Creation and Online Use of Patient-Centered Videos, Digital Storytelling, and Interactive Self-testing Questions for Teaching Pathophysiology.

BACKGROUND: Nursing students need to not only understand the pathophysiological basis of disease but also acquire insight into its effects on patients and their families. PURPOSE: Digital storytelling was used to engage students in self-directed, online learning, allowing them to identify with patients dealing with disease and its consequences. METHODS: Scripts were written and videos created that simulated patient experiences with select diseases of the gastrointestinal and respiratory systems as well as diabetes. Videos plus online self-testing questions were provided to nursing students studying pathophysiology and student outcomes on summative examinations compared before and after introduction of the videos. RESULTS: Students had improved outcomes on summative examination questions that targeted diseases addressed in the video modules. CONCLUSIONS: Digital storytelling is an effective way to portray illness from a patient perspective, and the addition of this approach to pathophysiology instruction can benefit student learning.

Use of Feedback-Oriented Online Exercises to Help Physiology Students Construct Well-Organized Answers to Short-Answer Questions.

Postsecondary education often requires students to use higher-order cognitive skills (HOCS) such as analysis, evaluation, and creation as they assess situations and apply what they have learned during lecture to the formulation of solutions. Summative assessment of these abilities is often accomplished using short-answer questions (SAQs). Quandary was used to create feedback-oriented interactive online exercises to help students strengthen certain HOCS as they actively constructed answers to questions concerning the regulation of 1) metabolic rate, 2) blood sugar, 3) erythropoiesis, and 4) stroke volume. Each exercise began with a SAQ presenting an endocrine dysfunction or a physiological challenge; students were prompted to answer between six and eight multiple-choice questions while building their answer to the SAQ. Student outcomes on the SAQ sections of summative exams were compared before and after the introduction of the online tool and also between subgroups of students within the posttool-introduction population who demonstrated different levels of participation in the online exercises. While overall SAQ outcomes were not different before and after the introduction of the online exercises, once the SAQ tool had become available, those students who chose to use it had improved SAQ outcomes compared with those who did not.

The use of limericks to engage student interest and promote active learning in an undergraduate course in functional anatomy.

The study of anatomy is a content-dense discipline with a challenging vocabulary. A mnemonic is a series of letters, a word, a phrase, or a rhyme that students can use when studying to facilitate recall. This project was designed to promote active learning in undergraduate students studying anatomy and physiology by asking them to create limericks based on course content and then to evaluate the limericks written by their peers for learning value, accuracy, style, and adherence to limerick characteristics. Students (278 and 288, respectively, in the 2009 and 2010 sections of ANP1107) worked in groups of three to create a total of 242 limericks. Peer evaluation was accomplished in two stages using a 20-point marking rubric. In Stage 1, students were randomly divided into 10 groups (n = 23 ± 2 students) with each group member evaluating the same 12 ± 1 limericks. In Stage 2, the top 19% of limericks were reevaluated by all students so that the best three could be chosen. In each of the two years, 60% of students completed all parts of the assignment. Higher percentages (75-80%) participated in limerick writing and one of the two assessment stages. A positive association was noted between level of student participation in the limerick assignment and final course marks. Limerick creation and evaluation can be used to promote active learning by encouraging students to review functional-anatomy-based content to create limericks with good learning value and to provide valid assessments of limericks written by their peers.

The development of interactive online learning tools for the study of anatomy.

BACKGROUND: The study of human anatomy is a core component of health science programs. However large student enrolments and the content-packed curricula associated with these programs have made it difficult for students to have regular access to cadaver laboratories. METHODS: Adobe Flash MXwas used with cadaver digital photographs and textbook-derived illustrations to develop interactive anatomy images that were made available to undergraduate health science students enrolled in first-year combined anatomy and physiology (ANP) courses at the University of Ottawa. Colour coding was used to direct student attention, facilitate name-structure association, improve visualization of structure contours, assist students in the construction of anatomical pathways, and to reinforce functional or anatomical groupings. The ability of two-dimensional media to support the visualization of three-dimensional structure was extended by developing the fade-through image (students use a sliding bar to move through tissues) as well as the rotating image in which entire organs such as the skull were photographed at eight angles of rotation. Finally, students were provided with interactive exercises that they could repeatedly try to obtain immediate feedback regarding their learning progress. RESULTS: Survey data revealed that the learning and self-testing tools were used widely and that students found them relevant and supportive of their self-learning. Interestingly, student summative examination outcomes did not differ between those students who had access to the online tools and a corresponding student group from the previous academic year who did not. CONCLUSION: Interactive learning tools can be tailored to meet program-specific learning objectives as a cost-effective means of facilitating the study of human anatomy. Virtual interactive anatomy exercises provide learning opportunities for students outside the lecture room that are of especial value to visual and kinesthetic learners.