There’s an App for That! Social Media in EM Education

There’s an App for That!

Social Media in EM Education

Rahul Patwari, MD, FACEPRakesh Engineer, MD, FACEP

Key: http://db.tt/00ip03S PPT: http://db.tt/AdeMJRl

I have some bad news for you...

...you’re “the man*”

*And/or “the woman”

Disclosures

• Rahul Patwari

• None

• Rakesh Engineer

• Emergencies in Medicine, LLC

• HonkaZooZoo.com (wife)

Goals & Objectives• Briefly review some of the

characteristics of Millennial learners

• Discuss the benefits and pitfalls of social media in medical education

• Discuss strengths and dangers of using image manipulation software

• Review some browser extensions useful in this arena

MillennialsWho are these guys?

Millennial Motivations

• What do I get out of this?

• Praise me

• Connections with friends and peers

• Work-life balance

• Instant access to information

• Technology

Millennial Learners

• Entitled, optimistic, confident

• Low tolerance for disappointment

• Community service

• Value work-life balance

Maria Aaron, “Four Generations on GME”

Millennial Learners

• Flexible schedules, work hard, efficient, multi-taskers

• Team oriented

• New communication style

Maria Aaron, “Four Generations on GME”

Millennial Learners

• Mandatory Lectures ?

• Textbooks ?

• Bullet points ?

• Online modules ?

• Pod casts ?

Maria Aaron, “Four Generations on GME”

What is“Social Media?”

NewspaperNewspaper

RadioRadio

TVTV

Old Websites

Old Websites

CD & DVDCD & DVD

LecturesLectures

TextbooksTextbooks

Ye Olde MediaYe Olde Media

FacebookFacebook

LinkedInLinkedIn

SermoSermo

Modular Education

Modular Education

Cloud Computin

g

Cloud Computin

g

TwitterTwitter

BlogsBlogs

Pod CastsPod Casts

Social Media

Social Media

Intro to Facebook

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Intro to Twitter

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Glossary

•Blog Blogger

•Microblog Twitter, Tumblr

•Podcast iTunes

•Social Bookmark StumblUpon

•Social Network FB, Linkedin

•Wiki PB Works, G.Sites

Saarinen C, Arora V, Ferguson B, Chretien K.  Incorporating social media into medical education.  Academic Internal Medicine Insight.  9(1):12-13, 19.

Physicians on Twitter

• Docs with 500+ followers (May, 2010)

• 49% health or medical

• 21% personal

• 14% retweets

• 12% self-promotional

• 1.4% product/proprietary

• 0.6% medical educationChretien KC. Physicians on Twitter (Research Letter).

JAMA. 2011;305(6):566-568.

Physicians on Twitter

• Docs with 500+ followers (May, 2010)

• 3% unprofessional

• 0.7% privacy

• 0.6% profanity

• 0.3% sexually explicit

• 0.1% discriminatory

Chretien KC. Physicians on Twitter (Research Letter).JAMA. 2011;305(6):566-568.

Trust vs Perception of Risk

• Anonymity vs. accountability

• Comfort or sense of control

• Understanding abuse potential

• Predictability of the environment

• Real life social connections

Psychology of Facebook: https://docs.google.com/Doc?id=dcqn4jpj_156gr5kp9c8

Facebook’s “Privacy” Policy• When you post User Content to the Site, you authorize and direct us

to make such copies thereof as we deem necessary in order to facilitate the posting and storage of the User Content on the Site. By posting User Content to any part of the Site, you automatically grant, and you represent and warrant that you have the right to grant, to the Company an irrevocable, perpetual, non-exclusive, transferable, fully paid, worldwide license (with the right to sublicense) to use, copy, publicly perform, publicly display, reformat, translate, excerpt (in whole or in part) and distribute such User Content for any purpose, commercial, advertising, or otherwise, on or in connection with the Site or the promotion thereof, to prepare derivative works of, or incorporate into other works, such User Content, and to grant and authorize sublicenses of the foregoing. You may remove your User Content from the Site at any time. If you choose to remove your User Content, the license granted above will automatically expire, however you acknowledge that the Company may retain archived copies of your User Content. Facebook does not assert any ownership over your User Content; rather, as between us and you, subject to the rights granted to us in these Terms, you retain full ownership of all of your User Content and any intellectual property rights or other proprietary rights associated with your User Content.

How to mitigate the risk

• Keep Separate Personal and Professional Personas

• Your hospital’s public relations department may have guidelines

• Remove PHI

• Generalize Histories

• Crop responsibly*

Incorporating S.M.into Teaching

“You can’t use social media to sell stuff or to promote. You have to use it to share

information. It’s about trying to share with your

[audience] a healthy way to engage them to make them

better people.”

- Howard SchultzCEO Starbucks

The Old Rules Still Apply

1.Focus: Teaching & Learning Objectives

2.Select a tool that supports objectives

3.Method to assess efficacy

Saarinen C, Arora V, Ferguson B, Chretien K.  Incorporating social media into medical education.  Academic Internal Medicine Insight.  9(1):12-13, 19.

The Old Rules Still Apply

• Assess skill level of learners & teachers to determine:

• Application

• Training needed

• Barriers

Saarinen C, Arora V, Ferguson B, Chretien K.  Incorporating social media into medical education.  Academic Internal Medicine Insight.  9(1):12-13, 19.

Barriers

• Time to learn

• Access (secure networks)

• Perception: openness & transparency

• Need to control content

Saarinen C, Arora V, Ferguson B, Chretien K.  Incorporating social media into medical education.  Academic Internal Medicine Insight.  9(1):12-13, 19.

