1. Technology & Social Media in
Clinical Education
Risks, Boundaries and Benefits
April 25, 2013
2. Objectives
Gain an appreciation of the mutual protective
policies of the Family Education Rights and
Privacy Act (FERPA)
Explore the pros and cons of the use of
technology devices in clinic
Learn about new possibilities for online
communication between academic and clinical
education settings
3. Program Topics
4. Mobile Devices, Cloud Storage,
& Apps for the clinical setting
4. Mobile Devices, Cloud Storage,
& Apps for the clinical setting
1. FERPA Discussion1. FERPA Discussion
2. Social Media & FERPA2. Social Media & FERPA
3. Social Media in Education,
Advantages & Disadvantages
3. Social Media in Education,
Advantages & Disadvantages
4. If you had a magic wand,
what’s 1 thing you would
change about students,
the setting you teach in
or the technology you use…
If you had a magic wand,
what’s 1 thing you would
change about students,
the setting you teach in
or the technology you use…
Introductions
Your Name
What/Where You Teach
5. About Me
12 years of experience developing instructional materials and
working in the Teaching & Learning Center.
Research and application of new emerging technologies in
education is a big part of what I do!
Assistance to faculty in creating and using social media and cloud-based
applications
The result of this work is having to learn about FERPA and
Copyright
PASSION for emerging technologies in education and creation
of instructional materials.
DESIRE to serve the faculty and school well by doing it right
NOT a lawyer! NOT a FERPA expert!
NOT a Medical expert!
So… why is she here?So… why is she here?
6. FERPA
A. Not something I have to deal with, doesn’t
affect me.
B. I should probably know a little more
C. Sounds like a bad disease!
D. I know all I need to know
E. I am a FERPA expert and I’ll teach this section for
you!
What it
means to me
as a faculty
member:
7. FERPA
FAMILY EDUCATIONAL RIGHTS AND
PRIVACY ACT OF 1974 AS AMENDED
This law, also known as the Buckley Amendment
"A federal law designed to protect the privacy of
education records, to establish the right of students
to inspect and review their education records, and
to provide guidelines for the correction of inaccurate
and misleading data through informal and formal
hearings."
________________________________________________________
DEFINITIONS OF TERMS FOR ADMISSIONS AND RECORDS. Washington, D.C.: AACRAO, 1980, p. 28.
8. What is FERPA?
FERPA is the Federal law that protects the privacy of
students’ education records.
FERPA applies to educational agencies and institutions
that receive funds under any program administered by
the Secretary of Education. § 99.1.
Most private and parochial schools at the elementary
and secondary levels do not receive such funds and are,
therefore, not subject to FERPA.
10. Education Records
“Education records” are records that are –
(1) Directly related to a student; and
(2) Maintained by an educational agency or
institution or by a party acting for the agency
or institution.
§ 99.3 “Education records”
11. “PERSONALLY IDENTIFIABLE”
MEANS DATA OR INFORMATION WHICH INCLUDES:
o The name of the student, the student's parent, or other
family members
o The student's campus or home address;
o A personal identifier (such as a social security number or
student number)
o A list of personal characteristics or other information
which would make the student's identity easily traceable
13. Helpful Hints for Faculty
Use the SSN/Student ID number to post
grades.
Leave graded tests in a stack for students
to sort through.
Circulate a printed class list with the
Student Name and SSN/Student ID.
To Avoid FERPA Violations –
Please Do Not:
14. Provide anyone with student schedules.
Provide anyone with lists of students
enrolled in your classes.
Include confidential information (i.e.
grades, GPA, number of credit hours) in a
recommendation letter without the written
consent of the student.
To Avoid FERPA Violations –
Please Do Not:
Helpful Hints for Faculty
15. FERPA and Web Technology Tips
When in doubt, don’t do it/don’t use it.
Don’t use (PII) in any cloud-based app.
Create your own unique ID for each student,
or a system that only allows you to know who
it is.
Use only information you need to get the job
done.
Use apps and tools contracted by the
school when possible, like Google apps.
16. Social Media
What is Social Media?
A.Not a clue.
B.Viewing photos of the kids, of people I
went to high school with 20+ years ago.
C.Finding out what George Clooney ate for
breakfast.
D.A professional development tool.
E.A method of communication.
19. Social Media for Clinical Education
http://smacc.net.au/
SMACC is a high impact academic
meeting fused with cutting edge on-line
social media to deliver innovation with
education.
http://lifeinthefastlane.com/
LITFL is a medical blog and website
dedicated to providing online emergency
medicine and critical care insights and
education for everyone, everywhere...
