This document discusses using technology to promote lifelong learning. It reviews learning theories, written resources like RSS feeds and podcasts, audio resources like text-to-speech and creating podcasts, sharing information through cloud storage, and copyright concerns. The goal is to demonstrate how psychiatrists can utilize these tools to continue educating themselves and sharing knowledge.
Basic Civil Engineering first year Notes- Chapter 4 Building.pptx
Technology and Learning
1. Do You Hear What I Hear?How to Utilize Technology to Promote Life-long Learning Peter Martin, MD, MPH Child and Adolescent Psychiatry Fellow Michael Scharf, MD Assistant Professor of Psychiatry and Pediatrics Training Director, Child and Adolescent Psychiatry Fellowship University of Rochester
2. Disclosure Statement Dr. Martin is an APA Public Psychiatry Fellow, sponsored by Bristol Myers-Squibb Dr. Scharf does not have any financial disclosures
3. Access to Slides Viewable slideshow: http://www.slideshare.net/psychiatrytech/ Downloadable PDF: http://sites.google.com/site/psychiatrytech/
4. Overview Our personal experience Review of learning theory Review of written resources Review of audio resources Demonstration of creating audio resources Review of shared information technologies Review of copyright concerns Discussion of implementation into real life
16. Learning Theory VARK: Visual, Aural, Read/write, Kinesthetic Visual: ex. Maps, charts, graphs, diagrams Does NOT include movies, PowerPoint Aural: listening as well as talking out problems Read/write: information as words Includes notes, PowerPoint Kinesthetic: prefer reality Experience, simulation Multimodals: prefer more than one type, or different types in different situations Source: http://www.vark-earn.com/english/page.asp?p=faq
17. Learning Theories We all learn in unique ways May have one style of learning that is better suited for an individual Likely have maximum benefit from combining different forms of learning
18. Evidence Based Teaching Sounds cool, even intuitive in 2011 Like practicing EBM, there are significant challenges...
19. Evidence Based Teaching Sounds cool, even intuitive in 2011 Like practicing EBM, there are significant challenges... Retraining teachers Defining outcomes Learner Satisfaction? Increase knowledge base? Change Behavior?
20. Skills Training, But How?“Evidence-based Teaching” Methods Written guidelines, CMEs, and “hit and run” workshops and lectures are generally ineffective Training needs to focus on skills (not factual knowledge), and must address obstacles encountered in practice Training must use collaborative learning partnerships, vs. “one-down” relationships, & use role models like those being trained
21. Recommended methods for assisting health care providers in adopting EBPs:Survey of 50 national MH experts 1 = not at all recommended, 9 = highly recommended
22. Skills Training, But How?“Evidence-based Teaching” Methods To be effective, skills training should “keep it light,” make frequent use of humor, and switch between different learning modes: hands-on practice, role plays, panels, Q&A sessions, skits, and friendly competition among small groups, etc.
23. REACH Skills Training Approach Hands-on, with role plays and extensive practice Can be done “on-site” or at national locations 2 day’s face-to-face training with 15-30 clinicians, with 2-3 trainers, followed by: 6-12 months of twice-monthly phone call consultation and support, 1-1.5 hours/call Individual case presentations, with learning and risk-taking shared among peers
24. How to recognize the moods of an adolescent DEPRESSED EXCITED HAPPY ANXIOUS MANIC SUICIDAL
25. REACH Training Approach Teachers chosen for native skill, national reputation, leadership, and then trained further! Hands-on, role plays and extensive practice Can be done “on-site” or at national locations Individual case presentations, with peer learning Intensive training of teachers in evidence-based teaching methods, providing all teachers ongoing coaching in teaching methods, daily debriefing, and continued focus on improvement Essential use of PCP “role models” in training
27. RSS (Really Simple Syndication) Definition: a family of web font formats used to provide subscribers with frequently updated information. Format allows distributing contents without the need of a navigator, by means of software designed to read RSS (aggregator) comments Source: http://www.en.masterbase.com/support/glossary.asp http://www.techlifeweb.com/wp-content/themes/TLW/images/rss-feed-icon.jpg
