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In my own experience, the worst problems occur when lecturers do not make handouts or OHPs or PowerPoint presentations available in advance and then persist in refering to them throughout the lecture without explaining what is on them.  I attended one recently where the lecturer kept saying 'this shows this', 'you can see that', 'you can see from the slide' and as a visually impaired person you feel very excluded, and bored!  I do personally prefer to have access to all of the materials (in advance and in large print) that those without a print impairment will have, but if this really can't be done then the impact of not having them will depend on how accessible the lecture is otherwise.

The very worse example was where I asked a lecturer for materials in advance, he said he could not do this and then proceeded to give me a list of chapters I could read instead to ensure I was prepared!  However, once I explained to him how very difficult this would be as everything would need to be scanned and processed using OCR, he relented and did manage to get most of his materials to me the day before each lecture. 

The staff who support me seem to take the view that the lecturer has a duty to ensure that he/she can provide materials in advance (even if only an hour or so in advance).  If they can't then you have to examine why not and potentially change practice within the department to ensure that lecturers do have time to prepare adequately - for the benefit of all students.  I know this is a bit idealistic, but 95% of the time I do receive such materials in advance.  It makes a big difference to me, and to a lot of other students too.

Also, on the point someone made earlier about student attendence dropping when materials are made available to all in advance, during my research I've asked a number of staff members about this, and have been told that even where a drop does occur (and this is rare) it is not significant and grades do not seem to be affected.  In fact, I've been involved with a project in which one department has made all course materials available online and grades have gone up significantly.  The improvement was particularly noticeable amongst those with print impairments - many of whom had had difficulty accessing such materials before the introduction of this blanket policy that required all lecturers to prepare and release materials in advance.

Emma Wright