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ABSTRACT: The unique contribution of behavioral scientists to medical education: the top ten competencies

Understandably, the focus of most physicians is primarily on the biomedical-What is this disease or injury? Behavioral scientists from various disciplines in medical education generally have a broader approach-Who is this person with these symptoms and what is their story? Since behavioral scientists are often alone among U. S. residency faculty, physicians may fail to recognize the value of their approach to medical resident training. This review identifies and describes the top areas of expertise that behavioral scientists bring to medical education and how their training prepares them to think differently than other medical educators. In the course of identifying each competency, this review will emphasize the ways in which their skills and techniques are the origin of subtle impact in their teaching encounters, explore ways of targeting that impact, and discuss examples of this impact.

via The unique contribution of behavioral s… [Int J Psychiatry Med. 2014] – PubMed – NCBI.

RESOURCE: Great Polling Tools Teachers Must Explore

Polling is the best way to collect student’s feedback. With the access to technology polling has become easy and teachers can create amazing polls for their classroom with these amazing tools.

PollDaddy: PollDaddy offers free poll or quiz creation features for the educators. The free version enables educators to get 200 survey replies per month and ten questions for each survey. The app of this tool is available on iPad and iPod. PollDaddy sends detailed spreadsheet to the educators once poll is done.

Flisti: Flisti is an easy and simple poll tool to create engaging poll for the students as it doesn’t ask for sign up. Just click on its page and start creating polls. Here, educators can add as many answers they can and they can also embed their polls on their blogs and websites as well.

Google Forms + Flubaroo: Google Forms enable you to create various types of questions automatically assembles usernames, self-grading options, sends data to a spreadsheet and much more.

Testmoz: At Testmoz, educators can generate graded online tests. No registration required but a great tool for K-12.

Celly: Celly is a social networking website. One can join instantly and can exchange polls, group messages, we alerts and reminders.

Survey Monkey: is among the well-known online survey tool with these educators can send free surveys, questionnaires or polls.

ClassMarker: This online testing site is an easy way to use and create quiz online.

Poll Everywhere: Poll Everywhere is an amazing tool for conducting polls using texting and Twitter. It can be used with cellphone, tablets, smartphone and laptops. Poll Everywhere is free for 40 people or less and has paid plans for K-12 semester.

Nearpod: Nearpod enables educators to create multimedia presentation using its interactive features. Users can use their cloud based content tool.

Survey Mapper: Survey Mapper is a free real-time geographic polling and survey tool. It also featured tutorial that tells you the entire process of creating survey.

Yarp: It is another simple and easy tool for creating surveys and polls. The platform doesn’t require any registration.

Kwik Surveys: Kwik Surveys enable users to create their own surveys, polls, form as well as feedback form. The platform is free and requires sign up.

Micropoll: The platform enables users to create polls using set of answers and questions with one email address. Uses can also share polls embed codes online.

Quibblo: Students can use Quibblo to make survey and quizzes. It is also among popular tool that can easily embed in the classroom.

Help Teaching: It can accommodate questions on any topic at any level of difficult in various formats, like true and false, open-ended, multiple choices.

Socrative: Socrative allows educators to assess and engage their student’s interest in educational various activities related study using their tablets, smartphones and laptops.

QuizStar: It is a free tool to create quizzes online maker that enables educators to manage their classes, assign and generate reports of the quizzes. It is a very simple website for generating quizzes that makes a unique URL for others.

via Great Polling Tools Teachers Must Explore – EdTechReview™ (ETR).

MANUSCRIPT: Mapping physician Twitter networks: describing how they work as a first step in understanding connectivity, information flow, and message diffusion.

Twitter is becoming an important tool in medicine, but there is little information on Twitter metrics. In order to recommend best practices for information dissemination and diffusion, it is important to first study and analyze the networks.
This study describes the characteristics of four medical networks, analyzes their theoretical dissemination potential, their actual dissemination, and the propagation and distribution of tweets.
Open Twitter data was used to characterize four networks: the American Medical Association (AMA), the American Academy of Family Physicians (AAFP), the American Academy of Pediatrics (AAP), and the American College of Physicians (ACP). Data were collected between July 2012 and September 2012. Visualization was used to understand the follower overlap between the groups. Actual flow of the tweets for each group was assessed. Tweets were examined using Topsy, a Twitter data aggregator.
The theoretical information dissemination potential for the groups is large. A collective community is emerging, where large percentages of individuals are following more than one of the groups. The overlap across groups is small, indicating a limited amount of community cohesion and cross-fertilization. The AMA followers’ network is not as active as the other networks. The AMA posted the largest number of tweets while the AAP posted the fewest. The number of retweets for each organization was low indicating dissemination that is far below its potential.
To increase the dissemination potential, medical groups should develop a more cohesive community of shared followers. Tweet content must be engaging to provide a hook for retweeting and reaching potential audience. Next steps call for content analysis, assessment of the behavior and actions of the messengers and the recipients, and a larger-scale study that considers other medical groups using Twitter.

via Mapping physician Twitter networks: descr… [J Med Internet Res. 2014] – PubMed – NCBI.

