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May 2006
Volume 70
Number 5

Podcasting: Information How, When and Where You Want It

Gareth S. Kantor, M.B., Ch.B.
Committee on Electronic Media and Information Technology


ommuting to the hospital yesterday, my car radio played National Public Radio’s “Story of the Day,” a discussion by the Society of Critical Care Medicine on abdominal compartment syndrome, and finally, the amusing, satirical Onion Radio News. Today I listened to an interview with Princeton economist Uwe Reinhart about the American health system, then “Dorktones,” a selection of music from the 1960s assembled by a Dutch disc jockey. What may surprise you is that the hospital is in Cape Town, South Africa, yet I tune in each day to an eclectic mix of free, up-to-date professional and entertainment programming from the United States and elsewhere. How? A broadband Internet connection at home, lots of podcasts downloaded to my iPod, and a small plug-in gadget (iTrip) that transmits the podcasts from the iPod to my car’s F.M. radio receiver.

Podcasting is a convenient new way to get information and entertainment when, where and how you want it. It blends trendy but relatively inexpensive portable technology with the remarkable distribution power of the Internet. In 2005 the Oxford American English Dictionary proclaimed "podcasting" its “Word of the Year.”

What Is Podcasting?

Podcasting has spawned a host of new and sometimes confusing technical terms [Table 1]. The word is an amalgam of “iPod,” (the enormously successful Apple media player) and “broadcasting.” You do not need an Apple iPod, though — other players (or even your personal computer) will do.

Table 1: The Jargon of Podcasting2
Aggregator — Software that retrieves syndicated Web content that is supplied in the form of a Web feed.

Episode — An individual file, such as an MP3 audio or MP4 video file, that is posted on a Webserver and available for podcasting.

Feed — A specially formatted document with content items with Web links to longer versions of those items.
Podcast — A Web feed of audio or video files placed on the Internet for subscribers.

Podcatcher — A form of aggregator software that automatically downloads podcasts and can also transfer received files to a portable media player.

RSS, Atom — Forms of Web syndication used by news Web sites, Weblogs and podcasters.

Syndication — Methods for making a portion of a Web site available to other sites or individual subscribers.

Vodcast — Emerging term for the online delivery of “video on demand” (also: vidcast, video podcast, vcast)

Podcasting became popular with the introduction of RSS,1 software that enables syndication. In traditional media, individual newspapers or magazines syndicate their content by allowing the repeat publication of their material in other newspapers or magazines. Similarly RSS enables content from a Web site to be syndicated to other sites or individual subscribers. When RSS was combined with audio and video content on the Internet, podcasting was born.

A podcast is analogous to a recorded television or radio program or series. Subscribing to podcasts allows you to collect these “programs” from a variety of sources for listening or viewing offline at whatever time and place is convenient. The information provider, or podcaster, chooses which program files to offer, and you, the subscriber, choose among them based on your interests and preferences. You save the podcast to a device, e.g., an iPod, and play when desired.

How Does Podcasting Work?
The podcaster makes a file (e.g., an MP3 audio or MP4 video file) available on the Internet by posting that file on a Webserver. This file is often referred to as an episode of a podcast.

The podcaster acknowledges the existence of that file by referencing it in another file known as the feed. The feed is a computer-readable list of the Internet addresses from which episodes of the show may be accessed. In RSS format, this list provides publication dates, titles and text descriptions of the series and each of its episodes.

A user enters the feed’s Internet address into a software program called a podcatcher or aggregator. This program retrieves and processes data from the feed. It determines the location of the most recent episode and automatically downloads it to the user’s computer. Some podcatchers, such as iTunes, also automatically make the newly downloaded episodes available to a user’s portable media player.

The downloaded episodes can then be played, replayed or archived.

What Podcasts Are Available?

Podcasting has been used to communicate from space, to deliver political messages and to spread the word of God. Many thousands of podcasts exist on all imaginable topics, and many are free. The number of medical podcasts will grow quickly [Tables 2, 3]; before long, expect most major providers of medical education content to offer them. At the time of this writing, there are few podcasts specific to anesthesiology, but ASA is deciding what it should offer in this format and how to price it. This might someday include the annual ASA Refresher Course Lectures.

Table 2: Selected Nonmedical Podcasts
National Public Radio — Many popular podcasts. <www.npr.org/rss/podcast/podcast_directory.php>.

Nature — Highlights from news and articles published in Nature. <www.nature.com/nature/podcast/index.html>.

Science — Podcasts built around stories in the journal Science and on its sister sites. <www.sciencemag.org/about/podcast.dtl>.

