
Computers In Healthcare Education Symposium

April 26-28, 1995                 Thomas Jefferson University
                                  Jefferson Alumni Hall
                                  1020 Locust St.
                                  Philadelphia, PA  19107


The Health Sciences Libraries Consortium and Thomas Jefferson
University are proud to present the tenth Computers in Healthcare
Education Symposium.  This symposium is the only computer
conference designed for and by medical and allied health educators.

We invite you to participate and join us in exploring the 1995
Symposium theme --

                 "Managing the Information Mosaic"

We are pleased to announce that this year's symposium is once again
sponsored by Apple Computer, Inc.

Join us at Thomas Jefferson University in the heart of historic
Philadelphia on April 26-28, 1995.  The Symposium program includes
a wide range of interesting and useful activities including keynote
speakers, paper presentations, poster sessions, demonstrations,
exhibits, and hands-on workshops.

Accommodations for Attendees with Disabilities

We are committed to making conference activities accessible to all
attendees.  Persons with disabilities should inform us so that we
can make appropriate arrangements.  Contact Jerilyn Garofalo at
HSLC at (215) 222-1532 or garofalo@hslc.org.



General Sessions                  Thursday, April 27

Joseph Hardin (9 am)
National Center for Supercomputing Applications
University of Illinois, Urbana-Champaign

The Evolution of a Digital World Wide Communication System - From
Information to Interaction

The phenomenal growth of the World Wide Web over the last year is
simply part of the exponential growth of the global internet.  We
have watched as the emergence and adoption of systems like NCSA
Mosaic, other web browsers and the components of the web
infrastructure have begun to transform the way people and
institutions provide information.  Increasingly, the problems of
information provision and maintenance have shifted from simply
making local sets of information visible to the community to
finding ways to bring coherence to the global information mass -
browsing gives way to the ability to do directed searches for
specific information.  We must ulitmately be able to ask the web a
question.  Recent developments in this area will be addressed in
this talk.

At the same time, simply the exchange of information is not the end
goal of much of the work developing on the web.  Ultimately, people
want to be able to work with other people across the web as easily
as they do with local colleagues.  Interaction in the form of
workgroups forming and engaging in extended projects is a focus for
much of this work, which touches on many issues in computer support
for cooperative work as well as education.  The efforts under way
at NCSA on net-based collaborative technologies will extend the
discussion of what we want to do with information, colleagues
with common interests, and students once we have found them, or
they have found us.



Andrew Penn MA, MB, BCh, FRCP(C)  (3:30 pm)
Director Synapse Publishing Project
University of Alberta

"The Synapse Project: Just in Time Knowledge"


     Health Care is one of the final frontiers for Information
Technology and one which stands to benefit most significantly.
Medical school education at present delivers a large inventory of
knowledge to students, which loses value as it slips out of date,
and consumes resources in its storage. Measures to update that
inventory too are haphazard and incomplete. This situation is
compounded by a new accountability that demands evidence for more
of what is said and done in Health Care. The popularization of
evidence-based-medicine will not be tenable using paper as a
medium. Technology is delivering tools which can provide access to
information rapidly and easily. The Synapse Project, funded by
CANARIE and the Alberta Research Council, is the publishing of
Internet accessible hypertext as a medium for Clinical Practice
Guidelines (CPGs), Care Maps, CME, Clinical Trial registries,
databases and trial forms; literature which is current and credible
and subject to constant modification.  A prototype system was
originally developed using World Wide Web shareware however the
Synapse Project involves development of a more robust system,
Janus, which will handle the high demands of medical information
retrieval and true on-line publishing.


(8:00pm following the Banquet)

Christine R. Klimeczko
Advisory Systems Engineer, Medical Focus
Apple Computer

Bringing It All Together

Medical informatics will take a primary role in improving the
quality of education, shortening research cycles, improving
information access and reducing overall healthcare costs.  With
future diversity in hardware and operating systems, development
today should target the environments in which they will be deployed
in the future.  Software development is moving to component
software to be deployed accross multiple platforms and operating
systems because developers must find more productive ways to create
and maintain software.  Apple, IBM, Novel and Adobe are among the
industry leaders who have created OpenDoc as a cross-platform
standard for this purpose.

Systems used for imaging in the future will be more diverse.  Apple
is the leader in innovation in imaging, and we deliver those
innovations cross-platform.  Join us for an informative
demonstration of how OpenDoc technology can assist you in bringing
it all together.



