#acehp12 preconference - Emerging Technology and Medical Education

Technology and Medical Education

Brian S. McGowan, Ph.D.

Education and Technology Consultant

Consult Columnist, Social Media ConnectionsMedical Meetings, A MeetingsNet Magazine

Technology and Medical EducationBlog: www.cmeadvocate.com Twitter: @BrianSMcGowan

– Curator: #SoMeCME & #socialQI– Founder: #CMEchat (W’s 11amET)– Contributor: #Meded chat (Th4PM and 9PMET)

YouTube: http://www.youtube.com/user/Briansmcgowan Slideshare: http://www.slideshare.net/cmeadvocateLinkedIn: http://www.linkedin.com/in/cmeadvocate

– Member: Alliance for CME Group; CME Group…– Manager: MAACME

MededMOOC: Founding member Quora: http://www.quora.com/Brian-S-McGowan-PhDG+: http://bit.ly/McBrian

A Story with Four Acts

• Act 1: Why are we talking about technology?

• Act 2: What technology are we talking about?

• Act 3: What do we mean by ‘use’? (learners)

• Act 4: What do we mean by ‘use’? (CME pros)

Act 1:Why are we talking about

technology?

Where Does the US Rank in Quality?

http://www.rand.org/content/dam/rand/ww/external/health/projects/qdart/images/predominantly_hispanic_areas_low_ldl_testing_rates.jpg

http://www.rand.org/content/dam/rand/www/external/health/projects/qdart/images/predominantly_hispanic_areas_low_ldl_testing_rates.jpg

http://www.rand.org/content/dam/rand/www/external/health/projects/qdart/images/predominantly_hispanic_areas_low_ldl_testing_rates.jpg

http://trace.wisc.edu/docs/function-aging/pics/graying.gif

http://trace.wisc.edu/docs/function-aging/pics/graying.gif

The [education] system as it is structured today is so

deeply flawed that it cannot properly support the

development of health professionals…this has left

health professionals unprepared to perform at

the highest levels…

http://jama.ama-assn.org/content/303/8/716.full

Act 1: Driving Hypothesis

Without new strategies for medical education

the bottleneck in information flow will

grow and the healthcare system will

fail… embracing technology is a

necessary solution.

Act 2:What technology

are we talking about?

Roadmap From Technology to Improvement

Digital

Networked

Open

Fast

Cheap

Out of Control

Crowd

Light

Desire

networked weather

Digital, Networked, Open

Evolution of Traditional Media

BroadcastingArchiving Teaching

2000190018001700160015001400

Revolution of Social Media - 2000

Networking, Sharing, and Learning

What does this look like?

http://bit.ly/txvpUP

http://youtu.be/dbPqOdYYDeQ

Jona

than

Chu

, LX

D

Act 2: What technology are we talking about?

1. Digital, networked, and open solutions

2. Keep an open mind:

– Does it solve a problem?

– Does it prevent a problem from occurring?

– Does it motivate, facilitate, or trigger new behaviors?

– Does it leverage the power of the community?

Act 3:What do we mean by ‘use’?

(learners)

Inconsistent Data of Docs Using SoMe

2% Twitter

4% Facebook

Sermo 2010

PeerView 2010 MCM 2010; unpublished

Do you use ____ professionally?

Inconsistent Data of Docs Using SoMe

Inconsistent Data of Docs Using SoMe

Defining ‘Social Media’

Social media is defined as internet-based applications which allow for the creation and

exchange of user-generated content and includes services such as social networking,

professional online communities, wikis, blogs, and microblogging.

Defining ‘Use’ in MedicineHypothesis:There are 3 ways that HCPs ‘use’ social media:

1. To treat – engaging directly w/ patients about care2. To teach – providing timely & credible education3. To learn – sharing of medical information/knowledge

TO

TREAT TO

TEACH TO

LEARN

Bucket 1 Bucket 2 Bucket 3

Defining ‘Meaningful Use’

TO

TREAT

TO

TEACH

TO

LEARN

Bucket 1

Bucket 2

Bucket 3

Care

Info

Info

Act 3. Part B:What have we really learned

about learning?

Measuring Bucket Three - ‘Meaningful Use’

• Sharing medical knowledge is defined as the exchange of information, advice, ideas, reports and scientific discoveries with other physicians in the medical community.

To

Learn

Bucket 3

Collaborators

Robert S. Miller, MD, FACPClinical AssociateSidney Kimmel Comprehensive Cancer Center at Johns HopkinsOncology Medical Information OfficerJohns Hopkins University School of Medicine

Bryan Vartabedian, MD, FAAPAssistant Professor of Pediatrics Baylor College of Medicine

Molly Wasko, PhDAssociate Professor and ChairUniversity of Alabama at Birmingham School of Business

Mazi Abdolrasulnia, PhDDebi Susalka

Desirae Freiherr

Kevin Pho, MDLawrence Sherman, FACME

Joseph Kim, MD

This research was funded by Pfizer, Inc.

Methods/Framework

Planning:• Conducted a review of previously published literature• Received input from advisory board of physicians with social media

expertise • Received approval from the Western Institutional Review Board[1]

• Utilized the Technology Acceptance Model [2] (TAM) theoretical framework as a model

Survey distribution• Survey distributed via email to a random sample of practicing

oncologists and primary care physicians in the United States. • Survey data was collected during March of 2011 from a total of 186

U.S. oncologists and 299 U.S. primary care physicians (response rate ~ 30%)[1] Administrative Letter-Waiver of Documentation of Consent: Physician Survey #8702685.0 Protocol(-2-04-2011)

[2] Davis, F.D. (1989), “Perceived usefulness, perceived ease of use, and user acceptance of information technology”, MIS Quarterly 13(3): 319-340.

