3-Os/Proposals/AMEE 2011

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Taking Continuing Professional Development (CPD) into the 21st century - The 3 'I's Personal Networked Active Learning Model for Care Improvement & Cost Control

The 3 Is - Intention, Initiative, Interaction

Theoretical Framing

  • Bourdieu practice theory and capitals theory
  • Physician's behaviour influenced by their informal networks
  • Physicians need support, structure and sharing rather than forced collaboration
  • Anderson networked learning
  • Siemens connectivism
  • Nardi Intensional Networkers
  • Bennett, Casebeer et al Physicians Info-Seeking Behaviours-strategic and rapacious
  • Active Learning - not causing anxiety, provide a safe space online, learning through meaningful interactions not long-winded dialogues

Conceptual Definition

CPD/CME in healthcare is a dynamic, continuous educational approach for each professional to develop an online personal network, increase autonomy over their work-based learning, activates their intention to initiate incremental changes to improve care in the emergent contexts of daily activities, supports them with social networking technologies to meaningfully access, connect, and interact with timely and relevant resources such as information, opinion and advice as and when needed, without causing anxiety, and starts with their everyday interactions where their knowledge is produced and skills situated, and sensitive to the sociocultural atmosphere and relationships in which their identities are shaped.

Educational Goals

  • demonstrate engagement, social interaction, connection, 'human presence' of e-learning
  • highlight interdisciplinary collaboration, bridging silos, crossing boundaries, online facilitation support
  • key messages - onsite, online, ongoing for meaningful change and deep engagement
  • evolution, not revolution, in transition from traditional professional education to networked active development
  • emphasise user value and measurable performance outcomes for evaluation
  • valorize learners empowerment - get what you want, when you want through social networking with a purpose


This workshop will teach participants about the 3 Is Personal Networked Active Learning Model, an innovative approach to improve the impact of e-learning for CPD for professionals on changing practice and measurably improving care and cost outcomes. The approach provides busy healthcare professionals access to specific support, structure, search and sharing resources with their online personal network to put them in charge of their learning.

The workshop introduces participants to the methods and concepts of The 3Is Personal Networked Active Learning Model, a structured networked learning event activated by anyone in the network to identify barriers and solve daily problems in their work. For the beginning, the teacher will activate the network because she has the skills, but slowly, she will teach all the students how to build, maintain and activate the network to learn when they want to.

It is approached as a continuous professional development support approach that enhances health professionals' agency to improve clinical practice and consciously and systematically work toward change using digital technologies. This is done by providing structured information, opinion, and advice with the support of a social network of peers, mentors and experts which can grow and grow sustainably over many years and different jobs throughout a career.

Participants will start by building their own personal network by developing their connections with their existing informal networks, and finding new people they'd like to bring into their network to support them in their work and achieve their aspirations.

Participants will then engage in a cycle of The 3Is Personal Networked Active Learning to design their own curriculum. The teacher will use a clinical guideline as the content to approach the learners' problems. (not all learners might have the same problem, so this model open-ended, anyone can teach anyone who is trying to solve the same problem, or faces the same issue, at which point they connect, invite mentors and experts to join in the problem-solving game, and off they go!)

The 'course' will include online discussions on WikiEducator.org and/or Moodle Forums. They will learn-by-doing through activities and exercises to develop an action plan during the live activity. With Web 2.0 tools, they will be guided through the stages of building a personal network, identifying a problem to investigate, and selecting appropriate research methods, collecting and analyzing data.

Participants will then engage in online evaluation to complete the cycle. The aim will be to assess how online personal networks can support healthcare professionals explore practice problem issues, develop actionable strategies, negotiate with stakeholders and monitor improvements in care and cost outcomes. The aim will also to observe if the structured support in a live subnet increased their agency to make changes to practice, and if not, what more needs to be done, when and how.

Participants will be invited to continue collaboration after the workshop through a facilitated online network led by the workshop leaders. With continued engagement, participants will sustain their learning, and present their findings to the network, as well as collaborate and share insights from local contexts where the model can be tried (under a licence from the 3-Os).

All participants should have some basic familiarity with computers and the Internet; and concepts and discourses on action research, professional learning, organisational learning, knowledge management, and networks of practice. They should also bring their laptops.


The aim of this workshop is learn about an innovative 3Is Personal Networked Active Learning model. Participants will actively engage in learning in real-time and online, both during and after the workshop. By using practical real-world examples, and experiencing it synchronously and online (i.e., WikiEducator.org, Moodle, Facebook Group & Twitter feed) participants will explore how developing, activating and maintaining a personal network can address key issues of patient care and performance improvement as they go about their daily work. Additional objectives include discussion and critical reflection of the ways in which this approach can improve clinical and organisational practices, and developing a learning network for post-workshop collaboration across cultural, situational and geographic contexts.

Support will be provided for those new to Web 2.0 tools for professional learning (e.g. Skype, Moodle, Twitter, and maybe even Facebook!)

Workshop Requirements