R O D N E Y T E H R A N I M D
A S S O C I A T E P R O F E S S O R O F M E D I C I N E
R H E U M A T O L O G Y F E L L O W S H I P P R O G R A M D I R E C T O R
D I V I S I O N O F A L L E R G Y , I M M U N O L O G Y A N D R H E U M A T O L O G Y
Rheumatology Visual Pearls for Internists: A Show and Tell
Disclosures
American College of Rheumatology/Rheumatology Research Foundation Clinical Scholars Educator Award (CSE) 3 year grant for the development of Rheumatology based
computer modules for Internal Medicine residents 5 modules yearly for 2 years
Learning Management System (Moodle)
Premise is that the modules will increase the residents Boards scores in the subsection of Rheumatology
Traditional Lecture
Introduction
Prevalence/Incidence
Pathophysiology
Clinical Manifestations
Diagnosis
Treatments
Also called Traditional Classroom Teaching
Traditional Lecture
Most widespread method used. Advantages
1) Dispersion of material/content to large audience
2) Cost effective
3) Material presented by faculty with an expertise in the subject
4) Able to ask questions to the faculty
5) Timing/schedule
Traditional Lecture
Disadvantages 1) Material travels in one direction
2) Sometimes too focused
3) Decrease for group participation
4) Ability to ask questions
5) RETENTION
Problem Based Learning (PBL)
Learning method characterized by use of patient problems as a context for students to acquire knowledge and learn problem solving skills. (1)
Advantages Deep learning
Decreased surface learning
Improved performance
(1) Albanese MA, Mitchell S. Problem Based Learning: a review of literature on its outcome and implementation issues. Acad Med 1993;68:52-81.
Problem Based Learning (PBL)
Individual
Small Group Advantages
1) Learn from your peers
2) More discussion
Disadvantages 1) Dominant personalities taking over the group
2) Taking advantage of others work by not preparing
3) Not asking questions for fear of not looking “smart”
Problem Based Learning (PBL)
McParland M et al. The effectiveness of problem based learning compared to traditional teaching in undergraduate psychiatry. Medical Education 2004:38:859-867.
Computer Learning
World Wide Web (WWW 1.0)
World Wide Web (WWW 2.0) Twitter, Second Life ….
Learning management system
Education delivered via the web Methods:
1) Course materials (articles, PBL…)
2) Watching taped lectures and procedures
3) Chat rooms (virtual small group studies)
4) Entire courses on-line for degrees
Computer Learning
Advantages 1) Travel
2) Personal time schedule
3) Convenience
4) Is it better than other methods for learning?
Disadvantages 1) Lack of personal interaction
2) Cost- computers, internet connection
3) No better than previous teaching methods
4) RETENTION- both traditional lectures and PBL
Computer Learning
Computer Learning
Retention
How can we improve retention of what we teach?
How can we improve retention of what we learn?
Visual Images Is a Picture Worth a Thousand Words?
C O L L E C T I O N O F R H E U M A T O L O G I C A LI M A G E S F O R I N T E R N I S T S
F R O M H E A D T O T O E
I M A G E S A R E F R O M G O O G L E I M A G E S , W E B S I T E G I V E N A T T H E B O T T O M O F
E A C H I M A G E
Rheumatology Visual Pearls
www.medscape.com
www.sarawakeyecare.com
ACR Rheumatology Image Bank: www.rheumatology.org
http://www.huidziekten.nl/zakboek/dermatosen/mtxt/malar-rash.htm
http://www.huidziekten.nl/afbeeldingen/malar-rash-2.jpg
www.dermsa.com
alcoholflushreaction.blogspot.com
www.aafp.org
www.gponline.com
www.globalskinatlas.com
Best Practice & Research Clinical Rheumatology
Volume 23, Issue 4, August 2009, Pages 495–506
reasonablywell-julia.blogspot.com -
www.assh.org
http://nileherb.blogspot.com/2010/07/sarcoidosis-sar-koy-do-sis.html
Wikipedia: Lupus pernio 01.jpg
http://nileherb.blogspot.com/2010/07/sarcoidosis-sar-koy-do-sis.html
bjr.birjournals.org
uwmsk.org -
www.onlinedermclinic.com
http://drugline.org/ail/pathography/1727/
www.dominapharm.com
encyclopedia.lubopitko-bg.com -
www.hopkinsarthritis.org
www.hopkinsarthritis.org -
www.hopkinsarthritis.org
www.hopkinsarthritis.org
ACR Image Bank: www.rheumatology.org
www.scielo.br
openi.nlm.nih.gov -
www.drugs.com
www.ouhsc.edu -
www.learningradiology.com
dermatlas.med.jhmi.edu
ACR Image Bank: www.rheumatology.org
ACR Image Bank: www.rheumatology.org
www.dermis.net -
dermatology.cdlib.org
www.sciencedirect.com
quizlet.com
hardinmd.lib.uiowa.edu
www.drugs.com
ACR Image Bank: www.rheumatology.org
www.sciencedirect.com
www.sclero.org
dermatlas.med.jhmi.edu
ACR Image Bank: www.rheumatology.org
quizlet.com
quizlet.com
commons.wikimedia.org
ACR Image Bank: www.rheumatology.org
www.bala6y.org
ACR Image Bank: www.rheumatology.org
www.reumatologiaclinica.org
ACR Image Bank: www.rheumatology.org
www.odermatol.com
www.diseaseaday.com
thegoutkiller.com
Thank-You
QUESTIONS?