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Do You Hear What I Hear?How to Utilize Technology to Promote Life-long LearningPeter Martin, MD, MPHChild and Adolescent Psychiatry FellowMichael Scharf, MDAssistant Professor of Psychiatry and PediatricsTraining Director, Child and Adolescent Psychiatry FellowshipUniversity of Rochester
Disclosure StatementDr. Martin is an APA Public Psychiatry Fellow,                            sponsored by Bristol Myers-Squibb Dr. Scharf does not have any financial disclosures
Access to SlidesViewable slideshow: http://www.slideshare.net/psychiatrytech/Downloadable PDF:http://sites.google.com/site/psychiatrytech/
OverviewOur personal experienceReview of learning theoryReview of written resourcesReview of audio resourcesDemonstration of creating audio resourcesReview of shared information technologiesReview of copyright concernsDiscussion of implementation into real life
Our Story
Inspiration
Source: http://www.youtube.com/watch?v=FL7yD-0pqZg
Learning Theory
Learning TheoryParadigms PerspectiveHoward Gardner’s Multiple Intelligences TheoryVARK Multimodal
Learning TheoryParadigms PerspectiveBehavioralCognitiveHumanisticSocial/situational
Source: http://www.infed.org/biblio/b-learn.htm
Source: http://www.infed.org/biblio/b-learn.htm
Source: http://www.infed.org/biblio/b-learn.htm
Howard Gardner’s Multiple Intelligences TheorySource: http://www.businessballs.com/howardgardnermultipleintelligences.htm
Suggested Additional IntelligencesSource: http://www.businessballs.com/howardgardnermultipleintelligences.htm
Learning TheoryVARK: Visual, Aural, Read/write, KinestheticVisual: ex. Maps, charts, graphs, diagramsDoes NOT include movies,  PowerPointAural: listening as well as talking out problemsRead/write: information as wordsIncludes notes, PowerPointKinesthetic: prefer realityExperience, simulationMultimodals: prefer more than one type, or different types in different situationsSource: http://www.vark-earn.com/english/page.asp?p=faq
Learning TheoriesWe all learn in unique waysMay have one style of learning that is better suited for an individualLikely have maximum benefit from combining different forms of learning
Evidence Based TeachingSounds cool, even intuitive in 2011Like practicing EBM, there are significant challenges...
Evidence Based TeachingSounds cool, even intuitive in 2011Like practicing EBM, there are significant challenges...Retraining teachersDefining outcomesLearner Satisfaction?Increase knowledge base?Change Behavior?
Skills Training, But How?“Evidence-based Teaching” MethodsWritten guidelines, CMEs, and “hit and run” workshops and lectures are generally ineffectiveTraining needs to focus on skills (not factual knowledge), and must address obstacles encountered in practiceTraining must use collaborative learning partnerships, vs. “one-down” relationships, & use role models like those being trained
Recommended methods for assisting health care providers in adopting EBPs:Survey of 50 national MH experts1 = not at all recommended, 9 = highly recommended
Skills Training, But How?“Evidence-based Teaching” MethodsTo 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.
REACH Skills Training ApproachHands-on, with role plays and extensive practiceCan be done “on-site” or at national locations2 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/callIndividual case presentations, with learning and risk-taking shared among peers
How to recognize the moods of an adolescentDEPRESSEDEXCITEDHAPPYANXIOUSMANICSUICIDAL
REACH Training ApproachTeachers chosen for native skill, national reputation, leadership, and then trained further!Hands-on, role plays and extensive practiceCan be done “on-site” or at national locationsIndividual case presentations, with peer learningIntensive 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
Written Resources
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) commentsSource:  http://www.en.masterbase.com/support/glossary.asphttp://www.techlifeweb.com/wp-content/themes/TLW/images/rss-feed-icon.jpg
RSS “Readers”Websites:Google Reader NewsGatorProgramsWindowsBrowsers (Internet Explorer, Mozilla FireFox, Google Chrome)NewzCrawlerFeedDemonOmea ReaderMacBrowsers (Safari, Mozilla FireFox, Google Chrome)ShrookNetNewsWireNewsFire
RSSMobileGoogle ReaderiOSReederNewsrackFeeddlerAndroidgReaderNewsRobFeedR
Technology and Learning
Technology and Learning
Technology and Learning
Technology and Learning
RSS Feeds – General PsychiatryAmerican Journal of Psychiatry (AJP)http://ajp.psychiatryonline.org/rss/current.xmlArchives of General Psychiatryhttp://archpsyc.ama-assn.org/rss/current.xmlAnnals of General Psychiatryhttp://www.annals-general-psychiatry.com/rss/Current Psychiatryhttp://www.currentpsychiatry.com/rssAllArticles.aspPsychiatry Serviceshttp://ps.psychiatryonline.org/rss/current.xmlThe British Journal of Psychiatryhttp://psy.psychiatryonline.org/rss/current.xml
RSS Feeds – SubspecialtiesJournal of the American Academy of Child and Adolescent Psychiatry (JAACAP)http://www.jaacap.com/current.rssPsychosomaticshttp://psy.psychiatryonline.org/rss/current.xmlBiological Psychiatryhttp://www.journals.elsevierhealth.com/periodicals/bps/current.rssAcademic Psychiatryhttp://ap.psychiatryonline.org/rss/current.xml
RSS Feeds – Other SpecialtiesGeneral MedicineJournal of the American Medical Association (JAMA)http://jama.ama-assn.org/rss/current.xmlNew England Journal of Medicine (NEJM)http://content.nejm.org/rss/current.xmThe Lancethttp://multimedia.thelancet.com/rss/lancet_current.xmlAnnals of Internal Medicinehttp://www.annals.org/rss/current.xmBritish Medical Journalhttp://www.bmj.com/rss/latest.xmlPediatrics Pediatricshttp://pediatrics.aappublications.org/rss/current.xmlArchives of Pediatricshttp://archpedi.ama-assn.org/rss/current.xmlNeurologyNeurologyhttp://www.neurology.org/rss/current.xmlArchives of Neurologyhttp://archneur.ama-assn.org/rss/current.xmlAnnals of Neurologyhttp://www3.interscience.wiley.com/rss/journal/76507645The Lancet Neurologyhttp://multimedia.thelancet.com/rss/laneur_current.xmlJournal of Child Neurologyhttp://jcn.sagepub.com/rss/current.xml
Lessons LearnedVery convenient and efficient way to obtain overviews of a large amount of informationSome journals better than others to maximize usefulness of feeds (i.e. amount of information provided)Different readers offer varying levels of convenienceCan be difficult to keep track of what has been readNeed to be proactive in order to keep useful articles/abstracts organized
Audio Resources
Audio ResourcesPre-recordedPodcastsUser generatedFrom text resources
PodcastDefinition: “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 iTunesSimply search for title of podcast and can then download through iTunesSource: http://en.wikipedia.org/wiki/Podcast
Based on JournalsAmerican Journal of Psychiatry AudioGreat summarization of each month’s articlesThe Journal of Clinical Psychiatry: Publisher’s PodcastThe Journal of Neurology, Neurosurgery, and PsychiatrySource: http://ajp.psychiatryonline.org/cgi/content/full/168/5/A34/DC1
PodcastsPsychiatric TimesInteresting highlights, but hit and missMedscape Psychiatry (& Mental Health) PodcastMiscellaneous My Three Shrinks (by Shrink Rap)Psychiatry TodayPsychiatric Secrets Revealed by Dr. MikePower Without Pills: One Psychiatrist’s Guide to Healing and GrowthPsychiatrist and PhysiatristInstitute of PsychiatryShrink ZoneConversations about Mental Illness
PodcastsBiggest problem: most are not updatedMedscapeCME Psychiatry (& Mental Health) PodcastPeerView Psychiatry CME/CNE/CPE Audio PodcastAlso includes accompanying PDFsMGH Psychiatry AcademyMUSC Mental Health PodcastPsychiatry Grand Rounds from the UCLA Semel InstituteMDPU Podcast: Mood Disorders Psychopharmacology Unit – University of TorontoThe Centre of Excellence in Interdisciplinary Mental Health
