The document summarizes the Neuro-Ophthalmology Virtual Education Library (NOVEL) project. It provides an overview of the collections in NOVEL including lectures, images, videos and other teaching materials from various contributors. It also discusses usage statistics, priorities for expanding existing collections and developing new collections. Feedback from users praises NOVEL as an excellent educational resource.

1. Neuro-Ophthalmology Virtual Education Library: NOVEL Nancy Lombardo, MLS Spencer S. Eccles Health Sciences Library, University of Utah Kathleen Digre, MD Moran Eye Center, University of Utah Larry Frohman, MD New Jersey Medical School

2. http:// library.med.utah.edu /NOVEL /

3. NOVEL Project Status of collections: William F. Hoyt, MD – 857 images, complete Disorders of the optic disc slide collection J Lawton Smith, MD – 111 lectures, slides, complete Various neuro-ophthalmology topics AAO/NANOS Slide collection – 418 images, complete Various neuro-ophthalmology topics Shirley H. Wray, MD, PhD – 137 video cases, growing Neuro-ophthalmology video collection Moran Eye Center – 67 objects, mostly video, growing Video, and PPT lectures on range of topics

4. AAO/NANOS Clinical Collection 418 slides of cases and conditions More than 30 contributing NANOS members Roger Turbin, M.D. Rosa A. Tang, M.D. Scott Forman, MD Shlomo A. Dotan, MD Steven A. Newman, MD Steven Galetta, MD Thomas R. Wolf, M.D. William Fletcher, M.D. Larry P. Frohman, M.D. Marilyn C. Kay, MD Mark Kupersmith, MD Mark L. Moster, MD Michael Wall, MD Mitchell J. Wolin, MD Ralph A. Sawyer, MD Richard H. Legge MD Robert F. Saul, MD Robert L. Lesser, MD Anthony C. Arnold, M.D. Daniel M. Jacobson, MD Don Bienfang, MD Eric L. Berman, MD Gregory S. Kosmorsky, MD Jacqueline A. Leavitt, M.D. Janine L. Johnston, MD Jeffrey G. Odel, MD Joel M. Weinstein, M.D. John A. Charley, MD

5. NOVEL Project Status of collections: Walsh Society Meetings – 645 objects , growing 2005 - PPT, abstracts, images, video to come 2004 – 1989 - abstracts David G. Cogan, MD – 91 video cases, growing Teaching collection Randy Kardon – 3 lecture and video, growing The Pupil David Newman-Toker – 2 animation, lecture, growing Skew deviation Irene Loewenfeld, PhD – 224 images and pdf, can grow Pupil references, annotated cards, literature

6. Animations Old Animations: VOR reflex New Animations Skew Deviation and Ocular Tilt David Newman-Toker More to come Teaching Materials Skew Deviation PPT David Newman-Toker More to come Online submission form Re-written to be secure

7. Online Quiz Tool Prototype developed http://library.med.utah.edu/NOVEL/Quiz/images/images.html

8. NOVEL Web Site Usage 5,888 7,767 9,014 Visitors Monthly! 324,796 303,667 341,537 Visits 287,274 623,869 731,571 Page Views 1,308,052 1,946,200 2,072,613 Hits 04-05 TOTALS 05-06 TOTALS 2006 TOTALS NOVEL 2005-06

