About the Courseware
How was the content chosen?
The content was carefully assembled to enable physicians and others in the healthcare and technical arenas to gain a full understanding of the transition in healthcare that is being inaugurated by the groundbreaking discoveries of the Human Genome Project. The content includes presentations about basic genetics, molecular techniques in a clinical context, the use of genetic tests in clinical medicine, and the ethical, legal and social implications that are raised by our ability to use these new technologies. The initial content outline was assembled by the authors and then modified according to feedback from physicians, educators, reviewers, and members of the Board of Advisors.
What level of knowledge is required to benefit from the courseware?
This courseware was initially designed for practicing physicians whose training in genetics occurred prior to the invention of the new molecular techniques and clinical tests. Because there is wide variation in physician background, we started the courseware at a very basic level, with a perspective on the genome and basic genetics. After draft versions of the courseware were demonstrated to audiences, enthusiastic responses persuaded us to produce a version for other audiences as well. The courseware will benefit almost anyone who has a background in biology, grasps the concept of DNA as the basis of heredity, and is motivated by an interest in the applications and ramifications of our emerging knowledge of the human genome.
What are the differences between the two versions?
The “Courseware for Physicians” version gives physicians the opportunity to apply for up to 20 continuing medical education (CME) credits from the Office of Postgraduate Medical Education of the Stanford University School of Medicine. The content of the version that is subtitled, “Medicine and the Human Genome” has the same content, including the comprehensive examination, but users are not able to receive CME credits. Therefore the only differences are the required CME disclosures and accreditation statements, as well as the mechanism to apply for CME credits, all of which are included in the physician version.
Who will be interested in this courseware?
Interest in the courseware has been expressed by members of diverse audiences with an interest in genetics, including medical students, human genetics students, allied health students, policymakers, advance practice nurses, and those who are training for careers in biotechnology.
How was the accuracy of the content verified?
The content of the courseware is based on a solid scientific foundation in molecular genetic knowledge and draws on the latest biomedical literature. The latest developments in clinical genetic applications and emerging ramifications are included. As further discoveries are made, the courseware can be updated by downloading files from a web site funded by the Robert Wood Johnson Foundation.
How much time will it take for a novice to learn how to use the CD?
If a user already knows how to use a mouse to move the cursor, to scroll and how to click to select an option, he or she should be up and running within 15 minutes. Two evaluation panels have found the courseware extremely user-friendly. In particular, physicians are under stringent time pressure, so the navigational system was specifically designed to permit use of an accessible, self-explanatory interface. All of the physician evaluators of this courseware, some of whom rated themselves as novice computer users, have commented on the ease of using the courseware. There is a detailed presentation of the navigational features of the courseware on the Table of Contents page (Using This Courseware), including explanations of each feature and pictures of the menu bars. These instructions are also reproduced on this website (see the Navigation, Tools page) so you can get a first-hand impression of how easy the courseware is to use.
How easy?
Once you have entered the courseware, just point the cursor at your selection and click the mouse one time. The only typing that is required is for filling out the CME applications by physicians who have been successful in completing the course and who have chosen to submit their applications on the Internet.
Do I have to be on the web to submit my application for CME credits?
When a physician has achieved a score of 75% or better on the examination, he or she will move to a screen that permits a choice between submission via the Internet or via a printed form that can be filled out manually and then mailed or faxed to Twisted Ladder Media™.
Do I have to be connected to the Internet to use the program?
No Internet connection is required. However, users who are not connected with the Internet will not be able to update their courseware. Users without Internet access will need to print their application form for CME credits and then fill it out for submission by mail or fax. In addition, the highlighted links to Internet resources will not be functional.
What about updates?
As new discoveries are made and new interventions are developed, the courseware can be updated by downloading new text or graphics from a website. The updated materials will be saved to the user’s hard drive, but will be presented as if they were a seamless part of the CD-ROM courseware. It is possible to update any of the graphic or text files in the courseware.
Is it possible to arrange for a site-licensed version?
We would be delighted to discuss an arrangement through which a business or educational institution arranges to purchase a large number of copies. Alternatively, it may be possible to arrange to house an institutional copy of the courseware on an institutional computer. Please contact us at salesandinfo@twistedladdermedia.com if you think you might be interested in pursuing either of these possibilities.
Technical Support
I have a question about the courseware. How can I contact you?
Please e-mail us at support@twistedladdermedia.com. Please be sure to include your computer type (PC or Mac), model, amount of RAM, size of hard drive, and current operating system. If your question is about printing or updating, please include information about printer hardware or browser software.
What do I need to run the program?
This courseware requires a minimum operating system of Mac OS 8.0 or Windows 98, and will run optimally on 4X to 24X CD-ROM drives. CD-ROM drives connected to the computer through the parallel port are not recommended. Eight megabytes (more is better) of free RAM are needed. PC computers must be equipped for audio with a sound card and speakers. All the programs that are needed to use the courseware are included on the CD-ROM disc.
I’m going on a trip. Can I print out the program and take it with me?
You can print out the text on every page by using the “Tools” menu on the lower navigational bar. The courseware does not support printing of the graphics because of technical constraints.
My CD got smashed in the mail. What shall I do?
Insurance is included with all shipments of the courseware, so please initiate a claim with the shipper and send us your smashed disc. We will replace it immediately.
I keep clicking on the “down” arrow to move to the next page of text, but it only advances line by line. What is the problem? I am running Windows 98.
Because the courseware is dual platform (Mac and PC), specialized scrolling functions, such as the ability to “page down” or “page up” by clicking on the appropriate arrow, are not supported. However, we have included a setting in the lower tool bar that permits the text field to be made larger. Though the size of the accompanying graphic is correspondingly reduced and, in most cases, interactivity is lost, the larger text field does have the advantage of minimizing scrolling.