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MEDICAL SIMULATION WITH VIDEO ASHLAND UNIVERSITY’S STREAMLINED APPROACH TO ONLINE HEALTH EDUCATION Thomas L. Kemp Ashland University
MEDICAL SIMULATION WITH VIDEO ASHLAND UNIVERSITY’S STREAMLINED APPROACH
TO ONLINE HEALTH EDUCATION
Thomas L. Kemp Ashland University
Tuesday, July 16th, 2013
Medical Simulation with Video
About Ashland University: FTE around 6700 Students (private)
6 Campuses in 2 States
5 Colleges: COBE, COE, COAS, CONHS, CEPD
Located just off I-71 in-between Cleveland and Columbus
Ohio.
A little about Tom…
Thomas L. Kemp, MA
Director of Instructional Technology and
Learning Management @ Ashland University
2006-Present
Capture w/ Mediasite
My Sonic Foundry plug:
Installing Mediasite technology since 2005.
Active international user group helping drive the direction of the technology
Monthly free live “how to” webinars on several topics and best practices of lecture capture.
Administratively easy to use no matter how big or small the campus deployment is…
SOFO recently deployed a cost effective software solution for use of both faculty and students.
Taken Saturday, June 8, 2013 at 6:30pm.
Shameless picture of my family…
A quote from Walt…
Tuesday, July 12, 2013
Medical Simulation with Video
Todays Goal will be to learn how to:
• Create a technology-enhanced classroom and Sim-Lab space that
is user friendly to both the faculty and student end users.
• Simplify the process of creating video based educational content
and distributing it online using a VLOR. (Video Learning Online
Repository)
• Looking at engineered solutions that give a return on investment for
effective integration of educational technology into the Sim Lab
and classroom.
Before we begin…
Quickly:
Identify Current Institutional Organizational Structure?
Identify what makes up your LMS?
Identify Academic Trends?
Planning for future video solutions ?
Historically looking at online components…
The Big Picture
Grade-Book
All Video
Learning
Management
Suite Assessment
Classrooms
Auditoriums
Labs &
Lecture Halls
Medical Simulation with Video
Was this your University?
Learning Management Suite just one
component of the Online Environment.
Content Developers/Instructional
Designers/ Web Team and IT People
Manage the LMS?
Video is handled by another
department all together?
Assessment is handled by department
chairs?
Grading is handled by the faculty?
Where Online Started at
your University?
Grade-
Book All
Video
LMS Assess
ment
Class-
rooms
Medical Simulation with Video
Is this your University?
Learning Management Suite is the
“Backbone” of the Online Environment.
Content Developers and Instructional
Designers spend in the LMS
ADMINISTRATING?
Many different video uses emerge which
are handled by several departments –
that don’t interact with each other.
Assessment is still handled by college
chair?
Admin of grading is handled by the
registrar?
Today and current time spent
at your University?
Grade-
Book
All
Video
Asses
sment
LMS
Class-
rooms
Medical Simulation with Video
Your Future University Online Environment
LMS
All Video
Assessment
Gradebook
Classrooms
Will this be your University?
The University recognizes online best business practices and brings all the departments that deal with online programs under one VP/Dean.
Learning Management Suite will get even more integrated into the SIS/LDAP.
Content Developers/Instructional Designers time is spent on MOOCs and Social Media integration in addition to the LMS.
The University will “merge” Assessment, Online Quality and Grading which will play a bigger roll in determining positive faculty outcomes and student retension.
Medical Simulation with Video
Help Defining Video
Will all Video (both synchronous and asynchronous)
use the Learning Management Suite as its student
organizational “Backbone” with in the Online
Environment?
Has your institution considered the use of a VLOR?
(Video Learning Online Repository)
Video is now 70% of all internet traffic; What is it
on your campus? Online Classes?
Have questions on assessment of video in a flipped
classrooms been asked yet?
Is there a campus/institutional plan blessed by the
academic administration for future support of the
online learner that allows them to both receive and
create video content for the purpose of learning?
Your Future University Video Online Environment
ALL LMS VIDEO
Lecture Capture
WebEx
Student Created Presentations
YouTube
Video Conferencing
Buildings that support online and flipped classrooms.
Buildings and Layouts
Standardized Classroom Levels
Start thinking about 80inch
LED monitors and Projectors…
Standardized Classroom Levels
Level 0
Whiteboard
Pull Screen
**NO CLASSROOM TECH
**NO CONDUIT
**NO DEDICATED
POWER
Level 1 Computer
Projector
Wall Plate
for plug in
Doc Cam or
DVD/BR
**DOES NOT HAVE ANY
CONTROL TECH**
Level 2
Extron Basic Control System DVD/BR player or Combo unit or
Video or RCA Composite Video Connection(VHS is no longer avail)
3200 16/10 Aspect Ratio Lumen Ceiling Mounted Projector capable of Rs-232 control (small)
Some Sort of Podium or Desk mounted PC with a 17+inch flat panel HD display.
