Nanos Board 2007

Neuro-Ophthalmology Virtual Education Library: NOVEL

Nancy Lombardo, MLS Spencer S. Eccles Health Sciences Library, University of Utah

Kathleen Digre, MDMoran Eye Center, University of Utah

Larry Frohman, MDNew Jersey Medical School

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

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

AAO/NANOS Clinical Collection

• 418 slides of cases and conditions• More than 30 contributing NANOS members

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

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

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.

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

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

Online Quiz Tool

• Prototype developed• http://library.med.utah.edu/NOVEL/Quiz/images/images.html

NOVEL Web Site Usage

NOVEL 2005-06 2006 TOTALS 05-06 TOTALS 04-05 TOTALS

Hits 2,072,613 1,946,200 1,308,052

Page Views 731,571 623,869 287,274

Visits 341,537 303,667 324,796

Visitors

Monthly!

9,014 7,767 5,888

Visits by Country – Dec 2006

99 Countries – Dec 20‘06 Total Visits 23,389

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

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

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

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

Visits by Country – Oct 2006

Video Usage Statistics2004 - 2006

Collections 2006 Clips Percentage Visitors

Moran 22,721 73+% 10,540

Wray 6,479 26+% 2,296

Cogan 3 <1% 2

TOTAL 29,203 100% 12,838

NOVEL Clips Visitors Internat’l Countries

2006 29,205 12,836 7,831 90

2005 8,785 5,574 2,972 72

2004 3,562 1,637 978 61

Video Usage StatisticsInternational 2006

90 Countries 24,275 Video 11,491 Visits

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

Saudi Arabia/ 113 Malaysia/ 101 Portugal/ 100 China/ 74 Singapore/ 72 United Arab Emirates/ 70Morocco/ 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

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

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

Organization and Vocabulary• NANOS Curriculum Outli

ne– 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.

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?

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?

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

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?

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?

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.

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

Comments from our users

• Name: Steve ChristiansenEmail: [email protected] / 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 azherEmail: [email protected] / Suggestions:excellent site

Comments from our users

• Name: Luis C CastilloEmail: [email protected] / Suggestions:a well appreciated initiative in this part of the world: Panama

• Name: Dr. Arun PudoorEmail: Comments / Suggestions:Excellent collection. Very valuable resource esp. for internists/neurologists. I browse this collection very often. I thank all the contributors.

Comments from our users

• Name: Lee Klombers, M.D.Email: [email protected] / Suggestions:Excellent source

• Name: Dr. ARDIS LINDSAYEmail: [email protected] / Suggestions:Thank you for making this wonderful resource available

• Name: Daniel San juan OrtaEmail: [email protected] / Suggestions:Excellent resource

Feel free to contact us at:

Nancy [email protected]

Kathleen [email protected]

NOVEL Web Sitehttp://library.med.utah.edu/NOVEL/

COME VISIT THE POSTER SESSION FOR DEMONSTRATION OF NOVEL