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Primal Pictures 3D Human Anatomy Medical Software

Powering Anatomy.tv

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University of the West of England

Innovative Sport Rehabilitation program relies on Primal resources to enhance teaching and learning outcomes

Vincent Singh has used Primal Pictures solutions in his teaching for the past 10 years in a number of Academic institutions. He is currently program leader for the BSc (Hons) Sport rehabilitation at the University of the West of England, Bristol; an institution at the forefront of using technology to enhance students' learning. Vincent tells us why this resource is a valued addition to the university's provision, and gives us some insight into how this resource supports his teaching and enhances his student's learning.

 

Anatomy has really been brought to life...

Students have access to this immensely comprehensive, exceptionally vivid and anatomically precise online learning resource (Anatomy.tv). Anatomy has really been brought to life in the 3D Sports, Therapy and Rehabilitation Package that is unparalleled and provides a fantastic opportunity for students with various learning styles to explore the functional human body.

...enable[s] students to visually explain the musculoskeletal injuries patients present with to the clinic.

The Sport Rehabilitation Clinic at the university uses computer tablets which have the Primal Pictures software to enable students to visually explain the musculoskeletal injuries patients present with to the clinic.

I have used Primal Pictures for the past 10 years in my teaching and am confident that it provides medically accurate and detailed information.

The functional anatomy series has enabled a rich graphic learning experience about how the muscles in our body work during movement. Furthermore, this is also apparent when teaching about muscle activity during resistance type exercises.

The range of opportunities for the use of this resource is being explored in other aspects of teaching and learning. Already many students engage with this resource for their own learning of anatomy and physiology and we have found that it is useful for the more visual learners.

There are also varying levels of difficulty that can be set for the online quizzes which are able to provide the students with immediate feedback on their answers. We are planning to use the quizzes in class to provide students with a regular evaluation of their understanding about the anatomical region being taught.

There is also a host of biomechanical and clinical orthopaedic assessment video clips that I use in my teaching which provides the specific detail necessary when teaching about injuries that occur in the dynamic sports environment.

The additional content such as x-rays, MRI scans and surgical description is exceptionally useful to introduce students to as they progress through their degree.

Overall, this resource supports my teaching and enhances student learning. It offers the student another way for them to engage with learning more about the human body.

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G Miller Hand Surgery and Claremont Private Hospital, England, UK

A Primal approach to educating patients
about anatomy and surgery

To explain why he considers Primal Pictures' 3D Anatomy products so invaluable, hand surgeon Gavin Miller turns to an old, familiar expression...

 

I do think a picture is worth a thousand words, especially when it comes to getting over complex ideas and concepts to non-medics.

"And of course", Miller continues, "medicine's full of those, isn't it? It's often difficult enough for clinicians to fully grasp what's going on, and to get ideas across and the complexity of the situation just in word form is very challenging."

For the past decade, Mr Miller, a plastic surgeon who specializes in hand surgery in Sheffield, UK, has used Primal Pictures anatomy images to help explain to patients the surgery they face, as well as in presentations to a variety of audiences, ranging from doctors and medical students to lawyers and members of the public.

"I use it quite extensively" Mr Miller says. "If you're giving a talk or trying to explain an operation or a condition, then anatomy forms a very important part of that."

The Primal Pictures anatomical images are especially important in patient and student education, says Mr Miller, who worked in a university teaching hospital in Sheffield for 17 years before going into independent practice, performing surgery at Claremont Private Hospital in Sheffield.

"Patients are interested in the problem they have and what you can do to help," he says. "They want to know in a lot of detail as this helps them understand their condition and proposed treatment options and make important decisions about their health."

Mr Miller, who first bought a Primal Pictures CD-ROM that detailed the anatomy of the hand, eventually moved up to the DVD version with all of the anatomy modules and now has a subscription to the online Anatomy.TV through the Royal College of Surgeons of England

"It's one of the most useful resources that I have to show patients relevant anatomy, especially if I'm going to operate, so they understand what structures might be at risk," he says. "It takes a little bit of extra time to do, but you get the message across much better if you do it that way because patients can really understand."

