This document summarizes key findings from three recent data sets about clinician learning:
1) Clinicians are increasingly using social media like Twitter (37%) and private networks (51%) for lifelong learning, and 60% believe it can improve patient care.
2) There is a trend away from live CME meetings and toward online CME and virtual courses. 53% of clinicians expect their online CME participation to increase in the next year.
3) Interviews found clinicians have four natural learning actions - note taking (85% are note-takers), reminders, searching for information, and learning socially. However, current learning environments do not adequately support these actions.
A Long-term Evaluation of Interventions on Preventing Preschool Children’s Injury in a Safe Community in Shanghai from 2009 to 2014
By Shuangxiao Qu, CHINA
Nursing Students’ Attitude Toward Responsible Use of Social Media: Toward Soc...Ryan Michael Oducado
As future professionals, nursing students are expected to exhibit online professionalism and to be responsible users of social media. However, the rapid sharing of information on social media exposes nursing students to the risk and danger of spreading unprofessional behaviors. This study aimed to determine the nursing students’ attitude toward responsible use of social media. A descriptive cross-sectional research design was utilized among nursing students (N=298) in a College of Nursing in Iloilo City, Philippines. The Responsible Use of Social Media Attitude Scale (RUSMAS) was used to collect the data and were analyzed using descriptive statistics, t-test and ANOVA. Results revealed that while majority of nursing students had positive attitude, there were still a few who were ambivalent toward responsible use of social media. A significant difference was found in the attitude of nursing students when grouped according to year level. Academic nursing institutions should continually educate students on responsible use of social media and develop approaches promoting social media literacy in nursing education.
Mentor’s Quality Assurance services provide guidance and tools to support local capacity building through developing and strengthening sustainable prevention networks at a local level. The alcohol and drug education review in Brighton and Hove not only allowed Mentor to work closely with schools to understand the current capacity and expertise, but also made links and developed strategies to strengthen communication and collaboration with other relevant actors within the community.
A Long-term Evaluation of Interventions on Preventing Preschool Children’s Injury in a Safe Community in Shanghai from 2009 to 2014
By Shuangxiao Qu, CHINA
Nursing Students’ Attitude Toward Responsible Use of Social Media: Toward Soc...Ryan Michael Oducado
As future professionals, nursing students are expected to exhibit online professionalism and to be responsible users of social media. However, the rapid sharing of information on social media exposes nursing students to the risk and danger of spreading unprofessional behaviors. This study aimed to determine the nursing students’ attitude toward responsible use of social media. A descriptive cross-sectional research design was utilized among nursing students (N=298) in a College of Nursing in Iloilo City, Philippines. The Responsible Use of Social Media Attitude Scale (RUSMAS) was used to collect the data and were analyzed using descriptive statistics, t-test and ANOVA. Results revealed that while majority of nursing students had positive attitude, there were still a few who were ambivalent toward responsible use of social media. A significant difference was found in the attitude of nursing students when grouped according to year level. Academic nursing institutions should continually educate students on responsible use of social media and develop approaches promoting social media literacy in nursing education.
Mentor’s Quality Assurance services provide guidance and tools to support local capacity building through developing and strengthening sustainable prevention networks at a local level. The alcohol and drug education review in Brighton and Hove not only allowed Mentor to work closely with schools to understand the current capacity and expertise, but also made links and developed strategies to strengthen communication and collaboration with other relevant actors within the community.
Presentation by Dr. Frank Lau to Dartmouth Course "Engineering Sciences 13: Redesigning Healthcare: Problems and Opportunities" taught by Professors/Drs. Joe Rosen and Peter Robbie.
More information on the course
http://www.dartmouth.edu/~engs13/syllabus/index.html
2014 trends survey of child health care professionals on HPV vaccinations GRIVEAS ASSOCIATES
Between September and December 2014 we have conducted a global online survey to 45,000 children healthcare professionals to identify discrepancies and regional trends on everyday practice, compliance with guidelines, education gaps and preferred education sources in a number of areas including, HPV and Meningitis Vaccinations, Rare Diseases, Breastfeeding and Skincare.
