L40A Wake Up! Introduce an Easy-to-Use and Affordable Audience Response System to Electrify Your Lectures Andrew Schechtman, M.D. Keegan Duchicela, M.D.

Image of 1950’s Medical Lecture hall with patient on a bed at the front of room. Image removed for copyright reasons

Image of a student sleeping during lecture Image removed for copyright reasons

Thomas EJ. The variation of memory with time for information appearing during a lecture. Studies in Adult Education. 1972;4:57-62.

The Challenge Keeping your audience Awake, Attentive, and Engaged

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Audience Response Systems Image of Roman gladiator standing over vanquished foes and looking to crowd for a thumbs up or thumbs down about whether to spare his victim’s life. Image removed for copyright reasons

What’s Coming Next Demonstration of ARS Evidence & ARS Comparison of ARS options Demonstration of integrating ARS into a presentation Q & A

You will need…

New Orleans

Advantages of ARS Let’s all learners answer all questions Eliminates problem of “vocal minority” Forces commitment to an answer Gives immediate feedback relative to peers

Should You Care? Is it cool? Does it work? Can I do it? ✔

Does it Work? Subjective benefits – Fun, Attention, Engagement Objective benefits – “Learning”, Test Performance, Applied Practice

Makes Lectures More Enjoyable? Mastoridis & Kladidis, Clinical Teacher 2010; 7: 97–101.

Enhance Learner Concentration? Mastoridis & Kladidis, Clinical Teacher 2010; 7: 97–101.

Improve Retention of Content? Mastoridis & Kladidis, Clinical Teacher 2010; 7: 97–101.

AJOG 2005;193: Percent Correct

AJOG 2005;193: Percent Correct

Family Medicine 2004;36(7):

Evidence Summary Probably increases attention, engagement of learners Unclear if it improves knowledge retention over other interactive lecturing techniques

ARS uses Taking attendance Testing content retention Giving feedback to presenter Brainstorming with audience Market research Track learners progress. Identify problems.

Who are the main players? Traditional ARS vendors – Turning Point – Iclicker – Qwisdom – Meridia – eInstruction – GTCO Calcomp – REPLY Internet based polling – Poll Everywhere – SMSPoll – Trumpia

Basics of a traditional ARS Input DeviceReceiver Software + +

Types of Input Devices RF (radio frequency) IR (infrared) Smartphone/laptop

Basics of Internet Based Polling Input Device or + Internet Polling Service

Sample costs - 25 RF input devices - 1 USB receiver - Software $ 1500 – 1700* Free - Up to 30 responses per question using phone or laptop Traditional ARS Internet polling service *March 2011 quotes from Meridia and Turning

Comparison of systems Traditional ARS – Pros: more sophisticated software (automatic class rosters, graphing, data analysis), less “clicks” to participate – Cons: costly, battery and input device replacements, lost/stolen units Internet based polling – Pros: inexpensive, everyone has cellphone, online software is suitable for most residencies – Cons: more “clicks” to participate, texting charges apply

Finding the system that works for you 50+ participants Large lecture hall, university setting Goals: maintaining a class roster and attendance, grading of answers, deep analysis of data Traditional ARS ✔

Finding the system that works for you participants Conference room, noon-time lecture room Goals: getting residents engaged, immediate feedback for lecturers, Board review sessions, low maintenance and budget Internet Based Polling ✔

Should You Care? Is it cool? Does it work? Can I do it? ✔ ✔

Demonstration: Integrating ARS into your PowerPoint presentation

Should You Care? Is it cool? Does it work? Can I do it? ✔ ✔ ✔

Questions / Discussion Andrew Schechtman, M.D. Keegan Duchicela, M.D.

Demonstrated Resources Polleverywhere.com