CME for Health Care Workers in Developing Countries by Inge de Waard ppt: http://www.slideshare.net/ignatia

This is the global knowledge revolution! Human history has never before witnessed such a massive global content creation, this is a knowledge revolution boosted by technology . mobiles are increasingly the computers of the future and now emerging countries are getting on board rapidly Landlines are skipped in favor of mobile connectivity

Human history has never before witnessed such a massive global content creation, this is a knowledge revolution boosted by technology .

mobiles are increasingly the computers of the future

and now emerging countries are getting on board rapidly

Landlines are skipped in favor of mobile connectivity

Mobile learning is on the rise Excellent lifelong learning instrument context aware + identity Continuing Medical Education (CME) is becoming possible also in developing countries

Can we reach physicians in the field to deliver lifelong learning? Keeping physicians in contact with peers will enhance knowledge exchange in priority settings (HIV/AIDS is increasingly spreading) Getting the latest medical information out there is crucial

Keeping physicians in contact with peers will enhance knowledge exchange in priority settings (HIV/AIDS is increasingly spreading)

Getting the latest medical information out there is crucial

Telemedicine website: peer to peer discussion forum with mobile access website Starting from web-based content User created content + peer to peer knowledge exchange Medical answers within 24 hours!

Provide a peer content platform and make it accessible for mobiles http:// mobile.voorlopig.be

Adding CME modules to the Telemedicine website CME keeps physicians on top of their speciality & if it is linked to the Telemedicine website => growing number of users

CME keeps physicians on top of their speciality & if it is linked to the Telemedicine website => growing number of users

To tackle the CME we first looked at the mobile status of physicians We needed to know: - Which type of mobiles they had? (‘regular’ + smartphone) - If they would be interested - What would make a difference for them as a learner

What physicians wanted was/is Access with their own cell phone (so it needed to be accessible with cheap and expensive phones) Getting a message pushed to them when a new CME was launched Make it easily accessible (= no long connections needed) Certification for following it! Important career wise

Access with their own cell phone (so it needed to be accessible with cheap and expensive phones)

Getting a message pushed to them when a new CME was launched

Make it easily accessible (= no long connections needed)

Certification for following it! Important career wise

Our delivery method of choice: standardized mobile content So it was clear: HTML + CSS: It is easy to build (dreamweaver or the free pagebreeze ), is small in size, adapts to the phone screen and allows pictures/visuals (you need to resize them irfanview e.g.) Mobile web initiative provides best practices

Getting the CME out there: the pilot phase Physician/learner group: 4 across Europe in well connected areas, 6 in less (= internet) connected areas (Suriname, DR Congo, South Africa, Cambodia, Morocco) Variable phone types + e-mail for feedback One CME per month See for yourself (this combines things that went wrong): http:// tinyurl.com /ITM3CME

Physician/learner group: 4 across Europe in well connected areas, 6 in less (= internet) connected areas (Suriname, DR Congo, South Africa, Cambodia, Morocco)

Variable phone types + e-mail for feedback

One CME per month

Adding user friendliness & motivation Userfriendliness : - Sending an sms when a new CME is issued (in our case using the Jeyo mobile companion); - In the CME a tinyURL is embedded to allow quick access to the CME (smaller url = easier to type with cell phone). Motivation : - A certificate is issued if the learners successfully (cut off 80%) take an assessment after 6 months of CMEs ( Jeyo mobile companion )

Extra’s: extra learner dynamic

Extra 2: demand for multimedia Using a mix of AVS4you + Camtasia http://www.itg.be/tempupload/uploadfolder/Inge/for_mobile_presentation/ NaturalEvolution_audioOk.avi

Feedback of the pilot group Advantages They liked the relevant information that was brought to them Learning at their own convenience Opened new ways of learning They felt connected with peers Disadvantages Access was not ensured in the field and this could drain the battery The screen was small for learning (in the older cell phone types) Without electricity the battery can run out Graphics/tables sometimes unclear on small screens

Advantages

They liked the relevant information that was brought to them

Learning at their own convenience

Opened new ways of learning

They felt connected with peers

Disadvantages

Access was not ensured in the field and this could drain the battery

The screen was small for learning (in the older cell phone types)

Without electricity the battery can run out

Graphics/tables sometimes unclear on small screens

Exploring (future) soft- & hardware for CME Mobile offline possibilities enabling multimedia courses. Mobile = mp4 conversion so you have any video you want. Use cheap video converter software like AVS4you (39,95 EUR) Connect the mobile to a television set and use it as a desktop for bigger screen ( this technology will be standardized in new mobile devices, you can even use it as a desktop check it out on a youtube movie, it is a brandname, sorry for the marketing) Solar panels are already out there.

Contact me Email: idewaard@ itg.be Blog: ignatiawebs.blogspot.com Del.icio.us: http:// del.icio.us/ignatia linkedIn: http:// www.linkedin.com /in/ ingedewaard Twitter: http://twitter.com/Ignatia PPT: http:// www.slideshare.net/ignatia