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Unlocking the Potential of Emerging Trends and Technology Atsusi 2c Hirumi PhD Professor Instructional Design amp Technology University of Central Florida Emory Faculty and Staff Development Day ID: 933220

amp learning design instructional learning amp instructional design objectives research education based pul figure teaching medical lung table test

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Slide1

Innovations and Design:

Unlocking the Potential of Emerging Trends and Technology

Atsusi “2c” Hirumi, PhD

Professor, Instructional Design & Technology

University of Central Florida

Emory Faculty and Staff Development Day

September 27, 2021

atsusi.hirumi@ucf.edu

Slide2

Challenges & Uncertainties

Slide3

Doubling Time of Medical Knowledge

1

Slide4

Competing Requirements

Increasing documentationRising insurance rates,Varying data systems, Altering health plans, Rising patient and family expectations,

Loss of autonomy, Demands to decrease costs while increasing revenue.

Slide5

Constraints due to COVID-19

2,3,4

Slide6

Past pandemics led to substantive improvements

Slide7

1800’s Cholera Pandemics:

Improved sanitation and spurred vaccine development

Slide8

1918-1919 Influenza epidemic (Spanish Flu) highlighted economic disparities; led to improved housing and healthcare

Slide9

What will be COVID-19’s

silver lining?

Slide10

Reflect on

teaching & learningRe-imagine education

Slide11

Emerging Trends & Technology

Global Health Telehealth & Telemedicine

Interprofessional EducationHealth Systems Science

Symptoms-based Curriculum

Longitudinally Integrated Clinical Experiences

Health Disparities, Diversity, and Professional Wellness

Blended, Active and Mobile Learning

Artificial, Virtual and Mixed Reality

Big Data Analytics, AI, Machine Learning

Slide12

Trends and technology may increase access, productivity, and affordances…

Slide13

But cannot guarantee the quality of the educational experience

Slide14

But cannot guarantee the quality of the educational experience

Slide15

What can you do to unlock the potential of emerging educational trends

and technology?

Slide16

Figure 1. Vertical and horizontal alignment of instructional elements characteristic of high quality (effective,

efficient, and engaging) learning experiences5PRACTICE

COURSE

Personal and Professional Goals, Interests, Standards and Requirements

Learning

Objectives

Instructional

Strategy

Learner 

Assessments

Research and Theory on Teaching, Learning and Instructional Design

Fostering

Innovation

Slide17

Figure 1a. Highly effective learning is grounded in research and theory (aka. evidence-based) to ensure achievement of objectives and return on investment (replicable methods and materials) (

vertical alignment).PRACTICE

COURSE

Personal and Professional Goals, Interests, Standards and Requirements

Learning

Objectives

Instructional

Strategy

Learner 

Assessments

Research and Theory on Teaching, Learning and Instructional Design

Slide18

What is the difference between Information

vs. Education

Slide19

?

InformationAudio, video, text, and/or graphic generated to transmit a message from sender to receiverEducation Series of events & activities intentionally designed to facilitate learning

Slide20

What is the difference between Craft-Based (SME) vs. Grounded (EB)

Design

Slide21

?

Craft-Based (SME) Design Series of events & activities based on past practices, opinions, fads, politics, etc. (N=1)Grounded (Evidence-Based) DesignSeries of events & activities based on practical experience, research & theory

Slide22

“The systematic implementation of processes and procedures that are rooted in established theory and research in human learning.”6

Grounded (Evidence-based) Design

Slide23

Conditions

Rooted in defensible theoretical framework

Consistent with research findings

Traceable design decisions

Validated with successive implementations

Grounded (Evidence-based) Design

Slide24

Significance

Aligns research, theory, and practice

Explains and predicts results

Allows systematic study, continuous improvement

Generalizable beyond unique conditions (ROI)

Provides pedagogical foundations for key design decisions (and for publishing)

Grounded (Evidence-based) Design

Slide25

Figure 2. Design model correlating EBME with EBM and integrating steps for ensuring the vertical alignment of theory, research, and practice

