Helping residents plan and prioritize clinical decisions in a

Case of the Week:
Helping residents plan and
prioritize clinical decisions in a
distributed environment
Rob Anderson MD,
Rachel H Ellaway PhD,
Sarah McIsaac MB BCh
Christina Tremblay
I do not have an affiliation (financial or otherwise)
with a pharmaceutical, medical device or
communications organization.
Je n’ai aucune affiliation (financière ou autre)
avec une entreprise pharmaceutique, un fabricant
d’appareils médicaux ou un cabinet de communication.
Author: Rob Anderson MD, Rachel H. Ellaway
PhD, Sarah McIsaac MB BCh, Christina Tremblay
Date: October 25, 2014
Project Leads
Dr. Rob Anderson
Program Director, NOSM Anesthesiology Program
Dr. Rachel Ellaway
Assistant Dean, Curriculum & Planning
Dr. Sarah McIsaac
NOSM/Ottawa Anesthesiology Resident (PGY5)
Christina Tremblay
Assistant Curriculum Instructional Designer
Northern Ontario School of Medicine
How to teach and assess tacit
knowledge in a distributed
learning environment?
Case of the Week Wiki
COWW Development
• Developed a Moodle software platform
• Case writing workshop
– Clinically relevant and interesting cases with a
focus on tacit knowledge
• Weekly schedule
– Different faculty assigned weekly moderators
– Residents assigned to be a “1st editor”
– Expectations of participation clearly laid out
• Friday morning teleconference sessions
hosted in Sudbury
re · vise
(verb)
reconsider and alter (something) in the light
of further evidence
Lessons learned
• 500 word limit
• Increased number of co-moderators
– Increased level of discussion
– Graduated responsibility
• Created a discussion board
• Cases and guiding questions focused
specifically on judgment and conflicts
• Confidentiality agreement
Conclusion
• The COWW has been successful in creating
an online distributed community engaged
learning environment
• After revision a culture of safe and
collaborative online learning has been
established
• Tacit knowledge can be transmitted through
a virtual learning environment
• A formal process of evaluation and revision
was key to the success of this educational
initiative
Case of the Week:
Helping residents plan and
prioritize clinical decisions in a
distributed environment
Rob Anderson MD,
Rachel H Ellaway PhD,
Sarah McIsaac MB BCh
Christina Tremblay
Help us improve.
Aidons-nous à nous améliorer.
Your input matters.
Votre opinion compte.
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