4. “…all that is required is the current issue of The Journal, an easy chair, pencils, a
pad of paper and postal cards, along with a genuine, sustaining interest in all
fields of medicine”
Flaxman How to keep up with medical literature JAMA 1954
1950
Good morning
I’m going to give you a whistle stop tour of social media use in critical care.
WHY you might want to use it
HOW we might use applications such as twitter, blogging sites, podcasts and videos to access intensive care resources and enhance our educational experiences
Some disclosures
These are the websites I am involved with
TBL - summary & critique of landmark papers in ICM.
ICM Case Summaries - repository of all of the ECS’ which have been completed & generously donated to this site and which would otherwise gather dust in the ether
I’m also responsible for developing and maintaining the Wessex ICS and my departmental site in Portsmouth.
As I look around the room I am aware that there will be individuals that
know all about the potential benefits of Social Media for learning and educating and are already using it
there will be some that are aware of it & want to know more
there will be some that are a bit confused about the whole thing and
some skeptics that just don’t care or cannot see the value in it. Please don’t let him start telling me to sign up for twitter…
We can choose to fully embrace social media, we can choose to be aware of it but not personally use it, but I don't think we can choose to ignore it in the context of modern medical education.
So why might you use it? Lets go back to the 1950’s…
Learning was easy. If you do a pubmed search under ‘intensive care’ or ‘critical care’ there will be 1 article returned.
Do the same literature search for 2015 and there are 24,000 citations. Let’s say only 1 % are relevant, you would still need to read 50 articles every single week to keep up to date. We need to adapt…
Shift patterns are changing; learning opportunities are different; individual styles of learning are evolving; web based resources are expanding
We need to share the best learning experiences and make them available for all at any time and any place which is the concept of asynchronous learning
HOW….Free Open Access Meducation or Medical Education or FOAM
- Way of globally sharing educational content through social media platforms
- We are all clinical educators we get up at local teaching sessions, journal clubs, grand -rounds or conferences & deliver talks. But the reach of those talks is confined to those who attend...unless you take the bold step of creating online content – basically, putting up your ideas, talks, slides etc online in a form where ANYONE can access them
- Might be in the form of a blog (reading commentary or analysis), a podcast (eg the audio of your presentation, listening to or hosting group discussion on a contentious topic or an interview with the PI of a research paper) or a video (watching how to perform a procedure or the recording of your presentation). Good FOAM sites collate information, curate it and disseminate it. This work is produced by a network of health professionals who are bound by a simple philosophy - the delivery of high quality, interactive, trust worthy material which is free and easily accessible
Here are some examples of FOAM projects…
CCR's - weekly updates via email of all latest ICM articles
CCP - regular podcasts. Listen gym, car, merlot
ICN host regular reviews and podcasts. Recent example include interviewing Paul Young, the week after SPLIT was presented
Lets not forget JICS which remains an open access ICM journal on line
LITFL - staggering 20 million views in 1 yr - comparable to NEJM!
An example here….
You have just witnessed a superb sepsis panel debate
Remind yourself of the nuances of the papers..
Rivers, ProMISE, ProCESS, ARISE, Sepsispam, FEAST
smacc podcasts - all of them from smacc conference.
Go onto iTunes and listen to these 20 minute podcasts for FREE
Delighted to say that all the talks from SOA this year will be released over the next few months
We must not forget the established methods for learning that have served us well for generations.
Bed side teaching - nothing can and should ever replace this. Learning from an experienced mentor who is able to assimilate knowledge, appraise it and combine it with their wealth of experience is fundamental to the learning process.
Social media & specifically FOAM can be used as adjuncts to support this educational experience. Making learning, easily accessible and fun.
So couple of comments I often hear when individuals are starting their journey with social media and FOAM is where do I find the best resources…
My advice is start with twitter
Twitter is essentially a microblogging platform. With only 140 characters per tweet it is not designed for intricate discussion but it is good for enabling relevant educational material such as journal articles or FOAM resources to be signposted / broadcasted
So start by following trusted colleagues, journals, organisations and established FOAM sites. Take a look at their websites. Follow the individuals or groups they are following
Using hashtags such as ICSSOA2015 for conferences and FOAMed free open access critical care means you can quickly refine your search for the most relevant material
Got so much more to discuss about this at tmrw's workshop - RSS feeds to produce your bespoke web-journal; creating your own websites & podcasts
Are FOAM resources trustworthy?
No peer review process is infallible
I believe that anything you read requires a health dose of skepticism. It is up to us as individuals to explore the evidence and interpret it correctly.
FOAM is not scientific research. Simply a useful way of disseminating and discussing established practice or the latest literature
The peer review process for FOAM resources comes from the individuals utilising it.
Their reflection and contribution is essential.
This process if used correctly encourages dissemination of knowledge, critical appraisal and discussion and engagement with experts globally.
Eg discussion with Anthony Delayney the week after ARISE by ICN
TBL - we had a summary and critique of ARISE released within 24 hours of it being published. AD & SF contributed to discussions on the paper, methodology and EGDT within hours of this on our discussion board
This is what FOAM means to some other people
For me...
All of these points resonate
- enjoy learning
- much more aware of the latest literature
- i'm able to interact with researchers and decrease knowledge translation
- improved my personal networking with HCP's globally, given me a very privilged opportunity to talk here today and I feel very much art of a special community of educators who enjoy teaching and learning
I hope you enjoy the conference and use the opportunity to share good practice, network and have some time to unwind from busy clinical workloads….
Thank you. Links for getting started with FOAM resources and …on son website and will talk more in our workshop tomorrow