20. Life in The FastLane
medical blog and website dedicated to
providing online emergency medicine and
critical care insights and education for
everyone, everywhere... usually with a
healthy dose of UCEM good humour, and
always with endless enthusiasm.
http://lifeinthefastlane.com/
http://lifeinthefastlane.com/reviews/apps/
21. FOAM
FOAM stands for Free Open Access Meducation
FOAM is the movement that has spontaneously
emerged from the exploding collection of
constantly evolving, collaborative and interactive
open access medical education resources being
distributed on the web with one objective — to
make the world a better place.
http://lifeinthefastlane.com/foam/
23. Global Medical Education Project
https://gmep.org/
Create a free account
Earn points for answering medical
questions
Integrated with facebook, twitter, Google+
http://www.ivline.info/2012/06/taking-medical-e
24. FERPA & Social Media
FERPA is one of the most misunderstood regulations in education. It is
commonly assumed that FERPA requires all student coursework to be kept
private at all times, and thus prevents the use of social media in the
classroom, but this is wrong. FERPA does not prevent instructors from
assigning students to create public content as part of their course
requirements. If it did, then video documentaries produced in a
communications class and shown on TV or the Web, or public art shows of
student work from an art class, would be illegal.
Suggested guidelines:
When students are assigned to post information to public social media platforms
outside of the university LMS, they should be informed that their material may be
viewed by others.
Students should not be required to release personal information on a public site.
Instructor comments or grades on student material should not be made public.
(Interestingly, grades given by other students on “peer-graded” work can be
made public under FERPA). (ACE, 2008)
While not clearly required by law, students under the age of 18 should get their
parent’s consent to post public work.
25. ICC’s Social Media Policy
Illinois Central College has a Social
Media Policy:
http://www.icc.edu/eLibrary/ICC%20Standards%20-%20Soci
Classroom activities that involve use of social media
should follow guidelines if it is public.
http://www.icc.edu/standards/
www.icc.edu/disclaimer/
26. Social Media Policy
Does the hospital or institution where the
clinic occurs have a social media policy?
Share it with the students
Develop your own Social Media Policy
Example: http://www.drkkolmes.com/docs/socmed.pdf
Examples: http://
topr.online.ucf.edu/index.php/FERPA_Statements
27. Social Media Guidelines
Make your expectations clear up front
Keep personal and professional separate
Put it in your syllabus
Consider using it as a tool of one way
communication to your students
If you are going to use it for interaction:
Make it private to only your students
Clearly state how they are to use it
Have a takedown or user removal policy
Give an alternative for those that don’t want to use it
28. Mobile Device Guidelines
Example form Stanford School of Medicine: http://
med.stanford.edu/estudent/ipads/professionalism_and_mobile_devices_rev
Comply with all patient privacy policies. (HIPPA)
Different sites, different rules.
Avoid making assumptions about what is acceptable
Explain to your patient why you are using a mobile device.
Tell the patient what you are looking at on your mobile device, and gain their
cooperation (“I will
be looking at your medical record while I’m talking with you; is that okay?”).
Be aware of your line of sight with the patient.
Let your patient know if you will need to break eye contact for any sustained
period of time.
Avoid using your mobile device to check your email or do unrelated web
searches in the presence of patients
29. Mobile Device Guidelines
Where appropriate, engage the patient with information on the device.
Examples would include patient education, showing a
patient his/her lab values or showing a parent his/her child’s progress on a
growth chart.
If you are not using the device, close it.
This maximizes the time when the patient senses that they have your full
attention. Close your iPad; put your smartphone in your pocket.
Practice. The ability to utilize a mobile device while maintaining patient
centeredness is an art. Practice with friends and/or family, and ask for their
feedback.
Discuss challenges with your colleagues, learn from them, and share what
works for you.
30. Facebook
Friend Requests from Students
Facebook Page for program, course,
clinic, etc…
Consider using a closed group so that only
those you’ve given access can view the
content.
32. Facebook
Friend Requests from Students
Include a policy or statement in your syllabus or online course
about Facebook and why you don’t accept friend requests
Facebook Page for program, course,
clinic, etc…
https://www.facebook.com/BrooksRehabCEU
https://www.facebook.com/osfsaintfrancis
Consider using a closed group so that only
those you’ve given access can view the
content.
Facebook settings and Managing your page
are really important!
33. Twitter
Twitter is….
A. Something birds do!
B. Where celebrities post what they
ate for breakfast.
C. A way to get valuable information
and resources.
D. A tool for networking and sharing my
valuable information.
E. A form of communication with
students.