Mr Miller also includes images in reports he files as a medicolegal expert in personal injury and clinical negligence claims involving hand and plastic surgery cases.

As a medical student, he remembers, words were the main way complex anatomy concepts were conveyed. "All we had were pretty dry textbooks with the occasional image or diagram to help you try to put these three-dimensional concepts in your mind, and the dissection lab where, in those days, the anatomy was distorted by preservation techniques," he recalls.

That's why that first Primal Pictures CD-ROM was "revolutionary," Mr Miller says. And with the technological evolution to DVD and online, he calls today's sophisticated anatomy images "a revelation."

"If you're actually looking at the body in real time, with something like Primal Pictures, for visual learners like me the brain understands it considerably quicker because it can relate in three dimensions the anatomy you want to look at," Mr Miller says.

Mr Miller is so convinced that more of his colleagues should be incorporating images and videos in patient education that he wrote a blog post that included Primal Pictures images titled, of course: A Picture Is Worth a Thousand Words. In addition to explaining why he thinks using images to explain complex medical conditions and procedures is important, he offers some practical tips to help his colleagues do it effectively, such as: If using a fixed monitor, and patients cannot see the screen easily from the other side of the desk or office, get up and invite the patient to sit in your chair so they can get close to the screen.

As a surgeon, Mr Miller appreciates that Primal Pictures representatives have solicited his feedback on Anatomy.TV as part of their continuing efforts to make it better and more useful for professionals.

"I think it's a wonderful resource," he says. "I have seen few products that compare to it, really. I've seen similar products on the internet, but I don't think they can compare to the Primal products in terms of the depth and the ingenuity, and the amount of research involved, to be honest. It's an extremely well thought-out package. A helluva lot of work has gone into it."

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AECC University College, Bournemouth, Dorset, UK


Chiropractic students literally see the big picture

When Philip A G Dewhurst, Doctor of Chiropractic, was a student at AECC University College in 2001, a lecturer introduced his cohort to Primal Pictures' Interactive Spine: Chiropractic Edition CD-ROM, and it quite literally changed the way he viewed anatomy.

 

The pictures are 3D, real-time, and you can literally see the big picture and then go into the details.

"For a student at the time, it was revolutionary," Dewhurst recalls. "Suddenly, you had something that was three dimensional and you could flip the image around and still get the information you would get in a textbook. It was a real game-changer in order to understand where things are in the body."

Today, Dewhurst is a lecturer in chiropractic sciences at the college, specializing in teaching anatomy, and he is using the latest evolution of Primal's game-changing anatomy series – the 3D Atlas of Human Anatomy and 3D Real-time Human Anatomy, delivered online through subscription via Anatomy.TV – to change the way his students view the subject.

Dewhurst worked in private chiropractic practice for three years before accepting a full-time lecturer's position in 2008 at AECC University College, located in Bournemouth on the south coast of England. He says when students have difficulty understanding or conceptualizing human anatomy, "the majority of them are just trying to memorize information and they're not really applying it. And they're not seeing the big picture, as it were."

That's where Primal Pictures comes in. "The pictures are 3D, real-time, and you can literally see the big picture and then go into the details," Dewhurst says.

The Anatomy.TV products are featured in some of the students' pre-reading assignments for classes, as well as in the recommended resources for the unit. Dewhurst also incorporates pictures taken from Anatomy.TV in lectures, as well as some of the videos, and includes hyperlinks so that students can go to the pages he is demonstrating.

One of the courses Dewhurst teaches is neuro-anatomy, and one of the biggest struggles students have with the topic, he says, "is trying to visualize it in three dimensions." Understanding how muscles function is less challenging because the students can observe muscles on themselves and on cadavers.

