1. 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.

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

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

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

5. The Challenge Keeping your audience Awake, Attentive, and Engaged

6. Photo removed for copyright reasons Ozzy Osbourne Sprays Fans with Foam www.montrealgazette.com

7. 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

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

9. You will need…

10. 192880 New Orleans

13. 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

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

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

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

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

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

19. AJOG 2005;193:1827-30 Percent Correct

20. AJOG 2005;193:1827-30 Percent Correct

21. Family Medicine 2004;36(7):496-504.

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

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

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

26. Basics of a traditional ARS Input DeviceReceiver Software + +

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

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

29. 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

30. 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

31. 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 ✔

32. Finding the system that works for you 10 - 30 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 ✔

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

34. Demonstration: Integrating ARS into your PowerPoint presentation

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

36. Questions / Discussion Andrew Schechtman, M.D. aschechtman@gmail.com aschechtman@gmail.com Keegan Duchicela, M.D. kduchice@gmail.com kduchice@gmail.com

37. Demonstrated Resources Polleverywhere.com