ABSTRACT: Ebola Outbreak Response: The Role of Information Resources and the National Library of Medicine

The US National Library of Medicine (NLM) offers Internet-based, no-cost resources useful for responding to the 2014 West Africa Ebola outbreak. Resources for health professionals, planners, responders, and researchers include PubMed, Disaster Lit, the Web page “Ebola Outbreak 2014: Information Resources,” and the Virus Variation database of sequences for Ebolavirus. In cooperation with participating publishers, NLM offers free access to full-text articles from over 650 biomedical journals and 4000 online reference books through the Emergency Access Initiative. At the start of a prolonged disaster event or disease outbreak, the documents and information of most immediate use may not be in the peer-reviewed biomedical journal literature. To maintain current awareness may require using any of the following: news outlets; social media; preliminary online data, maps, and situation reports; and documents published by nongovernmental organizations, international associations, and government agencies. Similar to the pattern of interest shown in the news and social media, use of NLM Ebola-related resources is also increasing since the start of the outbreak was first reported in March 2014

via Ebola Outbreak Response: The… [Disaster Med Public Health Prep. 2014] – PubMed – NCBI.

ABSTRACT: Interdisciplinary Quality Improvement Conference

The Veterans Healthcare Administration (VA) has embraced patient safety and quality improvement in the quest to improve care for veterans. The New Mexico VA Health Care System introduced a new morbidity and mortality conference, called the Interdisciplinary Quality Improvement Conference (IQIC), using patient case presentations to focus on underlying systems in the clinical care environment. The revised conference design also effectively teaches the 6 Accreditation Council for Graduate Medical Education (ACGME) core requirements for resident education. A formal process was established for case selection, presentation, systems issue identification, tracking, and follow-up. The IQIC has enabled the identification of more than 20 system issues at the study institution. Outcome data show lasting improvement in system issues that were addressed by this mechanism. The VA IQIC is an effective method to both identify and correct systems issues that affect patient care and is an effective method for teaching residents the 6 ACGME requirements for residency education.

via Interdisciplinary Quality Improvement Conference.

ABSTRACT: Naturally Occurring Peer Support through Social Media: The Experiences of Individuals with Severe Mental Illness Using YouTube.

Increasingly, people with diverse health conditions turn to social media to share their illness experiences or seek advice from others with similar health concerns. This unstructured medium may represent a platform on which individuals with severe mental illness naturally provide and receive peer support. Peer support includes a system of mutual giving and receiving where individuals with severe mental illness can offer hope, companionship, and encouragement to others facing similar challenges. In this study we explore the phenomenon of individuals with severe mental illness uploading videos to YouTube, and posting and responding to comments as a form of naturally occurring peer support. We also consider the potential risks and benefits of self-disclosure and interacting with others on YouTube. To address these questions, we used qualitative inquiry informed by emerging techniques in online ethnography. We analyzed n = 3,044 comments posted to 19 videos uploaded by individuals who self-identified as having schizophrenia, schizoaffective disorder, or bipolar disorder. We found peer support across four themes: minimizing a sense of isolation and providing hope; finding support through peer exchange and reciprocity; sharing strategies for coping with day-to-day challenges of severe mental illness; and learning from shared experiences of medication use and seeking mental health care. These broad themes are consistent with accepted notions of peer support in severe mental illness as a voluntary process aimed at inclusion and mutual advancement through shared experience and developing a sense of community. Our data suggest that the lack of anonymity and associated risks of being identified as an individual with severe mental illness on YouTube seem to be overlooked by those who posted comments or uploaded videos. Whether or not this platform can provide benefits for a wider community of individuals with severe mental illness remains uncertain.

via Naturally Occurring Peer Support through Social Med… [PLoS One. 2014] – PubMed – NCBI.

ABSTRACT: Is It Okay to Choose a Children’s Hospital Based on Social Media Presence? Comparing Social Media Metrics to Hospital Quality.

