#CMEchat 36: Virtual environments, congresses, & distance learning

Fast paced conversation today exploring the value of virtual environments, congresses, & distance learning. What do we know about taking the best elements of live meetings and leveraging new technology? And, how are new technologies like YouTube, ustream, and slideshare going impact the traditional channels for CME.

Here are the topics which guided our conversation:

T1 According to adult learning theory (& practice), what are the most valuable elements of live, face-2-face, medical education? #CMEchat

T2 Given new technologies, are there ways to drawn on these live, face-2-face value elements but leverage online formats? #CMEchat

T3 Groups have begun running live, virtual mtgs, recreating the pieces of an annual meeting. How might this impact CME?  #CMEchat

T4 Technology allows medical professionals to create education thru youtube, ustream, slideshare.  How might this impact CME?#CMEchat

T5a The MOOC (http://bit.ly/qE8BUq) - massive open online course – is emerging as a viable educational model. (pt 1) #CMEchat

T5b Can MOOC’s have a role in medical education? Or, are MOOC best served as a means of our own CPD? #CMEchat

 


The transcript can be reviewed below (begin at the bottom) or downloaded HERE:


From User           Tweet

meducate           @Kind4Kids #cmechat I think that they are mutually exclusive.  Sme may need repetition, but all need application

Kind4Kids            @meducate @cmechat would say application, not necessarily repetition, is learning. #CMEchat

dpguinee             @evitalivoti5003 @YogaAlicia3 @theCMEguy - Thx for help. I have wireless keyboard n it works great w bluetooth; not w me, tho  #cmechat

meducate           @dpguinee @BrianSMcGowan #cmechat But more opportunities for ongoing change and feedback...can't effectively crowdsource in a lecture hall

theCMEguy        Nope, non-accredited. To many COI's... #cmechat RT @YogAlicia3: @CMEChat I think I'm all set now. Can I get certified credit for that?

Kind4Kids            @BrianSMcGowan @medpedsdoctor @thecmeguy I'm currently watching a presentation from MedHub, do you use/like that? #meded #gme #CMEchat

BrianSMcGowan              @MedPedsDoctor ...and downloads...and the source of the traffic... #cmechat

dpguinee             Challenge as w open mics at live mtg is a vocal few ppl taking over.  RT @meducate: @BrianSMcGowan T5 MOOC approach? #cmechat

BrianSMcGowan              Next week will be the last #CMEchat of the year - please wear you best holiday sweater and please bring baked goods!!!!

MedPedsDoctor               What I learned today: 1. need to engage in a MOOC 2. Slideshare captures "hits" to its site.  #cmechat

BrianSMcGowan              Thanks for joining #CMEchat...to the participants and the lurkers...I hope you learned one thing to make your (work) lives more fulfilled!!!

Sarina_Med       RT @MedPedsDoctor: YouTube is great for finding great videos for medical education.  Prob is: needle in a haystack of stuff. #cmechat

theCMEguy        OK, I'm clicking. AHHH...MY EARS!!! RT @BrianSMcGowan: Looking for Freedom - Hoff: t.co/t2dPTRlt #CMEchat

CMEChat             The real impact of the #CMEchat lies in your action - please engage others to participate & take action on things your have learned!

theCMEguy        Oh no you didn't! I'm not clicking... RT @BrianSMcGowan: Looking for Freedom - Hoff: t.co/t2dPTRlt #CMEchat

BrianSMcGowan              Thx for participating in #CMEchat. Discussions herein are assumed 2 b personal opinion & not that of current, past, or future employers.

dpguinee             TOTD RT @medpedsdoctor: "But I still haven't found what I'm looking for" ... t.co/QFZdpDb8…  #cmechat

meducate           @BrianSMcGowan T5 #cmechat I love the MOOC approach. Perhaps more comments will arise when we demonstrate it's use?

BrianSMcGowan              Looking for Freedom - Hoff: t.co/mMrYLyAo #CMEchat

MedPedsDoctor               Physicians are looking wherever they can find info the fastest ... or, how they learned to find it when they were training #cmechat

YogAlicia3            @BrianSMcGowan T5 #cmechat I need a MOOC on how to engage in a MOOC.

theCMEguy        Awareness. Where's @dean_jenkins ? RT @BrianSMcGowan: T5 - not much discussion about the MOOC - no interest or no awareness? #CMEchat

timclynch             There is t.co/ruijj6ox I don't know about others. More importantly, where are physicians looking?  YouTube first? #cmechat

meducate           @BrianSMcGowan @timclynch #cmechat data may be global or local, but learning must be applied locally

MedPedsDoctor               "But I still haven't found what I'm looking for" ... t.co/coMmhuNq  #cmechat

theCMEguy        Very nice... RT @meducate: @MedPedsDoctor #cmechat YouTube plus tagging plus rating would lead to finding what you're looking for...

