Teresa Chan Profile picture
14 Oct, 39 tweets, 49 min read
I'm doing a "virtual" visiting scholar stint w/ @ubcMedCHES this week. Today was a day full of exciting new connections & great discussions.

Ended my day with a talk: "Digitizing Health Professions Education via #SoMe

I am now going to TWEET my lecture as a #tweetorial. Image
I began by situation myself as the current Assistant Dean of #FacDev within the @MacHealthSci Faculty. Much of my content would eventually revolve around what I've learned from #FOAMed and how it's translated to our recent digital transformation of @MacPFD. ImageImage
Shout out to @sherbino who opened my eyes to @Twitter as a community of practice for myself as a clinician AND an educator. The #FOAMed, #MedTwitter, and #MedEd tweeps have been instrumental in helping me develop as a practitioner, scholar, and now faculty developer. ImageImageImageImage
I explained what #FOAMed is, and how it's helping to democratize & make accessible content that may not have been freely available and/or intellectually digestable for frontline folks (whether they be clinicians or frontline teachers). Closing the knowing-doing gap is imperative. ImageImage
For a short history on #FOAMed, you can check out this recent commentary that I wrote with @crsemcccf @MGottliebMD and @Brent_Thoma for @ATSMedEd's new journal ATS Scholar. H/T @NitinSeam for inviting us.

Read: atsjournals.org/doi/full/10.34… Image
And not only have we been busy MAKING #FOAMed, but some of us have been scholarly about it. In our recent scoping review (see paper by @KristinaDzara @saraparamd @anujabh @LaurenMaggio and I) exploring #SoMe for #KT and #MedEd.

Read: link.springer.com/article/10.100… ImageImage
But of course... as @Brent_Thoma asked me all those years ago during the @CAEP_Docs first academic symposium on #EducationScholarship... Why aren't we seeing these new media as Scholarship? ImageImage
We have seen increasing interest and uptake on valuing digital offerings and creations like #Tweetorials, #Blogs, #Podcasts, #VisualAbstracts/#Infographics as digital scholarship in their own right. #LessThanADecade :D

Read:
1)ncbi.nlm.nih.gov/pmc/articles/P…
2)pmj.bmj.com/content/91/108… Image
And so... How will you start??

It's pretty easy... But since I'm tweeting this, you already know how! Shout out to @StarSkaterDk as always for her FAMOUS infographic (I know I still owe you an update Sandra!!). ImageImageImage
Another shout out to @AcadMedJournal Last Page by @RJmdphilly @aoglasser @tony_breu @WrayCharles @michellebr00ks & Dr Chapman (who's handle escapes me now) for publishing this JUST IN TIME (Oct 2020!)! A great handout for #MedTwitter newbies.

Read:
journals.lww.com/academicmedici… Image
And, once you exist and understand how things work, you can definitely check out some handles and hashtags:

Follow journals: @MedEd_Journal @AcadMedJournal @advhlthsciedu @MedTeachJournal.

#FOAMed producers: @ALiEMteam @HarvardMacy @MacPFD

Hashtags: #MedEd #MedTwitter #AcWri ImageImageImage
And understand that your #digitalidentity likely layers on top or interacts with your #IRL identity. If you are a physician/clinician/researcher, this might mean it interfaces with your #ProfessionalIdentity too.

Read our recent paper on this in @jmirpub: jmir.org/2020/9/e21416/ Image
Also, you can read about some good practices and possible pitfalls to avoid in another paper we published from the same program of research (funded by @PSIFoundation) on Good Practices for using #SoMe for #MedEd & Scholarly Discourse. OA @pmeded:
link.springer.com/article/10.100… Image
And there are other ways to blend #FOAMed into your life! As @RJmdphilly et al. explain in their @AcadMedJournal Last Page, you engage in a way that is similar to Bloom's Taxonomy. Going from consuming to creating. ImageImage
Similar to what @Brent_Thoma and @emcrit had written about as the online hierarchy of needs:
researchgate.net/profile/Brent_…

