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AFRO-NETS> Epidemiology Course on the Internet (43)







Epidemiology Course on the Internet (43)
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Friends,

I am sending a draft of the first paper. We would most appreciate your 
comments. We plan to submit this to the British Medical Journal.

We want to have the authorship listed very different than that which is 
done in publications. The reason for it is that this course could not 
have been developed without all of us contributing to the effort.

Therefore as authorship we will see if they will accept:

Global Health Network Contributors: http://www.pitt.edu/~super1

In the page we will list everyone who contributed, as we have for the 
people who did the reviewing. We will have a list of people who wrote 
lectures, those who translated, those who helped with the resource 
page, etc. We think this is a fairest way, and identifies the roles 
that everyone played in the course. We would very much value your opin-
ion. 

It is very important that the course be presented at meetings in your 
country and across the world. Raul Mercer, for example plans to present 
a description of the course in Puerto Rico. Raul is from Argentina. 
Please feel free to present information about the course. We will 
shortly put up some slides of the course on the web, should you want to 
present about it in your center, country, or internationally.

Please return your comments to us by Dec. 22, 1997

Ron LaPorte
mailto:[email protected]


--
Draft of Paper to be submitted to the British Medical Journal

"Global Medical/Health Education in the 21st Century: Health Super-
courses"


Authors: Global Health Network Super Course
Contributors: http://www.pitt.edu/~super1/

We teach in academia. Teaching is the sharing of information to our 
students. However, didactic lecturing has changed little in 200 years. 
In contrast, during the past 25 years information technology (IT) has 
improved a million fold. It is time that we in health begin to harness 
the IT revolution to improve medical/health training. Here we present 
how a global Internet academic modular system can be developed to en-
hance teaching.

A new model of international education can be established because of 
the Internet. We thus propose to establishing the first global Internet 
net based Supercourse. This course uses the power and cost/effective-
ness of the Internet. It could start to establish a global architecture 
of medical information that can be used for teaching, research, and po-
tentially the lay public. What is important is not the topic of the 
course, but the format as we would propose. If a similar approach is 
taken in other disciplines there would be much better communication in 
learning and across disciplines. The Supercourse is titled "Epidemio-
logy, the Internet and Global Health"

The problem is that epidemiology is one of the favourite courses, de-
spite the enormous impact of epidemiology on health. Moreover, there is 
only a limited knowledge of the use of the Internet in health institu-
tions across the world. We have set out to change this by developing a 
course for 20-30,000 students at a time, world wide.

Faculty: The most important faculty person is the person heading the 
class, you and I. With the Supercourse we would be in complete control 
of choosing lectures, or parts of lectures. However, we can work with 

an external faculty consisting of over 500 experts in public health and 
the Internet from 48 different countries.

Lecture Format: The lectures are "information modules" in that a packet 
of self contained information is available from each lecture. Moreover, 
the lecture is a "locator" as hypertext links take one to other perti-
nent modules of information in this course, other lecture series or 
elsewhere on the Internet. One format of "hypertext comic book" 
(http://www.pitt.edu/~debaaron/htcb.html) is used extensively. The for-
mat is produced using a well known graphing program whose figures have 
hypertext links embedded within them. The course is being developed ac-
cording to cognitive psychology theories. Pointing and clicking into 
each link takes one to deeper levels of information and comprehension. 
The figures are made also to down load. There are information modules 
from leading experts in epidemiology and telecommunications who were 
recruited by sending messages out to lists across the world. The fac-
ulty have been working for free to establish the first state of the art 
global Internet based course.

Local use of the course: An instructor in Mexico City can decided to 
use one of the lectures, some of the lectures, all of the lectures or 
parts of the lectures. The information modules can serve as a course 
unto themselves or be pulled into traditional courses. Other lecture 
series can also use the modules. Thus a course on diabetes and its com-
plications might want to include an information module on diabetes epi-
demiology, or on the Internet.

Global courses need to be sustainable, and not targeted to developed 
countries. In this course over 10 faculty members are from Africa, 10 
from the former Soviet Union, and 15 from Latin America. When finished 
we will have at least 10 lectures from people in developing countries.

Texts: The British Medical Journal has agreed to put two excellent text 
books on the Web for our use, and others. This is to our knowledge the 
first time that major medical text have been put on the web.

Peer Review: All lectures are peer reviewed by the global faculty. At 

the end of each lecture there is a peer review form. Should the review-
ers agree, the reviews are anonymously put on the Internet along with 
the ratings. As students around the world take the course, they will 
also be able to review and critique the lectures. In this manner we 
have the top faculty critiquing the lectures for the initial improve-
ment. A continuous quality appraisal mechanism based upon Deming prin-
ciples is thus set up. Annually each lecture will be reviewed, and the 
comments assessed to determine if the ratings have changed. The ratings 
and comments will be applied to the same lecture given the next time, 
and for general comments for the total lecture series.

The strength of the Internet is that we are also able to track usage of 
each lecture. We can determine when and where the lectures are being 
used by putting counters on each lecture. As more and more people begin 
to write lectures, they will be added. The "market place" will deter-
mine which are most used, thus if there were two lectures on the Inter-
net, then the local instructors across the world will determine that 
which they want to use.

Languages: The course is being translated from English into Spanish, 
Japanese, German, Turkish, Portuguese, Malay, Korean, Chinese, French, 
and possibility several other languages. Upon clicking into the lan-
guage, then the course will appear in that language.

Mirrored servers: We have found that often the figures are slow to come 
down. To alleviate this problem we will set up mirrored servers across 
the world. A mirrored server is a copy of the course put onto another 
computer, every time the base lectures are changed so will the mirrored 
sites. With this a student from Russia, can access the course in Mos-
cow, or in Chile, from Santiago.

Interactivity: The Internet by its nature is an interactive medium. We 
will have students from across the world to talk with each other. Also 
we will have "meet the professor" where students from Tokyo can discuss 
on the Internet Malaria in Peru with our faculty there. We are also de-
termining the feasibility of a global Internet game of health where 
16,000 students can work together to stop the new epidemic of an infec-
tious disease in Uganda from moving north to Europe, west to Russia, 
China and Japan.

Course credit: There is no central university giving credit for this 
course. Instead, it is under the control of the local instructors, like 
us. The goal is not to replace the local instructor, but rather to en-
hance their efforts by providing modules of state of the art informa-
tion that can be used in the classroom setting. We are, however, con-
sidering providing a certificate.

Conclusion: We believe that a new approach towards global medical/ 
health education can be established be using the Internet. We would en-
vision that other disciplines would develop lectures in parallel to 
this with hypertext links between lectures and information sources, so 
that a course in epidemiology can link directly in biochemistry, or 
cellular biology.

The instructors world wide are excellent teachers, however, many do not 
have access to the information. Moreover, most of us would love to have 
the top person in the world to help us teach lectures that we do not 
know much about, with the Internet, this is now possible.

We would be pleased to help you set up your own Global Internet Course 
in your discipline.

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