Brought to you by Dr. Clay Smith and the folks at Vanderbilt and "Keeping up with EM" have come out with a really great app. Professional looking. I'm so jealous and inspired. Check it out!
Showing posts with label technology. Show all posts
Showing posts with label technology. Show all posts
New free app: Upshot
Brought to you by Dr. Clay Smith and the folks at Vanderbilt and "Keeping up with EM" have come out with a really great app. Professional looking. I'm so jealous and inspired. Check it out!
Eavesdrop into LIVE International EM Faculty Development Conference
Today is the second day of the International EM Faculty Development and Teaching Course hosted at the University of Maryland by Dr. Rob Rogers and Dr. Amal Mattu. Although unable to attend, I have been able to be a virtual participant in real-time for many parts of the large-group didactic sessions.
Have you heard of Livestream?
Although I am always a little wary of these real-time video captures of lectures because of all the problems that might arise and the logistics with joining in, I decided to try the provided link:
It was surprisingly hassle-free. With one click, I started immediately to view the talks and read the comment stream without logging in. The video and audio are surprisingly clear and smooth. Give it a try. I'm a convert. Would love to see more conferences utilize this technology!
I caught a talk by Amal on the nuts and bolts of bilding an academic niche. I wish I had heard these talks when I first started out as a faculty member!
Planned Livestream times (Eastern Standard Time)
Wed, Nov 14 -
- 1-2 pm
- 2:20-3:45 pm
- 3:45-4:45 pm
- 10:20-11 am
- 1-2 pm
- 2:30-3 pm
- 8-10 am
- 10:20 am-12 pm
I joined Twitter. Now what? (Tutorial video #2 - Desktop)
In Part 2 of this Twitter tutorial (Part 1 video), I focus on how to navigate Twitter using the Twitter native website on my desktop/laptop. I personally, however, use Hootsuite (free) so that I can see more items at a single glance.
NOTE: You may have to increase the quality of the video because of the small print. You can do this at the bottom bar of video (uploaded in 720p).
Pearl:
- Start by following just a few people and build up to a bigger list. If often feels like you are drinking from a firehose if you start too quickly. Start with this list by @FOAMstarter.
I joined Twitter. Now what? (Tutorial video #1 - iPhone)
Hashtags I have been following recently:
- #MeduTOT: Medical Education Tricks of the Trade. I introduced this hashtag during the AAMC 2012 conference this week in San Francisco. This hashtag labels all things related to practical teaching tips in medical education, such as powerpoint design, giving feedback, curricular design, bedside teaching, etc. Thought it appropriate since there were so many educators all gathered together using Twitter!
- #EMTOT: Emergency Medicine Tricks of the Trade. This hashtag labels all things related to tips in the clinical practice of EM.
- #AAMC12: A conference hashtag for Association of American Medical Colleges meeting in 2012
- #EssentialsEM: A conference hashtag for Essentials of EM conference
Pearl:
- Start by following just a few people and build up a bigger list. If often feels like you are drinking from a firehose if you start too quickly. Start with this list by @FOAMstarter.
P.S. It was surprisingly challenging to type on an iPhone without being able to see the iPhone or my fingers because they were behind the video-recording iPad.
Creating a personal learning environment
What is digital curation?
It is the selection, preservation, maintenance, collection and archiving of digital assets (1). Once you have curated the digital content you might want to share with others. There are different ways of sharing this content:
- Sending out the link
- Retweeting on Twitter
- “Like” on Facebook
- “1+” on Google+
- Many others
Pick a topic or resource, such as an online blog, podcast, tweet, image, post on Facebook or Google+ that interests you. The source needs to be reputable and up to date. (Five criteria for evaluating Web pages).
Find an outlet. This is where you are going to write your reflection. These outlets may be set up as public (others can see your content) or private (only those with granted access can see your content). Some of these outlets may be set up where others can submit their comments for discussion. This feature may also be disabled if it is not desired. Here are a few social media outlets:
- Blogs
- Podcasts
- Websites
- Google Documents
- Storify
- What do you know about the subject (topic)?
