CME Advocate
CME Advocate

#CMEchat 41 - lessons from #acehp12

Great regroup today after the 2012 ACEHP meeting - highlight has to be the host of new participants fresh off the high from Orlando.

Our topics:

  1. Now that you have had a day to think about it, what sessions did you enjoy the most at #acehp12? Why? #CMEchat
  2. First part: what was the top lesson you learned while in a session (formal learning) #acehp12? #CMEchat
  3. Second part: what was the top lesson you learned outside the sessions (informal learning) #acehp12? #CMEchat
  4. What will you do in the next week to begin to integrate these new lessons into your professional work? #CMEchat #acehp12
  5. Overall what was the best part of #acehp12? And, what could be improved for #acehp13? #CMEchat

You can review the conversation below (start at the bottom) or downloaded HERE:

From User        Tweet

theIME_King     @YogAlicia3 #CMEChat Yes, agree on the Screen with live twitter feed, but need to have a moderator, as some questionable stuff comes through

spelletier           #TOTD! RT @YogAlicia3: #cmechat Each year I hope the following year will have fewer concurrent sessions & each could be more meaty #cmechat

YogAlicia3        #cmechat Consider for #acehp13 - screen with live twitter feed scrolling in a public area of the meeting...

BrianSMcGowan            we all do! but @CMEGrupe is part of the process! RT @YogAlicia3: Who has the #acehp13 planning committee's ear? #CMEchat

theCMEguy       “@theIME_King: @theCMEguy When are the webinars? #CMEchat” Last year they had them t/o year. Mostly summer/fall. A little late 4 an "encore"

drerikbrady       good #CMEchat, i commit to be back next week #holdmetoit #whoswithme?

dpguinee          Adios, amoebas.  #cmechat  With thanks to #thefarside for that quote

theIME_King     @theCMEguy When are the webinars? #CMEchat

YogAlicia3        #cmechat #acehp12 Success! RT @jmlong07 Ummm...yeah, you were blowing up the twitter feed! :)

theIME_King     @YogAlicia3 Ok, that makes sense now.  Presenters then need to be more rigorous with their posters!  Improve Quality. #CMEchat

dpguinee          B/c approved based on abstract only?  RT @theime_king: #CMEchat Some posters...didn't even show the data! How did that get through?

drerikbrady       @aperch That was my personal "performance change", i added it as a recurring appt. #CMEchat, #getintentional

theCMEguy       “@theIME_King: #CMEchat Encore presentations would be good too..” >> Alliance sort of does that with "Best of..." webinars t/o year.

YogAlicia3        @theIME_King The data and final poster aren't required for submission - only abstracts are committee reviewed. #cmechat

rmtyner glad to see so many new faces for  #CMEchat

aperch  #cmechat - I missed it again! Need to add this to my calendar.

theIME_King     #CMEchat Some posters made conclusions and didn't even show the data! How did that get through?

rmtyner RT @theCMEguy: @YogAlicia3 Yes, good point. I am all for LESS concurrent sessions. Cut down quantity, improve quality. #CMEchat

YogAlicia3        #cmechat I would like to see a more robust poster session - reports of data on needs or outcomes - like a clinical congress.

dpguinee          There is SO much overlap across 2.5 days...how about 1.5 days of truly unique content for #acehp13  #cmechat

theIME_King     #CMEchat Encore presentations would be good too, as there is so much to choose from and many overlapping sessions!  Hard to choose which!

theCMEguy       @YogAlicia3 Yes, good point. I am all for LESS concurrent sessions. Cut down quantity, improve quality. #cmechat

BrianSMcGowan            #TOTDb RT @YogAlicia3: #cmechat Each year I hope for fewer concurrent sessions & each could be more 'meaty'... #cmechat

YogAlicia3        @BrianSMcGowan Would have been a good breakout room. #cmechat

YogAlicia3        #cmechat Each year I hope the following year will have fewer concurrent sessions to attend more & each could be more 'meaty'... #cmechat

BrianSMcGowan            @YogAlicia3 - could have been a committee room... #acehp12 #cmechat

BrianSMcGowan            @MarilynCME - i use a huger monitor & smaller font, so i can see more of the conversation at once...but I know I miss stuff too... #cmechat

YogAlicia3        @spelletier I saw one room set up as a U with chairs facing each other...but no sessions in it.  Was it not for #acehp12? #cmechat

Karyn_Di           @BrianSMcGowan #CMEchat ...AND we need to know WHAT TO DO w/that data (re: #1 - need more data)

theIME_King     @spelletier Agreed! applaud one plenary for interactivity, but poor setup with all breakouts in 1 room!  Ugh,couldn't hear anything #CMEchat

BrianSMcGowan            @MarilynCME - it will get better over time...do not feel obligated to keep up to speed - this is about your learning speed. ;-) #cmechat

MarilynCME      Came in late for my first #cmechat but have been on for about 15 min. Anyone else get brain tired from trying to follow topics? Any tips?

rmtyner t5 tables in the rooms to take notes as well #acehp13 #CMEchat

drerikbrady       @Karyn_Di - we're going to be great friends #onthesamepage #CMEchat

spelletier           t5 fewer talking heads, room setups that facilitated instead of hindered learning format, more interaction/engagement #cmechat

CMEGrupe        T5 - I want to see sessions at #acehp13 where SoMe is integrated into the session - when attendees can do it they will share it! #CMEchat

YogAlicia3        @rmtyner Agree! Would love to see healthy activities in parallel with our education. Heard a lot about CME pro stress this year. #cmechat

MedPedsDoctor            Great to meet many of you and others IRL.  Thanks to a welcoming CME community! #Cmechat

BrianSMcGowan            this will surely be on the table for @CMEGrupe ;-) RT @MedPedsDoctor: Can we put in a tweet-up as a formal session? #Cmechat

theCMEguy       @drerikbrady Yeah. I'd also rec using SoMe in sessions about SoMe. #guilty #cmechat

Karyn_Di           #CMEchat Im fairly new 2 the field but increasing rigor of our assessment methods could REALLY add 2 our overall influence as a field #Mo$

MedPedsDoctor            Can we put in a tweet-up as a formal session? #Cmechat

drerikbrady       T5 - improvement - i mean, we're supposed to be professional educators #learntoteach #CMEChat

theCMEguy       @theIME_King Yes!!! Agree 100%. This was a problem for me this year. #cmechat

CMEChat          The real impact of the #CMEchat lies in your action - please engage others to participate & take action on things your have learned! G’day!

CMEChat          As we get wrap up, please vote for the tweet of the day (#TOTD) seen during this week's #CMEchat.

drerikbrady       T5: areas for improvement? i still get ticked off when i get lectured to in a session on interactivity #comeonpeople #CMEChat

CMEChat          Thx for participating in #CMEchat. discussions herein are assumed 2 b personal opinion & not that of current, past, or future employers.

rmtyner i think next year we need to have a pedometer challenge! i logged over 11,000 steps per day! #CMEchat

YogAlicia3        T5 As great as SoMe is, still nice to talk IRL occasionally. Especially if I've never met the person, and even if I already have. #cmechat

theIME_King     I would like the #acehp13 abstract deadline a little closer to the actual conference, so titles match up with content presented #CMEchat

drerikbrady       T5: best part is always catching up with people, but i had a big burst in new people this year too #winning #CMEchat

BrianSMcGowan            T5 - #acehp12 areas for improvement 3) more faculty using technology; 2) more education build-up (preduring); 1) need more data #CMEchat

theCMEguy       @YogAlicia3 Yes! Think a specific session on twitter might be worthwhile... #cmechat

theCMEguy       ...and that spammers still annoy me! #cmechat

YogAlicia3        T5 I'd like to see additional sessions at #acehp13 about SoMe and technology to continue to increase use in the community. #cmechat

theIME_King     @SusanBConnelly I must agree with Susan, mighty important for us newbies #CMEchat

theCMEguy       T5: Best part for me was realizing how many new friends/colleagues I had even without ever talking to them in person! #cmechat

medikly Interesting viewing: Video reflects struggle to keep bias out of CME t.co/PezUv5LB #meded #cmechat

CMEGrupe        @drerikbrady Have used rapid charging stations at ASCO and they're not terribly reliable- need to oversupply. Also, yes, mosh pit. #CMEchat

BrianSMcGowan            t5 - #acehp12 best part: 10 months of effort to 'walk the walk' w/ technology was a grand success for all of us ;-) #CMEchat #tearyEye

theIME_King     I learned at #acehp12 that we still have a long way to go for Global IME implementations for pharma companies #CMEchat

SusanBConnelly            T5 honestly, the best part of #ACEHP12 is putting names to faces #CMEChat

YogAlicia3        #cmechat Maybe next year I'll bring a few power strips and charge per hour for @drerikbrady and others to use them.  :)

theCMEguy       @YogAlicia3 Especially when you're sitting next to me copying my tweets... #CMEchat :-)

CMEChat          T5 – Overall what was the best part of #acehp12? And, what could be improved for #acehp13? #CMEchat

BrianSMcGowan            @tulushchich - surf over here: t.co/BOYxIB1u and click the Dl link above the slides  ;-) AND WELCOME to #CMEchat

theCMEguy       @BrianSMcGowan GreenDot or PurplePath? #cmechat

drerikbrady       @CMEGrupe I wound up sitting next to the wall in a lot of sessions. imagine that mobile charging stations would be like a mosh pit #CMEchat

BrianSMcGowan            there were charging stations throughout the hotel and in every hotel room, no? ;-)  @CMEGrupe: @drerikbrady #CMEchat

dpguinee          Common is a misnomer, as noted by B Franklin RT @thecmeguy: T3: I learned that just because something seems like common sense... #cmechat

tulushchich        "#CMEchat

Trying to download Brian's acehp12 slides from slides are so I can share @ our PI CME program meeting on Thursday.  No clue how."

theCMEguy       T4: I returned motivated to keep up blog/tweeting/etc even though prof responsibilities at a minimum right now. #CMEchat

CMEGrupe        @drerikbrady We did have outlets behind the tables at the ETC help station ;) #CMEchat

drerikbrady       RT @SusanBConnelly: @dpguinee exactly, I felt like I was citing a "real" association and not a cartoon one #CMEChat

BrianSMcGowan            T4 - i am surprised that i returned even more motivated to crack this nut - social technology in medicine - sooner than later. #CMEchat

SusanBConnelly            @dpguinee exactly, I felt like I was citing a "real" association and not a cartoon one #CMEChat

drerikbrady       @BrianSMcGowan AND, drink... #CMEchat

jjuch     RT @drerikbrady: @Karyn_Di Oh I'm interested in hearing more about it #cmechat

BrianSMcGowan            #word RT @drerikbrady: @Karyn_Di Oh, I'd be down for that #bigsurprise #CMEchat

drerikbrady       @Karyn_Di Oh, I'd be down for that #bigsurprise #CMEchat

dpguinee          ACME was so Wile-E-Coyote n Road Runner, though RT @susanbconnelly: I learned that ACEHP (vs ACME) just seems so foreign to me #CMEChat

BrianSMcGowan            #effectsize? RT @drerikbrady: T4 - i've some retrospective analysis in my future on my data sets, got to see what i'm working with #CMEchat

drerikbrady       T4 - i have some retrospective analysis in my future on my data sets, got to see what i'm working with #CMEchat

rmtyner I am in! RT @Karyn_Di: #CMEchat I have an interest in starting informal group of CME pros w/an interest in research methods/stats #CMEchat

BrianSMcGowan            @Karyn_Di - surely - tell us how we can help! #CMEchat #CME

spelletier           t3 that it's not enough to pay lip service to reflection (did anyone go to the reflection session? I wanted to but couldn't) #cmechat

BrianSMcGowan            t4 - i know that i now have a bunch more confidence as i wrap up chapter 9 on physicians & new models for social learning ;-) #CMEchat

theCMEguy       T3: I learned that just because something seems like common sense to me, doesn't mean it's common sense to others. #cmechat

Karyn_Di           #CMEchat I have an interest in starting an informal group of #CME professionals w/an interest in research methods/stats...any interest?

spelletier           t3 personal aha was that I need 2 find way to apply adult lrning for written stuff --articles 2 much like didactic data dumps #cmechat

CMEChat          T4 – What will you do in the next week to begin to integrate these new lessons into your professional work? #CMEchat #acehp12

SusanBConnelly            I learned that ACEHP (vs ACME) just seems so foreign to me #CMEChat

BrianSMcGowan            T3 - top informal lesson - tech precon was the best attended preconference ever at the Alliance meeting ;-) #CMEchat

YogAlicia3        #cmechat T3 Value of Tw - Discussion w non-user when they asked me how/why I decided to join a session late...

MedPedsDoctor            How about solar powered mobile charging stations? #Cmechat

dpguinee          Missed it - could have been my "formal" learning share RT @marilyncme: RT @spelletier: t1 SU14 on educational coaching. #cmechat

BrianSMcGowan            t3 - and b/c we are being heard by the establishment, we need to remain purpose driven. Technology (can) improve learning #CMEchat

theCMEguy       @BrianSMcGowan In that same vein...learned there are more lurkers/readers out there than I realized. #cmechat

drerikbrady       @briansmcgowan I'll believe it when i see mobile charging stations next year #acehp13 #CMEChat t3

MedPedsDoctor            How about solar powered mobile charging stations? #Cmechat

dpguinee          Missed it - could have been my "formal" learning share RT @marilyncme: RT @spelletier: t1 SU14 on educational coaching. #cmechat

BrianSMcGowan            t3 - and b/c we are being heard by the establishment, we need to remain purpose driven. Technology (can) improve learning #CMEchat

theCMEguy       @BrianSMcGowan In that same vein...learned there are more lurkers/readers out there than I realized. #cmechat

drerikbrady       @briansmcgowan I'll believe it when i see mobile charging stations next year #acehp13 #CMEChat t3

spelletier           t2 cont. language causing disconnects between CME and QI, CME and faculty, CME and planning committee, CME and ACCME... #cmechat

YogAlicia3        #cmechat T3 Had a number of hallway conversations about proper needs assessments, including regional data, supply of education, etc.

dpguinee          Amen, brother! MT @drerikbrady: had a convo about varying definitions in outcomes, it really can't be ignored anymore #cmechat T3

BrianSMcGowan            t3 - top informal lessons - we early-adopters are being heard by the establishment (Wentz, Blachman, Green, Fox...each know us) #CMEchat

spelletier           Not new learning, but reinforced how important our word choices are, and how poor choices cause disconnect (came up many times) #cmechat

CMEGrupe        T2 - M59 superfun discussion - new ways to rethink use of eval data. Complete geekout & we had multiple research projs when done! #CMEchat

MarilynCME      RT @spelletier: t1 SU14 on educational coaching also was excellent. #cmechat

FDALawyers     Hey all, late joiner here #cmechat

YogAlicia3        T3 #cmechat Informally learned a LOT. Including how to attach photo to tweet (reference shoe picture). Thanks, @theCMEguy

BrianSMcGowan            T2 - i formally learned that 'forward is a direction, not a speed' and now i will spend the rest of my life fighting this insanity #CMEchat

drerikbrady       had a convo with Derek D and Jason S about the challenge of varying definitions in outcomes, it really can't be ignored anymore #cmechat T3

YogAlicia3        #cmechat T2 In all honesty, was interesting to hear FDA's intent to include commercial support in model for CME related to REMS.

rmtyner RT @MedPedsDoctor: I learned about how CME world sees quality & QI different than medical world.  Barriers to be broken down #CMEchat

theCMEguy       “@dpguinee: I connected w a few folks while wearing a tux...is that #formal enough to move on?  #cmechat” >> #catcalls #rowr

BrianSMcGowan            t2 - thx for trying...#CMEchat

rmtyner TOTD (i know no more voting) RT @dpguinee: I connected w a few folks while wearing a tux...is that #formal enough to move on?  #CMEchat

CMEChat          T3 – Second part: what was the top lesson you learned outside the sessions (informal learning) #acehp12? #CMEchat

YogAlicia3        @theCMEguy Ok, Derek.  Seriously.  Get out from behind my shoulder.  #cmechat

SusanBConnelly            I was in many session, but had to struggle to make things apply.  Could only take away something here or there #CMEChat

CME_Jake        "@BrianSMcGowan: try to dive more deeply into formal lessons -  #CMEchat" Most sessions were lack luster. At #acehp12 the hallway was best

MedPedsDoctor            I learned about how CME world sees quality & QI different than medical world.  Barriers to be broken down #Cmechat

rmtyner T2 very practical timeline on publications at #Su40 #acehp12 #CMEchat

drerikbrady       oh, did you want me to talk about #effectsize? huge formal learning for me on that topic #CMEchat #M43 #ACEHP12

YogAlicia3        #cmechat T2 I learned what REMS stands for.  Never knew that before.  (Now where's that sarcasm font???)

dpguinee          I connected w a few folks while wearing a tux...is that #formal enough to move on?  #cmechat

BrianSMcGowan            t2 - does that fact that Damon is going to infuse humor into the #ACEHP count as formal learning? #CMEchat

theCMEguy       OK...learned something about REMS...um...er... #cmechat

YogAlicia3        @BrianSMcGowan Not purposely.  Just can't think of rise-to-the-top formal learning nugget. #cmechat

Karyn_Di           RT @SusanBConnelly: Add Twitter to that too RT @YogAlicia3: #cmechat T2 - My best learning at any meeting is typically informal...typically in the hallway.

CME_Jake        "@dpguinee: For me, #acehp12 was about connections more than sessions. #cmechat" agree 100%

BrianSMcGowan            we are not moving on until we get MORE on formal lessons....#CMEchat ;-)

CMEChat          we are not moving on until we get MORE on formal lessons....#CMEchat ;-)

YogAlicia3        @SusanBConnelly #cmechat At #acehp12, I found Twitter to be a very useful virtual hallway...informally.  :)

rmtyner T2 made a lot of great connections for my research! very excited about that #CMEchat

BrianSMcGowan            try to dive more deeply into formal lessons - there certainly were more than one or two per person #CMEchat ;-)

theCMEguy       T2: Definitely approached this conf differently then past. Formal learning not the goal this time... #cmechat

CMEChat          try to dive more deeply into formal lessons - there certainly were more than one or two per person #CMEchat ;-)

drerikbrady       this is my feeling too. @yogalicia3: #cmechat T2 - My best learning at any meeting is typically informal...typically in the hallway.

dpguinee          For me, #acehp12 was about connections more than sessions. #cmechat

SusanBConnelly            Add Twitter to that too RT @YogAlicia3: #cmechat T2 - My best learning at any meeting is typically informal...typically in the hallway.

rmtyner LOVE THAT! RT @jjuch: got most out of sessions heavy on learning theory #CMEchat

CME_Jake        RT @BrianSMcGowan: @CME_Jake #bestMisspellingofMejicanoAward ;-) WELCOME JAKE! #cmechat

eLearningSara   T2 P1 - Don't be afraid to search out others doing what you want to do and call them for advice. #CMEchat #acehp12

jjuch     got most out of sessions heavy on learning theory #cmechat

BrianSMcGowan            no jumping ahead RT @YogAlicia3: #cmechat T2 - My best learning at any meeting is typically informal...typically in the hallway.

YogAlicia3        #cmechat T2 - My best learning at any meeting is typically informal...typically in the hallway.

BrianSMcGowan            T2 - i only attended one session to 'formally learn' most I attended to monitor or support...#CMEchat

MedPedsDoctor            MT @YogAlicia3: #cmechat Pub research session had gr8 A-HA moments at #acehp12.  Raising awareness & commitments set for 2012 #Cmechat

rmtyner I agree with @YogAlicia3 the pub and research sessions were really good this year! #CMEchat

YogAlicia3        #cmechat Pub and research sessions had some serious A-HA moments at #acehp12.  Raising awareness & commitments set for 2012.  #winning

drerikbrady       Me too. @yogalicia3: Alicia's here - joining #cmechat from a CLEAN HOUSE!! Welcome home. #acehp12 was maybe the most I've tweeted #CMEchat

SusanBConnelly            Thanks for the link! RT @cmewriter: T1 Prezi from physician empathy session: t.co/XbzcI55i #M40 #acehp12 #CMEchat

theCMEguy       “@cmewriter: T1 Prezi from physician empathy session: t.co/5NqUs3gd #M40 #acehp12 #CMEchat” >> nicely used. A minimum of spinning!

CMEGrupe        T1 - @cmewriter I'm working with ACEHP staff to reach out to faculty post-#acehp12 to update the handout doc & resend to attendees #CMEchat

CMEChat          T2 – First part: what was the top lesson you learned while in a session (formal learning) #acehp12? #CMEchat

SusanBConnelly            @theCMEguy  LOL, I can't really say anything about one I presented or sat on as a panel #CMEChat

CMEChat          Two-part question on lessons learned at #acehp12 - -#CMEchat

YogAlicia3        Alicia's here - joining #cmechat from a CLEAN HOUSE!! Welcome home, all.  #acehp12 was maybe the most I've tweeted in my life.

BrianSMcGowan            @CME_Jake - i think Kear and Mejicano are describing the same program - - #Cease2Day #cmechat

spelletier           Hmm, my #acehp12 faves were the more experiential sessions...wonder what that means #tongueincheek #cmechat

dpguinee          I'm in!  #cmechat

theCMEguy       “@SusanBConnelly: T1 I think I missed all the favs just mentioned, might be why nothing is leaping to my mind #CMEChat” >> RAPID session?

cmewriter          T1 Prezi from physician empathy session: t.co/IrrSTI9e #M40 #acehp12 #CMEchat

MedPedsDoctor            Use empathy to teach empathy. Use SoMe to teach SoMe.   #Cmechat

CME_Jake        @BrianSMcGowan #cmechat George Mehichanos has done SL learning and outlined barriers at the summer MSS conf - interface and a good enough PC

BrianSMcGowan            #TOTD (there shall be no more voting) RT @theCMEguy: Totally biased, but thought emerging tech precon was good, too. #cmechat

spelletier           t1 SU14 on educational coaching also was excellent. #cmechat

theCMEguy       Totally biased, but thought emerging tech precon was good, too. #cmechat

rmtyner wish i could access them on my Mac - but no go! #sad RT @cmewriter: T1 Hope slides will be available from peoples favs #CMEchat

SusanBConnelly            T1 I think I missed all the favs just mentioned, might be why nothing is leaping to my mind #CMEChat

eLearningSara   T1 - SU43, eLearning on Budget. So many ideas and examples to supplement what we already have. Can't wait to start! #CMEchat

drerikbrady       @briansmcgowan Ooooh, this could be fun #effectsize #CMEchat T1

BrianSMcGowan            T1 - RSNA ran a virtual version of their last meeting and had 3700 avatars set up...and many participants...great case study #CMEchat

spelletier           Just joining in now. Oh my #acehp12ing head! I'm with @cmewriter and @thecmeguy on empathy session. Using sensory 2 teach sensory #cmechat

cmewriter          T1 Hope slides will be available from people's favs #CMEchat

BrianSMcGowan            When @drerikbrady says effect size we must all drink - new game...#CMEchat

CMEGrupe        #CMEchat @BrianSMcGowan I second that! I'm really interested to see what other inst are doing too (they mentioned Mayo Clinic is on SL)

theCMEguy       “@cmewriter: T1 Favorite #acehp12 session #M40 -- Use of sensory learning experiences to teach physician empathy #CMEchat” >> great visuals!

BrianSMcGowan            Second life screen shot #cmechat t.co/6aW4rl0D

BrianSMcGowan            T1 - Kear brought three additional speakers to Orlando...virtually through 2nd life...though the interface is still odd to me...#CMEchat

cmewriter          T1 Favorite #acehp12 session was #M40 -- Use of sensory learning experiences to teach physician empathy #CMEchat

rmtyner T1 i like the sessions on MOC - interesting to hear how everyone was approaching this topic from CME #CMEchat

drerikbrady       #M43 was easily my fav, the discussion on effect size is something that i'm going to be doing some testing on #cmechat

theCMEguy       @BrianSMcGowan Sorry to have missed that one! #cmechat

jjuch     "@jjuch glad to join. Was great meeting so many of you at #acehp12

 #cmechat"

theCMEguy       Back on laptop. Now I see everything #CMEchat. Fav session was on Physician empathy.

BrianSMcGowan            Two stars! RT @eLearningSara: Sara Beth (eLearning in a MSS) from DC signing in for #CMEchat.

BrianSMcGowan            T1 - most enjoyable session was Cynthia Kear's 2nd life overview...with real data and real experience...USING the app. #CMEchat

eLearningSara   Sara Beth (eLearning in a MSS) from DC signing in for #CMEchat.

