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Page 1: Working together at all levels: A look at successful implementation of online collaboration

Working together at all levels: A Look at Successful

Implementation of Online Collaboration

EXTENDED LEARNING INSTITUTE

Pat DaronBob Loser

Cindy MillerKim Monti

Rebecca Wright

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Overview

Professional development need and partnership with VA Tech

VA Tech Course – Facilitating Online Collaboration for Adult Learners

Tangible results – Enhancement of online courses in anatomy and physiology

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Project Origin

  ELI organizational development needs Increase student interaction Engage students in deeper learning

 VA Tech ALHRD program outreach

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NOVA-VA Tech Partnership

New VA Tech graduate courseFocus on ELI needsStudents from ELI and VA TechTuition assistance by NOVA

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Facilitating Online Collaboration for Adult Learners

Online courseModeled objectives of the course

through the facilitation of the courseOnline discussions with facilitators

guiding interactionGroup projects

Investigating online collaborative tool Discipline related project

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Gamers

Versus

Traditional Learners

DIGITAL DIVIDE

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LEARNING STYLE ASSESSMENT

Self-assessment: Visual, Auditory, or Kinesthetic/Tactile

learner?

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Why Collaborate?

Increase connections to Reduce the potential for

learner isolation Increase retention of students

in course Extend and deepen student

learning experience

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Background on Adult Learning

Andragogy Adults enter an educational context when they

are ready to learn Adults are in control of their learning “Meaning making" is transformed during

learning process. Critical reflection is important Learning to learn (metacognition) is essential for

adult development

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Background on Adult Learning

Constructivism Active learning and

knowledge construction based on prior knowledge

Real-world problem solving Interacting with other

learners and teachers/facilitators

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Learner-Centered Online Learning

Learner-centered versus teacher-directed

Developing online learning communities Collaboration guidelines

Facilitation of learner-centered online courses

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Needs – ELI A&P Courses

Low Success Rates in NAS 150 and NAS 161-162 35-52% A, B, C

Our own observations Poor self-pacing No Teachable Moment Course is weak at the top of Bloom’s Taxonomy

ELI is strongly encouraging the adoption of collaborative practices in all online courses

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Theory into Practice – ELI A&P Courses

Goals of today’s presentation by A&P faculty Design “How To’s” Theory Examples of student

work

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Collaboration in NAS 150

Most fundamental A&P courseContent heavy courseTwo considerations about adding

collaboration No significant addition of information Goals

Improve student performance Assist students in making connections with

each other

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Collaborative Activities

Three collaborative activities: Self-Reflection papers on

studying for exams (students grouped according to results of Learning Styles Assessment)

Experience sharing of chosen medical problem

Reflection of a memorable medical experience while working in a health field

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What is the Self-Reflection Paper?

Critically evaluates material studied for each exam Extends knowledge beyond

course materialIdentifies strategies used to

learn difficult concepts Study aids that helped? Previous knowledge or

experience that assisted?

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A Student’s Post: An Example

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An Example - A Visual Learner's Reflection

She believes she has no previous knowledge about muscles and develops a strategy for learning them:  I looked at the chapter on muscles and confirmed that I am totally clueless about them.  Then I looked at the 2 figures in the coloring book with numbered arrows pointing to each muscle.  There was not one muscle that I had ever heard of.  I didn't panic like I did in the first chapter when everything was new because I was pretty surprised at how fast I was able to learn chapter 1 once I set my mind to it and it was actually fun learning new stuff.  As I was looking at the figures from a front and back view it hit me that I have a very close friend who is a body builder so I called him and left him a message asking him if there was any quick way to learn this.  He called me back and told me to come to his gym and he would help me. 

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An Example - A Visual Learner's Reflection (continued)

"I began to become secure in the fact that I could learn this!"  I took the pictures of the muscles on the front and back of the body in the coloring book to the gym with me.  My friend's body is very muscular so it was easy to see the individual muscles that I needed to learn.  So we went over each muscle in the picture and we found them on his body and then I tried to picture where each one was on me even though they weren't prominent.  Some were more obvious on his body than in the pictures and I started seeing familiar terms in the new words because I had already learned regions of the body and bones - like the gluteus maximus muscle was in the gluteal region, pectoralis major muscle was in the pectoral region;  the biceps brachii muscle was in the brachium; the tibialis anterior muscle covered the bone called the tibia;  frontalis muscle was in the frontal region, etc.  I began to become secure in the fact that I could learn this!   