Watch video here:
vimeo.com/emcrit/onlineh…
So for myself, I scroll through Twitter when I'm waiting for elevators, commuting, and in between things. It helps me fill time between where I might pick out a new paper to read later, or see that everyone's obsessed with a new #MedEd idea etc I look for the Signal in the Noise. ImageImage
At the bedside, you can also use point-of-care resources like #FOAMed (and other paid-for resources like @UpToDate) in DIFFERENT ways along the learning continuum. Thanks to @patockaem @VorosMD and @M_Lin for doing this project with me:
onlinelibrary.wiley.com/doi/full/10.10… Image
But a big part of what I've tried to do over the years has been to sneak a bit of that kale in the smoothie (i.e. some learning into nontraditional fun spaces). Image
As @RJmdphilly et al. point out, MANY people use Twitter to take a break! @RaterCognition explained that she does so today. I do too! Sometimes, I use it also to tweet (e.g. this #Tweetorial). But sometimes I use it to syndicate great work from OTHER formats into people's feeds. Image
Here's an example: @WeAreCanadiEM is a #FOAMed blog that has roughly 2 million views per year. We periodically publish #MedEd or #FacDev content. (Shout out to @KDowhos and @AlimNagji for their Teaching That Counts infographics!)

Read about CanadiEM: onlinelibrary.wiley.com/doi/full/10.10… ImageImage
We will cross post this content to @facebookapp or Twitter or @instagram to ensure that we reach our intended audiences.

On Facebook, that post reached 1753 people and had 71 engagements!! By contrast, peak reach for my talk today simultaneously was 57 people! Image
And we've been doing similar things for #FacDev since I started my role in Sept 2019. I thought I was ambitious in pitching a #DigitalTransformation of #FacDev in my first term (i.e. 5 years). But then #COVID19 hit... Image
And my 5-year pitch... evolved into a 5-week initial plan... and then a 5-month realization of all that we wanted to accomplish! Buy in from faculty at @MacHealthSci was key. Sponsors & champions like @jmarkwalt @Azzam_Khalid and others were also key!
And since March 2020... We have:
1. Launched a website for new content - macpfd.ca
Click on Event Calendar for free/paid for upcoming events! All are welcome ImageImage
2. Created a new @YouTube Channel (accessible through our @MacPFD video archive)

(PS: Check out our keynote address from the Wong Forum this year @dmitripapa!) Image
3. Spun out @MacPFD Spark Podcast: macpfd.ca/podcast
Also available on @Stitcher @SoundCloud (soundcloud.com/macpfd) and @ApplePodcasts ... and many more apps! (BIG SHOUT OUT TO OUR SOUND ENGINEER NICK HOSKIN FOR MAKING THIS POSSIBLE) Image
4. Established a community of practice for our local #FacDev practitioners across the entire @MacHealthSci community including school of medicine (@MacMedNRC @MacMedWRC), @macnursing, and @SRSMcMasterU. Thanks to all who chip in!! Image
And tomorrow we are launching a Direct-to-Faculty newsletter: @MacPFD Blast! Thanks to @shawnslocke for making this happen!! It has been a real *blast* to work with you. 🤣 Image
And all of that is so I can hide the proverbial kale in the smoothie. We are integrating #FacDev into nontraditional channels so that we can deliver faculty the development they need when and as they need it. Or as @YusufYilmazPhD calls it: "Just-In-Time #FacDev" Image
Part of going forward will be to carve out ways to reward the great #DigitalScholarship and to value it for what it is. @abbashu and crew (including myself) have recently written a consensus guideline on this for our specialty. Paper is OA: ncbi.nlm.nih.gov/pmc/articles/P… Image
Until such time, though, here is a story of how I created a #MultipleWin for a #FOAMed (#DigitalScholarship) project to ensure MAXIMAL coverage: ALiEM MEdIC Series!

(Want to know more about multiple wins? Watch video here: macpfd.ca/content-pillar…)
Here is the story of the @ALiEMteam Medical Education in Cases Series. When I started in #FOAMed, it seemed to be all podcasts/blogs (lectures/textbooks redux).