667 healthcare experts, mostly general pediatricians (45.24%) responded from 84 countries. Most respondents were clinically active at general hospitals (29.89%), children’s hospitals (23.65%), private practice (18.7 %), university (17.77 %), and primary care (7.26%).
Advanced Google as a Tool for Promoting Evidence-Based Practicejeff_mason
A presentation given at the 2007 Canadian Health Libraries Association conference describing the results of a survey conducted to determine if providing advanced Google instruction meets the information needs of health care providers.
Student Involvement in Quality & Safety at PritzkerVineet Arora
Presented at Association of American Medical Colleges Integrating QI meeting in Chicago IL Jun 2010 by Pritzker student Marcus Dahlstrom. Discusses IHI Open School, improvehealth.org and new quality and safety track at Pritzker.
2014 trends survey of child health care professionals on BreastfeedingGRIVEAS ASSOCIATES
Between September and December 2014 we have conducted a global online survey to 45,000 children healthcare professionals to identify discrepancies and regional trends on everyday practice, compliance with guidelines, education gaps and preferred education sources in a number of areas including, HPV and Meningitis Vaccinations, Rare Diseases, Breastfeeding and Skincare.
667 healthcare experts, mostly general pediatricians (45.24%) responded from 84 countries. Most respondents were clinically active at general hospitals (29.89%), children’s hospitals (23.65%), private practice (18.7 %), university (17.77 %), and primary care (7.26%).
Behaviour change techniques targeting diet and physical activity in type 2 di...Health Evidence™
Health Evidence hosted a 60 minute webinar examining the behaviour change techniques (BCTs) and features of dietary and physical activity interventions associated with reducing HbA1c in people with type 2 diabetes. Click here for access to the audio recording for this webinar: https://youtu.be/Fb6_t7_TGxw
Kevin Cradock, PhD student, National University of Ireland, Galway led the session and presented findings from his recent systematic review:
Cradock K, OLaighin G, Finucane F, Gainforth H, Quinlan L, & Ginis K. (2017). Behaviour change techniques targeting both diet and physical activity in type 2 diabetes: A systematic review and meta-analysis. International Journal of Behavioral Nutrition and Physical Activity, 14(1), 18.
Changing diet and physical activity behaviour is one of the cornerstones of type 2 diabetes treatment, but changing behaviour is challenging. The objective of this study was to identify behaviour change techniques (BCTs) and intervention features of dietary and physical activity interventions for patients with type 2 diabetes that are associated with changes in HbA1c. Thirteen RCTs were identified. Diet and physical activity interventions achieved clinically significant reductions in HbA1c at three and six months, but not at 12 and 24 months. Specific BCTs and intervention features identified may inform more effective structured lifestyle intervention treatment strategies for type 2 diabetes.
Health Evidence hosted a 60 minute webinar examining the effectiveness of school-based interventions for preventing HIV, sexually transmitted infections and pregnancy in adolescents. Click here for access to the audio recording for this webinar: https://youtu.be/yCeIEQ4OTCc
Amanda Mason-Jones, Senior Lecturer in Global Public Health, Faculty of Science, University of York led the session and presented findings from her recent Cochrane review:
Mason-Jones A, Sinclair D, Mathews C, Kagee A, Hillman A, & Lombard C. (2016). School-based interventions for preventing HIV, sexually transmitted infections, and pregnancy in adolescents.Cochrane Database of Systematic Reviews, 2016(11), CD006417
http://healthevidence.org/view-article.aspx?a=school-based-interventions-preventing-hiv-sexually-transmitted-infections-29881
Sexually active adolescents are at risk of contracting HIV and STIs. Unintended pregnancy can have detrimental impact on young people’s lives. This review examines the impact of school sexual education programs on number of young people that contract STIs and number of adolescent pregnancies. Eight cluster randomized control trials, including 55,157 participants are included in this review. Findings suggest there is little evidence that school programs alone are effective in improving sexual and reproductive health outcomes for adolescents. This webinar examined the effectiveness and components of interventions that prevent HIV, STIs and adolescent pregnancy.
Build a Social Media Toolkit! Strategies for organisations to engage and opti...Health Evidence™
Health Evidence presented an interactive 90 minute workshop at the 2017 Cochrane Canada Symposium. Participants learned about techniques, strategies, and resources to create interactive social media content, engage on platforms, tailor strategies with analytics; and [simultaneously] built a custom social media toolkit.