CMEChat          T1 – Now that you have had a day to think about it, what sessions did you enjoy the most at #acehp12? Why? #CMEchat

drerikbrady       Erik here too, happy to be home from #acehp12, eager to try some things #CMEchat

BrianSMcGowan            i also heard this morning that UKY is using yammer w/i its medical school...can anyone confirm this? #CMEchat

rmtyner @CMEGrupe Glad you could join us this morning! #CMEchat

drerikbrady       i see all the rules as well #CMEchat

rmtyner Michelle - back home again in Indiana ready to discuss what we learned at #acehp12 #CMEchat

CMEGrupe        Am excited to be part of my first #CMEchat - I can honestly say that Twitter completely transformed my #acehp12 conference experience!

theCMEguy       Stupid iPad...RT @BrianSMcGowan: i see all the rules...#CMEchat

BrianSMcGowan            @theCMEguy - i dont think so...but i can confirm that he is NOT @CMEHulk ! #CMEchat

MedPedsDoctor            Hey, CME colleagues. In a meeting, will be lurking through this chat. #Cmechat

theCMEguy       @BrianSMcGowan is your new BFF Warren Sapp going to join us in #CMEchat

BrianSMcGowan            i see all the rules...perhaps you should open the shades in the bedroom to get more light @theCMEguy  #CMEchat

SusanBConnelly            Susan here for #CMEChat happy to be back in PA after traveling for 1.5 wks. Still a commercial supporter

BrianSMcGowan            For those who were in orlando, I hope your return flight was safe and you are slowing making it through your emails...#CMEchat

theCMEguy       We're missing two rules! Chaos! #CMEchat

CMEChat          As with each #CMEchat the archive will be available at t.co/nOLVEvIB and archived as a pdf on www.CMEadvocate.com

CMEChat          As with each #CMEchat we will guide the convo with 3 or 4 topics, but the real learning and teaching lies in your tweets - please engage.

CMEChat          Rule 7. A few mins before the end of #CMEchat, reintroduce yourself. Links, requests & shameless plugs welcome, too - #makingfriends

CMEChat          Rule 6. On #CMEchat we aim to play nice. Sarcasm & irony welcome though. Really. Seriously. #laughingislearning

CMEChat          Rule 5. Periodically RT questions so those outside #CMEchat know what you’re talking about & so they can chime in too

CMEChat          Rule 4. Please remember to use the #CMEchat hashtag so all of the #CMEchat participants can follow the #CMEchat discussion!!!!

CMEChat          Rule 3. When writing, complete thoughts help followers outside chat learn from you. #CMEchat

CMEChat          Rule 2. [try to] stay on the #CMEchat topic. A new question will be asked every 12 min or so. If you can, include T# in related responses.

CMEChat          Rules for #CMEchat: 1. Introduce yourself. Location? Focus? Fave topics? What brings you here today?

CMEChat          Welcome to #CMEchat. All discussions herein are assumed to be personal opinion & not that of current, past, or future employers.

theCMEguy       Advantage #2 of unemployment: I'll be participating in #CMEchat from my bed. #winning

medikly What would you do with your own CME Kampus? Check out our latest email campaign! t.co/7yk191wE #cmechat #assnchat

BrianSMcGowan            Just got this email: "Congrats! Your documents on SlideShare have had 10,000 views." #cool #socialQI #CMEchat

BrianSMcGowan            #CMEchat in one hour -----> Join us as we recap & share our best lessons learned from #acehp12 - just follow the hashtag!


#CMEchat 40 - Preparing for the Annual Alliance Meeting #acehp12

Fun conversation this morning about tips and tricks for preparing for and getting the most out of the Annual Meeting of the Alliance for Continuing Education in the Health Professions.

Our topics were as follows:

  1. T1 – What are the top lessons you have learned and/or favorite experience from past Alliance meetings? #CMEchat #acehp12
  2. T2 – How are you preparing for #acehp12? #CMEchat
  3. T3 – What (sessions) are you most looking forward to at #acehp12? #CMEchat
  4. T4 – What do you hope to take away from #aceph12 this year? #CMEchat
  5. T5 – What tricks or tips do you have to share so we can all get the most out of #acehp12? #CMEchat
The transcripts can be reviewed below (begin at the bottom) or downloaded HERE:

From User        Tweet

rmtyner safe travels to #acehp12 #CMEchat

MedPedsDoctor            Gotta run: see all y'all in Orlando! #CMEchat

MedPedsDoctor            Thanks all.  This has been a great community to join over the past few months, and excited to meet IRL. #Iliketolaugh #CMEchat

theCMEguy       @MedPedsDoctor Just had a convo on this topic yesterday. To a degree, yes, I think it does. #cmechat

MedPedsDoctor            The comment about power differential is an interesting one.  Twitter levels that playing field, doesn't it? #CMEchat

rmtyner #totd RT @BrianSMcGowan: too easy for you? RT @MedPedsDoctor: T5. spend at least one session next to someone youve never met #CMEchat

BrianSMcGowan            too easy for you? RT @MedPedsDoctor: T5. spend at least one session next to someone you've never met #CMEchat

MedPedsDoctor            T5. spend at least one session next to someone you've never met #CMEchat

theCMEguy       @rmtyner @BrianSMcGowan If you must. :-) #cmechat

rmtyner but is homework okay? @theCMEguy: @BrianSMcGowan  How about simply spending meal downstairs rather then up in room checking email? #CMEchat

BrianSMcGowan            ~1900 RT @MedPedsDoctor: sorry, as a newbie, how many people will be in attendance at the #acehp12 meeting? #CMEchat

CMEChat          The real impact of the #CMEchat lies in your action - engage others to participate & please take action on things your have learned! G’day!

MedPedsDoctor            sorry, as a newbie, how many people will be in attendance at the #acehp12 meeting? #CMEchat

theCMEguy       T5: tweet #cmechat #acehp12

CMEChat          As we get wrap up, please vote for the tweet of the day (#TOTD) seen during this week's #CMEchat.

CMEChat          Thx for participating in #CMEchat. Discussions herein are assumed 2 b personal opinion & not that of current, past, or future employers.

spelletier           t5 find new ideas, fresh voices, and better ways of doing things. Make connections, learn, speak, share.   #cmechat

theCMEguy       @BrianSMcGowan T5: How about simply spending meal downstairs rather then up in room checking email? #cmechat

BrianSMcGowan            t5 - tip: be sure to make dinner reservations ahead of time #CMEchat #aceph12

theCMEguy       “ @theCMEguy and @MedPedsDoctor , singing oldies but goodies #jessiesgirl #CMEchat” >> God help us all... #cmechat

BrianSMcGowan            t5 - spend at least one meal as a mentor and at least one meal as a mentee #CMEchat #aceph12

MedPedsDoctor            Does the JW Marriott have a karaoke night on Saturday? @theCMEguy and @MedPedsDoctor , singing oldies but goodies #jessiesgirl #CMEchat

BrianSMcGowan            T5 - i am looking for groups that are re-engineering the data stream ;-) t.co/0LvBxJ3X #CMEchat #aceph12

theCMEguy       T5: Tip - participate. Engage. Share. Do something! Be an active learner #cmechat #acehp12

BrianSMcGowan            #totd RT @MedPedsDoctor: I guess I will learn that those who preach adult learning practices don't always practice said preaching #CMEchat

BrianSMcGowan            t5 - i think we each need to be empowered as learners. don't let the faculty off the hook if they are glazing over details #CMEchat #aceph12

spelletier           #TOTD RT @MedPedsDoctor: Time for a new hashtag #CMEculturechangestartsnow #cmechat

MedPedsDoctor            I guess I will learn that those who preach adult learning practices don't always practice said preaching #CMEchat

BrianSMcGowan            t5 - i hope we can all regather next week at #CMEchat and share best lessons - share data we learned - share learning #CMEchat #acehp12

spelletier           You go first! RT @theCMEguy: My goal this year at #acehp12 is to  walk up to a microphone during a session...and say something.  #cmechat

MedPedsDoctor            Time for a new hashtag #CMEculturechangestartsnow #CMEchat

spelletier           Wish: That #acehp12 really showcases good adult learning practices IRL. Esp just coming from #pcma12 which did just that #cmechat

theCMEguy       My goal this year at #acehp12 is to actually walk up to a microphone during a session...and say something. #cmechat #pushingboundaries

rmtyner not always quick with change RT @MedPedsDoctor: So Brian, why do you think CME profs are slow to warm with regard to ed tech?  #CMEchat

BrianSMcGowan            @MedPedsDoctor - and it is partially do to the power differential b/w a CME planner and the physician learners/faculty... #CMEchat

theCMEguy       “@BrianSMcGowan: t4 - BTW - i have pledged to pay for his beers...#CMEChat” >> Hey-O! #score

CMEChat          T5 – What tricks or tips do you have to share so we can all get the most out of #acehp12? #CMEchat

MedPedsDoctor            So Brian, why do you think CME profs are slow to warm with regard to ed tech?  #CMEchat

BrianSMcGowan            t4 - BTW - i have pledged to pay for his beers...#CMEChat

BrianSMcGowan            @MedPedsDoctor yup t.co/GkyGSjNv #acehp12 #CMEchat

theCMEguy       “@spelletier: Ditto! RT @BrianSMcGowan: t4 - i want to get @theCMEguy three or four job offers ;-) #cmechat” >> +1000!

BrianSMcGowan            t4 - my number one goal is the engage more CME professionals in ed Tech discussion - and pilot projects #CMEchat #acehp12

jjuch     T4: make new contacts, learn more about MOC/MOL, future trends, and of course, any insights into grants #cmechat

spelletier           Ditto! RT @BrianSMcGowan: t4 - i want to get @theCMEguy three or four job offers ;-) #cmechat

MedPedsDoctor            Is #acehp12 registered with foxepractice Healthcare Hashtags? t.co/OQ2knoQL  #CMEchat

theCMEguy       T4: networking, networking, networking. It's an odd switch for me this year. #cmechat

spelletier           @jjuch No matter how many times I go to those funding and regs sessions, I always learn something new #acehp12 #cmechat

khalidalmatrafi   RT @BrianSMcGowan: t4 - i want to get @theCMEguy three or four job offers ;-) #CMEchat

BrianSMcGowan            t4 - i want to get @theCMEguy three or four job offers ;-) #CMEchat

medikly Do you agree? Loss of commercial support for CME results in lower quality, more expensive CME: t.co/s2pQGH8b #cmechat #meded

MedPedsDoctor            T4. connections, networking opportunities, and some new fuzzy dice #CMEchat

BrianSMcGowan            @spelletier  - t.co/GkyGSjNv we should have hashtag data in near real time ;-) #acehp12 #cmechat

jjuch     "RT @spelletier: t3  funding, accme" Always full rooms #cmechat

theCMEguy       @spelletier ohhhh...I feel kinda sorry for you. #notfun #cmechat

MedPedsDoctor            @cmewriter I like that idea #acehp12 #thanksforexplainingsubhashtagconceptduringatweetchat #CMEchat

CMEChat          T4 – What  do you hope to take away from #aceph12 this year? #CMEchat

MedPedsDoctor            @BrianSMcGowan yes, face time works for me as well.  Will discuss Sat morning #CMEchat

spelletier           t3 I try to go to what I think our readers want to know about, not necessarily what I want, so anything to do with funding, accme #cmechat

BrianSMcGowan            @spelletier - t.co/RYit4tx3 #acehp12 #cmechat

cmewriter          Works to add 2nd hash w/ session ID. e.g., #acehp12 #M37 RT @theCMEguy: @MedPedsDoctor Tweet sub-hash into #acehp12 stream.  #cmechat

rmtyner i am looking for tech as well as adult learning theories #CMEchat

BrianSMcGowan            @spelletier - should be included in the heatlhcare hashtag project AND searchhash #acehp12 #cmechat

BrianSMcGowan            @MedPedsDoctor - i think has tags all collect under the lest common digit string #CMEchat #CMEchatters #CMEchatinators

spelletier           Any idea how to archive #acehp12 now that TwapperKeeper has gone away (at least the free version)? Do we want to? #cmechat

theCMEguy       Looking to anything dealing with new tech in CME #cmechat

BrianSMcGowan            t3 - this year I'm probably going to stick to the ed tech sessions...unless I can support a peer who needs a familiar face #CMEchat #acehp12

dean_jenkins     T3 - the emerging technologies help station looks good at #acehp12  #cmechat

spelletier           @BrianSMcGowan @MedPedsDoctor the problem with subhashtags is that they can take up too many characters, not a lot of rm for mssg #cmechat

MedPedsDoctor            With the unique identifier, can someone still do a search on the main hashtag to count the total for the entire meeting? #CMEchat

cmewriter          Me too -- worked well. RT @jjuch: T2: i followed hashtag...looked to see what others were tweeting about/said they liked #cmechat

BrianSMcGowan            @MedPedsDoctor  - sure thing..or facetime? #CMEchat

theCMEguy       @MedPedsDoctor Have considered this before. Tweet sub-hash into #acehp12 stream.  Might get confusing for newbs? #cmechat

BrianSMcGowan            these are the hardest to find (good ones) RT @laurenero: @CMEChat anything on PI CME.  it's a huge project for me in 2012. #CMEchat

MedPedsDoctor            So the tweet up is Monday night?  I booked residency interviewing that day, so I'll be back in Indy then.  Skype me in?? #CMEchat

laurenero           @spelletier good point! #CMEchat

BrianSMcGowan            .@MedPedsDoctor - each session has a 3-4 digit unique identifier  #CMEchat for exmple: #acehp12SA2

laurenero           @CMEChat anything on PI CME.  it's a huge project for me in 2012. #CMEchat

rmtyner i am going to say 3288 #CMEchat

MedPedsDoctor            Has anyone done a meeting w "sub-hashtags", since there are so many sessions and all will have the #acehp12 hashtag? #CMEchat

CMEChat          t2 - how about we each try a different application for the tweetstream and regroup at the #acehp12 tweet-up #CMEchat

spelletier           @laurenero faculty is imp to me too, but I also want to find new voices. Can be a bit of an echo chamber at #acehp12 sometimes #cmechat

theCMEguy       “@BrianSMcGowan: I am setting the line at 1923 RT @MedPedsDoctor: care to guess what the...   #CMEchat” >> I'll go 1924. #priceisrightpro

jjuch     @spelletier T2: i followed hashtag last year and when I was at a dud, looked to see what others were tweeting about/said they liked #cmechat

CMEChat          T3 – What (sessions) are you most looking forward to at #acehp12? #CMEchat [you dont have to be too specific ;-)]

laurenero           @spelletier hmmm...the faculty is really important to my choice.   #CMEchat

dean_jenkins     T2 - Hover in the doorway as a precaution is my usual policy. RT @spelletier  spotting dud sessions? #cmechat

BrianSMcGowan            I am setting the line at 1923 RT @MedPedsDoctor: care to guess what the final # of tweets from hashtag #acehp12 will be?   #CMEchat

spelletier           @MedPedsDoctor thx for reco on Streamboard--will have to try it for #acehp12 #cmechat

theCMEguy       @spelletier I base a lot on the presenter. Not foolproof, of course... #cmechat

BrianSMcGowan            T2 - i also like to stay flexible and see what other people i respect are attending... #CMEchat

MedPedsDoctor            Anyone care to guess what the final # of tweets from hashtag #acehp12 will be?  1000?  10,000?   #CMEchat

spelletier           t2 any tips for being able to tell what may be a dud session from a good one, given that abstracts are so old? #cmechat

BrianSMcGowan            t2 - 1 half speaker experience, 1 half topic and 1 half timing #aceph12 #CMEchat

dean_jenkins     @theCMEguy no :-( ... long story.  #cmechat

spelletier           @jjuch I like TweetChat for following #acehp12 hashtag #cmechat

theCMEguy       @dean_jenkins Not going this year? #cmechat

MedPedsDoctor            @jjuch Newest cool app to follow, which seems faster that Tweetchat, is "Streamboard".  info comes up within 1 second #CMEchat

laurenero           @MedPedsDoctor definitely!  Otherwise you may end up in a dud session. #CMEchat

BrianSMcGowan            t2- psyched that we have more than 100 signed up for the preconference on ed tech...#CMEchat #aceph12

theCMEguy       “@MedPedsDoctor: T2. You read the entire 292 page final program?? #CMEchat” >> um...well...no. Narrow by title 1st, then read abstracts

jjuch     Anyone have a favorite app for iphone to follow a hashtag? Been using twitter but wondering if something better? #cmechat

BrianSMcGowan            @MedPedsDoctor t2 - the tags work for some but i tend to ignore them...abstracts are 9 months old and tags are a bit ambiguous... #CMEchat

BrianSMcGowan            but it will always simply be 'the alliance' RT @cmewriter: T2 Trying to figure out how to pronounce "acehp" #acehp12 #CMEchat

MedPedsDoctor            T2. Man, you all are intense.  You read the entire 292 page final program?? #CMEchat

theCMEguy       T2: Setting up meetings w/ people; reviewing abstracts; repeating #acehp12 100x a day to remember... #cmechat

rmtyner t2 i have sketched out the sessions that I want to attend - and will make final decision on site #CMEchat

jjuch     T2: set time aside on Fri to look at abstracts #cmechat

BrianSMcGowan            think antiseptic - a-sep -  RT @cmewriter: T2 Trying to figure out how to pronounce "acehp" #acehp12 #CMEchat

BrianSMcGowan            Monday at 6PM looks like the time...time is to be decided. RT @spelletier: When is the #acehp12 tweetup? #cmechat

cmewriter          T2 Trying to figure out how to pronounce "acehp" #acehp12 #CMEchat

spelletier           t2 I haven't yet, but hope to go through the abstracts before I get on the plane at least! #cmechat

laurenero           Lauren here from Maryland.  I read every abstract in advance and narrow down choices by time. #CMEchat

CMEChat          t2 - i think so much of my prep time goes into the presentations I am giving, need to dedicate some me time to session reviews #CMEchat

MedPedsDoctor            My contribution to this conversation is this: get the @Evernote Hello app.  Looks amazing: perfect for such a meeting! #CMEchat

rmtyner T2 looking at the weather report! #CMEchat

spelletier           When is the #acehp12 tweetup? #cmechat

theCMEguy       @MedPedsDoctor Ha! It's on my new biz card too! #cmechat

CMEChat          T2 – How are you preparing for #acehp12? #CMEchat

cmewriter          +1 #tweetup RT @spelletier: t1 also at the top of the list is meeting ppl I have only known virtually. #cmechat

BrianSMcGowan            LOL RT @MedPedsDoctor: ... Excited to see Derek's boat! #CMEchat

jjuch     """RT @spelletier: t1 also at the top of the list is meeting ppl I have only known virtually."" Looking forward to tweetup for this

 #cmechat"

MedPedsDoctor            My entire CME world, other than IU, is now virtual --> soon to be real human beings in 2 days.  Excited to see Derek's boat! #CMEchat

rmtyner or at least look smarter RT @BrianSMcGowan: @MedPedsDoctor - we always use a capital O for Outcomes...makes us sound smarter ;-) #CMEchat

theCMEguy       “@spelletier: t1 also at the top of the list is meeting ppl I have only known virtually. #cmechat” >> Yes, this is a big one...

jjuch     "RT @BrianSMcGowan: t1 - hallway conversation" Agree. Met great people cause I didn't just sit in room checking email before start #cmechat

BrianSMcGowan            @MedPedsDoctor - we always use a capital O for Outcomes...makes us sound smarter ;-) #CMEchat

theCMEguy       @BrianSMcGowan Thought you said you weren't going to bar this year :-) #cmechat

BrianSMcGowan            like Alex ;-) RT @spelletier: t1 also at the top of the list is meeting ppl I have only known virtually. #cmechat

MedPedsDoctor            Theme for 2013: Hallway conversation data: outcomes and you! #CMEchat

spelletier           t1 also at the top of the list is meeting ppl I have only known virtually. #cmechat

BrianSMcGowan            +1 RT @CeCmBarb: ...looking for practical solutions and lots of interactivity #cmechat >> love to see speakers practice what they preach

MedPedsDoctor            #TOTD RT @rmtyner: keep an open mind... some of my best ideas came from conversations with people who disagree with me #CMEchat

theCMEguy       “@jjuch: T1: don't fall into trap of staying in a session that is not what you're expected/getting anything out of #cmechat” >> +1

rmtyner keep an open mind... some of my best ideas came from conversations with people who disagree with me #CMEchat

BrianSMcGowan            t1 - best session of last year IMO was the @ACCinTouch describing thier in situ simulations - just brilliant! #CMEchat

theCMEguy       T1: Fav moment from #acehp12, my very first conf 10 yrs ago, looking around realizing how many others were in the same boat as me #cmechat

spelletier           T1 total cliche, but hallway convos that have turned into lasting relationships are among my best #acehp experiences #cmechat

jjuch     T1: don't fall into trap of staying in a session that is not what you're expected/getting anything out of #cmechat

MedPedsDoctor            My family is coming as well to again experience the mouse's house in all its glory #acehp12 #CMEchat

dean_jenkins     Dean here in rainy UK. #CMEchat

BrianSMcGowan            @jjuch #plug -  #acehp12 #cmechat

jjuch     John here. Looking forward to my first Alliance conference as president of the American Academy of CME #acehp12 #cmechat

BrianSMcGowan            t1 - @MedPedsDoctor can take the first topic if off if you so choose ;-) #CMEchat

rmtyner TOTD RT @BrianSMcGowan: #acehp12 forecasts - fluorescent and 70 degrees for 5 days...#CMEchat #CMEchat

CMEChat          T1 – What are the top lessons you have learned and/or favorite experience from past Alliance meetings? #CMEchat #acehp12

BeaconLive       @beaconlive is looking forward to attending our first Alliance conference and meeting CME Pros this weekend in Orlando #acehp12 #CMEchat

BrianSMcGowan            #acehp12 forecasts - fluorescent and 70 degrees for 5 days...#CMEchat

MedPedsDoctor            @rmtuner and @MedPedsDoctor come from the land of fired coaches and GMs, but make for interesting news prior to SuperBowl #CMEchat

theCMEguy       “@MedPedsDoctor: By the way, @theCMEguy 's "tips" post is applicable to ANY meeting, not just #acehp12  #CMEchat” >> True that

spelletier           Sue in Massachusetts is getting ready to exchange her snowshoes for sandals on Saturday at #acehp12  #cmechat

theCMEguy       Just got back from Staples with new biz cards! Be sure to get yours at #acehp12. They're sure to be collectors items #cmechat

BrianSMcGowan            #totd RT @MedPedsDoctor: By the way, @theCMEguy 's "tips" post is applicable to ANY meeting, not just #acehp12  #CMEchat

BrianSMcGowan            #OMG - look at what the cat drug in ;-) RT @cmewriter: Anne here. Looking forward to #acehp12! Will arrive Sat a.m. #cmechat

MedPedsDoctor            By the way, @theCMEguy 's "tips" post is applicable to ANY meeting, not just #acehp12  #CMEchat

rmtyner Michelle - Indy - eager to travel to #acehp12 #CMEchat

greyelmy           Heather Guerrero, Bay Area CA #CMEchat

cmewriter          Anne here. Looking forward to #acehp12! Will arrive Sat a.m. #cmechat

BrianSMcGowan            RT @CeCmBarb: @BrianSMcGowan Barb in Collegeville, also leaving on Friday #CMEchat >> dont forget your hashtag ;-)

MedPedsDoctor            Alex Djuricich, Med-Peds doc (CME & GME) in Indianapolis, excited to learn from my first #acehp12 meeting #meded #CMEchat

BrianSMcGowan            debating having a moment of silence during #CMEchat this morning to protest #SOPA...but I think we can do more by learning, than protesting!

theCMEguy       Derek here in chilly Chestnut Hill. Leaving Friday also #cmechat

BrianSMcGowan            Hello to the #CMEchat crew  - 48 hours from now i begin the journey to Orlando for #acehp12...Brian here moderating the chat!

CMEChat          As with each #CMEchat the archive will be available at t.co/nOLVEvIB and archived as a pdf on www.CMEadvocate.com

CMEChat          As with each #CMEchat we will guide the convo with 3 or 4 topics, but the real learning and teaching lies in your tweets - please engage.

CMEChat          Rule 7. A few mins before the end of #CMEchat, reintroduce yourself. Links, requests & shameless plugs welcome, too - #makingfriends

CMEChat          Rule 6. On #CMEchat we aim to play nice. Sarcasm & irony welcome though. Really. Seriously. #laughingislearning

CMEChat          Rule 5. Periodically RT questions so those outside #CMEchat know what you’re talking about & so they can chime in too

CMEChat          Rule 4. Please remember to use the #CMEchat hashtag so all of the #CMEchat participants can follow the #CMEchat discussion!!!!

CMEChat          Rule 3. When writing, complete thoughts help followers outside chat learn from you. #CMEchat

CMEChat          Rule 2. [try to] stay on the #CMEchat topic. A new question will be asked every 12 min or so. If you can, include T# in related responses.

CMEChat          Rules for #CMEchat: 1. Introduce yourself. Location? Focus? Fave topics? What brings you here today?

CMEChat          Welcome to #CMEchat. All discussions herein are assumed to be personal opinion & not that of current, past, or future employers.

BrianSMcGowan            starting in 2 minutes! #CMEchat ?

BrianSMcGowan            #CMEchat today: Helping us prepare for #acehp12 this weekend in Orlando. Tips, tricks, and favorite sessions! Join us at 11AM ET.

