1 * Contents THE NEED FOR A NEW EXCHANGE Introduction ... ...................................... 1 REGIONAL DYNAMICS An Expanding Strategy ................................. 2 The Scope and the Investment ........................... 2 Network Locations ................................ 3 EDUCATIONAL PROGRAMMING A Two-way Commitment ................................ 4 Voluntary Involvement .............................. I . .4 Network Strategy ..................................... 4 Contributing Institutions ............. I............... 4 THE MECHANICS Out-of-town Lecturers .................................. 5 AVAILABLE TO ALL 1973-74 Lecture Series Schedule ......................... 6 Accrediting Agencies .............. I ................... 6 LISTENING INTO LEARNING A Two-way Dialogue ................................... 7 '74 ARRIVAL OF AN AGE Future Prospects ....................I ................. 8 PEOPLE BEHIND THE PROGRAM Network Personnel .................................... 9 TLN Advisory Committee ............................... 10 Moderators .......................................... 1 1 Coordinators ......................................... 12 Lakes Area Regional Medical Program, Inc . ................ 13 Telephone Lecture Network Acknowledgements 2929 Main Street Design Richard Macakanja Buffalo, New York 14214 Photography Hugo Unger Robert Mathiebe Editorial Janet Gelsinger Anthony Zerbo, Jr. The Need For A New Exchange The New Exchange I- f- F I- Education Cente The health field is rapidly expanding. Scientific progress brings new knowledge. new techniques, and new demands upon health professionals. Changing educational standards will make continuing education for all health care personnel an imperative. Institutions and individuals are having to keep pace with an age of unparalleled progress and un- diminishing demands. Equally undiminishing are the problems produced by this expansion. All the scientific progress, the newly developed techniques, the knowledgeable educators, and the spiraling standards for continuing education will be of limited use or relevance if the health professional continues to be geographically isolated, economically impaired, and personally corn- mitted to an overpopulated timetable. Continuing education is targeted. It exists to maintain, update, and improve health care delivery which exists to maintain and improve the well being of people. Any system of continuing education must be made compatible to the actual patterns of delivery. If access, costs, and time are the major impediments to continued learning, they are problems to be solved, not rearranged. The Telephone Lecture Network of the Lakes Area Regional Medical Program, Inc., is based upon the concept that once the physical barriers to unified communications are removed, regions can work in concert to define, develop, and implement a workable system of continuing education. An Expanding Strategy Tele-communications allows for the continuous extending ten counties deep into both states. It movement or expansion of a population, a body of reaches the remote areas of the lakes area region knowledge 'and evolving needs. Regional needs and and establishes the essential Two-Way Dialogue priorities are not static, they are evolutionary. They between educational institutions and individuals in cannot simply be defined, they must be continually need of continuing education. redefined. This requires the collective resource and Health professionals, educators, and institutions contribution of all facets of the health care delivery throughout the region have placed an active and system in the lakes area region. voluntary five year investment in the development o As a communications network, the Telephone the Telephone Lecture Network. It is this inclusive, Lecture Network encompasses the health com- voluntary participation that forms the nucleus of a munities of seven counties in western New York and regional strategy which is dynamic enough to work two counties in northwestern Pennsylvania, often effectively. The Scope and The Investment Cana z Syracuse ne\/a New York It Area 2 Binghamton .Jamestown Elmira. A ht bula I % Meadville Williamsport Warren Pennsylvania Ohio DuBds Area 4 Pittsburgh An annual fee for the services provided by the The annual fee covers all personnel associated with Telephone Lecture Network has been established by the hospital for unlimited participation in all areas according to the distance between the broad- scheduled continuing education programs. casting studio and the receiving location: AREA 1 ($1630) AREA 2 ($2035) AREA 3($2440) AREA 4($2440 + mileage charge) 4L Network Locations (1 973-74, New York State Pennsylvania Alden, Erie County Home & Infirmary Bashline, Grove City Batavia, St. Jerome Hospital Bradford, Bradford Hospita Batavia, V.A. Hospital Butler, V.A. Hospital Bath, V.A@ Center