Podcasts from Other SpecialtiesJournal of the American Medical Association (JAMA)New England Journal of Medicine (NEJM)The LancetNeurology
Lessons LearnedIf available, can be a useful adjunct to learn materialBut lack of/consistent availability is major concernDifferent podcasts vary GREATLY in terms of quality and usefulnessDifferent podcasts utilize different approaches, which may appeal to different types of learnersSome summarize all or the main articles of the current issueSome take one article/theme and discuss more thoroughly, including interviews with authors
Creating Audio
TextDigitalPaper Previously scanned articlePDF without copy/paste functionalityOriginal digital file, editable (i.e. Word document)PDF with copy/paste functionalityScan Optical Character Recognition (OCR) SoftwareText To Speech (TTS) SoftwareAudio
Text To Speech (TTS)Definition: “The ability of the computer to convert text into spoken words”Voice DatabasesAT&T Natural VoicesAcapelaRealSpeakCepstralWebsitesYAKiToMe! (http://www.yakitome.com)ReadTheWords.com (http://www.readthewords.com)ProgramsNaturalReaderNeospeechTextAloudSource: 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
Voice DatabasesSource:  http://www.nextup.com/
Technology and Learning
Technology and Learning
Technology and Learning
Time to DecideCopy/Paste Text Import from Word (.doc or .txt) or Acrobat (.pdf)Import from internet sources (websites, RSS feeds, email)
Example of Copy/Paste
1. Highlight text desired for conversion to audio
2. Copy desired text (right click highlighted text)
3. Go back to YAKiToMe! Site, and in blank box, Paste text
4. Click on “Convert Text To Speech”
5. Wait as file converts (do NOT exit webpage or file is not converted!)
6. File is completed
7a. Play on website
7b. Download
7b. Download (right click over icon)
7b. DownloadOnce saved on your computer, can either drag it into music player (i.e. iTunes) or directly onto portable music device (i.e. iPod, iPhone)
Lessons LearnedEffective 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
Optical Character RecognitionDefinition:  “the electronic identification and digital encoding of printed or handwritten characters by means of an optical scanner and specialized software”WebsitesNewOCR (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/)ProgramsOmnipageMicrosoft OneNote 2007Microsoft Office Document ImagingABBYY FineReaderSimpleOCRTopOCRFreeOCRSource: http://www.thefreedictionary.com/optical+character+recognition
Technology and Learning
Before StartingEither open a blank Word document or copy/paste text directly into YAKiToMe! (see step 3 from previous demonstration)
1
2
3Highlight/CopyText
	4Scroll down to ensure all text has been copied
5Click to select other pages to scan
6Click to scan next page
Click to work on new file
Lessons LearnedPaid-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 scansCan be useful even if not desiring audio text but want an editable digital version of old articles/text
Dangers?
Dangers?No evidence from the literature of an increase in accidents of listening to audio learning programsOnly increase in danger if loud or unexpectedDistractibility seems to be the key issueLong 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
Content Distribution
Shared DrivesAdvantagesAdministered through university/hospital systemConvenience of having full IT support of institutionDisadvantagesMay not be able to access from home or other work computersCan be expensive to set up and maintainOften very limited amount of space
Blackboard
Cloud StorageDefinition:  “provision of computational resources on demand via a computer network”AdvantagesEasy access from multiple computersOff-site accessDisadvantagesSecurity concernsMay not be able to access depending on company firewallsDo not “own” the filesSource: http://en.wikipedia.org/wiki/Cloud_computing
Dropboxhttp://www.dropbox.comSupported on multiple platforms: Desktop: Windows, Mac, LinuxMobile: iPhone, iPad, Android, BlackberryAlso can access files through web browserFree registration: 2 GB storageCan set up both personal accounts/folders as well as shared folders
Technology and Learning
DropboxTo share files:Click on “Share a Folder”Select “I’d like to share and existing folder”Select the folder to shareType 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
Cost/BenefitBenefits:Potentially decrease paper usageDigitized format helps preserve and potentially organize informationCosts:Time consumingShift costs to trainees?
