Timeline: 180 Minute Session | Current Estimate: 150min + Case ExamplesIntro: 25 min to BarriersBarriers: 10minWeb Tools:Google Search Demo: 5 minGoogle Reader Demo: 30 minZotero: 20Wiki: 20Physiopedia: 10minVoice Thread: 5 minCase Examples:Managing Your Professional Identity: 5 minConclusion: 10 min
A disruptive technology or disruptive innovation is an innovation that improves a product or service in ways that the market does not expect, typically by being lower priced or designed for a different set of consumers.Disruptive innovations can be broadly classified into low-end and new-market disruptive innovations. A new-market disruptive innovation is often aimed at non-consumption (i.e., consumers who would not have used the products already on the market), whereas a lower-end disruptive innovation is aimed at mainstream customers for whom price is more important than quality.Disruptive technologies are particularly threatening to the leaders of an existing market, because they are competition coming from an unexpected direction. A disruptive technology can come to dominate an existing market by either filling a role in a new market that the older technology could not fill (as cheaper, lower capacity but smaller-sized flash memory is doing for personal data storage in the 2000s) or by successively moving up-market through performance improvements until finally displacing the market incumbents (as digital photography has largely replaced film photography).In contrast to \"disruptive innovation\", a \"sustaining\" innovation does not have an effect on existing markets. Sustaining innovations may be either \"discontinuous\" (i.e. \"revolutionary\") or \"continuous\" (i.e. \"evolutionary\"). Revolutionary innovations are not always disruptive. Although the automobile was a revolutionary innovation, it is not a disruptive innovation, because early automobiles were expensive luxury items that did not disrupt the market for horse-drawn vehicles. The market remained intact until the debut of the lower priced Ford Model T in 1908.The term disruptive technology was coined by Clayton M. Christensenhttp://en.wikipedia.org/wiki/Disruptive_technology
1. keep people coming back 2. let people know when there was new content and 3. monetize their websites
Evolved Definition:“…Web-based services for health care consumers, caregivers, patients, health professionals, and biomedical researchers, that use Web 2.0 technologies as well as semantic web and virtual reality tools, to enable and facilitate specifically social networking, participation…collaboration, and openness within and between these user groups.”
Tim: In this section, we can lay the groundwork for our case examples later. So, if one case will be designing the Regis Fellowship, then we can talk about the limitations and challenges to delivering that kind of education today here. For the clinician, we’re talking about time, staying current, learning on the fly, for the student, its about organization, sharing, etc. For the educator, I would also like to replicate those slides from Couras that you posted in the resources folder about the networked educator.
Challenges: productivity emphasis, limited in-clinic resources/time to discuss, unsure of how to efficiently access new information
Challenges: most resources go to clinic bottom-line, very busy with little time to experiement/learn, individualism may not fit with connected approach of Web 2.0
Students are still the same as past generations: very busy, good at taking in and giving back out information, like to be challenged but still need the good gradeStudents are different in these ways: high comfort level with connected life-style, know social media, adopt new technology but must be mentored (technology as productivity enhancer is not a given)http://ladygeek.org.uk/wp-content/uploads/2008/06/blackberry.jpg
Tools and Apps to Demo: [Google Power Search, PubMed. Google Reader Demo] - Eric, [Zotero, Adobe Connect, Audio-enhanced PPT, Wiki] - Tim, Physiopedia - Eric, Twitter – Eric, Voice Thread Document Sharing – Eric,
\"pain science\" filetype:pdfsite:.eduIn 1890, Italian astronomer Giovanni Schiaparelli drew this map of Mars.
RSS, or Really Simple Syndication, is an XML-based format for content distribution on the Internet. It’s an excellent way for Internet users to get updated news content and online articles -- the stuff you want -- without having to search for it.
May also wish to show the Guardian…first newspaper with full text RSS feeds, just released this week.
First in a series of slides showing how/why we moved learning tools out of individual courses and extending their life.
Scan images of 770 course page showing link to Adobe Presenter presentation, then show a few slides highlighting Presenter, then show the links in the Advising Wiki.
Introduce Zotero as a great way for a clinician to college, manage, share & cite information –any information, but especially from medical literature
Show example of going to Pubmed, searching for articles by someone from the conference, and saving those references into Zotero library.
Also: Show Spinal Stenosis Page, Neck Clinical Guidelines Page, and Presentations Page
P T Hacker: Using Technology to Make You a Better PT
Eric Robertson, PT, DPT Tim Noteboom, PT, PhD
2009 APTA Annual Conference
PT Hacker: Using Technology to
Make You a Better PT
A Program of Collaboration and Innovation
(′hak·ər) (computer science) A person who uses a
computer system without a specific, constructive
purpose or without proper authorization.
