The table below outlines the general phased process for conducting live events, though activities will vary depending on the particular requirements of each event.

Phase	Primary Owner	Activity
1. Project Initiation	DME & Course directors	Define course goals, scope, and expectations. Review process, milestones, and deliverables.
2. Event Preparation	DME & Presenters	Speaker orientation DE reviews presentation slides for PHI and copyrighted images Image research & revisions Pre-record & edit content (if applicable) Technical Rehearsals
3. Event	Course directors	Session presentations, workshops, etc.
4. Post-event	DME	Post session videos, if applicable Run attendance report

Enduring materials may be produced as an extension of live virtual or face-face conferences, or they may be designed and developed from inception as an online-only course. The process for developing on-demand enduring courses has five main phases.

Phase		Activity
1. Project Initiation		Project is reviewed and assessed for marketability and copyright liability (see copyright section).
2. Pre-production		Speaker orientation Image copyright review Slide Formatting Citation Formatting Image research & revisions Reference review, research and revision
3. Production		Record & Edit presentation.
4. Course Build		Transcribe presentation audio Proofread transcription  Create course shell Upload course content
5. Quality Assurance & Release		Editorial Review and Approval Technical Review.

Dependencies

Online course development places demands on authors/speakers that in-person courses do not. The dependencies that impact our ability to publish an online course on time and within budget include:

• Ownership, rights or permissions for commercial publication of images used in the presentation
• Ability of author to meet deadlines for content deliverables (see below)
• Author availability for recording and content reviews
• Author Responsiveness to queries

Speaker Deliverables

• Course description & Objectives
• Presentation slides
• Citations
• Assessment questions
• Responses to image rights questionnaire

Timelines

Project timelines for online courses vary widely with the dependencies described above. Assuming no significant delays due to those dependencies, the time frame for single 30-60 minute didactic presentation is 10 weeks.

What is Copyright?

Copyrigh is a form of intellectual property law that protects original works of authorship, including literary, dramatic, musical, and artistic works, such as poetry, novels, movies, songs, computer software, and architecture.

Copyright gives the originator of such work the exclusive legal right to print, publish, perform, film, or record literary, artistic, or musical material, for a fixed number of years.
The copyright holder can assign the copyright to another person or organization.
Copyright does not protect facts, ideas, systems, or methods of operation, although it may protect the way these things are expressed.
A Work is under copyright protection the moment it is created and fixed in a tangible form.

How Does Copyright Apply to my Presentation?

Most speakers include images in their presentations. Images may include photos of clinical conditions, diagnostic images (e.g., scan, scopes, sonograms), charts, graphs, tables, etc. Copyrighted images used in presentations published on OPENPediatrics require

• Ownership, license, public domain, or permission to use the image for commercial purposes
• Removal of Protected Health Information
• Consent from anyone who can be identified in a photo (or the parent/guardian of minors).
  NOTE: consent is not required for anyone who has been de-identified, e.g., by blurring or blacking out eyes.

Access does NOT equal permission!

Just because images are freely available online doesn’t mean they are not copyrighted.

CME on OPENPediatrics does NOT qualify for Fair Use due to the fact that it is a commercial product distributed to an external audience.

Images incorporated in a presentation that is published online for a fee may – or may not – be subject to copyright. There are several considerations for determining whether or not an image is subject to copyright, as illustrated by this decision tree.

Background

 Just because materials are freely available online doesn’t mean they are not copyrighted! Use of creative work owned by others in enduring online commercial products puts OPENPediatrics and Boston Children’s Hospital at risk for copyright infringement.

 Policy

OPENPediatrics requires the following for display of any visual content such as tables, charts, graphs, photos, scans, illustrations, etc. on our site:

1. Rights, license, or permission to use the work for commercial purposes, (see usable images below).
2. Removal of Protected Health Information from diagnostic images (scans, sonograms, etc.)
3. Consent from anyone who can be identified in a photo (or the parent/guardian of minors). NOTE: consent is not required for anyone who has been de-identified, e.g., by blurring or blacking out eyes.
4. Source information for the work in question, including URL (if applicable) and author/owner (if known).

 Conditions under which copyrighted images may be used

• You created and own the image
• BCH owns the image – e.g., you or a BCH colleague created/ a BCH colleague in the course of clinical activity
• Explicit permission to use in commercial products has been granted through
  • paid license
  • Creative Commons or other license.
• The image is in the public domain
  • some works created by the government
  • works published in the US prior to 1923, and maybe after, depending on publication details

Images that are NOT subject to copyright

• Diagnostic imagery (output from monitors, radiological images, sonograms, scopes etc.)
  • PHI must be removed.
• Representations of plain data that has not been creatively enhanced.
  • Plain bar charts, pie charts, scatter plots and other presentations of data may be OK to include, but we will need source information to make this determination and cite appropriately.

 Permissions Process

A structured process is necessary to ensure we adhere to copyright guidelines, and reduce project timelines. For any material that you did not create or photograph yourself (“third-party content”), or do not have license or permission to publish online for commercial purposes:

If…	…Then
The images is NOT essential for communicating presentation content (e.g. decorative images, comics)	Remove image from presentation.
Images is essential to the substance of your presentation	Try and obtain permission for use from copyright holder, or Work with OP to create an substitute image Note: these are resource intensive processes.

How to Find Open Access/ Creative Commons materials

Google Search:

• Select Images under the search bar to limit your search to images.
• Then click “Tools,”>”Usage Rights”>”labeled for reuse”.
• Be sure to save the URL of each item.

Creative Commons search: https://search.creativecommons.org/. Be sure to save the URL of each item.

OPENi (Open Access Biomedical Image Search Engine): https://openi.nlm.nih.gov/

Hardin MD Public Domain Medical Gallery:

https://web.archive.org/web/20170101212837/http://hardinmd.lib.uiowa.edu/gallery2public.html

History of Medicine http://ihm.nlm.nih.gov/luna/servlet/view/all

CDC Public Health Image Library (PHIL) http://phil.cdc.gov/Phil/home.asp

MedPix (searchable online open access medical image database): https://medpix.nlm.nih.gov/