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The Future of Medical Education - An Online Conversation Analysis
 

The Future of Medical Education - An Online Conversation Analysis

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Presentation delivered by Greg Matthews to the Millenial Medicine Symposium on April 26, 2013. #MMed13

Presentation delivered by Greg Matthews to the Millenial Medicine Symposium on April 26, 2013. #MMed13

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The Future of Medical Education - An Online Conversation Analysis The Future of Medical Education - An Online Conversation Analysis Presentation Transcript

  • #MMed13 | @chimooseContents are proprietary and confidential.1Medical Education in Online ConversationGreg MatthewsApril 26, 2013
  • #MMed13 | @chimooseContents are proprietary and confidential.0102030405060708090100MDigital Life MedEd Tweet Volume
  • #MMed13 | @chimooseHow do doctors talk aboutMedical Education online?Contents are proprietary and confidential.
  • #MMed13 | @chimooseKey Medical Education Conversations - #MedEdContents are proprietary and confidential.401002003004005006007008009001000MedEd
  • #MMed13 | @chimooseKey Medical Education Conversations - #FOAMedContents are proprietary and confidential.501002003004005006007008009001000MedEd FOAMed
  • #MMed13 | @chimooseKey Medical Education Conversations - #TwitJCContents are proprietary and confidential.601002003004005006007008009001000MedEd FOAMed TwitJC
  • #MMed13 | @chimooseKey Medical Education Conversations – MedEd2Contents are proprietary and confidential.701002003004005006007008009001000MedEd FOAMed TwitJC MedEd2
  • #MMed13 | @chimoose#MedStudentsContents are proprietary and confidential.
  • #MMed13 | @chimooseSharing the experience of studying medicineContents are proprietary and confidential.9
  • #MMed13 | @chimooseSharing the experience of studying medicineContents are proprietary and confidential.10
  • #MMed13 | @chimooseContents are proprietary and confidential.050100150200250#MedStudents Tweet Volume
  • #MMed13 | @chimooseMatch Day!Contents are proprietary and confidential.12
  • #MMed13 | @chimooseUS Medical Schools with >4 tweetsContents are proprietary and confidential.13
  • #MMed13 | @chimooseHead and shoulders …Contents are proprietary and confidential.14
  • #MMed13 | @chimooseContents are proprietary and confidential.Brazil7%Canada6%China4%other9%UK3%USA71%#MedStudents Geographic Distribution
  • #MMed13 | @chimoose#MedEdContents are proprietary and confidential.
  • #MMed13 | @chimooseMDigitalLife – Top Overall HashtagsTOP HASHTAGS#health(8,215)#meded (4,547)#hcsm (4,532)#mhealth (3,412)#fmrevolution (2,721)FamilyMedicineResidentsMost used byMost used by17 Contents are proprietary and confidential.
  • #MMed13 | @chimooseContents are proprietary and confidential.01002003004005006007008009001000#MedEd Tweet VolumeTweet Volume Linear (Tweet Volume)Ryan Madanick@RyanMadanickMD
  • #MMed13 | @chimooseContents are proprietary and confidential.Australia9%Canada6%other10%UK9%USA66%#MedEd Geographic Distribution
  • #MMed13 | @chimooseTop Hashtags in MedEd tweets“Confidential: The strategies and tacticsdescribed herein are subject to legal andregulatory approval prior toHashtag Percent of MedEd TweetsHCSM   8.3%  medschool   3.8%  premed   2.6%  cmechat   2.4%  FOAMed   2.1%  medstudents   3.6%  healthcare   1.9%  medicine   1.8%  mdchat   1.5%  Health   1.5%  
  • #MMed13 | @chimooseWhat are the top information sources?Contents are proprietary and confidential.21Most linked by All Most linked by MDsnih.gov www.geripal.orgkevinmd.com www.nytimes.comwell.blogs.nytimes.com nih.govwebicina.com www.kevinmd.comblogs.einstein.yu.edu well.blogs.nytimes.comnytimes.com neuroednerd.blogspot.comimedicalapps.com www.nejm.orgthehappymd.com journals.lww.comTheAtlantic.com www.theatlantic.comNEJM.org futureoffamilymedicine.blogspot.com
  • #MMed13 | @chimooseTop Tweeters in #MedEdContents are proprietary and confidential.22Top TweetersRyanMadanickMDBrianSMcGowanARJalaliMedPedsDoctorFutureDocsamcunninghamwhole_patientsMedEdChatKind4KidsCollege_Experts
  • #MMed13 | @chimooseContents are proprietary and confidential.0 500 1000 1500 2000 2500 3000 3500 4000 4500Before May 2010May 2010 - April 2011May 2011 - April 2012May 2012 - April 2013Mdigital Life MedEd Tweet Volume