Skype / FaceTime

Skype / FaceTime

• Orientation

• Mid rotation feedback

Facebook in Educationjust a few of many possibilities

• Create a Rotation Page

• Virtual Office Hours

• Invite discussions

• Videos and images

Create a Rotation Page

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Virtual Office Hours

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Discuss Images

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Invite Contributions

• Anyone can post videos and images, pose questions and start discussions

• Other faculty

• Students can try to stump you

Twitter in Educationjust a few of many possibilities

• A Day In The Life of an ER Doc

• Audience Response System

• Peer review

“A Day in the Life”• Got home, 5 am. Man am I tired. Busy night shift.

• Kids got me up at 8 am. Yuck. Where’s my coffee?

• Back at the office for a meeting then chest pain lecture. Love teaching.

• Missing U2 concert tonight. Oh well, will catch them next time around.

• Home for 3 hours of sleep, then back to work.

• First case: code! Still makes me nervous.

• Trauma. Never gets old. Chest tubes and lines.

• Student asked me something I didn’t know. Made something up, better go look it up.

Twitter as an Audience Response System

http://www.sapweb20.com/blog/powerpoint-twitter-tools/

Twitter for Audience Polling

http://www.sapweb20.com/blog/powerpoint-twitter-tools/

Barriers to Twitter ARS

1.Medical students do not use Twitter

2.Delay time

3.Students can change answers

4.No anonymity

5.Technical issues

Matthew Mintz. Using Twitter as an Audience Response System. 2/17/2011

http://drmintz.blogspot.com/2011/02/using-twitter-as-audience-response.html

www.webstarcontent.com

Controlling ClutterLinkedin

• Remove “See who you already know”

• Remove Linkedin news

• Customize notifications• email• groups, company, application,• account

Linkedin in Education

• Create groups for discussions

• CDEM

• CDEM working groups

• Multiple sites of the rotation

• Med student discussions

Linked in Groups

•Members Only• Padlock icon

• Discussions n/a to search engines

• Discussions visible to group members only

•Open Groups• No padlock icon

• Discussions Searchable and visible to anyone on web

• Discussions shared via Twitter & Facebook

• Nonmembers may contribute

Sermo

•Business Model

•Physicians

Sermo “Clients”

• Products:

• Surveys

• Panels

• Posts to spark discussions

• “Client Center” (lens into MD discuss)

• Reports (events, drugs, disease states)

Sermo “Clients”

• Revolutionary way to target & engage physicians on-demand

• Instantly capture real-world physician insights into treatments, medications, and devices that support a broad range of objectives

Sermo “Clients”

• Target MD’s for market intelligence

• Promote products and drugs

FireFox Add-ons

• AddThis

• StumbleUpon

• Yoono

Responsible Image Usage

Data Hides in the Files

• EXIF data• removed by Facebook

• Thumbnails• Microsoft Word

• Fast Saves & Revision History• Save for Web

• the safe way to save

•The free Photoshop alternative

•www.gimp.org

Create your own images

• Wikimedia Commons

• Open source repository of images, sounds and media

• Use smart search terms: “lungs svg”

• Editable images

“Lungs SVG”

“Heart SVG”

Inkscape

•Edit these pictures

•The Free Illustrator

•www.inkscape.org

Make Pictures Do What You Want Them To

Pod Casts,Blogs, & Websites

Free Pod CastsiTunes

• EM Crit

• ER CAST

• Keeping up with EM

• Smart EM (1-2° in-depth lectures)

Matt Tabbut, MetroHealth/CCF Combined EM ResidencyMark Marshall, Chief Res, MetroHealth/CCF Combined EM Residency

Free Pod CastsiTunes

• Annals of EM

• EM Abstracts

• EM Cases

• Focus On (by ACEP)

Mark Marshall, Chief Res, MetroHealth/CCF Combined EM Residency

Free Pod CastsContent Specific

• ICU Rounds

• EMPEM (Peds)

• Chicago Toxcast

• Gobbet’o Pus (ID)

Mark Marshall, Chief Res, MetroHealth/CCF Combined EM Residency

Free Pod CastsiTunes

• Medical Students & Interns

• U Iowa Dept EM

• Albany EM

Mark Marshall, Chief Res, MetroHealth/CCF Combined EM Residency

Blogs & Websites

• Academic Life in EM

• StoryTellERDoc (literary)

• Resus.me - Dr. Cliff Reid’s blog on EM

• Life in the Fastlane

• EM:Rap & TV (Mel Hebert) *EMRA

Mark Marshall, Chief Res, MetroHealth/CCF Combined EM Residency

Blogs & WebsitesContent Specific

• The NNT

• The Poison Review

• Dr. Smith’s ECG Blog

• MedWorm - Google of Medicine

• Procedurettes

• EMPACSMark Marshall, Chief Res, MetroHealth/CCF Combined EM Residency

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Procedurette

“Dark Developer”

Whit Fisher, MD

Procedurette

“Dark Developer”

Whit Fisher, MD

Homework

• Let’s select a social network...

• Join the CDEM group in that network

• Communicate with our members

Key: http://db.tt/00ip03S PPT: http://db.tt/AdeMJRl

Future Directions

•Communicate with CDEM members and students using social media

•Start to develop our online SM Group

•Moodle Development

•Anyone interested in helping?

Key: http://db.tt/00ip03S PPT: http://db.tt/AdeMJRl