General Sessions                  Friday, April 28

Michael Ackerman, PhD (3:30 pm)
National Library of Medicine

The Visible Human Project

The National Library of Medicine (NLM) has long been a world
leader in the archiving and distribution of the print-based
images of biology and medicine.  NLM has also been a pioneer in
the use of computer systems to encode and distribute textual
knowledge of the life sciences.  NLM's Long Range Planning effort
of 1985-86 foresaw a coming era where NLM's Bibliographic and
factual database services would be complemented by libraries of
digital images, distributed over high speed computer networks and
by high capacity physical media.  The NLM Planning Panel on
Electronic Imaging recommended that NLM should undertake the
building a digital image library consisting of computer assisted
tomography (CAT), magnetic resonance interferometry (MRI), and
cryosection images of a representative, carefully selected and
prepared male and female cadaver  --   the "Visible Human Project
(tm)."  The male Visible Human data set is now being made
available through a license agreement with the NLM.  A wide range
of educational, diagnostic, treatment planning, and commercial
uses, is predicted.  The Visible Human data set and its
associated identification maps will serve as a "Boston Teapot"
for medical imaging, a common public domain data set against
which all medical imaging algorithms can be tested and as a
cornerstone for future sets of related image libraries.


Concurrent Sessions  -

Exploring the World Wide Web and Other Internet Tools Track

Th 10:45
James Baggott, Ph.D. - Hahnemann University School of Medicine
Sharon E. Dennis, M.S. - University of Utah

NetBiochem, A Biochemistry Education, Communication and Research
Center on the World Wide Web

The current version of NetBiochem incorporates representative
materials that illustrate our goal of creating a complete
biochemistry resource.  Educational material includes several
medical biochemistry topics and a collection of animated graphics;
these may be downloaded for local use and can be easily modified to
meet local needs.  Researchers will find links to major
international databases, and can peruse examples of full papers and
poster sessions which illustrate the benefits of publication on the
WWW.  Experience with student use of the educational components
will be discussed.


Th 2:00
John M. Jackson, BS, M.Ed. - Univ. of Virginia Medical School

Development Tools for the World Wide Web

Many people are familiar with World Wide Web (WWW) clients such
as Mosaic and Cello and are interested in developing their own
WWW nodes.  This presentation will review the most popular and
powerful software available for developing WWW multimedia
documents.  Tools for the Macintosh, DOS/Windows, and UNIX
platforms will be compared and reviewed.


Fr 10:00
Edward V. Michalak III, BS, BA, MS - Thomas Jefferson University
David A. Gitlin, BA, MA, MS - Thomas Jefferson University

JEFFLINE - The Information System of Thomas Jefferson University -
Migration to a Client/Server Version Using NCSA Mosaic and Lynx.

JEFFLINE, the information system offered by Academic Information
Services & Research (AISR) at Thomas Jefferson University, attempts
to resolve this issue by offering a graphical user interface (GUI)
that integrates and organizes a wide variety of information
services.  These services are accessible by students, faculty,
researchers, clinicians and doctors from their desktop
microcomputers.  Attendees will be able to gain experience from
colleagues on how to plan, test, and implement a migration from
current terminal-based information systems to client/server,
hypermedia information systems.


Fr 2:00
Michael T. Provost, VMD - University of Pennsylvania School of
Veterinary Medicine

Adapting a World Wide Web Server for Use in an Educational
Environment

Bringing up a World Wide Web server on a UNIX machine and adapting
it for use in an educational environment is described.  The
requirements for combining the forms capability of HTML (HyperText
Markup Language) and the Common Gateway Interface of the server
are discussed.


Telemedicine and Distance Learning Track

Th 10:45
Deanie French, Ph.D, RN, MSN  - Cyberlearning Institute

"New Links: Healthcare and Information and Multimedia."

Multimedia is dramatically changing healthcare roles.  One graduate
student has suggested that medical librarians should now be known
as the "chief knowledge officers" (CKO).  When tested on a  medical
list, a respondent replied, "Isn't the doctor the CKO?" This
presentation will address these new emerging shared  roles.


Th 2:00
Edwin A. Holtum, BA, MS - The University of Iowa
Susan Zollo, BA, MA - The University of Iowa

A National Laboratory of the Study of Rural Telemedicine: Mosaic in
the Maize

The development of a National Laboratory for the Study of Rural
Telemedicine is described.  Special emphasis is devoted to a
description of the Laboratory's Resource Center and to the
information support sub-projects including the Virtual Hospital, a
digital medical multimedia database, and the expansion and
enhancement of the Hardin Library's Health databases.  The paper
also emphasizes the important role which librarians are playing in
the project.

Fr 10:00
Laura Hardin, DVM, MS  - University of Missouri

Computerized Data Acquisition by Family Medicine Students
in Rural Clinical Clerkships

     A prototype data collection program has been used by students
at the University of Missouri to collect information regarding
patient encounters in the clinical clerkships. The laptop also
provides a means of connection to medical abstract databases. The
issues discussed include use of database menus to capture relevant
clinical information, implementation of computer use in the
clinical setting, computerized resources for clinical students and
value of pre-clinical computer training for medical students.


Fr 2:00
Martha R. Tarrant, BA, MS - University of Virginia
Patricia M. Shannon - University of Virginia

A Blueprint for Home Health Care Support via the Internet and the
World Wide Web

The presentation will demonstrate how Internet tools, particularly
Mosaic, can be used to develop an open access community education,
information, and support application.  Mosaic offers a short
learning curve, ease of use and visual appeal to overcome initial
resistance.  For information service providers, its management
structure allows seamless invisible gopher capabilities to a wide
range of disease subject resources, where they can be found, and
for developers, relatively simple programming to produce resources,
where they cannot be found.

New Technologies in Education and Research Track

Th 10:45
Peter Huber, MD - University of Utah

Interfacing a Medical Expert System and Teaching Tool (Iliad) with
Hypercard to Provide Access to an Image Database

The use of simulated patient cases in medical education has proven
to be valuable in previous studies.  As a result of user requests
we wanted to include medical images in our expert system/teaching
tool Iliad to further enhance quality of education.  Using
Hypercard in conjunction with various external functions we created
an image database, which concurrently contains about 500 medical
images.  Hypercard turned out to be an easy yet powerful interface
for relating medical images to and exploring of Iliad's knowledge
base.

Th 2:00
Dr. Arthur Krieg - Penn State College of Medicine
Dr. Lawrence C. Ragan - Penn State College of Medicine
Stephan F. Hulse, M.Ed. - Penn State College of Medicine

Using Mosaic as a Interactive Teaching Tool

This session will highlight the use of Mosaic, the World Wide Web
(WWW) browser, as a vehicle for delivering review questions for
second-year medical students preparing for board exams. This
prototype project was designed to provide students questions in
four content areas, with extensive faculty feedback. Digital
medical images are embedded in the system where appropriate.

The Mosaic solution was one of four mechanisms used to study the
effectiveness of delivery systems for the presentation of review
questions. Comparative analysis included development time, ease of
use, student access, and information management. A brief overview
of the study outcomes will be presented.


Fr 10:00
Rodger Marion, Ph.D. - University of Texas Medical Branch
Bruce R. Niebuhr, Ph.D. - University of Texas Medical Branch

Teaching Collaborative Patient Management Using Computer-based
Simulations of a Future Health Care Environment

The Health Information System Simulation (HISS) Project has
developed, evaluated, and validated an approach to teaching allied
health students to use the most up-to-date methods of computerized
patient assessment and management in the delivery of health
care services.  This approach focuses on simulated patient cases
presented in a computerized patient record.  In this environment
they learn to collaborate with colleagues in other disciplines
while mastering skills in diagnosis and treatment planning.  This
paper focuses on the philosophy underlying the use of
computer-based simulations to teach patient management and
collaborative skills, and our experiences during three years of
student software usage.

Fr 2:00
Name: Werkman, R, M.D. - The University of Tennessee
Portner, M, M.D. - The University of Tennessee
McClary, A, Ed.D. - The University of Tennessee
Gandola, C, M.D.

An Electronic Transfusion for The Internal Medicine Clerkship: The
University of Tennessee, Memphis experience with medical student
learning, creativity, and mentoring through CAI software
development using BookSlate*, A HyperCard programming shell.


A demonstration of multimedia CAI programs created by third year
medical students during the course of an internal medicine
clerkship. The ease of creation, use, access, and educational value
of the instructional materials produced will be discussed. Emphasis
will be upon discussion of faculty behaviors felt most useful to
create and maintain a supportive and productive environment for
student software development. How students benefit from this
creative process as future health care providers as well as
surprising insights by the medical faculty about the process of
students authoring computer software will be discussed.



Multimedia and Information Resource Management Track

Th 10:45

Harold P. Lehmann, MD PhD - Johns Hopkins School of Medicine

The Migrations of an Image Database:  Flat file, Relational, Object

We shall review the typical desiderata for a histology image
database, and discuss our solutions, using a flat-file, a
relational, and an object database.  We shall discuss the system
architectures, their capabilities, the cost, and the effort
involved for each solution.  Many faculty want their teaching
slides Rdigitized.S  Solutions tend to trade off cost against
functionality that students (and faculty) want.  We were able to
create a high-function, relatively low cost object-based solution
on the Macintosh, after a number of trials.  We hope you can learn
from our mistakes (and accomplishments)!

Th 2:00
Cliff Missen, MA - University of Iowa

Course Notes on the Net:  Using Adobe's Acrobat to Distribute
Class Materials


I will recount our experiences and decision-making process while
using a computer with presentation software to demonstrate the
capabilities of Adobe's Acrobat.  I will bring along a variety of
course notes and related documents and will demonstrate Acrobat's
ability to link to WWW documents.

Fr 10:00
Jacqueline H. Trolley - Institute for Scientific Information
Sina Adibi - Institute for Scientific Information

The Electronic Library: A Pre-Beta Cooperative Venture

A description of the pre-Beta process underway in support of the
development of an electronic library that will initially focus on
full-text, full image journal literature in the life sciences area.
Discussed will be the process involved and the roles of the library
community, the STM publishers, the Institute for Scientific
Information and ISI's technology partner, IBM in the development of
an economic model.  Also discussed will be the technological
components involved in ISI's Electronic Library.


Fr 2:00
George R. Thoma, Ph.D. - National Library of Medicine
Katherine F. Willis, Phd - University of Michigan
Anita Wagner, BA, MS - Health Sciences Libraries Consortium

Panel: Access to Document Images over the Internet

Electronic access to bibliographic and full text databases has been
routinely done for many years, but the electronic retrieval of
complete documents, in particular journal articles, is rare even
today.  This panel addresses the issues in accessing stores of
documents, both in electronic form in image databases as well as in
paper form that is converted to images at the point of request.


DEMONSTRATIONS

Demo sessions allow you the opportunity to see how others are using
technology in healthcare education.  Each demo session last two
hours  The authors will be there to guide you through their
programs and to discuss them with you.

Demo Session
TH 12-2

Corey Cleland, BA, PhD - University of Iowa

Hardware and Software Techniques for Computer-based Lecturing

Recent technological advances in computer hardware (e.g., LCD
projectors/panels, video graphics overlay/capture/compression
boards and remote input devices) and software (e.g., cross-platform
compatibility and document-centric software) are finally making
computer-based lecturing a reality.  Nevertheless, the authoring
and delivery of computer-based multimedia presentations in large
lecture rooms remains a formidable logistical and design challenge,
especially  for lecturers without extensive computer experience.
The goal of this presentation is to describe 1) the advantages,
disadvantages and practical use of hardware and software for
multimedia lectures, and 2) specific authoring strategies and
techniques for developing computer-based lectures.

Joan Huntley, Ph.D. - University of Iowa
Bob McBurney, A.A.S. - University of Iowa

interText.web - A Tool to Create HTML Documents Without Mastering
HTML Coding

interText.web is a program which allows users to create HTML
documents without having to directly invoke the syntax in the
specialized HTML command set. interText.web takes interText files
and converts them to HTML files, incorporating the requisite
commands for branching and linking images, sounds and movies as
well as maintaining text style.


Duncan E. Hutcheon, MD, PhD - UMDNJ, New Jersey Medical School

A Computer-based System of Instruction (CINE) in Academic Medicine
for Students in the Health Sciences

The presentation consists of a computer demonstration and poster
describing how the CINE system can provide a cost effective way of
communicating information to students in the health sciences for
knowledge acquisition purposes.  Software programs are shown to
illustrate how graphics and text slides are prepared and coupled to
enhance understanding.  How templates, color, scanned photos and
other images are used to produce the most professional slide
presentations is also explained.


Marilyn McKay, MLS - UT Southwestern Medical Center Library
Hernert K. Hagler, PhD

Case Studies in Pathology

A networked solution for delivery of Pathology, "Case Studies in
Pathology" is a replacement and supplement to the traditional 35mm
slides used in teaching medical students.  The Pathology Department
faculty of UT Southwestern Medical Center has converted
approximately 2000 35mm slides to Kodak photo CDs.  The images are
then used in SuperCard to annotate and present details of teaching
cases to second year Pathology students.  The system presently
consists of 100 Macintosh Power Pc 6100s and a Workgroup Server 80
connecting computers in the labs and Library via the ethernet.



Cooley G. Pantazis, MD - Medical College of Georgia

Windows-Based and Multimedia Application for Graduate and Post-
Graduate Medical Teaching

We will demonstrate two multimedia applications we have developed
to teach neoplasia at the sophomore medical students level and
post-graduate residential level.  This session will show how the
use of multimedia integrates a multi-disciplinary approach to
medical teaching.

Barbara Pies, MS - University of Iowa

Multimedia Radon Educational Program

The two main goals of this program are to increase awareness of the
connections between the environment and our health and to create an
understanding of radon, it's health risks and promote testing and
mitigation of radon through various educational methods.


Barbara Vasallo, EdD, RN, CS - Gwynedd-Mercy College

Basic Computer Program From a Decision Making Diagram

Using BASIC, a neophyte can convert a decision-making diagram into
a mini expert system to evaluate the laboratory results of an
arterial blood gas study.  Samples of laboratory results will be
available for participants to try to arrive at the correct
interpretation of the laboratory values by answering the prompts
with yes or no responses.


Demo Session
FR 11-1


Rodger Marion, Ph.D. - University of Texas Medical Branch

The Health Information System Simulation Project

The Health Information System Simulation (HISS) Project has
developed a unique training approach that combines training in
patient problem-solving with interprofessional communication and
the latest computer-technology.  This approach focuses on simulated
patient cases presented in a computerized patient record.  The
software can be used by students in medicine, nursing, and many
allied health professions.


Suzanne S. Stensaas, Ph.D. - Cornell University Medical College
Joan Huntley, Ph.D. - University of Iowa

Byte of Life I : A CD-ROM of Shared Digital Resources for Health
Science Education.

  Finding materials or knowing what is being developed is
difficult.  This CD-ROM is designed to assist in curriculum
development and to demonstrate what is available for you to use.
Included on the disc are tools for viewing pictures, doing
evaluation, heart and lung sounds you can repurpose and views of
participants as well as the program from the 1994 Slice of Life
conference.  Other contributions have come from individuals not at
the conference, but willing to share.  A hypertext interface
permits easy access to material in a variety of ways.  The
intention is for Byte of Life to become a shared digital resource
for educators.


Jannie Woo, Ph.D. - SUNY Health Science Center
Paul Fontelo, MD, MPH. - Uniformed Services University

Self-Instructional HyperCard Based Pathology Case Discussion
Modules with Quizzes and Glossary

We have developed self contained stand-alone CAI units in the
following topics:  general pathology, hematopathology, pulmonary
pathology, cardiac pathology, endocrine pathology, and
neuropathology.  Each CAI unit consists of the following three
components: A HyperCard based quiz module, a case discussion module
and an illustrated Glossary.  They are all HyperCard based, and can
be accessed simultaneously.

Vijayshri G. Rao, MA  -  UMD/New Jersey Medical School

Physiocase - An Interactive Case Learning Tool

Development and evaluation of an interactive case learning tool.
The uniqueness of this application lies in the integration of
informatics simulation with teaching/learning. It is developed by
the students and for the students. Faculty can benefit from this
presentation, and see ways to develop their teaching modules into
interactive learning tools.


Hansen Su - UMD/New Jersey Medical School

Medicase

The aim of Medicase is to simulate the patient interview: the
history and physical, and subsequent testing and diagnosis.
Students choose a case, are given the Chief Complaint, then are
allowed to take a history by choosing from a set of questions.
Only after completing the history is the student allowed to proceed
with the interview, again by selecting from a bank of questions.
Clinical tests can be ordered only after the interview is over.
(Lab tests are shown with cost; and reasons to test.)  This format
is followed from hypothesis to final diagnosis.  At completion, the
student is given a point score.



Poster Session
Fr 8-12 - attended from 11-12

Emmanuel C. Besa, M.D. - Medical College of Pennsylvania

Tracking Student Use of Required Computer Aided Instruction
Software in Curriculum.

A CAI software was recently introduced as a requirement for a
course in Oncology at our medical school in lieu of 2 hours of
lecture. To determine usage by the student a built-in mechanism was
programmed to track the use of the tutorial, case simulation and
results of quizzes for each student. The pitfalls of previous
tracking systems will be discussed. Analysis of the tracking data
will be presented to show which students actually use the program
and tricks students use to show use but without actually going
through the CAI. Discussion of the importance of tracking and
analysis of use as well as feedback from students will be
presented.

Jeanette K. Chambers, PhD, RN - Riverside Methodist Hospitals
Mary Szczepanik, BSN, RN - Riverside Methodist Hospitals

Issues and Challenges in Using Computer-Based Learning Technology
for Patient, Family and Staff Education in An Acute Care Setting

This session describes planning and implementation procedures to
equip four patient and family learning center sites with CAI, IVD,
CD-ROM and CDi at Riverside Methodist Hospitals, a 1000+ bed
hospital in Columbus, Ohio.   Hardware and software selection and
purchasing considerations, as well as staff development
requirements to support the learning centers, will be addressed.
Initial evaluative data and future plans will be shared.




Francis J. Conway, Ph.D. - Pennsylvania College of Podiatric
Medicine

Technologically-Assisted Concept-Structure Linkage Teaching in a
Medical School Histology Course

While the advent of Problem-Based Learning (PBL) presents many
interesting innovations to the medical curriculum, it is impossible
to implement in a small medical college with few faculty members.
Even in a large well-staffed school, PBL can usually be applied to
no more than about 20% of the class. For these reasons,
Concept-Structure Linkage (CSL) is proving to be a feasible
substitute for PBL because it can be implemented with a small
number of faculty and can be applied to the entire class while at
the same time it retains all of PBL's most desirable features (case
presentation, problem solving and group study).

Michael Hamlin, PhD - Thomas Jefferson University
David Gitlin, MS - Thomas Jefferson University

Measuring Student Perceptions of Electronic Communication

To better understand the impact of email usage on the lives of
students and faculty, the authors developed a comprehensive survey
to measure categories of use, perceived advantages and
disadvantages to email, as well as the amount of use.  The authors
used traditional paper questionnaires as well as on-line electronic
questionnaires to further enhance the accuracy of the study and
their ability to collect data.  The authors believe that the
measurement of qualitative and quantitative aspects of e-mail
use will provide valuable insights into the impact of e-mail on
the academic community.

Charles R. Lammers, BS, BS - University of Missouri Hospital and
Clinics

Medical Student Seeks Electronic Resource

Although computer resources are great it is important to remember
that the medical students are not computer genius's.  The goal of
this presentation is to demonstrate a user interface that is truly
user friendly.  The fundamental building blocks are outlined and
portable to other systems.



Marilyn McKay, MLS - UT Southwestern Medical Center Library

The Role of the Library in Implementing Delivery of the Medical
Curriculum in a Networked Environment: One University's Experience

UT Southwestern Medical Center Library's role in supporting the
medical school curriculum changed from a passive to an active role
this past year when its staff collaborated with the department of
Pathology's experiment to deliver the pathology second year course
in a networked environment.  The library staff participated in this
endeavor by providing staff for software consultation, computer
training, and equipment to train the instructors.  How UT
Southwestern pathology instructors created case studies to be
presented in the labs via 50 networked macintosh computers and how
the library's passive role changes into a collaborative one is the
subject of this paper.


John C. Reid, Ph.D. - University of Missouri--Columbia
Joyce A. Mitchell, Ph.D. - University of Missouri--Columbia

Integrating Computers into Healthcare Education

We describe ten years' experience of integrating computers into a
medical school curriculum, eight years with a traditional
curriculum and two years with a problem-based curriculum.
Integration involves (1) identifying where in the curriculum
computers can help education, (2) working with administrators,
faculty, and students to suggest functions and capabilities, (3)
teaching faculty and students basic computer skills as well as
training them to use particular software, (4) responding to faculty
and students suggestions, (5) providing a solid hardware base, and
(6) having helpful and responsive personnel.  Keeping accurate
usage statistics has helped us make wise fiscal decisions, and
conducting research studies has kept us aware of students' needs
and processes.

Titus Schleyer, DMD, Ph.D. - Temple University School of Dentistry

A Comprehensive Image Management System for Dentistry

The AADS Consortium for Clinical Information Systems has developed
a Request for Proposals (RFP) for image management systems, which
will be central to the implementation of a Computer Based Oral
Health Record. The RFP solicits comprehensive systems that manage
various types of images from multiple sources. These interoperable,
scalable systems will be applicable in patient care, education, and
research. The RFP is also intended to promote the implementation of
a national standard for sharing of image bases.





Pre-Conference Workshops - Wednesday, April 26, 1995

Conference participants may choose to register for any of these
hands on workshops for an additional fee.   Space in these
workshops is limited by the size of the computer labs.  Every
attempt will be made to place you in the workshop of your choice.
You will receive confirmation of your registration in the mail.

9-11
James Baggott, Ph.D. - Hahnemann University School of Medicine
Anthony J. Frisby, Ph.D. - Thomas Jefferson University

Basic HTML Document Construction for the World Wide Web and Local
Use

This will be a hands-on workshop in which participants will not
only learn about constructing HTML documents, but will construct
documents of their own, link them and use them. Participants who
complete the workshop will be able to prepare HTML documents
containing text, graphics, movies and sound.  The documents will be
usable on the World Wide Web, local networks or individual
computers using a variety of operating systems.

Titus Schleyer, DMD, Ph.D. - Temple University School of Dentistry

Developing Cross-Platform Client/Server Applications with C/S
Elements

This workshop will introduce the participant to the concepts of
cross-platform client/server development. We will use Neuron Data's
C/S Elements to design a small sample application with a graphical
editor, and implement functionality using the built-in script
language and database access. We will discuss how Smart Elements,
Neuron Data's rule-based expert system, can be used within C/S
Elements. A short overview of other available developments tools
will be presented.

12-2
Carl Gandola MD
Ann Potter BA - The Virginia Commonwealth University
Robert Spencer PhD - The Virginia Commonwealth University
Chris Chen BA - Cornell University Medical College
Robert Werkman MD - University of Tennessee Memphis

Building Multimedia Resources into Teaching Modules


Multimedia possibilities are endless. This workshop focuses on
practical tools for building your own interactive presentations.
Each participant gets their hands on a Mac. BookSlate, based on
HyperCard, will be used to create hot text linked to multimedia
events. While the emphasis is on actually building, we will also
discuss the pros and cons of various approaches and tools (from
BookSlate to Mosaic to Director)


2:30-4:30
Cristina A. Pope, MS - Thomas Jefferson University
Barbara Shearer, MSLS - Thomas Jefferson University

Reference Manager : Improve Personal and Collaborative Access to
Research Information through use of Personal Bibliographic
Management Software

We will provide hands on instruction in the use of Reference
Manager (TM) as a Personal Bibliographic Management tool. We will
demonstrate how to customize your software, how to manually enter
citations, how to download MEDLINE and Current Contents citations,
how to retrieve citations and how to generate bibliographies in
required journal formats.  Plus handouts on applicable Internet
resources and a PBMS bibliography.



