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By Alicia Gallegos, special to the Reporter During a student demonstration in 2010, instructors at Stanford University School of Medicine loaded a children's wagon with all the learning materials medical students traditionally acquire in their preclinical years. The towering stacks of paper rose 3 feet high.

Scott, An interesting article. I know that medical schools (and allied health education, including nursing) have been leaders in adopting new technologies for educational purposes. Medical schools immediately identified a use for using podcasts to teach medical students how to detect abnormal heart sounds! Research quickly followed to prove this to be the most effective form of teaching normal and abnormal cardiac sounds. This learning concept is also used to teach radiology residents how to recognize normal and abnormal blood flow sounds when examining vessels (arteries/veins) using doppler ultrasound. Pharmacy schools (and departments) have utilized iPads/tablets/smartphone to run apps (http://www.appszoom.com/android-apps/pharmacology) that include entire pharmacology drug reference lists, commonly used drugs/medications, standard dosages, etc. for quick, searchable referencing.

Scott, I am curious about the level of security placed on the wireless networks used in hospital environments. The more mobile the physicians, nurses and caregivers, the more secure the wireless networks need to be. What measures are being taken to guarantee secure airwaves? Bill

Babette Moeller & Tim Reitzes (2011) Education Development Center, Inc. (EDC). Integrating Technology with Student-Centered Learning. Quincy, MA: Nellie Mae Education Foundation. Retrieved from http://www.nmefoundation.org/getmedia/befa9751-d8ad-47e9-949d-bd649f7c0044/integrating The intent of this report is to detail the concepts of using technology with master of skills in mind. Beginning on page 17, details of assessment, advantages of technology-based assessment, mastery learning approach. Further they discuss the concepts of tools like clickers for quick feedback on levels of understanding and the details necessary for successful online learning - both synchronous and asynchronous.

Bill, I was somewhat surprised that the article includes a introductory headline: "Not surprising, 43 percent of students feel unprepared to use technology as they look ahead to higher education or their work life" without including some qualification as to why it's not surprising. If this comment is related to digital immigrants, learners disadvantaged by socioeconomic constraints and/or learners residing in remote locations lacking access to technology hardware, software and/or reliable Internet connection, the statement seems less surprising. As I read the article, the rationale for including the headline became clear - the article focuses on specific technology constraints related to many types of learners. The article outlines a plethora of opportunities to change educational paradigms that focus on the integration and utilization of technology-rich learning methodologies.