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Understanding Clinical Complexity Through Conversational Learning in Medical Social Networks: Implementing User-Driven Health Care

  • Amy Price
  • Shivika Chandra
  • Kaustav Bera
  • Tamoghna Biswas
  • Pranab Chatterjee
  • Ralph Wittenberg
  • Neil Mehta
  • Rakesh BiswasEmail author
Chapter

Abstract

With the increasing pressures to keep up with the most current literature, skills such as the ability to be empathic with patients, emotional intelligence, the ability to collaborate, and well-rounded decision making may be set aside in the race for information mastery. This can affect patient care. It is well documented that a significant part of a patient’s recovery can be attributed to the dynamics between the patient and those they come to for medical care. In fact even placebo intervention is more successful when the patient trusts in and can form a therapeutic alliance with the treating professional [1].

Keywords

Medical Student Social Medium Emotional Intelligence Cerebral Malaria Enteric Fever 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgements

Priyank Jain and Yogesh Jain who are two of the physicians described in the illustrative example of “clinical complexity” in this chapter thank

The team at the Cochrane Students’ Journal Club, The Forum for Medical Students’ Research, India (INFORMER) and the South Asian Cochrane Network and Centre, Vellore.

The team of students and faculty members from Tabula Rasa.

Peg Ford—patient advocate extraordinaire for sharing her story and inputs with us.

Vasumathi Sriganesh, CEO at QMed Knowledge Foundation India for her help in citation finding.

Glossary of Social Tools

Blogs

Blogs are content management systems that can host text, images, audios or video in an interactive format where users can place comments and create a discussion. Free platforms are available on Google’s Blogspot (http://blogger.com) or the open access Wordpress (http://wordpress.com) services.

E-mail Groups

Are moderated lists which allow sharing of information, video, audio, or other attachables and hence act as asynchronous discussion platforms. Free e-mail groups can be created on Google (http://googlegroups.com) or Yahoo (http://groups.yahoo.com) or Posterous (http://posterous.com).

Facebook

A social networking site that allows peer-to-peer interaction, build groups with different levels of privacy (from open to secret), build fan pages to showcase content, and create albums to handle images. Also allows video and text chats.

Google +

A Google powered social network that has similar functionality as Facebook with a special video chat system called “Hangouts.”

Google Reader

A tool to read updates from sites that can generate dynamic “feeds” also known as RSS.

RSS

“Really Simple Syndication” is a system which generates dynamic feeds whenever new updates or additions are made to a site. These can be pulled in by tools like Google Reader to read the updates.

Twitter

Microblogging site which allows for sharing of images, video, or audio, along with links. Contents of a single post are to be limited to 140 characters.

YouTube

Free video hosting site run by Google that can host a number of different formats of varying lengths.