Social media is becoming an increasingly important communication tool. Hospitals use social media sites to provide the public with accurate and up-to-date medical information, for marketing purposes, and to connect patients with physicians and other patients. Patients use social media to find information about hospitals and providers and to help inform their healthcare choices. However, there are no studies comparing social media presence to hospital quality. Our objective was to determine if there is an association between highly ranked Children’s Hospitals and measures of online social influence.METHODS: We conducted a study of Children’s Hospitals that were ranked in the Top 50 in 10 different specialties by US News and World Report. Hospital quality was quantified using the number of Top 50 rankings for that hospital. Social media presence was quantified using the primary metric of the hospital’s Klout score, a continuous score that is determined utilizing data from multiple social media sites incorporating factors such as followers, interactions and connectivity.RESULTS: A total of 86 Children’s Hospitals were ranked in the Top 50 by US News and World Report in at least one specialty; 65 of which had unique Twitter accounts and were included in this analysis. The median number of Top 50 rankings of the hospitals was 7 rankings (25-75% IQR 3-10). The median Klout score of the hospitals was 53 (25-75% IQR 48-60). There was a significant association between higher number of US News rankings and higher Klout scores (r2=0.24, p<0.001). There was also a significant association between high number of US News rankings and number of Twitter followers (r2=0.26; p<0.001) but not with number of “likes” or number “talking about” on Facebook.CONCLUSIONS: In this study of highly ranked Children’s hospitals, there was a significant association between high social media influence scores and higher numbers of Top 50 US News rankings.CLINICAL IMPLICATIONS: Patients looking for highly rated Children’s Hospitals could reasonably make assumptions based on social media presence.

via Is It Okay to Choose a Children’s Hospital Based on So… [Chest. 2014] – PubMed – NCBI.

ABSTRACT: Virtual Practicums Within an MPH Program: A Career Development Case Study.

This article focuses on an innovative “virtual” practicum arrangement and provides insight for public health professionals seeking a meaningful practicum experience. The traditional practicum model where a student physically reports to work at the field site with a near full-time commitment has become increasingly challenging and often limiting in terms of field site choices and experiences available to a student depending on the location of a school and the student’s area of interest. This is particularly true with students who are enrolled in a distance learning program. The experience obtained from a practicum is more important than ever before as rapid changes occur in health service delivery models as a result of the Patient Protection and Affordable Care Act. Career development through a practicum can be vitally important to a mid-career student seeking to remain relevant and in demand within a changing job market. To fulfill these needs, while still obtaining the benefits of a practicum, a virtual practicum arrangement could provide a solution. This case study provides practical tips based on the successful experience of a recent MPH graduate.

via Virtual Practicums Within an MPH Program… [Health Promot Pract. 2014] – PubMed – NCBI.

ABSTRACT: Is It Time to Change Directions of Quality Measures?

Current sets of measures of clinical quality were not designed to adequately describe trends in the overall health of individuals and of populations. There is no definition of “health” in the 2013 National Quality Strategy (NQS) provided in the Annual Report to Congress by the Secretary of Health and Human Services (HHS).1 A purpose of the report “is to build a national consensus on how to measure quality.” The focus of the NQS is largely on measures of health care rather than on measures of health. On the other hand, the Centers for Medicare and Medicaid Services has set national goals with its Triple Aim of better health for the population, better health care for individuals, and lower cost of care.2 Although existing measures are intended to describe health care, they do not provide metrics for the population. Measures of “systemness” and well-being of both individuals and populations should be developed to better serve all 3 elements.
Existing measures of quality used in the NQS report have been based largely on the quality model described by Avedis Donabedian, MD, MPH. This framework, based on measures of structure, process, and outcomes, has been adopted for the development of quality measures by organizations such as the National Committee for Quality Assurance, the American Medical Association Physician Consortium for Performance Improvement, and the Agency for Healthcare Quality and Research (AHRQ), among others. Measures developed by these and other organizations may be reviewed by the National Quality Forum (NQF) for endorsement.

via Is It Time to Change Directions of Quality Measures?.

ABSTRACT: Creating a Physician-Led Quality Imperative

To emerge from a significant quality crisis, hospital administration recognized the need for physician leadership to drive improvements. A framework is presented for a physician-led Quality Summit to select best practice initiatives for implementation over 1 year. Results demonstrated statistically significant reductions in ventilator-associated pneumonia, decreasing from the first quarter 2009 baseline of 8.34 per 1000 ventilator days to 3.32 per 1000 ventilator days in second quarter 2010 (P = .0055). During the same time frame, catheter-associated urinary tract infections decreased from 4.35 per 1000 catheter days to 0.98 per 1000 catheter days (P = .0438), and severe sepsis/septic shock mortality declined from 33% to 13% (P = .0084). The customized World Health Organization Surgical Safety Checklist was used in 93% of surgeries within 1 month of adoption. Venous thromboembolism screening for adults became routine. The annual Quality Summit cycle engages physicians to introduce and spread quality improvement.

via Creating a Physician-Led Quality Imperative.