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Social Media in Medical
Education
Suzana Makowski, MD MMM FACP FAAHPM
Palliative Care Physician
UMass Memorial, UMass Medical School
Overview
•Background

•The nuts and bolts

•Bringing it all together
early 1900s   late 1900s   2000s



Changes in Medical
early 1900s   late 1900s   2000s



Changes in Medical
Medical Education
IN THIS BRAVE NEW WORLD
From Web 1.0 to Web                              Non-linear
                                                 More than virtual
                 2.0
            http://introductiontoweb20.blogspot.com/
From Web 1.0 to Web                              Non-linear
                                                 More than virtual
                 2.0
            http://introductiontoweb20.blogspot.com/
Components of Web 2.0
Definitions
Twitter'

                  Blogging'

             Podcasting,'Vlogging'

Definitions          Wikis'

                Delicious'et'al'

                  Ning,'et'al'

               Google'hangout'
• Build&a&network&               • Primary&author&can&reflect,&     • Cross=campus&collaboration&    • Shared&authorship&in&
• Send&alerts&                    create,&share&expertise&         • “Author&in&the&room”&           creation&of&document.&
• Share&links,&articles&         • Community&can&respond.&          • Skype,(google(hangout(        • Best&when&there&are&
• Share&meeting&pearls&           • Blogger,(wordpress(                                              administrators/faculty&to&
                                                                                                     verify&content.&
 • Twitter,(tumblr,(posterous(
                                                                                                    • &Risk&for&vandalism.&



                                                                   Video
Microblogs                       Blogs                             Conferencing                     Wiki


• Really&simple&syndication&     • Build&&&share&an&online&        • Build&and&share&an&online&     • A&means&to&build&the&spoke,&
• The&“eMailMan”&for&your&        library&of&links&to&webpages,&    library&of&journal&articles,&    or&framework&for&a&learning&
 journals,&news,&blogs,&etc.&     blogs,&videos&                    webpages,&videos,&etc.&          community&that&uses&many&
 • Google(reader,(feedly(         • Diigo,(delicious(              • Collaborate&with&others&in&     of&these&tools.#
                                                                    publishing&                      • Canvas,(Ning,(SocialGo(
                                                                    • Connatea,(CiteULike,(
                                                                      Mendeley(


                                 Social                                                             Personalized'
RSS                              bookmarking
                                                                   Social'cita)on'
                                                                                                    learning'network'
Twitter
Twitter
Tweet: 140 characters or fewer

RT retweet forwarded message
DM direct message private message
@ reply public reply
# hashtag a tag with which to label tweets with a
 particular theme
Twitter at Penn State
 Medical Humanities

  Trigger students with questions to reflect or
   write about

  Students sent tweets during home patient
   encounters




               George D, Dellasega C, Medical Teacher 2011; 33:
               e429–e434 DOI: 10.3109/0142159X.2011.586749
Twitter at Conferences
  @UMDNJ_RWJMS

  http://tweetchat.com/room/hpm

  http://tweetchat.com/room/meded
The good, the bad, and the ugly of
twitter

        The good                                The bad
A link to a great article find or blog
                                        Patient information – HIPAA issues
  post and a few words why



Updates on policy, healthcare reform    Self-promotion gone awry



Announcement of event, highlights of Workplace gossip (remember, it’s
 a talk                               public)
The good, the bad, and the ugly of
twitter
            Professionalism in social media will be a
            necessary competency for this generation

        The good                                The bad
A link to a great article find or blog
                                        Patient information – HIPAA issues
  post and a few words why



Updates on policy, healthcare reform    Self-promotion gone awry



Announcement of event, highlights of Workplace gossip (remember, it’s
 a talk                               public)
UN-Professionalism among twitting
physicians



 3%                              of 5156 tweets
           Violated Patient Privacy
           Sexually explicit or
           Profane




Chretien KC et al. JAMA 2011;305: 566.
40%
blabber
Ways to use twitter in the classroom