Program Schedule

Wednesday Pre-Conference Workshops

 8:00 - 9:00   Registration
               Continental Breakfast
 9:00 - 11:00  Session One
11:00 - 12:00  Lunch
12:00 - 2:00   Session Two
 2:30 - 2:30   Break
 2:30 - 4:30   Session Three

Thursday

 8:00 - 10:00  Registration
               Continental Breakfast in the exhibit area
               Exhibits Open
 9:00          General Session
10:45 - 11:30  Concurrent I
12:00 - 2:00   Lunch
12:00 - 2:00   Demo Session I
 2:00 - 2:45   Concurrent II
 3:00 - 3:30   Refreshment Break
 3:30          Exhibits Close
 3:30 - 5:00   General Session
 6:30          Banquet
 8:00          Vendor Keynote

Friday

 8:00 - 10:00  Registration
               Continental Breakfast in the Exhibit Area
               Exhibits Open
               Demo Session II
 8:00 - 12:00  Poster Session
10:00 - 10:45  Concurrent III
11:00 - 12:00  Poster Sessions will be attended
12:00 - 2:00   Demo Session III
               Lunch
 2:00 - 2:45   Concurrent IV
 3:00 - 3:30   Refreshment Break
 3:30          Exhibits Close
 3:30 - 5:00   General Session

-------------------------------------------------------------------
Corporate Participation

The latest in technology will be on display in the Exhibit Area on
both days.  Last year's Exhibit Area included the following
exhibitors (those who have already committed to exhibit in 1994 are
marked with an asterisk):


A.D.A.M. Software
*Advanced Audio Visual
American Society of Hospital Pharmacists
*Apple Computer, Inc.
Camdat Corporation
*CD-Plus
Compact Cambridge
Computers for the Professional
Computerware
*ComWeb Technology Group
Eastman Kodak Company
*F.A. Davis Company
Gold Standard Multimedia
IBM Corporation
Information Systems for Medicine
Interactive Teleducation
*Interactive Video Solutions
Keyboard Publishing
Library Solutions
Medical Multimedia Systems
MediClick, Inc.
*Micromedex
National Library of Medicine
Online Computer Systems
O'Reilly Publishers
Perivascular Nurse Consultants
Quantum Books
Radius
Research Information Systems
Sandoz Pharmaceuticals
Scientific American
Silicon Graphics
Silver Platter Education
Slice of Life
SmithKline Beecham
Technidisc
*Total Video Products
Trellis Communications
Vista Intermedia
Visual International


Social Events

The symposium is structured to encourage as much interaction as
possible among peers and exhibitors during continental breakfast
and luncheon breaks.  In addition to those opportunities, you may
elect to join us on Thursday evening for a dinner at the Hotel Atop
the Bellevue.  For those of you planning on staying the weekend to
enjoy springtime in Philadelphia, information is provided below on
obtaining a visitor's information packet.

Thursday Evening Dinner at the Hotel Atop the Bellevue and Apple
Keynote Presentation

Join us for a dinner at 6:30 pm on Thursday evening at the Hotel
Atop the Bellevue.  The dinner will consist of a full buffet,
including the following entrees: Carved Roast Beef Tenderloin with
Three Nut Crust, Seared Salmon Filet with Citrus Nage, Marinated
Grilled Chicken Breast with Oriental Noodles or a Pasta Station.
The cost for the dinner is $60.00 per person including tax and tip.
There will be a cash bar available in the dining room.  All dinner
reservations must be received prior to April 15th.  Following the
dinner will be a brief photo-cd presentation of snap shots taken
during the day by Rodney Murray, head of Jefferson's Academic
Computing and a special presentation by Apple Computing.


Philadelphia Visitors Guide

The symposium is held just a short walk from Philadelphia's
Historic Section.  The Philadelphia Convention and Visitors Bureau
will be happy to send you a Visitor's Information packet containing
a calendar of events and lots of information on sight seeing.  To
request your packet, simply call the following toll free number:
(800) 537-7676.



Please mail your conference registration and your hotel reservation
forms separately.

                 Computers in Healthcare Education
                          Registration Information

Register Early - In order to receive the pre-registration pricing,
your registration and check must be received by March 26, 1995.
After that date, please register at the door.

Cancellation Policy - A full refund will be sent to anyone who
cancels their registration (including workshops) before April 10,
1995.  There will be no on-site refunds.

Payment - Payment for conference registration, workshops and dinner
may be made by check, Master Card or Visa.  We cannot accept
purchase orders.  Please make checks payable and send to:
Health Sciences Libraries Consortium, 3600 Market St., Suite 550,
Philadelphia, PA 19104 (att: Symposium '95).

