Technology & Social Media inClinical EducationRisks, Boundaries and BenefitsApril 25, 2013
Objectives Gain an appreciation of the mutual protectivepolicies of the Family Education Rights andPrivacy Act (FERPA) Explore the pros and cons of the use oftechnology devices in clinic Learn about new possibilities for onlinecommunication between academic and clinicaleducation settings
Program Topics4. Mobile Devices, Cloud Storage,& Apps for the clinical setting4. Mobile Devices, Cloud Storage,& Apps for the clinical setting1. FERPA Discussion1. FERPA Discussion2. Social Media & FERPA2. Social Media & FERPA3. Social Media in Education,Advantages & Disadvantages3. Social Media in Education,Advantages & Disadvantages
If you had a magic wand,what’s 1 thing you wouldchange about students,the setting you teach inor the technology you use…If you had a magic wand,what’s 1 thing you wouldchange about students,the setting you teach inor the technology you use…Introductions Your Name What/Where You Teach
About Me 12 years of experience developing instructional materials andworking in the Teaching & Learning Center. Research and application of new emerging technologies ineducation is a big part of what I do! Assistance to faculty in creating and using social media and cloud-basedapplicationsThe result of this work is having to learn about FERPA andCopyrightPASSION for emerging technologies in education and creationof instructional materials.DESIRE to serve the faculty and school well by doing it rightNOT a lawyer! NOT a FERPA expert!NOT a Medical expert!So… why is she here?So… why is she here?
FERPAA. Not something I have to deal with, doesn’taffect me.B. I should probably know a little moreC. Sounds like a bad disease!D. I know all I need to knowE. I am a FERPA expert and I’ll teach this section foryou!What itmeans to meas a facultymember:
FERPA FAMILY EDUCATIONAL RIGHTS ANDPRIVACY ACT OF 1974 AS AMENDEDThis law, also known as the Buckley Amendment "A federal law designed to protect the privacy ofeducation records, to establish the right of studentsto inspect and review their education records, andto provide guidelines for the correction of inaccurateand misleading data through informal and formalhearings."________________________________________________________DEFINITIONS OF TERMS FOR ADMISSIONS AND RECORDS. Washington, D.C.: AACRAO, 1980, p. 28.
What is FERPA? FERPA is the Federal law that protects the privacy ofstudents’ education records. FERPA applies to educational agencies and institutionsthat receive funds under any program administered bythe Secretary of Education. § 99.1. Most private and parochial schools at the elementaryand secondary levels do not receive such funds and are,therefore, not subject to FERPA.
FERPA Key TermsStudentEducation RecordSchool OfficialsPersonally IdentifiableDirectory Information
Education Records“Education records” are records that are –(1) Directly related to a student; and(2) Maintained by an educational agency orinstitution or by a party acting for the agencyor institution.§ 99.3 “Education records”
“PERSONALLY IDENTIFIABLE”MEANS DATA OR INFORMATION WHICH INCLUDES:o The name of the student, the students parent, or otherfamily memberso The students campus or home address;o A personal identifier (such as a social security number orstudent number)o A list of personal characteristics or other informationwhich would make the students identity easily traceable
Helpful Hints for FacultyUse the SSN/Student ID number to postgrades.Leave graded tests in a stack for studentsto sort through.Circulate a printed class list with theStudent Name and SSN/Student ID.To Avoid FERPA Violations –Please Do Not:
Provide anyone with student schedules.Provide anyone with lists of studentsenrolled in your classes.Include confidential information (i.e.grades, GPA, number of credit hours) in arecommendation letter without the writtenconsent of the student.To Avoid FERPA Violations –Please Do Not:Helpful Hints for Faculty
FERPA and Web Technology TipsWhen in doubt, don’t do it/don’t use it.Don’t use (PII) in any cloud-based app.Create your own unique ID for each student,or a system that only allows you to know whoit is.Use only information you need to get the jobdone.Use apps and tools contracted by theschool when possible, like Google apps.
Social MediaWhat is Social Media?A.Not a clue.B.Viewing photos of the kids, of people Iwent to high school with 20+ years ago.C.Finding out what George Clooney ate forbreakfast.D.A professional development tool.E.A method of communication.
Social Media for Clinical Educationhttp://smacc.net.au/SMACC is a high impact academicmeeting fused with cutting edge on-linesocial media to deliver innovation witheducation.http://lifeinthefastlane.com/LITFL is a medical blog and websitededicated to providing online emergencymedicine and critical care insights andeducation for everyone, everywhere...
