democratizing health science knowledge

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Health Sciences Online andphysician health

• democratizing health science knowledge
• Erica Frank, MD, MPH
• Founder and Executive Director, Health Sciences
  Online
• Professor and Canada Research Chair
• UBC School of Population and Public Health

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HSOS VISION Phase I

• A world where health professionals in training
  and practice access comprehensive, easily-found,
  high quality, free, current courses, references,
  and other learning resources to improve health.

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HSOS VISION Phase II

• A world where health professionals in training
  and practice continue to have free access to
  www.HSO.info -- a comprehensive, easily-found,
  high quality, free, current website, with
  courses, references, and other learning resources
  to improve health AND
• A world where anyone can become and remain a
  well-trained health professional in any
  discipline where they are qualified and there is
  need.

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Purpose of todays presentation

• To identify how HSO can be useful for you, and
  how we might work together to use HSO as a tool
  to improve physician health.

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What is www.HSO.info ?

• HSO is the first website to deliver
  authoritative, comprehensive, free, and ad-free
  health sciences knowledge.
• Search any health sciences topic from over 50,000
  courses, references, guidelines, and other
  learning resources in medicine (basic and
  clinical sciences), public health, pharmacy,
  dentistry, nursing, and other health sciences
  disciplines.
• Materials are selected from accredited
  educational sources including universities,
  governments, and professional societies, by
  knowledgeable staff at HSO.
• Resources can be searched and retrieved in 42
  languages.

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Founding Collaborators and Funders

• American College of Preventive Medicine
• Annenberg Physician Training Program
• Centers for Disease Control and Prevention
• NATO Science for Peace
• University of British Columbia
• World Bank
• World Health Organization
• World Medical Association

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• Health Sciences Online is a visionary
  undertaking. Jeffrey P. Koplan, MD, MPH,
  Former Director, U.S. CDC
• HSO.info will help globally democratize health
  science knowledge. -Carmen Carpio, Knowledge
  Mgmt Officer, World Bank
• "HSO is an incredible resource for health
  professionals all over the world. Open access to
  health information should literally save millions
  of lives and lead to important new discoveries.
  -Anne Margulies, former Executive Director, Open
  Course Ware, MIT
• HSO is expected to make a considerable
  contribution to the advancement of e-learning
  worldwide. -WHO, Building Foundations for
  E-Health, 2006
• The internet at its finest a bonanza a boon
  an incredibly worthwhile enterprise a model of
  what Health 2.0 and Science 2.0 can be one of
  the most altruistic and honorable health service
  resources on the planet. -Online reviews, 2009

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HSO Home Page
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Diabetes
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Diabetes Management
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42 Languages Available

• Italian
• Japanese
• Korean
• Latvian
• Lithuanian
• Maltese
• Norwegian
• Polish
• Portuguese
• Romanian

• Albanian
• Arabic
• Bulgarian
• Catalan
• Chinese (Tr)
• Chinese (Si)
• Croatian
• Czech
• Danish
• Dutch English
• Estonian

• Filipino
• Finnish
• French
• Galician
• German
• Greek
• Hebrew
• Hindi
• Hungarian
• Indonesian

• Russian
• Serbian
• Slovak
• Slovenian
• Spanish
• Swedish
• Thai
• Turkish
• Ukrainian
• Vietnamese

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Diabetes Search in French
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Diabetes Search in Chinese
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Diabetes Search in Japanese
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Tuberculosis
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Tuberculosis Search in Spanish
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Content Team

• Defining, identifying and obtaining appropriate
  content
• Researching and contacting potential
  collaborating universities, accredited specialty
  societies, and governmental organizations for
  content

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Content Criteria Guidelines

• Guidelines are based upon the following
  models/articles
• 1. Association of American Medical Colleges Peer
  Review Task Force. Digital and Educational Peer
  Review. AAMC, 2004.
• 2. Health Summit Working Group. Criteria for
  Assessing the Quality of Health Information on
  the Internet. Available at http//hitiweb.mitrete
  k.org/docs/policy.pdf. Accessed 10/8/05
• 3. Kim, P. et al., Published criteria for
  evaluating health related web sites review.
  BMJ, 1999. 318(7184) p. 647-9.
• 4. Knight, C.L., et al., Developing a peer review
  process for web bases curricula minting a new
  coin of the realm. Journal of General Internal
  Medicine, 2004. 19(5 Pt 2) p. 594-8.
• 5. Medlineplus.gov http//www.nlm.nih.gov/medline
  plus/criteria.html
• 6. Wyatt, J.C., Commentary measuring quality and
  impact of the World Wide Web see comment. BMJ,
  1997. 314(7098) p.1879-81

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Content Criteria Checklist
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Example of Content Providers Pathology

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Example of Content Providers Pathology (cntd)

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Example of Content Providers Pathology (cntd)

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Example of Content Providers Pathology (cntd)

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Collected resources gt50,000
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HSO Pilot Web Site Testing

• When?
• 2006-2008
• What?
• First single topic (HIV/AIDS), then pilot entire
  web site
• Online Survey access on HSO.info
• Who?
• Pilot sites in 11 countries in Africa, Asia,
  North America
• Small convenience samples in each country
• Health professionals in training and practice
  (medicine, nursing, public health)
• Why?
• To get general idea and feedback on HSO web
  portal organization, search function and results
  layout, other web site features, users
  expectations, etc

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Some feedback from pilot

• Nearly all users indicated that HSO website will
  
• make their work more effective and productive
• help them learn
• increase their motivation and interest in
  learning
• A representative quote
• Beside my work at the government I participate
  in the teaching activities in our country, thus I
  need the high quality information not only for
  governmental work, but also for teaching and the
  HSO will give me an opportunity to save time and
  have easy access to high quality learning
  resources.