BrianSMcGowan              T5 - not much discussion about the MOOC - no interest or no awareness? #CMEchat

ChargeAheadMktg          that wud be fun RT @thecmeguy: T4: Would love to combine Twitter with SlideShare for a live tweeted lecture... #cmechat

mtmdphd            RT @BrianSMcGowan: t4 - my slides from Medicine 2.0 have more than 9,000 views on slideshare...http://slidesha.re/oxa0pW ...if content is good...#CMEchat

CMEChat             As we get wrap up, please vote for the tweet of the day (#TOTD) seen during this week's #CMEchat.

YogAlicia3            @theCMEguy LOL. Just sent @dpguinee same via DM. #cmechat

theCMEguy        agree- need to adapt to audience RT @BrianSMcGowan: there is often a challenge with 'global' programs in context and culture...  #cmechat

meducate           @MedPedsDoctor #cmechat YouTube plus tagging plus rating would lead to finding what you're looking for...

theCMEguy        #cmechat RT @danfrakes: After testing over three dozen iPad keyboards, I give you our iPad keyboard buying guide t.co/7mOmCUPd

BrianSMcGowan              @timclynch - but all learning is local? there is often a challenge with 'global' programs in context and culture...  #cmechat

MedPedsDoctor               I would like to see a @Doximity app unique to the iPad ... #cmechat

meducate           @BrianSMcGowan #cmechat Can't catch up now...I'll read the archive and participate moving forward. A synchronous/asynchronous combo

timclynch             @theCMEguy yes, but is it marketed to global audience?  Funded globally?  #cmechat

MedPedsDoctor               RT @meducate: @MedPedsDoctor #cmechat What more could doximity offer?  "Which city you will be in next ..." #cmechat

theCMEguy        @timclynch Isn't online CME by its very nature, global? #noborders #cmechat

BrianSMcGowan              t1-5b: everybody is waiting for what @meducate has to add to the conversation...BTW, he can not 'credit' for joining so late ;-) #CMEchat

meducate           @MedPedsDoctor #cmechat What more could doximity offer?

timclynch             Can we expand Online CME beyond US boarders?  What about a global program that engages across globe? #cmechat

theCMEguy        T5: MOOC's def can play role in med ed, but think it could be problematic for certified CME. #cmechat

BrianSMcGowan              but "search' makes needle available...RT @MedPedsDoctor: YouTube is great...Prob is: needle in a haystack of stuff. #cmechat

MedPedsDoctor               Doximity integrates Amion call schedules, and pharmacies, into the location where one is using it. #cmechat

BrianSMcGowan              @theCMEguy - well i oughta... #CMEchat

MedPedsDoctor               YouTube is great for finding great videos for medical education.  Prob is: needle in a haystack of stuff. #cmechat

BrianSMcGowan              @MedPedsDoctor - what about doximity do you like? tell us more... #cmechat

timclynch             @theCMEguy that would be cool #cmechat

theCMEguy        How many from bots? ;-) RT @BrianSMcGowan: my slides from Med 2.0 have more than 9,000 views slideshare...http://slidesha.re/oxa0pW #CMEchat

BrianSMcGowan              #TOTD RT @theCMEguy: T4: Impact? Remember that YouTube is the 2nd largest search engine in the world. #cmechat

meducate           #CMEchat Better late than never...hello all!