BrianSMcGowan            A Few Tips On Attending The Alliance Conference by @theCMEguy  t.co/XJCv5mNI [part of our #CMEchat homework]

Looking back at our first 39 #CMEchat's

#CMEchat 39: Educate program credibility - from needs assessment, to faculty, to content, to action
http://cmeadvocate.com/2012/01/11/cmechat-39-educate-program-credibility---from-needs-assessment-to-faculty-to-content-to-action.aspx

#CMEchat 38 - Credibility, content/context, and control in online CME
http://cmeadvocate.com/2012/01/04/cmechat---credibility-contentcontext-and-control-in-online-cme.aspx

#CMEchat 37: Science behind knowledge retention/translation.
http://cmeadvocate.com/2011/12/21/cmechat-37-science-behind-knowledge-retentiontranslation-.aspx

#CMEchat 36: Virtual environments, congresses, & distance learning
http://cmeadvocate.com/2011/12/14/cmechat-36-virtual-environments-congresses--distance-learning.aspx

#CMEchat 35: Re-engineering the Data Stream
http://cmeadvocate.com/2011/12/07/cmechat-35-re-engineering-the-data-stream.aspx

#CMEchat34 What's good, what can be improved, what to talk about in 2012?
http://cmeadvocate.com/2011/12/03/cmechat34-whats-good-what-can-be-improved-what-to-talk-about-in-2012.aspx

Global Collaboration and Quality-driven Education
http://cmeadvocate.com/2011/11/17/cmechat-33---global-collaboration-and-quality-driven-education.aspx

What skills are needed for (virtual) social learning?
http://cmeadvocate.com/2011/11/09/cmechat-32---what-skills-are-needed-for-virtual-social-learning.aspx

State of CME or "Crystal Ball Gazing"
http://cmeadvocate.com/2011/11/02/cmechat-31---state-of-cme-or-crystal-ball-gazing.aspx

Behavior Change: Where Does CME fit?
http://cmeadvocate.com/2011/10/26/cmechat-30-behavior-change-where-does-cme-fit.aspx

Exploring non-traditional and serendipitous outcomes
http://cmeadvocate.com/2011/10/19/cmechat-29-exploring-non-traditional-and-serendipitous-outcomes.aspx

The use of technology in the CME community
http://cmeadvocate.com/2011/10/16/cmechat-28--the-use-of-technology-in-the-cme-community.aspx

How do we encourage practice and feedback loops in CME?
http://cmeadvocate.com/2011/10/05/cmechat-27---best-practices-in-feedback.aspx

Assessing what we know about assessment...
http://cmeadvocate.com/2011/09/29/cmechat-26---assessing-what-we-know-about-assessment.aspx

Publication planning for the CME profession
http://cmeadvocate.com/2011/09/21/cmechat--25-publication-planning-for-the-cme-profession.aspx

How much do we know about linking learning objectives to assessment models?
http://cmeadvocate.com/2011/09/14/cmechat-24-how-much-do-we-know-about-linking-learning-objectives-to-assessment-models.aspx

Exploring the value and utility of a tweetchat for learning
http://cmeadvocate.com/2011/09/07/exploring-the-value-and-utility-of-a-tweetchat-for-learning---cmechat.aspx

Can we make live meetings better?
http://cmeadvocate.com/2011/08/31/can-we-make-live-meetings-better.aspx

Beyond Formal Learning: Search and Informal Learning in Medicine
http://cmeadvocate.com/2011/08/28/beyond-formal-learning-search-and-decision-support-tools.aspx

CME Faculty: Content Experts or Teaching Excellence
http://cmeadvocate.com/2011/08/17/cme-faculty-content-experts-or-teaching-excellence.aspx

Practical Pitfall of Outcomes Fatigue
http://cmeadvocate.com/2011/08/10/practical-pitfall-of-outcomes-fatigue.aspx

Is education needed, if it already exists? #CMEchat
http://cmeadvocate.com/2011/08/03/is-educational-needed-if-it-already-exists.aspx

CMEchat - Rapid learning healthcare models and the CME profession
http://cmeadvocate.com/2011/07/27/cmechat---rapid-learning-healthcare-models-and-the-cme-profession.aspx

Blended Learning and Learning Styles in Medical Education: Hype or Hope
http://cmeadvocate.com/2011/07/20/blended-learning-and-learning-styles-hype-or-hope.aspx

How can we improve online learning?
http://cmeadvocate.com/2011/07/17/how-can-we-improve-online-learning.aspx

How can we improve live, 'situated' learning'?
http://cmeadvocate.com/2011/07/06/how-can-we-improve-live-situated-learning.aspx

What happens to new data after a medical meeting?
http://cmeadvocate.com/2011/07/04/what-happens-to-new-data-after-a-medical-meeting.aspx

How to endure learning. #CMEchat - ahhh, summer time learning
http://cmeadvocate.com/2011/06/22/cmechat---summer-time-learning.aspx

#CMEchat - Knowledge Translation & Decision Support Tools
http://cmeadvocate.com/2011/06/19/cmechat---knowledge-translation--decision-support-tools.aspx

Technology and education lessons - CMEchat Week Ten – Archive
http://cmeadvocate.com/2011/06/11/cmechat-week-ten---archive.aspx

#CMEchat week nine - CME vs CPD and the Future
http://cmeadvocate.com/2011/06/01/cmechat-week-nine---cme-vs-cpd-and-the-future.aspx

CMEchat week 8 - all about social learning
http://cmeadvocate.com/2011/05/25/cmechat-week-8---all-about-social-learning.aspx

How do you assess whether HCPs really ‘need’ education? #CMEchat lucky number 7
http://cmeadvocate.com/2011/05/18/cmechat-lucky-number-seven.aspx

Has the definition of CME changed #CMEchat week six
http://cmeadvocate.com/2011/05/13/cmechat-week-six---guest-host-meducate.aspx

Social and informal learning in the medical profession #CMEChat week 5
http://cmeadvocate.com/2011/05/04/cmechat-week-5.aspx

How/Where do you begin your educational planning
http://cmeadvocate.com/2011/04/27/archive-from-cmechat-today.aspx

The impact of format/design on the value/impact of a CME activity
http://cmeadvocate.com/2011/04/23/another-great-cmechat.aspx

Social Media (SoMe) in CME
http://cmeadvocate.com/2011/04/13/great-discussion-at-our-2nd-cmechat.aspx

Ice Breaker/Introduction Topics: Favorite learning principle and CME Hall of Fame Inductions
http://cmeadvocate.com/2011/04/07/inaugural-cmechat-was-a-great-success.aspx

#CMEchat 39: Educate program credibility - from needs assessment, to faculty, to content, to action.

Great conversation today that served as a sequel to #CMEchat 38 where we had discussed the differences between live and online programs. This week we explored credibility more generally.

Here are the topics for today's session:

T1 – Last week we spoke about making programs more credible – what does credibility in education mean to you? #CMEchat

T2 – Needs assessments are the foundation of education, how can needs assessments drive (or undermine) credibility? #CMEchat

T3 – Learners engage w/ educational content in many ways, how can it be designed to heighten credibility and accelerate learning? #CMEchat

T4 - Ultimately traditional education depends on the faculty doing the teaching, how can faculty drive (or undermine) credibility? #CMEchat

T5- Beyond needs assessments, content, and faculty, what are other ways that educators can enhance the credibility of the program? #CMEchat

You can review the transcript below (start from the bottom ;-) ), or downloaded the transcript HERE:

From User           Tweet

rmtyner               @BrianSMcGown I think that is a great idea - talk about sessions and use it as a primer for the meeting #acehp12 #CMEchat

CMEChat             The real impact of the #CMEchat lies in your action - engage others to participate & please take action on things your have learned! G’day!

CMEChat             As we get wrap up, please vote for the tweet of the day (#TOTD) seen during this week's #CMEchat.

CMEChat             Thx for participating in #CMEchat. Discussions herein are assumed 2 b personal opinion & not that of current, past, or future employers.

BrianSMcGowan              T5 - good news is that the simple structure of formal CME, offers intrinsic credibility, tho some argue that's part of the problems #CMEchat

theCMEguy        @BrianSMcGowan and most learners have not... #CMEchat

rmtyner               @BrianSMcGowan aesthetics are important - simple isn't a bad thing #CMEchat

BrianSMcGowan              it depends if you have seen how the sausage is made... RT @theCMEguy: T5: does a provider w/ Commendation bring more credibility? #CMEchat

theCMEguy        T5: Some believe CME from an academic provider is more "credible" than from a MEC #CMEchat

rmtyner               @theCMEguy not sure that matters to the learners - but may to the faculty and other collaborators #CMEchat

BrianSMcGowan              T5 - there must be consistency in the presentation. no frills is usually no less credible, but half/half programs raise doubt. #CMEchat

theCMEguy        T5: Honest question- does a provider w/ Accred with Commendation bring more credibility to a program? #CMEchat

BrianSMcGowan              t5 - something as simple as font and font size, color schemes, and slide design....and overall polish can affect credibility #CMEchat

BrianSMcGowan              can this be done in a room of 100 or 1000? RT @greyelmy: T5 listening to the learners enhances credibility #CMEchat

theCMEguy        T4: by not embracing the format. Faculty can sink an activity if they're skeptical of how it's being done #CMEchat

greyelmy             T5 listening to the learners enhances credibility #CMEchat

rmtyner               T5 look at what really motivates the learner  #CMEchat

rmtyner               @BrianSMcGowan - and I thought I was sarcastic today! #CMEchat

laurenero            the doc stars are the most difficult.  that star won't be speaking for us again! #CMEchat

BrianSMcGowan              #CMEBigData  RT @theCMEguy: this is why a national faculty eval database would be extremely helpful...and will never happen #CMEchat

theCMEguy        “@laurenero: esteemed faculty said he disagreed with our clin guidelines and taught totally contrary content. #CMEchat” > same here!

BrianSMcGowan              @rmtyner  - but three big names will more likely get more asses in more seats...and isn't that what CME is all about #sarcasm #CMEchat

theCMEguy        @BrianSMcGowan this is why a national faculty eval database would be extremely helpful...and will never happen #CMEchat

BrianSMcGowan              #inappropriatebias RT @laurenero: recently...esteemed faculty disagreed w/ our clin guidelines & taught totally contrary content. #CMEchat

rmtyner               t4 there should be a balance between a big name and a great teacher! one big name and two great teachers #CMEchat

greyelmy             T4 difference between excellent scientist/researcher/MD and excellent MD educator/teacher and even different from a good moderator #CMEchat

BrianSMcGowan              t4 - ...another reason why it is so difficult to produce dramatic learning through large, national-type CME programs. #CMEchat

laurenero            issue recently...esteemed faculty said he disagreed with our clin guidelines and taught totally contrary content. #CMEchat

BrianSMcGowan              t4 - ...so planners have to accept that at some level the learners think they would learn more from a bigwig faculty member #CMEchat

BrianSMcGowan              t4 - the struggle is that the credibility of the faculty 'on paper' comes weeks before the credibility as a teacher is apparent... #CMEchat

theCMEguy        “@BrianSMcGowan: #ouch RT @theCMEguy: Example: session starts and slides won't advance. Credibility lost #CMEchat” >> sorry, dude. ;-)

BrianSMcGowan              t4 - title and prestige of faculty is undoubtedly a determinant of program credibility...#CMEchat #forbetterorworse

greyelmy             T4 by not talking to their audience (specialist teaching PCP's presenting the same pres they would to a specialist audience) #CMEchat

BrianSMcGowan              t4 - this one gets may be the simplest, yet most frustrating for an educational planner #CMEchat

theCMEguy        “@greyelmy: T3 is  more engagement when activity has high credibility? #CMEchat” >> great question! I wish answer was yes, not sure it is...

CMEChat             T4 - Ultimately traditional education depends on the faculty doing the teaching, how can faculty drive (or undermine) credibility?  #CMEchat

BrianSMcGowan              #ouch RT @theCMEguy: Example: Webinar on using new tech; session starts and slides won't advance. Credibility lost #CMEchat

BrianSMcGowan              @greyelmy - t3 - could be...but would need to put the 'credibility' in context with other variables, tough to prove... #CMEchat

BrianSMcGowan              RT @laurenero: not a simple question, but the two parts are tied together, the more effective the more credible over time... #CMEchat

theCMEguy        Example: Webinar on using new tech; session starts and slides won't advance. Credibility lost #CMEchat

BrianSMcGowan              T3 -  unless the faculty try to convince themselves that tech glitches are 'good for the learners' #rationalizingfailure #CMEchat

greyelmy             T3 is credibility tied to engagement? increased engagement when activity has high credibility? #CMEchat

BrianSMcGowan              +1 RT @theCMEguy: T3: important when introducing new tech. If it is glitchy, activity will lose credibility with participants... #CMEchat

laurenero            @BrianSMcGowan what online format do you think is the most effective and/or credible? #CMEchat

BrianSMcGowan              t3 - and some learners may find 3000 word print CME to be less credible b/c the format is out of date. #CMEchat

theCMEguy        T3: very important when introducing new tech. If it is glitchy, activity will lose credibility with participants... #CMEchat

BrianSMcGowan              t3 - IMO, some learners may find 60 minute online video lectures to have little credibility, b/c the format is dated #CMEchat

rmtyner               t3 not to be a cynic but do learners really look at all of this information? i think that it is a small percentage #CMEchat

BrianSMcGowan              t2/3: so if there is a disconnect b/w the links of the educational planning chain then credibility suffers #CMEchat

theCMEguy        @BrianSMcGowan take this even further: gaps, needs, obj, desired results, audience, format all should line up #CMEchat

BrianSMcGowan              t3 - the answer to this question is a bit less clear to me...#CMEchat...b/c i am not sure learners are all that aware to channels/styles

BrianSMcGowan              i think my bulldog just tweeted...smart guy he is  #CMEchat

CMEChat             T3 – Learners engage w/ educational content in many ways, how can it be designed to heighten credibility and accelerate learning?  #CMEchat

jjuch      #CMEchat t2. Descrip needs to be written in way that helps reader recognize gap is theirs and not just others

laurenero            also look at the content review process.  how does org ensure no bias? #CMEchat

theCMEguy        T2: needs assessment needs to be current. I always look at dates on references in lit review to see if current info being used #CMEchat

rmtyner               t2 i agree - how does the needs assessment relate to my current gaps - but how do we highlight those needs? #CMEchat

BrianSMcGowan              t2 - I shld add that if the needs assessment and the description (brochure/flyer) are not aligned credibility will be quickly lost #CMEchat

theCMEguy        “@rmtyner: t1 ... how they present the data is... are they skewing it? #CMEchat” >> exactly...

BrianSMcGowan              this is absolutely true. RT @theCMEguy: @BrianSMcGowan how data is interpreted is modifiable, though... #CMEchat

laurenero            "Lauren here from Maryland.  any plans for a tweet up this year at Alliance?

 #CMEchat"

BrianSMcGowan              t2 - IMO the idea of WIIFM will determine whether i find something credible...so the needs assessment 'needs' to be very accurate. #CMEchat

theCMEguy        @BrianSMcGowan how data is interpreted is modifiable, though... #CMEchat

rmtyner               t1 for me the faculty disclosure is not an issue - they are disclosing it - how the present the data is... are they skewing it? #CMEchat

BrianSMcGowan              t1 - but there are many ways that we as educators and planners can contribute to or detract from the credibility, right? #CMEchat

theCMEguy        @jjuch I don't think there is a definite answer. More credible to some, less to others. #CMEchat

BrianSMcGowan              ;-) RT @rmtyner: t1 credibility is hard to define... you know it when you don't see it #CMEchat

jjuch      “@rmtyner: t1 credibility is hard to define... you know it when you don't see it #CMEchat” agree

BrianSMcGowan              t1- the data being presented is the non-modifiable part - data is data and if it is too unpredictable, it is likely not credible #CMEChat

rmtyner               t1 credibility is hard to define... you know it when you don't see it #CMEchat

jjuch      #CMEchat t1  so r nationally known faculty w name recognition but lots to disclose more or less credible?

theCMEguy        T1: bias is tricky. What 1 person sees as biased, and thus reducing credibility, another may not. #CMEchat

BrianSMcGowan              t1 Made to Stick: they also suggest that there are modifiable and non-modifiable elements too #CMEchat

rmtyner               @BrianSMcGowan i think that it is about the information - is it scientifically rigorous? peer-reviewed? #CMEchat

BrianSMcGowan              t1 - MAde to stick: suggest that there are intrinsic and extrinsic elements of credibility #CMEchat

jjuch      #CMEchat t1. Challenge among some learners: Speakers/authors/facilitators don't know MY patients/situation

greyelmy             T1 informed by our past experience #CMEchat

BrianSMcGowan              t1 - IMO relevance of the content is the foremost determinant of credibility...but there are quite a few other elements #CMEchat

theCMEguy        “@BrianSMcGowan: @rmtyner  - so we each have our own bar that we set for credibility? what informs this? #CMEchat” >> our own knowledge base

greyelmy             "The messenger is an important component to the credibility of the message.

 #CMEchat"

theCMEguy        T1: faculty involved affect credibility, though in different ways for different people #CMEchat

BrianSMcGowan              @rmtyner  - so we each have our own bar that we set for credibility? what informs this? #CMEchat

jjuch      #CMEchat going into meeting shortly so will participate as long as I can

BrianSMcGowan              T1 - credibility is about the basic 'believability and relevance' of the content. if it is not credible, learners wont accept it. #CMEchat

rmtyner               T1 reliable information, free of bias, not pitching me anything #CMEchat

BrianSMcGowan              t1 i am a disciple of Made to Stick - so i think about credibility of messaging alot...hope it informs our discussion today ;-) #CMEchat

CMEChat             T1 – Last week we spoke about making programs more credible – what does credibility in education mean to you? #CMEchat

jjuch      "“@rmtyner: I will be there! Very excited #acehp12

 #CMEchat”. Me 2"

BrianSMcGowan              #totd RT @rmtyner: @BrianSMcGowan maybe we can have an adult beverage... if your schedule allows  #CMEchat

BrianSMcGowan              Heard today that nearly 100 folks have signed up for our Preconference session on Emergning Tech in CME #CMEchat #acehp12

rmtyner               @BrianSMcGowan maybe we can have an adult beverage... if your schedule allows  #CMEchat

theCMEguy        “@BrianSMcGowan: anyone not headed to Orlando next week for #acehp12. #CMEchat” >> I'll be there to kick-off my free agency period :-)

BrianSMcGowan              we will give it another few minutes to see who else is joining us...#CMEchat

rmtyner               "I will be there! Very excited #acehp12

 #CMEchat"

BrianSMcGowan              spent the morning making some #acehp12 dinner reservations...perhaps this is our first lesson for  #CMEchat this week!

greyelmy             "I will not be attending, unfortunately.

 #CMEchat"

BrianSMcGowan              anyone not headed to Orlando next week for #acehp12. #CMEchat

BrianSMcGowan              howdy to Michelle, Heather, and deeerrrrrriiiiicccckkkkkkk - we will try to speak slowly for your bandwidth #CMEchat ;-)

theCMEguy        "“@greyelmy: Heather Guerrero, Gilead Sciences, Foster City, CA. Pretty new to #CMEchat. #CMEchat” >> Welcome!"

rmtyner               Welcome Heather! #CMEchat

BrianSMcGowan              Last week we had a number of folks ask for this topic to standalone - so hopefully we have a hearty #CMEchat discussion!

theCMEguy        Derek in Center City Philly today. Attempting this via slow WiFi and iPad. Apologies in advance for being a step behind #CMEchat

greyelmy             "Heather Guerrero, Gilead Sciences, Foster City, CA. Pretty new to #CMEchat.

BrianSMcGowan              Brian here moderating #CMEchat  - this week we focus on program credibility - from needs assessment, to faculty, to content, to action.

rmtyner               Michelle - checking in from rainy Indiana!  #CMEchat

theCMEguy        “@CMEChat: All discussions herein are assumed to be personal opinion & not that of current, past, or future employers" heh...yeah. #CMEchat

BrianSMcGowan              Busy week for the #CMEchat crowd - hope everyone is gearing up for orlando and #acehp12 and hope your spaceded programs are going well ;-)

CMEChat             As with each #CMEchat the archive will be available at t.co/nOLVEvIB and archived as a pdf on www.CMEadvocate.com

CMEChat             As with each #CMEchat we will guide the convo with 3 or 4 topics, but the real learning and teaching lies in your tweets - please engage.

CMEChat             Rule 7. A few mins before the end of #CMEchat, reintroduce yourself. Links, requests & shameless plugs welcome, too - #makingfriends

CMEChat             Rule 6. On #CMEchat we aim to play nice. Sarcasm & irony welcome though. Really. Seriously. #laughingislearning

CMEChat             Rule 5. Periodically RT questions so those outside #CMEchat know what you’re talking about & so they can chime in too

CMEChat             Rule 4. Please remember to use the #CMEchat hashtag so all of the #CMEchat participants can follow the #CMEchat discussion!!!!

CMEChat             Rule 3. When writing, complete thoughts help followers outside chat learn from you. #CMEchat

CMEChat             Rule 2. [try to] stay on the #CMEchat topic. A new question will be asked every 12 min or so. If you can, include T# in related responses.

CMEChat             Rules for #CMEchat: 1. Introduce yourself. Location? Focus? Fave topics? What brings you here today?

CMEChat             Welcome to #CMEchat. All discussions herein are assumed to be personal opinion & not that of current, past, or future employers.

BrianSMcGowan              #CMEchat today: Educational programming and credibility - from needs assessment, to faculty, to content, to action. Join us in 50 minutes!


 

#CMEchat - Credibility, content/context, and control in online CME

Wonderful way to start 2012 with one of the most robust tweetchats since we began #CMEchat.

The topics for the week were as follows:

  • T1 – what are the similarities/differences or pros/cons b/w live, face-2-face CME & eLearning (get the juices flowing) #CMEchat

  • The next 3 topics are derived from the Young study. Physician preferences for accredited online CME. http://t.co/1sf7hRAD #CMEchat
  • T2 - Credibility of eCME was the most consistent theme in the Young study. How can the credibility of the prgrms be optimized? #CMEchat
  • T3 – A need for discussion about content emerged as a key negative of eCME. How can the interactivity of the prgrms be optimized? #CMEchat
  • T4 - Control over the pace and depth and learning was a key positive of eCME. How can this be leverage to enhance learning? #CMEchat
  • T5- As we begin to wrap up, what is your ‘professional new year’s resolution? What will you learn? What will you do? #CMEchat


The transcript can be reviewed below or downloaded HERE:


From User           Tweet

GrantsMeister  #TOTD T2 - Credibility of eCME was the most consistent themes in the Young study. How can the credibility of the eCME be optimized? #CMEchat

MedPedsDoctor               Wonderful chat today: wonderful paper to review, and friendly, helpful discussion (complete with learning) with all.   #CMEchat

spelletier             eCME appeal in a nutshell! RT @DavidPaulNoble T5 do more things online = save time, limit stress, reduce CO2 emissions & have life! #cmechat

theCMEguy        Me too... RT @spelletier: I keep forgetting about G+! Haven't been there in ages #cmechat

rmtyner               Great chat! Thanks to @BrianSMcGowan for moderating  #CMEchat

BrianSMcGowan              For those interested in such things...i recommend you participate in @bjfogg's 3 tiny habits project: t.co/421BD323 #CMEchat

DavidPaulNoble                T5 do more things online = save time, limit stress, reduce CO2 emissions (by not going 2 pointless mtgs) & therefore have a life! #CMEchat

spelletier             @theCMEguy I keep forgetting about G+! Haven't been there in ages #cmechat

CMEChat             The real impact of the #CMEchat lies in your action - engage others to participate & please take action on things your have learned! G’day!

CMEChat             As we get wrap up, please vote for the tweet of the day (#TOTD) seen during this week's #CMEchat.

spelletier             T5 to make as many of the #CMEchats as possible, learn from y'all, and start spread yr gr8 ideas far/wide (hey, a girl can dream) #cmechat

jjuch      T5: to set aside a block of time on my calendar regularly to devote time to my own prof development #cmechat

BrianSMcGowan              Thx for participating in #CMEchat. Discussions herein are assumed 2 b personal opinion & not that of current, past, or future employers.

theCMEguy        T5: I am going to give G+ another go. Starting to see the value of circles... #CMEchat

MedPedsDoctor               NY resolution: don't stop thinking about tomorrow. t.co/Qm7iO8cu  #CMEchat

DavidPaulNoble                @BrianSMcGowan Re: ivory towers - I wanted to say "lol" but we don't do that on Twitter!  #CMEchat

BrianSMcGowan              t5 - my only resolution (and the only thing i think about right now) is to write the book on open, connected, and social healthcare #CMEchat

rmtyner               T5 build the science of CME - seems like a great complement to my doctoral research! #CMEchat

MedPedsDoctor               I have started doing a few eCME sessions giving 15 min credit.  These are great!  #CMEchat

rmtyner               TOTD RT @BrianSMcGowan: @MedPedsDoctor - i should tell you about the cocktail napkin EMR I built in 2007 ;-) #CMEchat

CMEChat             T5- As we begin to wrap up, what is your ‘professional new year’s resolution? What will you learn? What will you do? #CMEchat

BrianSMcGowan              if they were ivory...RT @DavidPaulNoble: RT @BrianSMcGowan: accreditation #doh #CMEchat <- only because "ivory towers" said so!

BrianSMcGowan              @MedPedsDoctor - i should tell you about the cocktail napkin EMR I built in 2007 ;-) #CMEchat

spelletier             Good question. RT @DavidPaulNoble: T4, research has been done into optimal duration of eCME surely? Where did 40-50mins come from?  #cmechat

BrianSMcGowan              @DavidPaulNoble - accreditation #doh #CMEchat

jjuch      RT @DavidPaulNoble: "T4, 40-50mins" Seems long to me as well. #cmechat

DavidPaulNoble                RT @GrantsMeister: T4 doesn't a lecturer have great control over pace and depth of lecture? #CMEchat <- isn't that part of the problem?

BrianSMcGowan              @spelletier - perhaps this is a topic for a subsequent #cmechat - how to give learners control of live f2f education?