🤔🤔🤔WHERE IS THE ONLINE PBL? (COI: I'm from @McMasterU, where Problem-Based Learning in #MedEd sort of originated.) ImageImage
The @ALiEMteam MEdIC series:
1) Monthly cases
2) Pre-prepared expert responses
3) Discussion online via blog (facilitated by @SLuckettG @purdy_eve @Brent_Thoma @TamaraMcColl)
4)Discussion digest by folks like @johneicken @alkarimvelji & above

Collection: aliem.com/medic ImageImage
But we didn't stop there! We turned each "season" of posts into an edited volume. See: aliem.com/library for the complete collection of the e-books (iTunes/RG)

ALSO, we wrote about this innovation in @AcadMedJournal as an #InnovationReport
Read: journals.lww.com/academicmedici… Image
More recently, @ALiEMFac which I helped to co-found with @MGottliebMD @lainieyarris (and now run with @SMKrzyz @sreeja_natesan @dr_aquinn) have similarly created #MultipleWins by having our facubator participants create case-based content to unpack key #MedEd theories/concepts. Image
But many skeptics worry that in the unfettered environment of online publishing... Wither QUALITY? Image
Don't worry #FOAMed, @Brent_Thoma and @M_Lin and I got you.

We saw this coming a while back...although we got some flack by some for pursuing this academic "tomfoolery", #FOAMed now more sustainable because some dove into creating structure & validation via scholarly pursuits. Image
The @METRIQstudy group has focused almost singularly on this line of thinking.

How do we judge, adjudicate, create QUALITY #FOAMed and open access resources?

Read here: metriqstudy.org/research-agenda Image
And so... the journey continues. But hopefully you'll come along for the ride. Stay tuned for more innovations and scholarship in this space. And definitely join in the fun.

Comment.
Ask?
Participate!

Welcome to #FOAMed #MedEd.

/fin of my @ubcMedCHES talk. :D Image

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More from @TChanMD

1 Oct
Tweeting about #ChairsRounds today for @MacDeptMed. See thread below...
Dr. @MVerhovsek first introduces the panel with an amazing version of the land acknowledgement for our region and talks about her own journey to become anti-racist.
First speaker: Dr. @ajesusjoseph from the @McMasterU Faculty of Social Work. He takes us through some key concepts such as Race, Racism, and Racialization. Key concepts we should understand as healthcare practitioners.
Read 14 tweets
7 Sep
Next up is me! #FacDev #AMEE2020 ImageImage
Try to design your #FacDev with the end-user in mind. Be empathetic to their needs, build with them in mind. #AMEE2020

Read here: link.springer.com/article/10.100… Image
Let's design with deeper empathy. An example of this is the Yilmaz (@YusufYilmazPhD) model of #JustInTime #FacDev
#AMEE2020 Image
Read 18 tweets
7 Sep
Ok, beginning a monster thread to showcase our #AMEE2020 #BestPractice talk from today on #FacDev. Image
Some disclosures! #AMEE2020 Image
Dr. Yvonne Steinert kicks us off to highlight how hard it is to predict the future. 2020 has certainly proven this. #AMEE2020 Image
Read 18 tweets
5 Jul
What’s up with me tonight? #cookingforcovid again! This time brown butter gnocchi with chicken and mushrooms!

First up to cut up and boil 3 large potatoes! Image
Cut and boil the potatoes.
Then mash them!
The cool them
Set them aside and let them to cool to room temp! Then add an egg to the cooled mashed potatoes! Stir all together and then add flour a little bit at a time. Keep stirring until it starts to form little balls of dough. ImageImageImageImage
Read 12 tweets
20 Jun
Seminars in Nephrology has an entire issue devoted to social media in the discipline of nephrology.

The mastermind @kidney_boy highlights the contents here:
sciencedirect.com/science/articl…
First up is @aoglasser @RJmdphilly @michellebr00ks (all #WomenInMedicine) who highlight opportunities for community, advocacy, and connection.

They review the "anatomy" and "physiology" of tweets too. :D

Link: sciencedirect.com/science/articl…
Next up is @stones__ and @hswapnil who discuss Twitter journal clubs (#JClub). "Clubbing" on Twitter can certainly be a lot more exciting, and definitely an alternative until we can all stop #PhysicalDistancing

sciencedirect.com/science/articl…
Read 12 tweets
6 Jun
Years ago, I wrote a blog post (canadiem.org/waves-of-foam/) and received some heat from the #FOAMed community. That feels like a lifetime ago, and in a time when fewer were relying on #FOAMed for critically timely clinical content.
Today, our paper is online first, detailing the waves (as we see it) of those who have founded the movement, the early adopters who flew w/ concept, and structuralists who have come along to add discussions of quality, critical appraisal, formalization.
atsjournals.org/doi/full/10.34… Image
It feels like a lifetime ago, but this is one of those capstone papers that synthesize a big body of scholarly work that has erupted around #FOAMed...
Read 6 tweets

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