INTRODUCTION The Way We Were . . . A lot has changed over the years since I was a student in physical therapy school, as I began my clinical practice, and since I entered academia. As students, we walked to class (when living in the dorm on campus), attended face-to-face classes, took notes based on the statements made by the sage on the stage, read textbooks, and viewed slides projected on the screen (or wall!). We studied in groups in dorms or in the library or Student Union Building (SUB), and researched for hours in the stacks in the library- using a card catalog to find books. We took tests that were copied on mimeographed paper (and left purple ink on our hands). We registered for classes by going to tables setup in a gymnasium, standing in lines to wait our turn, and paid by check at the last table. A lot has changed over the years since I began my clinical practice. As a young clinician, I wore the dress code of my facility: brown pants and a white zippered top with the American Physical Therapy Association (APTA) patch on the sleeve (as a student, I also wore a university pin on my lapel); scrubs were only worn by MDs in surgery. I wrote assessments and progress notes by hand. I communicated with other health care providers by mailed letters and a desk phone. I expanded my knowledge and clinical expertise by watching colleagues and attending continuing education courses. Word-of-mouth and personal testimonies of works were all the proof we needed to change our interventions and techniques. A lot has changed over the years since I entered academia. As a new faculty member, I taught exclusively face-to-face in classrooms, asked questions of individual students in class, posted grades by students' social security number outside my office door to maintain confidentiality. I purchased VHS tapes to show in labs so that students could see a movement pattern or a child with a particular medical condition. I had slides made from pictures in textbooks. I made transparencies for overhead projectors and saved them in a paper file folder so I didn't have to recreate them in future classes. I expected students to attend my class and take notes; classroom interruptions were limited to fire drills or small discussions that might occur among students. I wrote lecture outlines and exams in longhand and gave them to a departmental administrative support person (secretary) to be typed. I did not have a computer in my office to serve as a word processor; none of the faculty did. Do I want to go back to those times? No. So many things have changed and for the most part, they are advances, but life was a bit simpler then, it seems. I want to spend some time looking at some of the changes in the technology used in health care education and how these changes impact our teaching and mentoring of students/clinicians and our patient education, and review what the literature has revealed to us about those technological changes. It seems our vocabulary has changed dramatically since those days: Laptops? Podcasts? Blogs? (Figure). Certainly, students have changed. Today's students are no longer the people that our education system was designed to teach. Another way to think of this might be to sort ourselves into or Immigrants, terms coined by Marc Prensky about 10 years ago.1 Digital Natives, Digital Immigrants Digital Natives are today's students, K through college, which represent the first generations to grow up with these new technologies. They have spent their entire lives surrounded by and using computers, videogames, digital music players, video cams, cell phones, and all the other toys and tools of the digital age. Our students today are all native speakers of the digital language of computers, video games, and the Internet. Digital Natives are used to receiving information really fast. They like to parallel process and multi-task. …