35. Terminology 1
Tweet
Each of your Twitter posts or updates is known as a tweet. Some
people refer to them as “twits”, but the official term is “tweet.”
Each tweet is no longer than 140 characters.
Following
While Facebook requires that all relationships be reciprocal,
Twitter allows for one-way relationships. If you find Twitter users
who are interesting, you can "follow them" to subscribe to their
tweets. They do not necessarily have to follow you back, though
the more social users will want to follow you back
Timeline
The “timeline” page is the homepage which displays tweets from
all the people you are following. On the sidebar (column on the
right of each Twitter page)
Public timeline
Direct Messages
Links to your Inbox/Sent messages (140 characters or less) that
are privately sent to and from you
36. Terminology 2
@replies
Use an at sign (@) in front of a Twitter username to reply to
someone, to refer to them, or direct a new message to
somebody. e.g., @shingo
Retweeting (RT)
Retweeting is the act of sharing someone else’s tweet with your
followers – spreading the word wider. To identify a retweet, the
Twitter convention is to put RT at the start of the retweet and to
include the Twitter username of the person you are retweeting
like attributing a quote.
e.g., RT @SCBWI Our summer conference is August 7-10.
Hashtags (#)
Use the sharp or number sign (#) as part of a “hashtag” to
organize and categorize your information.
e.g., new chapbook “skittling and fiddling” is available online
today! #poetry
37. Best Practices
Keep personal and professional accounts
separate.
Especially when tweeting to students!
Create an account specifically for education,
course, etc…
Use a hashtag for each course/topic (include
hashtag in your syllabus)
Consider carefully, whether or not to protect
your tweets.
Have a plan and policy for how abuse will be
handled.
38. Twitter in Education
With Students For Professional Development
A backchannel for in-class
communication
Enables continuation of
discussion outside of class
Everyone can participate
Easy, fast mode of reminding
students of assignments,
events, tests
Alternative and quick form of
communication
Share professional resources
The 140 character limit helps
to focus thoughts.
Follow professionals, experts,
conferences, books, groups,
organizations in your industry
Stay up on current events and
news in your industry
Get current resources
Build a network
Share your valuable resources
Ask questions & get quick
answers
44. Healthcare Information and Management
Systems Society (HIMSS)
http://www.mhimss.org/
Great site for staying
current on apps, mobile,
social media and
healthcare
46. Cloud Computing
What do you think cloud computing is?
A.Happy little clouds that look like
computer?
B.Computer geek term that I don’t need to
know about
C.A method of sharing, storing
and editing information
from anywhere/anytime
47.
48. What is Cloud Computing
Cloud computing is Internet-based
computing, whereby shared resources,
software, and information are provided to
computers and other devices on demand,
like the electricity grid.
http://en.wikipedia.org/wiki/Cloud_computing
50. Google.com Account vs. Google Apps for EDU
Standard Edition
Standard apps (ads) only
Hard to predict
usernames to share with
other users
NOT protected by
FERPA
Personal account
Education Edition contracted by
ICC
Access to standard and premier
apps (no ads)
Sync capabilities
More storage
Institutional administration of
accounts/SSO – with search
interface
Can limit sharing to ICC Google
apps members w/single click
Google will abide by any
FERPA guidelines, considered
“agent” of school
51. ICC Google Accounts
All email address are in the form of:
username@lab.icc.edu
Everyone in PeopleSoft is issued a
Google Apps account
Faculty/staff can use these accounts,
don’t use email address as your primary
email, use your ICC email.
52. Google Apps
GMail Huge inbox with search: keep and find everything.
Talk IM and Video as easy as email.
Groups Let students easily create and work in teams.
Calendar Make sharing calendars and schedules easy.
Docs Makes collaborating easy.
Sites Allow students and teachers to manage their own sites.
Video Using the power of video to teach. YouTube and Google
Hangouts
Voice set up a free phone number, have calls, text, voicemail filtered
fwd to another number(s)
Google+ social profile and video conferencing
56. Health Games
Games and Simulation for Healthcare
Library and Database; University of
Wisconsin
http://healthcaregames.wisc.edu/
Virtual ECG
http://ecg.glam.ac.uk/
57. Mobile Devices
Should Mobile devices be integrated into
the clinical setting?
A. Yes, of course, but only hospital
issue devices
B. Yes, it improves production but
with guidelines of usage
C.NO way
D.Not now!
