​​Teaching​ Stories

How Attending a Teaching and Learning Workshop Transformed my Approach in the Classroom​

Ms Shireen Shehzad, Assistant Professor – School of Nursing and Midwifery (SONAM), Pakistan

October 20, 2019


This summer, I attended the Teaching and Learning Enhancement Workshop (TLEW), hosted by the Networks of Quality, Teaching and Learning (QTL_net). The purpose of TLEW is to enhance faculty members' teaching skills by introducing new instructional strategies. TLEW allows educators to develop and refine their teaching skills for more productive learning in their classrooms.

An important organizational skill that I learned in TLEW was the BOPPPS model for lesson planning. The acronym BOPPPS stands for: Bridge-in, Outcomes (or Objectives), Pre-assessment, Participatory learning, Post-assessment, and Summary. This method provides a structured framework for teaching and allows faculty members to implement their content in the most effective way.

In my experience in the classroom, the BOPPPS model did not change the content of my teaching; as I have been teaching the same course since the last few years and have also been applying various teaching and learning strategies. BOPPPS provided a framework for my teaching so that the content was well absorbed and understood by the students in an organized way. It has transformed the way I teach and my students' interaction with the content in the most positive way.

Putting BOPPPS into Practice

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My first session after attending TLEW was on community assessment of Community Health Nursing (CHN) course. It is a clinical based course and students are expected to integrate this session's learning into their clinical practice. I was very excited and a little nervous about applying my TLEW learnings because of the large class size but yet again it was a trial and error process. I began my lesson of the day by bridging-in with a video of a local community assessment that I wanted my students to take part in. I was very clear in my outcome/objective that I wanted to simulate the students' first day in the community before they had even set foot there and they would learn how to assess a community that may be far different from their own. For pre-assessment and participatory learning, I distributed sticky notes among students. Each row of the venue got different domains of the community core system or the sub system. I asked each student to think about an assessment strategy to assess the assigned domain when entering into the new community. This actively engaged students as they wrote down what they already knew about community assessment through the video and then formulated a question or an observation for community assessment. Afterwards, the students placed their sticky note on the blackboard below their assigned domains of community assessment such as environment, health, society, politics, history, etc. I then asked students to go through each and every domain and read the notes and learn from each other's knowledge and they were allowed to deliberate on these questions, if needed. For post-assessment, I asked their understanding through some reflective scenarios.  This way, even after the lesson was over, students would keep reflecting on the discussions and develop their own thought processes.  After summarization, I utilized another activity that I learned in TLEW: the 'ah-ha moment' and the 'muddiest moment' to conclude my session. Students reflected on the session: when they had a spur-of-the-moment brilliant insight, and what moment they found most challenging.

I got a lot of positive feedback from students who enjoyed the activities and learned the required concepts. Using the BOPPPS model in my lesson, students were well prepared with the precise analytical tools for their first day of clinical in the new communities. ​

Classrooms of Care: Connecting with Students in an Oncology Nursing Diploma Programme

Diana Kassaman, Senior Instructor, SONAM and Tayreez Mushani, Adjunct Faculty SONAM - Kenya

October 10, 2019

Classrooms of Care establish the foundation of caring and collaborative culture among students and practitioners. Our teaching philosophy is deeply rooted in the nexus of caring and collaboration which we wanted to set as a classroom norm from the beginning of our course in the Oncology Nursing Diploma Program. We were greatly inspired by the University Chancellor's speech at the inauguration of the School of Nursing and Midwifery (SONAM) in Karachi, Pakistan where he stated,

"If you fail, I have failed, if you succeed, Pakistan will be rewarded."

We used this as a preamble in the course; and on the first day, we told our students,

"If you fail, we will have failed and if you succeed, Kenya will be rewarded because our patients will receive better care."​

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Classroom of care is an  important milieu for an Oncology Nursing Diploma Programme where students  learn to empathize with patients and families they would be working with in the hospitals. Generally, students in the program come from many different and diverse backgrounds. In our class, there was only one student who had an experience of working in an Oncology Centre and the rest of the students had little knowledge about Oncology nursing due to which some concepts were entirely new to them. Therefore, it was important for us to establish a safe class environment from the very beginning with clear instructions so that students felt comfortable in asking questions and expressing themselves whenever concepts were unclear.  Moreover, during the course we fostered the elements of care and collaboration through three distinct ways:

