Wednesday, 30 November 2011

Open engagement with medical meetings

Brian McGowan and Jennifer Smith make the case for accelerating the transfer of new ideas from medial meetings into clinical practice by having open discussions around the meetings between researchers, educators and clinicians.

They list the current methods of information flow from medical meetings highlighting the weaknesses that exist. They propose change to how data is curated after a medical meeting, how societies/associations can engage more openly by hosting 'clearing houses' for data, how investigators should defend their work and explore further research questions with the medical community, how technology should be used to break down knowledge silos, and how local education providers need to feedback to the clearing houses about the dissemination of the new data.
"Some may object to the re-engineering. Some may contest the change in the status quo. But this cannot be about business interests, copyright, or membership value propositions—three challenges that are valid, but can be practically and intelligently addressed though parallel innovation. This re-engineering is first and foremost about improving the flow of medical information."
Re-engineering the Data Stream from Meetings to Medical Practices. Cover story of current issue of Medical Meetings.

This medical society / association led, open publishing model would broaden access to new research findings and perhaps accelerate their transfer to clinical practice. It touches on the Digital Scholarship that Martin Weller has been discussing recently, and, in particular, the reward and tenure that academics work towards and the inevitable comment about open publishing - Yeah, but who pays?

However, as they point out ... not without its challenges.

Tuesday, 29 November 2011

#MedEdMOOC transcript 29/11/11

Meeting of 29th November 2011

Agenda
  • After starting in Twitter with the #mededmooc tag we propose to move the meeting to Google+ video chat room to continue with video/voice chat.
  • Team formation: Why are you interested in doing a MOOC?
  • How will we make decisions? Basic decision making agreement and rules.
  • Next steps 
See the Google Doc for a full description of MedEdMOOC
A few themes came out of the discussions of the 28th November and today.
  • The Siemens, Downes and Cormier style MOOC was organised by a small well-established team. This would not be possible with this MOOC which would probably be organised by a more diffuse, international team of multidisciplinary professionals in healthcare and education. This organising group would need to make some key decisions by consensus such as mission, dates, platforms, and syllabus.
  • The MOOC should be multidisciplinary as this would provide greater involvement and relevance. It would mean a focus on common challenges in healthcare rather than specialty-specific topics.
  • Personal learning about technologies, educational principles, research, applications of MOOCs and networking were key motivators for contributors those involved.

Tue, 29 Nov 2011 15:11:37 +0000 @dean_jenkins Great #MedEdMOOC hangout @BrianSMcGowan @RyanMadanickMD @MedPubDirector
Tue, 29 Nov 2011 15:06:37 +0000 @BrianSMcGowan "Topic Template: 1) title 2) problem statement 3) possible sources for solution or exploration #mededMOOC > these become our weekly topic"
Tue, 29 Nov 2011 15:05:44 +0000 @dean_jenkins Suggested topic template - title, gap / barrier statement with reference, what would happen, learning outcomes etc. #mededmooc
Tue, 29 Nov 2011 14:59:27 +0000 @BrianSMcGowan "To define the shared praxis for the #mededMOOC - r we engaging educators to use tech in teaching; or docs to use tech in practice?"
Tue, 29 Nov 2011 14:58:48 +0000 @MedPubDirector #mededmooc need to really determine what the goals of the participants and the goals of the organisers are
Tue, 29 Nov 2011 14:50:50 +0000 @MedPubDirector Just had an impromptu visit from my 2-yr old Amelia #mededmooc
Tue, 29 Nov 2011 14:48:42 +0000 @MedPubDirector #mededmooc get things shored up by the 20th Jan 2012 at the latest?
Tue, 29 Nov 2011 14:45:21 +0000 @MedPubDirector #mededmooc process measures and outcome measures key to evaluating impacts
Tue, 29 Nov 2011 14:44:08 +0000 @dean_jenkins Lets document our 'needs assessment' process in #MedEdMOOC to explain what we did when the MOOC's complete for presentation. @BrianSMcGowan
Tue, 29 Nov 2011 14:42:33 +0000 @dean_jenkins CME accreditation is desirable but not essential for #MedEdMOOC - different countries have different systems.
Tue, 29 Nov 2011 14:40:51 +0000 @MedPubDirector a carefully planned #mededmooc with obectives and assessment and portfolio narrative would be first of its kind
Tue, 29 Nov 2011 14:38:33 +0000 @MedPubDirector @deanjenkins CPD/CME accreditation more important for UK/US Drs thanperhaps other regions #mededmooc
Tue, 29 Nov 2011 14:38:24 +0000 @BrianSMcGowan 1) create a template for topic suggestions 2) crowdsource the priorities (rank) 3) schedule the topics effectively over 6wks #mededmooc
Tue, 29 Nov 2011 14:36:01 +0000 @BrianSMcGowan We will likely have the greatest impact on #meded by disrupting the parts of education that are often missed thru common channels #mededMOOC
Tue, 29 Nov 2011 14:35:27 +0000 @MedPubDirector #mededmooc suggesting a week for tweeps to review shared doc and feedback and then we move forward
Tue, 29 Nov 2011 14:30:41 +0000 @dean_jenkins Hanging out with @BrianSMcGowan @RyanMadanickMD and @MedPubDirector on #MedEdMOOC http://t.co/P3FNv9Jy
Tue, 29 Nov 2011 14:29:51 +0000 @BrianSMcGowan first come, first serve - playground mechanics? RT @MedPubDirector: interesting conversation paternlistic vs democratic #mededmooc
Tue, 29 Nov 2011 14:29:36 +0000 @MedPubDirector #mededmooc need a sub group to co-ordinate research activity and aims
Tue, 29 Nov 2011 14:23:49 +0000 @MedPubDirector interesting conversation paternlistic vs democratic #mededmooc
Tue, 29 Nov 2011 14:20:46 +0000 @BrianSMcGowan #mededmooc - should be multidisciplinary...governance is still a work in progress...we still need to call on expertise of adult educators.
Tue, 29 Nov 2011 14:18:25 +0000 @MedPubDirector Have fallen in love with #G+ #mededmooc
Tue, 29 Nov 2011 14:05:39 +0000 @dean_jenkins @amcunningham G+ Hangout http://t.co/P3FNv9Jy for #MedEdMOOC chat http://t.co/is6rCtnm
Tue, 29 Nov 2011 14:04:07 +0000 @BrianSMcGowan we are here now! RT @amcunningham: @dean_jenkins #mededmooc how are we starting?
Tue, 29 Nov 2011 14:03:34 +0000 @@dean_jenkins #mededmooc how are we starting?
Tue, 29 Nov 2011 13:59:30 +0000 @BrianSMcGowan #mededMOOC - time for us to continue the discussion. glad to be able to join today.
Tue, 29 Nov 2011 13:55:31 +0000 @dean_jenkins #MedEdMOOC chat http://t.co/is6rCtnm @bronwynah @grahambasten @dsdarbyshire @medpubdirector @MedEdHelen
Tue, 29 Nov 2011 13:55:09 +0000 @dean_jenkins #MedEdMOOC chat http://t.co/is6rCtnm @bronwynah @salt_mine @helen_otuk @lewismal @virtualot @brownleader
Tue, 29 Nov 2011 13:52:44 +0000 @dean_jenkins #MedEdMOOC chat http://t.co/is6rCtnm @meducate @claireOT @sarahstewart @MedPedsDoctor @bronwynah
Tue, 29 Nov 2011 13:46:22 +0000 @dean_jenkins "@MedPubDirector yes unless there are > 10 people ... will get one started. http://t.co/P3FNv9Jy for #MedEdMOOC chat http://t.co/is6rCtnm"
Tue, 29 Nov 2011 13:43:56 +0000 @dean_jenkins #MedEdMOOC chat http://t.co/is6rCtnm @amcunningham @nlafferty @BrianSMcGowan @RyanMadanickMD @ohsuneuro
Tue, 29 Nov 2011 13:42:41 +0000 @MedPubDirector Are we going to go to #G+ again? #mededmooc
Tue, 29 Nov 2011 13:41:02 +0000 @dean_jenkins "Meeting in 20 minutes on Twitter using the #MedEdMOOC hashtag. agenda -> http://t.co/is6rCtnm 28/11 meeting notes http://t.co/EO4eqmmm"
Tue, 29 Nov 2011 13:35:40 +0000 @MedPubDirector Looking forward to taking part in debate today in the safety of my study rather than on a train #mededmooc #meded
Tue, 29 Nov 2011 12:14:05 +0000 @dean_jenkins "@BrianSMcGowan Yes that's right #MedEdMOOC at 09:00 EST today. http://t.co/UeKQUj1j Hope you can make it. Probably Twitter -> G+ hangout"
Tue, 29 Nov 2011 12:10:52 +0000 @BrianSMcGowan @dean_jenkins - that is 9AM my time? (i hope) #MedEdMOOC
Tue, 29 Nov 2011 11:30:44 +0000 @dean_jenkins @drgandalf52 boo ... we'll volunteer you for something really challenging then. :-) #MedEdMOOC
Tue, 29 Nov 2011 10:27:19 +0000 @dean_jenkins Looking forward to #MedEdMOOC meeting today at 14:00 GMT. http://t.co/is6rCtnm Join us. Please RT.
Tue, 29 Nov 2011 09:55:02 +0000 @MedPubDirector Just commented on some of the points in the #mededmooc marketing plan would welcome feedback

