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Implementation of Screen-Capture Video Recordings of Resident Conferences in an Academic Radiology Department

Rationale and Objectives

Didactic lectures are an integral component of resident education, but many are missed because of postcall or away rotation status. The authors describe their pilot experience implementing an audiovisual recording program for didactic lectures and report residents’ and faculty members’ perceptions of this experience.

Materials and Methods

From July to October 2008, resident conference didactic lectures were recorded on a voluntary faculty basis and posted to a secure Web site using affordable ($500) commercially available equipment. After the trial period, surveys were administered to residents and faculty members. Questions addressed residents’ use of the system and its perceived usefulness, as well as its impact on conference attendance, lecture quality, and preparation time.

Results

The survey was completed by 32 of 37 residents (86%) and by 24 of 68 (35%) faculty. Median rankings of perceived usefulness of the system (1 = not useful, 5 = extremely useful) were 5 for residents and 3 for faculty members ( P < .01, Wilcoxon’s rank-sum test). The mean numbers of lectures viewed were 1.7 per week during regular rotations and 3.93 per week during away rotations or night float ( P = .02, t test). A majority (21 of 32 [66%]) of residents stated that lecture quality had improved. A majority (21 of 24 [88%]) of faculty members reported no increases in lecture preparation time compared to before the pilot program.

Conclusions

On the basis of its affordability, perceived usefulness by residents, and minimal impact on faculty members’ preparation time, a recording system for didactic lectures has the potential to enhance residents’ learning at only minimal costs to radiology departments.

Didactic conferences are an integral component of radiology residency training, but attendance by all residents can be challenging to achieve . For example, residents may be away because of night float and off-site rotations, vacation, and maternity or paternity leave. Following an assessment of our program’s resident conference attendance, we found that our second-year and third-year residents missed an average of 40% of didactic lectures for these reasons. Thus, for our program and many others, there is a clear need to establish a method that would allow distance learning . Although the synchronous, “real-time” transmission of lectures has been previously reported and is now commonly used, we are unaware of any previous reports describing the routine recording and storage of didactic resident lectures for future lecture viewing.

We therefore aimed to identify and implement a system to provide audiovisual recording of didactic conferences, with the dual goal of ease of use for faculty members recording lectures and residents accessing lectures. Our aims in this paper are twofold: (1) to describe our pilot experience implementing an audiovisual recording program for didactic lectures and (2) to report residents’ and faculty members’ perceptions of the pilot experience.

Materials and methods

Identification of Recording Software and Hardware

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Implementation and Optimization of Software and Hardware

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Software Setup

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Video Parameters

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Audio Parameters

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Microphone

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Protection of Intellectual Property

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Recording Trial

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Survey

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Results

Performance of the Recording System

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Figure 1, Viewing of recorded lectures on a computer (screenshot of full-screen mode). (a) Table of content pane allows quick access to specific slides in the talk. (b) Slide bar allows fast forward and reverse. (c) Volume adjustment. (d) Full-screen button. (e) Watermark with institutional logo.

Figure 2, Listening to a lecture on an iPhone (Apple Inc, Cupertino, CA) (MPEG-4 format).

Figure 3, Organization of hosting Web page. Lectures can be organized into folders according to date or topic. Access to each folder can be restricted by individual passwords.

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Resident Survey

Response Rate

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Frequency of Lecture Viewing

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Figure 4, Effect of recordings on lecture attendance.

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Reasons for Lecture Viewing

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Table 1

Residents’ Reasons for Missing Live Lectures

Reason for Missing Live Lectures Most Common Least Common Rating Average Response Count Prefer to watch lectures on my own time 0.0% (0) 6.9% (2) 20.7% (6)72.4% ( 21) 3.66 29 Postcall40.0% ( 12) 16.7% (5) 16.7% (5) 26.7% (8) 2.30 30 Away on vacation59.4% ( 19) 15.6% (5) 3.1% (1) 21.9% (7) 1.88 32 Away at AFIP or away rotation54.8% ( 17) 9.7% (3) 6.5% (2) 29.0% (9) 2.10 31 Personal/family issues 14.3% (4) 10.7% (3) 28.6% (8)46.4% ( 13) 3.07 28 Other 4.3% (1) 13.0% (3) 13.0% (3)69.6% ( 16) 3.48 23

AFIP, Armed Forces Institute of Pathology.

Reasons were ranked on a scale ranging from to 1 (least common) to 4 (most common). Values in bold indicate the most frequent response to each ranking.

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Usefulness of Lectures

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Figure 5, Perceived usefulness of lecture recordings by faculty members and residents.

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Quality of Lectures

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Figure 6, Effect of the implementation of recordings on perceived lecture quality.

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Response to Narrative Questions

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Faculty Participation and Survey Results

Faculty Participation and Response Rate

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Figure 7, Participation of faculty members in the recording trial period. The denominator (24) is the number of faculty members scheduled to lecture during the 3-month trial period.

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Perceived Impact on Preparation Time

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Figure 8, Effect of the implementation of recordings on preparation time of lectures.

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Usefulness of Recording Lectures

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Response to Narrative Questions

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Comparison Between Faculty Members’ and Resident’s Responses

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Discussion

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Acknowledgments

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Appendix A

Resident Survey

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Appendix B

Faculty Survey

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References

  • 1. Jeun B.S., Javan R., Gay S.B., et. al.: An inexpensive distance learning solution for delivering high-quality live broadcasts. Radiographics 2008; 28: pp. 1251-1258.

  • 2. Martin V.L., Bennett D.S.: Creation of a web-based lecture series for psychiatry clerkship students: initial findings. Acad Psychiatry 2004; 28: pp. 209-214.

  • 3. Solomon D.J., Ferenchick G.S., Laird-Fick H.S., et. al.: A randomized trial comparing digital and live lecture formats. [ISRCTN40455708] BMC Med Educ 2004; 4: pp. 27.

  • 4. Markova T., Roth L.M., Monsur J.: Synchronous distance learning as an effective and feasible method for delivering residency didactics. Fam Med 2005; 37: pp. 570-575.

  • 5. Purcell D.D., Hess C.P., Durack J.C., et. al.: Recording, editing, archiving, and distributing radiology lectures: a streamlined approach. Radiographics 2007; 27: pp. 1839-1844.

  • 6. Jedlicka J.S., Brown S.W., Bunch A.E., et. al.: A comparison of distance education instructional methods in occupational therapy. J Allied Health 2002; 31: pp. 247-251.

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