Coudersport, Charles Cole Memorial Hospital Buffalo, Buffalo State Hospital Erie, Doctor's Osteopathic Hospital Buffalo, Family Practice Center Erie, V.A. Hospital Buffalo, Mercy Hospital Kane Community Hospital Buffalo, Millard Fillmore Hospital Pittsburgh, St. John's General Hospital Buffalo, Roswell Park Memorial Institute Port Allegany, Port Allegany Hospital Buffalo, SUNY/AB - School of Nursing Titusville, Titusville Hospital Buffalo, United Cerebral Palsy Union City Memorial Hospital Buffalo, V.A. Hospital Warren General Hospital Canandaigua, V.A. Hospital Corning, Corning Hospital Cuba, Cuba Memorial Hospital Gowanda, Tri-county Memorial Hospital Helmuth, Gowanda State Hospital Jamestown, W.C.A. Hospital Jamestown, Jamestown Community Hospital Lackawanna, Our Lady of Victory Lewiston, Mount St. Mary's Hospital Newark State School Niagara Falls, Niagara School of Nursing Sonyea, Craig State School Springville, Bertrand Chaffee Hospital Wellsville, Jones Memorial Hospital West Seneca State School 3 A Two-Way Commitment Programming is based upon a cooperative arrangement between the Network and the voluntary Voluntary Involvement contributions of health agencies, organizations, and The primary purpose of the Telephone Lecture institutions throughout the region. Lecture subject Network is to provide first-rate, non-commercial, matter is based upon requests from the participating hospital wide continuing education. Since lectures hospitals, as well as the specialty expertise available are developed and conducted through voluntary from the local providing educational sources. For arrangements with program sponsors, this service is example, Roswell Park Memorial Institute, a available at minimum cost. The monitary value of this nationally acclaimed cancer institute located 'in voluntary involvement is in excess of S35,000 each Buffalo, provides two lectures each month in which cancer-related problems are discussed. Each of year. these educational institutions provide a necessary link in the continuum of regionally related health concerns. For the lecture presentations they provide Contributing Institutions the lecturer, series content, original audio-visual aids, and the program moderator. The moderators The Telephone Lecture Network has established a maintain the conversational atmosphere of the lec- cooperative arrangement on a basis of voluntary tures, bridging the Visual gap between the speaker involvement with the following institutions, agencies and the listening audience and promoting the two- and organizations. way verbal exchange. School of Medicine, State University of New York at Buffalo (SU NYAB) In turn, the Network provides the communications School of Nursing, SUNYAB component of the system. It coordinates the produc- School of Nursing, Niagara University tion and distribution of the program material, usually School of Pharmacy, SUNYAB recording and editing the lectures in advance to assure maximum fidelity and minimum extraneous School of Health Related Professions, SUNYAB noise. Monthly schedules of the lectures are Department of Medical Technology developed and distributed to the receiving locations Department of Occupational Therapy well in advance. Visual material provided by the Department of Physical Therapy lecturers are reproduced and distributed by the Department of Speech Communication Network a few weeks prior to the lecture date. These Roswell Park Memorial Institute, Buffalo, New York include outlines, references and 35mm slides to be shown simultaneously with the lecture. These learn- Erie Community College, Department of Inhalation Therapy ing resources can be retained by each participating Erie County (New York) Cooperative Extension Service hospital for its medical library. The utility of these Erie County (New York) Health Department visual aids cannot be overemphasized. They supply Western New York Dietetic Association the visual focal point necessary for the physical New York State Health Department reinforcement normally provided by the presence of Hospital Personnel Management Association of Western New York the lecturer. Most important, they are an extension of the ideas and methods contained in the lecture. Western New York Association of Medical Records Administrators Association of Clinical Pastoral Education Millard Fillmore Hospital, Buffalo, New York Western New York Diabetes Teaching Association Western New York Society for Hospital Food Service Administrators United Cerebral Palsy Association of Western New York Niagara Frontier Chapter of the Empire State Association of Medical Technologists Family Practice Center (Deaconess Hospital), Buffalo, New York New York State Podiatry Society - Western Division New York State Nurses Association - District 1 Parents of Diabetic Children, Inc. Niagara Chapter of the American Allergy Foundation Information Dissemination Service, Health Science Library, SUNYAB The Mechanics The Telephone Lecture Network operates on a The lectures are normally 25 to 30 minutes in four-wire telephone closed circuit network leased duration, followed by a 30-minute discussion period. from AT&T and controlled from the broadcasting Because discussions may exceed a half hour, lec- studio. Each receiving location is equipped with a tures never are scheduled back-to-back. standard desk telephone which is left off the hook Lectures can originate at any point outside the during transmission. A 106B loudspeaker functions Network area through an "add-on" line. Any place as the earpiece allowing for multiple listeners. In the that can be reached by Direct Distance Dialing shaft of each telephone handset is a push-to-talk (DDD) can be the origin of a lecture. This adaptability lever to be used during the discussion that follows the enables specialists throughout the country to provide lecture. This device eliminates the incidental lectures without having to travel long distances, background noise which inevitably occurs at the saving extremely valuable time and money. receiving locations during transmission. All questions These are the technical devices that expand and answers are heard simultaneously throughout mechanics into meaning. They provide the culture, the Network. the environment conducive to listening and, in turn, learning. Out-of-Town Lecturers (1972-1973) Rochester, racuse. N Albany, c m'dison, Wisc. Bostc Mass New York, N. Yg Stony Brook,N. y Chicago, 111. Philadelphia, Pa.Jg San Francisco, Cal. Winston Columbia, Mo. Albuquerque, N.M. Montgomery, Ala. Albany, Ga. Houst New York California Pennsylvania Ithaca 2 San Francisco 1 Meadville 1 Rochester 2 Pittsburgh 4 Texas New York 4 Houston 1 Ohio Syracuse 2 Cleveland 1 Maryland Plattsburgh 3 Albany 3 Bethesda 1 North Carolina Rockville 1 Durham 1 Schenectady 3 Brentwood, LI 2 Washington, D.C. 2 New Mexico Central Islip 1 Albuquerque 1 Michigan Massachusetts Illinois Detroit 1 Boston 2 Chicago 3 Washington Pennsylvania Georgia Seattle 1 Philadelphia 1 Albany 1 Illinois North Carolina Illinois Champaign 1 Winston-Salem 1 Owens 1 Chapel Hill 1 Alabama Toronto, Ontario 1 Durham 1 Montgomery 1 New York Wisconsin Minnesota Stony Brook 1 Madison 3 Rochester 1 Syracuse 2 Missouri West Virginia Albany 5 St. Louis 1 Morgantown 1 Rochester 2 Columbia 1 New York 3 Maryland Troy 1 Bethesda 1 Available To All TELEPHONE LECTURE NETWORK Over 21,000 health professionals, representing 14 LECTURE SERIES SCHEDULE FOR 1973-1974 separate disciplines, attended the 212 lectures LECTURE SERIES FREQ. DAY TIME offered in the 1972-73 broadcasting year, without leaving their hospitals, clinics, or patients. Over Medicine 8,000 hours of continuing education credit was General Interest Wk Tue 11:30 a.m. earned while the provider continued to practice. Cancer Oncol6gy Conf. MO 3rd Wed 1 1: 30 a.m. Three college level, credit bearing courses for Nursing General Interest Wk Tue 1: 30 p.m. students preparing for entry into health related Cancer Oncology MO 3rd Wed 12:30 p.m. professions were offered. Anesthesia Sp. 4th Wed 3:15 p.m. These numbers can easily be read and quickly Dietetics sm 1 St & 2:00 p.m. forgotten, But it must be recognized that these 3rd Wed thousands of health professionals deal direct.ly or Clinical Pastoral Education MO 1 St Wed 1 0:00 a.m. indirectly with several thousands of patients who Podiatry Journal Club MO 1 St Thu 12 Noon need their availability. Fourteen separate disciplines Medical Technology MO 1 St Thu 1: 30 p.m. encompass the interdisciplinary educational needs of Medical Records MO 2nd Wed 2:00 p.m. health care teams and of the multiple divisions within Inhalation Therapy MO 3rd Thu 11:30 a.m. each discipline. Accreditation for eight thousand Managerial and hours of continuing education reflects the Network's Supervisory Development MO 2nd Thu 1: 30 p.m. primary purpose - making continuing education that Allied Health MO 4th Thu 1:00 P.M. is relevant to the needs of all health professionals, Food Service Sp. Mon 2:00 p.m. available on a continuing basis, at a time, place, and Pharmacy Journal Club MO 2nd Thu 9: 00 a.m. cost convenient to the continued delivery of health Medical Librarianship MO 2nd Thu 11:30a.m. care. 