This Week in Tech — Entertaining discussion about the latest trends in technology. <http://thisweekintech.com>.
Table 3: Selected Medical Podcasts3
American College of Cardiology — Discussion between leading experts in cardiology. <http://conversations.acc.org>

Audio-Digest — Selected programs twice per month with CME/CE credit. <www.audio-digest.org>

Health Edge (Cleveland Clinic) — Video podcasts of latest medical news. <http://www.clevelandclinic.org/healthedge>

McGraw-Hill’s Access Medicine — Harrison’s Grand Rounds, lectures and updates. <http://books.mcgraw-hill.com/podcast/acm>

Medical Edge Radio (Mayo Clinic) — Daily 60-second health segment covering medical breakthroughs and health information. <http://phobos.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?id=80950641>

New England Journal of Medicine
— Interviews with authors from the weekly general medical journal. <http://content.nejm.org/misc/podcast.shtml>

New York Times Health Update — Health columnist and science reporter discuss latest health news. <www.nytimes.com/services/xml/rss/nyt/podcasts/healthupdate.xml>

Society of Critical Care Medicine — Summaries from Critical Care Medicine and Pediatric Critical Care Medicine plus interviews. <www.sccm.org/publications/syndication/>

SoundPractice.Net — Produced by the Journal of Medical Practice Management. <http://soundpractice.net>

University of California TV Disaster Preparedness — Vodcasts from the California Preparedness Education Network (Cal-PEN) and UC-Davis. <www.uctv.tv/podcasts>

University of Virginia: Medicine & Society in Conversation — Topics in ethics, law, culture, public policy, religion, science research & arts as they relate to health. <www.healthsystem.virginia.edu/internet/him/currentmch.cfm>

How Do I Get a Podcast?

• Get a device that can play audio files. These are sometimes known generically as MP3 players, after the most common audio file format. The newest can play video, too. Most popular are the Apple iPod family of devices; alternatives are available from Creative, Dell, Phillips and others.

• Obtain podcatcher software to download new content automatically and organize the podcasts. Apple’s iTunes and Juice are both free downloads [Table 4]. iTunes is available for Mac or PC, but you must have an iPod. Juice can run on Mac or PC and with any MP3 player.

• Use a broadband Internet connection (e.g., cable modem or DSL) because the files are large.

• Subscribe to the program of your choice by manually entering the Internet address of a feed into your podcatcher or by clicking a feed link in a Web browser.

• Set your podcatcher software to transfer the podcast into your media player.

How Do I Create My Own Podcast?
Traditional broadcasting requires significant resources. Like the Internet itself, podcasting radically lowers those requirements, enabling a kind of “homebrewed” approach to the creation of radio. With a broadband Internet connection, basic equipment and inexpensive or even free software [Table 4], you can put out your own talk show, read segments of your new book online or record and distribute lectures for your students.

Table 4: Selected Podcasting Resources

Audacity — Software for recording audio or video files and podcasts (free). <audacity.sourceforge.net>

Feedburner.com — Automates creation/updating of podcast feeds (free). <www.feedburner.com>

iTrip — F.M. transmitters connect your iPod wirelessly to any F.M. radio. <www.griffintechnology.com/products/itrip>

iTunes, iLife — Apple’s software for playing, recording and organizing audio and video files and podcasts; iTunes interfaces to the iPod. <www.apple.com/itunes>

Juice — Podcatcher software supporting multiple media players (free). <juicereceiver.sourceforge.net/index.php>

Odeo.com — Unique web-based podcatcher records podcasts (free). <www.odeo.com>

Podcast Alley — Podcast portal, software, forum and podcasting information. <www.podcastalley.com>

What’s Next?
Podcasting is revolutionizing radio. TV is probably next. These new technologies enable small organizations, and even individuals, to become broadcasters. They offer consumers a highly customized and personalized listening and viewing experience.

In health care, podcasting creates interesting new possibilities for media production and distribution by and for providers, educators, publishers and patients all over the world. The key, as always, will be the quality of the programming offered. Many will embrace podcasting for education and entertainment. The only real limiting factor will be the size of the appetite for new information and the number of hours in the day.

Editor’s Note: iPod, iLife and iTunes are trademarks or registered trademarks of Apple Computer, Inc. iTrip is a registered trademark of Griffin Technologies. The mention of certain brand-name products is not intended to be construed as an endorsement by ASA and is essentially the personal preference of the author.

References:
1. An abbreviation referring to various standards, including Really Simple Syndication, Rich Site Summary, and RDF Site Summary.
2. Definitions adapted from Wikipedia <www.wikipedia.org>.
3. A list of medical podcasts is available at <http://kraftylibrarian.blogspot.com>.





    Gareth S. Kantor, M.B., Ch.B., is Assistant Professor, University Hospitals of Cleveland, Case Western Reserve University, Cleveland, Ohio, and Consultant Anaesthetist, Groote Schuur Hospital, Cape Town, South Africa.


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