1. A person who enjoys exploring the details of
programmable systems and how to stretch their
6. An expert or enthusiast of any kind. One might be an
astronomy hacker, for example.
7. One who enjoys the intellectual challenge of creatively
overcoming or circumventing limitations.
About Me: Eric
•Orthopaedics & Manual Therapy
•Medical College of Georgia
•Interest in Web Technology & EBP
About Me: Tim
•Director, Department of Post-
Professional Programs@ Regis
•Board Certified in Sports PT
•Interest in EBP & Web Technology
1. Identify organizational challenges in the area of efficiency
2. Explore Web 2.0 and Medicine 2.0 principles and concepts.
3. Review the latest web tools related to work
efficiency, evidence based practice, and collaborative
4. Case Examples: Provide case examples of various solutions
to improve work efficiency, evidence-based
practice, collaborative enterprise, and practice management.
Our Navigation Plan
1. Overview of Web 2.0 Concepts
2. Barriers and Blockades:
Personal and Professional
3. Web 2.0 Tools and Solutions
with Select Product Demos
4. Case Examples of Innovation
“Evidence-based medicine practice is
the conscientious, explicit, and
judicious use of current best evidence
in making decisions about the care of
Sackett, D.L. et al. (1996) Evidence based medicine:
what it is and what it isn't. BMJ 312 (7023), 13
EBP Time Barriers
•More and more evidence
•Only enough time to
read a few articles
Without enough TIME, the concept of EBP Fails!
Sharing of Ideas
“Web 2.0 is not a fad, but is changing the way
patients and physicians interact.”
Web 2.0 A New, Interactive Web Experience
Guistini D. How Web 2.0 is Changing Medicine.
BMJ 333(7582): 1283-84. (December 2006).
Development of new technologies can cause a reduction in innovation. We
would like to minimize this!
“...it is often entirely rational for incumbent
companies to ignore disruptive innovations, since
they compare so badly with existing technologies or
products, and the deceptively small market available
for a disruptive innovation is often very small
compared to the market for the established
Vic Gundotra, Google VP of Engineering at Google I/O, 2009
Web 2.0 in a Nutshell
• Make Sites Sticky
• Notification of updated content (feeds)
• Pull Information
• One -way
• Stand alone / Firewalls
• E-mail Alerts & Listservs
• Open Source
• Syndicate / Push Information
• Liberation of Information
Web 2.0 …
• Applications without software…it lives on the web
• Users add value
• Social networking aspect
• User-friendly interface
HEALTH 2.0 MEDICINE 2.0
Copyright 2007 by Scott Shreeve, MD. Made available under the Creative Commons Non-Commercial Attribution 2.5 License
• Light-weight definition:
• quot;The use of social software…to promote
collaboration between patients…medical
professionals, and other stakeholders in healthquot;
1. Adapted from Jane Sarasohn-Kahn's quot;Wisdom of Patientsquot; report, by Matthew Holt, Last updated June 6, 2008
2. Eysenbach, Gunther. Medicine 2.0 Congress Website launched (and: Definition of Medicine 2.0 / Health 2.0). Posted at:
Gunther Eysenbach's random research rants (Blog). URL: http://gunther-eysenbach.blogspot.com/2008/03/medicine-20-
Use of Web 2.0 Tools in Healthcare
Use Role Example Users
Staying Informed Stay up to date on RSS, Podcasts, Search Health
latest developments in Tools Professionals,
a field Public
Education Delivery of E-Learning, Web Health
professional and Seminars, Distance- Professionals
continuing education based, podcasts
Collaboration and Decision making in Wikis, literature Health
Practice daily practice, searches, shared Professionals
collaborative research documents
Managing a Information related to Multiple Public
Condition condition and
Adapted from Wikipedia.com:
Personal and Professional Productivity Killers
BARRIERS AND BLOCKADES
Keep up with evidence?
Access Continuing Ed?
Tap into the profession’s
collective knowledge from
often remote locations?
The Private Practice
Efficiency in Process?
Branding and Marketing?
Does individualism have a place in Web 2.0?
Students have changed
They are no longer the
people our educational
system was designed to
Have grown up in a digital
Digital immigrant teachers
speak a different language
Regis Faculty comment:
“I just visit the
Internet, my students
•Prioritization – Update
content or add technology?