58. Mobile Devices
Discussion Pointers:
It wasn’t long ago that some believed
computers did not belong in the clinical
setting.
mHealth: practice of medicine and public
health supported by mobile devices
Some hospitals and doctor offices are already
using mobile devices, tablets for note taking,
reference, training, records
59. Mobile Devices in Medical Settings
The tremendous surge in mobile devices is
permeating the healthcare industry at a
staggering pace, with over 80% of
physicians already using smartphones and
over 60% owning tablets.
60. Mobile Devices
Can be beneficial/ can be harmful.
Professionalism is the key.
Policy and guidelines make a difference.
Personal devices or school/hospital
issued devices??
Advantages/disadvantages
Example of a Policy: http
://med.stanford.edu/estudent/ipads/professionalism_and_mob
61. Photos, Video & the Clinical Setting
Many schools have a policy that personal devices,
phones, cameras, etc… may not be used in clinic.
Photos and video may not be taken any under
circumstance with a personal device.
Photos and Video may only be taken if assigned by
faculty/staff and releases have been signed.
Photos/video of students – if you are going to retain the
work to use in future courses, get releases
If you intend to publish the work publicly (Youtube), get
releases
63. Apps
Tons of terrific production apps to take
notes, keep dates, reminders, to-do lists,
email, Blackboard discussion board
tracking, Google Access
Tons of medical reference apps
Over 20,000 medical apps in the market
64. Circulation
Journal of the American Heart
Association
Specific content areas include arrhythmia
and electrophysiology, cardiovascular
surgery, congenital heart disease,
coronary heart disease, epidemiology,
exercise physiology, genetics, health
services and outcomes research, heart
failure, hypertension, imaging,
interventional cardiology, molecular
cardiology, pediatric cardiology,
pericardial disease, preventive
cardiology, stroke, transplantation,
valvular heart disease, and vascular
medicine.
65. Medscape
The Medscape app has been downloaded
more than 500,000 times in the App Store.
Drug reference information, an Interaction
checker, News, and CME education.
66. AHRQ ePSS
U.S. Department of Health and Human
Services (HSS)
United States Preventive Services Task
Force’s (USPSTF) recommendations
One of the neat features of the ePSS app is
the ability to link to HTML calculator pages
within the app. For example, the app links to a
Risk Assessment tool for estimating the 10-
year risk of having a heart attack — based on
the Framingham Heart study.
67. Radiology 2.0: One Night in the ED
app contains 65 Radiology cases that
pertain to Emergency Medicine — but
knowledge that can be used for almost
every other specialty. The content has
been curated by Daniel Cornfeld MD, who
is an Assistant Professor at Yale
University School of Medicine.
when using Radiology 2.0 you feel like a
radiology attending is sitting next to you
teaching you each individual case.
68. Patient Education Apps
Draw MD series - series contains nine app currently, with
seven specialties covered: Cardiology, General Surgery,
Orthopedic Surgery, OB/GYN, Urology, ENT, and
Anesthesia.
Cancer.net - product of the American Society of Clinical
Oncology(ASCO). It enables patients to meticulously
track their cancer therapy and also provides them a
wealth of legitimate information on their disease.
inMotion 3D - by the Stryker Corporation, a medical
device company with a focus on orthopedics. The app
can be used for patient education of knee anatomy.
69. The Lancet iPad application
The app spans across five Lancet titles
including The Lancet, The Lancet Infectious
Diseases, The Lancet Neurology, The Lancet
Oncology and The Lancet Respiratory
Medicine.
Functionality includes:
Article-based navigation to find articles quickly
Download articles for immediate or future use,
either on or offline
Share articles with colleagues
Annotate articles
Create alerts
Bookmark favorites
70. Mosby`s Nursing Consult 1.0.0
Mosby`s Nursing Consult delivers
fast, accurate clinical information
nurses need. Now you can have quick
and easy access to Nursing Consult
at the bedside or anywhere from your
mobile device.
The app includes the following content
from Nursing Consult:
• Evidence-based nursing monographs
• Patient education
• Drug monographs
• Drug calculators
71. T2 Mood Tracker
Self-monitor, track and reference
emotional experiences over
a period of time.
Self-rating, pre-populated
categories
Not adding
Graphed results
Send results to provider
(coming)
72. mTBI Pocket Guide
Clinical Practice Guidelines for treatment
of mTBI Features:
Quick results with coding guidance
Symptom management lists
Summary of clinical
recommendations
Patient education resources
Clinical tools and resources
73. infusiCalc
a drug calculator for use by all
medical and health care
professionals. It can perform
calculations on single dose and
infusions, using patient weight,
solution concentrations and
mixtures to calculate doses.