  • Creating Culture of Caring Classrooms: In the diploma programme, our course classes were scheduled for two days a week. On day one of each week, we encouraged students to share their stories, songs, poems, etc. and then we reflected on them together as a whole class. To appreciate students' efforts and engagement, we also displayed some of the printable stories and poems on the bulletin board. For day two of each week, we initiated prayers in the classroom, following the guidelines of being respectful to all faiths. Both of these initiatives (i.e. reflection on students' work and prayers) established the culture, comfort and exemplified the practice that we saw all our students as equals and we cared about their learning experiences. In our class, holistic care has always been central to the learning process; therefore, we extended the concept of care beyond classroom boundaries by celebrating students' birthdays, baby showers, and reaching out to individuals who were struggling. Through this approach, we wanted to show our students that, as human beings, there will be many different moments and emotions they will experience in their nursing careers and they must adjust how they care for patients depending on these circumstances.​
  • Valuing Students' Feedback: It is widely acknowledged that effective teaching requires one to make an effort to know one's students because in the class, there are students with diverse personalities, needs and learning styles. We believe that knowing students' strengths and weaknesses, and then planning our lessons and activities accordingly, made us more effective teachers. Therefore, on a regular basis, we would request our students to share their feedback on the course content and facilitation, and indicate areas they thought required improvement. Through this process, we learned that whilst teaching, it's important to look around and recognize when students are not following the concepts. For example, when we experienced this situation, we stepped back and asked ourselves, "How do students want us to approach this concept? Which strategy would help them to understand the concepts in an easier way"? Reflection on these questions along with students' feedback through evaluation forms helped us improve our skills as facilitators. This improvement in our teaching strategies helped students recognize that their feedback and thinking was valuable to the class and to us.
  • Preaching what we practice: Role modelling and awareness of your actions as a facilitator are also crucial, as students do not only learn from 'what you say' but they critically observe and learn from 'what you do'. For instance, when we go to the clinical site in the hospital, how we interacted with the staff, doctors, and patients was a key learning aspect.

Through some of these approaches, we created a caring community of learners—a community whose members feel valued, personally connected to one another, and committed to everyone's growth and learning. Towards the end of the course, it was fulfiling for us to see our students progressing through the course. They excelled in their licensing exam: out of the 16 students who sat the Nursing Council Examination, 13 students passed with distinction, and 3 with credit, placing all students within the top two levels of the examination. Furthermore, we were happy to see that prior to taking the exam, students were very confident in their abilities to succeed. We were very pleased with these results, and truly proud of their hard work.

Reflections from a "master" teacher: It's never too late to learn

Dr. Nancy Booker, Assistant Professor and Director - Academic Affairs, Graduate School of Media and Communications​ (GSMC)

April 3, 2019

I thought I should share my reflections regarding a course that I am teaching for the second time. The first time I taught this course was in January 2018. I hadn't enrolled for any of the workshops offered by the Network of Quality Teaching and Learning so I was relying on my prior experience and anything I could find online regarding the flipped classroom approach.  I now have the advantage of having attended two workshops namely the Teaching and Learning Enhancement Workshop (TLEW) in April 2018 and Re-thinking Teaching (RTT) Workshop in November 2018. During the Re-thinking teaching workshop, I redesigned a different course but applied the ideas to the course I am currently teaching.

The result: My first class this semester was great. I went home elated by the three-hour class session  we had. I was even able to get on a Skype call after class and work for another hour! Ordinarily, I would be so exhausted after class that driving myself home​ would be a nightmare – partly because as a teacher I would do most of the talking – you all know how we sometimes like the sound of our own voices. Well, not yesterday. This is how my three-hour class ran.

5:30 – 6:00pm: We started at 5:30pm with some housekeeping and a re-cap of the assessments the students will be undertaking in the Digital Journalism course this semester. I also checked with them whether they had completed their prior readings and made short notes as indicated on VLE. They were also to watch a short video that had been shared on VLE. During the orientation week Edward, insisted that I walk them through my course on VLE. Initially I was timid. I didn't think I had done much but with his encouragement, I walked the students through my course on VLE and Edward was very impressed with how I had infused different ways of teaching and how I had flipped the classroom.​

6:00 – 6:30pm: I put the students in groups of 5, to discuss the readings. I had developed a set ofquestions based on the readings and the video they watched. I also had questions that would allow them to reflect on their own organizations and their everyday work experience in the current media ecosystem.These discussions were animated. They couldn't stop talking among themselves. As I walked from group to group, I saw the class come alive and the passion to share with each other was evident.