"But they really struggle to understand and put together the brain and the spinal cord in three dimensions and understand that there are pathways that run through it," Dewhurst says.

When he started teaching the course, he says, he recommended that students use the 3D Atlas of Human Anatomy (the subscription allows students to use it any time by logging in to the college's library services) when they study to help them "build up a three-dimensional image of how the nervous system works."

For the muscular-skeletal anatomy courses he teaches, Dewhurst strongly recommends that students use it when they study as an interactive alternative to relying solely on a textbook. "You can actually click on something, rotate the image, zoom in and zoom out, and get the textbook information at the same time," he says.

In addition to using Primal Pictures anatomy products as a student and a teacher, Dewhurst also was involved in the 2011 update of the Anatomy for Chiropractic program along with two colleagues from the college.

"We reviewed the product (now part of the 3D Atlas), and identified where the gaps were, where evidence was out of date, where there was new thinking going on, and put together a revised template for how to update the program," Dewhurst says.

The process took about 18 months, during which he had the opportunity to visit Primal Pictures offices in London and see first-hand how many people and how much expertise and work goes into developing the anatomy series. "Knowing what goes into that, I have 100 percent more confidence in that than anything else I have seen on the market," he says.

And Dewhurst fully expects that Primal Pictures anatomy products will play an important role in the institution's future as it prepares to make the transition from an independent college to a publicly funded university next year. As a university, the institution plans to increase the number of health-related courses it offers, which will increase the demands on the anatomy lab.

"So within the anatomy team, we've been discussing the physical constraints we have within our anatomy lab and how we can improve that and how we can improve the student experience as the lab is being used more and as more students come through the door. One of the ways we've talked about it is to increase the technology we have in there."

One proposal under consideration involves setting up cameras with televisions in the lab and having iPads available there for students so that instead of having them gather around the tutor, the tutor can demonstrate on one table and the students can watch it on TV. If the tutor is rotating an arm, for example, the students would simultaneously be able to perform the same rotation on their iPads on 3D Real-time Human Anatomy, which Dewhurst says would be "almost like the real thing in their hands." The product also allows users to take an image and add their own labels and annotations.

Dewhurst says that would turn the Primal Pictures product into "a tool they're actually using alongside their teacher and the cadavers so they can really get an appreciation of what it is. It's more active than having a textbook next to them. And they can change the view on Anatomy.TV to reflect what they're doing in the lab. That, for me, is where I would like to see it evolve to."

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Cochise College, Arizona, USA


Bringing anatomy to life in a remote, rural college setting

Layer by layer, the image of the human brain unfolds in vivid, colorful 3-D on the computer screen, revealing what looks like a vintage Mohawk hairdo from the punk era.

 

You want to talk about a visual understanding of what you're trying to teach, this personifies Primal Pictures' software in a heartbeat.

"I'm a neuro-geek, so I love this one," exclaims Dr Shaun P McGuire, a licensed chiropractic practitioner and biology instructor at Cochise College in southern Arizona. The "Mohawk," he explains, is actually the corpus collosum, which is Latin for "tough body" – the swath of myelinated fibers that connects the two hemispheres of the brain.

The detail is astounding. "You want to talk about a visual understanding of what you're trying to teach, this personifies Primal Pictures' software in a heartbeat," Dr McGuire says.

He then switches to a different image that ostensibly shows the same portion of the brain, a traditional, 2-dimensional textbook illustration from another online site.

It appears flat, offering "a poor understanding of what you're looking at," he says.

"The tools that Primal Pictures created for me to do what I do are much better," Dr McGuire says.

He has been a fan of Primal Pictures since his graduate school days, almost 20 years ago, when he took an elective course to learn a soft tissue technique known as the Active Release Technique. The instructor used Primal images to show how the technique worked, and it made a lasting impression on Dr McGuire.

"At the time, I'd never seen anything like it," he says. "They were just mind-blowing."