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An Example - A Visual Learner's Reflection (continued)

Then he took me to his stretch class.  The trainer of the class knew a lot about muscles and as we all stretched, he would point out exercises for the triceps, biceps, rhomboids, adductors, glutes, etc.  That was very helpful because It gave me more of an idea of how to apply the names to actual muscle actions. 

She uses personal and novel ways to reinforce her learning: As I was leaving the gym we had to go through the room with the exercise machine.  I noticed that there was illustrations on each machine that showed how to use each machine, what specific muscles were being exercised, and a picture of where the muscle was located on the body.  After going home and learning as much as I could, I came back to the gym and checked the machines for information that seemed more difficult.

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Making Self-Reflections More Meaningful  

Have students perform learning styles assessment and post results

Group students based on results

Provide specific tips on how to study based on the results

Provide rubric 

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Why Do An Experience-Sharing Paper?

Adult learners are motivated if they can relate knowledge to their lives.

Real life stories come alive Helps in retention Deepens knowledge

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A Student’s Post:An Example

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An Example - A Student's Experience Sharing

 She shares her experience - 

 It was around 2:00 in the morning when my sister. Hosay, went in to her third child’s bedroom to check up on her. Her nanny slept on the bed across her 8 month old daughter and all seemed quite and peaceful. Too peaceful she thought. She made her way to her infant daughters crib and noticed that she was lying on her stomach and was unusually still. She decided to turn her on her back and as she was doing all this, it became clear that her daughter was not breathing and she was very cold and discolored. She checked her pulse and put a hand over her mouth, but nothing.  Hosay's legs started to feel incredibly week and shaky and panic and terror struck in. Yelling and crying loudly, she woke up the nanny who was in the room, and her husband came in from the master bedroom, all very shaken with anticipation of what was causing all the commotion. They all found out what had happened… but it was all too late. Little Rihanna was gone.   This is the story of Sudden Infant Death Syndrome (SIDS), and it has hit my sister so I that is how I got to know about it. It is heartbreaking when something like this happens, but when you know the person it is even more difficult.

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An Example - A Student's Experience Sharing (continued)

She deepens her own knowledge and that of her readers -  There are clearly no warning signs and it happens without anyone suspecting it, which makes it all the scarier.  Signs and symptoms include apnea (stopped breathing), change in color (typically pale or blue/gray).  If SIDS has occurred then it is clearly too late, as the child is already dead. However, there are ways to minimize the risk of an infant from dying in this very unnecessary and preventable way. Here are ways to reduce risk: firm mattress, clear area of clutter (i.e. stuffed animals, blankets, etc.), control room temperature, don't over-swaddle, avoid smoking, drinking, and drugs during pregnancy, prenatal care should be high quality, regular check-ups for infant, breastfeed, use a pacifier for sleeping, infant should sleep in own crib/bassinette and in same room as parents, most of all, don't put infant on stomach while sleeping.

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An Example - A Student's Experience Sharing (continued)

Another student relates the knowledge to her life

Personally, this medical problem is all new to me and has really had an impact!  Right now I am pregnant.  It makes me worried that it could happen to my baby.  It also makes me want to more actively search for preventative measures so that I can educate myself and my husband. Everyone needs to know about this very serious issue and not just parents or expecting parents. One day you may need to babysit a niece/nephew or a friend’s child and must know all that can be done so that all will go well.  My friend tells me you can buy contraptions that prevent the baby from  turning over and lying on its stomach

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Reflection & Experience Sharing

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An example: reflection & experience sharing

It’s a Boy!About 10 months ago while doing clinical rotations in Fair Oaks Hospital I had the privilege to assist in the delivery of a baby in the Labor and Delivery Section of the hospital. I have selected this event specifically because up until that time it was my first time viewing a live natural delivery. I thought it was incredibly fascinating witnessing a child being delivered from a mother. Not only was the delivery interesting, but the preparation the team of nurses, doctors, and anesthesiologists put into it was superb. At first the anesthesiologist allowed me to assist him in preparing the epidural given to the mother. Watching the doctor perform this was appealing in that you are administering a medication blindly, and know when you are in the epidural portion of the spinal column by the passing of air through a syringe. The epidural worked as planned and the mother felt nothing below her umbilicus. The nurses would monitor the mother’s vitals and her cervical dilation in cm’s to see when she was ready to start delivering. The unborn babies heart tones were also monitored using a Doppler device which would show if the baby was in any immanent danger. Due to the Petocin taking effect just as it was meant for (synthetic oxytocin, used to stimulate uterine contractions) the delivery would soon commence and the doctor allowed me to assist with this also.