   Class updates
   Learning morsels
   Take a poll
   Share resources: articles, references, links




 http://www.onlinecolleges.net/2009/06/08/50-ways-to-use-twitter-in-the-college-classroom/
Create a list
Use # - hashtags
Tweetdeck and tweetchat
Don’t open suspicious
links
Twitter
Tweet: 140 characters or fewer

   Listen
   Network
   Refer
   Contribute
   Announce
Blogs
[web logs • video logs • pod casts]
Blogs, vlogs, and podcasts
Reflection
Article reviews
Discussions that foster professionalism
M
    ed
      ica
         lS
            tu
                 de
                    nt’s
                           Bl
                                og
                                  :T
                                    om
                                         Pe
                                           te
                                             et
Blogs, Vlogs, & Podcasts
To share knowledge
“To build community.
To reflect on experiences.
To contribute to a guidebook.”
Tim Handorf, on why medical students should
blog.
http://medicalstudentblogs.blogspot.com/
Wikis
Wikis

 From the words of Medpedia:
 Wisdom of the Many
 Collaborative
 Interdisciplinary
 Appropriate language
 Transparent
 Self Service
 Free, Web-Based, Real Time
Wiki
Shared note-taking
Development of a class “text book”
Updates can happen instantaneously

Challenges:
Loss of control
Need to monitor
Video
conference
Internal Medicine Residency UMDNJ-RWJ
Using google chat for role plays of difficult conversations.
Building your personal
digital library
RSS • Social bookmarking • Social citation
RSS: The art of getting the articles

RSS = Really simple syndication
RSS: The art of getting the articles

RSS = Really simple syndication
Google Reader linked to Feedly
Social bookmarking                        Social citation

Save and share links to webpages, blogs, Save and share links and bibliographic
photographs.                             information of articles, blogs.
Some can save the entire article.
                                          A substitute (perhaps) for Endnote and
                                          similar programs: facilitates writing papers.

                                          Save PDFs, etc.




                                          CiteULike, Connotea, Mendeley, Zotero
Delicious, Diigo,
                                          (google Chrome, only)



   Tags = the “keyword” used to save and search the articles with.
 Create or join groups of people who share similar research interests.
                            Create folders
Social bookmarking & social citation

 How to use:

  Save links to websites, articles, podcasts, videos
   – tag them to help find them later.
  Create RSS feeds of the tags on your blog,
   personalized learning network, wiki, or other
   site
  Share and collect references and links with
   colleagues
Bringing it all
together
A simple and a complex approach
Simple:
Focus on one thing
Start with one medium.
Test it out.
Bring it to class.
Work with a colleague or
informational technologist.
Set a goal.
Simple:
Focus on one thing
Start with one medium.
Test it out.
Bring it to class.
Work with a colleague or
informational technologist.
Set a goal.
Complex:
Build a
Personalized
Learning Network

Diverse schedules
Learners with diverse needs
 Disciplines
 Experience
 Goals
Diverse locations
PLN’s are deliberately formed
  networks of people and
  resources capable of guiding
  our independent learning goals.
and our professional development
needs.
Lois Green Learning Community
(LGLC)
Based on Ning Platform - but moving to “Canvas”


Core curriculum
 • Referenced articles (delicious, citeulike, diig)
Discussion board
 • Case discussions
 • Journal club
 • Member topics
Member Blog – reflection & narrative medicine
RSS feeds to/from other blogs, microblog (twitter, facebook)
Twitter integration
LGLC format
A blog post
from LGLC
Humanism
Reflection
LGLC
Grown from 23 to 331 in 2 years
23 physician-members seeking certification
CREATE



PUBLISH



                                    discuss
                                    reflect


          COLLECT


                              COLLATE


             share
          respond
Summary
Social media changes the dynamics of education
Can help build adult learning skills early
Helps meet competencies - if addressed