References

  1. 1.
    Goldacre B. Bad science. London: Fourth Estate; 2008.Google Scholar
  2. 2.
    Bonavita V, De Simone R. Towards a definition of comorbidity in the light of clinical complexity. Neurol Sci. 2008;29 Suppl 1:S99–102.PubMedCrossRefGoogle Scholar
  3. 3.
  4. 4.
    Maskrey N, Underhill J, Hutchinson A, Shaughnessy A, Slawson D. Getting a better grip on research: a simple system that works. InnovAiT. 2009;2(12):739–49. doi: 10.1093/innovait/inp106.CrossRefGoogle Scholar
  5. 5.
    Price A. Let the evidence speak. Editorial. The International Society for Evidence-Based Health Care Newsletter. 4 July 2011. http://isehc.blogspot.com/p/newsletters.html
  6. 6.
    Biswas R, Martin C, Sturmberg J, Shankar R, Umakanth S, Shanker K, Kasthuri AS. User driven health care—answering multidimensional information needs in individual patients utilizing post EBM approaches: a conceptual model. J Eval Clin Pract. 2008;14:742–9.PubMedCrossRefGoogle Scholar
  7. 7.
    Ross S. A lexicon for user-driven healthcare. Int J User Driven Healthcare. 2011;1(1):50–4.CrossRefGoogle Scholar
  8. 8.
    Biswas T, Bera K, Biswas R (2011) Creating secondary learning resources from the BMJ Case Reports through social-media based discussion groups. BMJ Case Reports Blog. http://blogs.bmj.com/case-reports/2011/10/28/creating-secondary-learning-resources/. Accessed 6 Nov.
  9. 9.
    Rees B. An introduction to the NHS & NHS reforms revolution or evolution? European M Health Alliance Summer Symposium 2011.Google Scholar
  10. 10.
    Wittenberg R. HIFA 2015 Email Forum ‘Genital mutilation’; 2011. http://www.hifa2015.org/hifa2015-forum/. Accessed 10 Oct 2011.
  11. 11.
    Heneghan C. Diagnostic tests; 2010. http://www.cebm.net/index.aspx?o=1023. Accessed 08 Oct 2011.
  12. 12.
    Heilman J. Wikipedia and medical knowledge. Personal correspondence; 2011.Google Scholar
  13. 13.
    Fathers Now. http://fathersnow.com. Accessed 12 Oct 2011.
  14. 14.
    Frankovich J, Longhurst C, Sutherland S. Evidence-based medicine in the EMR era. N Engl J Med. 2011;365(19):1758–9.PubMedCrossRefGoogle Scholar
  15. 15.
    Survivors teaching students: saving women’s lives by the Ovarian Cancer National Alliance. http://www.ovariancancer.org/about-us/survivors-teaching-students/. Accessed 12 Dec 2011.
  16. 16.
    Bhalla A, Suri V, Varma S, Sharma N, Mahi S, Singh P, Khandelwal NK. Acute febrile encephalopathy in adults from Northwest India. J Emerg Trauma Shock. 2010;3(3):220–4.PubMedCrossRefGoogle Scholar
  17. 17.
    Anderson W. Herpes Simplex Encephalitis Workup. Medscape Reference. http://emedicine.medscape.com/article/1165183-workup#aw2aab6b5b1aa. Accessed 7 Nov 2011.
  18. 18.
    Biswas R, Dhakal B, Das RN, Shetty KJ. Resolving diagnostic uncertainty in initially poorly localizable fevers: a prospective study. Int J Clin Pract. 2004;58(1):26–8.PubMedCrossRefGoogle Scholar
  19. 19.
    Lakhotia M, Gehlot RS, Jain P, Sharma S, Bhargava A. Neurological manifestations of enteric fever. JIACM. 2003;4:196–9.Google Scholar
  20. 20.
    Scragg J, Rubidge C, Wallace HL. Typhoid fever in African and Indian children in Durban. Arch Dis Child. 1969;44(233):18–28.PubMedCrossRefGoogle Scholar
  21. 21.
    Koskiniemi M, Vaheri A, Taskinen E. Cerebrospinal fluid alterations in herpes simplex virus encephalitis. Rev Infect Dis. 1984;6(5):608–18.PubMedCrossRefGoogle Scholar
  22. 22.
    Herpes simplex encephalitis treated with acyclovir: diagnosis and long term outcome, http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2169720/. Accessed 29 June 2011.
  23. 23.
    McGrath N, Anderson NE, Croxson MC, Powell KF. Herpes simplex encephalitis treated with acyclovir: diagnosis and long term outcome. J Neurol Neurosurg Psychiatry. 1997;63(3):321.PubMedCrossRefGoogle Scholar
  24. 24.
    Cochrane Students’ Journal Club. http://csjconline.informer.org.in/. Accessed 12 Nov 2011.
  25. 25.
    Chandra S, Shah KN, Sriganesh V. The Cochrane Students’ Journal Club - creating a secondary learning resource for gathering and appraising evidence: An example of rational use of medicine to prevent malaria relapse. Int J User Driven Health Care. 2011;1(4):31–41.CrossRefGoogle Scholar
  26. 26.
    Gray K, Annabell L, Kennedy G. Medical students’ use of Facebook to support learning: insights from four case studies. Med Teach. 2010;32:971–6.PubMedCrossRefGoogle Scholar
  27. 27.
    Koehlmoos T, Smith R. Big publishers cut access to journals in poor countries. Lancet. doi: 10.1016/S0140-6736(11)60067-6.Google Scholar
  28. 28.
    Kmietowicz Z. Publishers withdraw 2500 journals from free access scheme in Bangladesh. BMJ. 2011. doi: 10.1136/bmj.d196.
  29. 29.
    Garner J, O’Sullivan H. Facebook and the professional behaviours of undergraduate medical students. Clin Teacher. 2010;7:112–5. doi: 10.1111/j.1743-498X.2010.00356.x.CrossRefGoogle Scholar
  30. 30.
    The Cochrane Collaboration. http://www.cochrane.org/. Accessed 12 Nov 2011.
  31. 31.
    Djulbegovic B. Lifting the fog of uncertainty from the practice of medicine. BMJ. 2004;329:1419–20.PubMedCrossRefGoogle Scholar
  32. 32.
    BMJ 2011; 342:d196:doi: 10.1136/bmj.d196.
  33. 33.
    Plsek PE, Greenhalgh T. The challenge of complexity in health care. BMJ. 2001;323:625–8.PubMedCrossRefGoogle Scholar
  34. 31.
    Salzburg Global Seminar. The greatest untapped resource in healthcare? Informing and involving patients in decisions about their medical care, 12–17 Dec 2010 (Session 477). http://www.SalzburgGlobal.org/go/477. Accessed 10 Oct 2011.
  35. 35.
    Stacey RD. Strategic management and organisational dynamics. London: Pitmann Publishing; 1996Google Scholar
  36. 36.
    Editorial. Bad decisions for global health. The Lancet; 2011. doi: 10.1016/S0140-6736(11)60066-4

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Amy Price
    • 1
    • 2
  • Shivika Chandra
    • 3
  • Kaustav Bera
    • 4
  • Tamoghna Biswas
    • 4
  • Pranab Chatterjee
    • 5
  • Ralph Wittenberg
    • 6
  • Neil Mehta
    • 7
  • Rakesh Biswas
    • 8
    Email author
  1. 1.Oxford UniversityOxfordUK
  2. 2.MiamiUSA
  3. 3.Kasturba Medical CollegeMangaloreIndia
  4. 4.Medical College KolkataKolkataIndia
  5. 5.University College of Medical Sciences and Guru Teg Bahadur HospitalNew DelhiIndia
  6. 6.Georgetown UniversityWashingtonUSA
  7. 7.Stanford UniversityStanfordUSA
  8. 8.Department of MedicinePeople’s College of Medical Sciences and Research CenterBhopalIndia

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