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Meeting Information


April 22, 2014


8 CDT/9 EDT/14 BST/15 CEST

Attending:  Valerie Smothers, Staff;  Jennifer Dunleavy, Erick Emde, Joshua Jacobs, PJ Kania, Ed Kennedy, Rosalyn Scott, Lorraine Spencer, John Sweeney, Radu Vestemean, Craig Wiggins

Agenda Items

1 Welcome

The group began with introductions.

  • Ed Kennedy, Accreditation Council for Continuing Medical Education
  • Erick Emde, Centers for Disease Control and Prevention
  • Jennifer Dunleavy, Accreditation Council for Continuing Medical Education
  • John Sweeney, Accreditation Council for Continuing Medical Education
  • Joshua Jacobs, Association of American Medical Colleges
  • Lorraine Spencer, The Johns Hopkins University School of Medicine
  • PJ Kania, Association of American Medical Colleges
  • Radu Vestemean, Knowledge4You
  • Rosalyn Scott, Department of Veterans Affairs
  • Craig Wiggins, Advanced Distributed Learning Initiative
  • Valerie Smothers, MedBiquitous

XAPI Interest group Kickoff 

Valerie reviewed the goals of the interest group and provides a brief explanation of the eXperience API. She then reviewed the MedBiquitous standards architecture and MedBiquitous’ interest in having approaches to the use of XAPI that take existing MedBiquitous standards and specifications, including the Competency Framework, Performance Framework, and Educational Achievement specification into account.

Erick encouraged the group to think about what verbs might be useful in healthcare. Verbs can have different meanings depending on the context ( ie fired may have a different meaning in the military community than it would in the human resources community).

Josh asked if the XAPI spec could capture learner mistreatment; ie the learner as recipient of an action rather than the actor. Craig indicated that was not out of scope. Josh also asked about group performance. Craig replied that you could define groups and create statements for the group or break that into information about the individual learner. He emphasized that XAPI is part of a larger training and learning architecture in development, part of which is the learner profile.

Radu commented that many courses require tracking of professionalism. There may be major or minor lapses. For example, a learner may come to class late repeatedly. They also want to capture accolades. Craig indicated the technology could serve those needs.

Lorraine asked if the Learner record Store (LRS) was an e-portfolio and data was learner owned. Craig replied the LRS was not a portfolio; it was just a “dumb box.” There are commercial LRS systems available that include analytics. Ownership of data is a complex question. There are also systems that combine XAPI functionality with Mozilla Open Badges.

Valerie reviewed existing MedBiquitous specifications and standards to explain how they would fit with the XAPI specification. The Competency Framework and performance framework could be important for use within XAPI statements about learner performance. The Eeducational Achievment specification is a more of a summary level description of performance; XAPI statements might be used to compile some of the data included in the Educational Achievement record.

The group reviewed some of the existing work to date, some of which will be explored further at the MedBiquitous Annual Conference. Matt Cownie has developed a number of use cases related to the use of XAPI with virtual patients. Ellen Meiselman has done a great deal of work looking at checklists, capturing performance, and connecting systems. ADL has developed demonstration software that integrates the XAPI, Competency Framework, and performance Framework standards and specifications.  Rosalyn explained that the VA is looking for a standard reporting structure for simulation equipment to enable standards-based tracking of performance.Erick indicated his interest in having content vendors send XAPI statements to a central system to enable centralized tracking learners in public health.

Valerie asked the group about their interest in participation. Jennifer indicated that the ACCME is interested in adding participant data to the PARS system for tracking CME activities from ACCME-accredited CME providers. They are especially interested in tracking competencies for licensing and credentialing. 

3 Open discussion

The group will convene again following the MedBiquitous Annual Conference. They will work to define the use cases and requirements for the use of XAPI in healthcare at that time. 


Action Items

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