Exploiting the Edge: A Web-Based Content Management and Delivery System to Enable Rigorous Assessment of the Impact of a Rich Media Educational Intervention on Clinical Competence

本项目探讨了外科交互式多媒体模块（simm）的有效实施、分发和分析，simm是一种富媒体、基于网络的开源教育工具。在过去的三年里，纽约大学医学院已经规划了25个、建立并评估了4个针对特定疾病的、同行评议的simm，这些simm是根据健全的课程开发和多媒体设计原则以及教育理论设计的。simm利用最先进的多媒体，以确保新手临床医生有机会扩大和实践他们的临床能力技能。然而，尽管其他美国医学院的同事对simm充满了热情，但由于IT基础设施、技术能力和机构资源（尤其是教师时间）的不同，在simm的开发和分发方面的合作实际上是不可能的。该项目解决了基于边缘内容管理的平台的能力，以满足有效分发和集体开发simm所需的可伸缩性、可扩展性和安全性需求，simm是带宽密集型的，并由不同地理位置的人口使用。该机制将克服目前有效共享富媒体工具的障碍，并能够严格评估它们对医学生临床能力的影响。从该项目中获得的知识将为进一步开发和实施这些工具提供信息，并指导医学教育中的下一波实施和研究。从广义上讲，这项工作解决了国际公认的困难，即建立一致的、高质量的学习环境，以保证所有在培训医生的临床能力，特别是那些在全球服务不足地区的医生。该项目将为机构间和机构内合作建立必要的网络和伙伴关系。传播将是广泛和跨学科的，包括计算机科学、认知科学、教育心理学、护理和相关的健康和医学教育领域。评估simm的数据将有助于促进对如何构建基于能力的学习环境的理解，并为教育领导者、教师和学习者提供有价值的反馈。

This project explores the effective implementation, distribution, and analysis of the Surgical Interactive Multimedia Modules (SIMMs), a rich media, web-based, open source educational tool. For the past 3 years, the New York University Medical School has planned 25 and built and evaluated 4 disease-specific, peer-reviewed SIMMs, which are designed based on sound curriculum development and multimedia design principles as well as educational theory. The SIMMs utilize state-of-the-art multimedia to ensure novice clinicians have the opportunity to expand and practice their clinical competence skills. Yet despite enthusiastic interest from colleagues at other US medical schools, collaboration on development and distribution of the SIMMs has been virtually impossible due to differing IT infrastructures, technical capabilities, and institutional resources including and especially faculty time.This project addresses the ability of a platform based on edge-side content management to meet the requirements of scalability, extensibility, and security required for effective distribution and collective development of the SIMMs, which are bandwidth intensive and utilized by a geographically diverse population. This mechanism will overcome current obstacles to effectively sharing rich media tools and enable rigorous assessment of their impact on medical students' clinical competence. Knowledge gained from this project will inform further development and implementation of such tools and guide the next wave of implementation and study in medical education.In broad terms, this work addresses internationally recognized difficulties in building consistent, high-quality learning environments that guarantee clinical competence for all physicians-in-training, particularly those in underserved areas globally. The project will create the networks and partnerships necessary for inter- and intra-institution collaboration. Dissemination will be broad and cross disciplinary, including to the fields of computer science, cognitive science, educational psychology, and nursing and allied health and medical education. Data from evaluating the SIMMs will help advance understanding of how to construct competency-based learning environments and provide valuable feedback to educational leaders, teachers, and learners alike.