- What do they present in the online material?
- What does the primary literature say?
- How does it compare/contrast to you current knowledge?
- How will this change your current knowledge?
- Can this be applied to a different scenario?
- Do you see any future controversies?
Become a content curator in three steps (2):
- Do it on a specific topic, so that you are seen as a trusted source or expert on that topic.
- Share only the best stuff.
- Do it continuously so that you are continuously providing up-to-date content.
Some educators might be a bit skeptical about the use of technology in education due to their unfamiliarity with this integration. These are 5 tips to help educators see how useful these tools can be.
Five Things Every Teacher Should Know (4)
1. Technology integration is about more than TOOLS
- Use technology to create a community
- Critical thinking and problem solving
- Communication
- Collaboration
- Creativity and innovation
- If you don’t know, know how to find it.
- Be a sponge, don’t let the “expert” label throw you off.
- Be flexible when using technology
Explore, gather some information, compare it to what you know, and share your experience with others.
- www.lifeinthefastlane.com - “...Dedicated to providing online emergency medicine and critical care insights and education for everyone, everywhere...”
- emcrit.org - An EM/critical care doctor who via a podcast explores ways to improve patient care.
- prehospitalmed.com - A doctor from Australia who discusses the improvement of prehospital medicine via a podcast by expressing his opinions on podcasts, blogs, scientific literature.
- www.emlitofnote.com - “Musings on publications and studies relevant to emergency medicine.” A blog run by an emergency physician who explores and gives his opinion on primary literature.
- www.sinaiem.org - A website run by Mount Sinai Emergency Medicine Residency, they explore and give their impression on online content.
- www.emchatter.com - “A link directory to for all things emergency medicine on the web”
- The short coat a blog by a medical student who explores online information and writes her reflections online.
Javier BenÃtez, MD
References:
1. http://en.wikipedia.org/wiki/Digital_curation
2.Content Curation for Online Education
3. Personal Learning Environments And Personal Learning Networks Symposium
4. Five Things Every Teacher Should Know
image source: http://www.scoop.it/t/content-curation-for-online-students
Technology is constantly advancing. New tools arrive on the scene each year, and often we don't know whether to ignore them or incorporate them into our teaching. The slideshow below is a compilation of 100 tools that can be used help our students understand content. Take a look and let me know what tools you use in the classroom. How do you determine whether they're tools or gimmicks?
Filter it: Keeping up with digital information overload
Tools:
- Blogs RSS feeds: Google reader (http://www.google.com/reader)
- Podcasts: Downcast app (www.downcastapp.com)
- Stay in touch, network, and have instant discussions: Twitter, Google+
I used to listen to podcasts in my car mostly on the way to work and on the way back (Always pay attention to the road). I read new blog posts (especially the short ones) while on breaks, waiting in line, etc. I use freemergencytalks.net by Joe Lex for specific lectures, mostly on patient-centered topics to see how I can improve my practice.
I am very, very selective. My selection process:
- Who is the author?
- Is this up to date?
- Is this relevant to my practice?
- Is it relatively short?
Other resources about filtering which are worth looking at:
- Information overload (Life In The Fast Lane)- examples of failure to filter
- How to follow posts via RSS Feeds on the iPad (EMCrit)
- A med student's take on EM blogs and podcasts (ShortCoatsInEM)
- A master list of EM blogs and podcasts (Life in the Fast Lane)
- Academic Life in Emergency Medicine
- EMBasic
- EMCrit
- EM Literature of Note
- ERCast
- High Quality Medical Education (hqmeded)
- Life in the Fast Lane
- Prehospital Med
- Univ of Maryland EKG videos (ekgumem)
The key for me is I know where to go when I have a specific question that needs to be answered. I filter the information, make sure I have a good knowledge background, and have fun. I hope this helps.
_____________________________
Lisa B. Marshall on communication overload: Although she is commercially sponsored (I have no affiliation), I think she gives good, and succinct advice. (Part 1, Part 2)
RIP: Ode to my textbooks
If you were to take a look at my bookcases, you would classify me as a book hoarder. Yes, it’s true I have been collecting book. Some have been with me since college. Books have so much information, and I have always felt a bit paranoid about throwing them away and then not having them for a critical piece of information that I need.
