Evidence at Your Fingertips: Elegance Solutions for Painful Processes


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Delivered at the AAOMPT Conference, 2008 in Seattle, WA

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  • Evidence at Your Fingertips: Elegance Solutions for Painful Processes

    1. 1. Leveraging Internet Technologies as Elegant Solutions to Painful Processes. Eric Robertson, PT, DPT Medical College of Georgia Tim Noteboom, PT, PhD Regis University AAOMPT 2008 Breakout Session
    2. 2. About Me: Eric <ul><li>Assistant Professor @ MCG </li></ul><ul><li>Board Certified in Orthopaedics </li></ul><ul><li>Evidence in Motion Fellow-in-Training </li></ul><ul><li>Interest in Web Technology & EBP </li></ul><ul><li>Blogger </li></ul>
    3. 3. About Me: Tim <ul><li>Director, Department of Post-Professional Programs@ Regis University </li></ul><ul><li>Established the TDPT Program @ Regis </li></ul><ul><li>Board Certified in Sports PT </li></ul><ul><li>Interest in EBP & Web Technology </li></ul>
    4. 4. <ul><li>Technologies </li></ul><ul><li>are no fun </li></ul><ul><li>unless you </li></ul><ul><li>understand </li></ul><ul><li>LEVERAGE . </li></ul>
    5. 5. <ul><li>Define the terms Web 2.0, Health 2.0 </li></ul><ul><li>Identify opportunities for non-traditional learning </li></ul><ul><li>Improved ability to gather and organize information </li></ul><ul><li>Define “push” information </li></ul><ul><li>Set up an aggregator program for information collection. </li></ul>
    6. 6. Sackett, D.L. et al. (1996) Evidence based medicine: what it is and what it isn't. BMJ 312 (7023), 13 January, 71-72).
    7. 7. EBP Time Barriers <ul><li>Busy Clinic </li></ul><ul><li>More and more evidence </li></ul><ul><li>Only enough time to read a few articles </li></ul><ul><li>Productivity </li></ul><ul><li>Billable Time </li></ul><ul><li>Family Life </li></ul><ul><li>Without enough TIME, the concept of EBP Fails! </li></ul>
    8. 8. <ul><li>“ Web 2.0 is not a fad, but is changing the way patients and physicians interact.” </li></ul>Web 2.0 A New, Interactive Web Experience Guistini D. How Web 2.0 is Changing Medicine. BMJ 333(7582): 1283-84. (December 2006). <ul><li>Sharing of Ideas </li></ul><ul><li>Collaboration </li></ul><ul><li>Communication </li></ul>
    9. 9. <ul><li>Web 2.0 in a Nutshell </li></ul><ul><li>Make Sites Sticky </li></ul><ul><li>Notification of updated content (feeds) </li></ul>
    10. 10. <ul><li>The Past… </li></ul><ul><li>Now… </li></ul>
    11. 11. Characteristics: <ul><li>Web 2.0 … </li></ul><ul><ul><li>Applications without software…it lives on the web </li></ul></ul><ul><ul><li>Users add value </li></ul></ul><ul><ul><li>Social networking aspect </li></ul></ul><ul><ul><li>User-friendly interface </li></ul></ul>
    12. 12. Example of a Web 2.0 App <ul><li>Easy to share information with others </li></ul><ul><li>People know who you are </li></ul><ul><li>You know when someone updates information </li></ul><ul><li>Rich with media like images, videos, widgets, and blogs </li></ul><ul><li>Efficient and “sticky” </li></ul>
    13. 15. <ul><li>Light-weight definition: </li></ul><ul><ul><ul><li>&quot;The use of social software…to promote collaboration between patients…medical professionals, and other stakeholders in health&quot; </li></ul></ul></ul><ul><li>Evolved Definition: </li></ul><ul><ul><ul><li>“… 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.” </li></ul></ul></ul><ul><li>Sources: </li></ul><ul><li>Adapted from Jane Sarasohn-Kahn's &quot;Wisdom of Patients&quot; report, by Matthew Holt, Last updated June 6, 2008 </li></ul><ul><li>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-congress-website-launched.html . </li></ul>
    14. 16. Adapted from Wikipedia.com: http://en.wikipedia.org/wiki/Health_2.0 Use Role Example Users Staying Informed Stay up to date on latest developments in a field RSS, Podcasts, Search Tools Health Professionals, Public Education Delivery of professional and continuing education E-Learning, Web Seminars, Distance-based, podcasts Health Professionals Collaboration and Practice Decision making in daily practice, collaborative research Wikis, literature searches, shared documents Health Professionals Managing a Condition Information related to condition and treatment options Multiple Public
    15. 17. <ul><li>But what tools??? </li></ul>
    16. 19. <ul><li>Clinician / Student @ AAOMPT: </li></ul><ul><li>“ I get frustrated before I’m able to find what I’m searching for on Google or PubMed.” </li></ul>Evidence at your Fingertips Geek : “Searching can be made much more efficient by understanding how search engines work. Use advanced search features in Google to quickly limit your responses!” Clinic Manager @ AAOMPT: “ Advanced Search???”
