Academic Medicine Open Forum

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  • 1.  Masks and Lip Reading

    Posted 07-17-2020 03:44:00 PM

    Interesting question for all of you:

     

    I don't have specific details, but here is the scenario:

     

    A student that has a hearing impairment is in the clinical portion of their education and is assigned to an outside, private practice.  They typically rely upon lip reading to interact with people in this type of setting.  However, given the need for masking and distancing this is not a readily available technique to rely upon.

     

    What are/would you do if you had a student in a similar situation? 

    • Provide a supply of masks with a clear window for patients they interact with to allow lipreading
    • Provide a supply of face shields
    • Utilize a live transcription service (via iPad or other device)
    • Other ideas??

     

    Thanks so much!

    Randy



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    Randy Graff, PHD
    Director, EdTech
    University of Florida, Health
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  • 2.  RE: Masks and Lip Reading
    Best Answer

    Posted 07-20-2020 12:14:00 PM
    Use your mobile phone, the Microsoft Translator app, and set the language for both sides of the conversation to English.  It splits the screen in half and gives a mic button to both participants in the conversation.


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    Patrick Crispen
    Director of Educational Technologies
    Keck School of Medicine of USC
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  • 3.  RE: Masks and Lip Reading

    Posted 07-21-2020 10:43:00 AM
    The app is cool, but it requires the other person to touch your phone and be closer than 6 feet apart so it may not be appropriate for all encounters.  (But the ability to translate into Klingon is a nice feature . . .)  Face shields may be better?

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    Judith Rowen
    Associate Dean for Academic Affairs
    Carle Illinois College of Medicine
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  • 4.  RE: Masks and Lip Reading

    Posted 07-21-2020 12:25:00 PM
    Judith,

    I am certainly not an epidemiologist (but I did ace the MoCA, so I have that going for me), so take this with a HUGE grain of salt, but (anecdotal) evidence suggests that face shields may not provide the hoped for level of protection.  See https://www.thelocal.ch/20200715/only-those-with-plastic-visors-were-infected-swiss-government-warns-against-face-shields/

    In addition, the CDC has publicly claimed that "It is not known if face shields provide any benefit as source control to protect others from the spray of respiratory particles. CDC does not recommend the use of face shields for normal everyday activities or as a substitute for cloth face coverings. Some people may choose to use a face shield when sustained close contact with other people is expected. If face shields are used without a mask, they should wrap around the sides of the wearer's face and extend to below the chin. Disposable face shields should only be worn for a single use. Reusable face shields should be cleaned and disinfected after each use."  Source: https://www.nj.com/coronavirus/2020/07/coronavirus-question-is-a-face-shield-an-acceptable-substitute-for-a-mask.html

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    Patrick Crispen
    Director of Educational Technologies
    Keck School of Medicine of USC
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  • 5.  RE: Masks and Lip Reading

    Posted 07-27-2020 08:17:00 AM
    Thanks Judith!  I've passed the face shield recommendation along.  
    Randy

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    Randy Graff
    Director, EdTech
    University of Florida, Health
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  • 6.  RE: Masks and Lip Reading

    Posted 07-27-2020 08:16:00 AM
    Thanks Patrick - sent this on to the group asking the question.  
    Randy

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    Randy Graff
    Director, EdTech
    University of Florida, Health
    ------------------------------