Min 12RU insert for technology located in or close to the desk/podium.
Laptop or VGA Input HDMI / VGA Document Camera MP3, iPod or iPad Audio Connection
Port Small Amplifier and Ceiling Mounted
Speaker System Dedicated A/C 15amp power
conditioner for podium
Level 3
Interactive Touch Screen
Tiered (Staged) Lighting around the front projection screen(s)
Integrated Podium/Desk
Standardized Classroom Levels
Standardized Classroom (compact)
Flipped/Hybrid Classroom Layouts
• Roll Playing - Review
• Collaboration
• Team Building
• Creative Thinking
• Group Interaction
• BYOD Agnostic
Flipped Classroom Capture
USB, Composite, HD Cameras
Multi Camera Collaboration Capture
Faculty standing and Teaching with a “Green Screen”.
Group Interaction
BYOD Capture Agnostic
Hardware and Software pointed to the same institutional VLOR.
Student
USB/PC
Cameras
Traditional
Video
Conference
VLOR
Hardware
Capture
Solution
VLOR
Software
Capture
Solution
BYOD (Bring your own device…not beverage)
iOS – iPad, iPod, iPhone
Laptop, Macbook
USB Western Digital Drive
Thumb Drive
Android OS
Tablets
USB Video Cameras, Flip Cameras
SD Cards
Black Berry
Netbooks
Kindle
Wireless Devices & Authentication
CLR vs. BYOD vs. Online Shopping List~
USB
MP3
VGA
A/C
NET
HDMI
BYOD - CLICKSHARE
THINK OF IT AS A 3rd PARTY SHARING
DEVICE THAT HELPS MERGE DEVICES
TOGETHER FOR GROUP
COLABERATION.
USES:
FLIPPED CLASSROOMS
CORPRATE MEETING ROOMS
INTERNATIONAL SALES MEETINGS
WORKS WITH IOS W/DONGEL
Pictures can also be presented more dramatically in widescreen.
Cameras & Control
The Right Camera?
Panasonic
WV-SC384
Vaddio HD-19,20
999-6990-000
Sony
EVI-D80
Audio solutions that support “everything”.
Integrated Audio Solutions
Integrated Audio Solutions Shopping List~
Revolabs HD & xTag
Audio-Technica
AT-2020USB
Shure
MX392
How do I control all this inexpensively?
Engineered Room Control
The Big 3 in Control
Important: Support of your staff and a commitment to training so you can keep your costs low is important.
Extron -
Crestron
AMX
The Big 3 in Control
I have been actively promoting the use of Extron since 2005 for almost all of our classrooms, labs and healthcare facilities for switching and control because they support me and my staff with their S3 Support model.
Support Model
Integration Experts in your Market (Healthcare, Education, Corporate)
Warranty
Custom (Camera) Driver Support
Complete Integration Solutions
Active Technology Advisory Council
Ability to control virtually anything.
When building a medical training facility, what tech is most important?
Medical Sim-Capture Cameras and Monitors -
Capturing Medical Simulations
What you mean by Simulation?
Different types of simulation are used by hospitals and
universities to teach up to date clinical lessons to students
in the hopes of improving their skills in healthcare to
deliver competent patient care and service.
Capturing Medical Simulations
What different types of simulation are there?
Nursing/ Clinical Simulators
Surgical Simulators
Virtual Reality Simulators
Operating Room Simulators
Military Medical Simulators
Capturing Medical Simulations
Capturing Medical Simulations with Video
Capturing Medical Simulations with Video
Vital Sim or Medium Fidelity Bed Locations
Capturing Medical Simulations with Video
High Fidelity Bed Locations
Family Health Practice Lab A closer look at what Ashland University has built:
Family Health Practice Lab Simulation Lab Layout
Microphones
Camera
Instructional
Technology
High Fidelity
Simulator Beds
Med Charting
Station
Sim-Control Rooms:
Medical Capture Companies
B-Line Medical - http://www.blinemedical.com/
EMS/Arcadia - http://www.ems-works.com/
Laerdal - http://www.laerdal.com/us/
Meti - http://www.meti.com/
Medical Capture Technology
Most of the medical DVR capture technology
can capture and display up 4 video sources and
one audio source into a time line.
A combination of composite, HD and VGA video
can be captured.
When building a medical, or healthcare facility,
correctly identification of screen display
resolution and aspect ratio from start to finish or
content creation to being viewed online is
important.
While most solutions are rack mounted and
engineered, there are mobile solutions
becoming available.
Laerdal Sim-Man 3G
Medical Monitor Considerations~
American Association of Physicists in
Medicine
A DICOM conformance test is an
assessment of display performance for
medical imaging systems.