My collection includes books on biochemistry, physiology, anatomy, and others. To be honest, I really have not used them as much as I have used my online sources, and that’s not because I have memorized everything in these books. We are told during college and medical school that we must memorize everything. With the explosion of information, however, it is more practical to know the specific question for which you need the answer for and have reliable sources. The goal is to memorize as much as possible, but also know how to find information in the most efficient manner.
Nowadays, books are already in the internet; MDconsult and AccessMedicine are two of my main sources. They contain all the textbooks I would ever need to answer my questions. There is also UpToDate which contains tons of current articles as well. I have used these sources for years, but getting rid of my books never really crossed my mind. I’ve become quite comfortable with reading texts online, downloading pdf files, and directly taking notes on the actual files. I also use Evernote to curate interesting articles (see Academic Life in EM's shared Evernote notebook link).
The Textbook is Dead Debate from Andy Neill on Vimeo.
Recently, Dr. Mike Cadogan (@sandnsurf), from Life in the Fast Lane, participated in a debate stating that physical textbooks are essentially dead. I watched this video and stared back at my bookcases. I realized that I should not fear not having the textbooks. More than enough textbooks are online. The internet allows me to go almost anywhere and still have access to these digital texts.
Currently, medical school, residency, and CME curricula are also moving online. This includes online lectures, podcasts, and videos. Respected physicians are even demonstrating procedures online. Learning is just not the same as it used to be. It's no longer about sitting in a lecture hall or reading a heavy textbook for hours. Now we can easily learn and collaborate with people worldwide in real-time and asynchronously through such social media platforms as Twitter or Google+.
This post is an ode to the physical being of my textbooks. They have now passed on to a better space (cyberspace), and I have learned to live without them. They taught me a lot, we were together through the good and bad. They used to accompany me to the anatomy lab, spend long sleepless nights together, and sometimes I would even wake up with my forehead against them.
So, I agree with Mike 100%. Textbooks ARE dead.
Farewell my friends, spread your hard and softcovers in book-heaven.
Javier BenÃtez, M.D.
@jvrbntz
So, I agree with Mike 100%. Textbooks ARE dead.
Farewell my friends, spread your hard and softcovers in book-heaven.
Javier BenÃtez, M.D.
@jvrbntz
Conference: Faculty development and teaching course
November 11-16, 2012
The always-innovative, premiere educator Dr. Rob Rogers (Univ of Maryland) is hosting an international faculty development conference in November 2011. I'm guessing that this course is also open to U.S. physicians as well.
This video can also be found on Rob's brand new blog called iTeachEM. Check it out! The site is a gold mine for educators in emergency medicine and critical care. It's on my blogroll list now.
By the way, the video was made using the fun, video editing platform PowToon (introductory video below).
This video can also be found on Rob's brand new blog called iTeachEM. Check it out! The site is a gold mine for educators in emergency medicine and critical care. It's on my blogroll list now.
By the way, the video was made using the fun, video editing platform PowToon (introductory video below).
Video: A primer on social media (ICEM 2012)
At the recent International Conference in Emergency Medicine (ICEM), the professorial Dr. Mike Cadogan (Life In The Fast Lane) gave a talk on Social Media in Medicine. Thanks to Dr. Andy Neill (Emergency Medicine Ireland) for recording this.
Definitely worth a viewing.
Also take a look at Joe Lex's site FreeEmergencyTalks.net, which now has many podcast recordings from the ICEM conference.
Tips from 2012 Hot Topics EM Conference
This week, UC Davis is hosting a great conference in Maui called Hot Topics in Emergency Medicine. I've embedded a Twitter widget so that you can read some tips from the week featuring the likes of Drs. Sokolove, Kirk, Bair, Rose, and yours truly. The hashtag is #HotTopics2012.
