Advanced training on Biomedical Engineering and Health Care Management, 25-29 March 2019, WHZ

The train-the-trainer workshop aims on providing the lecturers of KyrMedu university consortium with didactical tools of hands-on teaching, especially on elaborating of lab assignments with devises of Medical Laboratory. The training was held in three parts:

1. Introductory training in June 2018: Familiarization with structure and functionalities of devices and planning the lab instructions;
2. Practical training in February 2019: Teaming up for elaboration of  lab assignments, deepening the theoretical knowledge of the devices, and drafting the instructions for practical training by conducting experiments on devices;
3. Advanced training in March 2019: Finalizing the development of lab assignments and sharing them on moodle platform.

During the final training, the lecturers participated at practical training classes, visited laboratories of BME and HCM, strengthened their knowledge and skills in developing of labs and received impulses for their practical training classes.

Topics and trainers:        

• Prof. Leonore Heiland: “Guided tour at BME laboratories”; “Practical training in Safety technology";
• Prof. Ralf Hinderer: “Practical training with Ultrasound";
• Prof. Peter Hartmann, Dr. Eberhard Schröter: “Guided tour at laser technology laboratory”;
• Prof. Sven Hellbach: “Practical training in Project and work planning";
• Prof. Anke Häber: „Digital eHealth information systems“;
• MA. Stefan Müller: „Didactics of practical training“;
• M. Sc. Oliver Arnold: „Best Practices in practical training and Flipped Classroom“;
• Dipl.-Phys. Ulrich Rogsch:  “Assembling and programming an artificial nose by sensor Technologies”

Working progress of the programm

The workshop started with a brief presentation of the programme of the week. Prof. Grimm walked the lecturers through the topics of the training and gave them short information about each programme item. He talked about his idea and his understanding of the concept of lab assignments. Lab assignment is one-two page document with brief introduction to the background of the topic, step-by-step description of exepriments and conclusion of observations. After this brief overview the lectures were asked to make their developed labs as it was agreed with the project coordinators.

KSMA lecturers showed a lab assignment which was developed for medical students for the course "Physics". According to the lecturers they were instructed to develop materials for medical students, not for KyrMedu project, as KSMA doesn't offer KyrMedu study plan. It was also stated that they were not been informed about the project goals regarding teaching materials. They argued that course "Physics" is developed for 1.year students once and can be recycled following years. But it was opposed that it is required to elaborate descriptions for KyrMedu students, on hands-on teaching on ECG, which is not in the first year but in 3rd year.

IKSU elaborated the lab instructions for US scanner (ca. 30 pages) and for lung ventilator (ca 55 pages). It was noticed that the methological instructions for ECG, US and ventilator should state references, erasmus+ logo with indication of co-funding, and content overview. It was argued that these documents are too long for a lab assignment. The lab assignment should be designed in short and brief manner. The lecturers were torn between

• Each university developes its own lab assignments
• the courses of the study plan will be allocated between universities and the materials are shared among themselves on Moodle.

It was clarified two types of practical training materials:

• long methodological instruction with information on structure, functionalities and usability of the device (as the ones for ECG, US and ventilator developed by Azhybaev, Zakiriaev and Koomanova)
  • for shared use on Moodle plattform
• The second main document should be a lab assignment, which is not binded only for one course, but as a part of several coureses.
  • individually and to share on demand

The KyrMedu study plan is about medical informatics and students should therefor learn not only how to operate the device but to learn the back-end and to understand the work of the device too. They should know how to

• direct
• change or enhance the programme
• perform tests.

The purpose of the lab assignment must be directed by the learning outcomes, and to achieve the expected learning outcomes. The lab assignments should be individual as each lecturer has his/her own expectations on teaching the course. The lab assignments should be addressed on teaching certain skills.

The methodical instructions on ECG, US and Ventilator are categorized as scripts. They can be used as reference work, as guidence for studying for exams and for getting an introductory information on structure, functionalities and theory.

It was suggested to break down the usibility of the devices in different courses and develop lab assignments. Each university elaborates its own lab assignments.

TalSU has recommendations on workload of lab instruction on ECG, which was developed by Azhybaev.

 Prof. Grimm concluded the discussion:

1. Scripts will be shared on moodle platform
2. Individual lab assignments on 1-2 pages for each practical training within one course
3. these two types of documents should be taken as basis for further work

Structure of the lab assignment:

1. Theoretical introduction and link to the methodical instruction
2. Learning outcomes
3. Description of steps of experiment to perform
4. Minutes of expected outcomes
5. Questions on the physical structure of the device in order to check the background knowlegde of students before he will perform experiments on the device.
6. Content

Lecturers were assigned to evaluate their lab assignments and to present them.