MedPedsDoctor               I wonder how many EMRs, when a pop-up reminder to do something (eg, give DVT proph) currently have evidence embedded w link 2 artic #CMEchat

YogAlicia3            #cmechat T4 @GrantsMeister Not if they treat it as a lecture...

DavidPaulNoble                T4, some research has been done into optimal duration of eCME surely? Where did 40-50mins come from? Sounds arbitrary. #CMEchat

GrantsMeister  @BrianSMcGowan Aha got it, thanks  #CMEchat

MedPedsDoctor               I love the off-shoot learning from the MKSAP & PREP board review materials: can link to direct articles. #CMEchat

BrianSMcGowan              #outsidethebox! RT @spelletier: t4 how can we take that learner-directed aspect of eCME to live activities? #cmechat

spelletier             Shouldn't f2f do the same? RT @BrianSMcGowan: t4 - eCME should allow for curation and off-shoot learning to other resources #cmechat

BrianSMcGowan              @GrantsMeister - but this is about the learner's ability to regain control...repeat, ffwd, slow...to thier brain's delight! #CMEchat

GrantsMeister  T4 doesn't a lecturer have great control over pace and depth of lecture? #CMEchat

spelletier             t4 how can we take that learner-directed aspect of eCME to live activities? #cmechat

BrianSMcGowan              t4 - eCME should allow for curation and off-shoot learning to other resources...not 'adaptive' but 'adaptable' ...very different #CMEchat

MedPedsDoctor               What I liked best about this paper: Paraphrase: "don't exclude F2F CME options just to have eCME.  Need both". #CMEchat

GrantsMeister  T4 not sure how control over pace and depth is different online veruss f2f? #CMEchat

spelletier             Yes! This is what eCME does well RT @MedPedsDoctor: T4. Pace and depth: depends on the LEARNER, not the teacher.   #cmechat

BrianSMcGowan              t4 - pace and depth is one thing, but still need to rethink the 50 minute sessions...need to design for better retention. #CMEchat

laurenero            our spacedEd online activities are VERY popular, especially with younger docs #CMEchat

spelletier             @rmtyner maybe we do, but we have to deal with learners' expectations as they are. What @BrianSMcGowan just said re interactivity #cmechat

DavidPaulNoble                T4, pace, depth AND duration (latter a turn off if too long?) #CMEchat

rmtyner               if you want to create a Q&A session with eCME - set expectation early with faculty and learners - faculty don't answer every Q F2F #CMEchat

BrianSMcGowan              @MedPedsDoctor - several have explored the neuroscience of new technology...no evidence to support it. Plus wld it be bad? #CMEchat

MedPedsDoctor               T4. Pace and depth: depends on the LEARNER, not the teacher.  eCME should have things embedded depending on what learner answers #CMEchat

DavidPaulNoble                RT @GrantsMeister: T3 invite Brice Kerfoot 2 lead CME chat nxt month, let's C how many ppl remember 2 set aside 11 am EST #CMEchat <- Who?

BrianSMcGowan              +1 RT @GrantsMeister: T3 invite Brice Kerfoot to lead chat next month, let's see how many people remember to set aside 11 am EST #CMEchat

BrianSMcGowan              t3 - problem w/ the promise of interactivity is that you CAN overpromise & underdeliver...especially w/current 'faculty' model #CMEchat

spelletier             t4 seems like pace and depth is something eCME is doing right #cmechat

MedPedsDoctor               T3. Ponder this: Have tweetchats created new symptoms of Adult ADHD w multi-tasking? #CMEchat

GrantsMeister  T3 invite Brice Kerfoot to lead CME chat next month, let's see how many people remember to set aside 11 am EST #CMEchat

rmtyner               do we make too many assumptions in an instantaneous world??  #CMEchat

CMEChat             T4 - Control over the pace and depth and learning was a key positive of eCME. How can this be leveraged to enhance learning? #CMEchat

spelletier             @rmtyner depends on expectations, right? If I expect (due to other online interactions) a quick answer, frustration is high #cmechat

YogAlicia3            #cmechat @MedPedsDoctor Most prob would say didn't want to hear about topic or from faculty -> needs and credibility issues

BrianSMcGowan              i'll get back to u on that. RT @spelletier: is anything more frustrating than waiting a week for answer to yr question? #cmechat

GrantsMeister  T3 the discussion we're having now seems pretty interactive, perhaps tweet chats will catch on more widely #CMEchat

MedPedsDoctor               @spelletier Only thing more frustrating is waiting months to know if one passed Boards! #CMEchat

rmtyner               @spelletier better than no answer at all?? #CMEchat

BrianSMcGowan              t3 - have faculty lead the engagement...at least to get it started...blend the traditional 'teaching' role w/ chat facilitation.. #CMEchat

MedPedsDoctor               Not accusative; just stating what I've seen MT @DavidPaulNoble: @MedPedsDoctor I hope I came across as rhetorical & not accusative  #CMEchat

jjuch      RT @BrianSMcGowan: made emails of faculty available to online learners--great solution but faculty could be overwhelmed/time commit #cmechat

rmtyner               @BrianSMcGowan any interactivity is better than none at all #CMEchat

spelletier             re asynchronous interactivity-is anything more frustrating than waiting a week for answer to yr question? #cmechat

MedPedsDoctor               I will say that from a GME perspective, that asynchronous learning is growing every day: duty hours dictated a new paradigm #CMEchat

DavidPaulNoble                @MedPedsDoctor I hope I came across as rhetorical and not accusative!  #CMEchat

reginamotarjeme            Agreed! RT @rmtyner: interactivity enhances learner motivation #CMEchat

BrianSMcGowan              in the 2005 fordis paper they made emails of faculty available to online learners....do what you can...asynchronous interactivity? #CMEchat

DavidPaulNoble                RT @MedPedsDoctor: @DavidPaulNoble It is not for me, but I am sure that some would look at it that way (unfortunately). #CMEchat

rmtyner               interactivity enhances learner motivation #CMEchat

DavidPaulNoble                RT @spelletier: credible=for credit?? Say it ain't so (but may be for some learners). #cmechat

MedPedsDoctor               @DavidPaulNoble It is not for me, but I am sure that some would look at it that way (unfortunately). #CMEchat

BrianSMcGowan              #totd RT @MedPedsDoctor: I wonder how many people thought I was "distracted" earlier today when tweeting GrRounds.  I wasn't! #CMEchat

reginamotarjeme            thisis what we do and learners love it RT @laurenero: build learning communities for online activities with the faculty monitoring. #CMEchat

GrantsMeister  @BrianSMcGowan How about credibility of needs assessments? Sometimes they seem like window dressing #CMEchat

DavidPaulNoble                RT @MedPedsDoctor: . @davidPaulNoble The reasons 4 y difft docs choose 2 even "do" CME is as varied as cn B. #CMEchat <- just abt points?

laurenero            @YogAlicia3 that happens in live activities as well as online. #CMEchat #CMEchat

jjuch      T3: discussion a real challenge w eCME. One of advantages is you can do it at your convenience; need asynchronous discussion format #cmechat

BrianSMcGowan              t3 - this group has chewed on this one b4. interactivity is the hallmark of feedback - my favorite #adultlearningprinciple #CMEchat

MedPedsDoctor               @YogAlicia3 Yeah, I wonder how many people thought I was "distracted" earlier today when tweeting GrRounds.  I wasn't! #CMEchat

spelletier             I do. RT @BrianSMcGowan: t2 - who thinks credibility of programs deserves a #CMEchat all of its own...perhaps next week? #cmechat

DavidPaulNoble                RT @BrianSMcGowan: t2 - who thinks credibility of programs deserves a #CMEchat all of its own...perhaps next week? <- most certainly!

MedPedsDoctor               . @davidPaulNoble The reasons for why different docs choose to even "do" CME is as varied as can be. #CMEchat

rmtyner               Agree RT @BrianSMcGowan: t2 - who thinks credibility of programs deserves a #CMEchat all of its own...perhaps next week? #CMEchat

laurenero            build learning communities for online activities with the faculty monitoring/responding to posts for some period of time. #CMEchat

rmtyner               T3 more than a talking head on the monitor?? #CMEchat

BrianSMcGowan              t2 - who thinks credibility of programs deserves a #CMEchat all of its own...perhaps next week?

spelletier             credible=for credit?? Say it ain't so (but may be for some learners). #cmechat

jjuch      @YogAlicia3: #cmechat T2 Much credibility gained when learners realize wll address their gaps&needs Challenge is getting them there #cmechat

DavidPaulNoble                @BrianSMcGowan Surely you'd only pick a program of benefit for credits? Too idealistic? #CMEchat

reginamotarjeme            Regina from Denver, sorry had to reboot, catching up, Happy 2012! #CMEchat

MedPedsDoctor               @DavidPaulNoble To get the requisite number of hours required by hospital/state/reg. agency #CMEchat

CMEChat             T3 – A need for 'discussion about content' emerged as a key negative of eCME. How can the interactivity of the eCME be optimized? #CMEchat

spelletier             @MedPedsDoctor also agree with @YogAlicia3. My question is how to gain that cred pre-activity (so they show up)? #cmechat

BrianSMcGowan              need the credit? ;-) RT @DavidPaulNoble: @MedPedsDoctor If you didnt know you had some gaps why would you use the program? #CMEchat

BrianSMcGowan              need the credit? ;-) RT @DavidPaulNoble: @MedPedsDoctor If you didnt know you had some gaps why would you use the program? #CMEchat

rmtyner               i think we need to understand why learners choose the activities... do they look at the LOs and gaps?? #CMEchat

BrianSMcGowan              @MedPedsDoctor - so credible eCME establishes a setting in which the learner sees as relevant to their context (& perceived needs) #CMEchat

DavidPaulNoble                @MedPedsDoctor If you didnt know you had some gaps why would you use the program? #CMEchat

MedPedsDoctor               Agree with @YogAlicia3 , but have a side comment.  How many really even understand what their gaps even are? #CMEchat

BrianSMcGowan              t2 - perhaps best to focus on the content for this discussion...@YogAlicia3 seems to be on the right path...#CMEchat

GrantsMeister  T2...in journalism, credibility comes from financial independence #CMEchat

DavidPaulNoble                T2 Accreditation = Credibility? many of you know my views on that! #CMEchat

jjuch      @MedPedsDoctor how often does the learner have 14 windows open , doing "other things"? Agree Often hapens 2me w #CMEchat #cmechat

MedPedsDoctor               @laurenero Good point.  Define "prestigious".  Is it USNWR rankings?? #CMEchat

BrianSMcGowan              #TOTD RT @YogAlicia3: #cmechat T2 Much credibility to b gained in first few moments when learners realize will address their gaps and needs.

BrianSMcGowan              @DavidPaulNoble - only in as much as it may affect the credibility of the programs in the eyes of some learners...no editorial ;-) #CMEchat

YogAlicia3            #cmechat T2 Much credibility to be gained in first few moments when learners realize will address their gaps and needs.

MedPedsDoctor               T2. Credibility is an excellent discussion point.  Means diff things to diff people.  To some, disclosure of nothing vs something #CMEchat

BrianSMcGowan              t2 - internal and external sources of credibility...modifiable and non-modifiable sources too ;-) #CMEchat

laurenero            @BrianSMcGowan collaborating with other/prestigious organizations?  #CMEchat #CMEchat

DavidPaulNoble                @BrianSMcGowan T2 - are you rasing the inevitable issue of pharma funding of CME and other sponsored Med Ed?! #CMEchat

spelletier             @MedPedsDoctor nice analogy! Also works for difference between live and on-demand online activity #cmechat

GrantsMeister  T2...interesting....credibility is also foundation of good journalism...#CMEchat

BrianSMcGowan              t2 - heath brothers in 'Made to Stick' have a great chapter on Credibility - could be a book in and of itself...#CMEchat

MedPedsDoctor               @BrianSMcGowan I like the big red bird the best! #CMEchat

BrianSMcGowan              t2 - credibility to some may be as simple as funding source...is there a way to 'overcome' this w/i the context of a eCME program? #CMEchat

DavidPaulNoble                RT @spelletier: t2 are cred challenges different for online and f2f? If so, why? #cmechat<- yes,high profile faculty easier to "sell" online

GrantsMeister  t2 agreed, credibility in CME is crucial. Hence the emphasis on faculty selection. #CMEchat

MedPedsDoctor               F2F vs. e-learning: analogous to being on Tweetchat live versus reading the transcript.  Each is different #CMEchat

BrianSMcGowan              @MedPedsDoctor - what did you say, I was distracted by some angry birds? #CMEchat

YogAlicia3            #cmechat Alicia here...lurking from PHL over cinnamon scones. Happy new year, all!!

DavidPaulNoble                @BrianSMcGowan Indeed! I reflect on the "old" remote teaching techniques sometimes and see that not much has really changed! #CMEchat

spelletier             t2 are cred challenges different for online and f2f? If so, why? #cmechat

BrianSMcGowan              t2 - i assume that credibility is about the website, the mission, the funding, the objectives...any other thoughts? #CMEchat

GrantsMeister  @CMEChat Thanks for this reference, very interesting! #CMEchat

MedPedsDoctor               Online learning can be very engaging, but how often does the learner have 14 windows open on the computer, doing "other things"? #CMEchat

jjuch      "John Juchniewicz from American Academy of CME joining late

 #cmechat"

BrianSMcGowan              @DavidPaulNoble - the #irony is that with new video teleconferencing technologies anything anywhere can B 'face-2-face' #CMEchat

spelletier             t2 need background--what are cred challenges with online cme? #cmechat

DavidPaulNoble                RT @spelletier: t2 faculty has to be key to cred, whether online or f2f, right? #cmechat <- agree, cred of faculty  is key driver to uptake

BrianSMcGowan              t2 - credibility can be addressed directly or just wait until familiarity evolves and see if it changes...I wld prefer the former. #CMEchat

DavidPaulNoble                @BrianSMcGowan I pioneered tele-teaching OF surgery with RCS in  80's. Even then it was a great blend of f2f and distance learning. #CMEchat

spelletier             t2 faculty has to be key to cred, whether online or f2f, right? #cmechat

spelletier             @BrianSMcGowan hmm, if they learn equally. Not sure that's true. But e-learning is getting more popular b/c of time/cost benefits #cmechat

MedPedsDoctor               T1.  Engagement is a two-way street.  One can be more engaged in a F2F CME session, if one chooses to be engaged.   #CMEchat

CMEChat             T2 - Credibility of eCME was the most consistent themes in the Young study. How can the credibility of the eCME be optimized? #CMEchat

BrianSMcGowan              surely, but we have recent stories of tele-teaching surgeries too! RT @laurenero: teaching complex "hands on" skills is better F2F #CMEchat

BrianSMcGowan              and therefore learning-efficient perhaps? RT @spelletier: t1 e-learning more cost- and time-efficient for learners #cmechat

laurenero            teaching complex "hands on" skills is better F2F #CMEchat

BrianSMcGowan              but different formats have different strengths/ease. RT @meducate: #CMEChat T1 Education in all forms share the same foundations.

rmtyner               interactivity is all in the educational design -  #CMEchat

spelletier             t1 e-learning more cost- and time-efficient for learners #cmechat

MedPedsDoctor               Sorry I am late, CME friends.  Last meeting ran over.  I'm in! #CMEchat

rmtyner               Welcome Lauren! RT @laurenero: Lauren here from Maryland. #CMEchat

BrianSMcGowan              t1- live f2f in a room of 1000 <<< interactive than some online <<< interactive than small groups sessions. so is it format? #CMEchat

rmtyner               and more time away from the office for the learners MT @BrianSMcGowan: t1 - differences  #CMEchat

laurenero            Lauren here from Maryland. #CMEchat

BrianSMcGowan              t1 - differences (slightly off topic) but face to face takes more time energy and resources to implement...considering travels? #CMEchat

spelletier             access to faculty/ability to get questions answered can differ, depending on whether e-learning is live or on demand #cmechat

DavidPaulNoble                RT @meducate: #CMEChat T1 Education in all forms share the same foundations. <--- Hear hear!!

rmtyner               T1 i think that eLearning causes learners to be more engaged in the learning process #CMEchat

GrantsMeister  T1 so many more senses are involved in a live meeting -- sight, sound, touch, even taste and smell. More sensory stimulation. #CMEchat

DavidPaulNoble                T1 - there is no reason that f2f and elearning cannot and should not work synergistically #CMEchat

spelletier             T1 similarity=topics differences=live has personal interaction, more engaging usually than e-learning #cmechat

DavidPaulNoble                t1 F2F reaches fewer participants than elearning. If by elearning we mean "true" online engagement then particpation can be high #CMEchat

BrianSMcGowan              t1 - top 'pro' of live face-to-face is familiar, and feedback can be collected from non-verbal reactions and 'feeling' in the room. #CMEchat

GrantsMeister  T1 live meetings have a serendipity social effect that's energizing and inspiring, almost impossible to duplicate online #CMEchat

rmtyner               i think there are some challenges getting learners to interact with each other in an eLearning environment #CMEchat

rmtyner               I am sure that more will join as the hour progresses! #CMEchat

DavidPaulNoble                Hi folks, Happy 2012 to you all! Joining from Cambridge, UK.  #CMEchat

GrantsMeister  So far so good with spaceded project except I think their marketing department needs to hire a medical writer ;) #CMEchat

CMEChat             T1 – what are the similarities/differences or pros/cons b/w live, face-2-face CME & eLearning (get the juices flowing) #CMEchat

BrianSMcGowan              Perhaps a small crowd today, but lets jump right into the topics for the day #CMEchat

BrianSMcGowan              How is everyone's spaceded project going? #CMEchat

BrianSMcGowan              What's new? ;-) RT @rmtyner: Happy New Year and good morning - Michelle from chilly Indiana #CMEchat

theCMEguy        Hi all, a little distracted today so will probably be popping in and out... #cmechat

BrianSMcGowan              @meducate - no ;-)  #CMEChat

rmtyner               Happy New Year and good morning - Michelle from chilly Indiana #CMEchat

BrianSMcGowan              If you get a chance to go back and check out some resources I have shared in the past 30 minutes...good stuff for eLearning. #CMEchat

GrantsMeister  Hi it's Don (Grantsmeister) in Downingtown. Eager to compare notes on Qstream, stay up to date on CME today. #CMEchat

BrianSMcGowan              HAPPY NEW YEAR - to the #CMEchat gang...Brian here, hoping for a quick paced learning session today!

CMEChat             As with each #CMEchat the archive will be available at t.co/nOLVEvIB and archived as a pdf on www.CMEadvocate.com

CMEChat             As with each #CMEchat we will guide the convo with 3 or 4 topics, but the real learning and teaching lies in your tweets - please engage.

CMEChat             Rule 7. A few mins before the end of #CMEchat, reintroduce yourself. Links, requests & shameless plugs welcome, too - #makingfriends

CMEChat             Rule 6. On #CMEchat we aim to play nice. Sarcasm & irony welcome though. Really. Seriously. #laughingislearning

CMEChat             Rule 5. Periodically RT questions so those outside #CMEchat know what you’re talking about & so they can chime in too

CMEChat             Rule 4. Please remember to use the #CMEchat hashtag so all of the #CMEchat participants can follow the #CMEchat discussion!!!!

CMEChat             Rule 3. When writing, complete thoughts help followers outside chat learn from you. #CMEchat

CMEChat             Rule 2. [try to] stay on the #CMEchat topic. A new question will be asked every 12 min or so. If you can, include T# in related responses.

CMEChat             Rules for #CMEchat: 1. Introduce yourself. Location? Focus? Fave topics? What brings you here today?

CMEChat             Welcome to #CMEchat. All discussions herein are assumed to be personal opinion & not that of current, past, or future employers.

BrianSMcGowan              Sargeant (2004) Fordis (2005) Casebeer (2008) and Young (2011) - should be shaping the planning and implementation of eCME #CMEchat

BrianSMcGowan              Interactive on-line continuing medical education: physicians' perceptions and experiences t.co/6zSiBEvK #CMEchat

BrianSMcGowan              so we don't appear to have good data on live web-based learning vs live face-2-face; or any data on web2.0-based online learning. #CMEchat

BrianSMcGowan              A controlled trial of the effectiveness of internet continuing medical education t.co/Cu3yX0Oi #CMEchat

BrianSMcGowan              Comparison of the Instructional Efficacy of Internet-Based CME With Live Interactive CME Workshops [2005] t.co/LM7bXb25 #CMEchat

BrianSMcGowan              90 mins until #CMEchat this week: online CME credibility, content/context, and control. please join us.


#CMEchat 37: Science behind knowledge retention/translation.

One of the most robust and fast-paced conversations of the year.

Thanks to all who joined and to all who made 2011 and #CMEchat such a valuable learning experience

To each of you I wish the happiest of holidays - 'see' you in the new year!

Our topics for this week were as follows:

T1 What models have you used to help learners remember what they have learned? Pros/Cons? #CMEchat

 

T2 Describe your perfect support system for knowledge retention and translation? #CMEchat

 

T3 On a budget, what support systems can we employ to support knowledge retention and translation? #CMEchat

 

T4 What triggers do you personally rely on to support learning, or engrain new behaviors? ‘To do’ lists? Visual Cues? Connecting x to y? #CMEchat

 

T5 Data suggest setting up questions/reminders by text message/email triggers memory (http://bit.ly/s6GpYz) any experience? #CMEchat

And, our discussion can be reviewed below, or downloaded HERE:

From User    Tweet

rmtyner               Happy Holidays Everyone!!  #CMEchat

YogAlicia3            Enjoy the holidays, #cmechat folks!

GrantsMeister  my favorite tweet was  "Learning is Repetition, Learning is repetition etc" but I can't find it to retweet it! #TOTD #CMEchat

greyelmy             @CMEChat Heather Guerrero here from Gilead Sciences. My first #CMEchat. Thanks for a great conversation!

BrianSMcGowan              I have signed up for "Basic Music Theory ; by Colin O'Dwyer EdM" on Qstream #CMEchat

theCMEguy        I'm in! RT @YogAlicia3: @theCMEguy Attend one session per day of the meeting, and review each night at the bar. ;) #cmechat

JediPD  Happy Holidays! Teachers & Students alike. #CMEChat

theCMEguy        I will use a spaced learning program to try and remember Alliance hashtag is #acehp12 and not #acme12 or #achpe12 or #cmechat

YogAlicia3            @theCMEguy Attend one session per day of the meeting, and review each night at the bar. ;) #cmechat

theCMEguy        Indeed RT @YogAlicia3: Could be wrong learners, wrong needs, bad facilitator, bad setting, wrong color slides, out of tune singing. #cmechat

BrianSMcGowan              in life as in learning. RT @JediPD: @BrianSMcGowan In small group less distraction more observing eyes. #CMEChat

YogAlicia3            @areesemd We missed you on #cmechat again!!

BrianSMcGowan              @meducate @rmtyner @GrantsMeister are each committed to trying a spaced learning program for 5 weeks to report back at #acehp12 #CMEchat

JediPD  @BrianSMcGowan In small group less distraction more observing eyes. #CMEChat

CMEChat             The real impact of the #CMEchat lies in your action - please engage others to participate & take action on things your have learned!

GrantsMeister  @BrianSMcGowan I'll give it a try #CMEchat

CMEChat             As we get wrap up, please vote for the tweet of the day (#TOTD) seen during this week's #CMEchat.

CMEChat             Thx for joiing in #CMEchat. All discussions herein are assumed 2 b personal opinion & not that of current, past, or future employers.

theCMEguy        Suggestions on how? RT @BrianSMcGowan: T5 - action item - try a spacing model for your personal learning in the next month  #CMEchat

BrianSMcGowan              @JediPD - so in small groups there is less likelihood of waste, especially in a groups that allow for team learning...#CMEChat

rmtyner               @BrianSMcGowan I am in as well...  #CMEchat

JediPD  @BrianSMcGowan Re #s: isn't learning coefficient, individual desire based. Some come for food, others to chat & others to lurk. #CMEChat

meducate           @BrianSMcGowan I'm in...#cmechat

BrianSMcGowan              now if we could get @spelletier to set some reminders we could prove that the model works ;-) #CMEchat

BrianSMcGowan              T5 - action item - try a spacing model for your personal learning in the next month - we will discuss results in Orlando? #CMEchat Who's in?

GrantsMeister  Perhaps Kerfoot an invited guest at a future #CMEChat ?

theCMEguy        @BrianSMcGowan Sure! I have text reminders that tell me when Sixers/Flyers/Phillies starting. I get it & immeditely change behavior #cmechat

GrantsMeister  Kerfoot the lead author on this report! Perhaps I will become a Kerfoot groupie #CMEchat

BrianSMcGowan              The # in the room is an issue of probability. given the complexity of the content, the chance of impact goes way down w/ big #'s #CMEchat

YogAlicia3            @theCMEguy Could be wrong learners, wrong needs, bad facilitator, bad setting, wrong color slides, out of tune singing... #cmechat

JediPD  @meducate Duly Impressed!! #CMEChat and a little Melatonin.

BrianSMcGowan              T5 - can a system as simple as scheduling prewritten text messages as testing reminders have an impact? #CMEchat (data suggest yes.)

theCMEguy        True. If so, that's presenter/facilitator's fault, no? #cmechat RT @YogAlicia3: Can have 90+% disengaged in small rooms, too.

meducate           @JediPD #cmechat Three different topics, two different countries, a lot of fun (and hard work)

BrianSMcGowan              @meducate 6 of 1, a half-gross of the other... #cmechat

theCMEguy        T5: Yes, have done the email reminder thing, but have no real way of measuring impact #cmechat

meducate           @BrianSMcGowan #cmechat I see it as proportionate while you see it as an asymptotic decline?

