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Author: Brian S McGowan, PhD

MANUSCRIPT: Dropping the Baton: Specialty Referrals in the United States – MEHROTRA – 2011 – Milbank Quarterly – Wiley Online Library

Findings: PCPs vary in their threshold for referring a patient, which results in both the underuse and the overuse of specialists. Many referrals do not include a transfer of information, either to or from the specialist; and when they do, it often contains insufficient data for medical decision making. Care across the primary-specialty interface is poorly integrated; PCPs often do not know whether a patient actually went to the specialist, or what the specialist recommended. PCPs and specialists also frequently disagree on the specialist’s role during the referral episode (e.g., single consultation or continuing comanagement).

http://onlinelibrary.wiley.com/doi/10.1111/j.1468-0009.2011.00619.x/pdf

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MANUSCRIPT: Primary Care Physician Specialty Referral Decision Making: Patient, Physician, and Health Care System Determinants

Conclusions. PCPs’ referral decisions are influenced by a complex mix of patient, physician, and health care system structural characteristics. Factors associated with more discretionary referrals may lower PCPs’ thresholds for referring problems that could have been managed in their entirety within primary care settings.

http://mdm.sagepub.com/content/26/1/76.full.pdf html

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RESOURCE: 20 Tips for Creating a Professional Learning Network – Getting Smart by Miriam Clifford

Just this month, a tech news article showcased how Harvard scientists are considering that “sharing discoveries is more efficient and honorable than patenting them.”  This idea embodies the true spirit of a successful professional learning network: collaboration for its own sake.

As educators, we aim to be connected to advance our craft.  On another level, we hope to teach students to use networks to prepare for them for a changing job market.  But what is the best way to approach PLNs?

via 20 Tips for Creating a Professional Learning Network – Getting Smart by Miriam Clifford.

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MANUSCRIPT: Reviewing social media use by clinicians

ABSTRACT
Adoption studies of social media use by clinicians were systematically reviewed, up to July 26th, 2011, to determine the extent of adoption and highlight trends in institutional responses. This search led to 370 articles, of which 50 were selected for review, including 15 adoption surveys.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3422846/pdf/amiajnl-2012-000990.pdf

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ABSTRACT: Online discussion of drug side effects among breast cancer survivors [Pharmacoepidemiol Drug Saf. 2013] – PubMed – NCBI

Abstract
PURPOSE:
While patients often use the internet as a medium to search for and exchange health-related information, little is known about the extent to which patients use social media to discuss side effects related to medications. We aim to understand the frequency and content of side effects and associated adherence behaviors discussed by breast cancer patients related to using aromatase inhibitors (AIs), with particular emphasis on AI-related arthralgia.

via Online discussion of drug side ef… [Pharmacoepidemiol Drug Saf. 2013] – PubMed – NCBI.

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ABSTRACT: Social media in vascular surgery. [J Vasc Surg. 2013] – PubMed – NCBI

Abstract
There has been a tremendous growth in the use of social media to expand the visibility of various specialties in medicine. The purpose of this paper is to describe the latest updates on some current applications of social media in the practice of vascular surgery as well as existing limitations of use. This investigation demonstrates that the use of social networking sites appears to have a positive impact on vascular practice, as is evident through the incorporation of this technology at the Cleveland Clinic and by the Society for Vascular Surgery into their approach to patient care and physician communication. Overall, integration of social networking technology has current and future potential to be used to promote goals, patient awareness, recruitment for clinical trials, and professionalism within the specialty of vascular surgery.

via Social media in vascular surgery. [J Vasc Surg. 2013] – PubMed – NCBI.

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ABSTRACT: A centralized research data repository enhances retrospective outcomes research capacity: a case report — Hruby et al. — Journal of the American Medical Informatics Association

Abstract
This paper describes our considerations and methods for implementing an open-source centralized research data repository (CRDR) and reports its impact on retrospective outcomes research capacity in the urology department at Columbia University. We performed retrospective pretest and post-test analyses of user acceptance, workflow efficiency, and publication quantity and quality (measured by journal impact factor) before and after the implementation. The CRDR transformed the research workflow and enabled a new research model. During the pre- and post-test periods, the department’s average annual retrospective study publication rate was 11.5 and 25.6, respectively; the average publication impact score was 1.7 and 3.1, respectively. The new model was adopted by 62.5% (5/8) of the clinical scientists within the department. Additionally, four basic science researchers outside the department took advantage of the implemented model. The average proximate time required to complete a retrospective study decreased from 12 months before the implementation to <6 months after the implementation. Implementing a CRDR appears to be effective in enhancing the outcomes research capacity for one academic department.

via A centralized research data repository enhances retrospective outcomes research capacity: a case report — Hruby et al. — Journal of the American Medical Informatics Association.

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SLIDESHARE: A snapshot of MOOCs in Higher Education

Massive Open Online Courses (MOOCs) have been the hottest topic in Higher Education this year. Educating tens of thousands of students in one online course subtends some exciting opportunities but also a raft of pedagogical, logistical, and systemic challenges. This presentation summarises the key issues at stake and outlines a direction forward for Massive Open Online Courses in Higher Education.

Kenney, J.L. & Bower, M. (2012). Massive Open Online Courses (MOOCs): A snapshot. Presented at Expanding Horizons, L&T Week, Macquarie University, Sydney, Australia, 18 September.

Audio available from: http://tinyurl.com/moocs-snapshot

 

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RESOURCE: Online courses need human element to educate – CNN.com

Finally, education does not happen in isolation.Whether it’s philosophy students arguing in a dorm about what Hegel meant, or fledgling Java programmers inspecting one another’s code, people learn best as part of a cohort. The course material is almost secondary to the engagement. We go to college for the people.Likewise, the best of MOOCs should be able bring together ideal, heterogeneous groupings of students based on their profiles and past performance, and also create ample opportunities for them to engage with one another in the spirit of learning.

via Online courses need human element to educate – CNN.com.

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