Twitter conference notes: High Risk EM and Gaming Symposium
Here are my Twitter notes for the day for those of you who don't use Twitter (and why don't you?!):
Moving Paucis Verbis in shared Dropbox folder to a public folder
The shared Dropbox folder option for my Paucis Verbis cards has been a bit quirky over the past years. Because the folder is a true "shared" folder, everyone has read and write capabilities. So, occasionally some of you have been renaming files, adding files, and even removing files without knowing that this is reflected in all 75 members' Dropbox folders.
So I decided to move to the Public folder option for Dropbox:
When you click on this link while logged into your Dropbox account from your desktop/laptop, you can select the option to add the folder to your Dropbox account. This is a READ-ONLY link. From now on, I won't be updating the previously shared Dropbox folder.
Personally, I like the Evernote option better. You can join my public Evernote folder with the added benefit of being able to search for terms on each card. For instance, if you search "pediatric", several cards will pop up including cards on pediatric head trauma, pediatric fevers stratified by age, and croup.
SAEM 2012 meeting and social media
First off, Dr. David Marcus (@EMIMDoc) from Long Island Jewish Medical Center, NY gave many of us blogs a kind shout-out.
Also, many "iReporters" were on scene to live-tweet various events. Take a look at some of the posts below. Click on #SAEM12 hashtag to see the whole Twitter feed. I remember hearing that there were over 600 tweets!
Dr. Rob Rogers' new Tumblr site
Thus far he has videos on:
- Camtasia screencapturing
- Khan Academy
- Prezi
- Life in the Fastlane blog
Keep up the great work!
Video: How to make a screencast video
A reader, Mark, posted a question yesterday in the chat box about screencapture softwares out there. I personally use iShowU to capture such videos as my instructional video on linking your Evernote account (above) to automatically read and download my weekly public Paucis Verbis notebook. Mark also specifically asked about what Dr. Rob Rogers (Univ of Maryland) uses.
Like magic, Rob made us a special 5-minute video to explain how he uses Camtasia for his screencapture videos.
I have no affiliation with iShowU or Camtasia. Like Rob mentions in his video, I'll be working until I'm 95 years old as well because I have no affiliations...
Hot off the Press: Talking about Web 2.0 in Emergency Medicine
- Mike Cadogan (Life in the Fast Lane)
- Joe Lex (Free Emergency Medicine Talks)
- Chris Nickson (Life in the Fast Lane)
- Cliff Reid (ResusMe)
- Scott Weingart (EMCrit)
You can read the whole article, which is free to download by the journal.
Modern EM: Case 3- Get your phones out
Sometimes on off-service morning table rounds, I like to close my tired eyes and focus my ears past the voice of the attending to hear the chorus of hundreds of pieces of paper flipping, shuffling, crinkling, and folding. It's one way to pass the time when surgeons debate over issues they don't already know the answers to. Another is to get your phone out, and help answer the questions with them.
Surgeon 1: She's breast feeding.
Surgeon 2: She's on zosyn. Can she breast feed? Is that safe?
S1: I don't know.
S3: Let's ask ID.
S1: We're not consulting ID for such a simple question.
S2: We'll curbside them.
S1: Ok, call them after rounds.
Me: The WHO says it's safe. (Micromedex)
S1: The staph culture is pan-sensitive.
S2: Give her augmentin.
S3: She has a PCN allergy - anaphylaxis.
S1: I don't give keflex to anaphylactic reactions to PCN.
S3: We can't use levaquin or bactrim because she's on coumadin especially because this will be long term.
S1: So what do we use?
S2: Let's ask ID.
S1: Ok, I'll call ID today.
Me: You can use doxycycline - no listed interactions with warfarin (Micromedex)
S1: Okay, but make sure you follow her INRs closely.
S1: Her ostomy output is through the roof.
S2: We can't keep up with it. Replacing her cc per cc with IV fluids.
S3: Maybe it's the daptomycin. Is dapto like erythro? Does it give you diarrhea?
S2: I don't know.
Me: 6-12% have diarrhea. (Micromedex)
S1: 6-12% days of the week I have diarrhea too. Keep her on the dapto.