BrianSMcGowan              T5 - I tried the Kerfoot program before - interesting, well documented, but i struggled to 'be ready' for the question....#CMEchat

JediPD  @meducate Lots of (Luck) Hard work! #CMEChat

meducate           #CMEChat T5 Have used SMS at physician and patient level. Again, anecdotally it works in those who favor the technology

BrianSMcGowan              @meducate - great addition, but IMO your math is wrong...and that is my problem if 10=5, then 100=10? #cmechat

spelletier             Ack, coming in too late to participate. Can't wait to read what y'all are talking about in the archives! Love the topic. #cmechat

GrantsMeister  check out this guy's resume when it comes to continuing medical education #CMEchat  t.co/AZJR31fQ

theCMEguy        @BrianSMcGowan Understood. A lot depends on the individual learner and their motivation to learn. Can happen in any setting. #CMEchat

meducate           @JediPD #cmechat I'm giving 3 plenary talks in the next 3 months. I'll be practicing what I am preaching!

BrianSMcGowan              Two extra credit points for @GrantsMeister for getting ahead of the class ;-) #CMEchat

CMEChat             T5 Data suggest setting up questions/reminders by text message/email triggers memory (http://t.co/umAVirnW) any experience? #CMEchat

meducate           @BrianSMcGowan @theCMEguy I disagree....10=5 learners, 100=50 learners. Some people in every group will learn. #cmechat

BrianSMcGowan              T4 - I need things to be simple, unexpected, credible, concrete, emotional, stories ;-) See 'Made to Stick' #CMEchat

JediPD  Agreed RT @meducate: @JediPD #cmechat The best plenary sessions are the ones that don't feel like plenary sessions

theCMEguy        T4: I need to read something 3 times before I am really able to retain it for any length of time. #3isthemagicnumber #cmechat

meducate           @BrianSMcGowan #cmechat t4 And I rely on others for the analytics. Teach me now what I can apply 5 minutes from now.

BrianSMcGowan              @theCMEguy - without hesitation, yes. ~100 = audience; whereas ~10 = learners. (my opinion) #cmechat

GrantsMeister  I'd be interested in almost anything written on this topic by B.P. Kerfoot, MD, EdM, a urology surgeon at Harvard #CMEchat

BrianSMcGowan              T4 - i am also a creature of habit and very analytical so if i try something new I want to know its impact on X #CMEchat #rapidlearningcycle

theCMEguy        @BrianSMcGowan Would you propose the same thing for undergrad/grad college courses? I had many w/ >100 people. #cmechat

meducate           @JediPD #cmechat The best plenary sessions are the ones that don't feel like plenary sessions

BrianSMcGowan              @YogAlicia3 - not at all my presumption, but the types of learning that occur there are akin to category 2 types of learning... #cmechat

meducate           RT @GrantsMeister: T2 interesting article from Harvard Magazine on how to improve knowledge retention t.co/GWVCehOL  #CMEchat

BrianSMcGowan              T4 - what about the concept of using 'afters' - using established habits to trigger new habits? /via @bjfogg #CMEchat

theCMEguy        T4: Have started "live tweeting" as many things as possible. Helps me remember, lets me engage, gives me an archive. #cmechat

JediPD  The best Plenary Sessions are ones where a line of Qs are formed before a microphone & the lecturer has the patience. #CMEChat

meducate           @BrianSMcGowan #cmechat Technology can facilitate learning, engagment and measurement in larger rooms, so you can validate credits

GrantsMeister  T2 interesting article from Harvard Magazine on how to improve knowledge retention t.co/qWgKsrEE  #CMEchat

YogAlicia3            @BrianSMcGowan #cmechat So your presumption there is that NO learning is taking place in that room? I strongly disagree.

BrianSMcGowan              I propose that NO CME credits be given for live activities given in rooms of more than 100 learners...#CMEchat (audience vs learners)

rmtyner               T4 I am a big fan of "To Do" lists and checklists #CMEchat

theCMEguy        Good. Have done this BUT need to actually use questions! RT @rmtyner: what about option for Qs during registration? #CMEchat

JediPD  @BrianSMcGowan I agree with @meducate Engaging with a simple Q and allowing for answer keeps the learning momentum. Even in 1000. #CMEChat

meducate           @BrianSMcGowan @JediPD #cmechat Maybe not!  Pre- and peri-meeting question cards or tweets etc can collect questions in large groups

ColumbiaSurgery             RT @YogAlicia3:  T3 On a budget, what support systems can we practically employ to support knowledge retention and translation? #cmechat

CMEChat             T4 What triggers do you personally rely on to support learning or new behaviors? ‘To do’ lists? Visual Cues? Connecting x to y? #CMEchat

rmtyner               what about option for Qs during registration? RT @meducate: @JediPD  I like to start and end with Q & A #CMEchat

BrianSMcGowan              and simplify note taking. marvelous. RT @theCMEguy: T3: providing a place or space for participant to take notes and retain them #cmechat

JediPD  From Aviation: Checklist must be a confirmatory action after the memorized process. Gives double dose before pushing the throttle. #CMEChat

rmtyner               RT @YogAlicia3: T3 Have seen pocket cards with guidelines, clinical tools, etc. go out with CME content. Good if used. #CMEchat

BrianSMcGowan              in a room of 10 maybe, but impossible in rooms of 100 or 1000. #ThisIsCME RT @meducate: @JediPD #cmechat I like to start and end with Q & A

theCMEguy        T3: providing a place or space for participant to take notes and retain them #cmechat

YogAlicia3            T3 #cmechat Have seen 'pocket cards' with guidelines, clinical tools, etc. go out with CME content. Good if used.

BrianSMcGowan              T3 As @bjfogg would surely agree, for knowledge to translate into practice: B =  M*A*T (triggers may be the least expensive option) #CMEchat

YogAlicia3            MT @briansmcgowan most cost effective tools may simply be checklists and assorted triggers, so called 'non-educational strategies' #CMEchat

meducate           @JediPD #cmechat I like to start and end with Q & A

rmtyner               "reinforcement has to be easy for the learner to engage in and access

 #CMEchat"

GrantsMeister  T3 find ways to get more mileage out of resources we already own, software we already own, hardware we already own #CMEchat

JediPD  Think, in any didactic lecture make Q&A session = Time. #CMEChat

BrianSMcGowan              T3 - but the most cost effective tools may simply be checklists and assorted triggers, so called 'non-educational strategies' #CMEchat

theCMEguy        T3: How about simply providing a hashtag at a live meeting? Can tweet notes and engage with others in attendance, ask questions etc #cmechat

meducate           #CMEChat T3 Online chats post courses/Actvities are cheap and serve to reinforce

BrianSMcGowan              T3 - I go back to social learning and gamification - connect your learners - facilitate peer-to-peer learning. #CMEChat

YogAlicia3            RT @cmechat T3 On a budget, what support systems can we practically employ to support knowledge retention and translation? #CMEchat

JediPD  In Medicine all translated knowledge is in Real Life. Closest practical virtuality is Robotic Surgery. #CMEChat (Telemedicine not handson)

renee_berry      RT @BrianSMcGowan: T3 On a budget, what support systems can we employ to support knowledge retention and translation? #CMEchat

BrianSMcGowan              T3 On a budget, what support systems can we employ to support knowledge retention and translation? #CMEchat

meducate           @BrianSMcGowan #cmechat #epocrates had ppl send pix in of themselves using mobile CME. You saw anesthesiologists, battlefield medics etc

YogAlicia3            T3 #cmechat Has to start with individualized needs assessment, or nothing matters. If I don't care or need to know it, I won't remember it.

GrantsMeister  T2 I also like the Malcom Knowles concept of the written learning compact, or charter. I least I think that's Knowles #CMEchat

meducate           @JediPD #cmechat Agreed!  I can teach anyone the protocols in ACLS and they could perform, but they wouldn't know why each step was taken

theCMEguy        um...#busted RT @YogAlicia3: @BrianSMcGowan Sorry, Derek, did you just WARN of cheesiness??? #cmechat

leavittm               RT @BrianSMcGowan: Kirkpatrick's levels and education 'evidence'. 1.usa.gov/tWaUJy #CMEchat #meded

CMEChat             T3 On a budget, what support systems can we practically employ to support knowledge retention and translation? #CMEchat

YogAlicia3            @theCMEguy @BrianSMcGowan Sorry, Derek, did you just WARN of cheesiness??? #cmechat

BrianSMcGowan              T2 - strikes me that we would spend $1B+ on CME models of pushing content and almost nothing on supporting translation. #CMEchat

meducate           #CMEChat T2 The perfect system may not exist, but creating learning that fits with time, practice setting and preferences works..

GrantsMeister  T2 small study group where each member takes a turn teaching subject to others #CMEchat

YogAlicia3            @BrianSMcGowan T2 #cmechat Or learning needs to be so relevant to RL, that application/practice/reflection are automatically part of RL.

theCMEguy        Me too, but beware the "cheesiness" factor...RT @BrianSMcGowan: ...I'm a huge advocate of social learning and gamified models #CMEchat

BrianSMcGowan              #TOTDb RT @JediPD: There is a Difference between Rote and Understanding. The latter comes through Translation. #CMEChat

JediPD  There is a Difference between Rote and Understanding. The latter comes through Translation. #CMEChat

BrianSMcGowan              as educators...or both...RT @theCMEguy: T2: Are we talking personally or in our role as educators? #CMEchat

theCMEguy        T2: Are we talking personally or in our role as educators? #CMEchat

GrantsMeister  remember flash cards? #CMEchat

BrianSMcGowan              T2 - .there needs to be a motivation to reflect, to practice, to assess. I'm a huge advocate of social learning and gamified models #CMEchat

meducate           @JediPD Exactly- but I am sometimes happy when learners can apply knowledge  #cmechat

YogAlicia3            T2 RT @briansmcgowan #TOTD RT @YogAlicia3: T1 #cmechat Retention FAR easier to manage w curriculum and community of learning than 1 off.

GrantsMeister  we had a tutoring technique called "backwards build-up." break down hard  sentence into chunks and memorize, beginning at end #CMEchat

BrianSMcGowan              #YouAreStartingToSoundLikeMe ;-) RT @meducate: @BrianSMcGowan #cmechat Right but we need it replicated in multiple settings

meducate           @JediPD #cmechat Per Bart Simpson Learning is Repetition Learning is Repetition Learning is Repetition Learning is Repetition

ColumbiaSurgery             RT @CMEChat: T2 Describe your perfect support system for knowledge retention and translation? #cmechat

theCMEguy        Practicing repetition? RT @CMEChat: T1 What models have you used to help learners remember what they have learned? Pros/Cons? #CMEchat

BrianSMcGowan              #TOTD RT @YogAlicia3: T1 #cmechat Retention FAR easier to manage with curricular approach and community of learning than one off...

JediPD  @meducate "Practical" maybe something like "putting it into action." #CMEChat

CMEChat             T2 Describe your perfect support system for knowledge retention and translation? #CMEchat

theCMEguy        +100! RT @JediPD: Learning is Repetition: "Creating a RUT in your BRAIN!" #CMEChat

YogAlicia3            T1 #cmechat Retention FAR easier to manage with curricular approach and community of learning than one off...

meducate           @BrianSMcGowan #cmechat Right but we need it replicated in multiple settings

YogAlicia3            @BrianSMcGowan #cmechat Totally willing to periodically taste test so I don't have to keep making them. MOC as motivation. Is a start.

meducate           @JediPD #cmechat And practice is defined differently in different settings

BrianSMcGowan              @meducate - this was the veritas study from 3+ years ago... #cmechat

JediPD  Learning is Repetition: "Creating a RUT in your BRAIN!" #CMEChat

theCMEguy        @meducate Potential for studying this next year. Fingers crossed! #cmechat

BrianSMcGowan              t1- so consider sending tools out after 1st learning, building activities upon activities, and encouraging practice and reflection #CMEchat

theCMEguy        "Yeah, can't force them to do it... RT @jjuch: T1: challenge is building the relationship...

 #cmechat"

meducate           @theCMEguy #cmechat That is the golden data set - 1 vs more than 1 to demonstrate differences

JediPD  In Medicine: learning is a product of didactic  knowledge followed by practice. Surgeons routinely read procedures before surgery #CMEChat

YogAlicia3            List of reasons is own #cmechat MT @briansmcgowan have given lip service to 1-off education as ineffective, yet little evolution from it

meducate           @BrianSMcGowan #cmechat it seems to work, but, more experience is needed to see how well and perfect the model

theCMEguy        @meducate Agree. Have done  a couple times, but have not looked at diff btwn 1-off participants & partic in multiple activities #CMEchat

rmtyner               i think a series of shorter activities that build on each other can be an effective reinforcement tech #CMEchat #CMEchat

jjuch      "T1: challenge is building the relationship so you have opportunity to provide serial learning and reinforcers

 #cmechat"

GrantsMeister  the reverse also helps : do this live meeting, then sign up for these online reminders #CMEchat

BrianSMcGowan              @meducate - the 'promise of a flipped classroom in CME'...sound promising... #CMEChat

ColumbiaSurgery             RT @CMEChat: (so we begin...) T1 What models have you used to help learners remember what they have learned? Pros/Cons? #cmechat

meducate           #CMEChat Linking activities ie, do this online course before being able to register for live meeting has worked but haven't done it often

GrantsMeister  repetition is key, didn't Flexner say that a long time ago? #CMEchat

BrianSMcGowan              T1 - we have given lip service to 1-off education as being ineffective, yet there is little evolution from it in recent years...#CMEchat

YogAlicia3            T1 @BrianSMcGowan #cmechat I think happens, but not intentional, well, or with that terminology. Goal = increase participants/outcomes.

theCMEguy        T1: Also have used take home pamphlets, flyers, and mobile apps to reinforce info... #cmechat

ColumbiaSurgery             RT @BrianSMcGowan: #CMEchat: the science behind knowledge retention and translation. making lessons stick & taking action! #cmechat

BrianSMcGowan              T1 -  in think the reminders would be helpful, Veritas guys studied sequential programs - where sequence grows learning. #CMEchat

jjuch      "Hi all. Will be in an out today but didn't want to miss another chat entirely

 #cmechat"

BrianSMcGowan              T1 We could look at the AHRQ study on effectiveness to know that very little has been done here - so what have you done? #CMEchat

theCMEguy        T1: We send 1-mo highlights e-mail to all participants. Pros: easy/inexpensive. Cons: Need to have their e-mail/no read guarantee #cmechat

GrantsMeister  Sounds like what we used to call "learner engagement" when I worked at Proliteracy   t.co/rJOnB2V4  #CMEchat

BrianSMcGowan              t1 - in my experience this idea of learning retention has been largely (entirely) overlooked in US CME #CMEchat

YogAlicia3            T1 #cmechat I think one of the common-est is to provide the same material bunches of ways/times. IDK data, but suspect not so successful.

BrianSMcGowan              @YogAlicia3 - but how would you ensure that he retain his learning... #cmechat

YogAlicia3            RT @cmechat (so we begin...) T1 What models have you used to help learners remember what they have learned? Pros/Cons? #CMEchat

ColumbiaSurgery             RT @meducate: #CMEChat Lawrence tweeting from Long Island, NY

YogAlicia3            @theCMEguy If my Twitter skills were up to par, I'd send you a pic. And the recipe so we can assess skills-based learning. ;) #cmechat

CMEChat             (so we begin...) T1 What models have you used to help learners remember what they have learned? Pros/Cons? #CMEchat

BrianSMcGowan              #CMEchat this week: the science behind knowledge retention and translation. making lessons stick & helping learners take action!

theCMEguy        @YogAlicia3 You win! (plus it's almost 60 degrees here for some reason...) #cmechat

meducate           #CMEChat Lawrence tweeting from Long Island, NY

YogAlicia3            @theCMEguy Meringue covered pecans on this end. #cmechat

rmtyner               #CMEchat Michelle checking in from Indiana #CMEchat

theCMEguy        And to you! RT @meducate: #CMEChat Happy Hanukkah!

YogAlicia3            Hello, #cmechat!! Alicia here with the fireplace on (winter has arrived!) - educator and yogi.  :)

BrianSMcGowan              looking forward to the final #CMEchat of 2011 - brian here. moderating the chat from just outside of Philadelphia...(and third PA person on)

meducate           #CMEChat Happy Hanukkah!

theCMEguy        Derek in Exton.  Eating caramel popcorn. #CMEchat

GrantsMeister  "hello from Downingtown PA

#CMEchat"

CMEChat             As with each #CMEchat the archive will be available archived on www.CMEadvocate.com

CMEChat             As with each #CMEchat we will guide the convo with 3 or 4 topics, but the real learning and teaching lies in your tweets - please engage.

CMEChat             Rule 7. A few mins before the end of #CMEchat, reintroduce yourself. Links, requests & shameless plugs welcome, too - #makingfriends

CMEChat             Rule 5. Periodically RT questions so those outside #CMEchat know what you’re talking about & so they can chime in too

CMEChat             Rule 4. Please remember to use the #CMEchat hashtag so all of the #CMEchat participants can follow the #CMEchat discussion!!!!

CMEChat             Rule 3. When writing, complete thoughts help followers outside chat learn from you. #CMEchat

CMEChat             Rule 2. [try to] stay on the #CMEchat topic. A new question will be asked every 12 min or so. If you can, include T# in related responses.

CMEChat             Rules for #CMEchat: 1. Introduce yourself. Location? Focus? Fave topics? What brings you here today?

CMEChat             Welcome to #CMEchat. All discussions herein are assumed to be personal opinion & not that of current, past, or future employers.

BrianSMcGowan              15 mins til #CMEchat. Science behind knowledge retention/translation. Making lessons stick & helping learners take action

theCMEguy        RT @BrianSMcGowan: 45 mins til #CMEchat. Science behind knowledge retention/translation. Making lessons stick & helping learners take action

BrianSMcGowan              Just a final reminder on #CMEchat homework for this week - evidence of the spacing effect in #meded: http://t.co/8xOkJnMf

Understanding the 'meaningful use' of social media by physicians

By the fall of 2009 medical societies and companies had begun releasing new data sets with sometimes dire, but more often bold proclamations of ‘a new era of how physicians are communicating’, and more specifically, how physicians are using new, social technologies platforms. It seems like a race had erupted to survey different groups of physicians and then release white papers and blog posts about this new data. By the fall of 2010 I had collected 6 or 8 of these data sets and I began to get an eerie suspicion that the groups behind the data were making some flawed assumptions and that the people interpreting this data were drawing the wrong conclusions…often with some potentially hazardous outcomes

Each of the datasets that was released in 2008, 2009, and 2010 had fallen in the same fundamental trap - repeating the same series of mistakes in their design - and, as a result, after nearly 24 months and countless hours and resources wasted the only thing that had been gained was some very broad misconceptions about these new communication strategies within medicine.

Here are some example questions from these early data sets:

  1. Do you use facebook?
  2. Do you spend time on social media websites?
  3. Do you use ‘youtube’?
  4. Have you ever used a social networking site?
  5. Which of the following (applications) do you use for professional purposes?

Each question may seem valid on its surface but each raises more questions than it answers, and if we were going to do anything with this data than we needed to deconstruct the validity of these surveys and what the datasets actually mean to medicine…but nobody was applying this level of critical review.

Each of the examples above asks a variant of the question, do you/have you used social media. None of the questions above provides us the slightest indication of what the planners mean by the term ‘use’ – and this is a huge problem. The datasets were being shared widely, even highlighted by the American Medical Association on their website: “Nearly all U.S. doctors are now on social media” yet the data collection methods and the surveys themselves were not being discussed. (http://bit.ly/qGb3BS)

One dataset in 2010 suggested that, 2% of physicians use twitter professionally and 4% of physicians use facebook professionally. Another dataset suggested that 45% of physicians use social media websites ‘for professional purposes’. And a third suggested that 84% of physicians use social networks. From these first surveys we were told that 2% or 45% or 84% of physicians were using social media - this is not the type of precision in data that offers great assurances that we are getting closer to an answer.

In the months that followed data from the American College of Surgeons suggested that 64% of surgeons have a facebook account, 20% use twitter, 35% have participated in blogs, and 82% have used YouTube. In one of the first peer-reviewed publications we learned that 42% of doctors had ever used a social networking site, of these 97% used facebook and 14 % used twitter, but the vast majority of use, more than 89%, was for personal purposes (http://bit.ly/mUWrYK).

The largest survey to date was conducted by a technology company called QuantiaMD (http://bit.ly/nTIneD). In a survey of more than 4000 doctors, of which 79% were already users of their education technology platform, we were told that 87% of respondent use social media for personal purposes and 67% of respondents use these technologies for professional purposes. This is the data that the AMA highlighted and which begat the most buzz about the ‘dawn of the new era’ in physician communication.

But the fundamental question remained unanswered – what did these survey authors mean by the term ‘use’, and maybe more importantly, what did the respondents to these surveys think the term ‘use’ meant when they were answering the question?

Let’s look at this another way. If your boss walked up to your desk in the middle of the day and handed you a note that said, “Do you use social media? Please circle yes or know” How would you answer the question? Would you circle yes because you spend time on Facebook every week, or b/c you once set up a LinkedIn account (ironically enough, because you were looking for another job)? Or, would you think that since your boss is asking then maybe she wants to know about how you use social media in relation to your job. And if she means do you use it for work, does she mean to engage with colleagues, or customers? And beyond this, what could the word engage mean – does it mean you post content, post comments, or just lurk and learn; once a day, once a week, once a year. There are dozens of ways that you could interpret that simple yes or no question – simply put the question was way too vague.

But she wants an answer, she has a $25 Starbucks gift card with your name on it waiting for your answer and so you think you about all the different times you use social media and you circle yes. As you hand the note back to her she looks at it, nods her head appreciatively, places it in an envelope, and says, “Great, keep up the good work…”

But you have no idea why she said that because when you circled yes to the question ‘Do you use social media?” you were thinking about the fact that you are planning your 25th high school reunion – or about the account you started to connect to family and to monitor your kids, but in your mind you would never ‘use’ social media for work.

When your boss gets back to her desk she has collected 100’s of responses to the survey and the great majority of your colleagues also chose yes – maybe as many as 2/3rd of your organization – so she rings the head of IT and she advocates for a large investment to leverage this wide spread social media use to spearhead broad company processes. The investment is made, the platform is introduced, everyone in the organization is trained…and 3 months later no one uses the technology.

This scenario may seem like a stretch, or a worst case example, but it happens in business and it has undoubtedly already happened in medicine. It turns out that how you define the word ‘use’ makes all the difference in the way the question is interpreted and what the data means and, if you do not have absolute certainty that the meaning of the word is crystal clear, then there is a great chance that the data you are gathering will lead to faulty conclusions. And we cannot afford to take this risk in medicine.

In medicine there are some great case studies for how these new technologies are supporting the practice of medicine, or perhaps it is better said, there are great cases studies for how these new technologies are being ‘used’ by the medical community. But in order to understand the impact they may eventually have on healthcare quality we needed a very different way of exploring this question of use. As a friend from Mayo Clinic said to me back in 2010, ‘it is a rare opportunity to be able to begin an entire new area of science…to get in on the ground floor, but this also means that there is a huge responsibility to get things started the right way – one false interpretation and anything that follows may end up barking up the wrong tree.”

To understand the role of social technologies in medicine we had to start on the ground floor, we had to establish some very simple definitions, and we had to ask some very specific questions. It was for this reason that I proposed, for the sake of conducting some meaningful research, that clinicians use social media in 3 meaningful ways.

  1. To treat – using social technologies as a means of providing direct patient care.
  2. To teach - using social technologies as a means of providing a credible opinion and review of breaking medical news and reports for the public.
  3. To learn - using social technologies as a means of supporting their own life-long learning – providing a learning and decision-making resource based on the collective knowledge of their own ‘network’.

Each of the three definitions of use has very different impact on the medical profession and each elicits very different reactions.

Doctors using social media to treat patients is considered to be a very high risk endeavor – there are clear issues pertaining to privacy and liability when a physician uses open social technology channels to communicate directly to a patient in reference to their health. And to be sure, every time I’ve ever introduced the topic of social media and medicine the first reaction has been to raise the risks associated with direct patient care. This is understandable, the relationship and the interaction between a physician and patient are given very unique protections within our society – the act of patient care is the hallmark of medicine – so many see the barriers to this use to be exceedingly high. As do I. But a few innovative physicians have been quite vocal about the possibilities of ‘bucket one use’. Jennifer Shine Dyer a self-described, ‘stylish pediatric endocrinologist and tech entrepreneur‘ from Columbus, Ohio has spoken about the online public relationships she has with her younger patients. Through facebook she is able to keep up to speed with what is going on in their lives and remind her patients, most of whom have Type 1, or early-onset, diabetes about the choices they need to make each day to remain healthy. She can remind them about testing their blood glucose and she can answer questions they may have about nutrition.