CMEChat             T5b Can MOOC’s have a role in medical education? Or, are MOOC best served as a means of our own CPD? #CMEchat

CMEChat             For example: T5a The MOOC (http://t.co/loSZwUOX) - massive open online course – is emerging as a viable educational model. (pt 1) #CMEchat

theCMEguy        T4: Would love to combine Twitter with SlideShare for a live tweeted lecture... #cmechat

MedPedsDoctor               @chargeaheadmktg Exactly my point.  There is a place for occasionally going to see colleagues, learn, catch up on content #cmechat

BrianSMcGowan              t4 - my slides from Medicine 2.0 have more than 9,000 views on slideshare...http://slidesha.re/oxa0pW ...if content is good...#CMEchat

MedPedsDoctor               T4.  We are already there.  @doximity rocks!  Heard Jeff Tangney speak at AAMC.  Great stuff. #cmechat

ChargeAheadMktg          hell no!  RT @medpedsdoctor: A doc that NEVER interacts with other docs out there IRL.  Would you want that doc caring for you? #cmechat

BrianSMcGowan              t4 - and university faculty have begun doing this quite successfully...creating free and for fee courses. #CMEchat

ChargeAheadMktg          T4: those channels def amplify info-sharing. are also on-demand in nature, ie. no "live" or "timed" elements, per se. #cmechat

theCMEguy        T4: Impact? Remember that YouTube is the 2nd largest search engine in the world. #cmechat

YogAlicia3            T3 @BrianSMcGowan Innovation may need to start with addressing alternative revenue streams - rest may follow. #cmechat

MedPedsDoctor               A doc that NEVER interacts with other docs out there IRL.  Would you want that doc caring for you? #cmechat

timclynch             @BrianSMcGowan time for the iPad keyboard? #cmechat

BrianSMcGowan              t4 - could we get to a place where individual docs ot groups of docs are createing grassroots tech-enabled education? #CMEchat

ChargeAheadMktg          would seem so RT @davidpaulnoble: @ChargeAheadMktg if u make progs live w/ defined "performance " times isn't it audience limiting? #CMEChat

theCMEguy        T4: Impact? $$$ #cmechat

BrianSMcGowan              srroy to here thatt. god look! RT @dpguinee: Also, typing on iPad, I can't #keepup w you #cmechat folks

dpguinee             Also, typing on iPad, I can't #keepup w you #cmechat folks

timclynch             @ChargeAheadMktg isnt SoMe one big ongoing, never-ending virtual event? but how do we get it accredited?  Does credit matter? #cmechat

YogAlicia3            T3 #cmechat Still think we need to remember that education doesn't start with 'CM-' - ok if not all edu for credit (already true)

CMEChat             T4 Technology allows medical professionals to create education thru youtube, ustream, slideshare.  How might this impact CME?#CMEchat

BrianSMcGowan              t3 - medical associations can make their full year's budget at the annual meeting...this is a HUGE barrier to innovation herein. #CMEchat

dpguinee             Yes! Can't supplant live f2f, done right, w virtual RT @BrianSMcGowan: t2 - so here is one equation i might postulate... #CMEchat

DavidPaulNoble                @ChargeAheadMktg yes SoMe is ongoing, but if you make progs live with defined "performance " times isn't it audience limiting? #CMEChat

BrianSMcGowan              @jackhandy? RT @theCMEguy: That's deep, man  MT @ChargeAheadMktg: isnt SoMe one big ongoing, never-ending virtual event?...". #cmechat

theCMEguy        That's deep, man  MT @ChargeAheadMktg: isnt SoMe one big ongoing, never-ending virtual event?...". #cmechat

timclynch             @ChargeAheadMktg so true! #cmechat

BrianSMcGowan              @ChargeAheadMktg - but not everything is suited for asynchrony...complex concepts... as we move from awareness to synthesis...#cmechat

DavidPaulNoble                @timclynch Fair point re: "best time". Trial & error? Am sure more subtle than that! #CMEChat

ChargeAheadMktg          isnt SoMe one big ongoing, never-ending virtual event? timezones only matter in the context of defined event "times". #cmechat

YogAlicia3            T3 Impact CME? Some of it is already CME - good, bad, and ugly. #cmechat

BrianSMcGowan              t3 - ... the cost structure will dictate the success of virtual live meetings. The will be needed or avoided b/c of $$ #CMEchat

timclynch             @DavidPaulNoble How do we know when the best time is?  I have done live webcasts that took place at 8pm and did much better then 1p #cmechat

YogAlicia3            RT T3 Groups have begun running live, virtual mtgs, recreating the pieces of an annual meeting. How might this impact CME? #CMEchat

MedPedsDoctor               I think planners have to get past the concept that an "annual meeting" needs to be the done the same way.  Shake it up! #cmechat

beffuh  Agree. RT @MedPedsDoctor Find it odd that sometimes the cost of linking in to a feed is MORE $$ than airfare, hotel & registration #cmechat