After graduation, Dr McGuire went into private practice as a chiropractor for a decade. Seven years ago, he started teaching biology part-time at night at Cochise College, a two-year public community college. When a fulltime faculty position opened in 2012 at the college's center in Benson, he applied and was hired. Cochise has two campuses, in Douglas and Sierra Vista, and centers in Benson, Nogales and Willcox.

Dr McGuire's lecture class is viewed simultaneously online by students at the Willcox center.

When he started teaching, he struggled with how to convey the abstract complexities of anatomy to students without a cadaver in the lab and without quality images.

He found the answer when he saw the Primal Pictures booth at the Human Anatomy and Physiology Society annual conference in Las Vegas in the summer of 2013, which attracts some 2,500 educators from around the globe and dozens of exhibitors.

As he checked out how Primal Pictures' 3-D anatomy offerings had evolved since his graduate school days, Dr McGuire says, "I saw exactly how that would work in my classroom.

"I can deliver your textbook on any smartphone, tablet, or device anywhere in the world," he says. "That's cool as hell. And the images are untouchable. For me, the Primal Pictures software was exactly what I was looking for. Exactly."

Asked what sets Primal Pictures apart, Dr McGuire replies: "The quality of their images, hands down. It's images, images, images, and – one more time – images. And with that, video."

When he was in college and grad school, Dr McGuire says, textbooks were the main tool for students to learn. Today's students have far different expectations. That's why the compelling videos and interactive imaging incorporated into Anatomy.TV are critical to helping students understand the subject matter – especially those taking courses online.

"I'm a rural, community college professor, and I'm away from the biggest campuses," Dr McGuire says. "We've got 12,000 students, and 10,000 are at one location. I'm not there. I reach into two centers even more remote. The Primal Pictures program helps me do what I do better."

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Los Angeles, CA, USA

Student project shows how holograms can elevate anatomy learning, with a little help from Primal

Nicole Hanratty has always loved telling stories. She has also always loved holograms. While earning a master's degree in communications from the S.I. Newhouse School of Public Communications at Syracuse University, Hanratty found a way to combine both two passions. With a little help from Primal Pictures...

 

It is so much easier than you can imagine... within 20 minutes, you could bring your science class alive for your students.

Hanratty, who completed her graduate degree in communications with an emphasis in journalism innovation in 2017, was challenged in her Emerging Media Platforms class to come up with a project that found a new way to tell a story.

"It was really fun because there were no boundaries," Hanratty recalls. "At the same time, it was really stressful because there were no boundaries."

Facing an eight-week deadline to conceive and complete the project, Hanratty decided to explore how to incorporate a hologram in what she did. That led her to a product called Spectre Projector, which can project a hologram from a 4 face hologram video on your smartphone.

"I wanted to show that you can tell a really cool story in a hologram," Hanratty says. "It evolved from there. I have to be honest, I was really struggling to find the deeper meaning to what I wanted to present. I had a celebrity attorney do a hologram for me, and I enlisted my daughter to be a part of my project. I was going back and forth with my classmates about what would bring meaning to it, make it more than just fun.

"I realized this is more than just videotaping a celebrity and turning them into a hologram on your iPhone, or videotaping my daughter and turning her into Princess Leia. This was something that could really revolutionize the way we learn."

Hanratty, who got her master's through the Newhouse School's online program from her home in California, contacted the university library across the country, searching for something with 3D video that she could convert to a hologram that would be of instructional value in a classroom setting. The helpful folks at the library suggested Primal Pictures' Anatomy.TV products, which students have access to through the university's licensing agreement.

"I was like a kid in a candy store, with all that video," Hanratty says.

While researching options with the library staff, Hanratty says she looked at other anatomical imaging products, but "they were not nearly as helpful. There was almost no comparison. The choice was very easy for me."