Doctors using social media to educate patients – as a modern public education channel – is far-and-away the most prominent use today. In many ways this is one of the most logical and natural extensions to traditional practice. From standard websites, to blogs, to content curating services like Tumblr, Delicious, and Scoop.it physicians are beginning to establish a credible online footprint allowing them to ensure that the patients have access to regionally specific or disease specific information. There are still real risks in ‘bucket two use’ but these are risks with which many more physicians are seemingly comfortable. Herein there is a large pool of great case studies to learn from: Wendy Sue Swanson, a pediatrician and blogger from Seattle, Washington; Bryan Vartabedian, and gastroenterologist from The Woodlands, Texas; Jennifer Gunter, an Ob/gyn from the bay area each bring a different voice and cover different topics in health and medicine. Each uses blogs and twitter and other channels to address new, sometime controversial, healthcare issues, from nutrition, to vaccination, to sexual abuse. As Dr Gunter explains her desire to provide public education through the web and social media:

When my children were born extremely prematurely I was deposited squarely on the other side of the stethoscope. As I began to research my children’s medical conditions I was appalled at a lot of the content I read on-line. Information twisted and distorted by bias (the reporter’s bias, the blogger’s bias, or even the investigator’s bias). The fact that a lot was just out of date. And that’s just for starters…(http://bit.ly/vnGeFZ)

But most integral to our topic herein is that beyond some personal experiences we know very little about how physicians are using new and emerging social technologies to support their own life-long learning. So that is the question that I set out to answer in the fall of 2010. I had been bouncing around this idea for nearly a year when I had a conversation with a friend and peer, Maziar Abdolrasulnia. Mazi is a researcher who had previously looked at how to measure physician adoption of electronic health records. As we got to talking, we believed that we could not only measure the adoption of social technologies as a channel for physician life-long learning, but we could also answer some questions about why a physician would or would not adopt these technologies – he suggested we could predict what factors increased or decreased the likelihood of adoption.

Having secured funding from my then employer Pfizer, I used my social network to find some experts to support this new research program and there was great interest in doing this right, rigorously, scientifically. Bryan Vartabedian was the first to join the team. Robert Miller, a breast oncologists from Johns Hopkins was next on board. And, Mazi recruited Molly Wasko. Molly was an academic and department Chair, and an Associate Professor at University of Alabama Birmingham. The five collaborators began to develop a research project to answer the very specific questions: Do physicians use social media to support their life-long learning (bucket three use) and if so, why?

The 1st part of the study was fairly straight forward; by crafting a series of simple and straightforward questions we would be able to measure the current rate of adoption of new information communication technologies (ICTs) including social media. The 2nd part of the study used a well described model of adoption to explore why a physician would adopt these technologies. The first part of the study would provide data describing the current trends. The second part of the study would provide data that helped us predict future trends.

Without getting too technical, the adoption and use of a new technology is thought to be driven by a unique combination of attitudes and beliefs about the technology (http://bit.ly/vUnX9r). Do you think it is easy to use? Do you think it is useful? Do you think it helps you perform your job more effectively? Do other people you respect use the technology? Do you see yourself as an innovator, and therefore you strive to be a pioneer with new technologies?

To be sure we were headed down the right path, we refined the definition of use over and over again before settling on the following: use = to exchange information, advice, ideas, reports, and scientific discoveries with other physicians in the medical community. We validated the research instrument – a sophisticated survey – and we collected responses from nearly 500 physicians. In the months that followed the team spent hours analyzing the data; what does it mean, where could we have improved the instrument – we spent a lot of time trying to understand what conclusions we could reasonably draw…remember that this is the first real scientific exploration of this question and we had no intention of making the same mistakes of the numerous data sets that had been loosely collected and unapologetically heralded in the preceding months.

By June of 2011 we had a good sense of what the data meant and we presented the first half of the data – the descriptive data set – at a conference on the campus of Stanford University in September 2011. (http://bit.ly/p2zsJy)

It appears that, depending on the specific technology or application, up to 52% of physicians had adopted these new technologies to support their life-long learning; but there is a sizable separate group of physicians that claim that they will never use these technologies to support their life-long learning; we found only a very small group of physicians that are still unaware of these applications.

Technology/Application

Current User

Will
Never
User

Unaware
of the Technology

Email

71%

1%

0%

Texting

40%

9%

1%

Podcasts

13%

29%

5%

Blog

11%

21%

2%

Wikis

24%

16%

3%

RSS Feeds

6%

13%

22%

Facebook

18%

26%

2%

LinkedIn

10%

19%

14%

Twitter

7%

33%

3%

YouTube

22%

21%

4%

Online Professional Communities

52%

5%

2%

From the predictive data we confirmed our belief that the adoption of these new technologies is dependent on the existing beliefs that they are easy to use, provide added benefits in terms of efficiency and effectiveness of medical practice, and have barriers to use which are easy to overcome. Physicians are more likely to use these new technologies in support of their life-long learning if they believe other physicians they respect are using them and if they believe that the technologies are a sign of their personal innovativeness...and we learned much more:

  • 33% of physicians believe that these technologies are an essential use of learning time.
  • 32% of physicians believe that these technologies are beneficial for learning.
  • 36% of physicians believe that these technologies are an engaging means of learning.
  • 37% of physicians believe that these technologies are a good way to get information.
  • 31% of physicians believe that these technologies are a source of high quality information.
  • 58% of physicians believe that these technologies help them care for patients more effectively
  • 51% of physicians believe that these technologies improves their professional performance
  • 61% of physicians believe that these technologies improve the quality of their patient care

So what does this all mean?  

I see this as a cup that is very much half full, but the picture is not entirely rosy - anywhere from 44-51% of physicians are still on the fence with these new technologies, and 1 in 5 physicians believe that when it comes to learning these new technologies are a ‘waste of time’ and a ‘source of low quality information.’ This research gives us a roadmap to 1) create the value proposition for new technologies as a means of life-long learning, and 2) drive adoption my leveraging this roadmap. Although we are in the earliest days of the adoption many new platforms have sprung up to support physician learning, some with very interesting social layers. These platforms allow us to pilot test our roadmap and move from studies of prediction to studies of causation – and once we begin collecting this data then the proverbial cat will be out of the bag. But importantly, these data anchor the discussion and should help us move from the days of vague and ambiguous surveys to an era of real science, real data, and real lessons on learning.

 

#CMEchat 36: Virtual environments, congresses, & distance learning

Fast paced conversation today exploring the value of virtual environments, congresses, & distance learning. What do we know about taking the best elements of live meetings and leveraging new technology? And, how are new technologies like YouTube, ustream, and slideshare going impact the traditional channels for CME.

Here are the topics which guided our conversation:

T1 According to adult learning theory (& practice), what are the most valuable elements of live, face-2-face, medical education? #CMEchat

T2 Given new technologies, are there ways to drawn on these live, face-2-face value elements but leverage online formats? #CMEchat

T3 Groups have begun running live, virtual mtgs, recreating the pieces of an annual meeting. How might this impact CME?  #CMEchat

T4 Technology allows medical professionals to create education thru youtube, ustream, slideshare.  How might this impact CME?#CMEchat

T5a The MOOC (http://bit.ly/qE8BUq) - massive open online course – is emerging as a viable educational model. (pt 1) #CMEchat

T5b Can MOOC’s have a role in medical education? Or, are MOOC best served as a means of our own CPD? #CMEchat

 


The transcript can be reviewed below (begin at the bottom) or downloaded HERE:


From User           Tweet

meducate           @Kind4Kids #cmechat I think that they are mutually exclusive.  Sme may need repetition, but all need application

Kind4Kids            @meducate @cmechat would say application, not necessarily repetition, is learning. #CMEchat

dpguinee             @evitalivoti5003 @YogaAlicia3 @theCMEguy - Thx for help. I have wireless keyboard n it works great w bluetooth; not w me, tho  #cmechat

meducate           @dpguinee @BrianSMcGowan #cmechat But more opportunities for ongoing change and feedback...can't effectively crowdsource in a lecture hall

theCMEguy        Nope, non-accredited. To many COI's... #cmechat RT @YogAlicia3: @CMEChat I think I'm all set now. Can I get certified credit for that?

Kind4Kids            @BrianSMcGowan @medpedsdoctor @thecmeguy I'm currently watching a presentation from MedHub, do you use/like that? #meded #gme #CMEchat

BrianSMcGowan              @MedPedsDoctor ...and downloads...and the source of the traffic... #cmechat

dpguinee             Challenge as w open mics at live mtg is a vocal few ppl taking over.  RT @meducate: @BrianSMcGowan T5 MOOC approach? #cmechat

BrianSMcGowan              Next week will be the last #CMEchat of the year - please wear you best holiday sweater and please bring baked goods!!!!

MedPedsDoctor               What I learned today: 1. need to engage in a MOOC 2. Slideshare captures "hits" to its site.  #cmechat

BrianSMcGowan              Thanks for joining #CMEchat...to the participants and the lurkers...I hope you learned one thing to make your (work) lives more fulfilled!!!

Sarina_Med       RT @MedPedsDoctor: YouTube is great for finding great videos for medical education.  Prob is: needle in a haystack of stuff. #cmechat

theCMEguy        OK, I'm clicking. AHHH...MY EARS!!! RT @BrianSMcGowan: Looking for Freedom - Hoff: t.co/t2dPTRlt #CMEchat

CMEChat             The real impact of the #CMEchat lies in your action - please engage others to participate & take action on things your have learned!

theCMEguy        Oh no you didn't! I'm not clicking... RT @BrianSMcGowan: Looking for Freedom - Hoff: t.co/t2dPTRlt #CMEchat

BrianSMcGowan              Thx for participating in #CMEchat. Discussions herein are assumed 2 b personal opinion & not that of current, past, or future employers.

dpguinee             TOTD RT @medpedsdoctor: "But I still haven't found what I'm looking for" ... t.co/QFZdpDb8…  #cmechat

meducate           @BrianSMcGowan T5 #cmechat I love the MOOC approach. Perhaps more comments will arise when we demonstrate it's use?

BrianSMcGowan              Looking for Freedom - Hoff: t.co/mMrYLyAo #CMEchat

MedPedsDoctor               Physicians are looking wherever they can find info the fastest ... or, how they learned to find it when they were training #cmechat

YogAlicia3            @BrianSMcGowan T5 #cmechat I need a MOOC on how to engage in a MOOC.

theCMEguy        Awareness. Where's @dean_jenkins ? RT @BrianSMcGowan: T5 - not much discussion about the MOOC - no interest or no awareness? #CMEchat

timclynch             There is t.co/ruijj6ox I don't know about others. More importantly, where are physicians looking?  YouTube first? #cmechat

meducate           @BrianSMcGowan @timclynch #cmechat data may be global or local, but learning must be applied locally

MedPedsDoctor               "But I still haven't found what I'm looking for" ... t.co/coMmhuNq  #cmechat

theCMEguy        Very nice... RT @meducate: @MedPedsDoctor #cmechat YouTube plus tagging plus rating would lead to finding what you're looking for...

BrianSMcGowan              T5 - not much discussion about the MOOC - no interest or no awareness? #CMEchat

ChargeAheadMktg          that wud be fun RT @thecmeguy: T4: Would love to combine Twitter with SlideShare for a live tweeted lecture... #cmechat

mtmdphd            RT @BrianSMcGowan: t4 - my slides from Medicine 2.0 have more than 9,000 views on slideshare...http://slidesha.re/oxa0pW ...if content is good...#CMEchat

CMEChat             As we get wrap up, please vote for the tweet of the day (#TOTD) seen during this week's #CMEchat.

YogAlicia3            @theCMEguy LOL. Just sent @dpguinee same via DM. #cmechat

theCMEguy        agree- need to adapt to audience RT @BrianSMcGowan: there is often a challenge with 'global' programs in context and culture...  #cmechat

meducate           @MedPedsDoctor #cmechat YouTube plus tagging plus rating would lead to finding what you're looking for...

theCMEguy        #cmechat RT @danfrakes: After testing over three dozen iPad keyboards, I give you our iPad keyboard buying guide t.co/7mOmCUPd

BrianSMcGowan              @timclynch - but all learning is local? there is often a challenge with 'global' programs in context and culture...  #cmechat

MedPedsDoctor               I would like to see a @Doximity app unique to the iPad ... #cmechat

meducate           @BrianSMcGowan #cmechat Can't catch up now...I'll read the archive and participate moving forward. A synchronous/asynchronous combo

timclynch             @theCMEguy yes, but is it marketed to global audience?  Funded globally?  #cmechat

MedPedsDoctor               RT @meducate: @MedPedsDoctor #cmechat What more could doximity offer?  "Which city you will be in next ..." #cmechat

theCMEguy        @timclynch Isn't online CME by its very nature, global? #noborders #cmechat

BrianSMcGowan              t1-5b: everybody is waiting for what @meducate has to add to the conversation...BTW, he can not 'credit' for joining so late ;-) #CMEchat

meducate           @MedPedsDoctor #cmechat What more could doximity offer?

timclynch             Can we expand Online CME beyond US boarders?  What about a global program that engages across globe? #cmechat

theCMEguy        T5: MOOC's def can play role in med ed, but think it could be problematic for certified CME. #cmechat

BrianSMcGowan              but "search' makes needle available...RT @MedPedsDoctor: YouTube is great...Prob is: needle in a haystack of stuff. #cmechat

MedPedsDoctor               Doximity integrates Amion call schedules, and pharmacies, into the location where one is using it. #cmechat

BrianSMcGowan              @theCMEguy - well i oughta... #CMEchat

MedPedsDoctor               YouTube is great for finding great videos for medical education.  Prob is: needle in a haystack of stuff. #cmechat

BrianSMcGowan              @MedPedsDoctor - what about doximity do you like? tell us more... #cmechat

timclynch             @theCMEguy that would be cool #cmechat

theCMEguy        How many from bots? ;-) RT @BrianSMcGowan: my slides from Med 2.0 have more than 9,000 views slideshare...http://slidesha.re/oxa0pW #CMEchat

BrianSMcGowan              #TOTD RT @theCMEguy: T4: Impact? Remember that YouTube is the 2nd largest search engine in the world. #cmechat

meducate           #CMEchat Better late than never...hello all!

CMEChat             T5b Can MOOC’s have a role in medical education? Or, are MOOC best served as a means of our own CPD? #CMEchat

CMEChat             For example: T5a The MOOC (http://t.co/loSZwUOX) - massive open online course – is emerging as a viable educational model. (pt 1) #CMEchat

theCMEguy        T4: Would love to combine Twitter with SlideShare for a live tweeted lecture... #cmechat

MedPedsDoctor               @chargeaheadmktg Exactly my point.  There is a place for occasionally going to see colleagues, learn, catch up on content #cmechat

BrianSMcGowan              t4 - my slides from Medicine 2.0 have more than 9,000 views on slideshare...http://slidesha.re/oxa0pW ...if content is good...#CMEchat

MedPedsDoctor               T4.  We are already there.  @doximity rocks!  Heard Jeff Tangney speak at AAMC.  Great stuff. #cmechat

ChargeAheadMktg          hell no!  RT @medpedsdoctor: A doc that NEVER interacts with other docs out there IRL.  Would you want that doc caring for you? #cmechat

BrianSMcGowan              t4 - and university faculty have begun doing this quite successfully...creating free and for fee courses. #CMEchat

ChargeAheadMktg          T4: those channels def amplify info-sharing. are also on-demand in nature, ie. no "live" or "timed" elements, per se. #cmechat

theCMEguy        T4: Impact? Remember that YouTube is the 2nd largest search engine in the world. #cmechat

YogAlicia3            T3 @BrianSMcGowan Innovation may need to start with addressing alternative revenue streams - rest may follow. #cmechat

MedPedsDoctor               A doc that NEVER interacts with other docs out there IRL.  Would you want that doc caring for you? #cmechat

timclynch             @BrianSMcGowan time for the iPad keyboard? #cmechat

BrianSMcGowan              t4 - could we get to a place where individual docs ot groups of docs are createing grassroots tech-enabled education? #CMEchat

ChargeAheadMktg          would seem so RT @davidpaulnoble: @ChargeAheadMktg if u make progs live w/ defined "performance " times isn't it audience limiting? #CMEChat

theCMEguy        T4: Impact? $$$ #cmechat

BrianSMcGowan              srroy to here thatt. god look! RT @dpguinee: Also, typing on iPad, I can't #keepup w you #cmechat folks

dpguinee             Also, typing on iPad, I can't #keepup w you #cmechat folks

timclynch             @ChargeAheadMktg isnt SoMe one big ongoing, never-ending virtual event? but how do we get it accredited?  Does credit matter? #cmechat

YogAlicia3            T3 #cmechat Still think we need to remember that education doesn't start with 'CM-' - ok if not all edu for credit (already true)

CMEChat             T4 Technology allows medical professionals to create education thru youtube, ustream, slideshare.  How might this impact CME?#CMEchat

BrianSMcGowan              t3 - medical associations can make their full year's budget at the annual meeting...this is a HUGE barrier to innovation herein. #CMEchat

dpguinee             Yes! Can't supplant live f2f, done right, w virtual RT @BrianSMcGowan: t2 - so here is one equation i might postulate... #CMEchat

DavidPaulNoble                @ChargeAheadMktg yes SoMe is ongoing, but if you make progs live with defined "performance " times isn't it audience limiting? #CMEChat

BrianSMcGowan              @jackhandy? RT @theCMEguy: That's deep, man  MT @ChargeAheadMktg: isnt SoMe one big ongoing, never-ending virtual event?...". #cmechat

theCMEguy        That's deep, man  MT @ChargeAheadMktg: isnt SoMe one big ongoing, never-ending virtual event?...". #cmechat

timclynch             @ChargeAheadMktg so true! #cmechat

BrianSMcGowan              @ChargeAheadMktg - but not everything is suited for asynchrony...complex concepts... as we move from awareness to synthesis...#cmechat

DavidPaulNoble                @timclynch Fair point re: "best time". Trial & error? Am sure more subtle than that! #CMEChat

ChargeAheadMktg          isnt SoMe one big ongoing, never-ending virtual event? timezones only matter in the context of defined event "times". #cmechat

YogAlicia3            T3 Impact CME? Some of it is already CME - good, bad, and ugly. #cmechat

BrianSMcGowan              t3 - ... the cost structure will dictate the success of virtual live meetings. The will be needed or avoided b/c of $$ #CMEchat

timclynch             @DavidPaulNoble How do we know when the best time is?  I have done live webcasts that took place at 8pm and did much better then 1p #cmechat

YogAlicia3            RT T3 Groups have begun running live, virtual mtgs, recreating the pieces of an annual meeting. How might this impact CME? #CMEchat

MedPedsDoctor               I think planners have to get past the concept that an "annual meeting" needs to be the done the same way.  Shake it up! #cmechat

beffuh  Agree. RT @MedPedsDoctor Find it odd that sometimes the cost of linking in to a feed is MORE $$ than airfare, hotel & registration #cmechat

YogAlicia3            T2 #cmechat Am no early adopter, but have made it to Twitter. Those apps scare me even more. ;)

theCMEguy        T2: plus, I pretty much only think in 140 characters now... :-) #cmechat

CMEChat             T3 Groups have begun running live, virtual mtgs, recreating the pieces of an annual meeting. How might this impact CME?  #CMEchat

theCMEguy        @timclynch You can't please everybody all the time; someone will have to get up early, go to bed late #cmechat

BrianSMcGowan              @timclynch - i only talk to people in MY timezone ;-) #cmechat

DavidPaulNoble                @timclynch It's TimeZone issues that make online on demand, with interaction thru SoMe more attractive than live per se #CMEChat

rmtyner               Michelle in Indy joining late #CMEchat

BrianSMcGowan              +! RT @theCMEguy: @MedPedsDoctor That's what deck.ly, tweetlonger, etc are for, but personally find them super-annoying #cmechat

YogAlicia3            @areesemd Feel free to join #cmechat anytime. You put the M in CME.  :)

DavidPaulNoble                RT @timclynch: T2:  How do you deal with time zone issues when using G+ for live online learning? #cmechat

BrianSMcGowan              all good for groups < 10. RT @theCMEguy: T2:  G+ pros: The ability to combine shared video, whiteboard and record the session #cmechat

theCMEguy        @MedPedsDoctor That's what deck.ly, tweetlonger, etc are for, but personally find them super-annoying #cmechat

timclynch             T2:  How do you deal with time zone issues when using G+ for live online learning? #cmechat

MedPedsDoctor               t.co/UN4P9d5a Asynch learning #cmechat

BrianSMcGowan              @MedPedsDoctor - see #IHI last week? #cmechat

theCMEguy        T2: G+ cons: er...nobody's there. Hyperbole, but it would take effort to get participants signed up, trained, etc #cmechat

BrianSMcGowan              t2 - so here is one equation i might postulate for live meetings: n=1000 <<< n=100 < virtual <<< n=10 #CMEchat

ChargeAheadMktg          T2: absolutely yes! altho contingent on learners taking time to understand SoMe and participate in a potential diff way for them. #cmechat

timclynch             RT @theCMEguy: T2:  G+ pros: The ability to combine shared video, whiteboard and record the session #cmechat

MedPedsDoctor               Can someone invent an "override" to Twitter 140 character-rule, for that time when you just have more to say? #cmechat

YogAlicia3            T2 Challenge is that 'live' is a known entity. Learners need to learn emerging tech first...  #cmechat

YogAlicia3            T2 There are ways, yes. Some synchronous, some asynchronous. Success prob depends on learners' willingness and comfort. #cmechat

theCMEguy        T2:  G+ pros: The ability to combine shared video, whiteboard and record the session #cmechat

MedPedsDoctor               I find it odd that sometimes the cost of linking in to a feed at a big mtg is MORE $$ than airfare, hotel & registration #cmechat

BrianSMcGowan              @theCMEguy - what are the elements of G+ that seem to work? what falls short and needs to be improved? #cmechat

DavidPaulNoble                T2 live face-to-face is time consuming, requires attendance at specific times. Interaction through SoME better at time of choice? #CMEChat

BrianSMcGowan              #sarcasm RT @DavidPaulNoble: @theCMEguy T1- surely it's # of participants that complete ? #CMEchat

theCMEguy        T2: I think G+ Hangouts is an excellent forum for this. I've seen it used little, but like what I've seen... #cmechat

BrianSMcGowan              T2 - sounds like the greatest benefit of IRL mtg is engaging with faculty, peers, AND content...surely this can be done virtually. #CMEchat

YogAlicia3            RT T2 Given new technologies, are there ways to drawn on these live, face-2-face value elements but leverage online formats? #CMEchat

DavidPaulNoble                @theCMEguy T1- surely it's # of participants that complete ? #CMEchat

BrianSMcGowan              nice point. RT @MedPedsDoctor: The learner has to choose to engage.  Some are there for the wrong reasons.   #cmechat

YogAlicia3            @BrianSMcGowan Why? Was right. ;) #cmechat

BrianSMcGowan              @theCMEguy - I am certainly in agreement with that!  #CMEchat

MedPedsDoctor               @BrianSMcGowan The learner has to choose to engage.  Some are there for the wrong reasons.   #cmechat

DavidPaulNoble                @BrianSMcGowan  Why do we need meetings to interact with faculty when we have SoME? #CMEChat

BrianSMcGowan              @YogAlicia3 - stop guessing ;-) #cmechat

CMEChat             T2 Given new technologies, are there ways to drawn on these live, face-2-face value elements but leverage online formats? #CMEchat

theCMEguy        T1: So are we saying # of participants should not be end goal of live meeting. Number may depend on desired result? #cmechat

BrianSMcGowan              @MedPedsDoctor - you would hope...but can learners engage in a room of 1000? or is it more akin to print-based education? #cmechat

BrianSMcGowan              t1 - in the end I am not sure 'live IRL meetings' is all that narrow of a category considering 1000 vs 10 is very different room. #CMEchat

MedPedsDoctor               Educational goals of meeting sizes of 1000, 100, 10 are all different.  sometimes, just gotta get the info to lots of folks.  #cmechat

YogAlicia3            @BrianSMcGowan Does next topic ask how to translate to virtual learning? Is challenge... #cmechat

DavidPaulNoble                Not specific to CME but my former employer looks a health engagement across audience types, worth a read t.co/4LEBd3qT #CMEChat

YogAlicia3            @BrianSMcGowan Often IRL perspective comes more from peers than 'experts'/teachers -> may be undervalued #cmechat

timclynch             T1: Creating a environment where participants can distill forest (academic trial data) into better ways to treat their trees. #cmechat

BrianSMcGowan              t1 - new thought: room of 1000 = audience. room of 100 = learners. room of 10 = participants. benefits differ b/w environments...#CMEchat

MedPedsDoctor               Look at the way @AAIM_Meetings sets theirs up.  Lots of "everything".  Big "didactic", small groups, workshops, #thewholenineyards #cmechat

YogAlicia3            My educator heart swelled @briansmcgowan RT @YogAlicia3: T1 #cmechat Kgarten: teacher instructed students to ask peers for help b4 adults.

dpguinee             Hello again...long time, no #cmechat. Not going to miss another.