7,8

Agile Transdisciplinary Design

Slide26

Feroza

Daroowalla, MD, MPH Associate ProfessorDept. Medical EducationCollege of MedicineUniversity of Central FloridaPractices pulmonary, critical care and palliative medicine Agile Transdisciplinary Design

Meredith RatliffGraduate Research Assistant

Dept. Medical Education

College of Medicine

University of Central Florida

Pursing PhD in ID&T concentrating on advancing health professions education

Slide27

Findings from Steps 1 & 2 of

EBME process

Step 3a – Acquire Evidence

Step 3b – Appraise Evidence

Domain 1

Learning Outcomes

Domain 2

Instructional Approaches

Table 1. Dimensions for appraising evidence

Design requirements informing Step 3

Domain 3 Learning Theories

Figure 3. Iterative cycle of acquiring and

appraising evidence associated with EBME

7,8

Slide28

Domain 1 Learning OutcomesWhat does research say about achieving your desired outcome(s)?

Aspegren K. BEME Guide No. 2: Teaching and learning communication skills in medicine - a review with quality grading of articles. MEDICAL TEACHER. 1999;21(6):563-570.

O’Dunn-Orto A, Hartling L, Campbell S, Oswald AE (2012). Teaching musculoskeletal clinical skills to medical trainees and physicians: A Best Evidence in Medical Education systematic review of strategies and their effectiveness: BEME Guide No. 18. 

Medical Teacher

.;34(2):93-102.

Slide29

Domain 2 Instructional Approaches

What does research say about your planned methods (e.g., team, experiential, problem-based learning) or means (e.g., simulations, online, blended)?Bernard RM,

Abrami PC, Borokhovski E, Wade CA, Tamim RM,

Surkes

MA, and Bethel EC. A Meta-Analysis of Three Types of Interaction Treatments in Distance Education.

Review of Educational Research, 2009;

79(3): 1,243–89.

Cook DA, Erwin PJ, Triola MM. Computerized virtual patients in health professions education: A systematic review and meta-analysis.

Academic Medicine

, 2010;(85):1602–15890.

Slide30

Constructivism 1930-presentBehaviorism

1890-1960

Pavlov 1889

Classic Conditioning

Thorndike 1903

Connectionism

Watson 1913

Behaviorism

Piaget 1929

Genetic Epistemology

Skinner

1938

Operant Conditioning

Piaget

1963

Developmental Psychology

Atkinson & Shiffrin

1968

CIP

Vygotsky

1978

Social Developmental

Gagne

1974

Conditions of Learning

Brown, Collins, Duguid

1989

Situated Cognition

Gardner

1993

Multiple Intelligence

Beer

2009

Social Cognition

Caine & Caine 2005

Natural Learning

Norman

1982

Schema Theory

Wenger

1998

Communities of Practice

Cognitive Info Processing

1970-1990

Neurobiological

1990-present

Hirumi et al. 2017

Dimensions of

xLearning

Science of Learning

2000-present

Bransford

, Brown, & Cocking 2004

How People Learn

Medina 2014

Brain Rules

Deans for Impact 2015

The Science of Learning

Halpern & Hakel 2010

Teaching for Retention

Lindsey & Berger

2009

Experiential Learning

Domain 3 Learning Theories

What does research and theory say about how and why people learn?

Figure 4. Evolution of major classes of learning theories

Slide31

Level 3

– Time and interest Let’s go fishing Level 2 – Some time and interest Let’s examine the menuLevel 1 – Little time but some interest Please serve me fish

Level 0 – No time or interest No fish please

Step 3 Acquire & Appraise Evidence

(Handout:

ID Principles

)

  

Slide32

COURSE

LearningObjectives

Instructional

Strategy

Learner 

Assessments

Figure 5. To ensure

efficient

(high-yield) learning, instruction must:

Clearly communicate expectations (by defining and depicting the relationship between measurable outcomes, and

Meet or exceed expectations (by aligning learner assessments and instructional strategy).