•Lack of knowledge
•Lack of support
Digital • Learning a new language
Immigrants • Accent still evident
Digital • Early innovators
Settlers • Early adopters
Digital • The only world they ever
Immigrants and Natives
• Immigrant Teachers • Native Students
• Slow controlled release of • Receive information
information from limited quickly from multiple
• Step by step • Parallel processing
• One thing at a time • Multi-tasking
• Independent individual focus • Simultaneous
• Serious network/collaborate
• Linear/sequential access • Fun/games
• Text primary • Random access
• Deferred gratification/reward • Visuals/sound primary
• Teach “just in case” • Instant gratification/reward
• Curriculum guide/tests • Learn “just in time”
• Relevant and useful
Personal and Professional Productivity Boosters
WEB TOOLS AND APPS
Intentional and Reflective Learning
• Blogs & Wikis vs. Traditional CMS
• Collaborative nature promotes higher levels of learning
• Much more than a copy machine
• Learning as a goal
• Web 2.0 tools can foster this
• Contribute to content
• Open for peer-review
Important Collaborative Tools
• Allow Self-Directed Learning, provoke discussion, chronology of content
• Moderated, Various Quality of Information, useful for organization of
information, from the Hawaiian word for “quick” referencing easy edits.
• Podcasts / Videos
• PT Journal Podcast Series, PT Student Videos of CPR’s
• File Sharing / Tagging / Pictures / etc.
• NEJM: Pictures in Medicine, social bookmarking
• Searching and Push Technologies
• Power Searches, RSS Feeds
• Social Networks / Crowdsourcing
• Facebook, TWITTER!, e-patients
THE AVERAGE GOOGLE USER NEVER USES
MORE THAN 3% OF THE CAPACITY OF
How can students apply knowledge
to create new content?
Use wiki/YouTube for
Power of Amazon.com
is not in online
products but in the
collective sharing of
How small clinics can leverage technology
One Organization’s Example
• Communication • Blog, Twitter
• Schedules • Synchronized calendars
• Wiki/content management
• Distribute training & system for document
information archival and distribution
• Google Docs
• Standardized reports • Key products: Adobe
• Collect, share research Reader, Evernote/Zotero
• Orientation of new students in TDPT program
– Advisor presents Powerpoint & answers questions
• Meeting with distance TDPT faculty
• Problem-solving computer issues
• Recording Fellow presentations
• Recording screen-shot tutorials
It’s like an Easy Button!
Let’s give a try…..
Clinician @ APTA: “I’m thinking about attending a session by Tim Flynn. I
wonder what research he has published?”
Solution: Use Zotero to access reference information for all or most recent
publication, and view during or after his presentation.
Clinician @ AAOMPT: “Huh?”
•Taking it to the next level
based Encyclopedia written
by, and for Physical
•Can serve as a turn key wiki
for PT educators.
• Where have all the textbooks gone?
A resource for clinicians, instructors and students!
Currently being utilized by instructors and students from:
• Medical College of Georgia, School of Allied Health Science
•Evidence In Motion, Orthopaedic Residency
•Royal College of Surgeons in Ireland, School of Physiotherapy
•University of Hertfordshire, School of Health and Emergency Professions
• Student-generated content • Instructor-generated Content
Just WHAT, will we
use Twitter for?
Considerations of a Personal and Professional Brand
MANAGING YOUR IDENTITY
Dangers of Social Media and Web Apps?
Some fears reflect personal comfort, some reflect
misinformation, others…just need to be accepted.
Managing Your Online Identity
1. Have a Message
2. Spread the Message
3. Be Consistent
!!!Who do you really want to see this
5 Fool-Proof Ways to Stay Out of
Trouble for Your Posts
1. Get Permission
2. Be Nice
3. Manage the Permissions of Your Medium
4. “Will I Offend Anyone?”
5. Create Alerts for Your Stuff
Get • RSS (Google Reader)
Information • Set up Searches and Filters
• Google Docs
Collaborate • Wikis
• Web Meetings
Share • Social Sites
• Determine your bottlenecks and issues
• Find the application to solve it
• Learn to use each tool in depth…
– (though don’t spend too much time learning!)
– Example: Learn how to search Gmail efficiently, or
learn how to Jott to Google Calendar
• Colleagues: Ask and Share!
A coordinated web strategy for professional
Eric Robertson, PT, DPT Tim Noteboom, PT, PhD
2009 APTA Annual Conference
REFERENCES AND ATTRIBUTIONS
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4. Novak A. Fells Point, Baltimore.; 2008. Available at: http://www.flickr.com/photos/newave/3154329434/ [Accessed June 7, 2009].
5. Shawn. A perfect storm.; 2007. Available at: http://www.flickr.com/photos/sduffy/391708542/ [Accessed June 7, 2009].
6. V P. Monkey Madness IX.; 2007. Available at: http://www.flickr.com/photos/pandiyan/519943011/ [Accessed June 7, 2009].
7. Varriale E. Web_Interaction_HD_frame23.png.; 2008. Available at: http://www.flickr.com/photos/zeno77/2446182409/ [Accessed
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