2. Objectives
1. Share cost-effective and state-of-the-art
technology that may enhance the delivery of
continuing medical education (CME)
2. Enumerate key steps for the successful adoption
of technology in CME
3. List references to evidence-based research on
technology for medical education
4. Share risks that accompany adoption of
technology
5. Provide example of resources needed for
adopting technology for CME
5. Outline
• Part 1: the ABCDE of Webinars
• Part 2: other technologies for CME
• Part 3: best practice and lessons learned with
technology-enhanced CME
8. A = About, Advertise
• Choose an interesting topic for your target
audience
• Disseminate as widely as possible (using social
networks) making sure that the target
audience is reached
9. A = Assistants
• Resource person should focus on the lecture
• Assistants
– Help with promotion
– Orient the speaker (install software, address
anxiety, etc)
– Prepare the online room and physical room
– Ensure the smooth flow of the program
– Mitigate risks (e.g., disconnections)
– Troubleshoot problems
11. B = Bridge
• Webex.com
• Fuze.com
• Join.me
• Vidyo.com
• BigBlueButton.org
• Anymeeting.com
• And more
Look for:
Ease of control
Ease of use
Reliable performance
Quality
Error-correction
Recording capability
Mobile phone
compatible
Price
12. B = Bandwidth (speed)
C = Connectivity
• Resource persons should be in an area with
reliable Internet connection preferably with
engineers and technical support staff on
standby
• Participants may join from any location at
their convenience
13. C = Content
• Speaker dependent
• Simple slides with no/minimal animation
• Video consumes bandwidth and may not
display correctly in participants’ computers
• Be conscious that some participants may be
joining via mobile phones (keep fonts large
and easy to read)
14. D = Delivery
• Dependent on resource person’s style
• Simple straight lecture using Powerpoint
• Video of lecturer using a whiteboard
• Other options discussed in part 2 (e.g.,
Twitter, Periscope, etc.)
15. E = Evaluation, Evidence
• Ask participants to fill up an online form after
the webinar
• Understand participants’ interests and
concerns
• Revise protocol as needed
• Did learning happen?
16. ABCDE of Webinars
• About
• Assistant
• Bridge
• Bandwidth
• Connectivity
• Content
• Delivery
• Evaluation
• Evidence
Not an exhaustive
list but a simple
guide to prepare for
your own webinar.
18. Part 2: Other Technologies for CME
• Twitter chats (synonym: tweet chats) *
• Periscope live social media broadcasts *
• Massive Open Online Courses
• Flipping the Classroom
* research opportunities for evaluation
19. Tweet chats
• Uses the Twitter
platform
• Participants and
resource persons are
more or less peers in
discussing topics
• Example: #healthxph
• Every 9pm Saturdays
21. Massive Open Online Courses
• Websites that offer learning packages to
participants anywhere around the world
• Most courses are free
• Some require fees (for certification)
22. Flipping the Classroom
• “…a reversal of traditional teaching where
students gain first exposure to new material
outside of class, usually via reading or lecture
videos, and then class time is used to do the
harder work of assimilating that knowledge
through strategies such as problem-solving,
discussion or debates.”
• (Vanderbilt University, Center for Teaching).
23. Other Technologies
• There are more technologies coming out.
• Their emergence is outpacing the ability of
teachers to adopt them. Students are often
more well-versed.
• Proceed with conscientious exploration
guided by basic principles of ethics,
transparency, and participatory methods.
• Gather evidence and publish.
25. Part 3: Best practice and lessons
learned
• Intellectual property [speaker perspective]
– Based on Philippine laws, content is owned by its
creator. The right is inherent upon creation.
– Putting content online places it at risk of copyright
infringement.
– Best practice: if you wish to assert your copyright,
you may submit an application with the National
Library or Supreme Court Library
(http://web.nlp.gov.ph/nlp/?q=node/6460)
26. Part 3: Best practice and lessons
learned
• [Participant perspective]
• Intellectual Property Code RA 8293
• Sec. 185. Fair Use of a Copyrighted Work. -
• 185.1. The fair use of a copyrighted work
for criticism, comment, news reporting,
teaching including multiple copies for
classroom use, scholarship, research, and
similar purposes is not an infringement of
copyright.
27. Part 3: Best practice and lessons
learned
• Maximize social media for disseminating
information about the webinar
– Twitter
– Facebook
– Orkut
– LinkedIn
– Mailing lists
– others
Research question:
Is social media an
effective platform for
CME dissemination?