6:30 – 7:00pm: I selected a few questions that I wanted us to reflect on jointly as a class. Since they had discussed these in their groups, the feedback session was very rich. Please note this is a skill I learnt from RTT workshop in Karachi. I saw how Jacque would run the sessions and I said to myself, "I mustto do that when I get back to Nairobi." I also got a chance to share bits of my lecture notes with the class and they could see how my presentation related to what they were experiencing in their workplaces.Boom! They were able to relate theory and practice.We then took a quick tea break before settling down for a panel discussion with invited guests from the media industry.

7:15 – 8:30pm: Each of the guests had a brief regarding what areas they would focus on during  their presentation – they would speak to various issues regarding the media ecosystem from a local, regional and global perspective and the import of this to journalism practice and more importantly to story- telling – which is what my course is all about. Each spoke for 5-6 minutes then we opened it up for Q and A. Let me state that I had this same panel last year and it was exhausting to run because I did all the work and ran the show. This time the students engagedthe panelists much more. They had questions ready. Remember they had read, discussed in groups and then discussed as a class and I had pushed them to think about some of the issues that were emerging and challenged them to engage the panelists because they are the practitioners.

This session went very well. At some point, there were so many questions that I had to seek their indulgence to extend the class by about 10 minutes so that we could have a few more questions addressed. When it was finally over at 8:40pm no one wanted to go home. They stayed on, debated further in small groups and engaged the panellists further - in small groups or as individuals. The panellists said they also learnt a lot from the students.

What I have learnt from this.

One, my teaching experience has improved greatly since I took the courses you offer and for that I am eternally grateful. Having taught for so long (never mind that I am not a trained teacher. I am an expert in my field) I kept wondering what there was to learn about teaching. I had been there, done that! Well, I have learnt a lot in the past year from TLEW and RTT workshops and will continue to learn so that I can improve the experience for my students.

Two, flipping the classroom is the best way to get students – particularly in the graduate programmes, to learn. They share so much with each other and they learn better from each other. I am working with students who come to class with so much knowledge and practice as they are practitioners. I sometimes wonder what more there is to learn for them, but it is amazing just how many walk out saying, "that was a good class, I learnt so much." But, for this to happen, one needs to do lots of preparation before class.   It  is what the teacher does prior to the 3-hour lecture that will determine how well the class runs and how much learning takes place. Hence proper planning and structuring of the lesson, the activities and other teaching resources is key.

I continue to improve my teaching and the learning experience for my students' every day. It is a journey but with your help I am well on course! Thank you and looking forward to more engagements with the team. I will update you as we go along.

​Teaching through Case Study Method using Toulmin's Model of Argumentation​

Dr. Sadia Muzaffar Bhutta​, Assistant Professor, Institute for Educational Development (IED), Pakistan 

February 20, 2019

Being the eldest in the family, I started teaching my younger siblings at a very young age. After completing my Masters, I joined a local school and started teaching the way I was taught by my teachers. As an early career teacher, I was a strong believer of 'teacher-led' classrooms with 'slight touch' of student-talk. I started questioning this notion of pedagogical practice after being exposed to 'alternative' strategies of teaching which brought a paradigm shift in my notions and theories of teaching and learning. My espoused teaching philosophy is deeply rooted in constructivism, which relies on the nexus of 'active teaching' (teacher presents the content through interactive teaching) and 'active learning' (students take initiative to deconstruct and reconstruct knowledge and develop skills). 

I view active teaching and learning as a 'balanced approach' in which both, the facilitator and the learners, actively participate to construct knowledge. Within this balanced approach, I find case studies to be an effective method, because it enables the facilitators and learners to critically apply disciplinary concepts in an authentic, real life, context.

An example from a Master of Education course called the Pedagogical Content Knowledge in Science clearly manifests the effectiveness of the case study method in improving students' learning. For one of the course themes, I generally use the case of the 'Designer's Baby' to engage students in argumentation while teaching socio-scientific issues. Students begin their learning cycle by exploring the case and sorting out the relevant facts and figures. Afterwards, they are involved in analyzing the information presented in the case, posing relevant questions, and developing logical conclusions through peer discussions. Based on their analysis, they take positions that require them to argue for or against the permissibility of a choice for parents to design their babies by selecting specific traits using the Toulmin's Model to frame their arguments and back/support their claims. Toulmin's model is the tool used for analyzing the components of arguments. Subsequently, they provide scientifically grounded arguments, expressing opinions, making decisions, and applying their learned theoretical concept in the given scenario. An example of the arguments developed by students using the Toulmin's Model is shown in the image below:

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Evidently, the image shows that the learners argued for and against the Designer Baby case following the line of reasoning, whereby ethical and social considerations were demystified and discussed during the argumentation session in the class.