Slide33

Figure 5a. Common design flaws and misalignments found in education, training, and professional development across disciplines

COURSE

Instructional

Strategy

Content

Information

Fuzzy higher

order objective

Or

Long list of discrete

objectives

Multiple Choice

Questions

Slide34

COURSE

Instructional

Strategy

Content

Information

Fuzzy higher

order objective

Or

Long list of discrete

objectives

Multiple Choice

Questions

Figure 5b. Misalignment(s) exacerbated by number of faculty who are responsible for teaching one health science course

Slide35

COURSE

LearningObjectives

Instructional

Strategy

Learner 

Assessments

Keys to Efficiency

Clearly Communicate and Satisfy/Exceed Expectations

Slide36

Learning Objectives

(aka. outcomes, goals, expectations)Most well known component of instruction1960s – Mager coins the term Behavioral Objectives1990s – Spady initiates move toward OutcomesUncertainties with derivation and application

Fuzzy/not measurableLong lists/to discreteUnclear relationships (to each other, content, assessments & job)

Often ignored or treated in cursory fashion

Slide37

Fuzzy Learning Objectives

Students will…Understand the principles, techniques, and indications for effective pharmacotherapies and psychotherapies Demonstrate awareness of the larger context of health careObtain and develop medical knowledge in the following areas: Pain and Symptom management at the end of life End of life conversations

Hospice and Death certification Physician participation in an Interdisciplinary Team

Demonstrate competency in elicitation of history, physical examination and critical thinking skills in outpatient primary care

Slide38

Lists of Discrete Learning Objectives

The American Physiological Society: Medical Curriculum Objectives ProjectRESPIRATION (revised 2006)/Pulmonary MechanicsPUL 1. Diagram how pleural pressure, alveolar pressure, airflow, and lung volume change during a normal quiet breathing cycle. Identify on the figure the onset of inspiration, cessation of inspiration, and cessation of expiration. Describe how differences in pressure between the atmosphere and alveoli cause air to move in and out of the lungs.PUL 2. Draw a normal pulmonary pressure-volume (compliance) curve (starting from residual volume to total lung capacity and back to residual volume), labeling the inflation and deflation limbs. Explain the cause and significance of the hysteresis in the curves.

PUL 3. Define compliance and identify two common clinical conditions in which lung compliance is higher or lower than normal.PUL 4. Draw the pressure-volume (compliance) curves for the lungs, chest wall, and respiratory system on the same set of axes. Show and explain the significance of the resting positions for each of these three structures.

PUL 5. Identify the forces that generate the negative

intrapleural

pressure when the lung is at functional residual capacity, and predict the direction that the lung and chest wall will move if air is introduced into the pleural cavity (pneumothorax).

PUL 6. Draw a normal

spirogram

, labeling the four lung volumes and four capacities. List the volumes that comprise each of the four capacities. Identify which volume and capacities cannot be measured by spirometry.

PUL 7. Define the factors that determine total lung capacity, functional residual capacity, and residual volume. Describe the mechanisms responsible for the changes in those volumes that occur in patients with emphysema and pulmonary fibrosis.

PUL 8. Define surface tension and describe how it applies to lung mechanics, including the effects of alveolar size and the role of surfactants. Define

atalectasis

and the role of surfactants in preventing it.

PUL 9. Describe the principal components of pulmonary surfactant and explain the roles of each.

PUL 10. Describe the effects of airway diameter and turbulent flow on airway resistance.

PUL 11. Describe how airway resistance alters dynamic lung compliance.

PUL 12. Draw a

spirogram

resulting from a maximal expiratory effort. Label the forced vital capacity (FVC), timed forced expiratory volumes (FEVs), and the maximal expiratory flow rate between 25-75% of FVC (FEF25-75%).

PUL 13. Draw a normal maximal effort flow-volume curve, labeling the effort-dependent and -independent regions. Use the concept of dynamic compression of airways to explain why each point in the effort-independent region of the curve represents a maximal flow rate that is uniquely dependent on lung volume. Describe how and why the shape of the flow-volume curve is shifted in chronic obstructive lung disease (COPD).

PUL 14. Differentiate between the two broad categories of restrictive and obstructive lung disease, including the

spirometric

abnormalities associated with each category.

PUL 15. Describe the regional differences in alveolar ventilation in healthy and diseased lungs and explain the basis for these differences.