Infusions
Bolus
History
74. Resuscitation!
a realistic virtual patient simulator
for the iPhone. Resuscitation! gives
you a case presentation of a patient
who is ill. It is your job to take a
history, perform a physical exam,
form a differential diagnosis and
administer therapy to treat the
patient’s underlying problem. It
includes real, open source
images of EKGs and
radiology studies.
76. Calculate by QxMD
medical calculator
a variety of calculators
in all different areas of
medicine.
basic BMI calculations to
Bishop Scores and
Ranson’s Criteria,
QxCalculate
http://youtu.be/hRHicvwnrdI
78. STAT Framingham Heart Age
calculates General Cardiovascular Risk
which includes what most primary care
physicians are treating – not just
cardiovascular death. It also includes
calculation of an eye-opening Heart Age
or Vascular Age.
See what that extra
10 points of systolic
blood pressure costs
you in years.
79. STAT Cardiac Clearance
"Did you follow the latest ACC/AHA
guidelines when you cleared this patient for
surgery?"
80. STAT Reynolds Risk Score
High-sensitivity C-reactive protein and
family history are independently associated
with future cardiovascular events and have
are incorporated into risk prediction models
for both women and men.
81. Resources on FERPA
FERPA regulations: http://www2.ed.gov/policy/gen/reg/ferpa/index.html
FERPA & H1N1:
http://www2.ed.gov/policy/gen/guid/fpco/pdf/ferpa-h1n1.pdf
FERPA & Emergencies & Other Disasters:
http://www2.ed.gov/policy/gen/guid/fpco/pdf/ferpa-disaster-guidance.pdf
Amendments to FERPA regulations (2008):
http://www2.ed.gov/legislation/FedRegister/finrule/2008-4/120908a.pdf
FERPA & HIPPA Information http
://www2.ed.gov/policy/gen/guid/fpco/doc/ferpa-hipaa-guidance.pdf
82. Social Media & Ferpa Resources
http://www.fsmb.org/pdf/pub-social-media-guid
https://www.ncsbn.org/Social_Media.pdf
http://www.facultyfocus.com/articles/teaching-w
http://net.educause.edu/ir/library/pdf/ELI3024.
If you're an employee of ICC with access to student education records, you're obligated to comply with FERPA and to protect those records according to the law.
[PPT] FERPA and Public health (MS PowerPoint ) - U.S. Department of ... www2.ed.gov/about/offices/list/osdfs/ ferpa pubhealth. ppt File Format: Microsoft Powerpoint - Quick View Nov 12, 2010 – Family Educational Rights and Privacy Act ( FERPA ) ..... Typically public health officials and trained medical personnel are among the types of ...
From http://www.missouristate.edu/registrar/FERPA.html & Missouri State University PowerPoint Training on Ferpa Some key terms relating to FERPA that will be discussed throughout this presentation are: Student Education Record School Officials Personally Identifiable Information Directory Information
This included grades or anything that is evaluative material about the student There are some exceptions
To determine what is “personally identifiable” FERPA provides these guidelines. Note that “personally identifiable” includes more than just a student’s name that can include a “personal identifier” such as as a social security number. This is why it is illegal to publicly post grades by ID or Social Security Number without obtaining the student’s written permission.
http://www.naceweb.org/public/ferpa0808.htm One of the best Ferpa resources I have found
From http://www.missouristate.edu/registrar/FERPA.html The following are some helpful hints for faculty to avoid FERPA violations. Although you may not be a faculty member yourself, more than likely you directly or indirectly work with faculty, administrators, and students on campus. Therefore, it is important to have the ability to identify potential FERPA violations. First, faculty members should never use student’s social security numbers to post grades, not even using the last four digits. Further, graded exams, projects, and papers should never be passed so students can see other student’s grades. In addition, a printed class list with the student’s name and social security number should never be passed around the class as a sign in sheet.
Also, be sure that you do not provide anyone with student schedules or lists of students enrolled in your classes.
Example form Stanford School of Medicine: http://med.stanford.edu/estudent/ipads/professionalism_and_mobile_devices_revised.pdf
http://drkkolmes.com/2009/06/08/managing-facebook-as-a-mental-health-professional/ Consider the settings of your “program” page Also take into consideration settings on your private accounts – can your profile be found by name, can anyone request to be your friend, have you let students know your policy on friending students, can your “friends” and “photos” be seen by anyone
https://itunes.apple.com/us/app/stat-cardiac-clearance/id324240197?mt=8 This new and unique educational tool guides the user through specific elements of the ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery. Includes the step-by-step cardiac evaluation and care algorithm for noncardiac surgery based on active clinical conditions, known cardiovascular disease, or cardiac risk factors for patients 50 years of age or greater.