Many such experiences using the case study method for teaching and learning have led me to believe that it enhances students' cognition from merely recalling the information present in the scenario to a step ahead, where they are actively engaged in analyzing and evaluating the concepts and finally generating arguments to support their decision.  Some of the students shared their views regarding this process as:

Argumentation [using case studies] generated a discussion in the classroom where we did not only begin to articulate reasons for supporting a particular claim and justify our views but we also started to listen to our peers' ideas, challenging them and then respond accordingly

Argumentation helps us to go beyond the memorization and superficial learning to a stage where we can actively integrate and apply concepts under an array of situations and circumstances

Having applied this strategy for over 5 years, I find case-based discussions effective in helping apply theoretical knowledge in daily life situations. This approach seems to have contributed to stretching the boundaries of the science classroom by applying the theory in real-life situations and connecting it to social, political, economic, religious and ethical issues.​

​​Mock Drill: Simulator Mediated Activity for Resuscitation Training (SMART)​

 Azmat Khan, Assistant Professor, School of Nursing and Midwifery (SONAM), Pakistan

 October 5, 2018

I am a graduate of AKU-SONAM-Pakistan, and I have been teaching in an undergraduate nursing program (BScN) for several years. I teach Bachelor of Science in Nursing (BScN) fourth year program's clinical course where students are expected to work in the emergency department (ED) and provide care to patients in vulnerable situations. Over the years, I have observed that the students usually avoid performing Cardio-Pulmonary Resuscitation (CPR) in emergency situations. They feel anxious and fearful even while obser​ving CPR and tend to stay far from the resuscitation team. I decided to use a Simulator-Mediated Activity for Resuscitation Training (SMART) in the simulation lab at CIME, to reduce their anxiety and enhance their clinical skills. I purposely use mannequin (Resusci Anne Simulator) as the simulator has high quality airway management with endotracheal tubes, spontaneous breathing, live defibrillation and synchronized ECG, IV insertion, blood pressure and pulse monitoring, Quality Chest compression feedback on the SimPad, voice, lung and heart sounds for basic simulation training. I teach the session in four phases namely: pre-session briefing, orientation, implementation, and modeling and debriefing.

Pre-session briefing

This is conducted, a day prior to actual mock drill a pre-session briefing. I engage students in discussions around life threatening arrhythmias, algorithms and resuscitation team roles.


In this phase, I divide students into two groups (Group A and B), and orient them on simulated ED room, mannequin, simulator and equipment (Crash Cart, Defibrillator, Ambo bag, Oxygen flow-meter).


I provide a scenario to students in Group A and they share roles as a resuscitation team. I regulate SimPad to provide them with specific situation and they run a Mega Code on simulated mannequin according to the given scenario (used American Heart Association testing mega code scenarios). During resuscitation activity, I provide different arrhythmias through SimPad and according to these arrhythmias students select an appropriate algorithm and run the code.

Also, I assign a student from Group B to video-record the whole activity while the rest of Group B members observe critically from the adjacent observation room and make notes on Group A's activity. After the performance of one group, roles of both the groups are switched. 

Modelling and Debriefing

After the performance of both the groups, we discuss the activity. Subsequently, I model CPR for the students on the mannequin having the pre-set arrhythmias. The students then demonstrate CPR and get feedback on their performance and I re-demonstrate where necessary. Thereafter, we debrief the session using the recorded videos where students reflect and discuss what and how they have learned and how can they perform better.

Post-SMART evaluation

Students' feedback on the use of SMART was sought and 81% students indicated that the mock-drill enabled them to meet their objective of identifying cardiac dysrhythmias and performing algorithms in their resuscitation teams. 94% were satisfied with the learning methodology used in the mock-drill and 93% of the students found SMART useful in enhancing their knowledge and skills regarding CPR. Some students shared:

 "The mock drill was fruitful and I suggest more of these kind of mock drills as practice make a person perfect".

 "SMART mock-drill was a good initiative as it helped me reduce my anxiety towards CPR. It should be organized for all BScN students."

 "The drill was a nice practice to give same exposure to what we might face in critical area".


In nursing education, simulation based technology and simulation environment plays a crucial role in providing students with hands-on practice where they can engage in recursive practice and learn through their mistakes which contribute towards becoming a competent and a safe nurse. Next time I teach the course again, I plan to go a step further and take the learners to the Emergency Room to enable them apply their learning in the real-life critical area. My students and I have benefitted greatly using SMART approach. I recommend SMART approach to all faculty who teach CPR to health care professionals.​

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Evoking a rhythm for learning in Health ​and Development ​

Kausar S. Khan, Senior Lecturer, Community Health Sciences, Medical College, Aga Khan University, Karachi.