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An example: reflection & experience sharing

The positioning of the mother was handled by the nurses and the doctor observed until the baby he began to crown (babies head begins to show). With everyone dressed in scrubs, facial coverings and protective eyewear, we were prepared for the slight mess that is usual during a natural childbirth. When time came the doctor began to exert slight pressure on the child’s head, just enough to grab hold of the shoulders and allow for a smooth delivery. The newborn was then suctioned, dried, warmed, stimulated, and positions with its head slightly lower than his lungs in order for remaining amniotic fluid to drain. This is the first portion of the neonatal resuscitation inverted pyramid. The newborn did not need anything else; the next step however would have been blow by oxygen. As told by the doctor and some nurses, it was as “textbook” as a delivery can be. I even had the opportunity to cut the babies umbilical cord thus detaching it from its old life source (the placenta and the mother). The newborn was then handed over to his mother shortly, and then he was packaged up in order to be cared for by a nurse who started to finish the second APGAR score. The first being a 12 and the last being a 15. The experience was like none other, and since then I have witnessed many more births, some not so “textbook,” however all a learning experience.

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STUDENT RESPONSE

Thanks for sharing your experience.  I've had the pleasure of experiencing the delivery of a baby from a mother's point of view twice, but it was very interesting to hear the perspective and details you were able to provide as part of a medical team delivering a baby.

Thank you for your terrific description of a delivery. This will be so informative to other students in our class. The first delivery I ever saw was in paramedic training also. It turned out to be a forceps delivery. It was very stressful to watch as the OB first inserted the instrument, (which reminded me of a set of hedge clippers) and then, once he had a firm grasp of the infant’s head, he was pulling on the head so hard that I couldn’t believe that it wouldn’t cause damage. The next was a normal delivery. What a welcome relief.

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RSS FEEDS IN NAS 161 CONSTRUCTIVISM FORUMS

USING RSS FEEDS AND CURRENT EVENTS

Facilitating Collaboration in Online Science Courses

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Why Use Current event articles?

Give students familiar material to facilitate collaborative, constructivist and active learning

Use available technology to lighten load for students and instructor

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RSS: Really Simple Syndication

A “feed” of frequently updated articles

Instructor monitors content subscribes to the feed Chooses & shares articles

Linked to LMS

Reduces the workload for the students

Ours uses Google Reader

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The Sources.....

 

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Why “Layman's" SourcesGive Students a Base for Construction of new

knowledge

Extend knowledgeDeepen knowledgeBe criticalSynthesize knowledgeEvaluate knowledge

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Directions for the Assignment

Step 1Summarize the article. Please relate the article to the course material

you are studying this week of the course.The Subject line of this post must be: SUMMARY--followed by the

full title of the article which you are summarizing.

Step 2: Bring the article up to the level of the course: You will need to include

a brief description of the anatomy and physiology appropriate to your discussion and you must use correct anatomical and medical terminology at the level of this course. You will need to support your article with information from your text books. You may add other sources as well if you wish. You must cite any sources you use.

The Subject line of this post must be: COURSE LEVEL--followed by the full title of the article which you have summarized.

Step 3: Relate the article to your professional or personal life. An anecdote is

an appropriate way to do this.The Subject line of this post must be: MAKE IT MY OWN--followed

by the full title of the article which you have summarized..

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Constructivist Learning Forum

Student’s Post in several parts

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Watch for:ConstructivismTeachable MomentsExtension of knowledge at Bloom’s Cognitive Taxonomy levels: Synthesis and Evaluation

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An Example of Constructive LearningA student relates the article to her previous

knowledge

The summary forum entry:  I read the article Cold sores

secrets revealed, posted byajcann.   I find this article

interesting because I have never

had cold sores but my daughter H. has.  When we first to

moved to Virginia, she came down with her first cold

sore.   I took her to the doctor and was told that it was

common for them to come out in cold weather.  Unsure of

who she came in contact with, I have always been puzzled

on how she could have contracted the virus. 