    17. 20. <ul><li>The Average Google User never uses more than 3% of the capacity of Google’s tools. </li></ul>
    18. 22. <ul><li>Become a Power Google User </li></ul>
    19. 23. <ul><li>Just Another Search Engine! </li></ul><ul><ul><ul><li>Logic </li></ul></ul></ul><ul><ul><ul><li>Limit Searches </li></ul></ul></ul><ul><ul><ul><li>Library Science </li></ul></ul></ul><ul><li>Check out the Tutorial </li></ul><ul><ul><ul><li>Or talk to our Librarian </li></ul></ul></ul><ul><li>Google Scholar…Stay Tuned. </li></ul>
    20. 24. Search by Relevance!
    21. 25. BUT I HAVEN’T SAVED ANY TIME YET! <ul><li>Do you have to go search your friend’s sites to see if they’ve sent you an e-mail? </li></ul><ul><li>How about an Inbox for the Web? </li></ul>(Aside from being a more efficient searcher!)
    22. 26. <ul><li>RSS for Fast-food Evidence! </li></ul>
    23. 27. <ul><li>Clinician / Student @ AAOMPT: </li></ul><ul><li>“ Power Searching if fine. I just don’t have enough time to keep up with all the literature coming out each week!” </li></ul>Evidence at your Fingertips Geek : “Take control of information overload! Push the information to you using feeds and an aggregator program, like an inbox for the web.” Clinic Manager @ AAOMPT: “ Inbox for the web? That sounds cool!”
    24. 36. <ul><li>Google Reader Makes Me Smarter! </li></ul>
    25. 38. NYT has tons of feeds!
    26. 40. <ul><li>Learning, Growing, Connecting </li></ul>
    27. 41. <ul><li>Telling a story </li></ul>
    28. 42. <ul><li>Clinician@ AAOMPT: </li></ul><ul><li>“’ What’s all this talk about Bloggers?” </li></ul>Evidence at your Fingertips Geek : “Give blogging a chance! It really is nothing more than a web-based journal, but it can also be much more than that.”
    29. 43. Intentional and Reflective Learning <ul><li>Blogs & Wikis vs. Traditional Learning </li></ul><ul><ul><ul><li>Collaborative nature promotes higher levels of learning </li></ul></ul></ul><ul><ul><ul><li>Become a publisher, not just a consumer on content </li></ul></ul></ul><ul><li>Learning as a goal </li></ul><ul><ul><ul><li>Web 2.0 tools can foster this </li></ul></ul></ul><ul><ul><ul><li>Contribute to content </li></ul></ul></ul><ul><ul><ul><li>Collaboration </li></ul></ul></ul><ul><ul><ul><li>Open for peer-review </li></ul></ul></ul>
    30. 44. My Weblog <ul><li>Blogging for Learning </li></ul><ul><li>Introspective, self-paced, self-directed learning </li></ul><ul><li>WRITE ONE! </li></ul>
    31. 45. Popular PT Blogs <ul><li>Blogging for Learning </li></ul>
    32. 46. <ul><li>Websites Made Easy </li></ul>
    33. 47. <ul><li>Clinic Manager @ AAOMPT: </li></ul><ul><li>“ Boy, I wish there was a way to get rid of this huge policy and procedure manual for the clinic.” </li></ul>Evidence at your Fingertips Geek : “Great idea…why don’t you convert your paper pages to digital. A wiki could serve as a dynamic P&P manual. You could deliver staff training this way too!” Clinic Manager @ AAOMPT: “ What’s a Wiki?”
    34. 48. Wiki <ul><li>Easy Editing </li></ul><ul><ul><li>Simple interface </li></ul></ul><ul><ul><li>Wiki Syntax </li></ul></ul><ul><li>Collaboration </li></ul><ul><ul><li>Members have input </li></ul></ul><ul><li>Control </li></ul><ul><ul><li>Public or Private </li></ul></ul><ul><li>Flexible! </li></ul><ul><ul><li>Only limited by imagination </li></ul></ul>Did you know: wiki is derived from “ wiki wiki ,” meaning quick?
    35. 50. Get Students Involved <ul><li>I use my wiki to… </li></ul>Problem: Insufficient resources on orthopaedic diagnoses
    36. 51. Collaborate with Clinical Partners <ul><li>I use my wiki to… </li></ul>
    37. 52. Wiki Considerations <ul><li>Wiki syntax and WYSIWYG </li></ul>
    38. 53. Wiki Considerations <ul><li>Wiki syntax in Wikidot </li></ul>
    39. 54. Share Organize Control
    40. 55. <ul><li>It’s like an Easy Button! </li></ul>
    41. 58. Let’s give a try….. Clinician @ AAOMPT : “I’m thinking about attending a breakout session by Steven George. I wonder what research he has published? Evidence at your Fingertips Geek : “Great idea…why don’t you pop into PubMed , search for his publications, and then download what you are interested into Zotero so you can view them during his talk and then share with your co-worker next week as a thank you for treating your patients while you were at AAOMPT?” Clinician @ AAOMPT : “Huh?”