28. Part 3: Best practice and lessons
learned
• Provide post-webinar support
– Allow participants to continue exploring the topic,
provide feedback and suggestions
– fb.com/upmedwebinars
– Encourage participants to share their own links
and resources
– If there is enough interest, and with the help of
other relevant stakeholders (eg, professional
societies), nurture them into a community of
practice.
29. Part 3: Best practice and lessons
learned
• Monitor interest from the number of access to
the recordings
– Upload the recordings to a public channel (e.g.,
YouTube)
– Measure number of hits and qualify the
comments
– If popular, consider offering another webinar on a
related topic
30. Summary
• Technology offers numerous opportunities for
extending continuing medical education to a
wider audience.
• Technology-enhanced CME can be challenging
and a committed team is key to success.
• The team should be on continuous learning mode
in order to improve the webinars.
• UP Med Webinars aims to be the premiere online
CME platform for physicians and allied health
professionals in the country.
Notas del editor
Good afternoon. Thank you for the kind introduction classmate, Dr Macky Faylona. It is my pleasure to be with you today and share our experience with webinars. As mentioned, I am the executive director of the Asia eHealth Information Network and we have been routinely offering webinars to our members since 2012. In this presentation I will be addressing the objectives set by the organizers.
The evidence-base was one of the harder objectives so allow me to get that out of the way. I will refer you all to the book by Ruth Colvin Clark on Evidence-based Training Methods. The book is a good read for pedagogists who wish to base interventions on sound evidence. She mentions basic methodologies that work and does that do not. If given a chance, we can set another webinar to deal with the content of this book in more detail.
Current state of the art for webinars
Lets proceed to part 1 webinars. The term webinar is actually a blend of web and seminar. And web being a synonym for the Internet, the Oxford Dictionary registers webinars as seminars conducted over the Internet. Contrast this to the traditional face-to-face seminar where people have to travel to meet in one room and listen to a resource person, a webinar allows more participants to join over an Internet connection and achieve the same objectives.
I prepared a simple framework to guide us on the necessary elements for a successful webinar. Fortunately, they fit the alphabet which makes them easy to remember.
The first A is about choosing an interesting topic and advertising it to as wide an audience as possible. This ensures that we maximize the reach of the event and its impact to our target group.
Another A is for assistants. Unseen by you, there is actually a team here with me at the UP Manila Information Management Service who helped with designing the webinar and with the promotions. Special mention goes to Ms Charisse Orjalo who oriented me on how to use this webinar platform and prepared the technical aspects so I can simply focus on preparing my slides and giving my lecture as I am accustomed. Without her and this team, it will still be possible for me to hold a webinar but at great effort and aggravation. Having a group helping out makes the event easier to manage. And at this point allow me to also thank UP Manila Chancellor Carmencita Padilla and IMS Director Ariel Betan for the support they have given. Chancellor Padilla will join us in the next webinar.
For most of us, we may actually have no choice as to which platform we can use. At the Asia eHealth Information Network for example, we use WHO’s Webex platform which is different from gotowebinar but has similar features. Other platforms are listed here and you can explore them at your convenience. When doing so, you may want to prepare a scoring system for features that are important for you.
We selected gotowebinar because of its – (read) --
B is for bandwidth and C is for connectivity. They come together and more or less represent one of the most tricky components of a webinar – our connection to the Internet and its speed. Because we are in different locations, it is difficult to standardize on the speed of our Internet connection. However there are some principles to keep in mind. One is that the resource person should be in a location with reliable connectivity and with the biggest bandwidth available. And preferablly, there are network engineers at hand to help troubleshoot in case there is a problem.
For the participants, it can be more challenging as you have limited options on internet service providers in you area and the speed that they offer you. IN any case, we suggest you choose a good spot where the signal is strong and there are few others using the wifi connection.
The content is the primary responsibility of the speaker but it would do well if they are advised to keep their slides simple with no or minimal animation or special effects. If at all possible, speakers should avoid embedding videos in their presentations as they may not display correctly in the participants’ computers or mobile phones given their limited internet speeds. It will also consume a larger data plan for those on mobile phones..
And because of this latter group, you may want to use large fonts because phones have small screens.
Delivery again is speaker dependent. But it can be as simple as asking the lecturer to just deliver a straight lecture (which is comforting to most). The challenge for webinars is that you are unable to see your audience and their reaction which helps speakers recalibrate their delivery.
Yet for some speakers, they can even be assuaged to deliver their usual whiteboard lectures – but with the cost of video which I already explained in the previous slide.
E is for evaluation and evidence. After this webinar we will be asking you to fill up a form so we can find out ways we can further improve the webinar. This feedback is important in refining the protocol. One challenge is determining whether learning happened and this could be an area of innovation for all technology-based CMEs.