NOVEMBER 15-30, 2007
VOLUME 4 NO. 19
PRACTICE MANAGEMENT


How to avoid "death by Powerpoint"

Fight back against slideshow-induced
catatonia in three steps


The only thing worse than having to sit through yet another awful medical conference Powerpoint presentation is knowing that the next presentation you attend will be no better. In fact, it may very well be much worse: you could be the one at the podium committing the crime. They call it "death by Powerpoint."

When used inexpertly, Powerpoint - that omnipresent slideshow software program - can rob your presentation of any value it may otherwise have. It's a common problem you've almost surely encountered before: just set the slides in motion and within moments your audience's eyes glaze over.

What's the solution? Just follow the three maxims of Dave Paradi, who runs the Toronto presentation consulting firm Think Outside The Slide: 1) prepare, 2) target and 3) jettison your notes.

PREPARE TO PRESENT
"Set aside time to properly structure and prepare your presentation," says Mr Paradi. "That is the number one thing." That may sound obvious, but it's not as easy as you think.

Make sure the text is in a font large enough for the guy in the back row to read. Next, make sure what you've put together — words, charts, images — actually makes sense. Also, don't get carried away with the bells and whistles that come with the software — the pretentious fades and wipes you can use to cut from one slide to the next. They're distracting and annoy a surprising number of people.

This, too, may all sound obvious but regular conference attendee Dr Kishore Visvanathan, a Saskatoon urologist, can't count the number of times he's heard a presenter say, "Sorry about this slide." He calls it the Powerpoint Phrase of Doom.

A couple months back, after a Grand Rounds presentation marred by a nightmarish Powerpoint presentation, Dr Visvanathan sat down and deconstructed the Phrase of Doom on his blog. Here's what he thinks the poor presenters are telling their audience: 'I understand the principles of appropriate construction of audiovisual aids. I realize that this slide does not satisfy those principles. I couldn't be bothered to redesign this slide to make it more valuable to you, my audience.'

Your preparatory work should take Dr Visvanathan's complaint into account so you don't find yourself uttering the Phrase of Doom.

TARGET THE TALK
Consider who your audience is before you copy-paste your latest study's regression diagnostics calculations, for instance. "Sometimes [doctors] know so much that they think everybody else wants to know all of it," Mr Paradi says. "Sometimes it's hard for them to step back, especially when speaking to colleagues, to think that maybe they don't have the same background and interests that I do."

Photos, graphics and cartoons can really benefit a presentation if they illustrate one of your points. But don't go overboard and try to show off your sparkling sense of humour. "A funny cartoon can be great if it specifically relates to the topic under discussion," says Dr Visvanathan, "but if it's just 'This is my kitty. Isn't she cute?' then that's annoying."

JETTISON YOUR NOTES
The idea behind a presentation is not only to talk at the audience, but to initiate a dialogue with them.

According to surveys of slideshow audiences, reading out loud the same text that's on your slides is the worst thing you can possibly do. Much better to display a diagram, chart or image alongside a couple of key points and then explain them.

That advice is supported by years of research: recent studies say optimal learning occurs when different but complementary information is processed by your eyes and your ears at the same time. That conclusion is supported by cognitive-load theory, developed by Australian professor John Sweller, PhD. "The problem is the technology encourages a particular type of presentation in which people put walls of text and then present more or less the same information orally. The result is an overload of working memory," Dr Sweller told NRM by email. "But in the first place, consider why text is being put up in a 'talk.' Why not talk instead?"

 

 

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