficult to get access to a university server), created an author account for each student and then gave a tutorial on blogging and the blogging environment. The 47 students then had about a month to complete the assignment before the blog was closed to everyone.

Here are some quick stats:

  • 94 posts (2 each)
  • 222 comments (some students made more than the 3 that were required)
  • 109 tags (the main ones being MDR-TB, Apartheid and Torture)
  • 3983 pageviews (pretty impressive for 47 students)

While the initial results seem to be favorable, I have to say that anyone who assumes that all students in higher education are tech-savvy, needs to rethink that idea. One of the biggest challenges I had was trying to get students to understand what a blog is. And I don’t mean the deeper meaning of what blogging is, I mean the concept of a website that they could edit. Forget about RSS feeds and blogging software clients. The notion of digital natives does not apply here, and if the use of technology in education is going to move forward (in this country, at least), this is one major challenge that’ll have to be overcome.

You can download the content of the blogging tutorial here (2.4 MB ppt). I’ll be opening up the blog to the public once I’ve graded them, and will be presenting the results of an evaluation at the SAAHE conference in July.

First article published

I just had my first research article published. It’s based mainly on the literature review I did for my Masters degree last year, with a few updates. It’s strange, but when I submitted it about 6 months ago, I thought it was a reasonable piece of work. Reading it now, I feel like taking it back and editing the hell out of it. Does anyone else look back at their earliest work and feel like hiding under a table?

I’m putting the abstract up here in case anyone is interested. The title of the article is “Information and communication technology in health: a review of the literature”.

Abstract

Information and communication technology has been shown to be increasingly important in the education andprofessional practice of healthcare workers. The World Health Organisation (WHO) discusses the benefits of using ICT in the Primary Healthcare setting in terms of better access to information, improved communication between colleagues, facilitating continuing professional development and providing learning tools for healthcareprofessionals, patients and the community as a whole. This review of the literature describes the role of information and communication technology (ICT) in the education and professional practice of healthcare workers and goes on to outline the challenges facing the widespread adoption of ICT. The conclusion is that ICT does indeed have a positive role to play in both the education and professional practice of healthcare workers, including physiotherapists, as long as it is implemented as an adjunct to established and proven practice, and not a replacement.

Digital course readers

When I took over the modules I currently teach, I inherited several folders containing the course readers for each subject, which had been “developed” over many years. They consisted mainly of a selection of photocopied or typed pages, loosely related, inconsistently formatted, poorly referenced, often duplicated and impossible to search. When students needed to find a paragraph or definition, it was a case of trying to remember if it was more towards the beginning, middle or end of the reader, opening it up and flicking through it page by page until they found what they were looking for. This clearly wouldn’t do.

The readers had to be converted into a digital format. Some of the more obvious advantages of digital text over printed text are highlighted in the introduction of Michael Wesch‘s video titled “The machine is us/ing us“. While the video is actually about the semantic web and how we’re creating meaningful relationships between content through our actions (clicking links), it does illustrate that the starting point is digital text.

I’ve spent a lot of my free time over the past year or so typing, collating, editing, formatting, referencing and indexing all of the original content from those course readers, as well as adding images, and links to videos (mainly YouTube) and open access research articles (like PubMed Central, BioMed Central and IJAHSP). It’s now possible to auto-generate a table of contents, which eliminates searching in the printed version, and regularly updating the reader to better reflect the latest evidence is trivial. I’ve added self-study questions related to additional reading after each section, as well as empty space for guided reflection on the topic just covered. The text is consistently formatted, as are the headings and references, which provide a framework for an easier understanding of the work.

I’ve also provided the digital version of each course reader to the students, so that they can update it as they see fit. I hope that as they develop as physiotherapists, their digital readers might be upgraded often and possibly converted to other formats. I’ve had one student ask about installing a wiki locally on his machine and moving the content into it. Finally, I removed the generic copyright notice on the cover and added a Creative Commons license.

The next logical step is to move the “official” course reader into a shared wiki and encouraging students to make changes there. If this were to be integrated with social bookmarking and blogs, it might facilitate real engagement with the subject, which I think might be a good thing.

Did you know?

I recently came across an updated version of the Did you know 2.0 video that was doing the rounds in 2006/2007.  Did you know 3.0 has new statistics (although they’re probably already outdated) and a different visual appeal.

If you haven’t seen it and are interested in the role the internet is playing in fundamentally changing society and education, it’s definitely worth a look.

Twitter Weekly Updates for 2009-05-17

  • “Encouraging educators to blog” http://bit.ly/2X2hO #
  • Article on PLoS re. management of large digital libraries for academics, together with adding “social” to research http://bit.ly/CWgHE #
  • Blog post discussing different challenges for researchers / scientists in managing their digital libraries http://bit.ly/xrBOT #
  • To err is human: building a safer healthcare system (free book from the National Acadamies Press) http://bit.ly/AdDgO #
  • ASCILITE conferences, a brilliant source of content for anyone interested in technology and education http://bit.ly/EugZP #
  • Inequality in society = high rates of drug /alchol abuse, mental illness, teenage pregnancy, homicide, and low literacy http://bit.ly/KuWEb #
  • Thought provoking post by Steven Downes re. open systems of assessment http://bit.ly/16U0Df #
  • Mendeley blog post on how the software affects journal impact factors and publishing models http://bit.ly/43bCB #

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Managing digital libraries

I just re-installed Mendeley after moving from Fedora to Kubuntu and in the process came across a few other posts / sites discussing the problem of managing large numbers of research articles.  Here’s a few of the more interesting ones I came across.

The more time I spend with Mendeley, the more impressed I am.  However, I’m a bit concerned that when importing my library this time, I’m short about 100 articles and have no way of knowing which ones didn’t make it.

Looking forward to trying the 0.6.5 release of Mendeley…

Twitter Weekly Updates for 2009-05-10

  • “Fate of the book” by Kevin Kelly (ex-editor of Wired)…lots of other great posts too http://bit.ly/2HAk8 #

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