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Many folks would like to provide course documents in PDF format to make them print more consistently and to prevent easy modification of the content. While it's fairly straightforward to use the built in style sheets and outline format in Word to create a structured document that's easy for a screen reader to understand, PDF documents created from those Word documents are all too frequently not very accessible, if you use the standard method of creating them, by Printing to PDF from Word or other Microsoft tools.  The solution is fairly simple, but takes just a few extra steps. You can simply use the Save-As functionality in MS Office to create accessible versions of your structured MS Office documents in PDF form!