#GeriMedJC – The Twitter complement to the traditional format Geriatric Medicine Journal Club
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The document summarizes the development and results of #GeriMedJC, a Twitter-based journal club complementing an existing traditional geriatric medicine journal club. Over 12 months: - #GeriMedJC grew to over 600 international followers from diverse backgrounds. - Participation in the Twitter chats increased, with over 200 tweets and participants per month. - Impressions exceeded 80,000, covering topics like clinical practice, medical education, and health policy. - Resident feedback found value in international and interprofessional perspectives, and engaging experts online. - The authors conclude social media can feasibly engage residents in literature discussion beyond physical and time barriers.
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#GeriMedJC – The Twitter complement to the traditional format Geriatric Medicine Journal Club
- 1. The International Conference on Residency Education | La Conférence internationale sur la formation des résidents #GeriMedJC – The Twitter complement to the traditional format Geriatric Medicine Journal Club Authors: A.Gardhouse, L.Budd, C.Yang, C.Wong Date: October 23, 2015
- 2. The International Conference on Residency Education | La Conférence internationale sur la formation des résidents Je n’ai aucune affiliation (financière ou autre) avec une entreprise pharmaceutique, un fabricant d’appareils médicaux ou un cabinet de communication. I do not have an affiliation (financial or otherwise) with a pharmaceutical, medical device or communications organization. Author: C. Wong (@camilla_wong) Date: October 23, 2015
- 3. The International Conference on Residency Education | La Conférence internationale sur la formation des résidentsThe International Conference on Residency Education | La Conférence internationale sur la formation des résidents 3 OBJECTIVES Tweet #GeriMedJC | Follow @GeriMedJC The first 12 months of #GeriMedJC. 1. To describe the development of the Twitter-complement to the traditional format journal club, 2. To demonstrate the growth, impact, and resident experience of #GeriMedJC. 3. To discuss opportunities for improvement and sustainability.
- 4. The International Conference on Residency Education | La Conférence internationale sur la formation des résidentsThe International Conference on Residency Education | La Conférence internationale sur la formation des résidents 4 BACKGROUND Tweet #GeriMedJC | Follow @GeriMedJC The traditional format Geriatric Medicine Journal Club at the University of Toronto • fourth Friday of each month, 08:00-09:00 ET • 2 articles chosen for discussion emailed a week in advance to faculty and postgraduate trainees • article selection guided by a clinician-scientist • live presentation of a critical appraisal of the articles by Geriatric Medicine subspecialty trainees • broadcast via the Ontario Telemedicine Network to over 10 hospital sites in at least 4 cities • attendance by geriatricians and Geriatric Medicine subspecialty trainees • online evaluation and MOC
- 5. The International Conference on Residency Education | La Conférence internationale sur la formation des résidentsThe International Conference on Residency Education | La Conférence internationale sur la formation des résidents 5 BACKGROUND Tweet #GeriMedJC | Follow @GeriMedJC The potential for Twitter • minimizes physical barriers • allows international participation across time zones • permits unrestricted participation which may include study authors, domain experts, allied health workers, patients, caregivers, and organizations • archives online discussion Follow @GeriMedJC. Tweet #GeriMedJC.
