Lights, Camera, Action: Reaching your Audience at a Distance

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Lights, Camera, Action Reaching your Audience at
a Distance

• Trudy Larson, MD
• Nevada AIDS ETC, Reno

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Why do we do distance education?

• AETCs often responsible for HIV/AIDS training in
  large/rural areas
• Distances and small size of some communities make
  travel challenging
• Quality education may be a challenge with limited
  funds, need efficiency
• With distance education, broad audiences can be
  reached at the same time with same quality
  presentation

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Telehealth Education

• More than 80 courses/classes offered throughout
  the state during the last three years, many via
  the Telehealth Network
• Examples STD Diagnosis Therapeutic Dilemmas,
  Hepatitis C, Issues of Aging, Physiology of
  Aging, Bacterial Antibiotic Resistance,
  OsteoporosisFocus on Fractures, EMT, Clinical
  Update on the Management of Pain,Taking the
  Mystery out of Wound Care, Partners in End of
  Life Care, the Epidemic of Obesity, Mental
  Health Issues, Suicide Prevention, Death, Dying
  and the Grieving Process, Promoting Healthy
  Aging, the Challenge of Lipid Management, Back to
  Beta Blockers, Chemotherapy Certification,
  Anthrax, Functional Assessment of the Elderly

University of Nevada School of Medicine
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Over 240 interactive video sites in
libraries, K-12 schools, universities, community
colleges, Cooperative Extension
offices, clinics, hospitals, and prisons
University of Nevada School of Medicine
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46 sites in clinics and hospitals
throughout the state Indian Health Services
clinics in Duckwater, Ibapah, and Gardnerville
are now activated
University of Nevada School of Medicine
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What benefits are gained?

• Distance education is convenient
• Travel is reduced for speaker and for
  participants
• Time is saved for both
• Participants have familiar surroundings
• Distance education is versatile and many
  resources can be used in presentations
• Traditional lectures
• Panelists can be assembled
• Demonstrations can be done
• Clinical consultations

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What challenges exist?

• Biggest issue is overcoming an impersonal
  intermediary (the camera)
• Avoid the talking head syndrome
• Need to keep participants engaged
• Establish two way communication
• Need camera at main site that can easily switch
  modes
• Power point switches to view of speaker
• Attachment that allows writing (like white board)

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Challenges continued

• Advance preparation
• Handouts and materials distributed in advance
  (mail,FAX,email)
• Clear directions for participants
• Equipment and support for equipment
• Equipment functions, is turned on, has air time
  reserved
• Best to have onsite person for sign in, to
  distribute handouts, fix video
• Clear and easily modifiable sound system
• Best if voice activated (switches picture when
  someone talks)

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What kind of formats are there?

• Most primitive is conference calls
• Can work for clinical case conferences but the
  mute button is too easy to press when no one is
  looking
• Videoconferencing
• Can see faces/hear comments in real time
• Can switch camera views (power point to speaker
  to white board)
• Web-based educational formats
• Some real time but often difficult to ask
  questions if many participants
• If archived, lacks ability to respond to
  inquiries or enhance information

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Format pros and cons

• Conference call
• Low tech/easy (usually)
• Lacks visual connection and best done with small
  group
• Videoconferencing
• Need equipment, airtime, on-site assists
• Can be very interactive (QA, non-verbal checks
  with audience, role play)
• Web-based
• Need equipment
• Any time (very convenient) if archived
• Can be interactive if real time

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How do I do this effectively?

• MUST ESTABLISH INTERACTIVE ENVIRONMENT
• Heres where acting and being comfortable in
  front of a camera are definite pluses
• Helpful hints
• Have audience at main site for speaker
  interaction
• Encourage questions from all participants
• Have initial check in and introductions
• Ask questions of participants that will encourage
  discussion
• Audience participation is very helpful as well
• Useful to have more then one person at a site

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How do I do this effectively?

• Technical hints
• Switch back and forth from power point to speaker
• Use voice activated microphones to allow for easy
  questioning
• Have onsite person to help with any problems
• Make sure audio is clear and loud enough for all
  (placement issues)
• Check out equipment in advance

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What should a speaker do?

• Distance learning requires that interactive
  techniques are used
• Case Studies
• Ask for comments from each site and record
  answers for all to see
• Stories
• Ask questions frequently about their experiences
  to keep them involved
• Use role plays for skills building
• Sometimes doing it over a camera is easier

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Examples

• Clinical education programs in Pediatric
  Assessment
• Medicine Potpourri CME Lunchtime Presentations
• Tumor Board Grand Rounds starting in Elko each
  month
• Certified Nursing Assistance education program
• Neurology consult working toward expansion to
  stroke patients

Pauline Bradshaw In Yerington
Dr. Katz in Reno
University of Nevada School of Medicine
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What should a speaker do?

• Never turn your back on the camera
• Changes voice and makes interaction difficult
• Check in with sites about picture quality and
  voice quality to keep involved
• Make sure all sites have refreshments if main
  site does
• Can cause all sorts of issues with feeling
  unimportant
• Set up guidelines for break times and when to
  return and stick to timelines

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Youre the Director.What do you want to do?