Dr Anu Thukral dranuthukral@gmail.com Department of Pediatrics , All India Institute of Medical Sciences WHO-CC for Training & Research in Newborn Care

1. A paradigm shift in continuing professional
development of doctors & nurses
Dr Anu Thukral
dranuthukral@gmail.com
Department of Pediatrics , All India Institute of Medical Sciences
WHO-CC for Training & Research in Newborn Care

2. Challenge in Asia
Needs
 Numbers to be educated
 Standardized uniform
education
 Limited number of faculty
 How to quickly
disseminate evidence
based practices
Solutions
Use of IT
 Online – interactive
platform
 Offline – smart phones
 Mixed learning
WHO CC AIIMS

3. Outline
 Initiatives on education by AIIMS
 E- learning
Hard work of our Team for 20 years
- Used by our Professional organizations

4. NICU A NICU B

5. www.newbornwhocc.org

6. Online Learning –Advantages
- High Quality of resources
- Ensures forced / monitored adult interactive
learning
- Learning at leisure time
- Teacher can be at remote places
- Skill learning can be at partnering institutions

7. Barriers & challenges
 IT connection availability
 Lack of IT literacy
 Slow streaming
 Lack of time
 Drop outs
 Dwindling logs
 Keeping participants motivated

8. ONTOP Platform

9. Log in with user id and password

10. Enrolment by invitation
Interactive learning platform

11. Platform: User friendly

12. Available courses

13. Countries covered
1
2
3
4
5
6
7
8
Online mentors- Melbourne ,Sydney, Halifax, London, Dubai & 8 countries

14. Sick newborn course

15. Upcoming events, Recent Activity
Multiple cohorts

16. Multiple cohorts in one course!
Click on your cohort!

17. Week-wise lessons

18. Typical week lesson followed
by case studies

19. Case studies for DF

20. Discussion forum ongoing

21. Additional resource material.....

22. Latest News-New Evidence

23. Online chat
 Synchronous interaction
 Master Chatter: Key discussant (chat plan)
 Mentors and students
 Live interaction

24. Typical chat session
Master chatter Toronto; Other Faculty Goa , Pune , Kakinada , Delhi , Nepal

25. Activities on this platform
Online
 Latest News
 Hot topics forum
 Case study in discussion
forum
 Chat sessions
 MCQ
 Weekly online webinars
Offline
 Reading material
 Videos
 Webinars

26. Assessment methodology
 Multiple choice question scores
 50% weightage
 Single attempt
 Pass percentage 70%
 Discussion forum posts: 25% weightage.
 Participation in online chats and online
webinars (25% weightage)

27. Multiple choice questions (online)

28. Multiple choice questions........

29. How do we check?
Log in reports, Exam scores

30. Exam scores

31. Evaluation of Online Learning

32. Pre and post MCQ’s assessment
Centre Pre MCQ (25)
Mean (SD)
Post MCQ(25 )
Mean (SD)
P Value
A 17.8(3.0) 21.4(2.6) 0.006
B 15.4 (2.2) 20.3(2.5) 0.00002
C 15.75(1.7) 24.2(0.6) 0.00001
D 15.7(1.8) 20.2(1.5) 0.0001
E 10.7(2.9) 21.9(2.9) 0.00001
F 15.5(2.2) 21.7(2.7) 0.00001
G 14.1(3.1) 20.8 (2.7) 0.00002
Journal of Tropical Pediatrics 2012Dec;58(6):486–90

33. Pre and post OSCE assessment
Centre Pre OSCE (100)
Mean (SD)
Post OSCE (100)
Mean (SD)
P value
A 65.6(2.7) 88.0 (4.3) 0.001
B 65.6 (12.6) 83.4(10.7) 0.001
C 65.6 (12.6) 93.1(2.7) 0.002
D 81.5 (8.4) 78.7 (3.4) 0.45
E 60.5 (10.1) 86.8 (8.5) 0.003
F 74.04 (6.8) 92.5 (2.7) 0.002
G 72.7(15.01) 87.4 (3.2) 0.001
Journal of Tropical Pediatrics 2012Dec;58(6):486–90

34. Participants’ satisfaction on a
five point Likert’s scale
Parameter assessed Scoring [median (range)]
You would recommend the similar activity for the
benefit of your colleagues
5 (5-5)
This session will help to put the knowledge gained in to
practice
5 (5-5)
Your overall satisfaction from the course 5 (5-5)
The time pace of loading the modules was optimum
with desired time frame
5 (5-5)
Is this learning material exhaustive and time
consuming
1 (1-1)
Journal of Tropical Pediatrics 2012Dec;58(6):486–90

35. Participants’ satisfaction on a
five point Likert’s scale
Parameter assessed Scoring [median (range)]
Chat Session was useful for clearing doubts 5 (4-5)
Discussion Forum was useful 5 (5-5)
Would you like to continue if given an opportunity again on new
modules
5 (5-5)
Who gave you the first information regarding this online learning? Online tutors
Did you know the use of computer before the enrolment? 22% did not know
Did you know the use of internet before the enrolment? 22% did not know
Name 2 sessions of sessions conducted which you felt were the most
informative and helpful?
40% Hypothermia;
48% Resuscitation
Mention the two sessions which you felt needed more improvement? 30% Newborn Health;
36% Routine Care
Journal of Tropical Pediatrics 2012Dec;58(6):486–90

36. ONTOP crossing boundaries
escalating enrollments with time!

37. Key messages
 Students learn but teachers too on
interactive platform.
 Best hospital practices are shared
 Cross cultural exchange of ideas and desire
to do better among participants
 Once established –This is easy , cost
effective tool for Gen X

38. ONTOP Asia Team-only few can come in the frame!