Vision Australia has great information for getting started on the Mac. 
The podcast page is at

http://www.visionaustralia.org/info.aspx?page=2296

The keys you think of as alt, windows, and ctrl are command, options, 
and ctrl for the Mac.

to turn accessibility on, press command+F5.

Some Windows shortcuts work, only you use command instead of control: 
command+p for print and command+s for save.

Once you get through the Vision Australia material, you can go through 
the Voiceover manual. It's actually very helpful, but the first couple 
of chapters are overwhelming, so you may want to read them in order to 
pick and choose what sounds useful; then move on to the later chapters, 
where you get information on using Voiceover with specific apps.


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