Life in The FastLanemedical blog and website dedicated toproviding online emergency medicine andcritical care insights and education foreveryone, everywhere... usually with ahealthy dose of UCEM good humour, andalways with endless enthusiasm.http://lifeinthefastlane.com/http://lifeinthefastlane.com/reviews/apps/
FOAMFOAM stands for Free Open Access MeducationFOAM is the movement that has spontaneouslyemerged from the exploding collection ofconstantly evolving, collaborative and interactiveopen access medical education resources beingdistributed on the web with one objective — tomake the world a better place.http://lifeinthefastlane.com/foam/
Global Medical Education Projecthttps://gmep.org/Create a free accountEarn points for answering medicalquestionsIntegrated with facebook, twitter, Google+http://www.ivline.info/2012/06/taking-medical-e
FERPA & Social Media FERPA is one of the most misunderstood regulations in education. It iscommonly assumed that FERPA requires all student coursework to be keptprivate at all times, and thus prevents the use of social media in theclassroom, but this is wrong. FERPA does not prevent instructors fromassigning students to create public content as part of their courserequirements. If it did, then video documentaries produced in acommunications class and shown on TV or the Web, or public art shows ofstudent work from an art class, would be illegal. Suggested guidelines:When students are assigned to post information to public social media platformsoutside of the university LMS, they should be informed that their material may beviewed by others.Students should not be required to release personal information on a public site.Instructor comments or grades on student material should not be made public.(Interestingly, grades given by other students on “peer-graded” work can bemade public under FERPA). (ACE, 2008)While not clearly required by law, students under the age of 18 should get theirparent’s consent to post public work.
ICC’s Social Media Policy Illinois Central College has a SocialMedia Policy:http://www.icc.edu/eLibrary/ICC%20Standards%20-%20Soci Classroom activities that involve use of social mediashould follow guidelines if it is public. http://www.icc.edu/standards/ www.icc.edu/disclaimer/
Social Media Policy Does the hospital or institution where theclinic occurs have a social media policy? Share it with the students Develop your own Social Media PolicyExample: http://www.drkkolmes.com/docs/socmed.pdfExamples: http://topr.online.ucf.edu/index.php/FERPA_Statements
Social Media Guidelines Make your expectations clear up front Keep personal and professional separatePut it in your syllabusConsider using it as a tool of one waycommunication to your studentsIf you are going to use it for interaction: Make it private to only your students Clearly state how they are to use it Have a takedown or user removal policy Give an alternative for those that don’t want to use it
Mobile Device Guidelines Example form Stanford School of Medicine: http://med.stanford.edu/estudent/ipads/professionalism_and_mobile_devices_rev Comply with all patient privacy policies. (HIPPA) Different sites, different rules.Avoid making assumptions about what is acceptable Explain to your patient why you are using a mobile device. Tell the patient what you are looking at on your mobile device, and gain theircooperation (“I will be looking at your medical record while I’m talking with you; is that okay?”). Be aware of your line of sight with the patient. Let your patient know if you will need to break eye contact for any sustainedperiod of time. Avoid using your mobile device to check your email or do unrelated websearches in the presence of patients
Mobile Device Guidelines Where appropriate, engage the patient with information on the device. Examples would include patient education, showing a patient his/her lab values or showing a parent his/her child’s progress on agrowth chart. If you are not using the device, close it. This maximizes the time when the patient senses that they have your fullattention. Close your iPad; put your smartphone in your pocket. Practice. The ability to utilize a mobile device while maintaining patientcenteredness is an art. Practice with friends and/or family, and ask for their feedback. Discuss challenges with your colleagues, learn from them, and share whatworks for you.
Facebook Friend Requests from Students Facebook Page for program, course,clinic, etc…Consider using a closed group so that onlythose you’ve given access can view thecontent.
Facebook FriendsTo Friendor NOT toFriend?A.FriendB.NOTC.What are youtalking about?
Facebook Friend Requests from StudentsInclude a policy or statement in your syllabus or online courseabout Facebook and why you don’t accept friend requests Facebook Page for program, course,clinic, etc… https://www.facebook.com/BrooksRehabCEU https://www.facebook.com/osfsaintfrancisConsider using a closed group so that onlythose you’ve given access can view thecontent.Facebook settings and Managing your pageare really important!
TwitterTwitter is….A. Something birds do!B. Where celebrities post what theyate for breakfast.C. A way to get valuable informationand resources.D. A tool for networking and sharing myvaluable information.E. A form of communication withstudents.
Terminology 1 TweetEach of your Twitter posts or updates is known as a tweet. Somepeople refer to them as “twits”, but the official term is “tweet.”Each tweet is no longer than 140 characters. FollowingWhile Facebook requires that all relationships be reciprocal,Twitter allows for one-way relationships. If you find Twitter userswho are interesting, you can "follow them" to subscribe to theirtweets. They do not necessarily have to follow you back, thoughthe more social users will want to follow you back TimelineThe “timeline” page is the homepage which displays tweets fromall the people you are following. On the sidebar (column on theright of each Twitter page)Public timeline Direct MessagesLinks to your Inbox/Sent messages (140 characters or less) thatare privately sent to and from you
Terminology 2 @repliesUse an at sign (@) in front of a Twitter username to reply tosomeone, to refer to them, or direct a new message tosomebody. e.g., @shingo Retweeting (RT)Retweeting is the act of sharing someone else’s tweet with yourfollowers – spreading the word wider. To identify a retweet, theTwitter convention is to put RT at the start of the retweet and toinclude the Twitter username of the person you are retweetinglike attributing a quote.e.g., RT @SCBWI Our summer conference is August 7-10. Hashtags (#)Use the sharp or number sign (#) as part of a “hashtag” toorganize and categorize your information.e.g., new chapbook “skittling and fiddling” is available onlinetoday! #poetry
Best Practices Keep personal and professional accountsseparate.Especially when tweeting to students! Create an account specifically for education,course, etc… Use a hashtag for each course/topic (includehashtag in your syllabus) Consider carefully, whether or not to protectyour tweets. Have a plan and policy for how abuse will behandled.
Twitter in EducationWith Students For Professional Development A backchannel for in-classcommunication Enables continuation ofdiscussion outside of class Everyone can participate Easy, fast mode of remindingstudents of assignments,events, tests Alternative and quick form ofcommunication Share professional resources The 140 character limit helpsto focus thoughts. Follow professionals, experts,conferences, books, groups,organizations in your industry Stay up on current events andnews in your industry Get current resources Build a network Share your valuable resources Ask questions & get quickanswers
Keeping Connected to ICCSocial Media can keep you connectedEnews:http://enews.icc.edu/ https://www.facebook.com/IllinoisCentralCollege https://www.facebook.com/ICC.EastPeoria https://www.facebook.com/ICCPAC http://www.facebook.com/pages/ICC-Agricultural-Industrial-Technologies-Building/33637 http://www.facebook.com/pages/ICC-Horticulture-Land-Laboratory/260976230643325 http://www.facebook.com/pages/TRiO-Student-Support-Services-at-ICC/324135326707 http://www.facebook.com/pages/Illinois-Central-College-Library/135587506354 https://www.facebook.com/ICCTeachingLearningCenter
Keeping Connected to ICCSocial Media can keep you connectedEnews:http://enews.icc.edu/ Facebook: https://www.facebook.com/IllinoisCentralCollege https://www.facebook.com/ICC.EastPeoria https://www.facebook.com/ICCPAC http://www.facebook.com/pages/ICC-Agricultural-Industrial-Technologies-Building/33637 http://www.facebook.com/pages/ICC-Horticulture-Land-Laboratory/260976230643325 http://www.facebook.com/pages/TRiO-Student-Support-Services-at-ICC/324135326707 http://www.facebook.com/pages/Illinois-Central-College-Library/135587506354 https://www.facebook.com/ICCTeachingLearningCenter
Keeping Connected to ICC Twitter:https://twitter.com/illinoiscentral Google+:https://plus.google.com/+IllinoisCentralCollege/posts YouTube:http://www.youtube.com/ICCedu
Healthcare Information and ManagementSystems Society (HIMSS)http://www.mhimss.org/Great site for stayingcurrent on apps, mobile,social media andhealthcare
Cloud ComputingWhat do you think cloud computing is?A.Happy little clouds that look likecomputer?B.Computer geek term that I don’t need toknow aboutC.A method of sharing, storingand editing informationfrom anywhere/anytime
What is Cloud Computing Cloud computing is Internet-basedcomputing, whereby shared resources,software, and information are provided tocomputers and other devices on demand,like the electricity grid.http://en.wikipedia.org/wiki/Cloud_computing
Google AppsDo you useGoogle tools forinstructional use?