EM residents are already valued on off-service rotations for their superhuman abilities to insert IVs and use ultrasound machines. Now, we can facilitate morning rounds with our smart phones too.
This is a 3-part guest series by Dr. Timothy Peck, who is launching his own blog at ModernEM.blogspot.com. Check it out!
Modern EM: Case 1 and 2 - Strep Throat
A sister and brother, aged 7 and 14, respectively present with pharyngitis. The 7F has sore throat, cough, fever, and post-tussive vomiting for 1 day. She has posterior pharyngeal erythema, no lymphadenopathy, no exudate, no petechiae, and looks like a viral URI.
The 14M had culture confirmed GAS pharyngitis 3 weeks ago, was treated with PCN-VK and symptoms resolved. Now, he's in the ED with signs and symptoms of pharyngitis again, including dysphagia, fever, cough, posterior pharyngeal erythema, swollen tonsils, LAD, and petechiae on his hard palate.
Resources used:
I ordered cultures on each of them and then I opened up MDCalc (I have shortcuts saved to all my devices' desktops) to the Modified Centor Score for Strep Pharyngitis. The easy-to-use calculator tells me that I won't treat the 7F unless positive cultures come back, and the 14M will get empirically covered.
But what antibiotic do I give him? It seems that he failed PCN-VK. Traditionally, many have reached for azithromycin next but I had just read a plea by Dr. Ryan Radecki on his blog EM Literature of Note to stop using macrolides for strep throat based on a study out of Rush that reported cases of rheumatic fever secondary to macrolide resistance. The paper also notes as high as a 15% US single center resistance rates.
If not a z-pack, then what? I opened the EMRA Abx guide which recommended cephalexin or clindamycin. I chose cephalexin, rechecked in Micromedix the indications and dosing, and felt confident I had made the right choice. I also noted to myself that if in the future I were treating a child with a history of PCN anaphylaxis, then clindamycin would be my choice.
I went home that night, read the paper and tweeted Ryan. He and Dr. Graham Walker (MD Calc) were already having a conversation about the issue and I asked them what their second line choice of antibiotic is?
Finally, I went on my favorite quick reference resource WikEM. Their entry on strep pharyngitis was recommending azithromycin as the second line drug. I updated the site, and referenced the article.
The 14M had culture confirmed GAS pharyngitis 3 weeks ago, was treated with PCN-VK and symptoms resolved. Now, he's in the ED with signs and symptoms of pharyngitis again, including dysphagia, fever, cough, posterior pharyngeal erythema, swollen tonsils, LAD, and petechiae on his hard palate.
Resources used:
I ordered cultures on each of them and then I opened up MDCalc (I have shortcuts saved to all my devices' desktops) to the Modified Centor Score for Strep Pharyngitis. The easy-to-use calculator tells me that I won't treat the 7F unless positive cultures come back, and the 14M will get empirically covered.
But what antibiotic do I give him? It seems that he failed PCN-VK. Traditionally, many have reached for azithromycin next but I had just read a plea by Dr. Ryan Radecki on his blog EM Literature of Note to stop using macrolides for strep throat based on a study out of Rush that reported cases of rheumatic fever secondary to macrolide resistance. The paper also notes as high as a 15% US single center resistance rates.If not a z-pack, then what? I opened the EMRA Abx guide which recommended cephalexin or clindamycin. I chose cephalexin, rechecked in Micromedix the indications and dosing, and felt confident I had made the right choice. I also noted to myself that if in the future I were treating a child with a history of PCN anaphylaxis, then clindamycin would be my choice.
I went home that night, read the paper and tweeted Ryan. He and Dr. Graham Walker (MD Calc) were already having a conversation about the issue and I asked them what their second line choice of antibiotic is?
Finally, I went on my favorite quick reference resource WikEM. Their entry on strep pharyngitis was recommending azithromycin as the second line drug. I updated the site, and referenced the article.
This is a 3-part guest series by Dr. Timothy Peck, who is launching his own blog at ModernEM.blogspot.com. Check it out!
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