{"id":5135,"date":"2017-10-27T09:00:03","date_gmt":"2017-10-27T13:00:03","guid":{"rendered":"https:\/\/michigan.it.umich.edu\/news\/?p=5135"},"modified":"2024-07-08T06:06:13","modified_gmt":"2024-07-08T10:06:13","slug":"videoconferencing-in-ethiopia","status":"publish","type":"post","link":"https:\/\/michigan.it.umich.edu\/news\/2017\/10\/27\/videoconferencing-in-ethiopia\/","title":{"rendered":"Videoconferencing enables clinical education in Ethiopia"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Ethiopia. It\u2019s a country with limited bandwidth and just a single internet service provider\u2014the government. But don\u2019t count it out for videoconferencing.<\/span><\/p>\n<div class=\"perfect-pullquote vcard pullquote-align-right pullquote-border-placement-left\"><blockquote><p>\u201cVideo conferencing has exceeded my expectations.\u201d<br \/>\n\u2014Bob Riddle<\/p><\/blockquote><\/div>\n<p><span style=\"font-weight: 400;\">Using collaborative technology for videoconferencing began as a pilot with U-M in March 2014, but the international partnership goes farther back. \u201cWe asked ourselves, \u2018What can we do to educate residents in Ethiopia without requiring extensive travel?\u2019\u201d said Bob Riddle, software engineer for Health Information Technology &amp; Services (HITS). \u201cHow can we take advantage of the education that is already available, both within the country and beyond?\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Riddle knew that a successful learning environment needs a human element\u2014face-to-face dialogue\u2014as opposed to one-way, digital curriculum. His solution? \u201c<\/span><a href=\"http:\/\/its.umich.edu\/communication\/videoconferencing\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Videoconferencing<\/span><\/a><span style=\"font-weight: 400;\"> has exceeded my expectations.\u201d<\/span><\/p>\n<div id=\"attachment_5371\" style=\"width: 610px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-5371\" class=\"wp-image-5371 size-full\" src=\"https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2017\/10\/Riddle_02.jpg\" alt=\"\" width=\"600\" height=\"451\" srcset=\"https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2017\/10\/Riddle_02.jpg 600w, https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2017\/10\/Riddle_02-125x94.jpg 125w, https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2017\/10\/Riddle_02-266x200.jpg 266w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><p id=\"caption-attachment-5371\" class=\"wp-caption-text\">Bob Riddle configures videoconferencing infrastructure with colleagues in Addis Ababa, Ethiopia.<\/p><\/div>\n<h2><span style=\"font-weight: 400;\">Connecting global partners with Michigan Medicine<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">More than 150 U-M faculty representing 30 departments are engaged in global health with collaborations spread across more than 70 countries. Michigan Medicine has agreements with 31 partner schools and institutions abroad through its <\/span><a href=\"http:\/\/globalreach.med.umich.edu\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Office of Global REACH<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The first project undertaken by Michigan Medicine in Ethiopia started in 2011 and focused on launching a competency-based, OB-GYN residency program\u2014the first of its kind at <\/span><a href=\"https:\/\/www.sphmmc.edu.et\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">St. Paul\u2019s Millennium Medical College<\/span><\/a><span style=\"font-weight: 400;\">. It was spearheaded by Prof. Senait Fisseha, U-M adjunct professor of obstetrics and gynecology, who was raised in Ethiopia.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The OB-GYN residency program included collaboration with Open Michigan to produce <\/span><a href=\"https:\/\/open.umich.edu\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">open educational resources<\/span><\/a><span style=\"font-weight: 400;\">, digital assets that opened the door to technology collaborations across the institution.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Setting up videoconferencing was just a day in the life for Riddle. As part of his HITS role, he has been supporting the IT infrastructure of St. Paul\u2019s from Ann Arbor since 2013. He\u2019s also been on the ground in Addis Ababa, Ethiopia, since 2015 through the <\/span><a href=\"http:\/\/cirht.med.umich.edu\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Center for International Reproductive Health Training<\/span><\/a><span style=\"font-weight: 400;\">, a group that trains health professionals in low-income countries in life-saving reproductive health services and comprehensive family planning.<\/span><\/p>\n<div id=\"attachment_5372\" style=\"width: 610px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-5372\" class=\"wp-image-5372 size-full\" src=\"https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2017\/10\/Riddle_01.jpg\" alt=\"\" width=\"600\" height=\"403\" srcset=\"https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2017\/10\/Riddle_01.jpg 600w, https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2017\/10\/Riddle_01-125x84.jpg 125w, https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2017\/10\/Riddle_01-298x200.jpg 298w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><p id=\"caption-attachment-5372\" class=\"wp-caption-text\">Bob Riddle presents at the Michigan IT Symposium in 2014 (<a href=\"https:\/\/umich.box.com\/s\/92zr0dof623xs173reyrvmvsnrfgirma\" target=\"_blank\" rel=\"noopener noreferrer\">download PDF poster<\/a>). The topic: how to share digital learning materials at institutions with no or limited bandwidth, electricity, and IT support.<\/p><\/div>\n<h2><span style=\"font-weight: 400;\">Getting it right in Ethiopia<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">When it came to making videoconferencing work in Ethiopia, Bob Riddle and his collaborators were met with many challenges. Faced with limited bandwidth and too few IT staff, they needed a turnkey solution.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cBob is always concerned and tirelessly visiting us to check the technical setup,\u201d said Seyoum Assefa, chairman of the Department of Anesthesiology at St. Paul&#8217;s Hospital Millennium Medical College in Ethiopia. \u201cHis response is very fast whenever we have difficulties.