Google.com Account vs. Google Apps for EDU Standard Edition Standard apps (ads) only Hard to predictusernames to share withother users NOT protected byFERPA Personal account Education Edition contracted byICC Access to standard and premierapps (no ads) Sync capabilities More storage Institutional administration ofaccounts/SSO – with searchinterface Can limit sharing to ICC Googleapps members w/single click Google will abide by anyFERPA guidelines, considered“agent” of school
ICC Google Accounts All email address are in the form of:firstname.lastname@example.org Everyone in PeopleSoft is issued aGoogle Apps account Faculty/staff can use these accounts,don’t use email address as your primaryemail, use your ICC email.
Google AppsGMail Huge inbox with search: keep and find everything.Talk IM and Video as easy as email.Groups Let students easily create and work in teams.Calendar Make sharing calendars and schedules easy.Docs Makes collaborating easy.Sites Allow students and teachers to manage their own sites.Video Using the power of video to teach. YouTube and GoogleHangoutsVoice set up a free phone number, have calls, text, voicemail filteredfwd to another number(s)Google+ social profile and video conferencing
BlackboardBlackboard AppMonitor discussion boardsCreate new content, text-based or attachdocuments in your dropboxGet notifications: announcements,discussion boards, Content Added
DropBoxFree account2GBUpload documentsApp for tabletApp integrates withmany other apps
Health GamesGames and Simulation for HealthcareLibrary and Database; University ofWisconsinhttp://healthcaregames.wisc.edu/Virtual ECGhttp://ecg.glam.ac.uk/
Mobile DevicesShould Mobile devices be integrated intothe clinical setting?A. Yes, of course, but only hospitalissue devicesB. Yes, it improves production butwith guidelines of usageC.NO wayD.Not now!
Mobile DevicesDiscussion Pointers:It wasn’t long ago that some believedcomputers did not belong in the clinicalsetting.mHealth: practice of medicine and publichealth supported by mobile devicesSome hospitals and doctor offices are alreadyusing mobile devices, tablets for note taking,reference, training, records
Mobile Devices in Medical SettingsThe tremendous surge in mobile devices ispermeating the healthcare industry at astaggering pace, with over 80% ofphysicians already using smartphones andover 60% owning tablets.
Mobile Devices Can be beneficial/ can be harmful.Professionalism is the key.Policy and guidelines make a difference.Personal devices or school/hospitalissued devices??Advantages/disadvantagesExample of a Policy: http://med.stanford.edu/estudent/ipads/professionalism_and_mob
Photos, Video & the Clinical Setting Many schools have a policy that personal devices,phones, cameras, etc… may not be used in clinic. Photos and video may not be taken any undercircumstance with a personal device. Photos and Video may only be taken if assigned byfaculty/staff and releases have been signed. Photos/video of students – if you are going to retain thework to use in future courses, get releases If you intend to publish the work publicly (Youtube), getreleases
Daniel Kraft: Medicines future?Theres an app for that!
AppsTons of terrific production apps to takenotes, keep dates, reminders, to-do lists,email, Blackboard discussion boardtracking, Google AccessTons of medical reference appsOver 20,000 medical apps in the market
Circulation Journal of the American HeartAssociation Specific content areas include arrhythmiaand electrophysiology, cardiovascularsurgery, congenital heart disease,coronary heart disease, epidemiology,exercise physiology, genetics, healthservices and outcomes research, heartfailure, hypertension, imaging,interventional cardiology, molecularcardiology, pediatric cardiology,pericardial disease, preventivecardiology, stroke, transplantation,valvular heart disease, and vascularmedicine.
MedscapeThe Medscape app has been downloadedmore than 500,000 times in the App Store.Drug reference information, an Interactionchecker, News, and CME education.
AHRQ ePSSU.S. Department of Health and HumanServices (HSS)United States Preventive Services TaskForce’s (USPSTF) recommendationsOne of the neat features of the ePSS app isthe ability to link to HTML calculator pageswithin the app. For example, the app links to aRisk Assessment tool for estimating the 10-year risk of having a heart attack — based onthe Framingham Heart study.
Radiology 2.0: One Night in the EDapp contains 65 Radiology cases thatpertain to Emergency Medicine — butknowledge that can be used for almostevery other specialty. The content hasbeen curated by Daniel Cornfeld MD, whois an Assistant Professor at YaleUniversity School of Medicine.when using Radiology 2.0 you feel like aradiology attending is sitting next to youteaching you each individual case.