YogAlicia3            T2 #cmechat Am no early adopter, but have made it to Twitter. Those apps scare me even more. ;)

theCMEguy        T2: plus, I pretty much only think in 140 characters now... :-) #cmechat

CMEChat             T3 Groups have begun running live, virtual mtgs, recreating the pieces of an annual meeting. How might this impact CME?  #CMEchat

theCMEguy        @timclynch You can't please everybody all the time; someone will have to get up early, go to bed late #cmechat

BrianSMcGowan              @timclynch - i only talk to people in MY timezone ;-) #cmechat

DavidPaulNoble                @timclynch It's TimeZone issues that make online on demand, with interaction thru SoMe more attractive than live per se #CMEChat

rmtyner               Michelle in Indy joining late #CMEchat

BrianSMcGowan              +! RT @theCMEguy: @MedPedsDoctor That's what deck.ly, tweetlonger, etc are for, but personally find them super-annoying #cmechat

YogAlicia3            @areesemd Feel free to join #cmechat anytime. You put the M in CME.  :)

DavidPaulNoble                RT @timclynch: T2:  How do you deal with time zone issues when using G+ for live online learning? #cmechat

BrianSMcGowan              all good for groups < 10. RT @theCMEguy: T2:  G+ pros: The ability to combine shared video, whiteboard and record the session #cmechat

theCMEguy        @MedPedsDoctor That's what deck.ly, tweetlonger, etc are for, but personally find them super-annoying #cmechat

timclynch             T2:  How do you deal with time zone issues when using G+ for live online learning? #cmechat

MedPedsDoctor               t.co/UN4P9d5a Asynch learning #cmechat

BrianSMcGowan              @MedPedsDoctor - see #IHI last week? #cmechat

theCMEguy        T2: G+ cons: er...nobody's there. Hyperbole, but it would take effort to get participants signed up, trained, etc #cmechat

BrianSMcGowan              t2 - so here is one equation i might postulate for live meetings: n=1000 <<< n=100 < virtual <<< n=10 #CMEchat

ChargeAheadMktg          T2: absolutely yes! altho contingent on learners taking time to understand SoMe and participate in a potential diff way for them. #cmechat

timclynch             RT @theCMEguy: T2:  G+ pros: The ability to combine shared video, whiteboard and record the session #cmechat

MedPedsDoctor               Can someone invent an "override" to Twitter 140 character-rule, for that time when you just have more to say? #cmechat

YogAlicia3            T2 Challenge is that 'live' is a known entity. Learners need to learn emerging tech first...  #cmechat

YogAlicia3            T2 There are ways, yes. Some synchronous, some asynchronous. Success prob depends on learners' willingness and comfort. #cmechat

theCMEguy        T2:  G+ pros: The ability to combine shared video, whiteboard and record the session #cmechat

MedPedsDoctor               I find it odd that sometimes the cost of linking in to a feed at a big mtg is MORE $$ than airfare, hotel & registration #cmechat

BrianSMcGowan              @theCMEguy - what are the elements of G+ that seem to work? what falls short and needs to be improved? #cmechat

DavidPaulNoble                T2 live face-to-face is time consuming, requires attendance at specific times. Interaction through SoME better at time of choice? #CMEChat

BrianSMcGowan              #sarcasm RT @DavidPaulNoble: @theCMEguy T1- surely it's # of participants that complete ? #CMEchat

theCMEguy        T2: I think G+ Hangouts is an excellent forum for this. I've seen it used little, but like what I've seen... #cmechat

BrianSMcGowan              T2 - sounds like the greatest benefit of IRL mtg is engaging with faculty, peers, AND content...surely this can be done virtually. #CMEchat

YogAlicia3            RT T2 Given new technologies, are there ways to drawn on these live, face-2-face value elements but leverage online formats? #CMEchat

DavidPaulNoble                @theCMEguy T1- surely it's # of participants that complete ? #CMEchat

BrianSMcGowan              nice point. RT @MedPedsDoctor: The learner has to choose to engage.  Some are there for the wrong reasons.   #cmechat

YogAlicia3            @BrianSMcGowan Why? Was right. ;) #cmechat

BrianSMcGowan              @theCMEguy - I am certainly in agreement with that!  #CMEchat

MedPedsDoctor               @BrianSMcGowan The learner has to choose to engage.  Some are there for the wrong reasons.   #cmechat

