“Thereafter, at any time, when one of these items is in view, the other can be instantly recalled merely by tapping a button below the corresponding code space. Moreover, when numerous items have been thus joined together to form a trail, they can be reviewed in turn…” BushHyperCard is an application program created by Bill Atkinson for Apple Computer, Inc. that was among the first successful hypermedia systems before the World Wide Web. It combines database capabilities with a graphical, flexible, user-modifiable interface.
Strong forces are operating that may change radically the world of scientific and medical publishing. These include:The appearance and spread of the world wide web, opening up the possibilities that authors might communicate directly with readers and that many intermediaries may not be neededIncreasing resentment in the academic community that it is having to pay ever more for information that it effectively produces itselfThe rise of evidence based medicine and systematic reviews in particular, making people understand how medical information is disorganised and “Balkanised” and that finding information is expensive and difficultIncreased understanding of the “information paradox,” which says that doctors are overwhelmed with information and yet cannot find the information they need when they need itIncreased evidence that most medical studies are of low quality and of limited relevance to cliniciansGlobalisation of medical publishing, exposing weak local products to strong international competitorsAppearance of new players—such as HighWire Press, BioMed Central, and PubMed Central—who are trying to capture value that currently belongs to publishersGreater pressure on doctors to base their treatments on evidenceIncreasing recognition that information alone will not change practiceBetter understanding that improved health care will come not from exhorting individuals but by improving systemsThe rise of patient power and doctor-patient partnership, meaning that patients expect access to the same information as doctors and that patients' evidence is just as important as doctors' or research based evidenceGrowing acceptance that doctors cannot work effectively without considerable support from information and decision making toolsThe spread of handheld technology, opening up new possibilities of delivering “just in time” informationDoctors and other health workers have to be regularly revalidated or recertificatedThose doing applied research are becoming increasingly impatient with systems that reward basic researchers but not them, and …
We could have a break here to do something. Get everyone to think about how they personally would like to use Physiopedia...
July 2008 - Site development startedJan 2009 - Official launchFeb 2009 - First university project beginsApril 2009 - Regis University and Evidence in Motion grant open access rights to fellowship contentMay 2009 - Being used by 4 learning institutionsApril 2010 - First international collaborative student project beginsMay 2010 - First clinical interest group becomes involvedJune 2010 - Over 200 pages of content - 200-500 visitors per day - 30,000 visits per month
We could have a break here to do something. Get everyone to think about how they personally would like to use Physiopedia...
No Future Access
A content outline has been provided as a template for your patient case. This presentation is not a publishable case report in that you don’t have to include a literature review or supportive studies. This is meant to be a forum in which cases of actual patients with a specific diagnosis are shared to increase clinical knowledge. Please do not include any private information that would identify a patient. Inclusion of images, lab results and informational tables are encouraged. The format used may be a word document or Power Point presentation. The word limit is 2,000.
Connecting the Classroom and Clinic: Use of an International Collaborative Classroom Wiki Elaine Lonnemann, PT, DPT, MSc Rachael Lowe, MCSP Eric Robertson, PT, DPT
Describe and define a wiki, including strengths and weakness as a learning tool Identify opportunities in which a wiki can be used to enable collaborative learning. Discuss how course content and student learning can be enhanced by presentation and collaboration in a wiki. Understand and perform basic page editing functions using wiki syntax. Identify ways in which a wiki can be used in to enhance continuing competencies and evidence based practice. Develop ideas for implementing continuing competency opportunities for clinicians and future alumni to create an ongoing rapport with academic programs. Explore international learning opportunities in physical therapy through wiki use. Objectives
WIKI:A CONCEPTUAL OVERVIEW Eric Robertson, PT, DPT Assistant Professor Texas State University, San Marcos Twitter.com/EricRobertson
Describe and define a wiki, including strengths and weakness as a learning tool History of Wiki’s Current Concepts in Wiki’s Wiki as a Learning Tool Popular Wikis
“Wiki” is derived from “wiki wiki,” meaning quick. It refers to a style of website consisting of a simple syntax used to compose and edit pages by multiple people. Wiki
Memex - 1945 Vannevar Bush Atlantic Monthly, “As We May Think” WWW – 1990’s First Wiki – 1994 Ward Cunningham WikiWikiWeb at c2.com Origins of Wikis Life Magazine, 1945
The First Wiki Can edit the web page within a browser
Editable Within a web-browser Wikis are edited using a simplified coding language, often referred to as “Wikitext” or “Wiki Syntax” Wikis promote collaborative idea sharing Wikis can control access, provide knowledge, manage projects, or act as a forum, among other things… Community Public or Private memberships EASY! Small learning curve Features of a Wiki
The place who makes the code for the website you visit. (Sometimes, they host it too!) Examples: MediaWiki, Wikidot, WetPaint Wiki Providers
Wikis are one of several technologies to emerge that have a natural place in teaching and learning. The Networked Teacher Connected! Alex Couros
Learning as the goal Learn as if you were teaching Create more synapses? Understand new information by doing something with it Intentional Learning Reflective Learning Deeper Learning
Traditional Old hierarchy, gates information, peer-reviewed journals Current Model Less gating of information, peer-reviewed journals, but also some social influence Moving to the Future Ability to generate “buzz” on social networks, peer-review re-defined, no gated information… Academic Rewards Abassi BMJ, 2002
Example: Wikipedia and the NIH Collaborative workshops for NIH-funded scientists Case in Point:
Wikipedia.com Only 50 employees, $22 million in revenue Medpedia.com Written by medical professionals Wikihow.com “The how-to manual you can edit…” Popular Wikis
In the classroom (Augur N, 2004) In residencies (Naik AD, 2010) In publishing research (Anything genetics…) Continuing education (Varga-Atkins T, 2010) “Always-on” learning model Wikis = Professional Development
Let’s check out an example of a wiki specific to physical therapy…
Why? Contribute to developing this evidence based resource for our profession Build your profile and promote your work Collaborate with colleagues internationally Contribute to improving patient care & global health Contribute to uniting & promoting our profession
Research Publish your research in Physiopedia This is a great way of publicising student work, supporting new researchers and bridging the gap between completing research and publication. It will then be peer reviewed by the community.
