Tag Archive: Surgical Training


Questioning strategies in Healthcare Training develop critical thinking, decision making, and problem solving in students. Bloom’s taxonomy of the six levels of cognitive learning can be used to provide a framework for creating questions. Bloom’s taxonomy starts from the simplest level of learning to the most complex level.  Simplest levels denote Knowledge and Complex levels denote Evaluation.

Sample Question for Knowledge Test:

Intravenous Urogram

Knowledge Test

Asking a learner to define Intravenous Urogram, (IVU) would test his/her knowledge levels.

Sample Question for Evaluation:

Intravenous Urogram

Complex Evaluation

A question is posed to the learner to  assess a request to perform an IVU on a patient allergic to iodine. Experiential activities/ simulations can be built to guide the learner in decision making. In this case, the learner gets to immerse in a simulated scenario, evaluate patient vitals, reports and assess the conditions under which an Iodine-allergic patient can be subjected to Intravenous Urogram.

Studies:

A baccalaureate nursing program study determined what proportion of terminal objectives for clinical nursing courses are high level objectives (analysis, synthesis, evaluation), and are the kinds of questions asked by teachers and students during clinical conferences of a high level also.  Despite the fact that stated objectives specified higher cognitive-level thinking, lower-level questions comprised 98.94% of the total number of questions asked by teachers and students in the clinical conferences surveyed.

Another study was performed within an Australian nursing program to examine clinical teachers’ use of questioning strategies.   The teachers’ years of classroom and clinical teaching experience, years of clinical experience, and academic qualifications were studied to see if an association between various qualifications and levels of questions existed.  Bloom’s taxonomy of the cognitive domain was used as a framework for the study.  The findings revealed clinical teachers asked more low-level questions (91.2%) than high-level questions (4.4%).

Lower level questioning do not promote critical thinking as they only trigger recall of information in the learner’s mind.  A simple recall of information does not enhance students’ understanding of the information in a meaningful way. Higher level questioning facilitates the development of critical thinking because it is aimed at higher cognitive levels, which involves application, analysis, synthesis and evaluation.   Educators should take advantage of stimulating questions more often to help create meaningful active learning instead of just prompting the simple recall of knowledge from students.

Roll back to 1985, when Chip Morningstar and Joseph Romero in designing LucasFilm’s multi-palyer online game Habitat.  This is when the word ‘Avatar’ was coined in its then context. Since then Avatars, Actors and Characters have some terms that describe the virtual representation of the player or user in varied contexts.

In the recent years, a stigma of focused effort has been constituted to establish a social context between the learner and the learning platform (be it any form of learning content).

In simple and practical terms, a Character or Avatar creates a social representation of a real person into a designated role within the learning program. Relating this to the current Healthcare Learning and Educational landscape, the involved persons are majorly Physicians, Students, Clinicians, Academicians and other allied healthcare professionals. Each individual applies to its specific competency role in the industry.

As we speak about the industry specific title, each title is entitled to a role which performs its designated role in a Practice-Based environment. A Practice-Based environment demands only and only Practice in Practical.

The challenge here is how does e-Learning transform learning to be virtual yet practical. How can e-Learning in it’s inorganic matter deliver results similar to that of organic and practical methods.

Avatars play the bridging role here. An Avatar can play various social roles.

Expert/ Instructor/ Coach: Here the character is modeled after an expert or knowledgeable human – most commonly a senior surgeon, professor, training manager/head or expert in the field such as a regulation,etc. Effective use of this role with the help of an Avatar ensures social engagement between the character (Avatar) and the student through a conversational tone, interaction, and feedback.

Learner/ User: An Avatar of learning establishes the emotional presence of the learner into the learning scenario. It simulates the learner’s belongingness within the learning context and situation. An Avatar created with situational and curriculum based contextual engagement allows the emotive mind of the learner to dwell into imaginative and experiential learning.

C0-learners or Peers: Avatars of co-learners or learning buddies create a sense of being accompanied. It helps eliminate the loneness factor of the learner and builds a scope of togetherness into the learning environment.

Immersive e-learning

In the study, We Learn Better Together: Enhancing e-Learning with Emotional Characters (2005) by Heidi Maldonado et al., it is discovered that the presence of a Co-learner resulted in learners performing better. Students with a Co-learner scored significantly higher than students without a Co-learner.

Google has brought many a resourceful applications through Google Labs.

Google Earth is a virtual globe, map and geographical information program that was originally called EarthViewer 3D, and was created by Keyhole, Inc, a company acquired by Google in 2004. The product was re-released as Google Earth in 2005.

Google launched the Google Maps API in June 2005 to allow developers to integrate Google Maps into their websites.

The list goes long with Google books, calendar, news, search, videos, wave and so on.

Last year Google launched its new high-tech 3D product- Google Body. Google Body is a detailed 3D model of the human body. You can peel back anatomical layers, zoom in, and navigate to parts that interest you. Click to identify anatomy, or search for muscles, organs, bones and more.

One can also share the exact scene being viewed by copying and pasting the corresponding URL.

Google Body, which is already available in web form, can now run on Android tablets that use the 3.0 Honeycomb version of Google’s mobile operating system. Using 3D graphics capabilities of the latest tablets such as Motorola’s Xoom, the hardware is now good enough to properly display a 3D-heavy app such as Google Body, which lets you look at your organs, muscles and bones.

It looks like a pretty cool way to explore the human body – just like earth or maps, you can strip away layers (i.e. skin, bones, etc.), rotate it in 3D, and search for body parts before having them highlighted in the app. Teachers are gonna have a gala time giving anatomy classes to students.

As healthcare facilities across the nation admit more patients, increase demands on doctors and face nursing shortages, they cannot afford to have their employees spend any more time taking federally mandated training than is necessary. They need to save both time and money while ensuring that their staff have obtained required certification.

Inspired by the increased need for effective healthcare e-learning and by the need for healthcare educators to understand e-learning technologies and standards, instructional design techniques, and adult learning principles; InfoPro Learning, Inc started it’s healthcare e-learning practice. This independent function provides information and collaborative solutions and opportunities to the diverse set of individuals involved in healthcare e-learning, including instructional designers, healthcare educators and administrators, publishers, IT system administrators, and web developers.

According to the executive leadership of InfoPro,  “Other industries, including aviation and defense, have successfully leveraged online learning to train their workforces, but as with other technologies, healthcare has been far behind in using learning technologies effectively. Finally, healthcare is beginning to embrace e-learning as professional societies, universities, teaching hospitals, government, and commercial enterprises include it as a part of their overall strategy. What we have not seen yet is a lot of high quality content or cost-effective use of e-learning resources.”

Often experienced healthcare education providers have problems understanding where and how technology standards map into effective e-learning, and IT implementers often fail to understand the role of pedagogy. InfoPro Learning brings together the realms of technology and pedagogy for effective e-learning.

Our heathcare function serves as a comprehensive source for entities who produce and distribute online healthcare education for all levels of learners. Through our continous learning and practice we thrive to provide information and collaborative opportunities and solutions on a range of areas in e-learning including pedagogy (i.e., instructional design, assessment, distance learning, and curriculum development), technology standards, educational technology, educational metrics, e-learning economics, and issues and methods specific to healthcare education.

Areas for online healthcare education: Clinical Training, Surgical Training, CME through Distance Education, Healthcare Sales Force Training, Medical Equipment Training, Practice Management Training, Occupational Safety & Health Administration, and much more. 

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