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CC BY University of Michigan, given by Kathleen Omollo in Addis Ababa, Ethiopia to ob/gyn residents and faculty at St. Paul Hospital Millennium Medical College

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Open educational resources for medical education

Kathleen Ludewig Omollo International Program Manager, Office of Enabling Technologies

Medical School Information Services, University of Michigan April 25, 2013, St. Paul Hospital MMC, Addis Ababa

Slides at: http://openmi.ch/apr2013-sphmmc

Except where otherwise noted, this work is available under a Creative Commons Attribution 3.0 License. http://creativecommons.org/licenses/by/3.0/. Copyright 2013 The Regents of the University of Michigan. Image CC:BY Jason Engling, Univeristy of Michigan (Flickr).

Developing expertise

Image CC:BY Sherrie Thai (Flickr)

You have to learn/teach a significant amount of medical knowledge and skills. There are millions of instructional materials to support the process.

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But there may be barriers ($, ICT, ©)

Possible barriers: •  Require Internet connection to access •  Require a computer or electricity to

access •  Charge fee to access •  Prohibit copying or adaptations

(universal default) •  Be designed for different context

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Image CC:BY Phil Roeder (Flickr)

Which ones are accessible, relevant? 4

Image CC:BY Steven Depolo (Flickr)

Image CC:BY-SA opensourceway (Flickr)

Free

Public

Under some licenses to use, adapt, redistribute

Open Educational Resources (OER) 5

OER: Research Articles for Health 6

Ethiopian Journal of Health Sciences is a quarterly journal published by Jimma University. (http://www.ejhs.ju.edu.et/index.php) African Journals Online (AJOL) includes 133 journals in the broad based medical sciences. (http://www.ajol.info/) African Journal of Reproductive Health is a published by the Women's Health and Action Research Centre in Nigeria (http://www.bioline.org.br/rh) POPLINE for reproductive health articles and reports (http://www.popline.org/) BioMed Central includes 251 peer-review journals for science and medicine (http://www.biomedcentral.com/) PubMed Central (PMC) and PubMed Central Europe contains government-funded research (http://www.ncbi.nlm.nih.gov/pmc/, http://europepmc.org/) Public Library of Science (PLOS) publishes seven journals in the biomedical sciences, including one on neglected tropical diseases (http://www.plos.org/) British Medical Journal (BMJ) Open (http://bmjopen.bmj.com/)

OER: Databases with Health Facts 7

UNData can be used to access and search statistical data collected by United Nations divisions and organization (http://data.un.org/) World Bank Open Data includes 8,000 indicators across economic, social, political, and geographical dimensions. (http://data.worldbank.org/) Millennium Development Goals Indicators presents official data, definitions, methodologies, and sources for more than 60 indicators to measure progress towards the Millennium Development Goals (MDGs). (http://mdgs.un.org/unsd/mdg/Default.aspx)   World Health Organization Global Health Observatory for country-level data on priority health topics (http://www.who.int/research/en/)

Gray’s  Anatomy,  published  1918    (expired  copyright,  in  public  domain.)    Courtesy  of  Henry  Gray  

OER: Medical Images and Illustrations 8

Gray’s Anatomy http://en.wikipedia.org/wiki/List_of_images_and_subjects_in_Gray%27s_Anatomy Wikimedia Commons http://commons.wikimedia.org/ Wiki Premed http://www.wikipremed.com/image_archive.php Public Health Image Library (PHIL)"http://phil.cdc.gov/phil/home.asp Bassett Collection of Stereoscopic Images of Human Anatomyhttp://lane.stanford.edu/biomed-resources/bassett/index.html Johns Hopkins University Public Health Images http://ocw.jhsph.edu/index.cfm/go/find.browse#images

OER: Videos and Animations 9

Open.Michigan Initiative at the University of Michigan http://youtube.com/user/openmichigan OER Africa Initiative of the South African Institute for Distance Education http://youtube.com/user/oerafrica Global Health Media Project http://globalhealthmedia.org/newborn/videos/ Kwame Nkrumah University of Science and Technology http://www.youtube.com/user/knustoer University of Cape Town http://www.youtube.com/user/HealthOERUCT Clinical Skills Online http://www.youtube.com/user/sgulcso World Medical School http://www.youtube.com/user/WorldMedicalSchool The Neuro-Ophthalmology Virtual Education Library http://novel.utah.edu/ Khan Academy http://www.khanacademy.org/science/healthcare-and-medicine

OER: Textbooks for Basic Sci. and Health 10

African Virtual University http://oer.avu.org/ Connexions http://www.cnx.org/ Saylor.org http://www.saylor.org/books/ Open Stax http://openstaxcollege.org/ College Open Textbooks http://www.collegeopentextbooks.org/ US National Library of Medicine Bookshelf http://www.ncbi.nlm.nih.gov/books * Global Library of Women’s Medicine http://www.glowm.com * *Free to access, but all resources in collection are not licensed as OER

OER: Assorted health materials 11

Open.Michigan Initiative at the University of Michigan http://open.umich.edu/ OER Africa Initiative of Saide http://www.oerafrica.org/healthoer MedEdPORTAL http://www.mededportal.org/ Curriculum Organizer for Reproductive Health http://core.arhp.org/ University of Nottingham http://unow.nottingham.ac.uk Sharing in Health http://www.sharinginhealth.org/ Our Med http://ourmed.org/ Health Education and Training in Africa http://www8.open.ac.uk/africa/heat/ OER Commons http://www.oercommons.org/ Open CourseWare Consortium http://ocwconsortium.org/courses MERLOT http://healthsciences.merlot.org/