She requested, and received, permission from Primal Pictures to use some of the company's content in her project, titled "Emerging Hologram Media and Technology at Your Fingertips." She created two, 4 face hologram videos from Anatomy.TV, one called "Podiatric," the other "Thorax Abdomen."

"With proper voiceover and explanation, this is an enlightening and engaging way to teach anatomy," Hanratty wrote of her hologram project.

The project not only earned Hanratty an "A" in the course, but a rave review from leading technology expert Bill Frischling, who at the time was vice president and entrepreneur-in-residence at U.S. News & World Report and was a surprise virtual visitor during the class presentations.

Hanratty, who describes herself as a competitive person, was happy to get an "A" from her hologram project. But she was more pleased that "it opened eyes to how we can marry technology to elevate the conversation and elevate the learning."

Hanratty, who was hired as vice president of communications at the Brand Wagon Agency in Calabasas, Cal., in January 2017, hopes other teachers, "from grade school on up," will explore how to use new technology to use innovative products such as Anatomy.TV in new ways.

"It is so much easier than you can imagine," she says. "If I could figure it out, they can. And within 20 minutes, you could bring your science class alive for your students. I promise it was that easy."

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Chingford Osteopathy Clinic


Teaching osteopathy in 3D

Osteopath, Daryl Herbert has been using Primal Pictures software since the first interactive skeleton was launched some years ago. When the first edition of the Interactive Anatomy Series was brought out, he quickly adopted it.

 

The material has been produced in such a way that it is easy to export images into presentations and I use this facility extensively when I am teaching.

"When I first saw the Interactive Anatomy software I was extremely impressed," comments Daryl. "I had already been using the interactive skeleton for a couple of years but this new series was more realistic; giving me an almost living view of the joints, arteries, veins, muscles and ligaments, as well as the spine. It also included x-rays and MRI scans, pictures, slides and video clips demonstrating the bio-mechanics of movement.

"In fact this computerised, digital model of the spine that allowed me to view in 3D and rotate the images through 360 degrees, gave me a brand new way of teaching anatomy," he explains. "Previously, anatomy had been taught to osteopathic students predominantly through two-dimensional images in text books – particularly if you didn't have access to cadavers.

"Anatomy is one of the most important things that osteopaths have to learn. Although the actual information remains constant, there is a vast amount of knowledge that has to be acquired over a relatively short period of time. We have to know and understand all the internal, skeletal, vascular and neurological structures of the body and even if students are able to watch a dissection once a week, having the software enables us to supplement their learning and reinforce what they have seen in the cadaver lab.

"In some ways, students see more through looking at the software than they do by dissecting a cadaver. The software shows tissue in its 'true' state – ie. as it should be when they treat a patient - and provides dissection views so that they can see how the tissue is different in a cadaver and relate the two to put structures into the correct context.

"When I teach first year students basic osteopathic techniques, the software allows me to show them the bones, muscles and joints so that they can form an image in their heads of what I am explaining. I project images onto a large screen so that whilst I lecture, I can demonstrate the points I am making and relate them directly to the parts of the body in question. This gives them a much better feel for what they are supposed to be doing and many of them then access the software through the online resource to study and revise.

"At a postgraduate level, I am able to use the spine to show diagnosis and pathology and then relate it to manipulation techniques. The material has been produced in such a way that it is easy to export images into presentations and I use this facility extensively when I am teaching. I know a lot of lecturers who use the software now in their teaching and we all find it immensely helpful. Once seen, Primal Pictures is the sort of product that people will adopt and use for themselves," he comments.

Daryl also finds the software extremely useful for patient education: "I often use the software when a patient doesn't understand where their problem is and what is wrong," he explains. "The images really help them to visualize what I am explaining. So, if their joints are not moving correctly, I can show them the position and orientation and explain what has happened and how I am going to treat it. This relaxes them, instills trust and confidence and aids greatly with patient compliance."

