Amazing workshop indeed…

…thanks to the thirty EM physician educators from around the world who participated in our workshop at The Teaching Course with gusto and made revolutionary changes to their slide design practice, as you can see on the ALiEM site.

In follow-up to Tyson’s post below, here are key take home points from our talk:


“The Lecture is dead, but the Presentation is alive.” Being a good PRESENTER is about becoming a star speaker and having a stellar slide soundtrack  ( 2010).  

Creating that amazing slide soundtrack starts with storyboarding in analog, as described by both Garr Reynolds and Nancy Duarte, (i.e. on a whiteboard or with pen and paper…gasp!) and also avoids two common bad habits:

  1. Content Overload = teaching your learner too much information.                           It’s best to stick with 3-4 points at max. Remember: The NNT is 4…number needed to  TEACH!
  2. Cognitive Overload = slide design that competes with your spoken message. Avoid making your learners multitask with excessive stimuli on the slide that requires cognitive processing power. Multitasking can lead to traumatic brain injury! Instead, slides should be in the background and provide a powerful emotional and visual message, just like the auditory message of your favorite soundtrack. One of my all-time favs is Braveheart. Imagine capturing that power and emotion the next time you design a presentation.

To avoid cognitive overload, it is best to follow those principles of multimedia design. In upcoming posts, we will provide practical tips on HOW you do this in your slide design software. Be on the lookout for our new series: Slide Studio 101.

Until then…what’s your favorite soundtrack and how does it inspire you?

A special thanks to Michelle Lin and the faculty and participants of The International Faculty Development and Teaching Course. #IEMTC13

The next course is just around the corner!
April 28-May 2, 2014
Registration open Friday, Nov 8th.


Unfortunately, I missed the International EM Teaching course held in Baltimore, Maryland this past week. I hear that Michelle Lin and Stacey Poznanski held an amazing workshop on Resuscitating Powerpoint Slides.

They held a competition for the most improved slides based on some of Mayer’s principles of multimedia learning. You can see the “before and after” slides at:

Fortunately, I will get a chance to work with them and Dr. Robert Tubbs to do a Presentation Design Bootcamp at the 2014 CORD meeting in New Orleans.

Still jealous though…

Great TED talk – Salman Khan

I have had a lot of conversations about flipped classrooms and using technology in learning recently. This reminded me of one of my favorite TED talks.


“… teachers [can] use technology to humanize the classroom.”

“the traditional model penalizes you for experimentation and failure, but it does not expect mastery. We encourage you to experiment, we encourage you to failure, but we do expect mastery.”

Brain Rules – Part 2


“If you wanted to create an education environment that was directly opposed to what the brain was good at doing, you probably would design something like a classroom.”

Last week, I posted a great slideshare presentation by Garr Reynolds about some of the highlights from the book, Brain Rules by John Medina. This week, a little bit more on this must-have book for educators.

John Medina is a developmental molecular biologist and director of the Brain Center for Applied Learning Research at Seattle Pacific University. Based on his work, he has developed 12 “Brain Rules:”

  1. Exercise – boosts brain power
  2. Survival – the human brain evolved too
  3. Wiring – every brain is wired differently
  4. Attention – we don’t pay attention to boring things
  5. Short-term Memory – repeat to remember
  6. Long-term Memory – remember to repeat
  7. Sleep – sleep well, think well
  8. Stress – stressed brains don’t learn the same way
  9. Sensory Integration – stimulate more of the senses
  10. Vision – trumps all other senses
  11. Gender – male and female brains are different
  12. Exploration – we are powerful and natural explorers

These are all immediately applicable, but a few stand out among the crowd.



“The more attention the brain pays to a given stimulus, the more elaborately the information will be encoded – and retained.” 

This again emphasizes the importance of creating a connection with our audience and fighting for their attention. As it stands now, if keeping someone’s interest in a lecture were a business, John thinks there would be an 80% failure rate (and that is being generous in my opinion). His ideas for increasing attention including using an emotional anchor, breaking up lectures into 10-minute segments, and using hooks that are relevant and bridge the segments. 

Short-term Memory

Screen Shot 2013-10-03 at 4.48.48 PM          (Click the image to view a short video excerpt)

“The more elaborately we encode information at the moment of learning, the stronger the memory.”

“Memory is enhanced by creating associations between concepts.”

Although we don’t understand everything about memory, we do know some key factors that help us enhance memory and educate others. One of John’s ideas to enhance memory are to use real-world examples to encode the information better when being learned. This emphasizes the point that less is more. Fewer points, but more depth and meaning in those points. This overlaps both the ideas of streamline the message and organize and anchor that I use in my design process.

Long-term Memory

Screen Shot 2013-10-03 at 4.52.49 PM      (Click the image to view a short video excerpt)

“…thinking or talking about an event immediately after it has occurred enhances memory for that event, even when accounting for differences in type of memory.”

“Deliberately re-expose yourself to the information more elaborately, and in fixed, spaced intervals, if you want the retrieval to be the most vivid it can be.”

Quite simply, repetition is the key to promote knowledge transfer into long-term memory.

Sensory Integration

Screen shot 2011-07-25 at 10.47.25 AM

“Learning is less effective in a unisensory environment.”

Medical education is ripe with opportunities to add multisensory stimulation and promote knowledge transfer. For a recent lecture on valvular disorders, I walked around with my portable speaker and played the murmurs for everyone as they answered questions in groups. Working on getting an entire case presentation to have no words, just visual and audio input, closer to the real thing.



“The more visual the input becomes, the more likely it is to be recognized – and recalled.”

The brain sees words as lots of tiny pictures. It’s almost an overload of input, of sorts. On the other hand, there is a pictorial superiority effect (PSE) that let’s us remember details of pictures much more effectively, with little exposure, for a very long time. John’s idea to integrate this rule is to 1. Toss your old powerpoints, 2. Make new ones! Another way to promote knowledge transfer. 

Brain Rules is another must-read that has helped to shape my approach to presentation design, and even curriculum design as well.


Medina J. Brain Rules. 2008. Pear Press.