- 6. The International Conference on Residency Education | La Conférence internationale sur la formation des résidentsThe International Conference on Residency Education | La Conférence internationale sur la formation des résidents 6 METHODS: Intervention Tweet #GeriMedJC | Follow @GeriMedJC The Twitter complement to the traditional journal club • articles are announced by @GeriMedJC a week ahead • targeted invitations are also sent out to relevant authors, domain experts and organizations to participate • @GeriMedJC moderates the tweet chat by introducing special guests, posing questions, providing relevant links • participants are encouraged to use the hashtag #GeriMedJC • one hour of tweet chat coincides with the live, traditional format journal club; the tweetchat includes the one hour prior and 24 hours after to capture all time zones
- 7. The International Conference on Residency Education | La Conférence internationale sur la formation des résidentsThe International Conference on Residency Education | La Conférence internationale sur la formation des résidents 7 METHODS: Intervention Tweet #GeriMedJC | Follow @GeriMedJC
- 8. The International Conference on Residency Education | La Conférence internationale sur la formation des résidentsThe International Conference on Residency Education | La Conférence internationale sur la formation des résidents 8 METHODS: Data Sources Tweet #GeriMedJC | Follow @GeriMedJC Quantitative Metrics • Twitter analytics • Tweetmaps • Symplur Qualitative Metrics • semi-structured group interview with Geriatric Medicine subspecialty trainees after the eighth month
- 9. The International Conference on Residency Education | La Conférence internationale sur la formation des résidentsThe International Conference on Residency Education | La Conférence internationale sur la formation des résidents 9 METHODS: Outcomes Tweet #GeriMedJC | Follow @GeriMedJC 1. Growth • number of followers • number of participants • number of tweets 2. Impact • impressions • theme areas of tweets 3. Resident Experience and Feedback
- 10. The International Conference on Residency Education | La Conférence internationale sur la formation des résidentsThe International Conference on Residency Education | La Conférence internationale sur la formation des résidents After a year, @GeriMedJC has ~600 followers. 10 RESULTS: Growth Tweet #GeriMedJC | Follow @GeriMedJC 0 100 200 300 400 500 600 0 1 2 3 4 5 6 7 8 9 10 11 12 Followers Month
- 11. The International Conference on Residency Education | La Conférence internationale sur la formation des résidentsThe International Conference on Residency Education | La Conférence internationale sur la formation des résidents @GeriMedJC followers are diverse. 11 23% 23% 14% 19% 13% 8% Organization Geriatrician Other Physician Trainee Allied Health Other RESULTS: Growth Tweet #GeriMedJC | Follow @GeriMedJC
- 12. The International Conference on Residency Education | La Conférence internationale sur la formation des résidentsThe International Conference on Residency Education | La Conférence internationale sur la formation des résidents @GeriMedJC followers are international. 12 RESULTS: Growth Tweet #GeriMedJC | Follow @GeriMedJC
- 13. The International Conference on Residency Education | La Conférence internationale sur la formation des résidentsThe International Conference on Residency Education | La Conférence internationale sur la formation des résidents Active participation in #GeriMedJC is increasing. 13 RESULTS: Growth Tweet #GeriMedJC | Follow @GeriMedJC Month 0 50 100 150 200 250 0 1 2 3 4 5 6 7 8 9 10 11 12 Tweets Participants
- 14. The International Conference on Residency Education | La Conférence internationale sur la formation des résidentsThe International Conference on Residency Education | La Conférence internationale sur la formation des résidents #GeriMedJC impressions are growing. 14 RESULTS: Impact Tweet #GeriMedJC | Follow @GeriMedJC 0 10000 20000 30000 40000 50000 60000 70000 80000 0 1 2 3 4 5 6 7 8 9 10 11 12 Impressions Month
- 15. The International Conference on Residency Education | La Conférence internationale sur la formation des résidentsThe International Conference on Residency Education | La Conférence internationale sur la formation des résidents #GeriMedJC tweets cover different domains. 15 RESULTS: Impact Tweet #GeriMedJC | Follow @GeriMedJC 0% 5% 10% 15% 20% 25% 30% Clinical Practice Medical Education Health Policy Promotional Critical Appraisal Other
- 16. The International Conference on Residency Education | La Conférence internationale sur la formation des résidentsThe International Conference on Residency Education | La Conférence internationale sur la formation des résidents 16 RESULTS: Resident Experience Tweet #GeriMedJC | Follow @GeriMedJC
- 17. The International Conference on Residency Education | La Conférence internationale sur la formation des résidentsThe International Conference on Residency Education | La Conférence internationale sur la formation des résidents 17 RESULTS: Resident Feedback Tweet #GeriMedJC | Follow @GeriMedJC “I think it would be beneficial for the staff who are the experts to be taught a little bit more, the whole process, like how to do this.”