Tuesday, 15 November 2011

Using shared patients to define networks of doctors.

Open Medicine article from Ottawa where they examined administrative data of doctors to see how they were "interconnected". An interconnection was defined as "if these 2 physicians provided at least 1% of their clinic visits over a 2-year period to the same patients".

"Physicians had, on average, 2.2 interconnected physician partners (median = 1; 25th and 75th percentile: 0, 3). Physicians saw mainly their own listed patients, and 7.9% (median = 5.9%; 25th and 75th percentile: 2.4%, 11.6%) of their visits were provided to patients of their interconnected partners. The number of interconnected physicians was higher in group practices that had more physicians, but levelled to 2.5 interconnected physicians in practices with 8 or 9 physicians."

This was very much a 'proof-of-concept' study but the authors go on to suggest two possible uses of such techniques; the examination of collaborative healthcare centred on individual patients using social network techniques, and the examination of health care delivery from a network perspective.


1. Manuel DG, Lam K, Maaten S, Klein-Geltink J. Using administrative data to measure the extent to which practitioners work together: “interconnected” care is common in a large cohort of family physicians. Open Medicine 2011 Oct;5(4):177-182. Available from: http://www.openmedicine.ca/article/viewArticle/448

Research questions for dabigatran

Had a *cough* free sandwich from the Boerhinger rep at the Friday lunchtime meeting last week in Truro where some slides were presented on dabigatran (Pradaxa).

I've been using scoop.it to pull together a number of recent articles on dabigatran and await the final determination of NICE which is due in December.

http://www.scoop.it/t/dabigatran

There are some research questions for dabigatran in AF.

How best to encourage compliance? With warfarin the intensity of the monitoring and the importance placed on it by healthcare staff surely encourages compliance. With the twice daily dosing of dabigatran and the absence of monitoring it will not be as good.
Is there a higher risk of MI or acute coronary syndrome? This was reported in a meta-analysis for the AHA this year.
How does dabigatran compare with the other new anticoagulants? e.g. rivaroxaban

Monday, 14 November 2011

Fruit, nuts and diabetes

Well it seems that eating almonds at mealtimes may help reduce glucose excursions in the short term and improve glycaemic control in the long term [1]. Good news if you have diabetes and like nuts.

However, the picture is more complex for bananas. Apparently there are different species of banana but they all have a reassuringly favourable glycaemic index of about 60 - 70 [2]. The best bananas are, of course, Fairtrade bananas.


1. Cohen AE, Johnston CS. Almond ingestion at mealtime reduces postprandial glycemia and chronic ingestion reduces hemoglobin A(1c) in individuals with well-controlled type 2 diabetes mellitus. Metab. Clin. Exp. 2011 Sep;60(9):1312-1317. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21489570

2. Hettiaratchi UPK, Ekanayake S, Welihinda J. Chemical compositions and glycemic responses to banana varieties. Int J Food Sci Nutr 2011 Jun;62(4):307-309. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21250902

Monday, 7 November 2011

#MedEdMOOC meeting transcript

Here is the transcript from this evening's Twitter chat about MedEdMOOC

Agenda

Introductions
T1 reality check
T2 Audit of available resources
T3 Proposed governance structure (membership, decision making, roles etc.)
T4 Aims / Interdisciplinary? / Mission / Naming of the MedEdMOOC voting
T5 Timescale
T6 Credits (CME / University / other)
T7 Draft syllabus and invited experts
T8 Next steps