Twitter - helps disseminate information
Blogs - venue for sharing and receiving information, may also be
reflective
Wikis - means to collaborate on text and documents
RSS - helps bring information in
Social bookmarking/citation - builds the library
Personalized learning network - integrates all of these
Thank you
“Social networks are these intricate things of
beauty, and they’re so elaborate and so complex
and so ubiquitous that one has to ask what
purpose they serve.” Nicholas Christakis

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Social Media in Medical Education

  • 1. Social Media in Medical Education Suzana Makowski, MD MMM FACP FAAHPM Palliative Care Physician UMass Memorial, UMass Medical School
  • 2. Overview •Background •The nuts and bolts •Bringing it all together
  • 3. early 1900s late 1900s 2000s Changes in Medical
  • 4. early 1900s late 1900s 2000s Changes in Medical
  • 5. Medical Education IN THIS BRAVE NEW WORLD
  • 6. From Web 1.0 to Web Non-linear More than virtual 2.0 http://introductiontoweb20.blogspot.com/
  • 7. From Web 1.0 to Web Non-linear More than virtual 2.0 http://introductiontoweb20.blogspot.com/
  • 8. Components of Web 2.0 Definitions
  • 9. Twitter' Blogging' Podcasting,'Vlogging' Definitions Wikis' Delicious'et'al' Ning,'et'al' Google'hangout'
  • 10. • Build&a&network& • Primary&author&can&reflect,& • Cross=campus&collaboration& • Shared&authorship&in& • Send&alerts& create,&share&expertise& • “Author&in&the&room”& creation&of&document.& • Share&links,&articles& • Community&can&respond.& • Skype,(google(hangout( • Best&when&there&are& • Share&meeting&pearls& • Blogger,(wordpress( administrators/faculty&to& verify&content.& • Twitter,(tumblr,(posterous( • &Risk&for&vandalism.& Video Microblogs Blogs Conferencing Wiki • Really&simple&syndication& • Build&&&share&an&online& • Build&and&share&an&online& • A&means&to&build&the&spoke,& • The&“eMailMan”&for&your& library&of&links&to&webpages,& library&of&journal&articles,& or&framework&for&a&learning& journals,&news,&blogs,&etc.& blogs,&videos& webpages,&videos,&etc.& community&that&uses&many& • Google(reader,(feedly( • Diigo,(delicious( • Collaborate&with&others&in& of&these&tools.# publishing& • Canvas,(Ning,(SocialGo( • Connatea,(CiteULike,( Mendeley( Social Personalized' RSS bookmarking Social'cita)on' learning'network'
  • 12. Twitter Tweet: 140 characters or fewer RT retweet forwarded message DM direct message private message @ reply public reply # hashtag a tag with which to label tweets with a particular theme
  • 13.
  • 14.
  • 15. Twitter at Penn State Medical Humanities Trigger students with questions to reflect or write about Students sent tweets during home patient encounters George D, Dellasega C, Medical Teacher 2011; 33: e429–e434 DOI: 10.3109/0142159X.2011.586749
  • 16. Twitter at Conferences @UMDNJ_RWJMS http://tweetchat.com/room/hpm http://tweetchat.com/room/meded
  • 17. The good, the bad, and the ugly of twitter The good The bad A link to a great article find or blog Patient information – HIPAA issues post and a few words why Updates on policy, healthcare reform Self-promotion gone awry Announcement of event, highlights of Workplace gossip (remember, it’s a talk public)
  • 18. The good, the bad, and the ugly of twitter Professionalism in social media will be a necessary competency for this generation The good The bad A link to a great article find or blog Patient information – HIPAA issues post and a few words why Updates on policy, healthcare reform Self-promotion gone awry Announcement of event, highlights of Workplace gossip (remember, it’s a talk public)
  • 19. UN-Professionalism among twitting physicians 3% of 5156 tweets Violated Patient Privacy Sexually explicit or Profane Chretien KC et al. JAMA 2011;305: 566.
  • 21.
  • 22. Ways to use twitter in the classroom Class updates Learning morsels Take a poll Share resources: articles, references, links http://www.onlinecolleges.net/2009/06/08/50-ways-to-use-twitter-in-the-college-classroom/
  • 23. Create a list Use # - hashtags Tweetdeck and tweetchat Don’t open suspicious links
