Evidence at Your Fingertips: Elegance Solutions for Painful Processes
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Transcript of Evidence at Your Fingertips: Elegance Solutions for Painful Processes
Leveraging Internet Technologies as Elegant Solutions to Painful Processes.
Eric Robertson, PT, DPTMedical College of Georgia
Tim Noteboom, PT, PhDRegis University
AAOMPT 2008Breakout Session
About Me: Eric
Assistant Professor @ MCG•Board Certified in Orthopaedics •Evidence in Motion Fellow-in-Training
•Interest in Web Technology & EBP
•Blogger
About Me: Tim
Director, Department of Post-Professional Programs@ Regis University•Established the TDPT Program @ Regis
•Board Certified in Sports PT
•Interest in EBP & Web Technology
Technologies
are no fun
unless you
understand
LEVERAGELEVERAGE..
1. Define the terms Web 2.0, Health 2.0
2. Identify opportunities for non-traditional learning
3. Improved ability to gather and organize information
4. Define “push” information
5. Set up an aggregator program for information collection.
Sackett, D.L. et al. (1996) Evidence based medicine: what it is and what it isn't. BMJ 312 (7023), 13 January, 71-72).
EBP Time Barriers
•Busy Clinic
•More and more evidence
•Only enough time to read a few articles
•Productivity•Billable Time
•Family Life
Without enough TIME, the concept of EBP Fails!
“Web 2.0 is not a fad, but is changing the way patients and physicians interact.”
Web 2.0 A New, Interactive Web ExperienceGuistini D. How Web 2.0 is Changing Medicine. BMJ 333(7582): 1283-84. (December 2006).
Sharing of Ideas Collaboration Communication
Web 2.0 in a Nutshell•Make Sites Sticky
•Notification of updated content (feeds)
The Past… Now…
Characteristics:
Web 2.0 …•Applications without software…it lives on the web
•Users add value
•Social networking aspect
•User-friendly interface
Example of a Web 2.0 App•Easy to share information with others
•People know who you are
•You know when someone updates information
•Rich with media like images, videos, widgets, and blogs
•Efficient and “sticky”
Light-weight definition:○ "The use of social software…to promote collaboration
between patients…medical professionals, and other stakeholders in health"
Evolved Definition:○ “…Web-based services for health care consumers,
caregivers, patients, health professionals, and biomedical researchers, that use Web 2.0 technologies as well as semantic web and virtual reality tools, to enable and facilitate specifically social networking, participation…collaboration, and openness within and between these user groups.”
Sources: 1.Adapted from Jane Sarasohn-Kahn's "Wisdom of Patients" report, by Matthew Holt, Last updated June 6, 2008 2.Eysenbach, Gunther. Medicine 2.0 Congress Website launched (and: Definition of Medicine 2.0 / Health 2.0). Posted at: Gunther Eysenbach's random research rants (Blog). URL: http://gunther-eysenbach.blogspot.com/2008/03/medicine-20-congress-website-launched.html.
Use Role Example Users
Staying Informed Stay up to date on latest developments in a field
RSS, Podcasts, Search Tools
Health Professionals, Public
Education Delivery of professional and continuing education
E-Learning, Web Seminars, Distance-based, podcasts
Health Professionals
Collaboration and Practice
Decision making in daily practice, collaborative research
Wikis, literature searches, shared documents
Health Professionals
Managing a Condition
Information related to condition and treatment options
Multiple Public
Adapted from Wikipedia.com: http://en.wikipedia.org/wiki/Health_2.0
But what tools???
Clinician / Student @ AAOMPT:
“I get frustrated before I’m able to find what I’m searching for on Google or PubMed.”
Evidence at your Fingertips Geek: “Searching can be made much more efficient by understanding how search engines work. Use advanced search features in Google to quickly limit your responses!”
Clinic Manager @ AAOMPT:
“Advanced Search???”
The Average Google User never uses more than 3% of the capacity of Google’s tools.
Become a Power Google User
Just Another Search Engine!○ Logic○ Limit Searches○ Library Science
Check out the Tutorial○ Or talk to our Librarian
Google Scholar…Stay Tuned.
Search by Relevance!
BUT I HAVEN’T SAVED ANY TIME YET!
Do you have to go search your friend’s sites to see if they’ve sent you an e-mail?
How about an Inbox for the Web?
(Aside from being a more efficient searcher!)
RSS for Fast-food Evidence!
Clinician / Student @ AAOMPT:
“Power Searching if fine. I just don’t have enough time to keep up with all the literature coming out each week!”
Evidence at your Fingertips Geek: “Take control of information overload! Push the information to you using feeds and an aggregator program, like an inbox for the web.”
Clinic Manager @ AAOMPT:
“Inbox for the web? That sounds cool!”
Google Reader Makes Me Smarter!
NYT has tons of feeds!
Learning, Growing, Connecting
Telling a story
Clinician@ AAOMPT:
“’What’s all this talk about Bloggers?”
Evidence at your Fingertips Geek: “Give blogging a chance! It really is nothing more than a web-based journal, but it can also be much more than that.”