  • #MMed13 | @chimooseTop SpecialtiesContents are proprietary and confidential.Specialty Percent of MedEdTweetsInternal Medicine 42.8%Resident 14.7%Psychiatry & Neurology 14.6%Cardiology 9.0%Pediatrics 8.4%Family Medicine 5.3%Emergency Medicine 2.1%Surgery 0.8%Orthopaedic Surgery 0.7%Anesthesiology 0.5%
  • #MMed13 | @chimoose#FOAMedContents are proprietary and confidential.
  • #MMed13 | @chimooseWhat’s #FOAMed?Contents are proprietary and confidential.26FOAMed is the movement that has spontaneously emerged from the exploding collection of constantly evolving,collaborative and interactive open access medical education resources being distributed on the web with oneobjective — to make the world a better place. FOAM is independent of platform or media — itincludes blogs, podcasts, tweets, Google hangouts, online videos, text documents, photographs, facebook groups, and a whole lotmore.FREE OPEN ACCESS MEDUCATION
  • #MMed13 | @chimooseWhat’s FOAMed?Contents are proprietary and confidential.27If you want to know how we practiced medicine 5 years ago,read a textbookIf you want to know how we practiced medicine 2 years ago,read a journalIf you want to know how we practice medicine now,go to a (good) conferenceIf you want to know how we will practice medicine in the future,listen in the hallways and use FOAM.- Joe Lex, MD
  • #MMed13 | @chimooseContents are proprietary and confidential.0100200300400500600700800#FOAMed Tweet Volume
  • #MMed13 | @chimoose“Confidential: The strategies and tacticsdescribed herein are subject to legal andregulatory approval prior to050100150200250MDigital Life FOAMed Tweet VolumeAAEM13
  • #MMed13 | @chimooseContents are proprietary and confidential.Australia28%Brazil5%Canada7%Egypt5%other5%UK3%USA47%#FOAMed Geographic Distribution
  • #MMed13 | @chimooseTop SpecialtiesContents are proprietary and confidential.31Specialty Percent of FOAMed TweetsEmergency Medicine 78.7%Surgery 7.9%Resident 6.8%Internal Medicine 2.5%Family Medicine 0.9%
  • #MMed13 | @chimooseTop MDigitalLife Tweeters in FOAMedContents are proprietary and confidential.32Top Physician TweetersmastinmdJoeLex5bedsidesonoSonoSpotdrsamkoembasicTheTechDocmeganranneygrahamwalkernyjsm
  • #MMed13 | @chimooseTop Overall Tweeters in #FOAMedContents are proprietary and confidential.33Top TweetersprecordialthumpsandnsurfEMS12LeadJoeLex5RogerDJones1rfdsdocCriticalCareNowsmacc2013umanamdIVLINE
  • #MMed13 | @chimoose“Confidential: The strategies and tacticsdescribed herein are subject to legal andregulatory approval prior toTop #Hashtags used in FOAMed TweetsHashtag Percent of MedEd Tweetsaaem13 37.9%ultrasound 4.2%hanoitrauma13 3.0%harvardultrasound 2.2%villareal 1.9%pemc12 1.7%meded 1.4%smacc2013 1.1%joelex 1.0%williams 0.8%
  • #MMed13 | @chimooseTop Domains linked-to by PhysiciansContents are proprietary and confidential.35Top Domainslifeinthefastlane.comsonospot.wordpress.comwww.ultrasoundpodcast.comembasic.orggmep.orgacademiclifeinem.blogspot.comnih.govwww.essr.orgwww.pbfluids.comjournals.lww.com
  • #MMed13 | @chimooseWhat FOAM looks likeContents are proprietary and confidential.36
  • #MMed13 | @chimooseWhat FOAM looks likeContents are proprietary and confidential.37
  • #MMed13 | @chimooseWhat FOAM looks likeContents are proprietary and confidential.38
  • #MMed13 | @chimoose#TwitJCContents are proprietary and confidential.
  • #MMed13 | @chimooseContents are proprietary and confidential.050100150200250300350#TwitJC Tweet VolumeNatalie Silvey@silv24Fiona Douglas@FiDouglas
  • #MMed13 | @chimooseContents are proprietary and confidential.TwitJC Language
  • #MMed13 | @chimooseTop Hashtags in #TwitJC TweetsContents are proprietary and confidential.42Hashtags Percent of FOAMed Tweetsmeded 2.6%foamed 1.3%gasclass 1.0%ecgclass 0.7%sciteachjc 0.6%edcases 0.6%evidencelive 0.6%microtwjc 0.6%hcsm 0.6%phtwitjc 0.6%
  • #MMed13 | @chimooseTop #TwitJC LinksContents are proprietary and confidential.43Top Domainswww.twitjc.comwww.nejm.orgonlinelibrary.wiley.comjamanetwork.comwishfulthinkinginmedicaleducation.blogspot.co.ukwww.bmj.comblogs.nejm.orgnih.govalltrials.netwww.consort-statement.org
  • #MMed13 | @chimooseTop Tweeters in #TwitJCContents are proprietary and confidential.44Top Tweeterssilv24TwitjournalclubPaedsSHOTaggiemonster_elljay_ChristipladyNorthern_doctorDr_dybJonjhiltonamcunningham