9. Visits by Country – Dec 2006 Latvia 1 Bangladesh 1 Kazakhstan 1 Guinea-Bissau 1 Antigua and Barbuda 1 Tanzania 1 Georgia 1 Macedonia 1 Oman 1 Dominica 1 Guyana 1 Mauritius 1 Bosnia and Herzegovina 1 Belize 1 Guatemala 1 Bahamas 1 Bermuda 1 Ethiopia 1 Morocco 1 Algeria 1 Samoa 1 Cyprus 1 Puerto Rico 1 Cayman Islands 1 Malaysia 6 Colombia 6 Brunei Darussalam 6 Chile 5 Russian Federation 5 Slovenia 5 Barbados 4 Viet Nam 4 New Zealand (Aotearoa) 4 Iceland 4 Croatia (Hrvatska) 4 Dominican Republic 4 Peru 4 Nepal 3 Austria 3 Slovak Republic 2 Zimbabwe 2 Estonia 2 South Africa 2 Libya 2 Malta 2 Sri Lanka 2 Bulgaria 2 Nicaragua 2 Kenya 2 Hong Kong 37 Belgium 37 Niue 37 Mexico 35 Arab Emirates, United 31 Jordan 28 Brazil 28 France 27 Czech Republic 23 Poland 20 Iran 20 Norway 17 Indonesia 17 Ireland 15 Hungary 14 Denmark 13 Kuwait 13 Argentina 12 Bahrain 9 Finland 8 Pakistan 8 Lithuania 8 Romania 8 Yugoslavia 7 Philippines 7 United States 20,554 Australia 292 Canada 258 Saudi Arabia 211 Europe 182 United Kingdom 168 Japan 102 Italy 84 Spain 84 Netherlands 81 Korea (South) 73 United Kingdom 67 Germany 63 Turkey 61 Switzerland 58 India 56 Taiwan 55 Sweden 50 China 48 Singapore 46 Portugal 46 Israel 45 Greece 39 Thailand 38 Egypt 38 Total Visits 23,389 99 Countries – Dec 20‘06

10. Visits by Country – Oct 2006

11. Video Usage Statistics 2004 - 2006 2 <1% 3 Cogan 12,838 100% 29,203 TOTAL 2,296 26+% 6,479 Wray 10,540 73+% 22,721 Moran Visitors Percentage Clips Collections 2006 61 978 1,637 3,562 2004 72 2,972 5,574 8,785 2005 90 7,831 12,836 29,205 2006 Countries Internat’l Visitors Clips NOVEL

12. Video Usage Statistics International 2006 Kuwait/ 7 Vietnam/ 6 Colombia/ 6 Neth Antilles/ 6 Paraguay/ 4 Palestinian Territory, Occupied/ 4 Bahamas/ 4 Malta/ 4 Lithuania/ 4 Oman/ 4 Barbados/ 4 Maldives/ 4 Bulgaria/ 4 Qatar/ 4 Bahrain/ 2 Panama/ 2 Uruguay/ 2 Nigeria/ 2 Honduras/ 2 Iceland/ 2 Lebanon/ 1 Venezuela/ 21 Hungary/ 19 Romania/ 18 South Africa/ 18 Dominican Republic/ 18 Yugoslavia/ 17 Nepal/ 17 Poland/ 17 Syrian Arab Republic/ 16 Austria/ 16 Indonesia/ 14 Russian Fed/ 14 Croatia/ 14 Dominica/ 12 Cyprus/ 12 Sudan/ 11 Ecuador/ 10 Costa Rica/ 10 Pakistan/ 10 Libyan Arab Jamahiriya/ 8 El Salvador/ 8 Cayman Isl/ 8 Tunisia/ 8 Saudi Arabia/ 113 Malaysia/ 101 Portugal/ 100 China/ 74 Singapore/ 72 United Arab Emirates/ 70 Morocco/ 68 Switzerland/ 65 Finland/ 51 Argentina/ 46 Philippines/ 46 Norway/ 44 Sweden/ 43 Denmark/ 42 Ireland/ 42 New Zealand/ 38 Iran, Islamic Rep/ 37 Puerto Rico/ 36 Uzbekistan/ 34 Greece/ 30 Slovenia/ 30 Czech Rep/ 23 Peru/ 22 US/ 10,585 UK/ 5,343 Canada/ 1,521 Australia/ 955 Brazil/ 757 Italy/ 518 Korea 413 Chile/ 243 Netherlands/ 226 India/ 212 Egypt/ 187 Israel/ 186 Germany/ 175 Japan/ 167 Taiwan/ 163 Hong Kong/ 158 France/ 132 Jordan/ 127 Turkey/ 121 Spain/ 119 Mexico/ 117 Thailand/ 115 Belgium/ 114 11,491 Visits 24,275 Video 90 Countries

13. Organization and Vocabulary NANOS Curriculum Outline Completed by NANOS Curriculum Committee. Published in JNO Dec 06 Overarching organizational structure for NOVEL collections. Provides standard vocabulary. Retrieve items from all NOVEL collections. Section IV linked as prototype. Need evaluation and feedback.