From User Tweet
claireOT @dean_jenkins Thanks for organising the chat. I feel progress has been made! #mededmooc
dean_jenkins @BrianSMcGowan you've worked your computer too hard these past few months clearly. :-) #mededmooc
BrianSMcGowan @dean_jenkins ..sorry I missed #mededmooc ...had an IT disaster today and just returned from dropping off my computer for service...
claireOT Anyone wanting to work on the MOOC for CPD in #MedEdMooc syllabus? I need 3 volunteers! sign yourselves up here http://t.co/PmKvKCNU
dean_jenkins @BrianSMcGowan how do you so quickly curate #CMEchat for your blog? Would like to do the same with #MedEdMOOC
claireOT RT @Helen_otuk: Great start folks! Thanks RT @dean_jenkins: Thanks all. Sorry to have run over time. Great chat. Will take time to digest. #MedEdMOOC
nlafferty @dean_jenkins Thanks for organising #mededmooc chat tonight!
DairyGoodness RT Know how u feel hav'g same so sending luck @lewismal Thx all. Feeling exhausted after my dental work.Good chat.Good progress #mededmooc
grahambasten RT @amcunningham: @dean_jenkins thanks- agree very good start:) tweetchat worked better than i expected:) #mededmooc
claireOT @dean_jenkins would you circulate an email pls? I'm happy to collaborate with anyone. Would like a group of 4, so need 3 more #mededMOOC
dean_jenkins Thanks and goodnight. Great parallel work on the document http://bit.ly/MedEdMOOC #mededmooc
isa_mutlib With the growing number of social networking users, I believe it's a good idea. However, privacy would be an issue in my opinion #mededmooc
drgandalf52 catch you all on the flipside #mededmooc
amcunningham @dean_jenkins thanks- agree very good start:) tweetchat worked better than i expected:) #mededmooc
grahambasten #mededmooc thanks all
dean_jenkins I could set up a teleconference. Not sure of the maximum that could be online. Most countries would have local numbers. #mededmooc
Helen_otuk Great start folks! Thanks RT @dean_jenkins: Thanks all. Sorry to have run over time. Great chat. Will take time to digest. #MedEdMOOC
bronwynah @dean_jenkins thanks for the chat! #mededmooc
amcunningham @grahambasten @lewismal bb collab used to be eluminate and works pretty well:) #mededmooc
lewismal Thanks all. Feeling exhausted after my dental work. Good chat. Good progress #mededmooc
claireOT @dean_jenkins sounds good #mededMOOC @amcunningham
grahambasten @amcunningham @lewismal #mededmooc if bb col is better than actual bb?
dean_jenkins Thanks all. Sorry to have run over time. Great chat. Will take time to digest. #mededmooc
lewismal RTYES @amcunningham: @grahambasten @lewismal good idea... maybe even trial run of BB collaborate? #mededmooc
grahambasten T8 #mededmooc happy to discuss further with teams at #dmu and report back
Helen_otuk sounds goodRT @dean_jenkins: T8 - so another twitter chat (easy) and a voice meeting with @amcunningham s newly found BB collab? #MedEdMOOC
bronwynah @lewismal I suspect things operate a little bit differently in massive but might be wrong ... esp across timezones #mededmooc #fluid team
dean_jenkins tagged with? RT @claireOT: Ill develop a GDoc looking at the evidencing our MOOC for CPD, anyone want to join me? #mededmooc
dsdarbyshire #mededmooc I think #moocmooc is a reasonable acronym for the course aims
theCMEguy T6- CME certification can add an air of authenticity/legitimacy to an Ed activity. It does take a bit of effort tho... #mededmooc
Helen_otuk @claireOT I would but that could be to OT! #MedEdMOOC
amcunningham @grahambasten @lewismal good idea... maybe even trial run of BB collaborate? #mededmooc
dean_jenkins T8 - so another twitter chat (easy) and a voice meeting with @amcunningham 's newly found BB collab? #mededmooc
lewismal T8 We are in team formation stage-voice is helpful.
#mededmooc
bronwynah @lewismal not practicable nor sustainable for me unless directly in my course or part of my research agenda #mededmooc I am limited,
claireOT @dean_jenkins I'll develop a GDoc looking at the evidencing our MOOC for CPD, anyone want to join me? #MedEdMOOC
grahambasten Like RT @lewismal DO we need to work towards a voice VOIP meeting to discuss blurb & understand why we each of r are doing this? #mededmooc
Helen_otuk AgreeRT @lewismal: DO we need to work towards a voice VOIP meeting to discuss blurb & understand why we each of r are doing this? #MedEdMOOC
grahambasten RT @drgandalf52: another twitter meeting in a couple weeks, with some chats inbetween to update on the prev mentioned aspects #mededmooc
lewismal DO we need to work towards a voice VOIP meeting to discuss blurb & understand why we each of r are doing this? #mededmooc
bronwynah @dean_jenkins @amcunningham it's another type eg required engagement & participation I can build into my course requirements IRL #mededmooc
grahambasten @amcunningham @dean_jenkins #mededmooc I know the feeling!
drgandalf52 another twitter meeting in a couple weeks, with some chats inbetween to update on the prev mentioned aspects #mededmooc
dean_jenkins T8 Perhaps someone who is used to doing these things can curate the conversation and blog it somewhere or stick it in the doc. #mededmooc
dean_jenkins T8 - Any suggestions for next steps? #mededmooc
dean_jenkins @amcunningham but you're a #meded rock star now! #mededmooc
dean_jenkins Bravo RT @lewismal: We could put up concept blurb and crowdsource suggestions for presentations/topics. #mededmooc
amcunningham @grahambasten @dean_jenkins I"ve been tweeting and blogging for years to learn without accreditation :) #mededmooc
grahambasten RT @lewismal We could put up concept blurb and crowdsource suggestions for presentations/topics. #mededmooc
Helen_otuk like it RT @lewismal: We could put up concept blurb and crowdsource suggestions for presentations/topics. #MedEdMOOC
drgandalf52 practical implications of tech/social media to primary care #mededmooc
claireOT RT @lewismal: We could put up concept blurb and crowdsource suggestions for presentations/topics. #mededmooc
nlafferty @amcunningham I agree, don't think this should be our primary focus @deanjenkins #mededmooc more important things to get on with
lewismal We could put up concept blurb and crowdsource suggestions for presentations/topics. #mededmooc
grahambasten @amcunningham @dean_jenkins #mededmooc totally agree
dean_jenkins RT @claireOT: learning how to evidence the process of MOOC towards our prof dev. is a good sub-topic. Happy to contribute to this #mededmooc
amcunningham @grahambasten @dean_jenkins can on;y really be a resource for personal development to me... new models:) #mededmooc
claireOT RT @dean_jenkins: w00t! RT @amcunningham: someone very nice has suggested they might have a BB Collaborate account we might be able to use:) #win #mededmooc
dean_jenkins T7 - assuming we know roughly what our target audience is and wants. #mededmooc
claireOT learning how to evidence the process of MOOC towards our prof dev. is a good sub-topic for #mededmooc. I'm happy to contribute to this