July 31, 2018

I teach the program of Community Health Sciences to undergraduate and graduate medical students at AKU. I also teach short courses to people from non-governmental and government organizations. My teaching is inspired by Paolo Freire and Carl Rogers, whereby the learner is 'engaged' in the subject to be learnt. I strongly believe that 'people remember what they discover' and, therefore, while teaching I engage learners in making meaning of the subjects/ideas introduced. In short, I follow the maxim, that learners are not empty vessels that have to be filled by some expert.

The following is an example of a very specific teaching strategy that I developed and used with the first-year undergraduate medical students (80+ students), while teaching the topic of health and development. My aim was to help them comprehend the complex and evolving relationship between health, poverty and development; identify determinants of health in Pakistan; discuss factors affecting determinants and propose ways to eradicate elements that negatively affect health. The students sit in rows after rows in a large hall; average age is 17 years. I used PowerPoint presentation to flash the topic and introduce the content of the topic. I distributed what I call 'Students – Worksheets', which have seven sections that correspond with the questions raised during my presentation.  In the worksheets, each student is requested to write his/her responses to questions raised. A short (5 min) video clip on health issues in Karachi is shown, and students write down the salient health issues raised by the film. After every section filled in the Worksheet, students share what they have written. Students at one point are asked: "For better health outcomes of the most vulnerable and marginalized, who should define development?" (Question displayed on a slide of the power-point presentation). This is the rhythm of the class room session – questions raised, students write their response on the Worksheet, share their response, and power presentation moves on. For example, section 6 on the worksheet required students to write what they learnt from the session and in section 7 they write their reflexive note (reflexivity is introduced to the students in an earlier session). Worksheets are collected at the end of the session.

It is quite striking that the majority of students successfully write the reflexive notes and, barring a few, are able to separate their thoughts and feelings. In my experience, the process of separating feelings and thoughts is often not easy for learners. An example from students' reflexive notes, reads: "Empathy leads to a will to change things. I thought about how to help the poor after I graduate. I understood the importance of community health, I felt empathy for my community." It was also very striking that the learning (section 6) went beyond the stated objectives of the session.

Having experienced the efficacy of Student-worksheets in my classroom, I believe that the worksheet provides the students the opportunity to first access their own understanding/opinions before listening to other views while remaining focused on the learning task. When the students shared what they wrote, they were open to hear and appreciated diverse point of views and were not disrespectful towards each other. For me, worksheets have always worked – they stimulate students to think and share their thoughts with others. My role in teaching is simply appreciating students' thoughts and validating them. The student-worksheets are taylor made for every session, however, the section 6 and 7 i.e. what have you learnt; and reflexive note remains same all across.​

Game based learning: using technology to enhance active learning in a health assessment course​

​​​Ms. Beth  Waweru, Instructor, School of Nursing and Midwifery, Kenya.
August  17, 2017​



My teaching philosophy evolves around active learning and understanding of concepts by the students and that learning has to be interestin​g. My approach of teaching hence reflects this philosophy and that is why I chose Kahoot as part of my instructional methods in the Health Assessment Course.

Concept of Digital Game Based Learning (DGBL) as used in Health Assessment Course

The theoretical foundation of games as a teaching and learning strategy was first described by Kolb in his experiential learning model. Game-based learning is considered to be risk free and it encourages exploration and trial-and-error actions with instant feedback and hence stimulates curiosity and learning(Hussein, 2015). Digital game-based connects educational content with computer or video games and can be used in almost all subjects and skill levels. With advancement in technology, students need to be prepared to participate in the globalized technological society of the 21st Century in the course of their learning. Learning also need to be interactive and interesting with instant feedback.

What is Kahoot?

“Kahoot! is a free online classroom response system designed to allow instructors to quickly and easily create question-based learning games that can be used to assess student learning, review concepts, teach new material, and/or facilitate classroom discussions”(Graham, 2015). The Kahoot platform is a simple and intuitive game development tool that allows instructors to skip the technical hurdle they might otherwise encounter in developing a digital game and focus instead on instructional outcomes (Graham, 2015).

My Experience

I mainly use Kahoot to evaluate whether students have done their pre-lesson reading and how well they have understood the material. It assists me to utilize the limited lesson time to clarify concepts that were not well understood and build on what is already known. Occasionally, I use Kahoot, to evaluate post lesson.

