Wolbrink Traci A, Kissoon Niranjan, Mirza Nabila, Burns Jeffrey P
T.A. Wolbrink is assistant professor, Department of Anaesthesia, Harvard Medical School, and associate, Division of Critical Care Medicine, Department of Anesthesia, Perioperative and Pain Management, Boston Children's Hospital, Boston, Massachusetts.N. Kissoon is professor, Department of Pediatrics and Department of Emergency Medicine, University of British Columbia, and vice president of medical affairs, British Columbia Children's Hospital and Sunny Hill Medical Center, Vancouver, British Columbia, Canada.N. Mirza is a data analyst, OPENPediatrics Program, Boston Children's Hospital, Boston, Massachusetts.J.P. Burns is professor, Department of Anaesthesia, Harvard Medical School, and chief, Division of Critical Care Medicine, Department of Anesthesia, Perioperative and Pain Management, Boston Children's Hospital, Boston, Massachusetts.
Acad Med. 2017 May;92(5):676-679. doi: 10.1097/ACM.0000000000001467.
Health care professionals are familiar with engaging in local communities of practice (CoPs) within their hospital, region, and/or country, but despite the availability of online technologies that facilitate online global collaboration, the health care sector has yet to fully embrace these tools.
In 2013, OPENPediatrics (an online social learning platform) launched the World Shared Practices video (WSP) series to engage and coalesce the global community of critical care clinicians. Each month, a 30- to 45-minute video featuring a pediatric critical care medicine expert, interspersed with questions for the audience, is released. Viewers contribute to the community discussion by leaving comments that display alongside the video. Clinicians are encouraged to asynchronously host an educational conference so they can watch the videos and participate in the discussion together.
From March 2013-November 2015, 28 WSPs were launched on a variety of topics. They were viewed over 18,414 times by 1,864 viewers in 132 countries and 760 hospitals; 1,155 comments were submitted. Attending physicians/consultants were the largest audience (36% [671/1,864]), and 37% (30/81) of responding viewers that commented in WSPs watched in small groups. The WSP series was reported to add value to respondents' learning or teaching and to have had a positive impact on their knowledge or practice.
Future research will focus on further describing the context and structure of the CoP and on more deeply investigating its higher-level outcomes and impact. More work is needed to identify barriers and strategies that improve online community engagement.
医疗保健专业人员熟悉在其医院、地区和/或国家内参与当地的实践社区(CoP),但尽管有促进在线全球协作的网络技术,医疗保健部门尚未充分采用这些工具。
2013年,OPENPediatrics(一个在线社会学习平台)推出了世界共享实践视频(WSP)系列,以吸引和凝聚全球重症监护临床医生社区。每月发布一个30至45分钟的视频,其中有一位儿科重症医学专家,并穿插向观众提问。观众通过留下与视频一起显示的评论来参与社区讨论。鼓励临床医生异步举办教育会议,以便他们可以一起观看视频并参与讨论。
从2013年3月至2015年11月,就各种主题推出了28个WSP。132个国家和760家医院的1864名观众观看了18414次以上;提交了1155条评论。主治医师/顾问是最大的观众群体(36%[671/1864]),在WSP中发表评论的回复观众中有37%(30/81)以小组形式观看。据报告,WSP系列为受访者的学习或教学增加了价值,并对他们的知识或实践产生了积极影响。
未来的研究将集中在进一步描述CoP的背景和结构,以及更深入地调查其更高层次的成果和影响。需要做更多工作来确定改善在线社区参与的障碍和策略。