dean_jenkins T7 - any suggestions for draft syllabus and invited experts? #mededmooc
amcunningham @dean_jenkins yes, but I fear that the effort in establishing the sideshow might distract from more important activities... #mededmooc
dean_jenkins w00t! RT @amcunningham: someone very nice has suggested they might have a BB Collaborate account we might be able to use:) #win #mededmooc
lewismal T6 formal credits may be a lot of work by organizers for small gain in attendees. #mededmooc
dean_jenkins T7 coming up then T8 and we finish! #mededmooc
amcunningham #mededmooc someone very nice has suggested they might have a BB Collaborate account we might be able to use:) #win
claireOT I amended the GDoc- check out the link to @SarahStewart 's model for possible combiation of open access/ masters credits #mededmooc
dean_jenkins @amcunningham CK09 had credits - it's only a small side show really. #mededmooc
grahambasten @amcunningham @dean_jenkins #prejudice #mededmooc I agree so needs focus, tension between an open resource for personal dev or a product £
drgandalf52 I think some form of cert ideal but not necessarily CME or others, we all like badges to show our appraisers but not essential #mededmooc
dean_jenkins #mededmooc @dsdarbyshire Here's the blurb about CME accreditation from BMJ Learning. http://t.co/VKeLIsgy ?
claireOT RT @amcunningham: @dean_jenkins hmmm I think that people doing this for a university credit may have wrong expectation of a MOOC #prejudice #mededmooc
amcunningham @grahambasten @dean_jenkins nope this is all new to me but I love learning:) #mededmooc
amcunningham @dean_jenkins hmmm I think that people doing this for a university credit may have wrong expectation of a MOOC #prejudice #mededmooc
grahambasten @dean_jenkins @amcunningham #mededmooc like lbr learning beyond registration etc?
ohsuneuro I like #MedEdMOOC (I'll vote later). For aims, is this about all tech or just SoMe? (sorry can't stay for response - between pts).
dean_jenkins @dsdarbyshire BMJ learning uses EPASS among other things. #mededmooc
Helen_otuk Not important to all... but good for those who are interested. #MedEdMOOC
lewismal meant to say -T6. These are helpful but NOT essential #mededmooc
dean_jenkins @amcunningham but university credits can be very attractive to some. #mededmooc
dsdarbyshire #mededmooc what is the process for bmj learning modules being accredited? Relevant?
APSQLD @lewismal wow you talk alot #mededmooc
grahambasten @dean_jenkins #mededmooc will look at uni credits
lewismal T6. These are helpful but essential. Adds credibility for all. If after all else is done, I see benefits of applying for these. #mededmooc
claireOT @dean_jenkins oooh, can I put it towards my Master's? great!! #mededmooc
Helen_otuk I know that some OT education peeps have been doing some exploration. But maybe not for first try??? I do not know, #MedEdMOOC
grahambasten RT @dean_jenkins: T6 - CME / CPD credits and University credits (Masters Level). Any suggestions? #mededmooc
dean_jenkins T6 - I'm working with a friendly UK University already and will explore Masters level credits. #mededmooc
amcunningham @dean_jenkins #mededmooc I think university credits are a distraction... participation should have own rewards...
grahambasten @amcunningham #mededmooc small tasters and examples of best practice off the shelf
dean_jenkins T6 - Some US colleagues are already looking at CME points (for medics). Think this is great. #mededmooc
dean_jenkins T6 - CME / CPD credits and University credits (Masters Level). Any suggestions? #mededmooc
Helen_otuk Agree: While core member needs to be mindful of their calenders, be mindful moocs are global, local calendars not that important. #MedEdMOOC
lewismal While core member needs to be mindful of their calenders, be mindful moocs are global, local calendars not that important. #mededmooc
amcunningham @grahambasten brown bag sessions soft launch??? needs explanation for me:) #mededmooc
grahambasten #mededmooc t5 prob may 2012 although brown bag sessions soft launch sooner?
drgandalf52 if April can we do AFTER the hols, just aware GP land goes mental then.....#mededmooc
dean_jenkins T6 coming up ... will finish quickly as going to run over the hour now. #mededmooc
lewismal T5 Until we do poject plan draft we cannot estimate timeline well. #mededmooc
dean_jenkins T5 - the average suggestion seems to be April. I think that is realistic. #mededmooc
claireOT I've set out a definition for you all to pick apart- easier once something is down! #mededmooc
amcunningham @bronwynah @claireOT @dean_jenkins agree!!!!!! #mededmooc
lewismal I have a longed planned long service leave holiday camping in remote Aust over December & Jan . Latter in year works 4 me. #mededmooc
dean_jenkins @marymodahl Have a look at http://t.co/is6rCtnm for the planning document. #mededmooc
dean_jenkins @nlafferty agree I think #MedEd is OK ... @claireOT work on the 50-word explanation! #mededmooc
marymodahl #mededmooc what is this about? Just happened on this hashtag and see debate about the name but not sure what the group is?
nlafferty @claireOT #meded chat gets participation from across the health professions quite successfully , doesn't seem to put people off #mededmooc
myihateapp @dean_jenkins I think we're looking at April/May soonest, realistically #MedEdMOOC #MyiHateApp
lewismal T5 new mooc should not start until a decent break after #change11 #mededmooc
amcunningham @claireot @Helen_otuk @dean_jenkins I like Manymoon but only one free project each so someone else needs to 'own' this one:) #mededmooc
claireOT @dean_jenkins I think we're looking at April/May soonest, realistically #MedEdMOOC
drgandalf52 march #mededmooc
claireOT RT @lewismal: Agreeing on a 50 word explanation is the real big agreement we need to make. #mededmooc
dean_jenkins T5 - when should the yet-to-be-named-MOOC run? #mededmooc
claireOT @amcunningham I'm interested to try that out. I have never played with ManyMoon #mededMOOC @dean_jenkins
lewismal RT YES @dsdarbyshire: #mededmooc I think once a clear aim is devised a name will appear, not the other way. #mededmooc
dean_jenkins @lewismal 50 word explanation challenge is open on http://bit.ly/MedEdMOOC #mededmooc
Helen_otuk @amcunningham oh new tool... not used that before ManyMoon... #MedEdMOOC
dean_jenkins @amcunningham sounds good - would like to learn #mededmooc
lewismal Agreeing on a 50 word explanation is the real big agreement we need to make. #mededmooc
dean_jenkins OK put all possible names in the planning document. Feel free to make new sections. T5 coming up. #mededmooc
amcunningham @dean_jenkins we could use ManyMoon to project manage... integrates really well with google docs:) #mededmooc
Helen_otuk RT @dsdarbyshire: #mededmooc I think once a clear aim is devised a name will appear, not the other way. #MedEdMOOC
dsdarbyshire #mededmooc I think once a clear aim is devised a name will appear, not the other way.
amcunningham @claireOT @lewismal @deanjenkins if google form then all results within google docs... #mededmooc
lewismal The hashtag and name and short blurb is a part of the marketing plan. Do it as part of that. Until then live with working title. #mededmooc
claireOT @dean_jenkins great minds think alike ;-) surveymonkey! #mededmooc @amcunningham @lewismal
dsdarbyshire #mededmooc acadmeded had same discussion before agreeing a name.
grahambasten Yep RT @dean_jenkins T4 - can we put all the name suggestions into the document http://t.co/QBGAcDIy and we vote on it? #mededmooc
dean_jenkins @claireOT http://t.co/h9T24Xr7 #mededmooc
claireOT @nlafferty I think #MedEdMOOC could turn off the non-medics... but it depends what the group decides, I could be wrong!
kenny_cox Agreed @lewismal: We need to work out what hashtag connects with our intended market. #mededmooc
drgandalf52 hmmm med too narrow, healthmooc excludes tech...how about healthtechmooc or shorter HTechMooc ? #mededmooc which doesnt identify the tech.
lewismal We need to work out what hashtag connects with our intended market. #mededmooc
dean_jenkins T4 - can we put all the name suggestions into the document http://t.co/is6rCtnm and we vote on it? #mededmooc
amcunningham @dean_jenkins @kenny_cox think we need to drop mooc for title ... 4 characters reclaimed! #mededmooc
claireOT @amcunningham @lewismal Survey Monkey? #MedEdMOOC
dean_jenkins surveymonkey! RT @amcunningham: @lewismal yes, we need a google doc on name alone and way to vote:) a google form! #mededmooc
nlafferty @claireOT Think #mededMOOC is understandable - people will know what it's about, other suggestions to vague?
Helen_otuk RT @amcunningham: @lewismal yes, we need a google doc on name alone and way to vote:) a google form! #MedEdMOOC
dean_jenkins Sounds good. RT @kenny_cox: HealthMOOC seems extremely broad - Maybe HCPTechMOOC? #mededmooc
Helen_otuk RT @claireOT: #HealthTechMOOC? too long, perhaps... #MedEdMOOC
amcunningham @lewismal yes, we need a google doc on name alone and way to vote:) a google form! #mededmooc
grahambasten @amcunningham @Helen_otuk #mededmooc hed could be higher education and hcp could be our new DoH MSC healthcare science programme?
lewismal @amcunningham Yes audience people working in health is target group #mededmooc
claireOT Can we collate a few options and run a poll on the GDoc for the final name, then we can move on to the next q... #MedEdMOOC
kenny_cox HealthMOOC seems extremely broad - Maybe HCPTechMOOC? #mededmooc
Helen_otuk @amcunningham think audience should be both! #MedEdMOOC
claireOT #HealthTechMOOC? too long, perhaps... #MedEdMOOC
lewismal We may need to involve target group in name selection. #mededmooc
Helen_otuk RT @claireOT: @drgandalf52 I prefer #HealthMOOC- I dont define my practice by the medical model ;-) #MedEdMOOC
amcunningham @lewismal you mean audience should be practitioners rather than educators? my focus is on learning btw #mededmooc
Helen_otuk @amcunningham true... #MedEdMOOC
nlafferty @dean_jenkins Does healthMOOC convey what if's really about #mededmooc
lewismal @drgandalf52 Tech suggests it will be about the tech not the change as in #change11 To narrow #mededmooc
claireOT @drgandalf52 I prefer #HealthMOOC- I don't define my practice by the medical model ;-) #MedEdMOOC
grahambasten @dean_jenkins #mededmooc ah the old name game as Wogan would say for me any medical/health/tech in name is fine
amcunningham @Helen_otuk I liked HEd... but would people think highered? same difference ? ;) #mededmooc
dean_jenkins Hello @kenny_cox so what name do you suggest? :-) #mededmooc
drgandalf52 how about medtechMooc ? #mededmooc
lewismal Keep the focus on learning not education- why #meded is not right. Also suggest pre-service education only #mededmooc
dean_jenkins T4 - prefer HealthMOOC to HCPMOOC #mededmooc
amcunningham RT @dean_jenkins: T4 - hurrah! We have disagreement at last (on naming). This is progress. #mededmooc
amcunningham @claireOT HCP as in health care practitioner... not health care preactitioner education? #mededmooc
kenny_cox #mededmooc Have been lurking and am very curious - Aims are spot on - Tech in hash tag makes sense when aims are considered
Helen_otuk #HEd12MOOC #MedEdMOOC
dean_jenkins T4 - hurrah! We have disagreement at last (on naming). This is progress. #mededmooc
drgandalf52 id think something more tech sounding needed in the hastag.... #mededmooc
amcunningham @grahambasten yes, I agree that issues more likely to be trans rather than interdisciplinary... makes sense to widen ++ #mededmooc
lewismal T4 I suggest HealthMooc 0r #H12mooc- Meded is not right #mededmooc
bronwynah @dean_jenkins moi aussi #mededmooc interdisciplinary collaborative overlapping area / multiple modalities loose design for participant lead
dean_jenkins RT @Helen_otuk: @grahambasten agree, would fit with how MOOCs go... big group weekly topic some big group smaller sets within #mededmooc
claireOT How do you guys feel about #HCPMOOC? I feel it emphasises inter-professional focus. Once we've done that, we could spin out #MedEdMOOC
Helen_otuk Not agree... RT @dean_jenkins: T4 - so is MedEd the right prefix? (I think it is). #MedEdMOOC
Helen_otuk @grahambasten agree, that would fit with how MOOCs tend to go... big group weekly topic some big group and smaller sets within #MedEdMOOC
dean_jenkins T4 - so is MedEd the right prefix? (I think it is). #mededmooc
amcunningham @Helen_otuk @dean_jenkins @lewismal well about half people or more to turn up to this meeting are not docs at least! #mededmooc
lewismal T4 I vote interdisciplinary, transdisciplinary #mededmooc
grahambasten Yep to this RT @lewismal @dean_jenkins Best done in google docs as a project plan not here and now. #mededmooc
dean_jenkins Nice RT @drgandalf52: think must be interdisciplinary, mission, broaden knowledge and practices of tech in practice maybe? #mededmooc
lewismal Aims/audience seems to be key issue for many committing including me. #mededmooc
grahambasten #mededmooc t4 clearly inter ( trans) would be good but with drop down silos as needed, given the merging of professions with msc/ESP ptp etc
drgandalf52 think must be interdisciplinary, mission, broaden knowledge and practices of tech in practice maybe? #mededmooc
dean_jenkins T4 - I vote interdisciplinary. #mededmooc
Helen_otuk RT @amcunningham: @dean_jenkins before tasks can we clarify aims/audience? #mededmooc @lewismal #MedEdMOOC
claireOT RT @lewismal: For me key issue, must include ongoing professional learning and interdisciplinary across health, emphasis on learning #mededmooc
Helen_otuk Hi Claire, great timing..just on that subject #MedEdMOOC
dean_jenkins T4 - Please feel free to edit the aims in the document. http://t.co/is6rCtnm #mededmooc
lewismal @dean_jenkins Best done in google docs as a project plan not here and now. #mededmooc
amcunningham @dean_jenkins before tasks can we clarify aims/audience? #mededmooc @lewismal
claireOT Hello all #MedEdMOOC, just caught up on the chat so far. I'm in, if there's an inter-professional focus to the work.
dean_jenkins @bronwynah hello ... we were killing time till you came. #mededmooc
amcunningham @rajeeva Hello! You presented just after me at #altc2001 :) Wondering if you could help us with #mededMOOC ? How best to get in contact?
dean_jenkins @lewismal agree ... let's get the tasks defined then. #mededmooc
bronwynah @dean_jenkins hello! #mededmooc Bronwyn speech path primary area communication and swallowing disability health related all populations
Helen_otuk Agree RT @lewismal: Role/tasks arise out of what needs to happen. eg marketing, tech support, wiki set up, presenter liaison #MedEdMOOC
dean_jenkins T4 - what are the overall aims? Is it interdisciplinary? What's the mission? What's the name? #mededmooc
lewismal @dean_jenkins Role/tasks arise out of what needs to happen. eg marketing, tech support, wiki set up, presenter liaison #mededmooc
grahambasten @dean_jenkins t3 #mededmooc document updated
dean_jenkins T4 coming up ... trying to stick to time. #mededmooc
dean_jenkins @nlafferty sure of course ... they seem very open to helping out #mededmooc
nlafferty @dean_jenkins We could still touch base with them and see if they could give us some tips on organising a mooc #mededmooc
dean_jenkins T3 @lewismal how to define roles / tasks? Self-selection? #mededmooc
drgandalf52 @Helen_otuk both but particularly participants, to allow inclusion #mededmooc
lewismal If we can work out roles /tasks& give high autonomy to those doing these roles/tasks. it would help #mededmooc
dean_jenkins bravo RT @nlafferty: #mededmooc I can give some time and accrued knowledge like @amcunningham #mededmooc
amcunningham @dean_jenkins lol at your editing my tweet for rt'ing... will see what I can do... did you cost? #mededmooc
dean_jenkins T2 - I can tidy up the document! http://t.co/is6rCtnm #mededmooc
dean_jenkins T3 - could those who haven't added their names to the document do so? http://t.co/is6rCtnm #mededmooc
Helen_otuk @drgandalf52 do you mean from the core organisers or the MOOC participants? #MedEdMOOC
drgandalf52 membership, outline expectations from members, and needs clear structure... #mededmooc
nlafferty #mededmooc I can give some time and accrued knowledge like @amcunningham
dean_jenkins w00t RT @amcunningham: @dean_jenkins Blackboard Collaborate were at #altc2011 just after me... free account for #mededmooc
lewismal We need to use voice comms at time to reach agreement #mededmooc
amcunningham @dean_jenkins Blackboard Collaborate were at #altc2011 just after me... maybe I could ask speaker to get us free account for #mededmooc? :)
drgandalf52 i can give time, my website if needed (though dont think specific to this) and maybe some ideas from a European call.... #mededmooc
dean_jenkins T3 - we've touched on this already but any other suggestions for governance? #mededmooc
nlafferty #mededmooc Think we should aim for 6 weeks - for our first attempt - agree with @drgangadalf 8 weeks too long
lewismal If mooc focus only narrow 6 weeks fine, but if wider need more slots. #mededmooc
grahambasten @dean_jenkins t2 #mededmooc examples of expertise also have a transdisciplinary group and potentially some money from sha to develop
dean_jenkins Hate to rush but T3 coming up. #mededmooc
dean_jenkins @MedPubDirector thanks talk to you again. #mededmooc
lewismal I can give 6hrs per week plus facilitation skills #mededmooc
Helen_otuk I can not make any representation from my organisation... but I will donate time and personal opinion OT perspective #MedEdMOOC
amcunningham @drgandalf52 I agree 8w is long... 5 or 6 better #mededmooc
dean_jenkins T2 - I can probably quite easily get some IT stuff from BMJ Group or fund it myself. #mededmooc
MedPubDirector going to have to give up internet access down on the train but will catch up on this tomorrow #mededmooc
dean_jenkins @amcunningham That's ideal! #mededmooc
dean_jenkins @nlafferty I reckon they have a small organising group. They were here earlier ... should have asked. :-) #mededmooc
lewismal @drgandalf52 Sponsorship from Universities assume is possible. #mededmooc
amcunningham @dean_jenkins T2 only resource I have is hopefully some time and accrued knowledge/skills :) #mededmooc
dean_jenkins T2 let me rephrase then. What could we bring personally and from our organisations without much difficulty? #mededmooc
lewismal @dean_jenkins Best size depends on length of course. But say 8 weeks, core team of 6 plus guess presenters #mededmooc
nlafferty @deanjenkins #mededmooc Would be interested to know how large planning group is on MOOCs run by @gsiemens and @downes
grahambasten @dean_jenkins #mededmooc T2 third phase jisc bid for #oer & virtual path labs & http://t.co/N8ie6QS6 & http://t.co/cLr2cn7m
amcunningham RT @lewismal: For me key issue, must include ongoing professional learning and interdisciplinary across health, emphasis on learning #mededmooc
dean_jenkins T2 @ohsuneuro offered US CME support. #mededmooc
lewismal For me key issue, must include ongoing professional learning and interdisciplinary across health, emphasis on learning #mededmooc
drgandalf52 @lewismal but who would be your sponsor? #mededmooc
Helen_otuk AGREE! RT @amcunningham: I put a strong vote for interdisciplinary.... #mededmooc @dean_jenkins #MedEdMOOC
amcunningham @Helen_otuk I put a strong vote for interdisciplinary.... #mededmooc @dean_jenkins
dean_jenkins @lewismal What size is best do you think? #mededmooc
lewismal T2 If we use sponsorship, we can get ITC resources we need & perhaps a secretary. #mededmooc
drgandalf52 dont see why just has to be medics, re resources, what do you mean, skills? tech? academics? #mededmooc
dean_jenkins @Helen_otuk Hope to get into the disciplines discussion shortly I hope. #mededmooc
Helen_otuk @dean_jenkins I would be interested in getting involved... but depends on scope? Interdisciplinary or medics only? #MedEdMOOC
dean_jenkins @grahambasten we'll come onto that (which disciplines) shortly I hope #mededmooc
lewismal We also need to headhunt for more in core group. Not to big, not to small.
#mededmooc
dean_jenkins T2 What resources do we have available among us? #mededmooc
grahambasten @dean_jenkins #mededmooc good idea if we feel allied ed also has a place or you specific for medics?
lewismal I would join a core group
#mededmooc
amcunningham @dean_jenkins that's fair enough #mededmooc
drgandalf52 are we missing anyone? RT @dean_jenkins: Could I suggest those in the document and here now are the core group? #mededmooc
amcunningham @cephas80 more Cardiff mafia :) #mededmooc
Helen_otuk if topics and design are good then people will find their own flow, beauty of a MOOC #MedEdMOOC
dean_jenkins T2 from agenda coming up. #mededmooc
Moigriff RT @amcunningham: @dean_jenkins #it's many things to many people- can certain;y work in many forms if people understand that:) #mededmooc
cephas80 #mededmooc intro: first5 GP locum, academic fellowship hopeful, MSc psychiatry yr 1 student Cardiff university
Helen_otuk @lewismal this we need to decide... if a core group established then further work needed? #MedEdMOOC
amcunningham @drgandalf52 @dean_jenkins yes, I think if plan is tight in some ways it allows people more freedom when they get into #mededmooc
dean_jenkins T1 (is it a goer) but @lewismal MOOCs need to be planned by somebody to set the scene. #mededmooc
lewismal @amcunningham Governance is about how do we coordinate and make decisions #mededmooc
dean_jenkins Good point RT @lewismal: T1 How does a group of peeps make decisions together when they have not met and the topic is emergent #mededmooc
lewismal T1 Hows does a group of peeps make decisions together when they have not met and the topic is emergent #mededmooc
amcunningham @lewismal talk more about governance... is this usually important in a #mooc? #mededmooc
dean_jenkins So we're getting a yes probably but if we can get a good plan together? #mededmooc
grahambasten #mededmooc is key to msc sha agenda and relevant to all across med ed
nlafferty #mededmooc think it can work but think we need to be careful not to be too ambitious with our first attempt
Helen_otuk I think so... but structure and audience are issues? #MedEdMOOC
brainduck Social media in medical education http://t.co/1ib0oaEu interesting discussion on now, follow #MedEdMOOC.
dean_jenkins I think it can happen. It could be quite complex and multidisciplinary but hey that's great. #mededmooc
lewismal T1. Its a goes if governance and human resources issues can be solved. Need enough committed people & a way to work together. #mededmooc
amcunningham @dean_jenkins #it's many things to many people- can certain;y work in many forms if people understand that:) #mededmooc
drgandalf52 think it can work but needs to address a few issues, mainly aims and structure #mededmooc
dean_jenkins @drgandalf52 Yep ... vote now :-) #mededmooc
dean_jenkins Reality check. So? Is this a goer?
#mededmooc
drgandalf52 @dean_jenkins the reality check? #mededmooc
amcunningham @dean_jenkins think there are more than 10 of us so g+ out:) #mededmooc
dean_jenkins Here's the agenda and planning document. http://t.co/is6rCtnm #mededmooc
dean_jenkins First agenda item coming up (after the introductions) ... #mededmooc
brainduck RT @dean_jenkins: #MedEdMOOC tweet chat in 25 minutes at 22:00 GMT. Agenda on http://t.co/is6rCtnm
grahambasten #mededmooc Graham - deputy head: school of allied health at #dmu previously at med schools of Sheffield & Nottingham
MedPubDirector Evening Matt Green here Publishing Director with a keen interest in online learning for medics #mededmooc
.
APSQLD @lewismal Hi malcolm hows t'bar today #mededmooc
nlafferty #mededmooc Hello All - Natalie Lafferty, lecturer in elearning & elearning lead at Dundee Medical School, UK
amcunningham I'm a GP and lecturer in Cardiff University #mededMOOC
Helen_otuk Helen, OT in social care #MedEdMOOC
lewismal I work in mental health promotion in a public health unit #mededmooc
lewismal Morning all. Malcolm from Toowoomba Queensland Australia here. #mededmooc
dean_jenkins Introductions? Dean Jenkins, Cornwall, Physician, works with BMJ Group mostly and at Royal Cornwall Hospital. #mededmooc
drgandalf52 im here,GP, academic teaching fellow in Yorkshire, First5 man,tech enthusiast and all round magical being, with the beard too.. #mededmooc
grahambasten Hi #mededmooc
dean_jenkins Hi @Helen_otuk #mededmooc
nlafferty @dean_jenkins Hi I'm here too #mededmooc
lewismal Had a molar extracted yesterday due to abyss, so let's see if my brain works thru painkllers. #mededmooc
amcunningham @dean_jenkins i'm here #mededmooc
Helen_otuk Good evening all #MedEdMOOC
dean_jenkins So who is here then? #mededmooc
dean_jenkins Hi @Helen_otuk #mededmooc
nlafferty @dean_jenkins Hi I'm here too #mededmooc
lewismal Had a molar extracted yesterday due to abyss, so let's see if my brain works thru painkllers. #mededmooc
amcunningham @dean_jenkins i'm here #mededmooc
Helen_otuk Good evening all #MedEdMOOC
dean_jenkins So who is here then? #mededmooc
dean_jenkins RT @lewismal: About 2 join an early planning meeting about #MedEdMOOC. agenda is on http://t.co/is6rCtnm #mededmooc
lewismal About 2 join an early planning meeting about #MedEdMOOC. The document and agenda is on http://t.co/82hh4i8l #mededmooc #mededmooc
dean_jenkins Try to retweet key points to your network and make (some) tweets (at least) whole thoughts! #mededmooc
dean_jenkins Please remember to use the hashtag #mededmooc
dean_jenkins All comments are assumed to be personal and not those of your organisation unless you say otherwise. #mededmooc
dean_jenkins Hello and welcome to the planning meeting for #MedEdMOOC. The document and agenda is on http://t.co/is6rCtnm #mededmooc
dean_jenkins @theCMEguy Thanks Derek! #mededmooc
theCMEguy Can't make #MedEdMOOC chat today, but happy to help with AMA/ACCME certification if needed. Will check in later...
dean_jenkins 10 minutes to an early planning meeting about #MedEdMOOC. The document and agenda is on http://t.co/is6rCtnm #mededmooc
HallyMk1 @amcunningham -> RT @dean_jenkins: #MedEdMOOC tweet chat in 25 minutes at 22:00 GMT. Agenda on http://t.co/mpjNBoUx
dean_jenkins @amcunningham We could move it to another platform once we say our hellos. Perhaps G+? #mededmooc
dean_jenkins Thanks @gsiemens @davecormier - we'll see if it survives its first planning meeting. :-) #mededmooc
amcunningham @davecormier @gsiemens ha! Think a tweetchat to plan is even more ambitious! #mededMOOC @dean_jenkins
gsiemens @dean_jenkins @davecormier - looks good! I think it's great that you've started the #medEdMOOC. Look forward to following it!!
dean_jenkins .@gsiemens @davecormier hope the "What is a MOOC?" section is up to scratch on http://t.co/is6rCtnm #MedEdMOOC #mededmooc
davecormier @gsiemens what a fascinating discussion #mededmooc
gsiemens nice RT @dean_jenkins: #MedEdMOOC tweet chat in 25 minutes at 22:00 GMT. Agenda on http://t.co/hklc9wnw
dean_jenkins #MedEdMOOC tweet chat in 25 minutes at 22:00 GMT. Agenda on http://bit.ly/MedEdMOOC
Helen_otuk RT @dean_jenkins: #MedEdMOOC tweet chat at 22:00 GMT today - draft agenda for editing at http://bit.ly/MedEdMOOC please RT
ohsuneuro @dean_jenkins Of course, I promised them the #mededMOOC would be huge, so we need to make it HUGE. ;)
dean_jenkins Game on! RT @ohsuneuro Absolutely! Nothing firm yet, but there's a good chance I can get funding for US CME from my institution. #MedEdMOOC
dean_jenkins Redirect Notice: #MedEdMOOC tweet chat at 22:00 GMT today - draft agenda for editing at http://bit.ly/MedEdMOOC please RT http://t.co/gg51UY5d
amcunningham RT @dean_jenkins: #MedEdMOOC tweet chat at 22:00 GMT today - draft agenda for editing at http://bit.ly/MedEdMOOC please RT
dean_jenkins #MedEdMOOC tweet chat at 22:00 GMT today - draft agenda for editing at http://bit.ly/MedEdMOOC please RT