BrianSMcGowan              T1- IRL meetings allow learners to ask question of the faculty or the other learners...equally importance? #CMEchat

ChargeAheadMktg          RT @timclynch: T1: Why on most 'Live' agendas is the peer-peer interaction relegated to break times? #cmechat

theCMEguy        Good point. need to build it inRT @timclynch: T1: Why on most 'Live' agendas is the peer-peer interaction relegated to break times? #cmechat

MedPedsDoctor               A meeting without breakout sessions or small groups is missing opportunity to connect/engage #cmechat

ChargeAheadMktg          T1: interaction w/ peers that enhances & augments didactic content #cmechat

BrianSMcGowan              interact...share...critique...take ownership (ask personal questions...) RT @YogAlicia3: Define 'engage'? #cmechat

MedPedsDoctor               T1. Connection to other like-minded individuals, ability to ask ?s right away, and get responses right away. #cmechat

YogAlicia3            @BrianSMcGowan Define 'engage'? #cmechat

theCMEguy        @BrianSMcGowan depends on structure of meeting - are there breakout sessions, small groups, etc #CMEchat

BrianSMcGowan              #TOTD? RT @YogAlicia3: T1 #cmechat Observing kindergarten: teacher instructed students to check w/ peers for help 1st b4 asking adults.

timclynch             T1: Why on most 'Live' agendas is the peer-peer interaction relegated to break times? #cmechat

BrianSMcGowan              T1 - the ability to ask questoin, to understand nuances that could only be sense IRL (in real life) #CMEchat

YogAlicia3            T1 #cmechat Observing kindergarten class yesterday, teacher instructed students to check with peers for help first before asking adults.

BrianSMcGowan              T1 - i think most obviously is the ability to engage...but not sure that happens at all (or most) live CME activities...#CMEchat

YogAlicia3            T1 #cmechat Is this a quiz? Peer-to-peer exchange (often informal) is incredibly valuable in live education.

MedPedsDoctor               renee_berry I like that RT! #cmechat

YogAlicia3            T1 According to adult learning theory (& practice), what are the most valuable elements of live, face-2-face, medical education? #CMEchat

theCMEguy        And in basketball it's lousy ;-) RT @MedPedsDoctor: @theCMEguy in baseball, .333 is actually pretty good for batting average. #cmechat

CMEChat             T1 According to adult learning theory (& practice), what are the most valuable elements of live, face-2-face, medical education? #CMEchat

renee_berry      RT @DrJenGunter: RT @MedPedsDoctor: Twitter & Tweeting at Medical Conferences: t.co/xPXxvzL5  #meded #cmechat

BrianSMcGowan              Hall of famer! RT @MedPedsDoctor: @theCMEguy in baseball, .333 is actually pretty good for batting average. #cmechat

YogAlicia3            @BrianSMcGowan I bet you say that to all the Twitter chats... #cmechat

timclynch             Tim here from cold but sunny CT, ready for the warmth of virtual/distance CME #cmechat

BrianSMcGowan              This week is all about learning in virtual environments, virtual congresses, & distance learning #CMEchat [the good and the bad...]

MedPedsDoctor               @theCMEguy in baseball, .333 is actually pretty good for batting average. #cmechat

MedPedsDoctor               Alex Djuricich, physician & medical educator in CME and GME in Indy, IN.  Enjoy technology to improve education, not in place of #cmechat

renee_berry      RT @BrianSMcGowan: 5 mins until #CMEchat discussing virtual environments, virtual congresses, & distance learning. i apologize for the high TPM ;-)

BrianSMcGowan              (BTW, I have had some great calls in the past few days with #HCSM peeps...loving the community) but my heart belongs to #CMEchat...

theCMEguy        1 out of 3; not bad...RT @BrianSMcGowan: Heloo heelo hello! to those on #CMEchat Brian here just outside of philadelphia...

YogAlicia3            #cmechat Alicia - pharmacist by training, educator at heart...lots of places and ways.  Still no snow in Rochester, NY. :(

BrianSMcGowan              Beauty of virtual learning...RT @theCMEguy: Derek in Exton, PA. Might have to do a bit of popping in and out today. #cmechat

ChargeAheadMktg          Glenn, marketing pro in Milford, CT. here for 30 min or so today. also lover of virtual events & distance learning. #cmechat

BrianSMcGowan              Heloo heelo hello! to those on #CMEchat Brian here just outside of philadelphia...

theCMEguy        Derek in Exton, PA. Might have to do a bit of popping in and out today. #cmechat

CMEChat             As with each #CMEchat the archive will be available archived on www.CMEadvocate.com

CMEChat             As with each #CMEchat we will guide the convo with 3 or 4 topics, but the real learning and teaching lies in your tweets - please engage.

CMEChat             Rule 7. A few mins before the end of #CMEchat, reintroduce yourself. Links, requests & shameless plugs welcome, too - #makingfriends

ChargeAheadMktg          RT @LynchInsights: t.co/7HMi6CMw @ChargeAheadMktg #cmechat

CMEChat             Rule 6. On #CMEchat we aim to play nice. Sarcasm & irony welcome though. Really. Seriously. #laughingislearning

CMEChat             Rule 5. Periodically RT questions so those outside #CMEchat know what you’re talking about & so they can chime in too

CMEChat             Rule 4. Please remember to use the #CMEchat hashtag so all of the #CMEchat participants can follow the #CMEchat discussion!!!!

CMEChat             Rule 3. When writing, complete thoughts help followers outside chat learn from you. #CMEchat

CMEChat             Rule 2. [try to] stay on the #CMEchat topic. A new question will be asked every 12 min or so. If you can, include T# in related responses.

CMEChat             Rules for #CMEchat: 1. Introduce yourself. Location? Focus? Fave topics? What brings you here today?

CMEChat             Welcome to #CMEchat. All discussions herein are assumed to be personal opinion & not that of current, past, or future employers.

BrianSMcGowan              5 mins until #CMEchat discussing virtual environments, virtual congresses, & distance learning. i apologize for the high TPM ;-)

YogAlicia3            Looking forward to joining...virtually, of course.  @BrianSMcGowan #cmechat

BrianSMcGowan              #CMEchat today is all about learning in virtual environments, virtual congresses, & distance learning. Join us in 75 minutes!!!!

#CMEchat 35: Re-engineering the Data Stream

Great conversation this morning with colleagues from around the country and around the world as we talked about the complexity of new medical information flow and what can be done to improve it.

Here are our topics:

  • For more background information please read the latest cover story in Medical Meetings:http://bit.ly/MedMtgDatastream
  • T1 What is the best model for disseminating new medical information beyond the space and time of the major medical meeting? #CMEchat
  • T2 What are the pros/cons of medical associations creating & archiving core slide decks available upon the data release? #CMEchat
  • T3 What is the average balance of core content to local content in your average CME program? (best guess?) #CMEchat
  • T4 Is there value in obligating authors to shepherd new data for a period of time to ensure that questions are answered? Explain. #CMEchat
  • T5 For this model to work, feedback would be needed to describe strengths/weaknesses of core slides, could this be crowdsourced? #CMEchat
  • T6 What are the major barriers to such a re-engineering: core content clearinghouse, faculty support, community feedback? #CMEchat

You can review the conversation below (start at the bottome) or download the transcripts HERE:

From User           Tweet

mangelcesm      #CMEchat Good bye, thanks!

rmtyner               Ditto!! RT @MedPedsDoctor: Thanks to all for a great chat, and some good chuckles.  Learned a lot today! #cmechat

kenny_cox          Thanks for a good #cmechat @briansmcgowan

MedPedsDoctor               Thanks to all for a great chat, and some good chuckles.  Learned a lot today! #cmechat

BrianSMcGowan              as always, #TOTD is anything written by @theCMEguy ;-) #CMEchat

BrianSMcGowan              Final thought. The goals of the CME community can be done much more simply an efficiently. We can re-engineer this system #CMEchat

kenny_cox          Yes! @MedPedsDoctor: What I will take from this chat: opportunity exists to push for importance of Q&A, and archiving of Q&A #cmechat

theCMEguy        @MedPedsDoctor The 1960's & 1970's  are standing outside; they'd like to have a word with you... #CMEchat

timclynch             TOTD Each house of medicine should control & refine new medical knowledge as it is vetted. we can then use THIS data to educate. #cmechat

MedPedsDoctor               What I will take from this chat: opportunity exists to push for importance of Q&A, and archiving of Q&A #cmechat

BrianSMcGowan              @theCMEguy - why would pharma have to pay for this...except maybe Sanofi's new loaner model... #CMEchat

kenny_cox          #cmechat Clinicians will find their own "communities" that they trust - must be compiled without silos for PC… (cont) t.co/4OkV4B6i

MedPedsDoctor               Thanks to @BrianSMcGowan for supporting the 1980s t.co/baj4L4HU t.co/KSx59SlG #cmechat

CMEChat             The real impact of the #CMEchat lies in your action - engage others to participate & please take action on things your have learned! G’day!

CMEChat             2.As we get wrap up, please vote for the tweet of the day (#TOTD) seen during this week's #CMEchat.

CMEChat             1.Thx for participating in #CMEchat. discussions herein are assumed 2 b personal opinion & not that of current, past, or future employers.

MedPedsDoctor               T6 Major barriers: cost, deciding what goes into clearinghouse, deciding who will teach the clearinghouse #cmechat

BrianSMcGowan              t.co/tgoefvCM @theCMEguy: t.co/8i1PT1F5 RT @MedPedsDoctor: Grooving: t.co/U8lQHJwP  #cmechat

MedPedsDoctor               TOTD challenge.  There are those who believe that the 1980s was the best decade of music, and there are those who are wrong (haha) #cmechat

CMEChat             T6 What are the major barriers to such a re-engineering: core content clearinghouse, faculty support, community feedback? #CMEchat

BrianSMcGowan              we get a re-engineered datastream? A RT @timclynch: T5 PubMed, ClinTrials, SoMe, Watson put it all in a blender and we get _____ #cmechat

MedPedsDoctor               @timclynch Put it all into a blender and you get what is known as primary care #cmechat

kenny_cox          A TOTD Challenge!  @theCMEguy: t.co/xcUPFtBk RT @MedPedsDoctor: Grooving: t.co/8sp7BHIR  #cmechat

BrianSMcGowan              @timclynch - ACC for cadiology. ASCO for oncology. AUA for urology. ADA for diabetes...these shops should take ownership... #cmechat

theCMEguy        t.co/gBhM6Tcl RT @MedPedsDoctor: Grooving: t.co/V4se1ELY  #cmechat

spelletier             MT @timclynch: T5, We need crowdsourcing system that can take in all and organize, slideshare, prezi, podcasts, simulations, etc. #cmechat

timclynch             T5 a Mashup of ACCME, PubMed, t.co/kizihSl5, SoMe sites, IBM's Watson put it all in a blender and we get _____ #cmechat

MedPedsDoctor               @timclynch ABMS is leading.  MOC is way 2 "force" docs to look at quality (except those grand-personed in) of own personal practice #cmechat

BrianSMcGowan              T5-  'slides' for CME should have unique flavor - ABSOLUTELY. it is core content we should be curating & refining. #CMEchat

theCMEguy        Grant proposal? #CMEchat RT @BrianSMcGowan: T5 - anybody want to lend me some money to build the system ;-)

spelletier             @MedPedsDoctor @kenny_cox LOL! #cmechat

timclynch             R u saying rely on ABMS to lead? RT @BrianSMcGowan: T5 - Each house of medicine should control & refine new medical knowledge  #cmechat

kenny_cox          Nice: TOTD - RT @MedPedsDoctor: Grooving: t.co/8sp7BHIR  #cmechat

timclynch             T5, Yes, croudsourcing.  We need a system that can take in all and organize, slideshare, prezi, podcasts, simulations, etc. #cmechat

MedPedsDoctor               .@spelletier Now that sounds like a job title: "uber-curator".  Could also be a band ... #cmechat

kenny_cox          #cmechat Driving participation with text, tweets, emails @MedPedsDoctor: Making data accessible: Slideshare, blogs, tweeting about it,

BrianSMcGowan              T5 - Each 'house of medicine' should control & refine new medical knowledge as it is vetted. we can then use THIS data to educate. #CMEchat

theCMEguy        Yup t.co/SlmcRmUF MT @BrianSMcGowan: right but the ACCME should be archiving your questoin...that's point #CMEchat

MedPedsDoctor               Grooving: t.co/5m9WRNsI  #cmechat

spelletier             we need an uber-curator to pull it all together in one place, a CME Google #cmechat

MedPedsDoctor               Making data accessible: Slideshare, blogs, tweeting about it, hashtags, websites #cmechat

BrianSMcGowan              t5 - the group is really grooving now, so I guess the topics were pretty well ordered...#CMEchat

timclynch             Q&A is when participants wake up. RT @SusanBConnelly: In many cases the Q&A has the most valuable information to the learner #cmechat

CMEChat             T5 For this model to work, feedback would be needed to describe strengths/weaknesses of core slides, could this be crowdsourced? #CMEchat

spelletier             T4 we're swinging back to clearinghouse--how do we make all this data/responses/localization of data accessible? #cmechat

theCMEguy        @MedPedsDoctor No, but more valuable than if it just disappeared entirely #CMEchat

SusanBConnelly                In many cases the Q&A has the most valuable information to the learner #CMEChat

MedPedsDoctor               Agree.  Learning tons! MT @SusanBConnelly: Very interesting discussion today regarding dissemination of new data on #cmechat

BrianSMcGowan              @theCMEguy - right but the ACCME should be archiving your questoin...that is the point. w/o curation the system fails to help. #CMEchat

timclynch             T4:  Is there a PubMed type service that indexes all CME?  #cmechat

kenny_cox          Many still utilize print - maybe combination?  QR code leading to Q&A online? @spelletier:  journal model broken #cmechat

BrianSMcGowan              T4 - imagine a system where this Q&A & knowledge is shared. the obligation does not have to be burdensome. Technology helps. #CMEchat

theCMEguy        @BrianSMcGowan Agreed! This is why I archive Q&A sessions with the ACCME on my blog: so more people can learn than just me! #CMEchat

MedPedsDoctor               Another example: archive of Tweet chats.  Available within seconds 4 people to review.  Still not the same as being in the chat #cmechat

SusanBConnelly                Very interesting discussion today regarding dissemination of new data on #CMEChat

timclynch             @spelletier T4 on their site, MECCs site, journals site?  Where is the curation happening? #WantOneSource or #LetGoogleHandle it #cmechat

spelletier             @MedPedsDoctor journal model is kind of broken 4 today's firehose pace, imho.  #cmechat

BrianSMcGowan              but the value is lost if not archived and shared. RT @theCMEguy: T4: Any time an expert is available for questions, there is value. #CMEchat

MedPedsDoctor               yes. Agree RT @BrianSMcGowan:  and if one audience member has a question, shouldnt we archive that question for general knowledge? #cmechat

timclynch             @theCMEguy t3: Have participated in "regional" meetings that were same content from one region to the next. - thats a roadshow :-) #cmechat

kenny_cox          T4 Obligation vs. desire to teach.  So much depends on the author - but somehow must be available for 4-6 mnths for online Qstns #cmechat

MedPedsDoctor               MT @spelletier: t4 in ideal world, auths present at conf, archived online, auths then avail via web, phone, twitter, for 6 months #cmechat

BrianSMcGowan              @MedPedsDoctor - and behind a paywall, and hardly disseminated...and hardly transparent. We MUST do better! #cmechat

theCMEguy        T4: Any time an expert is available for questions, there is value. #CMEchat

BrianSMcGowan              @MedPedsDoctor - and if one audience member has a question, shouldn't we archive that question for general knowledge? #cmechat

spelletier             t4 in ideal world, authors present at conf, archived online, auths then available via web, phone, twitter, whatever for six months #cmechat

MedPedsDoctor               Shepherding data: this is often done in other ways.  Ex: jrnl letters to the editor.  Prob is: process is slow (5 months later) #cmechat

BrianSMcGowan              @spelletier - i don'tt think there is much variation here. think about the references on the slides. each ref could be 'core'  #cmechat

timclynch             RT @BrianSMcGowan: T3 - given the type of planning I have seen in the past 5 years. I wld say 90% of programs have 90% core content #cmechat

MedPedsDoctor               T4.  Obligations 2 educate: show data, show your interpretations of data.  Let audience members decide their own interpretation #cmechat

theCMEguy        @BrianSMcGowan When I worked at community hospital, CME was much more localized. Agree that context is large part. #CMEchat

CMEChat             .@MedPedsDoctor any and all questions that are submitted are archived and answered by the faculty for 30-90 days post release?  #cmechat

BrianSMcGowan              T4 - a few folks brought this up already....imagine ur data is accepted at an annual mtg. what are your obligations to educate? #CMEchat

MedPedsDoctor               @CMEChat Define what "shepherd new data" means.  Not understanding question. #cmechat

spelletier             @BrianSMcGowan Across the board 90% core for 90%? Diff types of activities differ in this? #cmechat

mtmdphd            RT @BrianSMcGowan: Data that are presented at annual meetings must be curated more effectively. t.co/zPrZ6ODO #CMEchat

CMEChat             T4 Is there value in obligating authors to shepherd new data for a period of time to ensure that questions are answered? Explain. #CMEchat

theCMEguy        t3: Have participated in "regional" meetings that were same content from one region to the next. Not sure how that's regional #CMEchat

BrianSMcGowan              T3 - given the type of planning I have seen in the past 5 years. I wld say 90% of programs have 90% core content #sadly #CMEchat

BrianSMcGowan              T3 - this is a fun question b/c you are really forced to see how MOST CME is designed today...#CMEchat

theCMEguy        @spelletier Not sure I would say "larger"; maybe broader in scope? #CMEchat

MedPedsDoctor               core:local also depends on audience.  A hepatologist talking to primary care docs: how message is heard is different #cmechat

BrianSMcGowan              T3 @spelletier - right for any kind of satellite symposium the number is likley 90:10 for grand rounds hopefully 25/75? #cmechat

spelletier             t3 the larger the audience, the more generic the content, right? Or would gd program include specs for diff contexts? #cmechat

mangelcesm      RT @CMEChat: T1 What is the best model for disseminating new medical information beyond the space and time of the major medical meeting? #CMEchat

BrianSMcGowan              T3 - I see this as a question about how most education is crafted.  At a minimum intro/background sections could be 'shared' #CMEchat

spelletier             t3 for nat'l confs, I'd guess core:local would be at least 90:10 if not higher core #cmechat

theCMEguy        T3: That really depends. If CME program targeted at national audience, % local content likely very small. #CMEchat

MedPedsDoctor               "Local content" = context.  Core content shouldn't be different anywhere. #cmechat

BrianSMcGowan              @laurenero - but it probably saves even more time and even more resources...if it could be leveraged nationally #CMEchat

BrianSMcGowan              @MedPedsDoctor - so see T3...as thing change or as local environments differ, some %age of content can be modified... #cmechat

MedPedsDoctor               I like the one database per med assn., but still some disagree.  Ex: when to do mammograms.  ACP is different from ACR #cmechat

laurenero            My org has a core curriculum that is updated with new med data by experts.  It requires huge commitment and resources. #CMEchat

CMEChat             T3 (odd Q, but) What is the average balance of core content to local content in your average CME program? (best guess?) #CMEchat

mangelcesm      #CMEchat T2 @BrianSMcGowan Too much events, too much subjects. How to assess previous validity of actual content in each event?

spelletier             RT @BrianSMcGowan: T2 - when new data is presented is the moment when medical assns can begin to control quality. from the source. #cmechat

MedPedsDoctor               T2. New data can be presented, but context is changing.  Ex: new duty hrs 4 residency completely changed paradigm for how 2 teach. #cmechat

theCMEguy        They can be overwhelming if not organized carefully RT @MedPedsDoctor: A clearinghouse works in an ideal world.  #toomany #cmechat

BrianSMcGowan              T2 - IMO seems that the clearinghouse model solves the problems of organization and searchability...one database per medical assn. #CMEchat

spelletier             Yes, and also quality/relatability 2 local practice RT @mangelcesm: #CMEchat T2 Too much events How to classify their importance? #cmechat

kenny_cox          RT @kenny_cox: Clearinghouse definition?  @BrianSMcGowan: T2 - @MedPedsDoctor - i might argue that there are many channels… #cmechat

BrianSMcGowan              T2 - when new data is presented. that is the moment when medical assn's can begin to control quality. from the source. #CMEchat

mangelcesm      #CMEchat T2 Too much events for review... How do we to classify their importance?

BrianSMcGowan              @spelletier - we will address quality...this too can be engineered into the system via continuous improvement #cmechat

BrianSMcGowan              T2 - @MedPedsDoctor - i might argue that there are many channels, yes. but there are no true clearinghouse for new medical content. #CMEchat

spelletier             t2 also depends on the quality of the slide decks as standalone resources #cmechat

MedPedsDoctor               RT @kenny_cox: T2 challenges when trying 2 find information applicable 2 their practice.  Organization & searchability are crucial #cmechat

MedPedsDoctor               A clearinghouse works in an ideal world.  Problem is, there are 10 million "clearinghouses" for primary care docs.  #toomany #cmechat

BrianSMcGowan              @mangelcesm - but remember that the content is created (in most cases) before the new information is even presented, speed is easy #CMEchat

kenny_cox          T2 challenges when trying to find information applicable to their practice.  Organization and searchability are crucial #cmechat

spelletier             t2 cons: unless faculty is available, have to interpret slide decks on their own, try to adjust to local circumstances w/out input #cmechat

mangelcesm      #CMEchat T1 Hummm, we'd make equilibriums between validity and 'disseminability', mainly if speed does matter

BrianSMcGowan              t2 - the clearest win in the core content model is cost and fidelity. a clearinghouse would save tens of millions of dollars. #CMEchat

spelletier             t2 pros: learners get direct access to data, don't have to rely on others' interpretations #cmechat

kenny_cox          Have faculty on retainer and editor prompt when response is necessary RT @spelletier: @kenny_cox like idea of having faculty avail;#cmechat

TodaysHospital RT @MedPedsDoctor: credits are to compliance like accreditation is to quality #cmechat

MedPedsDoctor               Archiving is critical.  All the time, I say: "I remember a talk at BLANK mtg about X".  Now, can pull it up.  Yeah, @evernote @myEN #cmechat

theCMEguy        @rmtyner I'll add I have participated in an accredited rapid model & was fairly "successful". Not easy, tho #CMEchat

BrianSMcGowan              T2 What are the pros/cons of medical associations creating & archiving core slide decks available upon the data release? #CMEchat

spelletier             @kenny_cox like idea of having faculty avail; how to do that in real time? Web site faculty monitor for RT Q&A? #cmechat

CMEChat             T2 What are the pros/cons of medical associations creating & archiving core slide decks available upon the data release? #CMEchat

MedPedsDoctor               As an educator, the system should be easily accessible, on the learner's time.  However, there is nothing like a "real" mtg 2 learn #cmechat

theCMEguy        @spelletier Agreed, but I think there may be some value to the personal POV #CMEchat

MedPedsDoctor               The educator needs to understand the learner point of view.  That's why I take the same "courses"/credits are everyone else #cmechat

rmtyner               @theCMEguy I would agree that accreditation does not accommodate rapid dissemination - just wanted to make sure :) #CMEchat

BrianSMcGowan              @mangelcesm - good point. the notion of validity is essential. new information must be high fidelity... #CMEchat

theCMEguy        @rmtyner In the context we are discussing here, I think they matter very little.  Not conducive to a rapid  learning experience #CMEchat

kenny_cox          Definitely need to have the faculty available for further communication.  Questions need answers without tremendous barriers #cmechat

rmtyner               T1 need to go to where the learners are... not make the learners come to content #CMEchat

spelletier             Me 2 except for potential source bias RT @theCMEguy: T1: I like example of the blogger as disseminator.  #cmechat

BrianSMcGowan              t1 @MedPedsDoctor so you go for 'access' as a learner, but as an educator, what should the system look like? #cmechat

MedPedsDoctor               credits are to compliance like accreditation is to quality #cmechat

mangelcesm      #CMEchat Miguel Ángel García from Madrid (Spain) Do validity and fiability matter, or only dissemination?

theCMEguy        T1: I like example of the blogger as disseminator. So many different ways you can go with that. I like the idea of an actual voice #CMEchat

BrianSMcGowan              .@rmtyner - no way jose. credits have never been proven to motivate learning. they have been proven to complicate education... #CMEchat

MedPedsDoctor               T1. I am enjoying (as a customer) online CME learning.  1. EpocratesCME 2. Pedialink t.co/HRNPktxv  #cmechat

CMEChat             t1 - 'best' in terms of connecting new data to improved patient care. reach and speed and fidelity all essential. #CMEchat

BrianSMcGowan              T1 - there may not be a single right answer, but i wld vote for something rapid, local, w/ a connection to the original data #CMEchat

rmtyner               T1 - I know that we are in the #CMEchat but does the information need to be accredited or just disseminated? Do CME credits matter??

theCMEguy        T1: Best = ?. Reachest largest audience? #CMEchat

spelletier             T1 @CMEChat define best? Best in terms of reach, understanding? #cmechat

CMEChat             T1 What is the best model for disseminating new medical information beyond the space and time of the major medical meeting? #CMEchat

theCMEguy        Basketball? RT @MedPedsDoctor: Right now, Indianapolis is dominating this chat.  Wish it were the same in football ... #cmechat

BrianSMcGowan              One great #IHI quote: Pencils & diamonds same substrate different connections - pencil more useful, diamds more valuable... #CMEchat

theCMEguy        @BrianSMcGowan @spelletier I don't think that would go over so well...#CMEchat

doclake                RT @BrianSMcGowan: not sure if anyone has the time, but the stream from #IHI is marvelous - this is a meeting that all CME pro's should attend #CMEchat

BrianSMcGowan              For more background information please read the latest cover story in Medical Meetings:http://t.co/xJ8Z9PB6 #CMEchat

BrianSMcGowan              so can you...RT @theCMEguy: @spelletier Yeah, but you can participate in #CMEchat in your PJ's...

MedPedsDoctor               Right now, Indianapolis is dominating this chat.  Wish it were the same in football ... #cmechat

BrianSMcGowan              It think we have an interesting topic today: "re-engineering the data stream" love to get some great insights into the model #CMEchat

theCMEguy        @spelletier Yeah, but you can participate in #CMEchat in your PJ's...

laurenero            Lauren here from rainy Maryland #CMEchat

BrianSMcGowan              Too much writing, to attend...sadly. RT @MedPedsDoctor: Brian, are you there at #IHI in Orlando, or following via computer stream? #cmechat

theCMEguy        I'm back. 5 lbs heavier. #godiva #cmechat

BrianSMcGowan              nope...RT @rmtyner: Michelle - checking in from Indiana - didn't do the homework? am I going to lose points?? #CMEchat

MedPedsDoctor               Brian, are you there at #IHI in Orlando, or following via computer stream? #cmechat

BrianSMcGowan              And for those at #IHI you may want to peer into #CMEchat (now) to get a sense of what those in CME are trying to do to improve healthcare

rmtyner               Michelle - checking in from Indiana - didn't do the homework? am I going to lose points?? #CMEchat

BrianSMcGowan              not sure if anyone has the time, but the stream from #IHI is marvelous - this is a meeting that all CME pro's should attend #CMEchat

spelletier             @theCMEguy that's one of the bummer's of telecommuting: no Godiva gift baskets (or snow days)! #cmechat

MedPedsDoctor               Alex Djuricich, MD, from the great state of Indiana.  CME Assoc Dean, & Prog Dir of MedPeds residency at IUSM #cmechat

kenny_cox          Kenny here - enjoyed the homework, looking forward to a good discussion on #cmechat

CMEChat             As with each #CMEchat the archive will be available at t.co/nOLVEvIB and archived as a pdf on www.CMEadvocate.com

CMEChat             As with each #CMEchat we will guide the convo with 3 or 4 topics, but the real learning and teaching lies in your tweets - please engage.

CMEChat             Rule 7. A few mins before the end of #CMEchat, reintroduce yourself. Links, requests & shameless plugs welcome, too - #makingfriends

CMEChat             Rule 6. On #CMEchat we aim to play nice. Sarcasm & irony welcome though. Really. Seriously. #laughingislearning

CMEChat             Rule 5. Periodically RT questions so those outside #CMEchat know what you’re talking about & so they can chime in too

CMEChat             Rule 4. Please remember to use the #CMEchat hashtag so all of the #CMEchat participants can follow the #CMEchat discussion!!!!

CMEChat             Rule 3. When writing, complete thoughts help followers outside chat learn from you. #CMEchat

CMEChat             Rule 2. [try to] stay on the #CMEchat topic. A new question will be asked every 12 min or so. If you can, include T# in related responses.

CMEChat             Rules for #CMEchat: 1. Introduce yourself. Location? Focus? Fave topics? What brings you here today?

BrianSMcGowan              Welcome to #CMEchat. All discussions herein are assumed to be personal opinion & not that of current, past, or future employers.

theCMEguy        Gonna be late for #CMEchat. Godiva gift basket just arrived in the lunchroom...

spelletier             5 minutes until #CMEchat Topic: How data gets disseminated & what happens after an Annual mtg t.co/72bheudz [HOMEWORK] #cmechat

Bonnycastle       @theCMEguy @BrianSMcGowan I'm one of the people who doesn't participate in #CMEchat simply because I am too busy right now

Bonnycastle       RT @MedPubDirector: #mededmooc is starting to take shape-tweeps are beginning to express an interest in signup t.co/gSg9CLEV #meded #cmechat #nhs #some

BrianSMcGowan              Impact on business models, copyright, or membership value must be addressed though parallel innovation t.co/zPrZ6ODO #CMEchat

BrianSMcGowan              Local institutions must stream feedback into the clearinghouse system 2 refine model overtime. t.co/zPrZ6ODO #CMEchat

BrianSMcGowan              Technology should allow local institutions to pull the new medical information into their networks. t.co/zPrZ6ODO #CMEchat

BrianSMcGowan              Authors should b obligated 2 shepherd new data for a period of time 2 ensure that questions r answered. t.co/zPrZ6ODO #CMEchat

BrianSMcGowan              Societies/associations must develop clearinghouse models that enable rapid and open access. t.co/zPrZ6ODO #CMEchat

BrianSMcGowan              Data that are presented at annual meetings must be curated more effectively. t.co/zPrZ6ODO #CMEchat

BrianSMcGowan              2 hrs until #CMEchat this week: How data gets disseminated & what happens after an Annual medical mtg t.co/0LvBxJ3X [HOMEWORK]

#CMEchat34 What's good, what can be improved, what to talk about in 2012?

Thanks to Derek for guest hosting this week and for beginning to deconstruct what works and what can be improved with out #CMEchat model.

The topics for this week were:

  1. Let's get right into it: Why do you participate in #CMEchat? What would make #CMEchat a better experience for you?
  2. Do you like the balance of topics thus far? What suggestions do you have for future #CMEchat topics?
  3. If we could invite special guest participants, who would you suggest? And, how often would you like to see a guest? #CMEchat
  4. What can we do to get more in the CME community to participate in #CMEchat on a more regular basis?
  5. 34 #CMEchat's in the bag: What have you learned? Have you made any changes in your professional life?

The transcript of this week's chat can be reviewed below (begin at the bottom) or downloaded HERE:

From User       Tweet

BrianSMcGowan              Next week for #CMEchat we discuss "Re-engineering the Data Stream" t.co/1LrsjMxX pls check out the worksheet t.co/E8J20UNh

BrianSMcGowan              @CME_COACH @timclynch @theCMEguy ...are we settling for level one participation? Hmmm....do Moore's level work for.social learning? #CMEchat

BrianSMcGowan              see one. do one. teach one. RT @dpguinee: Crickey!  I missed another #cmechat.  Happy to recruit participants if I could do better myself!

dpguinee             Crickey!  I missed another #cmechat.  Happy to recruit participants if I could do better myself!

timclynch             We have to all DM brian with all recruits before next wed for it to count.  RT @BrianSMcGowan: Deal! "@theCMEguy #cmechat

spelletier             Note: @CME_Coach's tweets aren't showing up in my TweetChat; maybe others I'm not seeing? Maybe fewer lurkers than I thought? #cmechat

timclynch             RT @spelletier: #TOTD RT @timclynch: It is like asking all those that didnt raise their hands to move to the front row. #cmechat

spelletier             #TOTD RT @timclynch: It is like asking all those that didnt raise their hands to move to the front row. #cmechat

dean_jenkins    @theCMEguy w00t more tweeterati  #cmechat

theCMEguy        @MedPedsDoctor If I can do it, you can do it :-) #CMEchat

theCMEguy        @dean_jenkins @timclynch Well, I'll be there this year, so that's at least one more... #CMEchat

MedPedsDoctor               Thanks, Derek, for the topics and discussion today.  Thanks for allowing shameless plugs to my own blog. #cmechat

BrianSMcGowan              Deal! "@theCMEguy: @timclynch A free copy of @BrianSMcGowan 's new book? #cmechat"

theCMEguy        Thanks all for sharing today. Great idea; great suggestions! Lot's to think about! #CMEchat

theCMEguy        Shhh! Don't tell everybody... RT @spelletier: I'd offer a free subscription to Medical Meetings but it's already free #cmechat

dean_jenkins    @timclynch weren't many tweeters there in January. More next time?  #cmechat

theCMEguy        As per @BrianSMcGowan, your homework for #CMEchat 35 is to read the latest cover story in Medical Meetings t.co/bDdZPJmr

theCMEguy        @CME_COACH Ha! Just wait for my next tweet... #cmechat

spelletier             I'd offer a free subscription to Medical Meetings but it's already free RT @timclynch: Is there a prize for the highest recruiter?  #cmechat

timclynch             A back channel tweet monitor at the alliance meeting would be great.   #cmechat

theCMEguy        The real impact of the #CMEchat lies in your action - engage others to participate & please take action on things you have learned!

dean_jenkins    Recruiting by talking to others about what is of value here would expand  #cmechat

theCMEguy        As we get wrap up, please vote for the tweet of the day (#TOTD) seen during this week's #CMEchat

spelletier             Just added to my rss feeds! RT @MedPedsDoctor: My last few blogs ..topic of lifelong learning and CME: t.co/TSMy851i  #cmechat

theCMEguy        @timclynch A free copy of @BrianSMcGowan 's new book? #cmechat

MedPedsDoctor               Also, check out this site which reviews lots of chats: t.co/OQ2knoQL  #cmechat

dean_jenkins    @MedPedsDoctor subscribed to your blog's RSS feed thanks!  #cmechat

theCMEguy        Thx for participating in #CMEchat. All discussions herein are assumed to be personal opinion & not that of current or future employers.

timclynch             Is there a prize for the highest recruiter? RT @theCMEguy: @MedPedsDoctor If we could all get one new person to participate #cmechat

MedPedsDoctor               another way to bring people in: cross-fertilization.  How many of you also follow the #meded chat (I'm guess-facilitating this wk)? #cmechat

theCMEguy        Didn't know you had a blog. Great! RT @MedPedsDoctor: My last few blogs ..topic of lifelong learning and CME: t.co/x0r8sjes  #cmechat

dean_jenkins    @spelletier I think 'broadcasting' and 'brokering' are essential parts of social network building.  #cmechat

MedPedsDoctor               I've been in talks with my health system to start health-related chats.  It's a go! #cmechat

spelletier             What's more important, getting content of discussions out in gr8er CME community, or more participation here? I know, ideally both! #cmechat

theCMEguy        @MedPedsDoctor I like the idea of a commitment. If we could all get one new person to participate, that would be a great start #CMEchat

dean_jenkins    T4 expanding to Middle East, Asia and Australasia could be useful for expanding  #cmechat

MedPedsDoctor               My last few blogs have been on topic of lifelong learning and CME: t.co/F2QDIwtP  #cmechat

spelletier             @dean_jenkins I know, broadcasting is anti-SoMe, but how else to reach those who aren't on SoMe yet? #cmechat

theCMEguy        Very true! RT @spelletier: @theCMEguy At least it would raise awareness, which is a start #cmechat

dean_jenkins    @spelletier publishing in magazines and blogs is 'broadcasting' for  #cmechat

MedPedsDoctor               What we can all do right now: try to get ONE new person to look at the chat w/in the next month (recruitment technique) #cmechat

spelletier             Love this idea! RT @theCMEguy: T4 maybe a special ACME 2012 time at the Alliance with a monitor that all can watch - #cmechat

amcunningham @DavidPaulNoble  thank you:) #cmechat

theCMEguy        T5: 33 #CMEchat’s in the bag: What have you learned? Have you made any changes in your professional life?

dean_jenkins    T4 targeting guest discussants is another way of extending the community for  #cmechat

spelletier             @theCMEguy At least it would raise awareness, which is a start #cmechat

theCMEguy        What do u think @BrianSMcGowan RT @CME_COACH: T4 maybe a special ACME 2012 time at the Alliance with a monitor that all can watch - #CMEchat

MedPedsDoctor               @spelletier which magazines? #cmechat

jjuch      Agree RT @MedPedsDoctor: #of those in community who dont know about chat: proportional to # of those in community who dont use SoMe #cmechat

spelletier             Good pt RT @MedPedsDoctor: # of those in CME who dont know about chat: proportional to # of those in CME who dont use SoMe #cmechat

theCMEguy        @spelletier That's a great idea, but do you think that would encourage more to participate? #CMEchat

MedPedsDoctor               # of those in CME community who don't know about chat: proportional to # of those in CME community who don't use SoMe #cmechat

spelletier             t4 my ambition, seldom followed through on, is to write up the chats and publish them on our blog, Web site, magazine when possible #cmechat

dean_jenkins    T4 Alternate times, asynchronous activities (bookmarking, blogging, polling) are other ways of engaging with  #cmechat

MedPedsDoctor               Consider using tools already out there.  Asynchronous learning, use Doximity and other methods. #cmechat

theCMEguy        T4: Do we need to do more to promote #CMEchat? Do others in the CME community even know about it?

theCMEguy        Such as? RT @dean_jenkins: T4 provide other means of engaging other than the 1 hour synchronous session.  #cmechat

theCMEguy        Good question and good idea with the survey RT @jjuch: T4: is this the best time?  #cmechat

DownstateCME                greatt idea, sole academic ctr here :)RT @jjuch: T3: how about educators using SoMe from outside our industry?  #cmechat

jjuch      T4: is this the best time? (I know it's not for me). What about posting link to surveymonkey poll asking for feedback on times/days #cmechat

dean_jenkins    T4 provide other means of engaging other than the 1 hour synchronous session.  #cmechat

MedPedsDoctor               Talk of getting more consumers on #cmechat is equivocal to talk of getting more patients onto HC provider chats.  Agree #cmechat

jjuch      T3: how about educators using SoMe from outside our industry? We could learn frm others Sorry don't have any specific suggestions.  #cmechat

theCMEguy        T4: What can we do to get more in the CME community to participate in #CMEchat on a more regular basis?

DavidPaulNoble                @spelletier If all providers how we can we get more consumers/users involved to discuss their needs? is #cmechat appropriate forum for that?

dean_jenkins    Sorry "in and out" today. Typical. #cmechat

theCMEguy        T4 coming up... #CMEchat

MedPedsDoctor               Guest tweeter suggestion: Gabrielle Kane. #cmechat

spelletier             I actually hope consumers are lurking. As a pt, I'm so glad you all care so deeply about MedEd and talk about ways to improve #cmechat

DavidPaulNoble                @theCMEguy  guest speaker  suggestion @amcunningham - hopeully she will pick this up! #cmechat

theCMEguy        T3: Any suggestions for a guest tweeter during #CMEchat?

MedPedsDoctor               @DavidPaulNoble Gr8 question.  One point is that ANYONE can be in on a chat.  # of non-docs on the #MDchat is not zero #cmechat

theCMEguy        Majority are providers RT @DavidPaulNoble: Question: how many providers of MEdEd vs c"onsumers" prticipate in #cmechat

spelletier             @DavidPaulNoble well, participators seem to be more MedEd, who knows if consumers are lurking? #cmechat

theCMEguy        IMHO, this is ridiculous RT @jjuch: ... fear of giving competitive advantage to others/losing it themselves #cmechat

DavidPaulNoble                @jjuch  Agree on competitive advantage (if you are a provider!). How can we rise above this? #cmechat

DavidPaulNoble                Question: how many providers of MEdEd vs c"onsumers" prticipate in #cmechat

spelletier             #TOTD RT @MedPedsDoctor: Reading summary is like reading the chart after a pt visit.  It is just not the same as being there live #cmechat

jjuch      Some people may also be hesitant to share info world for fear of giving competitive advantage to others/losing it themselves #cmechat

spelletier             me 2, but it's not the same RT @theCMEguy: I do if I miss one... #cmechat

theCMEguy        +1 RT @MedPedsDoctor: Reading the summary is like reading the chart after a pt visit.  It is just not the same as being there live #cmechat

DavidPaulNoble                @theCMEguy I think we might be missing a focus on the purpose of ongoing MedED, how it is used & consumed, by whom, how, where etc. #cmechat

MedPedsDoctor               Reading the summary is like reading the chart after a pt visit.  It is just not the same as being there live #cmechat

theCMEguy        I do if I miss one... RT @spelletier: @jjuch  wonder how many participate after the fact by reading the summary? #cmechat

MedPedsDoctor               @theCMEguy As someone new to the CME world, I would love accred 101 in Tw chats #cmechat

jjuch      Agree. RT @MedPedsDoctor: People are still concerned about doing something wrong in SoMe #cmechat

spelletier             @jjuch good pt! I wonder how many participate after the fact by reading the summary? #cmechat

MedPedsDoctor               People are still concerned about doing something wrong in SoMe: t.co/qRM7EAm3  #cmechat

theCMEguy        T3: If we could invite special guest participants, who would you suggest? And, how often would you like to see a guest? #CMEchat

jjuch      @spelletier joining late (sorry) biggest challenge for me is time. Takes less time to read summary than 1h every wed morning #cmechat

theCMEguy        T2 We have tried to avoid topics related to accred, regulation, grants, etc in #CMEchat. Am hearing some would like more. Agree/Disagree?

timclynch             T2, I may have missed the ones on the grant systems #cmechat

spelletier             t2 re repetition-we do tend to hit SoMe pretty heavily, but that's not surprising #cmechat

MedPedsDoctor               IMHO the key is to "take the plunge": taking risks sometimes can be a good thing.  6 mo in Tw for me: g8 experience #cmechat

theCMEguy        Maybe. Have heard from some who r a bit "intimidated" to share RT @spelletier:  Can we improve chat env?  #cmechat

MedPedsDoctor               @spelletier Gr8 ?  Some are so concerned with "what if I Tw something I didn't intend that could haunt me later?" #cmechat

DownstateCME                T2. ..the topics so far?more variety of topics needed; some policy, some admin not just current trends might bring more lurkers out #cmechat

theCMEguy        Agree especially with the pace that things change...RT @MedPedsDoctor: No such thing as too repetitive #cmechat

spelletier             Related question: What makes participating in tw chats daunting for some, IRL more daunting for others? Can we improve chat env?  #cmechat

theCMEguy        @CME_COACH Tried to do this with #CMEreg chat but it fizzled due to lack of interest #CMEchat

MedPedsDoctor               No such thing as too repetitive, except for those who have made every single chat.  Often I tweet something identical to 3 wk ago #cmechat

audrie95              #CMEchat: Was anyone on the AMA TC yesterday? Did it differ from info presented at the task force mtg?

theCMEguy        OK, bringing this back to T2. How do you feel about the topics so far? On target? Too repetitive? Are we missing anything? #CMEchat

MedPedsDoctor               @theCMEguy both are ok.  The freedom of choosing how to participate is what makes diff versions of SoMe what they are #cmechat

spelletier             Sort of OT note: some of us are wicked lurkers IRL, but vocal in tw chats #cmechat

theCMEguy        Would we rather have anonymous participants who share or lurkers who don't? #CMEchat

MedPedsDoctor               Is there a name for a "half-lurker", who comes out of hiding after a controversial comment? #cmechat

timclynch             It is like asking all those that didn't raise their hands to move to the front row. #cmechat

spelletier             MT @MedPedsDoctor: Tw chat lurker: akin to person in didactic who has great points to make, but chooses not to.  That is still ok! #cmechat

Sarina_Med       @MedPedsDoctor Totally Agree with you in this one ! You read my mind :) #cmechat

spelletier             @theCMEguy @cme_coach any lurkers willing to say why they prefer not to participate (I know, defeats the purpose of lurking) #cmechat

MedPedsDoctor               Tw chat lurker: akin to that person in a didactic who has great points to make, but chooses not to.  That is still ok! #cmechat

timclynch             How do you measure Tweet Lurking? RT @MedPedsDoctor: The key ?: how to "bring out" the lurkers.  Study on Tw chat lurkers?? #cmechat

Sarina_Med       RT @MedPedsDoctor: It is fascinating to learn about personality types based on tweeting.  Some are open: others are lurkers who come out occasionally #cmechat

theCMEguy        @DavidPaulNoble Interesting...I think we mostly try to avoid direct topics on accreditation for #CMEchat, but it does rear up occasionally.

timclynch             We could use t.co/jAMmYcs7 @spelletier @theCMEguy Does everyone feel comfortable sharing? Any lurkers want to answer this #cmechat

rmtyner               Michelle from Indiana - joining late #CMEchat

theCMEguy        T2: Do you like the balance of topics thus far? What suggestions do you have for future #CMEchat topics?

dean_jenkins    T1 I enjoy #CMEchat for the networks and the theory perspectives.

MedPedsDoctor               The key ?: how to "bring out" the lurkers.  Study on Tw chat lurkers?? #cmechat

theCMEguy        Nice convo going, let's continue on with T2... #CMEchat

DavidPaulNoble                I've kept to the fringes of #CMEchat, mostly because of focus on C which seems to be synonymous with accreditation - of which I am a critic!

MedPedsDoctor               It is fascinating to learn about personality types based on tweeting.  Some are open: others are lurkers who come out occasionally #cmechat

theCMEguy        @CME_COACH I think I agree, but tough to assess. How many are really reading but not sharing? #CMEchat

spelletier             @theCMEguy Does everyone feel comfortable sharing? Any lurkers want to answer this one? #cmechat

timclynch             IMHO recruitment is the duty for all those that value CMEChat RT @spelletier: t1: Id love to see different people get involved #cmechat

MedPedsDoctor               Info on Tw chats from previous Tw: t.co/6KRnyEG7 #cmechat

audrie95              Good morning #CMEChat. T1 - to help keep a pulse on the environment

MedPedsDoctor               Also, try to use this to collect info important to my work as an educator.  Today's point: using Tw chats.   #cmechat

theCMEguy        T1: Does everyone feel comfortable sharing ? Any issues with the "environment" or #CMEchat?

DownstateCME                just wish more wld participate.. RT @theCMEguy: T1: Are there improvements that would make #CMEchat a better experience for you? #cmechat

spelletier             t1 pt 2: nice to have some way to get links to related material ahead of time-I end up losing chat time reading links during  #cmechat

theCMEguy        Going to tackle this in a bit RT @spelletier: t1 part 2: I'd love to see more, different people get involved- #cmechat

spelletier             t1 part 2: I'd love to see more, different people get involved--can be a bit of an echo chamber sometimes #cmechat

timclynch             T1: Spirit of community, we all share in the mission #cmechat

theCMEguy        Agree. These chat are great forum for debate. RT @CME_COACH: T1: opportunity to debate the issues #CMEchat

theCMEguy        Yes! This is a big one for me! RT @spelletier: t1 and I love hearing ideas from people I haven't heard from before. #cmechat

MedPedsDoctor               Right on with this comment! MT @spelletier: t1 and I love hearing ideas from people I havent heard from before. #cmechat

theCMEguy        T1: Are there improvements that would make #CMEchat a better experience for you?

spelletier             t1 and I love hearing ideas from people I haven't heard from before. #cmechat

MedPedsDoctor               T1. In the true spirit of CME, it's about learning.  Not a day goes by when I don't learn something new from SoMe, incl Tw chats #cmechat

timclynch             RT @DownstateCME: To keep current on CME issues and learn.  #cmechat

theCMEguy        Better late than never! #CMEchat

DownstateCME                To keep current on CME issues and learn. T1:  Why do you participate in #CMEchat?  #cmechat

timclynch             Tim from NYC here a bit late #cmechat

MedPedsDoctor               Sorry I am late.  Alex Djuricich, from Indianapolis, joining chat a bit late #cmechat

theCMEguy        T1:  I participate in #CMEchat because every time I do., I learn something new. Every. Time.

spelletier             t1 I participate b/c I always, always learn at least one new thing.  #cmechat

theCMEguy        T1: Let’s get right into it: Why do you participate in #CMEchat? What would make #CMEchat a better experience for you?

theCMEguy        OK, let's get started and hope a few more join in later. T1 coming up! #CMEchat

DownstateCME                Edeline in Brooklyn here #cmechat

spelletier             I do read the rules, but just as something to do while waiting for the good stuff to start. #cmechat

theCMEguy        Hi Karen! #CMEchat

theCMEguy        @spelletier Fine with me. I question whether anyone really reads them... #cmechat

spelletier             That might be one thing to change for 2012--post the rules somewhere and just post a link to them? #cmechat

theCMEguy        Hi Sue and Dean! #CMEchat

theCMEguy        Slow arriving group today. Everyone taking time to read through all the #CMEchat rules I'm sure...

dean_jenkins    Dean in Cornwall, UK. #CMEchat

spelletier             Sue's here in Massachusetts--may have to duck in and out, tho #cmechat

theCMEguy        Derek in Exton - hosting #CMEchat today. Anyone else out there?

theCMEguy        As with each #CMEchat the archive will be available at t.co/nOLVEvIB and archived as a pdf on www.CMEadvocate.com

theCMEguy        As with each #CMEchat we will guide the convo with 3 or 4 topics, but the real learning and teaching lies in your tweets - please engage.

theCMEguy        Rule7. A few mins before the end of #CMEchat, reintroduce yourself. Links, requests & shameless plugs welcome, too - #makingfriends

theCMEguy        Rule6. On #CMEchat we aim to play nice. Sarcasm & irony welcome though. Really. Seriously. #laughingislearning

theCMEguy        Rule5. Periodically RT questions so those outside #CMEchat know what you’re talking about & so they can chime in too

theCMEguy        Rule 3. When writing, complete thoughts help followers outside chat learn from you. #CMEchat

theCMEguy        Rule 4. Please remember to use the #CMEchat hashtag so all of the #CMEchat participants can follow the #CMEchat discussion!

theCMEguy        Rule 2. [try to] stay on the #CMEchat topic. A new question will be asked every 12 min or so. If you can, include T# in related responses.

theCMEguy        Rules for #CMEchat: 1. Introduce yourself. Location? Focus? Fave topics? What brings you here today?

theCMEguy        Welcome to #CMEchat. All discussions herein are assumed to be personal opinion & not that of current, past, or future employers.

dean_jenkins    #CMEchat about #CMEchat ... online now. Help evaluate.

theCMEguy        1 hour until we chat about #CMEchat on #CMEchat.

spelletier             Gearing up for today's #CMEchat about...#CMEchat. What's good, what can be improved, what to talk about in 2012? Join us at 11 ET!

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