Access the ‘My Social Media Toolkit’ here: http://ow.ly/jl1N30bMjFb
Alliance for CME 2009 Presentation, Wake me Up Before it’s Over:Bringing out...Wendy999
2009 ACME Presentation, co-presented with Marissa Seligman, that tackles strategies to bring innovation to live continuing medical education activities.
Presentation by Dr. Frank Lau to Dartmouth Course "Engineering Sciences 13: Redesigning Healthcare: Problems and Opportunities" taught by Professors/Drs. Joe Rosen and Peter Robbie.
More information on the course
http://www.dartmouth.edu/~engs13/syllabus/index.html
2014 trends survey of child health care professionals on HPV vaccinations GRIVEAS ASSOCIATES
Between September and December 2014 we have conducted a global online survey to 45,000 children healthcare professionals to identify discrepancies and regional trends on everyday practice, compliance with guidelines, education gaps and preferred education sources in a number of areas including, HPV and Meningitis Vaccinations, Rare Diseases, Breastfeeding and Skincare.
667 healthcare experts, mostly general pediatricians (45.24%) responded from 84 countries. Most respondents were clinically active at general hospitals (29.89%), children’s hospitals (23.65%), private practice (18.7 %), university (17.77 %), and primary care (7.26%).
Advanced Google as a Tool for Promoting Evidence-Based Practicejeff_mason
A presentation given at the 2007 Canadian Health Libraries Association conference describing the results of a survey conducted to determine if providing advanced Google instruction meets the information needs of health care providers.
Student Involvement in Quality & Safety at PritzkerVineet Arora
Presented at Association of American Medical Colleges Integrating QI meeting in Chicago IL Jun 2010 by Pritzker student Marcus Dahlstrom. Discusses IHI Open School, improvehealth.org and new quality and safety track at Pritzker.
2014 trends survey of child health care professionals on BreastfeedingGRIVEAS ASSOCIATES
Between September and December 2014 we have conducted a global online survey to 45,000 children healthcare professionals to identify discrepancies and regional trends on everyday practice, compliance with guidelines, education gaps and preferred education sources in a number of areas including, HPV and Meningitis Vaccinations, Rare Diseases, Breastfeeding and Skincare.
667 healthcare experts, mostly general pediatricians (45.24%) responded from 84 countries. Most respondents were clinically active at general hospitals (29.89%), children’s hospitals (23.65%), private practice (18.7 %), university (17.77 %), and primary care (7.26%).
Behaviour change techniques targeting diet and physical activity in type 2 di...Health Evidence™
Health Evidence hosted a 60 minute webinar examining the behaviour change techniques (BCTs) and features of dietary and physical activity interventions associated with reducing HbA1c in people with type 2 diabetes. Click here for access to the audio recording for this webinar: https://youtu.be/Fb6_t7_TGxw
Kevin Cradock, PhD student, National University of Ireland, Galway led the session and presented findings from his recent systematic review:
Cradock K, OLaighin G, Finucane F, Gainforth H, Quinlan L, & Ginis K. (2017). Behaviour change techniques targeting both diet and physical activity in type 2 diabetes: A systematic review and meta-analysis. International Journal of Behavioral Nutrition and Physical Activity, 14(1), 18.
Changing diet and physical activity behaviour is one of the cornerstones of type 2 diabetes treatment, but changing behaviour is challenging. The objective of this study was to identify behaviour change techniques (BCTs) and intervention features of dietary and physical activity interventions for patients with type 2 diabetes that are associated with changes in HbA1c. Thirteen RCTs were identified. Diet and physical activity interventions achieved clinically significant reductions in HbA1c at three and six months, but not at 12 and 24 months. Specific BCTs and intervention features identified may inform more effective structured lifestyle intervention treatment strategies for type 2 diabetes.