It was proposed to use the manuals from the manufacturer instead of lab instructions. It was argued that manuals are for experts and not for students to learn on them. It has to be didactically elaborated.

NSU asked the collegues about their opinion regarding the copyright for ECG methodological instruction. It was developed by Mr. Azhybaev and will be submitted to the university council to approve and to publish it for the internal usage. It was commented that for the approving it by the Ministry of Education it should be reviewed by prominent Phd of this field and specialized physician. As it is not given an internal publishing for NSU it doesn't violate any laws.

The lecturers visited the labs of BME and laser technologies. They were very impressed and learned that lab assignments are actually on one page.

IKSU presented also their concept of lab assignemt for US scanner.

It was agreed to elaborate the the lab assignments. Each team will elaborate 2-3 lab assignments

1. Team: ECG; Cardio point soft
   Sultangazieva, Turdalieva, Botaliev
2. Team: Endoscop;
   Antipina, Abdybalieva, Ubaidilde uulu
3. Team: US Scanner
   Myrzabekova, Osmonova, Beishenalieva, Kainaeva, Aralbaev, Davletova
4. Team:
   Koomanova, Zakiriaev, Azhibekova, Seiitkazieva

Presentations and lectures by Professors of WHZ

Stefan Müller made a presentation about two topics: historical background of and motivation for empirical knowledge in the education, the breakthrough of the natural sciences and their impact on the learning process, and making the mind free in universities beginning from 15. century, and motivation of the lab assignments and practical components in the study programmes at universities.

He explained the lecturers that the practical training should be part of the study programme from the beginning. The progress of practical training goes from strictly instructed lab assignment where student must work in a team of two, to the point when he works on solution of a technical problem in bigger teams and has social skills and works creatively. So, the supervision of the lab gets less and the student takes more responsibility with each semester. The student gets real tasks from customers.

Oliver Arnold presented the method of flipped-classroom and shared with lecturers his experiences so far. He also showed practical examples and the running assignments in the course he is teaching as flipped classroom.

Prof. Anke Häber made overview presentation about the information management in Germany and the study programmes on Bachelor and Master at University Zwickau. She presented general information on health care system in Germany and connected the problems with the solution which is offered in the study programmes at University.

On the 4th day of the Workshop the lecturers particpated at Girls Day exibitions and workshops, and learned how to programme an artificial nose, and tried heart rate measuring devices. At afternoon, they particpated at the classes of Prof. Heiland about safety technology and Prof. Hinderer about ultrasound. They were introdused to lab assignments and working on ultrasound. So, they gathered theoretical and methodical knowledge.

Planning of labs at Medical Laboratory

Regional universities reported that they plan to make a study visit to Medical Lab at KSMA:

• NSU, 26.04.2019-29.04.2019
• TalSU, 13.05.2019-17.05.2019
• IKSU, end of May 2019
• OSU, in process

The bilateral agreements with KSMA on conducting practical trainings for 2019 are negotiated and in process of signing:

• KSUCTA, signed, copy is handed in
• KSTU, signed, copy will be sent to Zwickau
• NSU, signed, copy will be sent to Zwickau
• TalSU, signed, copy will be sent to Zwickau
• IKSU, signed, copy will be sent to Zwickau
• OSU, in process

Output

On the last day of the workshop, the moodle plattform and its management was discussed. The results of their work they presented in teams:

1. Safety technology of US Scanner

• Beyshenalieva U.U., Osmonova B.M. - Naryn State University
• Myrzabekova U.ZH., Kaynaeva Zh.A.,Batyrbekov D.A - Talas State University.

2. Operating the control panel of US scanner

• Aralbaev M.E., Davletova Ch.I. - Kyrgyz State University of construction, transport and architecture

3. Maintenance and servicing of US Scanner

• Zakiryayev K.E., Koomanova Zh.K. - Issyk-Kul State University
• Seyitkazieva G.I., Azhibekova A.T. - Osh State University

4. Biophysical basics

• Antipina I., Abdyldaeva K., Ubaidilde uulu A.

5. Endoscopic examination

• Antipina I., Abdyldaeva K., Ubaidilde uulu A.

6. Registration of electrical signals of heart

• Sultangazieva R., Turdalieva A., Botaliev A.

7. Working with Software

• Sultangazieva R., Turdalieva A., Botaliev A.

After the presentations it the lecturers received certificates. Thelab assignments were uploaded at moodle portal of KyrMedu.