Slide39

Learning Objectives

(Handout: Measurable Verbs)Terminal Objective (Goal or Outcome)To order appropriate tests, and properly diagnose, manage, and treat patients presenting with pulmonary disorders, physicians must distinguish normal and abnormal pulmonary functions, identify causal mechanisms, and effectively communicate with patients and their family members. Enabling Objectives Explain how underlying physiology is abnormal and articulate how mechanism of disease causes given signs and symptoms, and abnormal test results [PUL 5|7|8|9|10|11].

Demonstrate understanding of compliance and resistance by interpreting graphs (e.g., spirograms, pressure volume of lung and chest wall) and anticipating normal vs. abnormal test results. [PUL 1|2|4|6|12|13]

Define and describe how compliance, resistance, and related concepts affect ventilation and oxygenation [PUL 3|8|19|11|13|14]

Slide40

COURSE

LearningObjectives

Instructional

Strategy

Learner 

Assessments

Keys to Efficiency

Clearly Communicate and Satisfy/Exceed Expectations

Slide41

Learner Assessments

Slide42

Learner Assessment Methods

Norm-ReferencedCriterion-Referenced Test (CRT)

Slide43

Learner Assessment Methods

Norm-ReferencedCriterion-Referenced Test (CRT)Conventional CRT (MCQ)Performance-Based CRT

Slide44

Learner Assessment Methods

Norm-ReferencedCriterion-Referenced Test (CRT)Performance-Based CRTProduct/ProcessChecklists

AssessmentRubrics

Conventional CRT (MCQ)

Slide45

Learner Assessment Methods

Norm-ReferencedCriterion-Referenced Test (CRT)Conventional CRTPerformance-Based CRT

Product/ProcessChecklistsAssessment

Rubrics

Holistic

Analytic

Figure 6. Fundamental methods and instruments for assessing student learning

Slide46

Table 1. Comparison of published learning taxonomies

Slide47

Table 1a. Comparison of published learning taxonomies

Conventional

Slide48

Table 1b. Comparison of published learning taxonomies

Conventional

Checklists

Slide49

Table 1c. Comparison of published learning taxonomies

Conventional

Checklists

Rubrics

Slide50

Skill

ObjectiveDomainMethods

Assessment Item(s) or CriteriaTerminal

Objective

Generate Instrument

Given a set of instructional objectives, generate conventional and/or performance-based learner assessment instruments that are congruent with targeted objectives, learner and context.

Problem Solving

Post

Test

Rubric

Exemplary performance descriptors

 

Goal-Centered Criteria

Matches behavior, including the action and concepts, prescribed in objectives.

Meets conditions specified in the objectives.

Enabling

Objectives

Complete

Table

Given a subordinate skills analysis, complete a learner assessment alignment table that meets product checklist requirements.

Rule

Practice Test

Checklist

Product checklist items:

Skills consistent with subordinate skills analysis

Objectives consistent with specified skills.

Objectives properly classified

Method identifies proper type

Distinguish classes

Given brief definitions, distinguish classes of learned outcomes according to Gagne’s taxonomy.

Concepts

Practice

Test

Conventional

CRT

1. ______________ are internally organized, and regulate and monitor the use of concepts and rules.

(a) Verbal information

(b) Attitudes

(c) Psychomotor skills

(d) Problem solving skills

(e) Cognitive strategies

Table 2. Key Components of a Learning Assessment Alignment Table

(

Handout:

Sample LAAT

)

Slide51

COURSE

LearningObjectives

Instructional

Strategy

Learner 

Assessments

Keys to Efficiency

Clearly Communicate and Satisfy/Exceed Expectations

Slide52

Synchronous

F2F/OnlineFundamental Difference?9,10,11

Teacher-DirectedLearning

Asynchronous

Online

Online & Blended Learning

Slide53

Spontaneity of [Real-Time] Interactions

• Interpret verbal and non-verbal cues• Clarify expectations Address individual needs/concerns

Provide insights & elaborations • Give directions

• Facilitate discussions

• Present immediate feedback

Fundamental Difference?