Health Evidence hosted a 60 minute webinar examining the effectiveness of school-based interventions for preventing HIV, sexually transmitted infections and pregnancy in adolescents. Click here for access to the audio recording for this webinar: https://youtu.be/yCeIEQ4OTCc
Amanda Mason-Jones, Senior Lecturer in Global Public Health, Faculty of Science, University of York led the session and presented findings from her recent Cochrane review:
Mason-Jones A, Sinclair D, Mathews C, Kagee A, Hillman A, & Lombard C. (2016). School-based interventions for preventing HIV, sexually transmitted infections, and pregnancy in adolescents.Cochrane Database of Systematic Reviews, 2016(11), CD006417
http://healthevidence.org/view-article.aspx?a=school-based-interventions-preventing-hiv-sexually-transmitted-infections-29881
Sexually active adolescents are at risk of contracting HIV and STIs. Unintended pregnancy can have detrimental impact on young people’s lives. This review examines the impact of school sexual education programs on number of young people that contract STIs and number of adolescent pregnancies. Eight cluster randomized control trials, including 55,157 participants are included in this review. Findings suggest there is little evidence that school programs alone are effective in improving sexual and reproductive health outcomes for adolescents. This webinar examined the effectiveness and components of interventions that prevent HIV, STIs and adolescent pregnancy.
Build a Social Media Toolkit! Strategies for organisations to engage and opti...Health Evidence™
Health Evidence presented an interactive 90 minute workshop at the 2017 Cochrane Canada Symposium. Participants learned about techniques, strategies, and resources to create interactive social media content, engage on platforms, tailor strategies with analytics; and [simultaneously] built a custom social media toolkit.
Access the ‘My Social Media Toolkit’ here: http://ow.ly/jl1N30bMjFb
Alliance for CME 2009 Presentation, Wake me Up Before it’s Over:Bringing out...Wendy999
2009 ACME Presentation, co-presented with Marissa Seligman, that tackles strategies to bring innovation to live continuing medical education activities.
At the end of this presentation you will be able to:
Define evidence-based practice
Describe process & outline steps of EBP
Understand PICO elements & search strategy
Identify resources to support EBP
The focus of this presentation is nursing practice, although it is still of value to physicians and other health care professionals.
James Dias, CEO, and Lucas Dailey, Senior User Experience Designer, will present a workshop, “Designing connected care solutions at the intersection of medicine and finance” on Saturday, September 6th from 2:20-3:50 PM PDT.
The workshop will explore how the business of performance-based healthcare requires a balance between giving patients the best possible quality outcomes and doing it in a cost effective manner. This emphasis on value-driven medicine is producing the opportunity for new technology solutions that address both care and costs. Designing effective solutions for “Connected Care” requires an interdisciplinary approach that brings together the disparate fields of healthcare economics, patient engagement, and digital technology.
Where do I click 'Like': the benefits of online, social-media-enhanced, stude...LeMedStuHub
Can medical students collaborate to curate and create online clinical learning material, enhanced by social media,that is useful, beneficial, and enjoyable for their peers? What would a successful and sustainable model of this look like? This project was presented at the ASME Scientific Meeting 2018 in Gateshead, UK by Leicester Medical School students Jasmine Gandhi, Marie Harrison, Harvey Thompson, Numan Yousaf, and Vanessa Rodwell, with Educational Designer Terese Bird.
Patient Engagement in Health Economic and Outcomes Research: Current and Future ISPOR Initiatives, presentation from the ISPOR 20th International meeting Philadelphia, May 2015, by the Patient Centered Special Interest Group
Study examines personal and professional use of social media among people working in continuing medical education. Presented at the 2010 Alliance for Continuing Medical Education Conference.
Learn how we used EthosCE Learning Management System with mobile devices to automate continuing medical education (CME) and grand rounds at the University of Pennsylvania School of Medicine.
79% use by healthcare professionals; 4.5 rating on ease of use; eliminated 6 month CME certificate generation backlog.
Use the POST Method (People, Objectives, Strategies, Technologies) for creating and deploying social media in healthcare professional education and continuing medical education. Presentation includes free social media tools and step-wise approach for strategically planning your social media presence.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
New Data on Clinician Learning: What does it mean for your CME Programs
1. New Data on Clinician Learning:
What does it mean for your programs
Brian S. McGowan, PhD
Co-Founder & Chief Learning Officer
brian@ArcheMedX.com
Jeremy C. Lundberg, MSSW
CEO of EthosCE and Moderator
jlundberg@dlc-solutions.com
2. Today: A Story with Three Acts
Review three recent data sets that shed light
on how clinicians learn
1.
