E. Funk is chief resident, Mayo Clinic School of Medicine, Rochester, Minnesota. J. Riddell is assistant professor of clinical emergency medicine, Keck School of Medicine of the University of Southern California, Los Angeles, California. F. Ankel is professor of emergency medicine, University of Minnesota Medical School, Minneapolis, Minnesota, and vice president for healthcare professions education, HealthPartners, Saint Paul, Minnesota. D. Cabrera is associate professor of emergency medicine, Mayo Clinic School of Medicine, Rochester, Minnesota.
Acad Med. 2018 Dec;93(12):1791-1794. doi: 10.1097/ACM.0000000000002326.
Health professions educators face multiple challenges, among them the need to adapt educational methods to new technologies. In the last decades, multiple new digital platforms have appeared in the learning arena, including massive open online courses and social-media-based education. The major critique of these novel methods is the lack of the ability to ascertain the origin, validity, and accountability of the knowledge that is created, shared, and acquired. Recently, a novel technology based on secured data storage and transmission, called blockchain, has emerged as a way to generate networks where validity, trust, and accountability can be created. Conceptually, blockchain is an open, public, distributed, and secure digital registry where information transactions are secured and have a clear origin, explicit pathways, and concrete value. Health professions education based on blockchain will potentially allow improved tracking of content and the individuals who create it, quantify educational impact on multiple generations of learners, and build a relative value of educational interventions. Furthermore, institutions adopting blockchain technology would be able to provide certification and credentialing of health care professionals with no intermediaries. There is potential for blockchain to significantly change the future of health professions education and radically transform how patients, professionals, educators, and learners interact around safe, valid, and accountable information.
健康专业教育者面临着多重挑战，其中包括需要适应新技术的教育方法。在过去的几十年中，学习领域出现了多个新的数字平台，包括大规模开放式在线课程和基于社交媒体的教育。这些新方法的主要批评是缺乏确定所创建、共享和获取的知识的来源、有效性和问责制的能力。最近，一种基于安全数据存储和传输的新技术区块链作为一种生成网络的方式出现，这种网络可以创建有效性、信任和问责制。从概念上讲，区块链是一个开放、公共、分布式和安全的数字注册表，其中信息交易是安全的，并且具有明确的来源、明确的路径和具体的价值。基于区块链的健康专业教育将有可能改进对内容和创建内容的个人的跟踪，量化对多代学习者的教育影响，并建立教育干预的相对价值。此外，采用区块链技术的机构将能够在没有中介的情况下为医疗保健专业人员提供认证和证书。区块链有可能显著改变健康专业教育的未来，并彻底改变患者、专业人员、教育者和学习者围绕安全、有效和可问责信息的互动方式。