14. Digital collections model Open Access and Copyrights All materials accepted into NOVEL collections are available to non-profit educational users for FREE—using proper credits ( Citation Page ) Copyrights are retained by author, or author designate (NANOS ) Patient permissions Authors are responsible for obtaining patient permissions when identifiable Do we need a Memorandum of Understanding with our contributors?

15. Prioritize NOVEL Work What are our priorities for NOVEL? Walsh – Need to add video from 2006, all of 2006, solicit abstracts prior to 1986 Cogan – Need team to go through collection and prioritize, then add and describe. Loewenfeld – What will be useful? Filling in curriculum outline and soliciting materials for gaps Funding – NLM Grant funds are expended. How best to seek new funding sources?

16. New NOVEL Collections NANOS Syllabi – Should we add these? NANOS Archives? James Goodwin Preferred Practice Patterns? AAO Symposia – Add to NOVEL? Annually? JNO Archives? Create permanent repository for JNO articles, after publisher embargo period? Ensure ongoing free, open access

17. New Ideas - NOSCE New Peer Review Mechanism Develop means of creating ad hoc peer review teams within NANOS based on expertise. Members identify areas of expertise and elect to participate in peer-review when renewing NANOS membership. Assemble review teams on-the-fly as-needed. Establish open user commentary for less formal review of ideas using Blogs?

18. New Ideas - NOSCE Rare Disease Stewardship Identify stewards for rare diseases. Create mechanism for easy submission of new cases or information to each rare disease knowledge bank. Stewards develop natural history by combining group experience, highlight treatment successes and share knowledge Use Wiki to collect information? Use Blog to discuss?

19. New Ideas - NOSCE Encyclopedia of Neuro-Ophthalmology (interactive textbook) - Wiki based Create teams of experts in specific areas for collaborative creation and maintenance of encyclopedia sections using a stewarded wiki. Seed this with chapters from Joynt and Baker's Clinical Neurology CD. Provide quiz-making tools for educators to use to develop quizzes for various levels of students in neuro-ophthalmology. Ensure appropriate review of Encyclopedia.

20. Comments from our users Dear Nancy, Nov 30, 2006 Our trip to Sudan went very well. I was able to give about 7 hours of neuro-ophthalmology lectures. The NOVEL resources were very helpful, and I was able to demonstrate the NOVEL website to the ophthalmology residents in Khartoum. Thanks again for your help. Jeff Haag

21. Comments from our users Name: Steve Christiansen Email: chris196@umn.edu Comments / Suggestions: THANK-YOU, THANK-YOU for the Lawton tapes. What a treasure you have made available to us. I used these in residency to study for the OKAPS, and recommend them to all our residents as well. Name: shaheda azher Email: shaheda_azher@yahoo.com Comments / Suggestions: excellent site

22. Comments from our users Name: Luis C Castillo E mail: luisc@castillo.net Comments / Suggestions: a well appreciated initiative in this part of the world: Panama Name: Dr. Arun Pudoor Email: Comments / Suggestions: Excellent collection. Very valuable resource esp. for internists/neurologists. I browse this collection very often. I thank all the contributors.

23. Comments from our users Name: Lee Klombers, M.D. Email: laklombers@1usa.com Comments / Suggestions: Excellent source Name: Dr. ARDIS LINDSAY Email: lindsays@ripnet.com Comments / Suggestions: Thank you for making this wonderful resource available Name: Daniel San juan Orta Email: pegaso31@yahoo.com Comments / Suggestions: Excellent resource

24. Feel free to contact us at: Nancy Lombardo [email_address] Kathleen Digre [email_address] NOVEL Web Site http:// library.med.utah.edu /NOVEL/ COME VISIT THE POSTER SESSION FOR DEMONSTRATION OF NOVEL