DavidPaulNoble                @BrianSMcGowan  Why do we need meetings to interact with faculty when we have SoME? #CMEChat

BrianSMcGowan              @YogAlicia3 - stop guessing ;-) #cmechat

CMEChat             T2 Given new technologies, are there ways to drawn on these live, face-2-face value elements but leverage online formats? #CMEchat

theCMEguy        T1: So are we saying # of participants should not be end goal of live meeting. Number may depend on desired result? #cmechat

BrianSMcGowan              @MedPedsDoctor - you would hope...but can learners engage in a room of 1000? or is it more akin to print-based education? #cmechat

BrianSMcGowan              t1 - in the end I am not sure 'live IRL meetings' is all that narrow of a category considering 1000 vs 10 is very different room. #CMEchat

MedPedsDoctor               Educational goals of meeting sizes of 1000, 100, 10 are all different.  sometimes, just gotta get the info to lots of folks.  #cmechat

YogAlicia3            @BrianSMcGowan Does next topic ask how to translate to virtual learning? Is challenge... #cmechat

DavidPaulNoble                Not specific to CME but my former employer looks a health engagement across audience types, worth a read t.co/4LEBd3qT #CMEChat

YogAlicia3            @BrianSMcGowan Often IRL perspective comes more from peers than 'experts'/teachers -> may be undervalued #cmechat

timclynch             T1: Creating a environment where participants can distill forest (academic trial data) into better ways to treat their trees. #cmechat

BrianSMcGowan              t1 - new thought: room of 1000 = audience. room of 100 = learners. room of 10 = participants. benefits differ b/w environments...#CMEchat

MedPedsDoctor               Look at the way @AAIM_Meetings sets theirs up.  Lots of "everything".  Big "didactic", small groups, workshops, #thewholenineyards #cmechat

YogAlicia3            My educator heart swelled @briansmcgowan RT @YogAlicia3: T1 #cmechat Kgarten: teacher instructed students to ask peers for help b4 adults.

dpguinee             Hello again...long time, no #cmechat. Not going to miss another.

BrianSMcGowan              T1- IRL meetings allow learners to ask question of the faculty or the other learners...equally importance? #CMEchat

ChargeAheadMktg          RT @timclynch: T1: Why on most 'Live' agendas is the peer-peer interaction relegated to break times? #cmechat

theCMEguy        Good point. need to build it inRT @timclynch: T1: Why on most 'Live' agendas is the peer-peer interaction relegated to break times? #cmechat

MedPedsDoctor               A meeting without breakout sessions or small groups is missing opportunity to connect/engage #cmechat

ChargeAheadMktg          T1: interaction w/ peers that enhances & augments didactic content #cmechat

BrianSMcGowan              interact...share...critique...take ownership (ask personal questions...) RT @YogAlicia3: Define 'engage'? #cmechat

MedPedsDoctor               T1. Connection to other like-minded individuals, ability to ask ?s right away, and get responses right away. #cmechat

YogAlicia3            @BrianSMcGowan Define 'engage'? #cmechat

theCMEguy        @BrianSMcGowan depends on structure of meeting - are there breakout sessions, small groups, etc #CMEchat

BrianSMcGowan              #TOTD? RT @YogAlicia3: T1 #cmechat Observing kindergarten: teacher instructed students to check w/ peers for help 1st b4 asking adults.

timclynch             T1: Why on most 'Live' agendas is the peer-peer interaction relegated to break times? #cmechat

BrianSMcGowan              T1 - the ability to ask questoin, to understand nuances that could only be sense IRL (in real life) #CMEchat

YogAlicia3            T1 #cmechat Observing kindergarten class yesterday, teacher instructed students to check with peers for help first before asking adults.

BrianSMcGowan              T1 - i think most obviously is the ability to engage...but not sure that happens at all (or most) live CME activities...#CMEchat

YogAlicia3            T1 #cmechat Is this a quiz? Peer-to-peer exchange (often informal) is incredibly valuable in live education.