  • 24. Twitter Tweet: 140 characters or fewer Listen Network Refer Contribute Announce
  • 25. Blogs [web logs • video logs • pod casts]
  • 26. Blogs, vlogs, and podcasts Reflection Article reviews Discussions that foster professionalism
  • 27.
  • 28.
  • 29.
  • 30.
  • 31. M ed ica lS tu de nt’s Bl og :T om Pe te et
  • 32.
  • 33. Blogs, Vlogs, & Podcasts To share knowledge “To build community. To reflect on experiences. To contribute to a guidebook.” Tim Handorf, on why medical students should blog. http://medicalstudentblogs.blogspot.com/
  • 34. Wikis
  • 35. Wikis From the words of Medpedia: Wisdom of the Many Collaborative Interdisciplinary Appropriate language Transparent Self Service Free, Web-Based, Real Time
  • 36.
  • 37. Wiki Shared note-taking Development of a class “text book” Updates can happen instantaneously Challenges: Loss of control Need to monitor
  • 39.
  • 40. Internal Medicine Residency UMDNJ-RWJ Using google chat for role plays of difficult conversations.
  • 41. Building your personal digital library RSS • Social bookmarking • Social citation
  • 42. RSS: The art of getting the articles RSS = Really simple syndication
  • 43. RSS: The art of getting the articles RSS = Really simple syndication
  • 44. Google Reader linked to Feedly
  • 45. Social bookmarking Social citation Save and share links to webpages, blogs, Save and share links and bibliographic photographs. information of articles, blogs. Some can save the entire article. A substitute (perhaps) for Endnote and similar programs: facilitates writing papers. Save PDFs, etc. CiteULike, Connotea, Mendeley, Zotero Delicious, Diigo, (google Chrome, only) Tags = the “keyword” used to save and search the articles with. Create or join groups of people who share similar research interests. Create folders
  • 46.
  • 47.
  • 48.
  • 49.
  • 50. Social bookmarking & social citation How to use: Save links to websites, articles, podcasts, videos – tag them to help find them later. Create RSS feeds of the tags on your blog, personalized learning network, wiki, or other site Share and collect references and links with colleagues
  • 51. Bringing it all together A simple and a complex approach
  • 52. Simple: Focus on one thing Start with one medium. Test it out. Bring it to class. Work with a colleague or informational technologist. Set a goal.
  • 53. Simple: Focus on one thing Start with one medium. Test it out. Bring it to class. Work with a colleague or informational technologist. Set a goal.
  • 54. Complex: Build a Personalized Learning Network Diverse schedules Learners with diverse needs Disciplines Experience Goals Diverse locations
  • 55. PLN’s are deliberately formed networks of people and resources capable of guiding our independent learning goals. and our professional development needs.
  • 56.
  • 57. Lois Green Learning Community (LGLC) Based on Ning Platform - but moving to “Canvas” Core curriculum • Referenced articles (delicious, citeulike, diig) Discussion board • Case discussions • Journal club • Member topics Member Blog – reflection & narrative medicine RSS feeds to/from other blogs, microblog (twitter, facebook) Twitter integration
  • 59. A blog post from LGLC Humanism Reflection
  • 60. LGLC Grown from 23 to 331 in 2 years 23 physician-members seeking certification
  • 61. CREATE PUBLISH discuss reflect COLLECT COLLATE share respond
  • 62. Summary Social media changes the dynamics of education Can help build adult learning skills early Helps meet competencies - if addressed Twitter - helps disseminate information Blogs - venue for sharing and receiving information, may also be reflective Wikis - means to collaborate on text and documents RSS - helps bring information in Social bookmarking/citation - builds the library Personalized learning network - integrates all of these
  • 63. Thank you “Social networks are these intricate things of beauty, and they’re so elaborate and so complex and so ubiquitous that one has to ask what purpose they serve.” Nicholas Christakis

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