2. Moving On...
David Marcus, MD - @EMIMDoc
Chief Resident, LIJ EM/IM Program
KCHC/SUNY Downstate - May 22, 2013
A Six Step Guide to Academic Independence

3. Contemporary Med-Ed
The FundamentalsThe FundamentalsThe FundamentalsThe Fundamentals CognitionCognitionCognitionCognition CMECMECMECME
KnowledgeKnowledge
BaseBase
KnowledgeKnowledge
BaseBase
ProceduresProceduresProceduresProcedures Clinical ReasoningClinical ReasoningClinical ReasoningClinical Reasoning Staying RelevantStaying RelevantStaying RelevantStaying Relevant
TextbooksTextbooksTextbooksTextbooks
Clinical ExperienceClinical ExperienceClinical ExperienceClinical Experience
MentorshipMentorshipMentorshipMentorship
Simulation, WorkshopsSimulation, WorkshopsSimulation, WorkshopsSimulation, Workshops
Case Reviews, M&MCase Reviews, M&MCase Reviews, M&MCase Reviews, M&MLecturesLecturesLecturesLectures LecturesLecturesLecturesLectures
RecertificationRecertificationRecertificationRecertification
Journals/ConferencesJournals/ConferencesJournals/ConferencesJournals/Conferences

4. Contemporary Med-Ed
The FundamentalsThe FundamentalsThe FundamentalsThe Fundamentals CognitionCognitionCognitionCognition CMECMECMECME
KnowledgeKnowledge
BaseBase
KnowledgeKnowledge
BaseBase
ProceduresProceduresProceduresProcedures Clinical ReasoningClinical ReasoningClinical ReasoningClinical Reasoning Staying RelevantStaying RelevantStaying RelevantStaying Relevant
TextbooksTextbooksTextbooksTextbooks
Clinical ExperienceClinical ExperienceClinical ExperienceClinical Experience
MentorshipMentorshipMentorshipMentorship
Simulation, WorkshopsSimulation, WorkshopsSimulation, WorkshopsSimulation, Workshops
Case Reviews, M&MCase Reviews, M&MCase Reviews, M&MCase Reviews, M&MLecturesLecturesLecturesLectures LecturesLecturesLecturesLectures
RecertificationRecertificationRecertificationRecertification
Journals/ConferencesJournals/ConferencesJournals/ConferencesJournals/Conferences
Med
Ed
Modern Med

5. A Wise Man Once Said:
"If you want to know how we practiced medicine 5 years ago,
read a textbook.
If you want to know how we practiced medicine 2 years ago,
read a journal.
If you want to know how we practice medicine now,
go to a conference.
If you want to know how we will practice medicine in the future,
listen in the hallways and use FOAM."
- Prof. Joe Lex

6. FOAM,You Say?
Free, Open Access Medical EducationFree, Open Access Medical EducationFree, Open Access Medical EducationFree, Open Access Medical Education
So Who's At the Party?So Who's At the Party?So Who's At the Party?So Who's At the Party?

7. Some FolksYou Might
Already Know

8. And a Few New Friends:

9. I Have Enough Friends
• Keep up with latest controversies in EM/CC
• Distance participation in medical conferences
• Insight into clinical reasoning of colleagues, thought
leaders
• Knowledge retention by Spaced Repetition
• Keep posted on new resources and tools
• Learn everything from the basics on, on your schedule
• Quick consult, feedback on your own ideas, network,
professional opportunities, etc...

10. Learn and Re-Learn
• NODESAT
• Perimortem C-Section
• Delayed Sequence
Intubation
• Bath Salts
• Tox Reviews
• Advanced AW
Management
• ECG Reviews
• Critical Procedures in EM

11. The Six Steps to
Academic Independence

12. But First,A Word About Protection

13. Rules of Engagement
• Caveat Emptor
• Anonymity is dead
• Everything is discoverable
• Nothing is deletable
• Treat people with respect
• Maintain professional standards.Your digital persona and clinical
persona are one.