  • #MMed13 | @chimooseWho cares about a journal club?Contents are proprietary and confidential.45http://storify.com/amcunningham/what-happens-when-you-ask-atul-gawande-to-join-in-?
  • #MMed13 | @chimoose#MedEd2Contents are proprietary and confidential.
  • #MMed13 | @chimooseContents are proprietary and confidential.0102030405060MedEd2 Tweet Volume
  • #MMed13 | @chimooseTop Tweeters in #MedEd2Contents are proprietary and confidential.48Top TweeterswestrPfandersonConciergedocMedObserverDrbachinskyGiasisonJohnNostaAftjaedopaminergic13Faisal_hoque
  • #MMed13 | @chimooseTop #MedEd2 LinksContents are proprietary and confidential.49Top Domainswww.kevinmd.comwww.genomeweb.comwww.forbes.com33charts.comwww.nejm.orgwww.medicineandtechnology.comwww.incrowdnow.comwww.fastcompany.comwww.ihealthbeat.orgwww.nytimes.com
  • #MMed13 | @chimooseMedEd2 can look like this …Contents are proprietary and confidential.50
  • #MMed13 | @chimooseMedEd2 can look like this …Contents are proprietary and confidential.51
  • #MMed13 | @chimooseMedEd2 can look like this …Contents are proprietary and confidential.52
  • #MMed13 | @chimooseSpecial  Thanks  Brian  McGowan  of  Archemedx  @BrianSMcGowan  Kayla  Rodriguez  of  WCG  @kaylarodrigue11  Natalie  Silvey  –  Junior  Doctor  in  the  UK  @silv24  MaLhew  Hager  of  W2O  Digital  @ismashew  
  • #MMed13 | @chimooseAppendix
  • #MMed13 | @chimooseWhat’s MDigitalLife?Contents are proprietary and confidential.55
  • #MMed13 | @chimooseUnderstanding Doctors’ Online Behavior56 Contents are proprietary and confidential.18%21%31%8%22%(0500 – 0800) (0801 - 1200) (1201 - 1800) (1801-2300) (2301-0459)Morning Workday Work PM Evening Overnightof all MDs are followedby at least 20 MDs34%of all MDs are mentioned byother MDs in the data set36%When Doctors Tweet
  • #MMed13 | @chimoosesearch.mdigitallife.comContents are proprietary and confidential.57
  • #MMed13 | @chimooseWhat do doctors talk about online?Contents are proprietary and confidential.58
  • #MMed13 | @chimooseAt the highest level …Contents are proprietary and confidential.Health EducationBusiness of HealthPolitics of Health59
  • #MMed13 | @chimooseAt the highest level …Contents are proprietary and confidential.Health EducationBusiness of HealthPolitics of Health60
  • #MMed13 | @chimooseStrongest Focus Areas0%10%20%30%40%50%60%70%80%90%100%DoctorsMediaCongress6%33%2%14%11%64%27%22%15%6%10%5%47%23% 15%PercentageofHealthcareConversationHealthcare Conversation TopicsTreatmentResearchPreventionPolicyBusiness61
  • #MMed13 | @chimooseWhere education makes a difference62
  • #MMed13 | @chimooseThe PSA Controversy35%54%11%Negative Neutral PositiveDoctors who state an opinion aremore than 3:1against the USPSTF’sruling on PSA Tests63 Contents are proprietary and confidential.
  • #MMed13 | @chimoosePediatricians often provide advice on low-effort, high-impact activitiesthat can improve family healthWhat Pediatricians Are Talking About on Twitter*Clinical LifestyleBehaviorManagementVaccinationsNutritionOrganic Food/Clothing (.2%)Household SafetyChildhoodDiabetes(.4%)Benefits of Bacteria(.6%)PsychopathologyChildhood ObesityBreast FeedingAllergiesStudy/NewsSharingParentingTipsSun Exposure (.4%)Infant Mortality (.8%)
  • #MMed13 | @chimoosePediatricians focus on high-probability dangers, like head injuries,drowning, poisons, firearms; Little mention of non-organic ingredientsPediatrician Conversations About Safety*Themes in Safety Conversations• Pediatricians 3 most common pieces of safety advicewere : a) teach your kids how to swim; b) install your carseat correctly; and c) know whether guns are stored atyour child’s friends’ houses.• Household safety tips included stories on the dangers ofcurtains and detergent gel packs.Types of Content SharedNews/Studies:• Drowning is the leading cause of child deaths in the U.S.• Colorful gel detergent packs are a potential danger toyoung children, although no deaths have been reportedTips:• Importance of swimming lessons• Car seat safety tips• Gun safety• Child-proofing curtains and kitchens0.07%0.07%0.08%0.12%0.12%0.18%0.23%0.36%0.41%0.00% 0.20% 0.40%Sleep SafetyStrollersDetergent PacksElementsPoisonsChild-ProofingGunsTransportationDrowningPercentage of All PostsTips62%News/Studies38%