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?