- 18. The International Conference on Residency Education | La Conférence internationale sur la formation des résidentsThe International Conference on Residency Education | La Conférence internationale sur la formation des résidents 18 RESULTS: Resident Feedback Tweet #GeriMedJC | Follow @GeriMedJC “… go back and refer to things so there are people who know more about the topic than I do that read the same articles, that is very important for our education …”
- 19. The International Conference on Residency Education | La Conférence internationale sur la formation des résidentsThe International Conference on Residency Education | La Conférence internationale sur la formation des résidents 19 RESULTS: Resident Feedback Tweet #GeriMedJC | Follow @GeriMedJC http://gerimedjc.utorontoeit.com/
- 20. The International Conference on Residency Education | La Conférence internationale sur la formation des résidentsThe International Conference on Residency Education | La Conférence internationale sur la formation des résidents 20 CONCLUSIONS Tweet #GeriMedJC | Follow @GeriMedJC 1. Developing a Twitter-complement to the traditional format journal club is feasible. 2. #GeriMedJC has grown to engage international and interprofessional appraisal of medical literature to which residents may not have otherwise been exposed. 3. Postgraduate trainees may provide valuable feedback on how to integrate and improve social media use in residency education.
- 21. The International Conference on Residency Education | La Conférence internationale sur la formation des résidentsThe International Conference on Residency Education | La Conférence internationale sur la formation des résidents 21 ACKNOWLEDGEMENTS The #GeriMedJC Team • Amanda Gardhouse (PGY5, Geriatric Medicine) • Laura Budd (PGY2, Internal Medicine • Christine Yang (University of Waterloo) • Thomas Galati (Ontario Institute of Technology) Funding Sources • Postgraduate Innovation Fund, Department of Medicine, University of Toronto • Office of Integrated Medicine, University of Toronto Follow @GeriMedJC. Tweet #GeriMedJC. Tweet #GeriMedJC | Follow @GeriMedJC
- 22. The International Conference on Residency Education | La Conférence internationale sur la formation des résidents • Download the ICRE App, • Visit the evaluation area in the West Ballroom Foyer, near Registration, or • Go to: http://www.royalcollege.ca/ icreevaluations to complete the session evaluation. • Téléchargez l’application de la CIFR • Visitez la zone d’évaluation, foyer de la salle de bal Ouest, près du comptoir d’inscription, ou • Visitez le http://www.collegeroyal .ca/evaluationscifr afin de remplir une évaluation de la séance. You could be entered to win 1 of 3 $100 gift cards. Vous courrez la chance de gagner l’un des trois chèques-cadeaux d’une valeur de 100 $. Help us improve. Your input matters. Aidons-nous à nous améliorer. Votre opinion compte.
Editor's Notes
- Follow along on Twitter, using the conference hashtag, #ICRE2015
- Discussion the latest literature with colleagues is a time-honoured tradition in medicine that dates back to Sir William Osler. He formed his journal club at McGill University in 1875.
- Discussion of the latest literature with colleagues is a time-honoured tradition in medicine that dates back to Sir William Osler. He formed his journal club at McGill University in 1875. A systematic review by Deenadayalan et al. identified the characteristics of successful journal clubs included regular and anticipated meetings, mandatory attendance, clear long- and short-term purpose, appropriate meeting timing and incentives, a trained journal club leader to choose papers and lead discussion, circulating papers prior to the meeting, using the internet for wider dissemination and data storage, using established critical appraisal processes and summarizing journal club findings.
- Twitter is an online social networking service that enables users to send and read short 140-character messages called “tweets”. In essence, it is a microblogging platform.
- Here is an example of how this plays out. Here I’ve posted a comment on the article being discussed at the live journal club. Then, I get a response from the person who wrote the accompanying editorial for the study, who is two time zones away. This is followed by a tweet from a MOHLTC-funded research policy organization. You can begin to appreciate how this would not be possible in the traditional format trainee-led journal club.
- Transcripts of tweet chats were obtained from Symplur. For growth and impact metrics, tweets were analyzed independently by two study authors, and differences were resolved by a third study author. Symplur computes total impressions by taking the number of tweets per participant and multiplying it with the number of followers that participant currently has.
- In comparison, #rsjc, ~300. @nephJC has ~2000
- Average number of participants is 25. Average number of tweets is 120.
- Mean 105,830 impressions per month. Note outlier for month 11 is missing (665,779)
- Since this is a residency conference, I’ve chosen to focus only on feedback provided by postgraduate trainees.
- So we dedicated month 12 which is why on the previous quantitative metrics slides there was a drop in activity that month because only one article rather than two were discussed. We’ve also had smaller group workshops for our division faculty.
- We’ve joined PubMed Commons which allows longer term online discussion of the articles.
- We are in the midst of creating a website with a blog and archives.