See Daryl Herbert Osteopath

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WellBeing Clinics

Picture speaks a thousand words viewing in 3D:
improving patient understanding and compliance

When we set up WellBeing Clinics, my colleague Richard Nelson and I wanted to create a practice that patients really valued. Whether we like it or not, we are in a service industry and people do want to know that they are getting value for their money. We are always looking for ways to improve the 'patient experience' – because people do expect more – and we believe that if we exceed their expectations, they will want to come back.

 

To a certain extent, little things can make a difference. We have ensured that parking is easy, the clinic looks nice, there is a selection of up-to-date magazines in the waiting room (rather than the 1923 edition of Punch that they used to have in my dentist's surgery) and that patients have access to tea or coffee when they arrive.

The saying goes that a picture speaks a thousand words and visual explanation really does improve understanding enormously.

However, we believe the major difference comes from the way we actually talk to and treat our patients. Our philosophy is to help our patients to understand what is wrong with them and how we intend to treat it. We have found that by being clear, confident and knowledgeable, patients are more likely to accept their treatment and comply with our recommendations.

It's easy to forget that our training has given us a very detailed knowledge of how the body operates. Many of our patients don't realise that there is more than one vertebra – they think the spinal column is just one bone – so when it stops working properly, they have little comprehension of what has happened. Although a simple explanation can help, a visual demonstration can increase understanding significantly.

This ability to educate our patients with a powerful visual tool is invaluable. It's a major factor in improving our service to our patients and has a tremendous effect on patient compliance and satisfaction.

We use a variety of visual tools within the practice to educate our patients including posters, anatomical models and 3D anatomy software from Primal Pictures. A model allows us to demonstrate movement and allows us to explain why they are experiencing pain when they move. But a model only shows them the bones and so we use the software to bring the body to life.

The software allows us to show our patients where their problem is – relating the actual pain or discomfort identified through physical examination, to the same point on the 3D image – and we can then rotate the image and add or remove layers to show them how their problem is affecting the muscles, nerves or ligaments. It's a bit like leading the patient by the hand; the images clarify their understanding, they are able to relate the images to that point on their own body and can therefore make more sense of what is happening to them.

We also try to get the patients to reinforce their understanding through discussion and by encouraging them to ask questions. Visual demonstration provides more opportunity for them to ask questions and ensures both a better understanding and a higher retention. Whilst this initial education process is key to successful treatment, it is important to continue to explain what is happening at subsequent treatments; although a detailed visual demonstration is only necessary if a new problem arises.

I came across a piece of research a few years ago about transmission effectiveness. The results showed that if you explain something verbally there is an 11% chance that the listener will understand it, but if you explain visually, there is an 83% chance that they will understand it because they are able to picture it. Combining a verbal and a visual explanation therefore gives you a 94% chance of getting your message across effectively.

The saying goes that a picture speaks a thousand words and visual explanation really does improve understanding enormously. This ability to educate our patients with a powerful visual tool is invaluable. It's a major factor in improving our service to our patients and has a tremendous effect on patient compliance and satisfaction.

About Ian Reed
Ian Reed trained at AECC and qualified in 1992. He set up WellBeing Clinics in Derby with his colleague, Richard Nelson in March 2000. For more information on WellBeing Clinics, please visit www.wellbeingclinics.co.uk

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Bristol University, UK

Creating an e-tutorial on musculoskeletal
anatomy using Primal Pictures

Helen Taylor is a fourth year medical student at the University of Bristol. At the end of her third year she was required to spend a month completing a self-led project in a medicine-related subject of her choice. She used cutting-edge, 3D imagery from Primal Pictures to design an online revision tutorial for medical students based on musculoskeletal anatomy.

 

Primal Pictures has really helped me to design and build a high standard e-tutorial.

"I was on a placement in Gloucester at the time and was keen to do a project based on musculoskeletal anatomy as I was really enjoying orthopaedics," explains Helen. "One of the orthopaedic consultants agreed to supervise my project and recommended Primal Pictures. I subsequently discovered that we had a University subscription to Primal which made the project much easier to complete."