Video
VideoRecorded LecturesWebinarsVideo Conferencing“Produced” Video Teaching Tools
Copyright
CopyrightCopyright 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 CodeSource: http://www.pacaoffice.org/copyrightInfo/PACAcoped.ppt
Protected by CopyrightEssentially everythingTextPicturesMusicVideo
Not Protected by Copyright Ideas Short phrases
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 learningHowever, for distance learning, may have to pare down/limit usage (think using clips)Only applies to accredited nonprofit educational institutionsOnly 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
Life-long Lessons
Questions?Viewable slideshow: http://www.slideshare.net/psychiatrytech/Downloadable PDF:http://sites.google.com/site/psychiatrytech/Contact InformationPeter Martin: peter_martin@urmc.rochester.eduMichael Scharf: michael_scharf@urmc.rochester.edu

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Technology and Learning

  • 1. Do You Hear What I Hear?How to Utilize Technology to Promote Life-long LearningPeter Martin, MD, MPHChild and Adolescent Psychiatry FellowMichael Scharf, MDAssistant Professor of Psychiatry and PediatricsTraining Director, Child and Adolescent Psychiatry FellowshipUniversity of Rochester
  • 2. Disclosure StatementDr. Martin is an APA Public Psychiatry Fellow, sponsored by Bristol Myers-Squibb Dr. Scharf does not have any financial disclosures
  • 3. Access to SlidesViewable slideshow: http://www.slideshare.net/psychiatrytech/Downloadable PDF:http://sites.google.com/site/psychiatrytech/
  • 4. OverviewOur personal experienceReview of learning theoryReview of written resourcesReview of audio resourcesDemonstration of creating audio resourcesReview of shared information technologiesReview of copyright concernsDiscussion of implementation into real life
  • 9. Learning TheoryParadigms PerspectiveHoward Gardner’s Multiple Intelligences TheoryVARK Multimodal
  • 14. Howard Gardner’s Multiple Intelligences TheorySource: http://www.businessballs.com/howardgardnermultipleintelligences.htm
  • 15. Suggested Additional IntelligencesSource: http://www.businessballs.com/howardgardnermultipleintelligences.htm
  • 16. Learning TheoryVARK: Visual, Aural, Read/write, KinestheticVisual: ex. Maps, charts, graphs, diagramsDoes NOT include movies, PowerPointAural: listening as well as talking out problemsRead/write: information as wordsIncludes notes, PowerPointKinesthetic: prefer realityExperience, simulationMultimodals: prefer more than one type, or different types in different situationsSource: http://www.vark-earn.com/english/page.asp?p=faq
  • 17. Learning TheoriesWe all learn in unique waysMay have one style of learning that is better suited for an individualLikely have maximum benefit from combining different forms of learning
  • 18. Evidence Based TeachingSounds cool, even intuitive in 2011Like practicing EBM, there are significant challenges...
  • 19. Evidence Based TeachingSounds cool, even intuitive in 2011Like practicing EBM, there are significant challenges...Retraining teachersDefining outcomesLearner Satisfaction?Increase knowledge base?Change Behavior?
  • 20. Skills Training, But How?“Evidence-based Teaching” MethodsWritten guidelines, CMEs, and “hit and run” workshops and lectures are generally ineffectiveTraining needs to focus on skills (not factual knowledge), and must address obstacles encountered in practiceTraining 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 experts1 = not at all recommended, 9 = highly recommended
  • 22. Skills Training, But How?“Evidence-based Teaching” MethodsTo 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 ApproachHands-on, with role plays and extensive practiceCan be done “on-site” or at national locations2 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/callIndividual case presentations, with learning and risk-taking shared among peers
  • 24. How to recognize the moods of an adolescentDEPRESSEDEXCITEDHAPPYANXIOUSMANICSUICIDAL
  • 25. REACH Training ApproachTeachers chosen for native skill, national reputation, leadership, and then trained further!Hands-on, role plays and extensive practiceCan be done “on-site” or at national locationsIndividual case presentations, with peer learningIntensive 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) commentsSource: http://www.en.masterbase.com/support/glossary.asphttp://www.techlifeweb.com/wp-content/themes/TLW/images/rss-feed-icon.jpg
  • 28. RSS “Readers”Websites:Google Reader NewsGatorProgramsWindowsBrowsers (Internet Explorer, Mozilla FireFox, Google Chrome)NewzCrawlerFeedDemonOmea ReaderMacBrowsers (Safari, Mozilla FireFox, Google Chrome)ShrookNetNewsWireNewsFire