Image CC:BY Paul Albertella (Flickr)

OER enable revisions, remixes… 12

such as copies…

Image CC:BY-SA opensourceway (Flickr)

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to online, ofine, semi-connected, print… 14

and translations…

Image CC:BY NC SA Tobias Mikkelsen (Flickr)

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Image CC:BY Tome Loh (Flickr)

or other transformations. 16

e.g. Converting formats from laptop…

Image CC:BY NC University of Ghana

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http://open.umich.edu/blog/2012/01/31/mobile-a-prototype-spurred-by-the-hype/  

To mobile,

Image CC:BY NC University of Ghana

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19 Caesarean  SecCon  OER  Module,  CC  BY-­‐NC  University  of  Ghana  and  Dr.  N.  Cary  Engleberg.    

E.g. Converting voiceovers from others...

Image CC:BY NC University of Ghana and Cary Engleberg

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20 Caesarean  SecCon  OER  Module,  CC  BY-­‐NC  University  of  Ghana  and  Dr.  N.  Cary  Engleberg.    

To local context by local experts.

Image CC:BY NC St. Paul Hospital Millennium Medial College (Ethiopia), University of Ghana, Cary Engleberg

(placeholder to Lia)

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Image CC:BY-NC-SA Kwame Nkrumah University of Science and Technology

It is difcult to nd relevant materials When you look in textbooks it’s difficult to find African cases. [S]ometimes it can be confusing when you see something that you see on white skin so nicely and very easy to pick up, but on the dark skin it has a different manifestation that may be difficult to see. Professor at Partner Institution in Ghana

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“African universities struggle to have access to information. If we have information, why do we not also share it as part

of a pool of universities to exchange information for the purpose of improved learning.” Dean at Partner Institution in Ghana

Networks for building, scaling capacity

Image CC:BY-SA opensourceway (Flickr)

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“We have limited resources but because of the Internet, we can share. The South has diseases [the Global North] knows nothing about. Our materials are relevant to us and in the North.” Professor at Partner Institution in South Africa

Enable multi-direction knowledge transfer

Image CC:BY tuppus (Flickr)

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So, what makes these Open Educational Resources (OER)?

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What  is  a  license?            

Licenses  let  people  know  how  they  may  use  a  copyrighted  work.  

        Image  CC:BY-­‐SA  lumaxart  (Flickr)   27

Image CC:BY OpenCage (Wikimedia Commons)

Open licenses signal intent 28

Image CC:BY Orin Zebest (Flickr)

All rights reserved limits use, automatically 29

Open licenses mean some rights reserved

Image CC:BY-SA opensourceway (Flickr)

Learn more at open.umich.edu/share/license

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All  Rights  Reserved  (default)  

31 “All rights reserved” is the default. 31

Option: Creative Commons (two C’s instead of 1 C)

(www.creativecommons.org/licenses/)

32 “Some rights reserved” is an alternative. 32

Why  use  or  create  OER?    •  Time  (build  on  others’  effort)  •  Money  (free  to  access)  •  Quality  of  content  (more  eyes  

to  review)  •  RecogniCon  &  collaboraCon  

(worldwide  visibility  of  authors)    

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Image CC:BY-SA opensourceway (Flickr)

Dispelling myths and preconceptions

Myth that open content is separate from regular materials development Myth that open licenses cannot coexist with peer review Myth that open licenses cannot coexist with print or commercialized complements Authors misunderstanding copyright or open licenses (e.g. adding other barriers to use)

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Outcomes: Summary from External Eval.

“The African Health Open Educational Resources (OER) Network has shown that: •  quality and cost-effectiveness are neither mutually

exclusive nor unattainable… •  The current impact study finds examples of direct and

significant indirect savings through OER… •  Enhanced quality is evidenced in the accounts of academics

and students as well as in new quality assurance peer-review mechanisms.

•  OER developed through collaborative networks can lead to more productive teaching and learning...”

– 2012 report by independent evaluator, see also openmi.ch/blog-ahon-complete

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Image CC:BY-SA opensourceway (Flickr)

Get started with OER

Image CC:BY Willi Heidelbach (Flickr)

•  Find and use existing resources online: http://openmi.ch/-ContentSearch

•  Find and use existing resources from the SPHMMC library without an Internet connection: On your computer connect to “Library Box” wireless network, open web browser, click browse files. (in progress)

•  Learn how to create and your own work: http://openmi.ch/om-share

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Image  CC:BY-­‐SA  lumaxart  (Flickr)  

 Opportuni8es  to  Collaborate  

 Quarterly  email  newsleZer,  with  latest  learning  materials  and  news  from  health  educators  and  students  from  across  sub-­‐

Saharan  Africa    

openmi.ch/healthoernetwork-­‐newsleZer    

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Share your knowledge, Build on others’ knowledge, Gain new knowledge in return, Increase the visibility and impact of your work.

Key: What we create is relevant to others

Image CC:BY Alan Cleaver (Flickr)

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For more info: kludewig@umich.edu

open.umich.edu

Download this presentation: openmi.ch/apr2013-sphmmc

Presentation by Kathleen Ludewig Omollo. Copyright 2013 The Regents of the University of Michigan. Except where otherwise noted, this work is available under a Creative Commons Attribution 3.0 License.http://creativecommons.org/licenses/by/3.0/.

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