BACKGROUND AND PURPOSEMultimedia innovations including audio and video instructions are used in physical therapy education.1 Classroom technology in physical therapist (PT) educational programs has included multimedia use of CD ROM, student response systems, web 2.0 applications, and flipped class applications in PT educational programs.2'5 In addition, educational leaders in physical therapy emphasize the importance of delivering multimedia innovations into the modern classroom to effectively engage millennial learners.6,7 However, multimedia innovations come with inherent barriers and costs.5 Faculty in PT educational programs are challenged by lack of resources and time necessary to implement multimedia innovations in the classroom.8 Faculty may also be uncomfortable with new multimedia innovations and perceive its usage in the classroom as more disruptive than beneficial for learners. Most importantly, despite growing up with expansive technology, some student learners are not comfortable with use of new multimedia innovations in the classroom.5,9 Beyond the actual costs associated with physical hardware, software, and equipment, new multimedia innovations may require administrative fees and/or institutional licenses for users.5 One strategy to alleviate the potential costs and implementation barriers is to use free online media player 3 (mp3) media in order to reinforce classroom learning.Online mp3 media are audio files downloaded from the Internet ideally available to the general public for free and used in physical therapy.10 To date, online mp3 media to promote learning in PT education, including medical screening for patient referral content, have not been described.The literature provides examples of teaching strategies related to differential diagnosis and medical screening for patient referral in PT educational programs. Various educational programs have incorporated case vignettes and student/faculty role-playing to enhance classroom activities.11,12 These teaching methods improved students' written exam outcomes and student self-confidence in skills necessary for initiating a medical referral to a physician.11 Furthermore, learning experiences including actual callers with aches, pains, sprains, and strains may be advantageous to reinforce student medical screening for patient referral abilities in a written assignment. Jette et al,13 using a survey made up of 12 hypothetical case scenarios, noted that PTs with orthopedic specialty are better at making appropriate decisions for medical referrals. In fact, PTs with an orthopedic specialization were almost twice as likely to make correct decisions for critical medical and musculoskeletal conditions compared to PTs without orthopedic specialty. In a followup study using the same hypothetical case vignettes, PT students in their final year of curriculum demonstrated lower abilities to make the correct decisions regarding medical referral compared to practicing PTs with orthopedic specialization.12 This suggests that the experience gained from clinical practice is an important aspect of the reasoning process. For example, except orthopedists, PTs in the uniformed services demonstrated higher scores than medical students, physician interns, residents, active duty military physicians and specialists in management of musculoskeletal conditions.14 Physical therapists have been shown to have the requisite knowledge to provide direct access for patients with musculoskeletal conditions in the military and cost-effective care in orthopedic outpatient departments in the United Kingdom.14,15 In light of this evidence, it could be advantageous to connect PT students with experienced PTs in a "real world setting" to reinforce medical screening abilities and to aid in the reasoning process. The use of multimedia innovations, including online mp3 media, may provide this opportunity in the classroom. The purpose of this case report is to describe educational multimedia innovations used in the "Medical Screening for Patient Referral" course at the Mount Saint Mary's University (MSMU), Los Argeles Doctor of Physical Therapy (DPT) program. …