    42. 59. <ul><li>It’s is an Easy Button! </li></ul>
    43. 62. Click the folder Brings up this window
    44. 67. <ul><li>Determine your bottlenecks and issues </li></ul><ul><li>Find the application to solve it </li></ul><ul><li>Learn to use each tool in depth… </li></ul><ul><ul><ul><li>(though don’t spend too much time learning!) </li></ul></ul></ul><ul><ul><ul><li>Example: Learn how to search Gmail efficiently, or learn how to Jott to Google Calendar </li></ul></ul></ul><ul><li>Colleagues: Ask and Share! </li></ul>
    45. 68. <ul><li>Simple Solutions…. </li></ul><ul><li>A coordinated web strategy for professional development. </li></ul>
    46. 71. <ul><li>The World’s Information </li></ul><ul><li>at your… </li></ul><ul><li>FINGERTIPS! </li></ul>
    47. 72. APTA 2009 - Baltimore June 11, 2009 <ul><li>Join Us! </li></ul>http://www.flickr.com/photos/chuckrobinson/2401273711/
    48. 73. <ul><li>Physical Therapy Feeds </li></ul><ul><li>RSS at a Glance </li></ul><ul><li>Aggregator Programs for Collecting RSS Feeds </li></ul><ul><li>Who can Benefit from RSS? says: </li></ul><ul><li>Coding format used to publish web pages with frequently updated content. </li></ul><ul><li>Permits continuous instant alerting to the latest ideas </li></ul><ul><li>Requires an AGGREGATOR to display the Feeds </li></ul><ul><li>… like an inbox for the web. </li></ul><ul><li>PT Journal Podcasts and Online Now! </li></ul><ul><li>JMMT RSS Feed </li></ul><ul><li>Any PubMed Search </li></ul><ul><li>“ Physical Therapy” Google News Search </li></ul><ul><li>Physical Therapy Blogs </li></ul><ul><li>Your Favorite Journals </li></ul><ul><li>“ Anyone who has been frustrated at the time it takes to find what you want on the Internet can appreciate the time-saving feature of RSS. If there are web pages you visit daily or regularly – let’s say you always read the front page of The New York Times and your best friend’s weblog – RSS eliminates the need to check for updates. Every time something changes on the page, it comes to you. RSS always shows the most-recent changes.” </li></ul>
    49. 74. <ul><li>Web 2.0 Resources </li></ul><ul><li>My Favorite Blogs </li></ul><ul><li>Resources for this Presentation!! </li></ul><ul><li>Visit Physio-pedia.com for a collection of great resources! </li></ul><ul><ul><li>Replay the Presentation </li></ul></ul><ul><ul><li>Guided Tutorials </li></ul></ul><ul><ul><li>Links to Web Resources </li></ul></ul><ul><li>NPA Think Tank </li></ul><ul><li>http://www.npathinktank.com </li></ul><ul><li>Evidence in Motion Blog </li></ul><ul><li>http://blog.myphysicaltherapyspace.com </li></ul><ul><li>Physiospot Blog </li></ul><ul><li>http://www.physiospot.com </li></ul><ul><li>UBC Physio-Info </li></ul><ul><li>http://weblogs.elearning.ubc.ca/physio </li></ul>Physio-pedia.com is a PT-focused Wiki with an international audience! Collaborative Web Software to try out. “ Creating” Applications Gmail – It does more than you think, like sending alerts to my BB for free! Google Docs and Spreadsheets – Web-based, collaborative Zoho Suite – Competitor to Google Docs, includes awesome meeting app OpenOffice.org – Suite of full featured ,free office applications, Zotero – Web-based equivalent to EndNote, manage citations on the fly! Project Management Tools 37 Signals – Sets standards for Web 2.0 apps, BaseCamp, BackPack Remember the Milk – Task list, Integrates well with Gmail and G-Calendar Bubbl.us – Create mind maps and do some solid brainstorming Wikidot.com – Create an interactive site for managing research, for example DropBox.com – Sync and Share Files on the web efortlessly Blog Platforms TypePad – Costs $$, but great functionality Blogger – Google product, free and functional Word Press – Visually attractive, very popular Moveable Type – For the adventurous, independent blogger <ul><li>We recommend Lifehacker.com as a nice resource for learning new tools and tricks about the web. </li></ul><ul><li>You can find any of these programs by simply doing a Google search for it. </li></ul><ul><li>I use Firefox 3 as my web browser for its far superior security, stability, and customizability compared to Internet Explorer. It is a simple download. </li></ul><ul><li>Did you know? Google has a Web Browser. Check out Google Chrome! </li></ul>
    50. 75. Physio-pedia.com <ul><li>Get Involved in Web 2.0! </li></ul><ul><li>Turn-key wiki for PT’s worldwide </li></ul><ul><li>Can find full presentation linked there! </li></ul>