Initially, some students resisted. In my first lesson, some students were reluctant to connect to Kahoot and opted to work with their desk mates. So I had just a few participants but I rewarded the winners. In subsequent lessons I had more participants all hoping to be cheered up as winners and as we progressed it became more interesting.

At the end of the course, I did a simple evaluation of Kahoot as a teaching strategy. I used a likert scale type of questions with 1-4 points. There were also two open-ended questions of what they liked most and what they did not like about Kahoot. Most of the responses on the likert scale questions ranged between 1-2. Twenty-four out of twenty-six students participated in the evaluation. Most students rated the use of Kahoot high. Below are some of the students’ responses on what the students liked most and what they did not like:

The use of Kahoot: “ made lessons interactive” “Very interesting and fun” “Encouraged me to read prior to lessons” “Enabled me improve thinking ability” “Fast way of learning concepts” “Nice way of keeping learners awake”. 

Some students felt that the time for answering the questions was not enough as stated in this comment: “there was no time to think”. Use of technology was also a challenge.


DGBL engages students in their learning and makes learning interesting.  The instructor is able to assess whether or not learning has taken place and can give prompt feedback to students. 


Graham, K. (2015). TechMatters: Getting into Kahoot!(s): Exploring a game-based learning system to enhance student learning. LOEX Quarterly, 42(3), 4. 


Hussein, B. (2015). A Blend​ed Learning Approach to Teaching Project Management:

A Model for Active Participation and Involvement: Insights from Norway. Education Sciences, 5(2), 104. ​

February  11, 2017​

Flipping the classroom-Use of Moodle in the Teaching and Learning of Reproductive Health Nursing: A Teaching Story by Ms. Jane Kabo, Senior Instructor, School of Nursing and Midwifery, Kenya.

"As an instructor for Reproductive Health Nursing, I believe that every student deserves quality teaching and learning processes. Quality teaching and learning experiences enhances students’ achievement. Students come with unique experiences and backgrounds, and therefore it is pertinent to adapt the classroom teaching according to the needs of the learners. 

I intentionally choose strategies that maximize students’ learning rather than choosing those, that are easy-to-use. For example, group works are more difficult to organize and manage, as compared to lectures. However, group work is more effective than lectures because it engages students in learning and allow them to take control of their own learning. 

The flipped classroom is a pedagogical model which reverses what typically occurs in class and out of class. Students are first exposed to the material outside of class, in the form of video-based lectures. Subsequently, class-time is used to engage in activities like problem solving, creating, critiquing, analysis and synthesizing of information. Students take ownership of their learning by using flipped approach as it keeps them engaged in and outside classroom.  The pedagogy has enabled me to apply more of active learning strategies by placing the responsibility for learning upon the student, giving me a role of a facilitator rather than one way provider of information. I have moved from instructor-centered to student-centered learning environment while using flipped approach and my students are able to interact prolifically with each other, the content and the instructor. 

Use of Moodle platform while flipping classroom, has allowed me to use variety of methods to engage the learners and to provide online support for my course.  Providing a central space on the web where students can access a set of tools and resources anytime anywhere allows them to work flexibly in and out of class. Through the platform, learners ask questions (in and out of classroom) without feeling embarrassed as their anonymity is maintained. I’m able to access students’ questions, summarise, organise and analyse them, and address them during my face to face lesson. I’m also able to share resources beforehand and engage students in discussion forums. Linking the assignments with the lessons and posting quizzes on line has saved me time, postage and paper.

The use of moodle to flip my classroom has supported learning throughout; expanded course offerings and experiences; increased student engagement and motivation; and accelerated learning. From my experience, the technology has improved educational productivity in a number of ways; and students learn faster in and out of class. It reduces the cost of instructional materials and increases efficiency (instructor’s time).

However, there are a few challenges in using flipped classroom and technology. For example, teachers may find it difficult as it takes a lot of time to design higher order thinking tasks. Students may find it difficult to take charge of their learning especially out of the classroom, and some students are not tech-savvy and thus they may find it difficult to work online effectively. Some planned strategies may not work well while delivering the course, and thus, teacher needs to rethink and redesign course as per students’ needs. ​

In conclusion, applying the flipped philosophy has enabled me adopt a teaching approach that allows me to adapt, in the online environment, the strategies that I use in face-to-face classes. The benefits of the flipped classroom model outweigh the challenges. The implementation of the model becomes easier over time. Moreover, it equips students with skills required in a changing technology landscape and instructors need to integrate knowledge, instructional practices, and technologies."