The Heart of Constructivism:

We have not included the summary of the article here, but the students comments make it clear that she is building on her own knowledge.

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An Example of Constructive Learning (continued)The Course Level Post

Then she relates it to herself.Could she have been exposed to the

virus from me?  The article talks about how the virus can lay doormat in nerves

showing occasionally at the original site of the infection.  HSV-1 tends to involve the face and lips and is known as cold sores.   

It also states that the herpes simplex virus attacks the immune system by shutting down the production of virus encoded proteins completely.  The virus stays in latent state for longer period of times before it starts to replicate.   In Chapter 13 of Microbiology page 411 under the heading Latent Viral Infections it says in some people the viruses are formed but symptoms never appear.   Only 10-15% of people carrying this virus actually have breakouts. 

 Information is synthesized into previously knowledge & critically extended

Reading chapter 13, in the Microbiology textbook page 404 under

Herpesviridae, I find it interesting that HHV-4, genus

Lymphocryptovirus, which causes mononucleosis and HHV-3, genus

Varicellovirus, which causes chickenpox are 2 species of human

herpes virus that I have had 

The next part of the assignment

The student is required to bring the article she read into the context of the course—actually doing the construction.

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And There’s More….

She extends and deepens her knowledge  The article also talks about testing on mice and injecting them withthe HSV-1 and then waiting for it to go into the nerves and becomesilent.  Once that happens they examine the cells to see if thedormant virus contains traces of RNA that match latent RNA.  HSV-1microRNAs tend to bind to virus mRNAs preventing translation andthe cells are prevented from making 2 virus proteins, (ICPO andICP4) which allow the virus to escape dormancy.  The last

paragraphof the article talks about drugs that block the production ofmicroRNA’s and how they could possibly wake up all dormantviruses, allowing them to become vulnerable to the immune systemand to antiviral therapy.  Stating that eventual there might be apossible cure for herpes.

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The Collaborative Part of Constructivism

Responses from other students:

Another student extends and deepens her knowledge

Since we have taken our daughter off of Gluten and herMalabsorbtion is healing she has not gotten one cold sore!How amazing is that? I believe that her Immune System wasweakened from her eating the Gluten(since she is allergic toit). Amazing how our bodies respond.

And she's curious!

I am curious to see how this Winter goes.

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An Example of Constructive Learning (continued)

Another student relates new to old knowledge 

I tend to get a lot of cold sores this time of year.  I knew they originated from the herpes virus.  

 She extends and deepens knowledge:

The interesting thing is my article also talks about the herpes virus relating to the Epstein-Barr virus.  I am surprised that researchers are thinking of activating the viruses to treat the with antiviral drugs.  

 And she also exhibits curiosity

This thought is scary and I am not convinced it would work.  On the up side, I would love not to get cold sores.

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Assessment

Grading of this AssignmentYou can receive a maximum of 10 points for this assignment. Grading

is based on going participation, completeness, relevance, and your ability to synthesize and analyze the information from the current events article with course material from your texts and /or labs, and into anecdotes from your personal or professional lives. All of your sources must be documented and appropriate, your grammar and spelling must be correct. If your answer is plagiarized from any source you will receive a zero for this assignment.

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THE FOLLOWING TWO SLIDES PROVIDE AN EXAMPLE OF GRABBING A TEACHABLE

MOMENT. WITHOUT THE COLLABORATION, WE CANNOT KNOW WHAT ERRORS THE STUDENT MAY BE

MAKING.

The Teachable MomentThe Discussion Board as a teaching tool

using a Quick Write Assessment

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This is a student response to a case study question—

it contains an error, shown here in red

Hormonal problem causing symptoms:  1. Low levels of TSH from the Anterior

Pituitary Gland would account for the low levels in his thyroid. TSH is essential for normal growth and development. One of the first symptoms of a low functioning thyroid is loss of coordination.

  Low levels of Calcitonin (not a hormone)

could cause a decrease in the actual building of bones during childhood and could cause his bones to be brittle…..

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The Instructor’s Response

Calcitonin surely is a hormone. It is not made by the anterior pituitary gland. Rather it is made by the thyroid gland, and it is humorally regulated--by a simple negative feedback loop involving only the gland that made it. (It's (c) on figure 13.8)

 You will need to understand the cascade of hormones from

the hypothalamus to the anterior pituitary to the end organ, and their feedback mechanisms to do this case study well. Make sure you understand chapter 13--and particularly figures 13.8, 13.10 and 13.13 and 13.15.