  • 34. RSS Feeds – General PsychiatryAmerican Journal of Psychiatry (AJP)http://ajp.psychiatryonline.org/rss/current.xmlArchives of General Psychiatryhttp://archpsyc.ama-assn.org/rss/current.xmlAnnals of General Psychiatryhttp://www.annals-general-psychiatry.com/rss/Current Psychiatryhttp://www.currentpsychiatry.com/rssAllArticles.aspPsychiatry Serviceshttp://ps.psychiatryonline.org/rss/current.xmlThe British Journal of Psychiatryhttp://psy.psychiatryonline.org/rss/current.xml
  • 35. RSS Feeds – SubspecialtiesJournal of the American Academy of Child and Adolescent Psychiatry (JAACAP)http://www.jaacap.com/current.rssPsychosomaticshttp://psy.psychiatryonline.org/rss/current.xmlBiological Psychiatryhttp://www.journals.elsevierhealth.com/periodicals/bps/current.rssAcademic Psychiatryhttp://ap.psychiatryonline.org/rss/current.xml
  • 36. RSS Feeds – Other SpecialtiesGeneral MedicineJournal of the American Medical Association (JAMA)http://jama.ama-assn.org/rss/current.xmlNew England Journal of Medicine (NEJM)http://content.nejm.org/rss/current.xmThe Lancethttp://multimedia.thelancet.com/rss/lancet_current.xmlAnnals of Internal Medicinehttp://www.annals.org/rss/current.xmBritish Medical Journalhttp://www.bmj.com/rss/latest.xmlPediatrics Pediatricshttp://pediatrics.aappublications.org/rss/current.xmlArchives of Pediatricshttp://archpedi.ama-assn.org/rss/current.xmlNeurologyNeurologyhttp://www.neurology.org/rss/current.xmlArchives of Neurologyhttp://archneur.ama-assn.org/rss/current.xmlAnnals of Neurologyhttp://www3.interscience.wiley.com/rss/journal/76507645The Lancet Neurologyhttp://multimedia.thelancet.com/rss/laneur_current.xmlJournal of Child Neurologyhttp://jcn.sagepub.com/rss/current.xml
  • 37. Lessons LearnedVery convenient and efficient way to obtain overviews of a large amount of informationSome journals better than others to maximize usefulness of feeds (i.e. amount of information provided)Different readers offer varying levels of convenienceCan be difficult to keep track of what has been readNeed to be proactive in order to keep useful articles/abstracts organized
  • 40. PodcastDefinition: “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 iTunesSimply search for title of podcast and can then download through iTunesSource: http://en.wikipedia.org/wiki/Podcast
  • 41. Based on JournalsAmerican Journal of Psychiatry AudioGreat summarization of each month’s articlesThe Journal of Clinical Psychiatry: Publisher’s PodcastThe Journal of Neurology, Neurosurgery, and PsychiatrySource: http://ajp.psychiatryonline.org/cgi/content/full/168/5/A34/DC1
  • 42. PodcastsPsychiatric TimesInteresting highlights, but hit and missMedscape Psychiatry (& Mental Health) PodcastMiscellaneous My Three Shrinks (by Shrink Rap)Psychiatry TodayPsychiatric Secrets Revealed by Dr. MikePower Without Pills: One Psychiatrist’s Guide to Healing and GrowthPsychiatrist and PhysiatristInstitute of PsychiatryShrink ZoneConversations about Mental Illness
  • 43. PodcastsBiggest problem: most are not updatedMedscapeCME Psychiatry (& Mental Health) PodcastPeerView Psychiatry CME/CNE/CPE Audio PodcastAlso includes accompanying PDFsMGH Psychiatry AcademyMUSC Mental Health PodcastPsychiatry Grand Rounds from the UCLA Semel InstituteMDPU Podcast: Mood Disorders Psychopharmacology Unit – University of TorontoThe Centre of Excellence in Interdisciplinary Mental Health
  • 44. Podcasts from Other SpecialtiesJournal of the American Medical Association (JAMA)New England Journal of Medicine (NEJM)The LancetNeurology
  • 45. Lessons LearnedIf available, can be a useful adjunct to learn materialBut lack of/consistent availability is major concernDifferent podcasts vary GREATLY in terms of quality and usefulnessDifferent podcasts utilize different approaches, which may appeal to different types of learnersSome summarize all or the main articles of the current issueSome take one article/theme and discuss more thoroughly, including interviews with authors
  • 47. TextDigitalPaper Previously scanned articlePDF without copy/paste functionalityOriginal digital file, editable (i.e. Word document)PDF with copy/paste functionalityScan Optical Character Recognition (OCR) SoftwareText To Speech (TTS) SoftwareAudio
  • 48. Text To Speech (TTS)Definition: “The ability of the computer to convert text into spoken words”Voice DatabasesAT&T Natural VoicesAcapelaRealSpeakCepstralWebsitesYAKiToMe! (http://www.yakitome.com)ReadTheWords.com (http://www.readthewords.com)ProgramsNaturalReaderNeospeechTextAloudSource: 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 DatabasesSource: http://www.nextup.com/
  • 53. Time to DecideCopy/Paste Text Import from Word (.doc or .txt) or Acrobat (.pdf)Import from internet sources (websites, RSS feeds, email)
