Nancy ClarkISD 6137Strategy ScenarioStrategy: Concept Mapping Content: MedicineTitle: Disease Management MapsTime Required: 8-12 hours spread out over a monthNumber of Participants: 1-10Target Audience: MDs, primary care residentsGoal of Activity: To develop cost effective, disease management protocolsbased on the latest clinical trials to be accessed at the point of care usingcomputer technology.Purpose of Script: To illustrate the use of concept mapping as a problemsolving strategy in medicine.Learning Outcome(s), Gagne’s Taxonomy: Intellectual Skills – HighOrder Problem SolvingLearning outcome(s), HEO Taxonomy: SynthesesLearner Characteristics: Extremely intelligent medical doctors in internshipor higher post graduate level with ages ranging from 25 to diseased.Entry Skills: They would need computer skills to include knowledge of basicHTML, or a web development tool like FrontPage. The web development toolsbuilt into Microsoft Office 97 will also work. This could also be done onAuthorware, Hypercard, PowerPoint, Harvard Graphics or Adobe Acrobat. Theyneed to be able to use Medline and other on-line medical references.Setting: Academic medical department with nice computer lab facilities and aclassroom.Media: Data projector or overhead with LCD panel. Medline and othermedical journals and textbooks.Process:1. This is a longitudinal project for residents during orientation, which isusually the first month of the internship year. The teacher introduces theunit by teaching a session on Treatment of Asthma, or some other commonchronic disease, by presenting the latest clinical trials on the topic, and costeffectiveness data, then using a branching map or flow diagram to illustrateNancy ClarkISD 6138the protocol. The map us then converted into an interactive computerprogram with hypertext links at points of decision to illustrate the talk.2. The instructor demonstrates how the articles were assembled using Medlineand other medical references.3. The students are moved to the computer lab.4. The instructor demonstrates how the maps were created using one of theprograms listed above. The learners are given hands on training in thesame process.5. The residents are each given an assigned disease for which they are toresearch, then develop their own treatment map over the remainder of themonth during scheduled time.Strategy Assessment:The last week of orientation, the residents are brought back into the classroomto present their disease management maps to the faculty where the protocolsare discussed for completeness and usability. They are then added to thecomputer network where they can be accessed during patient care.Author: Nancy B. ClarkReferences:West, C., Farmer, J., & Wolff, P. (1991). Instructional Design: implications fromcognitive science. Englewood Cliffs, NJ: Prentice
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