9,10,11

Slide54

• Limited spontaneous

(synchronous) interactions• Interactive technologies do notensure meaning interactions• Interactions must be planned and sequenced as integral part of online and blended learning

SynchronousF2F/Online

Asynchronous

Online

Fundamental Difference?

9,10,11

(Handout:

Grounded Strategies

)

Slide55

Instructional Strategies

(Handout: Teacher vs. Learner Centered)Teacher-Directed

Active Learner

-Centered

Knowledge

Instructor

Community

Students

Students

Knowledge

Experience

Instructor

Figure

8

.

Comparison of teacher directed versus student-centered learning environments

12

Slide56

Table

3

.

Relating student-centered instructional approaches to learning outcomes

Slide57

Instructional Treatment Plan

Engage

Monday: Synchronous

Frame experience

Intro

case:

Patient has only 1-2 symptoms,

n

o family present,

is able to make decisions and is cooperative.

Describe

outcomes, norms and expectations

Explore

Monday/Tuesday: Asynchronous

Provide (reading and other) materials related to the desired learning outcomes for the specific case.

Include optional multiple choice quiz that enables students to test their knowledge OR student reflection in online discussion

Explain

Wednesday: Synchronous

Students explain key lessons learned from exploring the posted resources (golden

nuggets, threshold concepts)

Instructor points students in key directions, and asks follow-up questions to fill in gaps or correct misconceptions

Elaborate

Thursday: Asynchronous

Students use branching scenario to practice decision making, clinical reasoning, and

demonstrate skills de novo. Elaborate on key lessons learned from case.

Evaluate

Friday: Synchronous

After action review.

S

tudents describe key lessons learned and what they would do with them, what was most valuable aspects of case and why, and what they would change an how.

Instructor fills in gaps, corrects misconceptions,

answers questions,

and fosters transfer.

Table 4. Sample plan depicting each event associated with the 5E instructional model to facilitate case-based learning

Slide58

COURSE

LearningObjectives

Instructional

Strategy

Learner 

Assessments

Keys to Efficiency

Clearly Communicate and Satisfy/Exceed Expectations

Slide59

Traditional educational methods

fail to engage today’s 21st century learners

Slide60

Greater v

ariance in psychographics

(e.g., 18-35 year-old

white

m

ales)

The Nerd

The Musician

The Yuppie

The Farmer

The Frat Boy

The Athlete

The Activist

The Punker

The Intellectual

The Soldier

The Skater

Slide61

The Nerd

The Musician

The Yuppie

The Farmer

The Frat Boy

The Athlete

The Activist

The Punker

The Intellectual

The Soldier

The Skater

Cannot assume

traditional (teacher-directed) methods

will engage 21

st

century learners

Greater v

ariance in psychographics

(e.g., 18-35 year-old

white

m

ales)

Slide62

Figure 9. Highly Engaging learning motivates students by (a) gaining and sustaining their Attention,

(b) demonstrating personal and professional Relevance, (d) fostering Confidence in meeting professional standards and requirements, and (d) Satisfying (and exceeding) expectations (ARCS)

PRACTICE

COURSE

Personal and Professional Goals, Interests, Standards and Requirements

Learning

Objectives

Instructional

Strategy

Learner 

Assessments

Research and Theory on Teaching, Learning and Instructional Design

Slide63

ARCS Model of Motivational Design

To motivate students to learn, instruction must…Gain AttentionRelevant to NeedsFoster

ConfidenceS

atisfy Expectations

A

RS

RS

C

C

13,14

Figure 10. Sample Analysis of Perceived ARCS

(Handout:

ARCS Workshop

)

Slide64

Attention getting tactics

A1. Perceptual Arousal - Stimulate senses• Sensory effects, provoking pictures/sounds/videos/objects• Absence of distraction 

A2. Inquiry Arousal - Stimulate curiosity.• Active responding, brainstorming • Create, explore, investigate

• Unusual, counter-intuitive content or events, sense of mystery

 

A3.

Variability

- Maintain interest.