'Sp Special Series - see specific lecture schedules Accrediting Agencies Anesthesia - 3 programs Food Service - 18 programs A large number of the lecture series are accredited by the appropriate professional agency or organization. American Academy of Family Practice American Medical Association American College of General Practitioners in Osteopathic Medicine and Surgery College of Family Physicians of Canada American Association of Nurse Anesthetists New York State Nurses Association American Dietetic Association New York State Board of Examiners of Nursing Home Administrators Florida State Board of Pharmacy New York State Board for Podiatry The actual transference of knowledge between the More people of diverse opinion and situation, but of acts of listening and learning is a cognitive process similar educational need, are becoming part of this that can be termed interpretation. The learning dialogue. The Telephone Lecture Network provides a process needs room for the controversy of exchange. unique opportunity for health professionals to keep Communicating a fact or an idea necessitates its pace with the most recent advances in knowledge juxtaposition with other ideas which may be opposing and techniques. The lectures offer old and new or interrelated. This requires a contact or, more considerations of health care problems and prac- appropriately, a dialogue. That is why the Telephone tices. They offer opinion and they require response. Lecture Network provides two-way communications. Whether response through a telephone between a That is why questions, answers, and opinions are widespread audience causes or dispells inhibition, it essential to the program structure. inevitably creates and directs thought. Each lecture is followed by a minimum of thirty minutes discussion. This allows the lecturers to direct their knowledge toward the individualized con- siderations of the audience. It is also a confrontation for the lecturer who must respond to the questions and diverse prejudices of an audience of unlimited numbers. This confrontation constitutes the most productive potential of regional sharing - the mutual exchange of ideas and information. It is the con- troversy of active dialogue. 1'4 MtFlvdl VI Mil muc Modern communications is a multi-faceted term that has worked its way into the consciousness of most societies throughout the world. The Telephone Lecture Network offers a new concept of continuing education to the health communities throughout the lakes area region, It is the beginning of an age that has arrived in which the health professions can harness a potential and expand it into progress. Future efforts will be directed toward the use of additional communications technology at hand: Controlled access radio broadcast of selected lectures, either in unison with or independent of ongoing Telephone Lecture Network program- ming, is now a reality in the metropolitan area of Buffalo. Direct dial telephone service Will permit listeners of this service to call in questions and comments following each presentation. "Dial Access" telephone capabilities have been developed to store fundamental medical and health information on audio tapes to be played back upon direct request from the professional or public communities. An auxiliary telephone conference mechanism will be employed to meet the communication needs not fulfilled by the aforementioned systems. The latter mechanism would provide indiscriminate intra and extra regional conferencing capability. Each network presentation is recorded by audio visual specialists to see that professional and technical quality is maintained and cataloged according to National Library of Medicine classification for non-print materials. Recordings are available for distribution in audio cassette format along with accompanying visuals following presentation on the network. Tele-communications is no longer a concept. In Western New York and Northwestern Pennsylvania, it is a reality. The shape of that reality will never be a set or singular phenomenon. It will reflect the multiple and changing roles, needs, and methods of the regloh's health care spectrum. F-CU[JIIU LPIUIIIII%4 Network Personnel Joseph L. Reynolds Robert Mathlebe Leslie Solomon Director Network Engineer AIV Technician pp Marj'orie Witkop Susanne Fimiani Doris Unger Programmer Administrative Assistant Secretary AUVISOry toir"rliitttit: Chairman Ru,- Kocher, R.D., M.S. Re@. onal Nutrition Consultant Ne.,. York State Health Department Sis,.e@ Joan Banach, R.R.A. -ctor, Medical Records S. -oseph Inter-Community Hospital C@=-e@towaga, New York 4 Ed,.,,a,d H. Fischman, D.P.M., FACFS N,'-@ Podiatry Society-Western Division C@a, es M. Hall, M.A. Ruth Kocher Sister Joan Banach Edward H. Fischman Charles M. Hall Director, Continuing Medical Education Sc-:)ol of Medicine SLINYAB G; -e,t Hartman, D.O. Doc,or's Osteopathic Hospital Er:e. Pennsylvania i c,ed Heap, M.S. Asz stant Professor Ph-.,:-z'cal Therapy Department Sc@ool of Health Related Professions SUNYAB Pa',icia Hoff, R.N., M.A. Director of Nursing & Allied Health Affairs Gilbert Hartman Mildred Heap Patricia Hoff Terence Karselis Lakes Area Regional Medical Program Bu",alo. New York Terence Karselis, B.S., M.T. (ASCP) Me@.;cal Technology Department School of Health Related Professions SUNYAB Ma,v B. Mann, Ph.D. Associate Professor Speech Pathology SUNYAB A. %V. Michalek, M.D. Ass@stant Administrator-Medical Ou, Lady of Victory Hospital Lac,