28. RSS “Readers” Websites: Google Reader NewsGator Programs Windows Browsers (Internet Explorer, Mozilla FireFox, Google Chrome) NewzCrawler FeedDemon Omea Reader Mac Browsers (Safari, Mozilla FireFox, Google Chrome) Shrook NetNewsWire NewsFire
29. RSS Mobile Google Reader iOS Reeder Newsrack Feeddler Android gReader NewsRob FeedR
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34. RSS Feeds – General Psychiatry American Journal of Psychiatry (AJP) http://ajp.psychiatryonline.org/rss/current.xml Archives of General Psychiatry http://archpsyc.ama-assn.org/rss/current.xml Annals of General Psychiatry http://www.annals-general-psychiatry.com/rss/ Current Psychiatry http://www.currentpsychiatry.com/rssAllArticles.asp Psychiatry Services http://ps.psychiatryonline.org/rss/current.xml The British Journal of Psychiatry http://psy.psychiatryonline.org/rss/current.xml
35. RSS Feeds – Subspecialties Journal of the American Academy of Child and Adolescent Psychiatry (JAACAP) http://www.jaacap.com/current.rss Psychosomatics http://psy.psychiatryonline.org/rss/current.xml Biological Psychiatry http://www.journals.elsevierhealth.com/periodicals/bps/current.rss Academic Psychiatry http://ap.psychiatryonline.org/rss/current.xml
36. RSS Feeds – Other Specialties General Medicine Journal of the American Medical Association (JAMA) http://jama.ama-assn.org/rss/current.xml New England Journal of Medicine (NEJM) http://content.nejm.org/rss/current.xm The Lancet http://multimedia.thelancet.com/rss/lancet_current.xml Annals of Internal Medicine http://www.annals.org/rss/current.xm British Medical Journal http://www.bmj.com/rss/latest.xml Pediatrics Pediatrics http://pediatrics.aappublications.org/rss/current.xml Archives of Pediatrics http://archpedi.ama-assn.org/rss/current.xml Neurology Neurology http://www.neurology.org/rss/current.xml Archives of Neurology http://archneur.ama-assn.org/rss/current.xml Annals of Neurology http://www3.interscience.wiley.com/rss/journal/76507645 The Lancet Neurology http://multimedia.thelancet.com/rss/laneur_current.xml Journal of Child Neurology http://jcn.sagepub.com/rss/current.xml
37. Lessons Learned Very convenient and efficient way to obtain overviews of a large amount of information Some journals better than others to maximize usefulness of feeds (i.e. amount of information provided) Different readers offer varying levels of convenience Can be difficult to keep track of what has been read Need to be proactive in order to keep useful articles/abstracts organized
40. Podcast Definition: “series of digital media files (either audio or video) that are released episodically and often downloaded through web syndication” All of the following are available through iTunes Simply search for title of podcast and can then download through iTunes Source: http://en.wikipedia.org/wiki/Podcast
41. Based on Journals American Journal of Psychiatry Audio Great summarization of each month’s articles The Journal of Clinical Psychiatry: Publisher’s Podcast The Journal of Neurology, Neurosurgery, and Psychiatry Source: http://ajp.psychiatryonline.org/cgi/content/full/168/5/A34/DC1
42. Podcasts Psychiatric Times Interesting highlights, but hit and miss Medscape Psychiatry (& Mental Health) Podcast Miscellaneous My Three Shrinks (by Shrink Rap) Psychiatry Today Psychiatric Secrets Revealed by Dr. Mike Power Without Pills: One Psychiatrist’s Guide to Healing and Growth Psychiatrist and Physiatrist Institute of Psychiatry Shrink Zone Conversations about Mental Illness
43. Podcasts Biggest problem: most are not updated MedscapeCME Psychiatry (& Mental Health) Podcast PeerView Psychiatry CME/CNE/CPE Audio Podcast Also includes accompanying PDFs MGH Psychiatry Academy MUSC Mental Health Podcast Psychiatry Grand Rounds from the UCLA Semel Institute MDPU Podcast: Mood Disorders Psychopharmacology Unit – University of Toronto The Centre of Excellence in Interdisciplinary Mental Health
44. Podcasts from Other Specialties Journal of the American Medical Association (JAMA) New England Journal of Medicine (NEJM) The Lancet Neurology