Study conducted between November 2010 and March 2011Study conducted between November 2010 and March 2011

Technology Acceptance Model (TAM)

External factors

External factors

Perceived UsefulnessPerceived Usefulness

Perceived Ease of UsePerceived

Ease of Use

AttitudeAttitudeBehavioral

Intention to use

Behavioral Intention to

use

Technology Use

Technology Use

Davis, F. D. (1989), "Perceived usefulness, perceived ease of use, and user acceptance of information technology", MIS Quarterly 13(3): 319–340

Meaningful Use of SoMe for Learning

• Medicine 2.0

Survey Sample DemographicsDemographic Characteristics Oncology

n = 186Primary Care

n = 299

Degree MD/DO 100% 100%

Years since graduation from medical schoolMean/St. dev. 24 years/10 24 years/9

Percent Male 75% 72%

Patients seen per weekMean/St.dev. 100 patients/56 124 patients/73

Practice Location UrbanSuburban

Rural

47%44%9%

23%60%17%

Practice Setting Solo Practice Group Practice Medical School

Non-Government Hospital

12%68%9%5%

34%60%1%3%

Major professional activity Direct patient care 97% 98%

Physician Adoption and Use of Social Media to Share Medical Knowledge with Other Physicians

Physician Adoption and Use of Social Media to

Share Medical Knowledge with Other Physicians

All Docs = 491

Primary Care Physicians

Oncologists

Many x’s a week

41%

28%

35%

31%

“…A BENEFICIAL USE OF TIME”

“…A SOURCE OF HIGH QUALITY INFORMATION”

Perceived Benefits of Using Social Media

27%

23%

21%

22%

19%

19%

51%

58%

61%

0% 20% 40% 60% 80% 100%

Improves my job performance

Enables me to care forpatients more effectively

Improve the quality of mypatient care

Disagree Neutral Agree

Perceived Barriers to Using Social Media

52%

52%

47%

20%

20%

19%

27%

27%

34%

0% 20% 40% 60% 80% 100%

The systems required to participate insocial media are not readily available

I am too busy to participate in socialmedia

I don't have time to learn how to usesocial media for professional purposes

Disagree Neutral Agree

Act 3: Data on Meaningful Use

1. Physicians are increasingly turning to social media to support their learning.

2. Fewer than 1 in 5 physicians have negative attitudes toward these new channels.

3. More than half of physicians feel these new channels improve their performance.

Act 4:What do we mean by ‘use’?

(CME professionals)

Defining ‘Use’ in CME Profession

Hypothesis:There are 3 ways that HCPs ‘use’ social media:

1. To teach – supporting our CME programs2. To learn– supporting our professional development 3. To advocate – amplifying the voice of CME advocacy

To

TeachTo

LearnTo

Advocate

Bucket 1 Bucket 2 Bucket 3

Bucket 1: To Teach• 50% of healthcare

providers have used Wikipedia in practice 1

• 51% of Docs are using online professional communities

• 66% of Docs expect their professional online activity to increase over the next 12-18 months 2

1 http://bit.ly/3sQVb 2 http://bit.ly/bAjrXu

By not adoptingsocial media, we are failing

to stop information-seeking HCPs from

relying on less credible and less

regulated sources of medical information.

Bucket 2: To Learn• The learning and quality-

improvement communities outside of CME are actively engaging in social media.

• By delaying adoption of social media, we are ignoring readily available best practices used by other forms of adult education.

1. Blogs enable community leaders to communicate ideas and best practices.

2. Staff can use google alerts to learn about the latest trends in their profession.

3. Staff can share using micro-blogging. 4. Staff can social bookmarking to archive

important information. 5. Collaborative workspaces enable teams to

share documents, screens, photos, files, and presentations.

Sharing is simplified (virtual teams).

6. Staff can search for experts who have the skills necessary to address needs.

http://www.astd.org/lc/2010/0510_medved

American Society of Training and Development

Bucket 3: To Advocate• SoMe = the quickest, simplest,

and most cost-effective channel for sharing these successes.

• By ignoring social media, we’re missing the opportunity to share all of our success stories in an easily accessible channel that keeps up with the fast-pace of modern news cycles and new media.

CME Pros are unsure about social media“Describe your use of these technologies to support learning…”

Leaving Us Two Groups of People…

…the impact of “networked weather”

Impact On Our Educational Meetings:

1. Remote participation

2. Backchannel convo

3. Amplification

4. Socialization

5. New Formats

Impact On Our CPD

#CMEchat

#MededMOOC

CME Pros are using other technologies“What other types of CE online learning does your organization provide”

What areas of technology in CME most interests you?

Please select the device(s) you intend to have on-hand to the Pre-Conf

CME Pros Perceived Barriers to Adopting New Technology

“What do you want to learn in this session?”- 4 themes emerged -

1. What is new and how to use each type of technology.

2. What are the latest trends in technology for CME/CE events?

3. How to augment my CME program with new modalities

4. Cost effective ways to integrate technology to learning.

Act 4: The CME Community

1. Can use new channels for teaching, learning, or advocacy

– We have no data on learning and advocacy…

2. Fewer than 1 in 5 CME professional have integrated social media into their programs

3. More than 1 in 3 CME professional are unlikely to integrate social media into their programs in the near future