Bounded rationality, medicine and the internet age.

Clinicians use simple heuristics (rules) to guide their judgement until they reach a 'saturation point'. They have 'bounded rationality' that means they are not entirely rational and this helps them cope with the complexity of their practice.
"‘Saturation point’ was defined as the moment when physicians decide to stop using heuristics. It could be reached either because physicians confirmed a hypothesis or because they halted the process until further discussion was held with peers or they could wait for further evolution of their patients' condition. This method of limiting and stopping the search as soon as they felt satisfied with the decision is part of Simon & SelteĊ„s models of bounded rationality. As soon as the physician using hypothesis-specific heuristics with a positive test strategy found a pattern, the process was stopped and a diagnosis was reached. This process could be delayed when there were many cues to the diagnosis that needed to be refuted. The effort to refute cues lead to a reduction in physician's confidence and a rise in uncertainty levels. Contradictions from the environment, particularly contradicting peer opinion led to the same result. Confidence in own judgment is also found to be an important factor in decision making whereby employing heuristics. In our study, confidence was a chief factor for establishing the saturation point, but it certainly was not the only component. For instance, time pressure, although not observed in this study, must be taken into account, and further study should be conducted in this area." [1]
The authors go on to make suggestions for the construction of clinical practice guidelines.

Reading this made me think about what are the implications for the use of 'emerging technologies' in medicine. Apart from the 'early adopters' of technology these new digital tools of social media, ubiquitous web and the analysis of data from electronic health records, represent added complexity - not necessarily simpler healthcare.

Herbert Simon was rewarded for his work on the rational decision making in business organization with the Nobel Prize for economics in 1978. Has this concept of 'bounded rationality' - that individuals aren't as smart as they may think they are and develop simpler techniques and rules to survive in complex environments - helped the world of economics? Is it true that everybody knew what they were doing with complex financial derivatives that turned out to be toxic debt in the 2008 crash? Did anyone understand them? The problem was they took emerging technologies and created new simple business rules to maximise the benefit of the technologies but assuming there was little or predictable risk.

I wonder if we are sometimes also at risk of introducing new and simple rules for healthcare professionals to help convince them of the utility of emerging technologies.

If you all you have is a hammer then everything looks like a nail. (Maslow's Law of the Instrument). Also, if you are obsessed with an emerging technology then everything looks like it is amenable to it.

We need to help develop effective heuristics for engaging with emerging technologies that are of proven value for improving patient care.


1. Bonilauri Ferreira APR, Ferreira RF, Rajgor D, Shah J, Menezes A, Pietrobon R. Clinical reasoning in the real world is mediated by bounded rationality: implications for diagnostic clinical practice guidelines. PLoS ONE 2010;5(4):e10265. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20421920