\u201d<\/span><\/p>\n<div class=\"perfect-pullquote vcard pullquote-align-right pullquote-border-placement-left\"><blockquote><p>\u201cVideoconference lectures are very important for institutions with few faculty members.\u201d<br \/>\n\u2014Seyoum Assefa<\/p><\/blockquote><\/div>\n<p>The Department of Anesthesiology at Michigan Medicine broadcasts weekly lectures to clinical residents in Ethiopia and elsewhere. That frequency is rare in the medical community, where most meetings occur monthly or quarterly. \u201cVideoconference lectures are very important for institutions with few faculty members,\u201d said Assefa, who also praised the fidelity of the video and audio: \u201cThe lecture is clear and we can easily hear the voices.\u201d<\/p>\n<p><a href=\"http:\/\/its.umich.edu\/communication\/videoconferencing\/blue-jeans\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">BlueJeans<\/span><\/a><span style=\"font-weight: 400;\"> is the preferred videoconferencing tool at U-M. Prior to that, Riddle used a competing, software-based service that also offers videoconferencing and screen sharing. But it wasn\u2019t quite right. \u201cWe found that the prior solution was not as accessible, and it didn&#8217;t behave nearly as well as BlueJeans,\u201d said Riddle.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">They also tried a hardware solution built on technology that does not perform well in limited-bandwidth environments. BlueJeans service adjusts dynamically to the amount of bandwidth available, keeping the connection stable for a seamless user experience.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Another challenge: Ethiopia has only a few available public IP addresses\u2014almost everything is connected to a NAT network, which assigns a single public address to devices inside a private network. \u201cThe wonderful thing about BlueJeans is you can be on a local network with private IP addresses, and you don\u2019t have to do anything. It just works,\u201d said Riddle.<\/span><\/p>\n<div class=\"omsc-box omsc-with-bg-color omsc-with-icon omsc-icon-style-border omsc-icon-shape-circle\" style=\"border-color:#000000;background-color:#eff0f1;text-align:left\"><div class=\"omsc-box-icon-wrapper\"><div class=\"omsc-box-icon\" style=\"border-color:#eff0f1;color:#eff0f1;border-color:#000000;color:#000000;\"><i class=\"fa fa-bookmark\"><\/i><\/div><\/div><div class=\"omsc-box-inner\">Read more:\u00a0<a href=\"https:\/\/michigan.it.umich.edu\/news\/2017\/10\/27\/campus-collaborates\/\" target=\"_blank\" rel=\"noopener noreferrer\">\u201cCampus collaborates with BlueJeans videoconferencing\u201d<\/a><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Ethiopia. It\u2019s a country with limited bandwidth and just a single internet service provider\u2014the government. But don\u2019t count it out for videoconferencing.<\/p>\n","protected":false},"author":7,"featured_media":5371,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","_umich_oidc_access":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_ef_editorial_meta_date_first-draft-date":"","_ef_editorial_meta_paragraph_assignment":"","_ef_editorial_meta_checkbox_needs-photo":"1","_ef_editorial_meta_number_word-count":"","footnotes":""},"categories":[7,4],"tags":[74,51,225],"class_list":["post-5135","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-projects-services","category-features","tag-bluejeans","tag-medical","tag-videoconferencing"],"uagb_featured_image_src":{"full":["https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2017\/10\/Riddle_02.jpg",600,451,false],"thumbnail":["https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2017\/10\/Riddle_02-125x94.jpg",125,94,true],"medium":["https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2017\/10\/Riddle_02-266x200.jpg",266,200,true],"medium_large":["https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2017\/10\/Riddle_02.jpg",600,451,false],"large":["https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2017\/10\/Riddle_02.jpg",600,451,false],"1536x1536":["https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2017\/10\/Riddle_02.jpg",600,451,false],"2048x2048":["https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2017\/10\/Riddle_02.jpg",600,451,false],"excerpt-thumbnail":["https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2017\/10\/Riddle_02-200x140.jpg",200,140,true],"themonic-thumbnail":["https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2017\/10\/Riddle_02-60x42.jpg",60,42,true],"ioslider-thumbnail":["https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2017\/10\/Riddle_02-600x300.jpg",600,300,true],"post-thumbnail":["https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2017\/10\/Riddle_02.jpg",600,451,false],"400x250-crop":["https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2017\/10\/Riddle_02.jpg",333,250,false]},"uagb_author_info":{"display_name":"Ken Caldwell","author_link":"https:\/\/michigan.it.umich.edu\/news\/author\/kencald\/"},"uagb_comment_info":0,"uagb_excerpt":"Ethiopia. It\u2019s a country with limited bandwidth and just a single internet service provider\u2014the government. But don\u2019t count it out for videoconferencing.","_links":{"self":[{"href":"https:\/\/michigan.it.umich.edu\/news\/wp-json\/wp\/v2\/posts\/5135","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/michigan.it.umich.edu\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/michigan.it.umich.edu\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/michigan.it.umich.edu\/news\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/michigan.it.umich.edu\/news\/wp-json\/wp\/v2\/comments?post=5135"}],"version-history":[{"count":27,"href":"https:\/\/michigan.it.umich.edu\/news\/wp-json\/wp\/v2\/posts\/5135\/revisions"}],"predecessor-version":[{"id":14980,"href":"https:\/\/michigan.it.umich.edu\/news\/wp-json\/wp\/v2\/posts\/5135\/revisions\/14980"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/michigan.it.umich.edu\/news\/wp-json\/wp\/v2\/media\/5371"}],"wp:attachment":[{"href":"https:\/\/michigan.it.umich.edu\/news\/wp-json\/wp\/v2\/media?parent=5135"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/michigan.it.umich.edu\/news\/wp-json\/wp\/v2\/categories?post=5135"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/michigan.it.umich.edu\/news\/wp-json\/wp\/v2\/tags?post=5135"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}