An introduction to the new UMass Med Capstone course.
- The first step for students is to begin to conceptualize an idea…
- Next to find an advisor… who will help them formulate the project.
Thank you to my fellow #edcmooc-ers for introducing me to videoscribe!
The potential for both utopian and dystopian consequences of social media in education were presented in the E-Learning and Digital Cultures MOOC. In this talk, Regina Holliday and Dr. Ted Eytan present compelling arguments on how open access to information, social media and art can help break down the barriers of medical knowledge to improve patient care and literacy. #edcmooc #meded #hcsm
My digital artefact - an interactive Image: Social Media in Medical Education: Utopia or Dystopia?
The final project for the e-Learning and Digital Cultures MOOC we were asked to do was to create a “digital artefact” - capturing in some venue, something we had taken from the course.
By the way, for those of you who don’t know, a MOOC is a Massive Open Online Course - this one through Coursera. I wanted to bridge the what I had learned from this class with some stories and experiences picked up in the world of medical education as it relates to social media.
As we pass 100 years since the Flexner Report that reformed US medical education to be more akin to that in Germany - educators are reconsidering what the next century will look like. Can we shorten the length of education? (Students in the US spend 8 years at University after high school to become a doctor, then another 3-10 years as interns, residents and fellows working 80 hour weeks). Can we make it less expensive? Can we open up information to students in other countries - can we globalize medical education? What of the role of social media - how do we teach professionalism, protect our patients while exploring the best of it?
Additionally, as Atul Gawande stated at the Harvard Medical School Commencement Address,
"you can’t hold all the information in your head any longer, and you can’t master all the skills. No one person can work up a patient’s back pain, run the immunoassay, do the physical therapy, protocol the MRI, and direct the treatment of the unexpected cancer found growing in the spine."
Furthermore, patients are asking for more. They want (and rightly so) a greater role in shared decision-making and knowledge sharing. The efforts from Society for Participatory Medicine, ePatients, and artists like Regina Holliday are spearheading this efforts. They see the use of EMR and social media as helping dramatically with creating the solution. I personally think it is more complicated.
As discussed in the MOOC, there can be a downside. Many ePatients are pushing the government in the US to mandate that patient notes be finished within 24 hours and available for patients to review. I have to admit that I struggle with getting my notes done in a timely fashion. But I would rather not substitute the un-rushed discussion I have with my patients and their families sitting beside them with a timely note. This is the crux of the debate - dystopia vs utopia and the lecture by Gardner Campbell that discussed Bateson’s notion of the “Double Blind:” As a physician committed to shared-decision-making and patient empowerment, I must want to notes in the electronic record within 24 hours, but if I do, I will need to cut my visits with my patients shorter. Two contradictory concepts that collide head-on seemingly both supporting the same value of good patient care.
That being said, there is so much “Utopian” work being developed - online communities that stem from compassion and contribute to the humanism of the profession and to what is found online. The digital stories in particular strike me as profound. These stories teach us all about the resilience of humankind, about love, about illness and hope.
And so - as I have heard others who speak from a perspective of complexity theory - we continue to live in a “both-and” world. Finally, referring to Kant - we have to choose how we wish to participate and contribute, recognizing that what we do will likely become the larger reality.
So - what will your online presence be?
"I tell my students, tell me about your patient and their family. Let’s call her by name." - Vicki Erickson APRN-BC, PhD
San Diego hospice to close it’s doors: a call to action
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