Pricing -                  After 3/26/95

conference registration*      $ 160.00
student registration**        $  40.00
Workshop registration*        $ 120.00
Dinner                        $  60.00 (No discounts apply)

Register Before April 26, 1995 and Save 20%
     If your registration is sent in prior to April 26, 1995, you
may deduct 20% off conference and workshop registration fees.

*Full time faculty and staff of an HSLC Member institution deduct
an additional 25% for up to a total of 45%

** You must send a photocopy of a valid student ID to receive this
         rate.

Registration Fees

               Fee       Pre-reg.    Member       Member &
                                                  Pre-Reg.
               (at door) less 20%    less 25%     less 45%

registration   $ 160.00  $ 128.00    $ 120.00     $ 88.00
student        $  40.00  $  32.00    $  30.00     $ 22.00
workshop       $ 120.00  $  96.00    $  90.00     $ 66.00

Please fill out and return the following registration form.

Please Note: Registration pricing includes continental breakfast
and lunch each day.

For more information call or e-mail Jerilyn Garofalo at
(215) 222-1532 or garofalo@hslc.org.

Computers in Healthcare Education
Hotel Reservation Request

Use the following form to make your hotel reservations for the
Computers in Healthcare Education Symposium to be held at Thomas
Jefferson University on April 26-28, 1995.

Hotel Information
A limited number of rooms have been set aside at the Double Tree
Hotel at a reduced rate.  Discounted room rates may not be
available after April 4, 1995.

Hotel Reservations must be received by April 4, 1995 in order to
receive the conference rate.  Please complete the following form
and mail it directly to the hotel.

Double Tree Hotel                          $95.00
Broad and Locust Sts
Philadelphia, PA  19107
(215) 893-1600


Computers in Healthcare Education
Registration Form

Register Early - In order to receive the pre-registration pricing,
your registration and check must be received by March 26, 1995.
After that date, please register at the door.

Name:____________________________________________________________
Institution:_____________________________________________________
Address:_________________________________________________________
Address:_________________________________________________________
City:____________________________________________________________
State:___________________              Zip:______________________
Phone:___________________________
E-mail address:________________________________________________

Please check all that apply:

___ Faculty         ___ Librarian             ___ Speaker
___ Nurse           ___ Computer Services     ___ Exhibitor
___ Practitioner    ___ Student               ___ Volunteer or Staff

Workshops - Each workshop is priced individually.  Please indicate
which workshop(s) you would like to attend and include the
appropriate dollar amount.

10-12                  12-2                          2-4
___ HTML Document      ___ Building Multimedia       ___ Reference Manager
___ Cross Platform

Registration Fees

               Fee       Pre-reg.    Member       Member &
                                                  Pre-Reg.
               (at door) less 20%    less 25%     less 45%

registration   $ 160.00  $ 128.00    $ 120.00     $ 88.00
student        $ 40.00   $ 32.00     $ 30.00      $ 22.00
workshop       $ 120.00  $ 96.00     $ 90.00      $ 66.00




Conference fees:

__________ registration

__________ workshops

__________ banquet ($60.00 per person)

__________ total payment enclosed


Master Card or Visa Information:
Name on Credit Card:___________________________________________
Credit Card Number:____________________________________________
Exp. date:_____________________________________________________
Signature:_____________________________________________________

Note: Registrations made with credit cards may be submitted by fax
to (215) 222-0416.



Computers in Healthcare Education
Hotel Reservation Request

Use this form to make your hotel reservations for the Computers in
Healthcare Education Symposium to be held at Thomas Jefferson
University on April 26-28, 1995.

Please reserve the following room(s) at the Double Tree Hotel:

___ single         ___ double          _____ rooms at $95.00 per night

Name:____________________________________________________________
Phone:___________________________________________________________
Address:_________________________________________________________
Address:_________________________________________________________
City:_____________________________________State:_________________
Zip:_____________________________________________________________
Arrival Date:____________________________________________________
Departure Date:__________________________________________________

Please enclose a deposit for the first night or list a major credit
card number.

Check enclosed amount                      $ ___________________
Credit Card Name:________________________________________________
Credit Card Number:______________________________________________
Credit Card expiration date:_____________________________________
Credit Card Signature:___________________________________________

Mail this form, with your deposit, directly to the hotel by
April 4, 1995.

Health Sciences Libraries Consortium Founding Members

College of Physicians of Philadelphia
Hahnemann University
The Medical College of Pennsylvania
Penn State University Milton S. Hershey Medical Center
Philadelphia College of Pharmacy and Science
Philadelphia College of Osteopathic Medicine
Temple University Health Sciences Center
Thomas Jefferson University
University of Pennsylvania
University of Pittsburgh

To find out if your institution is an HSLC member, check with your
library or information center.


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