• Brief instructional segments

• Interplay information and response, Q&A

• Format variation, free writing

Slide65

Relevance generating tactics

R1. Goal Orientation - Meet learners' needs.• Importance or utility• Built in goals • Goal creation & type optionsR2. Motive Matching - Appropriate choices, responsibilities, and influences.• Goal level options • Scoring system or non-competitive options

• Multiple participant opportunities  R3. Familiarity - Tie to learners' experiences?

• Human interest language and graphics

• Demonstrations/Illustrations

• Familiar examples and contexts

Slide66

Confidence building tactics

C1. Learning Requirements - Positive expectation for success.• Objective and structure• Criteria and feedback • Prerequisites & Test conditionsC2. Success Opportunities - Enhance beliefs in competence.

• Easy to difficult • Appropriate and variable difficulty level • Multiple entry points

C3.

Personal Control

- Success based on their efforts/abilities?

• Exit and pacing control

• Quick access & menu structure

• Attributional language

Slide67

Satisfaction producing tactics

S1. Natural Consequences - Meaningful opportunities for learners to use their newly acquired knowledge/skills.• Application exercises • Transfer to subsequent tasks • Simulated applications, observe natural events

 S2. Positive Consequences - Reinforce learners' successes?• Appropriate, meaningful reinforcement schedule

• Judicious rewards for correct responses

• Optional rewards, including rewards for risk-taking

 

S3.

Equity

- Positive feeling about accomplishments.

• Purpose and content consistency

• Exercise and test consistency

• Reward consistency

Slide68

Table 5. Levels of evaluation

15 and related measures (modified Kirkpatrick’s Training Evaluation Framework16)

Levels

Measures

Use

LMS/Computer

Logs

Reactions

Perceived

Levels of Motivation (ARCS)

Attention

Relevance

Confidence

Satisfaction

Learning

Cours

e

Assignments

Quizzes

Exams

Transfer

Concurrent Coursework

Proceeding Coursework

Impact

Clerkships

Residencies

Slide69

Fostering Innovation and Creativity

Slide70

Physical

Structured/Closed

Spaces

Flexible/Open

Spaces

Stark/Dark

Colors

Warm/Vibrant Colors

Loud/Distracting

Sounds

Soft/Soothing Sounds

Stale Air

Fresh

Air

Hot/Cold Temperature

Warm/Cool

Temperature

Psychological

Focused Attention/Concentration

Unfocused

Attention

Purposeful/Serious

Playful/Reflective

Decisive/Certain

Contemplative/Flexible

Forceful/Stressful

Eager/Calm

Demanding/Pressured

Unpressured/Relaxed

Negative

Mood

Positive Mood

Fearful/Critical

Confidence/Supportive

Efficient/Productive

Exploratory/Experimental

Compliant/Error

Free

Open/Constructive

Failure

Table 6. Factors that inhibit and catalyze innov

ation

7

Slide71

Diffusion of Innovation

17,18Relative Advantage - Better than the idea, practice, or object it supersedes (time, money or status).Compatibility – Consistent with existing values, past experiences, and needs of potential adopters.

Complexity - Relatively difficult to understand or use.

Trialability

- Experimented with on a limited basis. Directly related to immediate and reoccurring costs.

Modifiability

– Modified to meet unique individual and contextual needs.

Observability

- Results of an innovation are visible to others.

Slide72

STUDENT

LEARNING

Management

Operations

Mission

Definition

Research &

Development

Curriculum

Assessment

Program

Evaluation

Student

Services

Professional

Development

Instruction

Faculty

Administrators

Staff

Community

Figure 11. Functional components of an educational system

19

Slide73

Figure 12. Initial impact of implementing an innovation on human performance (https://delaforce.info/?p=333)

Slide74

Innovation

Figure 13. Protecting innovations from conventional policies and procedures to facilitate change (https://premierrapport.com/circle-wagons-7-steps/)

Slide75

Importance of

First Follower(s)https://www.youtube.com/watch?v=fW8amMCVAJQ

Slide76

A person who never made a mistake never tried anything new

Slide77

When you talk,

you are only repeating what you already know.But if you listen,You may learnsomething new

Slide78

Slide79

Densen P. Challenges and opportunities facing medical education. Trans Am Clin Climatol Assoc. 2011; 122:48-58.