14. Step #1: Join Twitter
• Register at Twitter.com
• To get the most out of Twitter, install the App on
your mobile devices. Set up notifications via
Settings.
• Follow users and hashtags (#)
• No, you DO NOT have to contribute
• It is OK to watch
• Check the feed when you can and follow links or
conversations that appeal to you

15. Hashtags - #
• The # sign is used to unify threads on Twitter
• Many established hashtags, new ones come up every
day.
• # often used to identify conferences (#SMACC2013,
SAEM13). By searching for a conference hashtag you
can follow proceedings and contribute from afar.
• Your starting points:
• #FOAMed , #EMTOT

16. Accounts to Follow
• @emcrit
• @precordialthump
• @criticalcarenow
• @mdaware
• @pharmertoxguy
• @embasic
• @boringem
• @m_lin
• @emlitofnote

17. Some Locals
• @kingsofcounty
• @njoshi8
• @jeremyfaust
• @jojohaber
• @dodmarcus

18. Step #2: Read Blogs
• Independently published, freely accessible, medical
education.
• Your starting points:
• Academic Life in Emergency Medicine
• Life in the Fast Lane

19. Many Other Excellent Sites
• Emcrit
• EM Lyceum (journal club)
• The Poison Review
• Dr. Smith's ECG Blog (Advanced)
• PulmCCMCentral
• ResusME
• SonoSpot
• The Short Coat (Students!)

20. And many, many more...

21. Step #3: Podcasts/Vodcasts
• Audio/video recordings by many of the
bloggers listed above, and more
• Some are pay-protected
• May be found on iTunes or via their own
sites
• Some are downloadable, all can be streamed
• Several offer free access via EM organizations

22. Step #3: Podcasts/Vodcasts
• Some examples:
• FreeEmergencyTalks.net (>1000 talks by leaders in
EM collected by Joe Lex at al)
• EMRAP EE (Rob Rogers, Mel Herbert,Amal Mattu)
• Ultrasound Podcast (Mike Mallon, Mike Stone, Matt
Dawson)
• iTeachEM (Rob Rogers)
• SmartEM (David Newman - still absent from Twitter)

23. Step #4: Join GMEP.org
• The Global Medical Education Project
• Free, community driven EM/CC learning
• User & Admin submitted question banks
• Image collections and other downloadable materials
• See how you stack up against others
• Lovechild of Facebook, PEERVIII, LinkedIN

24. Step #5: Keep It All Straight
• FOAMem.com - Continuously updated collection of
all FOAM blog posts (RSS Feed). Check it out.
• GoogleFOAM.com - Unified search portal for all
FOAM resources (previously EMGoogle.com)
• Use your apps...

25. Step #6: Essential Apps
• Aggregators: Pulse, Feedly, Flipboard
• New posts appear automatically; no need
to go through multiple websites.
• After installing, search for and save all your
favorite blogs.
• View online or on any mobile platform

26. Step #6: Essential Apps
• Upshot - By the folks at keepingup.org
• Monthly reviews of trending papers in EM
• A work in progress, not perfected yet. But lots
of good stuff.

27. Step #6: Essential Apps
• QXMD Read
• A news feeder similar to Pulse, but based on
academic journals.
• Not FOAM, relies on access to journals. But if your
hospital/school subscribes to the journals, full text is
easily accessible, many with PDF's.
• Install, enter your specialty and journals of interest,
and you'll never be out of something to read.
• Advanced users: proxy servers can be set up

28. The Six Step Plan
1.Twitter
2.Blogs
3.Podcasts
4.GMEP
5.Keeping it straight
1. FOAMEM.com
2. GoogleFOAM.com
6.Apps: Pulse, Feedly, Flipboard, Upshot, QXMD Read
Learn, InteractLearn, InteractLearn, InteractLearn, Interact
Stay OrganizedStay OrganizedStay OrganizedStay Organized
PracticePracticePracticePractice

29. Just Do It
It's good for you.