title: Beyond the electronic textbook model: software techniques to make on-line educational content dynamic.
abstract: OBJECTIVE
  We describe a working software technology that enables educators to incorporate their expertise and teaching style into highly interactive and Socratic educational material for distribution on the world wide web.
  
  
  METHODS
  A graphically oriented interactive authoring system was developed to enable the computer novice to create and store within a database his or her domain expertise in the form of electronic knowledge. The authoring system supports and facilitates the input and integration of several types of content, including free-form, stylized text, miniature and full-sized images, audio, and interactive questions with immediate feedback. The system enables the choreography and sequencing of these entities for display within a web page as well as the sequencing of entire web pages within a case-based or thematic presentation. Images or segments of text can be hyperlinked with point-and-click to other entities such as adjunctive web pages, audio, or other images, cases, or electronic chapters. Miniature (thumbnail) images are automatically linked to their full-sized counterparts. The authoring system contains a graphically oriented word processor, an image editor, and capabilities to automatically invoke and use external image-editing software such as Photoshop. The system works in both local area network (LAN) and internet-centric environments. An internal metalanguage (invisible to the author but stored with the content) was invented to represent the choreographic directives that specify the interactive delivery of the content on the world wide web. A database schema was developed to objectify and store both this electronic knowledge and its associated choreographic metalanguage. A database engine was combined with page-rendering algorithms in order to retrieve content from the database and deliver it on the web in a Socratic style, assess the recipient's current fund of knowledge, and provide immediate feedback, thus stimulating in-person interaction with a human expert.
  
  
  RESULTS
  This technology enables the educator to choreograph a stylized, interactive delivery of his or her message using multimedia components assembled in virtually any order, spanning any number of web pages for a given case or theme. An educator can thus exercise precise influence on specific learning objectives, embody his or her personal teaching style within the content, and ultimately enhance its educational impact.
  
  
  CONCLUSIONS
  The described technology amplifies the efforts of the educator and provides a more dynamic and enriching learning environment for web-based education.
authors.affiliation: Department of Radiology, Massachusetts General Hospital, Boston 02114, USA. frank.mark@mgh.harvard.edu
authors.forename: M S
authors.initials: MS
authors.lastname: Frank
authors.forename: K
authors.initials: K
authors.lastname: Dreyer
mesh_terms: D003194:Computer-Assisted Instruction; D006801:Humans; D011871:Radiology / Q000193:education*; D012984:Software; D014584:User-Computer Interface