Simulations systems do not necessary have
to meet this standard, unless the same
system is used to diagnose real patients.
If you work with in a teaching hospital or
you are building a facility that teaches
med-students how to read X-Rays DICOM
compliant displays, support hardware &
graphics cards.
Medical Considerations~ (NEC)
DICOM calibrated at the factory
All medical monitors from NEC receive FDA 510(k) certification.
In order to deal with the most demanding visual display needs the monitors come up to 5 megapixels and sized from 21.3” to 29.8”.
Software that monitor the monitor if it falls out of FDA and DICOM compliance. By doing this NEC assures the image will be displayed in a in a uniform manner that facilitates the best diagnosis through outstanding image clarity and helps prevent cross-department issues.
Cadaver Considerations~
In addition to a DICOM monitor:
USB Microscopes that are at least a 2.1 Megapixel (1920X1080) in size.
Ceiling mounted PTZ “Gut-Cam” resolution matches the Microscope and Monitor.
Built in lecture capture into the cadaver lab camera space.
LMS LDAP into the VLOR so only students with permission can access some of the “colorful” images.
Widescreen Test Pattern (16:9)
Aspect Ratio Test
(Should appear
circular)
16x9
4x3
Medical Capture 1st Questions…
What are you teaching, to whom, in
what modality?
What format? 16/9 or 4/3?
What resolution? 2.1+m, or 5m?
Composite vs. HD/ VGA?
PTZ Control by: Rs-232, IR, TCIP, USB?
What type of mounting and power
requirements?
A Mediasite recorder for every resolution~
Lecture Capture Dual Video Streams (rack mount) 960x720 Sonic Foundry/ Mediasite RL550
Lecture Capture Dual Video Streams (rack mount) 960x720 Sonic Foundry/ Mediasite RL500
Lecture Capture Dual Video Streams (rack mount) 1920x1080 Sonic Foundry/ Mediasite RL700
Lecture Capture Dual Video Streams (Mobile) 1920x1020 Sonic Foundry/ Mediasite ML800
Lecture Capture Dual Video Streams (Mobile) 960x540 Sonic Foundry/ Mediasite RL660
Lecture Capture 3 Video Streams (rack mount) 1280x720 Sonic Foundry/ Mediasite ML670
Lecture Capture 3 Video Streams (rack mount) 1920x1080 Sonic Foundry/ Mediasite ML810
Lecture Capture 3 Video Streams (rack mount) 1920x1080 Sonic Foundry/ Mediasite ML820
Lecture Capture 3 Video Streams (rack mount) 1920x1080 Sonic Foundry/ Mediasite ML720
Lecture Capture 3 Video Streams (rack mount) 1920x1080 Sonic Foundry/ Mediasite ML710
What is a institutional VLOR?
LMS – Learning Management Suite
CMS – Content Management Suite
VCMS – Video Capture Management Suite
LOR/VLOR – Learning Online
Repository/Video Learning Online
Repository
What is a institutional VLOR?
There are Faculty that have received permission from publishers to have
media streamed, which may otherwise be taken down or audio disabled by
YouTube.
Student created content is accessible to the institution for archival and
grading purposes.
- If a Faculty member leaves (especially mid semester), a VLOR will assure
the video materials that they have developed outside the of LMS will remain
accessible to the students…
- A private VLOR will remove issues with videos being removed for alleged
copyright infringement. Unlike the court of law, you are guilty until proven
innocent when it comes to YouTube and video copyright issues.
Flipped Classroom and Sim Technology can and should support the online environment…
ROI & Back to the big picture…
Grade-
Book
All
Video
LMS
Classrooms
Assessment
Flipped Classroom & Sim Capture
Specific to flipped video recordings:
Court Room
Counseling
Emergency Management
Asynchronous lecture capture to other cohorts.
Accreditation by governing bodies
Capturing DATA along with audio and video effectively.
Return On Investment~
By effectively managing the refresh of campus technology to support online
learning the campus will support both its physical and online presence through
traditional, hybrid and online technology.
Planning for or being cognizant of DICOM medical requirements now, allows for
both capture and simulation technology to utilize the same backbone
infrastructure.
Advocating for your campus to start to teach hybrid and online using the flipped
classroom approach and advertising the use of BYOD today will give your
institution the competitive edge tomorrow.
Planning for a VLOR will further insure academic integrity of you LMS content.
If Sonic Foundry lets me come back~
We’ll look at taking the best pedagogical practices in teaching using Simulation
and apply the online/hybrid environment for:
Nursing
Courtroom Litigation
Counseling
Education
EMT/EMS & Paramedic Training
Emergency Management
Police and Fire
Contact me anytime, Thanks for coming!
Thomas L. Kemp, MA
Director of Instructional Technology and Learning Management @ Ashland University
thomaskemp
HLTechnology