2.
3.
Clinician learning and social media
Clinician learning and preferences for CME
Clinician learning and the natural learning actions
Explore through interview and Q & A how
these data may impact your educational
programs
2
3. Act One:
Clinician learning and social media
How are clinicians leveraging new media
in meaningful ways to support their
lifelong learning?
3
4. Act One:
Question #1
What percentage of docs are using Twitter
as a lifelong learning platform?
1. 7%
2.17%
3.37%
4.57%
5.I
have no idea
4
5. Question #2
What percentage of docs are using
restricted online networks as a lifelong
learning platform?
1. 1%
2.21%
3.51%
4.71%
5.I
have no idea
5
6. Question #3
What percentage of physicians believe
learning through social media could improve
the quality of the care they provide?
1. 10%
2.20%
3.40%
4.60%
5.I
have no idea
6
7. Problem: Despite all the recent buzz around the
emergence of social media in healthcare, we have
little definitive data on ‘meaningful use’ of social
media by healthcare professionals…
http://www.jmir.org/2012/5/e117/
8. Methods
IRB-approved survey:
•
Developed using theoretical framework, previous literature, and
input from advisory board. Surveys were pilot tested using cognitive
interview process prior to implementation
Distribution:
•
Surveys were distributed by email to a random selected sample of
US oncologists and primary care physicians.
Target groups and sample size:
•
US Oncologists (n=186) & US Primary Care Physicians (n=299)
Response Rate:
•
485 responses were analyzed for a response rate = 27%
http://www.jmir.org/2012/5/e117/
9. Is learning through social media a waste
of time or an essential use of time?
Primary Care Physicians
18%
Oncologists
49%
22%
All respondents
45%
20%
0%
Waste of time
http://www.jmir.org/2012/5/e117/
33%
33%
47%
20%
Neutral
40%
33%
60%
80%
Essential use of time
100%
10. Is social media a source of low quality or
high quality information?
Primary Care Physicians
17%
Oncologists
20%
All respondents
50%
18%
0%
52%
28%
51%
20%
Low quality
http://www.jmir.org/2012/5/e117/
32%
40%
Neutral
31%
60%
High quality
80%
100%
11. Physicians believe learning through
social media improves their patient care
Using Social Media helps improve
the quality of my patient care
Using Social Media enables me
to care for patients more effectively
7% 8% 6%
17%
6% 11% 5%
Using Social Media increases
my job productivity
7%
Using Social Media improves
my job performance
7% 9%
6% 11%
17%
9%
8%
Using Social Media enables me to
accomplish job tasks more effectively
13%
0%
29%
28%
11%
20%
22%
23%
20%
18%
40%
22%
19%
24%
26%
60%
10%
10%
20%
23%
7%
24%
7%
80%
Strongly Disagree
Disagree
Somewhat Disagree
Neither Agree or Disagree
Somewhat Agree
Agree
Strongly Agree
http://www.jmir.org/2012/5/e117/
6%
100%
12. Act Two:
Clinician learning and
preferences for CME
What trends exist in how clinicians expect to
participate in CME in 2014?
13
13. Act Two:
Question #4
What are the basic trends in clinician CME
preferences?
1. A
trend away from live CME Meetings
2.A
trend towards (traditional) Online CME
3.A
trend towards Online Virtual Course
4.All
5.I
of the above
have no idea
14
14. Question #5
What percentage of clinicians believe their
participation with online CME will decrease
on the next 12 months?
1. 3%
2.13%
3.33%
4.53%
5.I
have no idea
15
15. Problem: Educational designs must include a
rationale for delivering content in ways that
learners prefer, but we have little comparative
evidence to support these planning decisions…
http://www.jmir.org/2012/5/e117/
16. Methods
Needs Assessment Surveys:
•
In partnership with AcademicCME, a series of surveys
were distributed to a nearly 10,000 subscribers to
Elsevier Journals and past participants of Elseviersponsored CE activities
•
Each survey targeted a unique audience of learners
•
A core set of questions was carried across all surveys and
all audiences
•
Participation in the surveys was incentivized by Elsevier
Sample Size
•
801 responses were received across more than a dozen
specialties and healthcare professions
21. But in a broader sense clinicians seem to feel
underwhelmed by CME and other practice support tools
22
22. Act Three:
Clinician learning and
the natural learning actions
Have we simplified the process of learning such that
clinicians can efficiently and effectively learn?
