Innovative Pathology Teaching in Medical Schools with limited resources. Technology Enhanced Cognitive Scaffolding (TECS) in a rural medical school.

1. TECS: Cognitive Scaffolding…
Shashidhar Venkatesh Murthy
B.Sc, MBBS, MD(path), GCTT, MBA(Edu), IFCAP
Assoc. Prof. & Head of Pathology
Technology Enhanced Cognitive Scaffolding (TECS)
Innovative Pathology Education Model.
ALTC National Teaching award winner.

2. TECS: Cognitive Scaffolding…
At Manipal University, India (23 Jan 2010)
Pathology (& Other) Staff
Academic, Full time, on campus
Dr. KRN
My prof. & VC

3. TECS: Cognitive Scaffolding…
Pathology (& Other) Staff
Academic, Full time, on campus
1 Pathologist & 1 Microbiologist…..!
At JCU SOMD, Australia (2012)

4. TECS: Cognitive Scaffolding…
INDIA
AUSTRALIA

5. TECS: Cognitive Scaffolding…

6. TECS: Cognitive Scaffolding…
Degeneration
& Regeneration
of Pathology….!

7. TECS: Cognitive Scaffolding…
LECTURALGIA*
(Painful lecture)
“Syndrome experienced by members of
the lectured-to audience”
Frequent cause of morbidity for both
teachers and learners…
McLaughlin K, Mandin H. – Medical Education 2001; 35:1135-1142

8. TECS: Cognitive Scaffolding…
Lecturalgia
But...Pathology is the
foundation of medicine...!

9. TECS: Cognitive Scaffolding…

10. Weekly CPC
MD4020 – Sep 2010
• Integrated Clinical
Pathology
• Detailed pathology
teaching outline to
tutors (clinicians).
• Clear Learning
Objectives.
• Major & Minor CLI’s
• Self assessment –
Keepads, quiz (print
& Online)
• Regular feedback
from tutors and
students.
Basic Science review
(SELF study)

11. TECS: Cognitive Scaffolding…
Anatomy Revision before Pathology Practicals
for 4th year Preclinical students.

12. TECS: Cognitive Scaffolding…

13. Gross Specimens – Digital Museum (2006)

14. Laboratory session:
Video streaming,
recording & Vodcast
Video recording & Webcasting

15. Digital Microscopy Lab: 2009
Microscopy Tutorial
without Microscope..!
(First in Australia) *
Classroom Soft. + Digital Pathology..!

16. TECS: Cognitive Scaffolding… Digital Microscopy Lab: 2012
Batch of 109 students
Microscopy Tutorial at a time
Only at JCU…!

17. TECS: Cognitive Scaffolding…

18. TECS: Cognitive Scaffolding…
Online Museum: Self study with video tutorials

19. TECS: Cognitive Scaffolding…
Online/Mobile: Review 24/7…!
• Pathology of Liver Disease.
• Pathology of Anemias
• Pathology of Leukemias
• On the drive…
• Mobile
Camtasia Vodcast

20. Did they understand..?

21. TECS: Cognitive Scaffolding…

22. TECS: Cognitive Scaffolding…
Electronic Student Response System: ESRS
Electronic Student Response System(ESRS) - 2007

23. 59y Male, obese, Diabetic patient presents to ER with sudden severe
chest pain, This is the specimen of his Aorta. What is the diagnosis ?
1 2 3 4 5
0 0 0
16
2
1. Atheromatous plaque.
2. Thrombosis on plaque.
3. Fusiform aneurysm.
4. Dissecting aneurysm.
5. Berry aneurysm.

24. TECS: Cognitive Scaffolding…
ESRS: Promotes Serious Learning…

25. ESRS:
Interactive & deep learning

26. ESRS: Instant Student Feedback…!
They didn’t
get it…!

27. ESRS: Feedback: Satisfaction at last.….(?)
Few need more
help...!

29. TECS: Cognitive Scaffolding…
Teacher’s Role:
• Inform
• Influence
• Inspire*
only by humans
not technology..!

30. TECS: Cognitive Scaffolding…

31. *
*
“is what a teacher does when working with a
student to solve a problem, carry out a task, or
achieve a goal which would be beyond his
unassisted efforts”
-Wood, Bruner, & Ross, 1976
….. inquiry as a matter of steps or phases
conducted in succession or in cycles expressed
in terms of expected student cognition….
Romberg & Carpenter, 1986.
Cognitive scaffolding… Winners Club*
(Individualized support for weak…)

32. TECS: Cognitive Scaffolding…
Winners Club: (Cognitive scaffolding)
1. Identifying students – ESRS.
2. Identifying needs – Interview.
3. Mentoring, Guide – Meeting.
4. Monitoring progress – ESRS.
“Mentoring is transformational because it’s not
just about behaviour, it’s about a change of heart.”
- - Ellis A. Ingram

33. TECS: Cognitive Scaffolding…

34. TECS: Cognitive Scaffolding…
Take the Y4 Challenge….!
Jan 2008:
4th Year Students at
JCU School of Medicine
set new record.…!!!
100% Pass & Class Average of >70%
2008 - Class Average 68%
Highest
2009 - Class Average 72%
2010 - Class Average 73%
Students feed back & Awards

35. TECS: Cognitive Scaffolding…

36. Will the class room survive..?
• Flexible & Distance learning
• Online / e-learning
• Rural & Remote students..?

38. Global teacher…..My dream…!
`Global Students….
Feedback
WIL / CPC
Digital Pathology
Media Lab
Podcast & Vodcast

Staff Support <10%
“Winners Club”


39. TECS: Cognitive Scaffolding…

40. Will the class room survive..?
YES,
Until computers develop personality...

42. http://www.jcu.edu.au/path/Index.html