Use of Active Illustration in Patient Education:​

Ms. Nausheen Salim, Senior Instructor, School of Nursing And Midwifery, Karachi.

January  13, 2017​


Ms. Nausheen Salim, Senior Instructor , SONAM Pakistan shares her teaching story and experience as a teacher and nurse: ​​ 

"Although I am a nurse by profession, I value my identity as a teacher. Teaching nurses in a clinical setting provides them with important on-site hands-on experience of patient care. One important clinical skill that I teach nurses is patient education. This involves educating patients to help them understand “what has happened to them,” “what are the possible causes,” “how can it be treated,” and “what is the future plan for care.”​

“Active Illustration Technique” is a useful tool to use with patients and their families to inform them about their disease process and to help them make decisions about their proposed plan of care. By using the scientific knowledge base, effective communication skills, and simple metaphorical exemplars, a nurse can help the patient understand the medical diagnosis.  For example, the metaphor of blocked water pipes is used to generate discussion about the risk factors, pathophysiology, signs and symptoms, and complication of high blood pressure. ​

To use active illustration technique, one needs to think of various life processes and compare them with real-life phenomena existing in society. This also involves thinking about how the disease could adversely affect the life processes. After choosing the metaphor from daily life, one illustrates the process using stick-figure drawings while conversing with the patient. To use this strategy, one only needs to have an A4-sized paper and a pencil.

There are two pre-requisites for successful use of this strategy: knowing the language of the patient and complete knowledge of the disease process under discussion. However, this strategy may not work in certain circumstances, for instance, if a patient is not interested or ready to hear the details of his/her disease or he/she is not in a state of mind to comprehend the issue. 

My students use a variety of exemplars and metaphors in educating their patients about the health problems they are experiencing. Students report that “this technique enhances patients’ understanding of their conditions.” Consequently, “it enhances their competence in implementing any proposed plan of care.” They also find it “useful in developing a rapport with the patients and their families.” In addition, it develops a “sense of trust and mutual respect between patients and student nurses.” This is beneficial for patient compliance with treatment and post-treatment care. Also, this technique could lead patients’ improved satisfaction for the care provided, a better understanding of the role of nurses, and enhancement of nurses’ self-worth. ​

In conclusion, I think this strategy is applicable to most disciplines in general and nursing education in particular. Using on-the-spot narration of the phenomenon at hand, using metaphors and visual illustrations, and engaging learners’ multiple senses can lead to a better understanding of how complicated medical knowledge can be effectively transferred."​


Patients at the Heart of Teaching:

A Blended Learning Course Experience -  Dr. Sameena Shah

​December  05, 2016​​


Dr. Sameena Shah, Associate Professor Family Physician, Medical College, Karachi, Pakistan s​hares h​er teaching story on how Blended Learning Faculty Development Programme has equipped her with critical online pedagogical skills. This is her experience:

“I am a consultant Family Physician at the Aga Khan University. In addition to being a clinician, I am also a teacher, and I love what I do. 

Since 2012, I have been working extensively to develop and establish palliative medicine services including ‘end of life care’ at the Aga Khan University Hospital. As an emerging area in Medical Education in Pakistan, in order to increase capacity at AKUH and AKHSP, I have designed and developed regular face-to-face courses and workshops on Palliative Care for postgraduates and physicians.

In 2013, I participated in the Faculty Development Programme for Blended Learning. 

My participation in the programme equipped me to use online pedagogies to reach physicians remotely in areas such as Interior Sindh, Gilgit-Baltistan, Karachi and AKU residents both on and off-campus.

Providing awareness about the human dimension of patients to ensure their holistic wellbeing and care has always been at the core of my teaching. In addition to the scientific side of medicine, students need to be sensitive to their patients’ and patients families’ socio-cultural and emotional dimensions to be able to facilitate effective care and management in clinical settings and indeed the community.

Previously, I used role-play and presentations to teach core concepts. With the blended learning approach, I now create ‘online’ patient stories as a resource to organise a number of teaching and learning activities. 

To ensure holistic and patient-centred learning I have created varied socio-economic and cultural settings for each patient that highlight key issues. Moreover, I have included lab reports, radiological investigations and hand-written prescriptions as part of the patients’ narratives. 

Towards the end of the course, students participate in a practical component where they visit a hospice and observe clinical consultations in real-time. The course concludes with a workshop based on the patient stories to teach and practice counselling skills through evidence based role-play strategies.

Through fictionalising real-life accounts and encouraging students to review them not only as clinical scenarios but ‘stories’, routinely moderating discussions and reasoning on online discussion forums, presenting students with probing questions and clarifying concepts, the patient’s life is at the centre of teaching and learning activities.