23
23. Act Three:
Question #6
When it comes to the learning overall, what
grade would you give your learners?
1. A
2.B
3.C
No ‘right’
answer
4.D
5.F
24
24. Question #7
When it comes to participating in CME, what
percentage of physicians identify as
'notetakers'?
1. 15%
2.45%
3.65%
4.85%
5.I
have no idea
25
25. Question #8
What grade would you give yourself when it
comes to reflecting and re-exposing yourself
to your own learning notes?
1. A
2.B
3.C
No ‘right’
answer
4.D
5.F
26
26. Problem: While educational planners are
increasingly leveraging adult learning theory
into their planning, they continue to assume
learners know how to learn…
http://www.jmir.org/2012/5/e117/
27. Methods
Semi-structured interviews
• More than 200 interview were conducted with clinicians, medical
educators, residents, and medical students
Interview model
• A scenario was designed to understand the process of learning as it relates
to engaging with new ideas or practices within the context of a CME activity
• Subjects were asked what actions they take in response to new ideas or
practices and how they ensure that this new information was transferred to
extend their knowledge or impact their practice
Qualitative research analyses and conclusions
• As themes emerged the interview model was refined and eventually future
interviews were used to validate the original themes
http://www.jmir.org/2012/5/e117/
28. Emergence of The Natural Learning Actions
4 Natural Learning Actions
Note Taking
Reminders
Learning
Search
ArcheMedX Blog: http://bit.ly/XKJUpt
Social
Four basic learning
actions were
uncovered
Clinician learners
acknowledged that
learning experiences
that failed to
support these
learning actions
were ‘hit or miss at
best’
29
29. Natural Learning Actions: Note Taking
4 Natural Learning Actions
Note Taking
Reminders
Learning
Search
ArcheMedX Blog: http://bit.ly/XKJUpt
Social
85% of clinician
leaners selfidentified as notetakers.
Clinicians struggle to
overcome a jerryrigged system of
notebooks, index
cards, post-its, and
spare paper/pads.
30
30. Natural Learning Actions: Reminders
4 Natural Learning Actions
Note Taking
Reminders
Learning
Search
ArcheMedX Blog: http://bit.ly/XKJUpt
Social
Clinician learners
acknowledged that
an inability to reflect
on notes and lessons
undermines their
ability to learn and
take action
They lack a simplified
system for reexposure and
reflection
31
31. Natural Learning Actions: Search
4 Natural Learning Actions
Note Taking
Reminders
Learning
Search
ArcheMedX Blog: http://bit.ly/XKJUpt
Social
Clinician learners
constantly raise new
questions as they
engage with the
primary lesson
content.
Searching for new
information is
distracting given
current learning
environments.
32
32. Natural Learning Actions: Social
4 Natural Learning Actions
Note Taking
Reminders
Learning
Search
Social
While engaging with
content learners look
to others to not only
ask questions, but to
validate their own
learning actions
(how/when they take
notes, set reminders,
and search).
This is a subtle new
form of social
learning.