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Advisory Committee

• A large and distinguished group, including health
  leaders, educators, content partners, and experts
  in information and communications technologies
• Providing input into overall project design and
  implementation
• Meeting at least every 3 months

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Advisory Committee Members

• Edward Maibach, MPH, PhD
• Professor, Social Marketing
• George Mason University
• J.B. McGee, MD
• Assistant Dean for Medical Education Technology
• University of Pittsburgh School of Medicine
• Pat Molholt, PhD
• Executive Director, Global Health Care Learning
• NewYork-Presbyterian
• Hugh Tilson, MD, DrPH
• Clinical Professor of Epidemiology/Health Policy
• Senior Advisor to the Dean, UNC SPH

• Sukon Kanchanaraksa, PhD
• Dir., Teaching/Learning w. Technology
• Johns Hopkins Bloomberg SPH
• Steven Kanter, MD
• Vice Dean, School of Medicine
• University of Pittsburgh
• Jerome P. Kassirer, MD
• Distinguished Professor, Tufts Univ. SoM
• Former Editor-in-Chief, NEJM
• Arthur Kellerman, MD, MPH
• Director, Center for Injury Control/ WHO CC
• Rollins School of Public Health,
• Emory University

• Chris Candler, MD
• Frmr Editor, MedEdPORTAL, AAMC
• Stephen Carson, MFA
• Senior Strategist, Open Courseware, MIT
• Jim Curran, MD, MPH
• Dean, Rollins School of Public Health,
• Emory University
• Mindy Frost, MS
• Instructional Systems Specialist, CDC
• Richard Heller, MB, BS, MD
• Coordinator, Peoples-uni
• Ann Hulton
• Head, Systems/Media Services
• Health Sci Library, Emory University

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The 8 HSO Revolutions

• Health sciences education
• Disease surveillance
• Needs assessments
• Telemedicine
• Funding
• Public health ethics
• CME Integrity
• Local professional opportunities

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The 8 HSO Revolutions

• Health sciences education
• Disease surveillance
• Needs assessments
• Telemedicine
• Funding
• Public health ethics
• CME Integrity
• Local professional opportunities

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A community-based model for a more
knowledgeable/plentiful health workforce

• We propose using community-based education to
  enormously and rapidly expand the number of
  well-trained health workers, combining the best
  aspects of a 19th century apprenticeship with the
  21st centurys most powerful, high quality, and
  efficient educational tools.

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The Need for Health Care Workers

• According to WHO, the world needs over 4 million
  additional health care workers, and needs
  innovation to educate them more efficiently. It
  is clear that the 20th centurys painstaking
  approach of building and conventionally-expanding
  one new, relatively autonomous training center at
  a time is not solving this problem.

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Methodology Preparatory phase

• Perform a needs assessment of the target
  population.
• Identify curricula (consensus document with
  intellectual and practical competencies or
  published medical school approaches) that fulfill
  the training goal, identified from relevant
  organizations (eg CEPH, CDC, UNICEF, WHO, PAHO,
  ASPH).
• Create an advisory committee with experts in the
  field including experts from co-sponsoring
  organizations.

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Methodology Preparatory phase

• Populate curriculum (find materials to fulfill
  the goals of the curriculum) with HSO resources
  (and other resources that will be included in
  HSO)
• Each curricular item should ideally have gt2 HSO
  resources as options, and ideally one resource
  can cover multiple curricular needs.
• Resources have to be recent (since 2000, ideally
  since 2004) and fulfill HSO content criteria.
• All categories should be covered in sufficient
  depth, with mixed media (i.e., some lectures by
  world-class speakers, some guidelines, textbook
  chapters, interactive modules, atlases, etc.).
• Find quizzes/tests for the end of the training.

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Methodology Preparatory phase

• Circulate the proposed curriculum and resources
  to the Advisory Committee for discussion and
  approval
• Build the certificate in Moodle
• Identify trainees and mentors to pilot the
  certificate

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Methodology Training phase

• The certificates will be built to be the
  equivalent of a fulltime one-month rotation,
  based on a 60 hour work week.
• Learners will be expected to take part in
  approximately 160 hours of didactic study, using
  learning objects offered through HSO.
• The rest of the time for their rotation will be
  spent on practical, hands-on work as directed by
  their mentor, and other learning from their
  mentors, and peer-to-peer learning.
• Once a month trainees will have a teleconference
  (1hr) with an expert in the field.

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Methodology Certification

• Objective testing with a final exam
• Self, peer-to-peer, and mentor assessment
• Certification/degrees will be given by HSO in
  collaboration with local institutions and
  international collaborators.

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Examples of Educational Initiatives
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The 8 HSO Revolutions

• Health sciences education
• Disease surveillance
• Needs assessments
• Telemedicine
• Funding
• Public health ethics
• CME Integrity
• Local professional opportunities

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So now, lets discuss what we can next do
together?
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So now, lets discuss what we can next do
together?Additional HSO resourcesCertificate
in addiction medicine Certificate in physician
healthFellowship in physician
healthResidencies in FM, EM, PM
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Erica Frank, MD, MPH erica.frank_at_ubc.ca or
efrank_at_emory.edu

• Professor and Canada Research Chair, University
  of British Columbia
• School of Population and Public Health, Faculty
  of Medicine
• Founder and Executive Director, Health Sciences
  Online