Patient Education Apps Draw MD series - series contains nine app currently, withseven specialties covered: Cardiology, General Surgery,Orthopedic Surgery, OB/GYN, Urology, ENT, andAnesthesia. Cancer.net - product of the American Society of ClinicalOncology(ASCO). It enables patients to meticulouslytrack their cancer therapy and also provides them awealth of legitimate information on their disease. inMotion 3D - by the Stryker Corporation, a medicaldevice company with a focus on orthopedics. The appcan be used for patient education of knee anatomy.
The Lancet iPad application The app spans across five Lancet titlesincluding The Lancet, The Lancet InfectiousDiseases, The Lancet Neurology, The LancetOncology and The Lancet RespiratoryMedicine. Functionality includes:Article-based navigation to find articles quicklyDownload articles for immediate or future use,either on or offlineShare articles with colleaguesAnnotate articlesCreate alertsBookmark favorites
Mosby`s Nursing Consult 1.0.0 Mosby`s Nursing Consult deliversfast, accurate clinical informationnurses need. Now you can have quickand easy access to Nursing Consultat the bedside or anywhere from yourmobile device.The app includes the following contentfrom Nursing Consult:• Evidence-based nursing monographs• Patient education• Drug monographs• Drug calculators
T2 Mood TrackerSelf-monitor, track and referenceemotional experiences overa period of time.Self-rating, pre-populatedcategoriesNot addingGraphed resultsSend results to provider(coming)
mTBI Pocket GuideClinical Practice Guidelines for treatmentof mTBI Features: Quick results with coding guidance Symptom management lists Summary of clinicalrecommendations Patient education resources Clinical tools and resources
infusiCalca drug calculator for use by allmedical and health careprofessionals. It can performcalculations on single dose andinfusions, using patient weight,solution concentrations andmixtures to calculate doses.InfusionsBolusHistory
Resuscitation!a realistic virtual patient simulatorfor the iPhone. Resuscitation! givesyou a case presentation of a patientwho is ill. It is your job to take ahistory, perform a physical exam,form a differential diagnosis andadminister therapy to treat thepatient’s underlying problem. Itincludes real, open sourceimages of EKGs andradiology studies.
STAT Framingham Heart Agecalculates General Cardiovascular Riskwhich includes what most primary carephysicians are treating – not justcardiovascular death. It also includescalculation of an eye-opening Heart Ageor Vascular Age.See what that extra10 points of systolicblood pressure costsyou in years.
STAT Cardiac Clearance"Did you follow the latest ACC/AHAguidelines when you cleared this patient forsurgery?"
STAT Reynolds Risk ScoreHigh-sensitivity C-reactive protein andfamily history are independently associatedwith future cardiovascular events and haveare incorporated into risk prediction modelsfor both women and men.
Resources on FERPA FERPA regulations: http://www2.ed.gov/policy/gen/reg/ferpa/index.html FERPA & H1N1:http://www2.ed.gov/policy/gen/guid/fpco/pdf/ferpa-h1n1.pdf FERPA & Emergencies & Other Disasters:http://www2.ed.gov/policy/gen/guid/fpco/pdf/ferpa-disaster-guidance.pdf Amendments to FERPA regulations (2008):http://www2.ed.gov/legislation/FedRegister/finrule/2008-4/120908a.pdf FERPA & HIPPA Information http://www2.ed.gov/policy/gen/guid/fpco/doc/ferpa-hipaa-guidance.pdf
Social Media & Ferpa Resourceshttp://www.fsmb.org/pdf/pub-social-media-guidhttps://www.ncsbn.org/Social_Media.pdfhttp://www.facultyfocus.com/articles/teaching-whttp://net.educause.edu/ir/library/pdf/ELI3024.
Social Media http://184.108.40.206/content/19/5/777.full.pdf+html http://malt.ml.cmu.edu/mw/index.php/Reviewing_social_media_use http://lifeinthefastlane.com/ https://gmep.org/ http://curbsideconsult.tumblr.com/post/39567593315/disruptin
Twitter Twitter Basics:http://www.icc.edu/innovation/PDFS/resources/TwitterBasics 20Innovative Ways High Schools Are Using Twi 28Creative Ways Teachers Are Using Twitter