At the University of Bristol all the anatomy teaching for medical students takes place in the first two years of their training. During this time, most of the learning takes place in the dissection room using cadavers and this is supplemented with small group sessions run by anatomy demonstrators and with lectures. Primal Pictures is now playing a role in this important training process.

"In the last year, computer-based learning has been added into anatomy teaching at Bristol," comments Helen. "All of the teaching in the dissection room is still done in small groups with anatomy demonstrators and there are supplementary lectures to complement this learning. However, whereas we used to do one three-hour session each week; students now spend half the time in the dissection room working through computer tutorials and half the time with the demonstrators, enabling work to take place in even smaller groups. Students are also encouraged to use Primal Pictures during this computer tutorial time as well as for private study."

Since there is no formal anatomy teaching after the second year, Helen was keen to provide an easy resource for third year students who wish to brush up on relevant practical information.

"When I came to do my clinical musculoskeletal medicine placement at the end of my third year, I was feeling very rusty on my anatomy," continues Helen. "Until I sat down and did some revision I felt a bit clueless when surgeons fired questions at me in theatre. So I decided to design an e-tutorial for third year students that would be an easy and convenient means of revising relevant anatomy prior to commencing musculoskeletal medicine."

The University has an online learning environment called 'Blackboard' where students are able to access tutorials, most of which are designed using software called Course Genie. Helen attended teaching sessions to learn how to use this package as a platform on which to construct her e-tutorial. Since the Anatomy Department subscribes to Primal Pictures, she already had access to this software through a University login provided to her at the start of the course.

"Having completed a lot of e-tutorials in the past, I had an idea of the types that keep your attention and those that send you to sleep," she comments. "Tutorials with blocks of text and few images are very hard to concentrate on, so wherever possible I decided to substitute images for text. As anatomy is a very visual subject, a lot of the points I wanted to make were much more easily conveyed using pictures. I also wanted to use the images to introduce interactivity to the tutorial which I hoped would further enhance its ability to hold attention and help make the information more memorable."

Helen enjoyed the versatility of the Primal Pictures software and by incorporating the images into her project in a number of ways she was able to achieve her goals of interactivity and innovation. "Some of the images are simply used as illustrations to complement the text and some actually substitute text so the students have less reading to do. I have also integrated the images into exercises to aid learning, for example, matching a picture to the name of a bone.

"I also subscribed to another piece of software called Dragster which allowed me to create, drag and drop labels for some of the images," continues Helen. "I have created one drag and drop image per section of the tutorial and I was pleased at how this worked out, adding a further element of interactivity.

"Primal Pictures has really helped me to design and build a high standard e-tutorial, to improve my computing skills and to broaden my knowledge and understanding of anatomy. It has also helped me to gain recognition from my peers and medical professionals as the tutorial looks impressive."

In fact, Helen's work has recently been nominated for a University award for innovative e-learning and she has found the software helpful in other aspects of her studies: "I've found Primal a really useful learning and revision tool, not only for the anatomy related to this project but also for other aspects of my clinical training. It's much easier to grasp what's going on, especially during surgical placements, if you have an understanding of the underlying anatomy. The interactive 3D design of the software helps apply it to real life.

"I liked being able to rotate images to the desired viewpoint; building up images in layers makes the anatomy easy to understand. The accompanying text is also very useful, particularly the clinical sections. I also liked the fact that you could access an image of almost anything you wanted – the image bank is huge and I haven't seen any other resources with this volume available!

"There is no question in my mind that the end result of my e-tutorial wouldn't have been anywhere near as good without the use of Primal Pictures. It made my tutorial stand out from the others and I feel it makes it much more educational."

Helen achieved a 93% mark for her e-tutorial and also won the University's Aungshuk Ghosh prize for innovative e-learning.

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Ian Reed

Chiropractor, WellBeing Clinics,
Derby, United Kingdom