ArcheMedX Blog: http://bit.ly/XKJUpt
33
33. New Data on
Clinician Learning:
What’s it mean for your
programs
By:
Brian S. McGowan, PhD
Co-Founder & Chief Learning Officer
(direct) 267-603-2510 or
brian@ArcheMedX.com
Questions and Answers
Editor's Notes
{"9":"Title: Physician Adoption and Use of Social Media to Share Medical Knowledge with Other Physicians\nAuthors: Molly Wasko, PhD; Bryan Vartabedian, MD, FAAP; Robert S. Miller, MD, FACP; Desirae Freiherr, MS; Debi Susalka; Mazi Abdolrasulnia, PhD†; and Brian S. McGowan, PhD†\n† Dr. McGowan and Dr. Abdolrasulnia share senior author responsibilities\nBackground: Recent advances in information and communication technologies (ICTs), especially Web 2.0 technologies, have significantly expanded the ways in which physicians can share medical knowledge with one another. With the growing demand for more meaningful use of IT in healthcare, more research is needed on physician adoption and use of ICTs as collaborative tools to synthesize, share and contribute knowledge.\nObjectives: The objectives of this research were to (1) study the adoption and use of 13 of the most commonly used ICT applications to share medical knowledge with other physicians (texting, email, podcasting, blogs, wikis, RSS feeds, cell phone apps, iTunes, Facebook, LinkedIn, Twitter, YouTube and restricted online communities (e.g. SERMO)); (2) compare the number of users who claim that they “Will Never Use” these ICTs with the number of users that are “Current Users”; and (3) examine whether there are important differences between two physician practices: oncologists and primary care physicians (PCPs).\nMethods: We surveyed 491* practicing clinicians across the United States: 191 oncologists and 300 PCPs. The survey was designed to capture data about the distribution of physicians currently using the different types of technologies and to assess physicians’ intentions to adopt the technologies by non-users. The percentage of physicians across the categories were assessed (not aware of this application, will never use, unlikely to use within 3 months, not sure, likely to use within 3 months, very likely to use within 3 months, and current user). Comparisons across technologies, and between oncologists and PCPs were examined.\nResults: A total of 491 (27%) of 1800 eligible participants responded. Respondents were least likely to be aware of RSS feeds (22%) and LinkedIn (14.3%). Email is the most widely used (70.5%), followed by restricted online communities (51.5%), texting (39.5%) and cell phone apps (35.6%). The technologies with the lowest percentage of adoption were RSS feeds (5.5%), Twitter (6.7%), LinkedIn (10.4%) and blogs (10.6%). In terms of non-adoption, physicians responded that they will never adopt Twitter (32.6%), Facebook (21%), blogs (21%) and YouTube (20.8%). Only 1% of physicians claim they will never use email. Restricted online communities, such as SERMO, have widespread awareness and usage among physicians. In comparing oncologists with PCPs, overall, PCPs were less likely to be non-adopters across all technologies. Oncologists who have already adopted the technology were more likely than PCPs to adopt email, podcasting, texting, restricted online communities, RSS feeds and cell phone apps. PCPs were more likely to have adopted YouTube, Twitter, LinkedIn, iTunes, Wikis, Facebook and blogs. \nThis suggests that PCPs have been earlier adopters of social media technologies, while oncologists have been earlier adopters of more traditional, uni-directional communication technologies. While Twitter adoption was lowest and had the highest physician skepticism, the 6.7% adoption rate is not that different from the current percentage of US adults who have adopted Twitter (8.7%). \nConclusions: \nPhysician adoption of different ICTs varies widely and appears to covary with type of practice, with PCPs being more open to new technologies in general, and more likely to use technologies typically referred to as “social media.” Oncologists were more skeptical adopters overall, but were more likely to have adopted technologies used for knowledge dissemination/broadcasting over sharing/collaboration. These technologies have received wider adoption (more users than non-adopters) than social media technologies overall. Healthcare IT systems that incorporate technologies such as email, restricted online communities, cell phone apps, iTunes and wikis may have wider adoption by physicians.\nPCPs are less likely to be technology skeptics. Overall, fewer PCPs reported that they would never adopt a technology than oncologists across all technologies.\nHowever, oncologists who have already adopted the technology were more likely than PCPs to adopt email, podcasting, texting, restricted online communities, RSS feeds and cell phone apps.\nPCPs were more likely to have adopted YouTube, Twitter, LinkedIn, iTunes, Wikis, Facebook and blogs, indicating that PCPs have been earlier adopters of social media technologies, while oncologists have been earlier adopters of more traditional, uni-directional communication technologies.\nAlthough Twitter ranked the lowest in terms of adoption, at an overall adoption rate of 6.7% of respondents indicating current users, this is not that much different from the US adult population, which at the time of this study was approximately 8.7%.\nThis study was supported by Pfizer, Inc.\n*Note: 491 respondents included 6 respondents who were classified as “other” based on degree. The “other” category included 5 respondents in the oncology sample and one respondent in the PCP sample.\n"}