MedPedsDoctor               renee_berry I like that RT! #cmechat

YogAlicia3            T1 According to adult learning theory (& practice), what are the most valuable elements of live, face-2-face, medical education? #CMEchat

theCMEguy        And in basketball it's lousy ;-) RT @MedPedsDoctor: @theCMEguy in baseball, .333 is actually pretty good for batting average. #cmechat

CMEChat             T1 According to adult learning theory (& practice), what are the most valuable elements of live, face-2-face, medical education? #CMEchat

renee_berry      RT @DrJenGunter: RT @MedPedsDoctor: Twitter & Tweeting at Medical Conferences: t.co/xPXxvzL5  #meded #cmechat

BrianSMcGowan              Hall of famer! RT @MedPedsDoctor: @theCMEguy in baseball, .333 is actually pretty good for batting average. #cmechat

YogAlicia3            @BrianSMcGowan I bet you say that to all the Twitter chats... #cmechat

timclynch             Tim here from cold but sunny CT, ready for the warmth of virtual/distance CME #cmechat

BrianSMcGowan              This week is all about learning in virtual environments, virtual congresses, & distance learning #CMEchat [the good and the bad...]

MedPedsDoctor               @theCMEguy in baseball, .333 is actually pretty good for batting average. #cmechat

MedPedsDoctor               Alex Djuricich, physician & medical educator in CME and GME in Indy, IN.  Enjoy technology to improve education, not in place of #cmechat

renee_berry      RT @BrianSMcGowan: 5 mins until #CMEchat discussing virtual environments, virtual congresses, & distance learning. i apologize for the high TPM ;-)

BrianSMcGowan              (BTW, I have had some great calls in the past few days with #HCSM peeps...loving the community) but my heart belongs to #CMEchat...

theCMEguy        1 out of 3; not bad...RT @BrianSMcGowan: Heloo heelo hello! to those on #CMEchat Brian here just outside of philadelphia...

YogAlicia3            #cmechat Alicia - pharmacist by training, educator at heart...lots of places and ways.  Still no snow in Rochester, NY. :(

BrianSMcGowan              Beauty of virtual learning...RT @theCMEguy: Derek in Exton, PA. Might have to do a bit of popping in and out today. #cmechat

ChargeAheadMktg          Glenn, marketing pro in Milford, CT. here for 30 min or so today. also lover of virtual events & distance learning. #cmechat

BrianSMcGowan              Heloo heelo hello! to those on #CMEchat Brian here just outside of philadelphia...

theCMEguy        Derek in Exton, PA. Might have to do a bit of popping in and out today. #cmechat

CMEChat             As with each #CMEchat the archive will be available archived on www.CMEadvocate.com

CMEChat             As with each #CMEchat we will guide the convo with 3 or 4 topics, but the real learning and teaching lies in your tweets - please engage.

CMEChat             Rule 7. A few mins before the end of #CMEchat, reintroduce yourself. Links, requests & shameless plugs welcome, too - #makingfriends

ChargeAheadMktg          RT @LynchInsights: t.co/7HMi6CMw @ChargeAheadMktg #cmechat

CMEChat             Rule 6. On #CMEchat we aim to play nice. Sarcasm & irony welcome though. Really. Seriously. #laughingislearning

CMEChat             Rule 5. Periodically RT questions so those outside #CMEchat know what you’re talking about & so they can chime in too

CMEChat             Rule 4. Please remember to use the #CMEchat hashtag so all of the #CMEchat participants can follow the #CMEchat discussion!!!!

CMEChat             Rule 3. When writing, complete thoughts help followers outside chat learn from you. #CMEchat

CMEChat             Rule 2. [try to] stay on the #CMEchat topic. A new question will be asked every 12 min or so. If you can, include T# in related responses.

CMEChat             Rules for #CMEchat: 1. Introduce yourself. Location? Focus? Fave topics? What brings you here today?

CMEChat             Welcome to #CMEchat. All discussions herein are assumed to be personal opinion & not that of current, past, or future employers.

BrianSMcGowan              5 mins until #CMEchat discussing virtual environments, virtual congresses, & distance learning. i apologize for the high TPM ;-)

YogAlicia3            Looking forward to joining...virtually, of course.  @BrianSMcGowan #cmechat

BrianSMcGowan              #CMEchat today is all about learning in virtual environments, virtual congresses, & distance learning. Join us in 75 minutes!!!!

 

What did you think of this article?




Trackbacks
  • No trackbacks exist for this post.
Comments
  • No comments exist for this post.
Leave a comment

Submitted comments are subject to moderation before being displayed.

 Enter the above security code (required)

 Name (required)

 Email (will not be published) (required)

 Website

Your comment is 0 characters limited to 3000 characters.