Barbour MK, LaBonte R, Hodges C, et al. Understanding pandemic pedagogy: Differences between emergency remote, remote, and online teaching. January 2020. Accessed June 8, 2021. https://search.ebscohost.com/login.aspx?direct=true&db=edsbas&AN=edsbas.AF79933D&site=eds-live&scope=siteWilliam H. Stewart. A global crash-course in teaching and learning online: A thematic review of empirical Emergency Remote Teaching (ERT) studies in higher education during Year 1 of COVID-19. Open Praxis. 2021;13(1):89-102. doi:10.5944/openpraxis.13.1.1177.Mansoor J. Remote Education during a Nationwide Pandemic: Teaching and Learning (Dental Teachers and Students) during COVID-19. Journal of Education and Learning. 2020;9(4):140-150. Accessed June 8, 2021. https://search.ebscohost.com/login.aspx?direct=true&db=eric&AN=EJ1270718&site=eds-live&scope=site

Hirumi, A., Ratliff, M., & De La Mora, E. (in press). Analyzing your context to improve and innovate DL. In L. Cifuentes (ed.). Guide to Administering Distance Learning. Boston, MA: Brill Publishing.

Hannafin

MJ.,

Hannafin

KM., Land SM, Oliver K. Grounded Practice and the Design of Constructivist Learning Environments. 

Educational Technology Research and Development

. 1997;45(3):101-117. Accessed June 14, 2021.

https://search.ebscohost.com/login.aspx?direct=true&db=edsjsr&AN=edsjsr.30220188&site=eds-live&scope=site

Hirumi, A. (in press). IAMSE 2021—Plenary Session: Top 10 Ways an Instructional Designer Can Help You Define the New Normal, Medical Science Educator.

doi

: 10.1007/s40670-021-01400-0.

Daroowalla F, Dil N, Harris D, & Hirumi A. (2020).

Building Bridges Across the Cultural Divide Between Instructional Designers and Multi-Disciplinary Medical Educators. Concurrent session presented at the

Annual Association for Educational Communication and Technology virtual convention. November 2-7.

Hirumi A., Bradford G, & Rutherford L. (2011). Selecting delivery systems and media to facilitate blended learning: A systematic process based on skill level, content stability, cost and instructional strategy.

Journal for Online Learning and Teaching

.

7

(4), 489-501.

Hirumi, A. (2013). Three levels of planned e-learning interactions: A framework for grounding research and the design of e-learning programs.

Quarterly Review of Distance Education, 14

(1), 1-16.

References

Slide80

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Hirumi, A. (2002). The design and sequencing of e-learning interactions: A grounded approach. International Journal on E-Learning, 1(1), 19-27.Hirumi, A. (2002). Student-centered, technology-rich, learning environments (SCenTRLE): Operationalizing constructivist approaches to teaching and learning. Journal for Technology and Teacher Education, 10(4), 497-537.Keller JM. Motivational Design for Learning and Performance. [Electronic Resource] : The ARCS Model Approach. Springer US; 2010. Accessed June 11, 2021. https://search.ebscohost.com/login.aspx?direct=true&db=cat00846a&AN=ucfl.034310113&site=eds-live&scope=site. Li K, Keller JM. Use of the ARCS model in education: A literature review. Computers & Education

. 2018;122:54-62. doi:10.1016/j.compedu.2018.03.019. Lovato C, Wall D. Part 4: Research and Evaluation: Chapter 27: Programme evaluation: Improving practice, influencing policy and decision-making.

Understanding Medical Education (9781118472408)

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Kirkpatrick JD, &

Kayser

Kirkpatrick W. (2016). 

Kirkpatrick’s four levels of training evaluation

.

atd

press.

Rogers EM. 

Diffusion of Innovations, 5th Edition. [Electronic Resource]

. 5th edition. Free Press; 2003. Accessed June 11, 2021

https://search.ebscohost.com/login.aspx?direct=true&db=cat00846a&AN=ucfl.035485291&site=eds-live&scope=site

.

Kapoor K,

Dwivedi

Y, Williams M. Rogers’ Innovation Adoption Attributes: A Systematic Review and Synthesis of Existing Research. 

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