45. Lessons Learned If available, can be a useful adjunct to learn material But lack of/consistent availability is major concern Different podcasts vary GREATLY in terms of quality and usefulness Different podcasts utilize different approaches, which may appeal to different types of learners Some summarize all or the main articles of the current issue Some take one article/theme and discuss more thoroughly, including interviews with authors
47. Text Digital Paper Previously scanned article PDF without copy/paste functionality Original digital file, editable (i.e. Word document) PDF with copy/paste functionality Scan Optical Character Recognition (OCR) Software Text To Speech (TTS) Software Audio
48. Text To Speech (TTS) Definition: “The ability of the computer to convert text into spoken words” Voice Databases AT&T Natural Voices Acapela RealSpeak Cepstral Websites YAKiToMe! (http://www.yakitome.com) ReadTheWords.com (http://www.readthewords.com) Programs NaturalReader Neospeech TextAloud Source: http://developer.apple.com/Mac/library/documentation/UserExperience/Conceptual/ AppleHIGuidelines/XHIGGlossary/XHIGGlossary.html&rct=j&sa=X&ei=iBbHTaKqNIrn0QGduOGYCA&ved= 0CC8QngkwAA&q=Text+to+speech&usg=AFQjCNEBi_pvhL6AlMAMs_8BZt94n61X9w
64. 7b. Download Once saved on your computer, can either drag it into music player (i.e. iTunes) or directly onto portable music device (i.e. iPod, iPhone)
65. Lessons Learned Effective way to learn straightforward information (most journal articles) Not very effective for more complex articles (such as classic readings) Computer-generated voice actually not bad – helps to change speed to “fast” to make less monotonous
66. Optical Character Recognition Definition: “the electronic identification and digital encoding of printed or handwritten characters by means of an optical scanner and specialized software” Websites NewOCR (http://www.newocr.com/) Free OCR (http://www.free-ocr.com/) OCR Terminal (http://www.ocrterminal.com/) Instant OCR (http://www.instantocr.com/index.php/) Online OCR (http://www.onlineocr.net/) Programs Omnipage Microsoft OneNote 2007 Microsoft Office Document Imaging ABBYY FineReader SimpleOCR TopOCR FreeOCR Source: http://www.thefreedictionary.com/optical+character+recognition
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68. Before Starting Either open a blank Word document or copy/paste text directly into YAKiToMe! (see step 3 from previous demonstration)
76. Lessons Learned Paid-for program most likely would be more beneficial to save time (can easily do multiple pages with less effort) Programs work surprisingly well even with poor quality scans Can be useful even if not desiring audio text but want an editable digital version of old articles/text
78. Dangers? No evidence from the literature of an increase in accidents of listening to audio learning programs Only increase in danger if loud or unexpected Distractibility seems to be the key issue Long history of asking if radio was on/turned up after an accident – so be cautious! Source: http://www.drdriving.org/misc/music_strick_report.html
80. Shared Drives Advantages Administered through university/hospital system Convenience of having full IT support of institution Disadvantages May not be able to access from home or other work computers Can be expensive to set up and maintain Often very limited amount of space
82. Cloud Storage Definition: “provision of computational resources on demand via a computer network” Advantages Easy access from multiple computers Off-site access Disadvantages Security concerns May not be able to access depending on company firewalls Do not “own” the files Source: http://en.wikipedia.org/wiki/Cloud_computing
83. Dropbox http://www.dropbox.com Supported on multiple platforms: Desktop: Windows, Mac, Linux Mobile: iPhone, iPad, Android, Blackberry Also can access files through web browser Free registration: 2 GB storage Can set up both personal accounts/folders as well as shared folders
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85. Dropbox To share files: Click on “Share a Folder” Select “I’d like to share and existing folder” Select the folder to share Type in email to person you want to invite to share in the “Invite collaborators to this folder” An email is sent out to the recipient with a link to either connect an account if they have one or help set up a new account that will be linked
86. Cost/Benefit Benefits: Potentially decrease paper usage Digitized format helps preserve and potentially organize information Costs: Time consuming Shift costs to trainees?