Presentations Why let your work go to waste. When ever you have created a presentation or lecture, put it on-line and showcase it in Physiopedia. Links to self hosted multimedia presentations Open access to high-quality, peer-reviewed content Content is currently being contributed by fellowship programs
Our clients are the same the world over They suffer with the same conditions They need rehab following the same procedures We all use the same interventions Why don’t we collaborate internationally to produce the documents we need…. It’ll give us more time for patient care! Patient Guides , Clinical Guidelines, Rehabilitation Protocols
2 years 8 educational institutions 1 professional network 4 countries 13 educational projects 11 student projects 2 professional development projects Projects
Overwhelmingly positive Good learning method Increased confidence to contribute to web-based resources Enjoy contributing to a professional and public resource Like the fact that their work will remain Outcomes
For success Compulsory Formal Assessment Good tutor support Initial face-to-face familiarisation session Use your geeky students Findings
Lets take a look at some of those projects.....
Examples from Cluster & Migraine Headache http://www.migraineartwork.com/distress_artwork.html
Student Feedback agreed that wiki worked well as a learning method 90%
Student Feedback said that they now felt confident to edit and add to a wiki 87.5%
Student Feedback of the students would recommend the project to future students 85%
Student Feedback said they learned about other disorders from classmates presentations 95%
I really enjoyed working on this project. I feel that it allowed me a chance to do something that can be seen by many people to come. Thought this project was an opportunity for us to become more familiar with web-based resources and more importantly contribute to them. I really enjoyed the process and think it's very neat, that my classmates and I have something useful and public. I felt it was a great experience for learning how to contribute to our profession in a very accessible way.
PT 655 Teaching & Learning in Physical Therapy Introduction to a wiki in PT Course Instructors: Dr. Elaine Lonnemann and Dr. Beth Ennis
Assignment: Register on Physiopedia Develop a profile add images and links Play in the sandbox - Add a reference or resource from Pubmed Introduction to a wiki in PT
Fully develop your profile (keeping in mind that future employers may view this.) 1) Add a photograph 2) Add content to each of the following areas on your profile page Name About Me Education Professional Affiliations Professional Appointments Publications Websites Insert a hyperlink to a website within your content Example BU Web Page Personal Web page APTA Play in the sandbox Add a reference from Pubmed or any favorite journal article in the appropriate sections of the Sandbox Assignment Details
Upon completion of this project the learner will: Use a wiki specifically designed by and for Physical Therapists. Create wiki text as the syntax or user interface for editing or formatting text on a wiki page. Edit a wiki page. Create a user profile and profile page within Physiopedia. Add a hyperlink, image or video to a wiki page. Add a reference or resource using Pubmed or current referencing style established in Physiopedia. Objectives
WORLDWIDE PHYSICAL THERAPY PRACTICE: A FOCUS ON PRIMARY CARE PHYSICAL THERAPY Assignment in an Online Course: Introduction to Primary Care Physical Therapy University of St. Augustine
Patient Access to Physiotherapy or Physical Therapy Services / Entry Point Therapist Preparation Degree/Credentialing Specialization Professional Associations Information about the Patient Community Social/Cultural Influences Delivery of Care Type of Health System Payment System References Template
World Wide PT Practice:A Focus on Primary Care Canada
“Thank you for incorporating current technology (i.e. Physiopedia etc.) into this course—I think it was a valuable experience.”
TEXAS STATE UNIVERSITY EVIDENCE BASED PROJECT Course Instructors: Dr. Eric Robertson, Dr. Rob Wainner& Dr. Brenda Boucher
Present diagnostic methods and intervention strategies or techniques for patients with selected upper extremity (UE) disorders. Search for, analyze, and integrate the best evidence related to a given UE topic to guide physical therapist practice. Develop digital media (web page, images, and video as appropriate) to present findings to the class, other students, and the general body of practicing physical therapists via an open international wiki site. Instructions
Search Strategy Definition/Description Epidemiology /Etiology Characteristics/Clinical Presentation Differential Diagnosis Examination Medical Management (current best evidence) Physical Therapy Management (current best evidence) Key Research Resources Clinical Bottom Line Recent Related Research (from Pubmed) References Template
Actual patients with a specific diagnosis No private information Inclusion of images, lab results and informational tables are encouraged. The format -word document or Power Point presentation. 2,000 word limit. Directions to Clinician
Academic institution support and appreciation to CI’s for contributions to the training of future clinicians An interactive forum between clinical instructors (CI’s), students and academic faculty for collaborative learning in contemporary practice topics Future thoughts
Projects and Concepts for the future of Physiopedia
The Future CPD programme Mentoring schemes Clinical networks IST training programmes Journal club International collaborative projects ......