You FOAM, I FOAM, We All FOAM

David A. Marcus, MD@EMIMDoc – EMIMDoc.org

Residency Director – EM/IM/Critical CareLIJ Medical Center, New Hyde Park, NY

Assistant Professor of Emergency Medicine, Hofstra-Northwell SOMEditor in Chief, theEMPulse.org

You FOAM, I FOAM, We All FOAM

David A. Marcus, MD@EMIMDoc – EMIMDoc..org – dodmarcus@gmail.com

Residency Director – EM/IM/Critical CareLIJ Medical Center, New Hyde Park, NY

Assistant Professor of Emergency Medicine, Hofstra-Northwell SOMEditor in Chief, theEMPulse.org

Disclosures

The Ecosystem

Mostly founded 2013-2016Grew out of specific content needSome started for asynchronous activitiesMany started by one individualContent mostly resident generated, faculty edited/reviewed100’s-10,000’s views monthlySome provide III creditSome give faculty academic activities creditHalf are funded by operators, half by residency or department

Nikita Joshi, James Liu, David Marcus, Alex Sheng (unpublished data)

Features

Foundations

FoundationsJournal Club

Features

FoundationsJournal ClubAsynchronous

FoundationsJournal ClubAsynchronousSchedules

FoundationsJournal ClubAsynchronousSchedulesLecture Recordings

FoundationsJournal ClubAsynchronousSchedulesLecture RecordingsProcedure Videos

FoundationsJournal ClubAsynchronousSchedulesLecture RecordingsProcedure VideosP.R.

FoundationsJournal ClubAsynchronousSchedulesLecture RecordingsProcedure VideosP.R.Recognition

FoundationsJournal ClubAsynchronousSchedulesLecture RecordingsProcedure VideosP.R.RecognitionLinkage

FoundationsJournal ClubAsynchronousSchedulesLecture RecordingsProcedure VideosP.R.RecognitionLinkageResident Tracks

FoundationsJournal ClubAsynchronousSchedulesLecture RecordingsProcedure VideosP.R.RecognitionLinkageResident TracksRecruitment

FoundationsJournal ClubAsynchronousSchedulesLecture RecordingsProcedure VideosP.R.RecognitionLinkageResident TracksRecruitmentAnnouncements

FoundationsJournal ClubAsynchronousSchedulesLecture RecordingsProcedure VideosP.R.RecognitionLinkageResident TracksRecruitmentAnnouncementsSpecial FeaturesLogistics/Policies

65%Have a

Website

n = 43

n = 42

n = 48

n = 46

n = 48

n = 46

The Yeses Resident driven educationLocation for asynchronous materialsRepository for reliable resources and useful linksOpportunity for scholarship Promotes educational innovation, knowledge translation, discussionFostering an electronic learning environmentDissemination of FOAMExperiential learning of online safety and professionalism Learning by teachingAccess to conference/didactic materials for those who miss sessionsCommunication/Message boardMarketing

n = 48

n = 46

The No’sUnreliable information, dangerousRequires additional resourcesNot recognized by ACGME Requires technical expertiseOverlapping resources as a waste of time/redundancy“FOAMarrhea” – too many people trying to make a name for themselvesBetter to have a small number of “central” high quality sitesNot as academically meaningful as traditional peer-reviewed outletsDistracts from traditional academic work/publication

BALANCE

Shouldn’t My Residency Have a Blog Too?

1. Our learners are already online2. Many training programs operate blogs3. Blogs and homegrown websites serve

academic and administrative needs4. Risks can be mitigated5. Benefits are likely significant6. Reliability is key

Nuemblog.comBrowncoatnation.comWikEM.orgEmdocs.netTamingtheSRU.com theEMpulse.orgHQmeded.comvimeo.com/user45771834TempleEM.com/blogCMCedmasters.comEmedHarbor.eduYaleEM.org Blog.ClinicalMonster.comOsuemed.wordpress.comPeoriaEmergency.com

Cited Sites: