The strength of a Wiki is in its ability to foster collaborative learning. To demonstrate this, I have created a lesson plan in which medical students and residents contribute as a small group to creating medical protocols for prehospital providers, using the development of a protocol for treatment of allergic reactions as an example.
Title: Protocol Development for EMS
Target Audience: New medical directors, residents, medical students interested in learning development of new medical protocols for prehospital providers.
Learning / Training Objectives:
- By the end of the course, the student should have gained familiarity with using a Wiki for collaborative learning.
- The student should have gained a better understanding of development of medical protocols.
Materials Needed:
- Articles
- Handouts
- Computer with Internet Access
- Medical Reference materials of your choice
Class Outline:
OBJECTIVES
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TASKS
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TO-DO SUMMARY
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WEEK 1
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Introduction to Wiki
Class Introductions
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Create an introductory presentation to meet the rest of your classmates. Watch the video and review the material on how to create a Wiki.
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VIDEO: Intro to Wikis
Review Handouts
Introduction PPT
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WEEK 2
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Intro to Wiki
Introduction to Basic Protocol Development
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Review the handouts on adding multimedia to your Wiki. Use this information to practice on our main group Wiki site, so you can play with the features before working on your group projects. Also review the
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VIDEO: How to Embed Videos in Wiki
Review Handouts |
WEEK 3
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Introduction to EMS
Scope of Practice
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Within your groups, meet via Wimba or Zoom to discuss how you might want to divide the workload for your group Wiki. Continue to use the practice Wiki to play with various features. Review the materials on EMS scope of practice in our region.
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LINK: Eastern PA EMS Protocols
Review Handouts
Meet with Small Group
Use Practice Wiki
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WEEK 4
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Creation of Wiki:
Review Medical Problem (Allergic Reactions) and its EMS Treatments
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Your group may divide the work over this 3 weeks however is needed. Start by reviewing presentation of allergic reactions (by severity) and treatments used by EMS. Use journal articles to review most up-to-date, evidence-based medical treatments. Start contributing this information into your group Wiki, including supporting docs.
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Review Handouts
Research EBM on Allergic Reactions
and their Treatments
Start Wiki
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WEEK 5
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Creation of Wiki:
Algorithm Creation
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Once you have the basic understanding of how EMS manages the various levels of allergic reactions, start creating your algorithm. I suggest adding information in regards to medication dosing, administration, and contraindications. Be creative! Add videos, diagrams, pictures!
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Discuss with Small Group
Continue contributing to Wiki using Evidence-Based Medicine
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WEEK 6
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Creation of Wiki:
Fine-Tuning, including Creativity!
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Use this final week of Wiki Creation to fine-tune your group's protocol. Review your treatment suggestions for each severity of allergic reaction. Review how EMS should be judging allergic reactions based on severity (symptoms, vitals, etc). Add multimedia to enhance creativity!
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Fine-tune your Wiki
Complete Wiki project by the end of the week
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WEEK 7
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Presentation of Protocols
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Review each of the other groups' protocols (Wikis). Comment on the Wiki presentation. Comment on the protocol: its ease in following, potential confusing points, their use of Evidence-Based Medicine, etc.
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Review the other groups' Wikis and leave comments, suggestions
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WEEK 8
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Course Wrap-Up
Feedback
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Participate in the survey to evaluate your group's Wiki. Complete self-evaluation. Complete survey on the utility of the Wiki as a learning tool.
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Complete survey for Wikis
Complete self-eval
Complete course eval
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Evaluation:
- Total 100 points
- Wiki Contribution:
- Based on self-evaluation and evaluation from peers
- Total 10 points
- Wiki Content:
- Based on utilization of evidence-based medicine (EBM), citing at least 6 articles
- Use of APA 6th edition for citations
- Grading Rubic to also include ease of following protocol, use of EBM
- Total 60 points
- Wiki Creativity:
- Visual appeal and Interactivity, based on self-evaluation and peer evaluation
- Total 30 points
References:
"Wikis in Plain English." http://www.youtube.com/watch?v=-dnL00TdmLY
"How to embed videos into Wiki." http://www.youtube.com/watch?v=I4xsmSWZFEI
Eastern PA EMS Council BLS / ALS Protocols. http://www.easternemscouncil.org/education/als-bls-protocol/
Hi Kayla.
ReplyDeleteI thought your lesson plan was well designed. I think you have a particularly strong approach for building up your students understanding and comfort with the wiki technology, as well as building cohesive wiki development teams. West and West (2009) explain how, "successfully online collaborative writing is dependent not only on cognitive skills, such as Web skills and writing, but also on a number of affective, or values-based behaviors" (p. 27). The blend of scaffolding, framing and team building activities that you have included in the lesson plan, seem likely to create the six skills and behaviors West and West recommend (p.27). In my own experience, I know Dr. Kang's similar use of such curriculum components have helped me to overcome my technology skills gaps and allowed me get to know and trust my classmates. Well done!
I have a question. Would it be your intention that, once this wiki was built, it could be a "how to" page that other EMS and medical workers could use to learn about this protocol?
Holly
West, J. and West, M. (2009). Using Wikis for Online Collaboration: The Power of the Read-Write Web. San Francisco, CA: Jossey-Bass. ISBN: 978047034333
Thanks for your post Holly. Yes, this Wiki certainly could remain in place to allow other providers to review and learn about the suggested protocol. The main idea was to allow students to collaborate in an asynchronous manner in order to complete the protocol, but once completed, it would be accessible for other providers to review. Clearly though, since used in a classroom setting, it would only be available to review as a suggestion rather than a recommended protocol to follow, unless approved by that agency's medical director. Good point though!
DeleteHi Kayla. Your use of scaffolding is excellent. It makes the assignment so easy to understand on a week by week basis. Your assignments are clearly grouped and grading criteria makes it very understandable for a student to comprehend exactly what is expected of them each session. Great idea for a topic. Your presentation is clear and accurate for the reader to follow. Thanks for your contribution.
ReplyDeleteCarolyn
Stavredes, T. (2011). Effective Online Teaching: Foundations and Strategies for Student Success. San Francisco CA: Jossey-Bass.
Kayla,
ReplyDeleteI was really impressed with your wiki assignment. I particularly enjoyed the way you clearly laid out and explained what needed to be done. Part of the wiki process is encouraging students to work in a collaborative space, I think your lesson plan does a good job of presenting the assessment guidelines as presented by West & West (2009), since you include the "what" and "who" of assessment. Good work.
West, J. A., & West, M. L. (2009). Using wikis for online collaboration: The power of the read-write Web. San Francisco, CA: Jossey-Bass.