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
5. Our Story
6. Inspiration
7. Source: http://www.youtube.com/watch?v=FL7yD-0pqZg
8. Learning Theory
9. Learning Theory
Paradigms Perspective
Howard Gardners Multiple Intelligences Theory
VARK
Multimodal
10. Learning Theory
Paradigms Perspective
Behavioral
Cognitive
Humanistic
Social/situational
11. Source: http://www.infed.org/biblio/b-learn.htm
12. Source: http://www.infed.org/biblio/b-learn.htm
13. Source: http://www.infed.org/biblio/b-learn.htm
14. Howard Gardners Multiple Intelligences Theory
Source: http://www.businessballs.com/howardgardnermultipleintelligences.htm
15. Suggested Additional Intelligences
Source: http://www.businessballs.com/howardgardnermultipleintelligences.htm
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 days 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
26. Written Resources
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
30. 31. 32. 33. 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
38. Audio Resources
39. Audio Resources
Pre-recorded
Podcasts
User generated
From text resources
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 months articles
The Journal of Clinical Psychiatry: Publishers 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 Psychiatrists 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
46. Creating Audio
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
49. Voice Databases
Source:http://www.nextup.com/
50. 51. 52. 53. Time to Decide
Copy/Paste Text
Import from Word (.doc or .txt) or Acrobat (.pdf)
Import from internet sources (websites, RSS feeds, email)
54. Example of Copy/Paste
55. 1. Highlight text desired for conversion to audio
56. 2. Copy desired text (right click highlighted text)
57. 3. Go back to YAKiToMe! Site, and in blank box, Paste text
58. 4. Click on Convert Text To Speech
59. 5. Wait as file converts (do NOT exit webpage or file is not converted!)
60. 6. File is completed
61. 7a. Play on website
62. 7b. Download
63. 7b. Download (right click over icon)
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
67. 68. Before Starting
Either open a blank Word document or copy/paste text directly into YAKiToMe! (see step 3 from previous demonstration)
69. 1
70. 2
71. 3
Highlight/
Copy
Text
72. 4
Scroll down to ensure all text has been copied
73. 5
Click to select other pages to scan
74. 6
Click to scan next page
75. Click to work on new file
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
77. Dangers?
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
79. Content Distribution
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
81. Blackboard
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
84. 85. Dropbox
To share files:
Click on Share a Folder
Select Id 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?
87. Video
88. Video
Recorded Lectures
Webinars
Video Conferencing
Produced Video Teaching Tools
89. Copyright
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 authorsand 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
91. Protected by Copyright
Essentially everything
Text
Pictures
Music
Video
92. Not Protected by Copyright
Ideas
Short phrases
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
94. Life-long Lessons
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