Feedback highlighted the usefulness of “interdependence” in discussions where participants were able to learn from each other. They appreciated the way patient stories were presented with incorporation of sensitive issues, and how visuals such as reports and prescriptions were added. 

However, a few of the participants felt that the interaction on online discussions could be improved by more faculty member and peer input and more frequent live summary sessions for clarification of queries. This did strike a chord, as a challenge with this methodology for me has been establishing an adequate view of students’ progress, due to the asynchronous nature of discussions. However, reviewing students’ responses is always helpful to understand what they have learned and where they need assistance. 

It was a learning curve, but by the end of discussions, I was able to ascertain the level of understanding of my students. Another challenge is structuring the task with relevant questions, activities and visual details so as to make it as real as possible. Linking it to the objective of the course and at the same time giving enough freedom to students to think and work independently is yet another challenge. I overcome these challenges by detailed planning and provision of pre-reading material to help students to come prepared to the (online) and classroom lectures.

I also want to highlight the importance of professional development in designing a course in such an innovative format; I learned by doing! Faculty mentors and course designers at the Network of Blended and Digital Learning provided me with strong pedagogical knowledge about blended learning, provided feedback on course design and developed digital learning artefacts for this course. Another important aspect to my learning were reflective conversations where course designers would ask me difficult but interesting questions on why I would like to design and teach a concept in a certain manner, how learning materials should be presented or how it can enhance students’ engagement in learning. Moreover, we would critically reflect upon the challenges and collaboratively devise strategies to overcome them for next offerings of the course.​

Based on my experiences, I recommend that we should the attempt to make our teaching more patient-centred in content and clinical practice and include more student-centred in teaching and learning activities. It is also important to make changes of the courses as per student feedback.”


The Pedagogy of Service Learning

Mary Oluga, Assistant Professor and Coordinator, MEd Part-Time Programmes

​March 16, 2015​​


​In the last 30 years, I have taught learners ranging from primary school children to adults undertaking a Master in Education. Needless to say, my teaching philosophy has experienced a metamorphosis during this period. Today, I understand that the ultimate aim of education should be to develop an inquisitive mind, which, at the same time, seeks answers to questions raised by such a mind. This enables an individual to seek real answers that aim to improve society. This philosophy is intricately embedded in my teaching presently. Subsequently, as an educator, I often seek improvement for myself and others by engaging in reasoned thought. 

Working with practitioners I always endeavour to encourage reasoning. One of the ways in which I have taught in this manner is through engaging my students in service learning – “a teaching and learning strategy that integrates meaningful community service with instruction and reflection to enrich the learning experience, teach civic responsibility and strengthen communities” (Eyler et al., 2001). I have found it most appropriate because service learning combines learning goals and community service in ways that enhance both student growth and the common good. 

Teachers are often confronted with sensitive and controversial issues in their classrooms but are required to display a neutral and objective position. This is difficult and unreal. Hence, I have used both community service learning (CSL) and community based learning (CBL) to deal with such issues. For example, with the former, my groups of MEd students went into a community to engage the latter in thinking of solutions to problems in th​e community. With CBL, groups of teachers and school administrators were brought into the institution and my group of master’s students facilitated a classroom-like workshop. Once, the students used interactive theatre to engage the community in discussing two social issues: abortion and female genital mutilation. In interactive theatre, the actors speak directly to the audience or engage them in actions, thus breaking the imaginary wall between the performers (students) and the audience (community). Both approaches often attract the attention of other staff and faculty. I attribute this to the spontaneous ways in which the strategies offer realistic solutions to realistic problems.

After every session of service learning, I get the students to reflect on their learning. The lessons learnt by both the students and me help me improve on the structure of subsequent sessions. 

While I recommend that educators should employ engaged pedagogies, I also recognise the challenge in "allowing the time" for this to take place. Elements of the intended outcome should be introduced gradually in the course or discipline taught. The course overview and objectives should state very clearly the purpose and justification for using service learning, as this pedagogy has implications on time, money and other resource materials. 

​The outcomes of service learning are immediate and are reflected in the attitudinal changes the students and community often share after such learning moments. The gains for the students are best captured by this comment from one of the MEd students after carrying out service learning, “We do not have to wait until the end of school for our students to see the impact of our teaching.” Indeed, the comment applies to me, too. I live my teaching as my students live their learning.​

​​If you are i​nterested in sharing your teaching story, please contact Kiran Qasim Ali​.