Additionally take a look at this site from the Colorado State Pathophysiology Web site: http://www.vivo.colostate.edu/hbooks/pathphys/endocrine/

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TEAM PROJECTS IN NAS 162

Facilitating Collaboration in Online Science Courses

EXTENDED LEARNING INSTITUTE

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Why Team Projects?

Development of “real world” skills Working with others & learning how to resolve

conflicts Sharing the workload Synergistic effect

More people = more solutions

Promotes active learning & teaching Synthesis and evaluation Researching to teach others = deeper knowledge Synergistic effect

More solutions = deeper, more complex knowledge Connectedness

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What Issues Do Teams Have in an Asynchronous Online Course?

Team members may be separated geographically or temporally

Technology for communication amongst team members is (more) critical (Morris 2005).

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Group Project ToolsStudents prefer the discussion boards…

Discussion BoardsGoogle DocsWikisGoogle Chat

Wiki

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What Are the Steps Involved in Team Projects?

1. Choose a team name2. Create a charter3. Pick a case study4. Answer case study questions by

discussing the case5. Submit project as a cohesive whole 6. Briefly reflect on each other’s case

studies

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What is a Charter?

Guidelines for how the team will work Communication Role assignment Conflict management Alteration of the charter

This sets the rules and the tone for the rest of the group work.

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The Case Studies

The Unfortunate Nurse: A case of Dengue Fever and Social Policy Parasitology, immunology, epidemiology, public policy, and science

writing. A Friend in Need

Respiration and the transport of blood gasses The Strange Case of Jennifer Strange

Fluid homeostasis, osmotic gradients, fluid compartments, urinary system, endocrine system

Chemical Eric Endocrine System

MDR (multiple drug resistant) Tuberculosis Respiratory system, mechanisms of tuberculosis

Keeping up with the Joneses. Circulatory system, blood laboratory values and eating disorders

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The Peer Review Process

Each team has 4 membersEach member has 30 points to distributeMay not give self any pointsMay not give anyone more than 15 pointsDo not have to distribute all pointsIf a member receives an average of 7 points,

that person will receive a 0 for the team project.

Not a popularity contest; should be based on work done.

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SUCCESS RATES IMPROVED TO 68.7%

How’d We Do?

Disclaimer: Only one class measured so farOld rates: 34-52% YAY!

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What Successes?

The RSS is a particularly useful exercise… the News and Views was …Definitely interesting though.

It helped me learn applicable material. I did not want to do a group project, but it turned out to be

the best part of the course.  It is where I learned the most.This has been an interesting project and I felt the 3 of us

worked well together.  Each of us brought to the table our strengths and weaknesses and filled in the gaps for each other when needed.

FYI - It was a process I was not looking forward to, but it turned out to be not so bad.  It is probably a good idea to incorporate some form of a group thing in other online courses.

Shockingly, (as much as I hated doing it), the group project made me feel like I really have a grip on inflammation, swelling and tissue/cell injury. I have been able to use this information quite a bit in nursing school

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My Favorite Post

OK--I hardly know any of you. And after this course many of us will not have much, if any, contact-- but I missed you all today! 

All of our required Discussion Boards are done and we really have no reason to keep in touch but it was like I come to class and no one else showed up!  I didn't expect this. And I didn't really realize it was happening but I feel less motivated to work these last assignments--more isolated. Oh-- I will get them done but this must be what it is like in an on-line course with NO "Social Presence" and only yourself to motivate you--the group kept the course going for me--I felt like I had to show up and if I didn't everybody would know--not that I really thought you would mind--but being with a group makes you feel included and therefore responsible--wanting to do your share (even if you think at the time that you can not face one more 'respond to at least..." instruction!)--suddenly there is nothing to do with the group and I realized the value of the group in my learning!  (I came to the BB site today--just to see if I missed a posting or if anyone was hanging out--guess I'm just looking for someone to have coffee with after class)  Anyway thanks this has been a great eye-opening experience and a real lesson in how interactive and vital on-line instruction can be.  I just didn't realize it until it was over!  Best to all of you.

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Do You Have Feedback?

Contact Information

Pat [email protected]

Bob [email protected]

Cindy [email protected]

Kim [email protected]

Rebecca [email protected]