Swarm based medical education

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Swarm based medical education

  1. 1. Swarm-based MedicalSwarm-based Medical EducationEducation
  2. 2. KnowledgeKnowledge Translation TimeTranslation Time Known ————> used in practiceKnown ————> used in practice TimTim ee 10 years ->10 years -> weeksweeks
  3. 3. Mike CadoganMike Cadogan
  4. 4. PodcastsPodcasts BlogsBlogs TwitterTwitter Google PlusGoogle Plus
  5. 5. Advantages of FOAMAdvantages of FOAM MultimediaMultimedia Listen to podcasts while biking or kayakingListen to podcasts while biking or kayaking Great for people with short attention spans. CheckGreat for people with short attention spans. Check Twitter on the looTwitter on the loo Short KT TimeShort KT Time
  6. 6. ExampleExample Apnoeic oxygenationApnoeic oxygenation Nasal prongs oxygenation during rapid sequenceNasal prongs oxygenation during rapid sequence intubation to reduce risk of hypoxia.intubation to reduce risk of hypoxia. Article in Journal of Emergency Medicine Feb 2010 andArticle in Journal of Emergency Medicine Feb 2010 and EP Monthly Dec 2010, quoting anaesthetic research.EP Monthly Dec 2010, quoting anaesthetic research. March 2011 EMCrit Podcast -> Put into practice in ourMarch 2011 EMCrit Podcast -> Put into practice in our ED that month and probably within a year was standardED that month and probably within a year was standard practice in all EDs around the worldpractice in all EDs around the world
  7. 7. Example 2Example 2 Targeted Temperature ManagementTargeted Temperature Management NEJM Dec 2013 Post cardiac arrest cooling to 36˚ asNEJM Dec 2013 Post cardiac arrest cooling to 36˚ as effective as cooling to 33˚effective as cooling to 33˚ Discussions via various FOAM mediaDiscussions via various FOAM media Practice change Dec 2013 in many hospitals (not thisPractice change Dec 2013 in many hospitals (not this one :-(one :-(
  8. 8. But there’s all this dubiousBut there’s all this dubious stuff on the internetstuff on the internet Who can you believe?Who can you believe? What can you trust?What can you trust? What can you trust?What can you trust? What can you trust?What can you trust? What can you trust?What can you trust? What can you trust?What can you trust?
  9. 9. Swarm intelligence (SI) is the collective behaviorSwarm intelligence (SI) is the collective behavior of decentralized, self-organized systems, naturalof decentralized, self-organized systems, natural or artificial.or artificial.
  10. 10. The swarm, the online medical community, is choosing who to listenThe swarm, the online medical community, is choosing who to listen to.to. Meritocracy, cream floats, good blogs and podcasts become popularMeritocracy, cream floats, good blogs and podcasts become popular Opinion leaders quickly change opinions based on feedback from theOpinion leaders quickly change opinions based on feedback from the swarm e.g. Anand Swaminathan on EM:RAP re calcium gluconate vsswarm e.g. Anand Swaminathan on EM:RAP re calcium gluconate vs calcium chloride jan 2014calcium chloride jan 2014 Swarm based critique and feedbackSwarm based critique and feedback e.g. possible foreign body on a Wanganui X-Ray picked up by ae.g. possible foreign body on a Wanganui X-Ray picked up by a doctor in Venezuela last year (coarctation stent)doctor in Venezuela last year (coarctation stent) e.g. Dr Minh Le Cong edits the whole of FOAM. Corrected a dose ofe.g. Dr Minh Le Cong edits the whole of FOAM. Corrected a dose of ketamine in one of my tweets within a few minutesketamine in one of my tweets within a few minutes
  11. 11. • + a smattering of several other+ a smattering of several other good podcastsgood podcasts
  12. 12. Niche: new docs, small hospitalsNiche: new docs, small hospitals Helps attract good quality doctorsHelps attract good quality doctors Most importantly helps orientate andMost importantly helps orientate and up-skill our new docsup-skill our new docs

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