90. Copyright Copyright law based on Article 8 of Constitution: gives Congress the power to enact laws “to promote the progress of science and useful arts, by securing for limited times to authors and inventors the exclusive right to their respective writings and discoveries.” US Copyright Act can be found in 17 United States Code Source: http://www.pacaoffice.org/copyrightInfo/PACAcoped.ppt
93. Teaching “Fair Use” doctrine: allows limited copying of copyright material for educational or research purposes (“reasonable and limited portions”) Translation: Cannot copy an entire text for distribution in class (including textbooks) TEACH Act (2002): allows usage of teaching materials both in-person as well as for distance learning However, for distance learning, may have to pare down/limit usage (think using clips) Only applies to accredited nonprofit educational institutions Only covers works that would be used IN CLASS (though fair use doctrine may still apply for outside of class) Source: http://www.utsystem.edu/ogc/intellectualproperty/teachact.htm
95. Questions? Viewable slideshow: http://www.slideshare.net/psychiatrytech/ Downloadable PDF: http://sites.google.com/site/psychiatrytech/ Contact Information Peter Martin: peter_martin@urmc.rochester.edu Michael Scharf: michael_scharf@urmc.rochester.edu
Notes de l'éditeur
The long Buf->Roc drive
VARK: is the way people prefer to learn
Start with talking about written -> usually the way we have learned to learnB/c we are all familiar w/ typical ways of looking up info (books, look at major journals, etc), won’t spend time doing thatHowever, in an age where efficiency is key, and getting info as quickly as possible as helpful, but also needs to be digestableAlso, helpful to have a format that can used in a variety of settings, including walking the long hallways of the hospital
Called “RSS feeds”Precursor to facebook and Twitter to keep up-to-date with thingsOften can tell by the iconThese feeds are not limited to just medical things – many websites have them to help people keep up to date
I’ll briefly show the different ways to view info, then show an example of what this is really all aboutDifferent ways to actually get infoMost of these programs are free – honestly, have not tried many of them but these have been reviewed as the best of what’s out thereBenefit of websites – can access same list from anywhereBenefit of programs – allow for downloading for offline reading
Example from Google ReaderLook on left – can set up folders to organize categoriesLook on Right – the actual content (go to next slide to show AJP ex)
Left side – the actual journal feedsRight side - as can see, for most journals they will provide full abstract content per issue, so can get nice overview and then look up further info as so desire - and yes, I suppose this highlights the dirty secret of obtaining highlights from the abstract and not reading every last word of each journal article – sadly, real life makes “journal club” style reading not practical for most things - Point out specifics about tagging, archiving, sharing
Example from iPhoneLeft – overall folders (self generated)Right – Specific journals
This shows ex of same entry as before on mobile platformWhy I like Google ReaderEasy to access from multiple different resources, and keeps things in order Easy to archive and searchBig downfall for now is lack of offline reading, though they likely will create this feature sooner than later
Here are the links for the feeds – just type in the following links in “subscription” for feeds and voila, added
Audio typically isn’t used much, and for many things it may not be as practicalAgain, though, with any type of commute it can be quite useful (or for those that like to listen to things educational while exercising)
How many people here have heard of Podcasts…and are actually familiar w/ what they are?So – like the RSS feeds, it can be set up as a subscription that automatically updatesOriginally sound, now also videoUnfortunately for psych, not a lot of great optionsI searched for “psychiatry,” “psychology,” and “mental health” for the following results, as well as looked at the recommendations through iTunes for each of the following podcastsAnd sorry, I realize that for those who are not huge iTunes fans this is not as ideal, but realistically it really is the best (and sometimes only) place to get these
Honestly, JAMA and NEJM are some of the best out there
We might be talking about audio, but I’m a visual person, so to give some perspective, this is how it all comes togetherWe’ve already talked about some written forms, but let’s say we want to make it into audio(Starting on left) – everything once was paper, and especially some older texts can be hard to find in electronic form – as such, paper needs to be scanned into a digital form(Going to right) – now that we’re in digital form, there are 2 main categories – those things that can be edited and those that can notSo – if going wi/ something that cannot be edited (or copy/pasted), need to use OCR to convert into a digital, editable docAt this point, you have more options of what to do with the file since it’s fully digital/editable – so even if you don’t want to make into audio, helpful perhaps to have a digital copy of previous paperFrom there, it’s similar to (the box on far right) So, we have to then use software that converts the text to words
I’m actually going to start with the easier way to make audio from text, and then we’ll get into the slightly more complicated way for those files that are not digital/editableThis is like that computer speech from the iphone/htc clip in beginning - Originally was really awful, but now has become much better (thing of a Garmin) – still not totally natural, but not so monotone as to be painfulAgain, different options b/w websites and actual desktop programsI have not tried out the desktop computers, but per others who have, are somewhat faster and may offer more voice databasesHowever, I’ve used the website YAKiToME and have found it easy, free, and convienent b/c it’s also accessible from anywhere, and can download directly to iPhone for listening
Many options!
Now, let’s walk through step by step how to do thisB/c of not being sure of internet availability, I took screenshots blow by blow to show the processThis is the main page
Screen to convert textLook to left – we’ll blow that up now
Recommend faster speed to make less monotonous – I’ve found also helps with retention of info (less likely to have mind wander)
Tyipcally ½ min – 5 minsCan just leave this tab open though, open new tab and continue to use webCannot convert more than one file at a time
Here, it might make more sense to invest in actual program
b/c we’ll need to but the converted text somewhere
Takes about 10 secs
Network drives
The founding fathers recognized that the science and arts would benefit from allowing an artist to control rights and derive an economic benefit from the work created. This is contrary to many user groups who now argue that the arts and sciences would progress by allowing users unfettered access to artist’s works without permission.