  • 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
  • 63. 7b. Download (right click over icon)
  • 64. 7b. DownloadOnce 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 LearnedEffective 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 RecognitionDefinition: “the electronic identification and digital encoding of printed or handwritten characters by means of an optical scanner and specialized software”WebsitesNewOCR (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/)ProgramsOmnipageMicrosoft OneNote 2007Microsoft Office Document ImagingABBYY FineReaderSimpleOCRTopOCRFreeOCRSource: http://www.thefreedictionary.com/optical+character+recognition
  • 68. Before StartingEither open a blank Word document or copy/paste text directly into YAKiToMe! (see step 3 from previous demonstration)
  • 69. 1
  • 70. 2
  • 72. 4Scroll down to ensure all text has been copied
  • 73. 5Click to select other pages to scan
  • 74. 6Click to scan next page
  • 75. Click to work on new file
  • 76. Lessons LearnedPaid-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 scansCan 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 programsOnly increase in danger if loud or unexpectedDistractibility seems to be the key issueLong 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 DrivesAdvantagesAdministered through university/hospital systemConvenience of having full IT support of institutionDisadvantagesMay not be able to access from home or other work computersCan be expensive to set up and maintainOften very limited amount of space
  • 82. Cloud StorageDefinition: “provision of computational resources on demand via a computer network”AdvantagesEasy access from multiple computersOff-site accessDisadvantagesSecurity concernsMay not be able to access depending on company firewallsDo not “own” the filesSource: http://en.wikipedia.org/wiki/Cloud_computing
  • 83. Dropboxhttp://www.dropbox.comSupported on multiple platforms: Desktop: Windows, Mac, LinuxMobile: iPhone, iPad, Android, BlackberryAlso can access files through web browserFree registration: 2 GB storageCan set up both personal accounts/folders as well as shared folders
  • 85. DropboxTo share files:Click on “Share a Folder”Select “I’d like to share and existing folder”Select the folder to shareType 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/BenefitBenefits:Potentially decrease paper usageDigitized format helps preserve and potentially organize informationCosts:Time consumingShift costs to trainees?
  • 87. Video
  • 90. CopyrightCopyright 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 CodeSource: http://www.pacaoffice.org/copyrightInfo/PACAcoped.ppt
  • 91. Protected by CopyrightEssentially everythingTextPicturesMusicVideo
  • 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 learningHowever, for distance learning, may have to pare down/limit usage (think using clips)Only applies to accredited nonprofit educational institutionsOnly 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 InformationPeter Martin: [email protected] Scharf: [email protected]

Editor's Notes

  • #7: The long Buf->Roc drive
  • #17: VARK: is the way people prefer to learn
  • #27: 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
  • #28: 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
  • #29: 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
  • #31: 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)
  • #32: 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
  • #33: Example from iPhoneLeft – overall folders (self generated)Right – Specific journals
  • #34: 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
  • #35: Here are the links for the feeds – just type in the following links in “subscription” for feeds and voila, added
  • #39: 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)
  • #41: 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
  • #45: Honestly, JAMA and NEJM are some of the best out there
  • #48: 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
  • #49: 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
  • #50: Many options!
  • #51: 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
  • #52: Screen to convert textLook to left – we’ll blow that up now
  • #53: Recommend faster speed to make less monotonous – I’ve found also helps with retention of info (less likely to have mind wander)
  • #60: 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
  • #67: Here, it might make more sense to invest in actual program
  • #69: b/c we’ll need to but the converted text somewhere
  • #72: Takes about 10 secs
  • #81: Network drives
  • #91: 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.