Intentional and Reflective Learning
Blogs & Wikis vs. Traditional Learning○ Collaborative nature promotes higher levels of learning○ Become a publisher, not just a consumer on content
Learning as a goal○ Web 2.0 tools can foster this○ Contribute to content○ Collaboration○ Open for peer-review
My WeblogBlogging for Learning
•Introspective, self-paced, self-directed learning
•WRITE ONE!
Popular PT Blogs
Blogging for Learning
Websites Made Easy
Clinic Manager @ AAOMPT:
“Boy, I wish there was a way to get rid of this huge policy and procedure manual for the clinic.”
Evidence at your Fingertips Geek: “Great idea…why don’t you convert your paper pages to digital. A wiki could serve as a dynamic P&P manual. You could deliver staff training this way too!”
Clinic Manager @ AAOMPT:
“What’s a Wiki?”
Wiki
•Easy Editing•Simple interface•Wiki Syntax
•Collaboration•Members have input
•Control•Public or Private
•Flexible!•Only limited by imagination
Did you know: wiki is derived from “wiki wiki,” meaning quick?
Get Students InvolvedI use my wiki to…
Problem: Insufficient resources on orthopaedic diagnoses
Collaborate with Clinical Partners
I use my wiki to…
Wiki Considerations
• Wiki syntax and WYSIWYG
Wiki Considerations• Wiki syntax in Wikidot
It’s like an Easy Button!
Let’s give a try…..
Clinician @ AAOMPT: “I’m thinking about attending a breakout session by Steven George. I wonder what research he has published?
Evidence at your Fingertips Geek: “Great idea…why don’t you pop into PubMed , search for his publications, and then download what you are interested into Zotero so you can view them during his talk and then share with your co-worker next week as a thank you for treating your patients while you were at AAOMPT?”
Clinician @ AAOMPT: “Huh?”
It’s is an Easy Button!
Click the folder
Brings up this window
Determine your bottlenecks and issues
Find the application to solve it
Learn to use each tool in depth…(though don’t spend too much time learning!)
○ Example: Learn how to search Gmail efficiently, or learn how to Jott to Google Calendar
Colleagues: Ask and Share!
Simple Solutions….
A coordinated web strategy for professional development.
The World’s Information at your…
FINGERTIPS!
APTA 2009 - BaltimoreJune 11, 2009
Join Us!
http://www.flickr.com/photos/chuckrobinson/2401273711/
• Physical Therapy Feeds• RSS at a Glance
• Aggregator Programs for Collecting RSS Feeds
• Who can Benefit from RSS? says:
► Coding format used to publish web pages with frequently updated content.
► Permits continuous instant alerting to the latest ideas
► Requires an AGGREGATOR to display the Feeds
…like an inbox for the web.
• PT Journal Podcasts and Online Now!
• JMMT RSS Feed
• Any PubMed Search
• “Physical Therapy” Google News Search
• Physical Therapy Blogs
• Your Favorite Journals
“Anyone who has been frustrated at the time it takes to find what you want on the Internet can appreciate the time-saving feature of RSS. If there are web pages you visit daily or regularly – let’s say you always read the front page of The New York Times and your best friend’s weblog – RSS eliminates the need to check for updates. Every time something changes on the page, it comes to you. RSS always shows the most-recent changes.”
• Web 2.0 Resources • My Favorite Blogs
Resources for this Presentation!!
• Visit Physio-pedia.com for a collection of great resources!
▫ Replay the Presentation▫ Guided Tutorials▫ Links to Web Resources
Collaborative Web Software to try out.“Creating” Applications
Gmail – It does more than you think, like sending alerts to my BB for free!
Google Docs and Spreadsheets – Web-based, collaborative
Zoho Suite – Competitor to Google Docs, includes awesome meeting app
OpenOffice.org – Suite of full featured ,free office applications,
Zotero – Web-based equivalent to EndNote, manage citations on the fly!
Project Management Tools
37 Signals – Sets standards for Web 2.0 apps, BaseCamp, BackPack
Remember the Milk – Task list, Integrates well with Gmail and G-Calendar
Bubbl.us – Create mind maps and do some solid brainstorming
Wikidot.com – Create an interactive site for managing research, for example
DropBox.com – Sync and Share Files on the web efortlessly
Blog Platforms
TypePad – Costs $$, but great functionality
Blogger – Google product, free and functional
Word Press – Visually attractive, very popular
Moveable Type – For the adventurous, independent blogger
•We recommend Lifehacker.com as a nice resource for learning new tools and tricks about the web.
•You can find any of these programs by simply doing a Google search for it.
•I use Firefox 3 as my web browser for its far superior security, stability, and customizability compared to Internet Explorer. It is a simple download.
•Did you know? Google has a Web Browser. Check out Google Chrome!
•NPA Think Tankhttp://www.npathinktank.com
•Evidence in Motion Bloghttp://blog.myphysicaltherapyspace.com
•Physiospot Bloghttp://www.physiospot.com
•UBC Physio-Infohttp://weblogs.elearning.ubc.ca/physio
Physio-pedia.com is a PT-focused Wiki with an international audience!
Physio-pedia.com
•Get Involved in Web 2.0!
•Turn-key wiki for PT’s worldwide
•Can find full presentation linked there!