Overview of the supposed Net Generation, and Digital Professionalism. Set in the context of medical education, with a proposed curriculum infused in medical school. Presented at CCME 2011 and AMEE 2011. Made available under Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported License.
5. Author Generation Name Evidence
Birth Years
Tapscott, 1997 1977-1997 Media Online chat with 28 teens
Generation
Howe, 2000 1982 - 2000 Millenials 500 high school seniors in southeastern U.S.
Prensky, 2001 unspecified Digital Natives Exposure to media
Beck and Wade, 1975 - 2004 Gaming Playing video games
2004 Generation Survey business leaders
Rideout et al., “young Gen M 1999 report: 2,065 children aged 8-18
1999, Rideout et people aged 2004 report: 2,032 students ages 8-18
al., 2005, Rideout 8 to 18” 2009 report: 2002 students ages 8–18
et al., 2010
Dede, 2005 unspecified Neomillenials Exposure to media
Oblinger and 1982–1991 Net Generation Exposure to media
Oblinger, 2005
Ito, M. 2009 “Under the Digital Youth 659 semi-structured interviews, 28 diary studies, focus
age of 25” group
in 2005 interviews with 67 participants; 78 interviews; 363 survey
respondents; 5,194 observation hours;
10,468 profiles on social sites; 15 online discussion group
forums, and more than 389 videos.
Kent, 2004 “young Young people Survey in 2001: n=1818
people ages Survey in 2003: n= 1471
9 – 18” Group semi-structured interviews: n=192
Family interviews: n=19 (representing 11 families)
6. • Attitudes
• Career cycle
• Gender
• Geographic location
• Educational achievement
• Economic (“digital divide”)
• Net Neutrality
Barron, 2004; Caison et al, 2008; Hargittai, 2008; DiMaggio, Hargittai, Celeste, and Shafer,
2004; Meng et al, 2010; Parasuraman, 2001; Slater, Crichton and Pegler, 2010; Statistics
Canada, 2009; US Bureau of Commerce, 2010; US Statistics Branch, 2010; Warschauer,
2000
22. Y1 to 3 Progression
“How to”
Application Integration
in UGME
23. Orientation Clerkship Match RICC
#1-5 #3, 5, 8 Emergency
O&G
Intro – Y1 Summer Electives Surgery
#7, 9, 10 #1-10 Anesthesia
Family
Pediatrics
HPOP – Y1
Psychiatry
#3, 4, 7, & 10 Orientation to Y1’s
Internal
#1-10
#1-10*
Y1 Y2 Y3 R1
PFSA – Y1 EMR Training
#1-10 #5-10
Intro to Clerkship Orientation to Res
#1-10 #1-10
24. Peer Feedback Project
1 2 3 4 5
• Distracts others with personal • Stays on-task when using
media in formal learning media for learning or patient
events (e.g. cell phone texting consultations.
during class, watching videos • Has professionally addressed
in lecture). others’ inappropriate uses of
• Sends emails of unprofessional media.
wording or context to the class • Shares resources and/or
list or to others. techniques that support
• Is distracted by email, instant others’ learning or
messaging or using media in professional advancement.
off-task ways in formal • Is willing to ask for help or
learning events and/or student consider new ways of using
meetings. media.
• Unprofessionally addresses
others who are using media
25. # 1 – 10
# 5, 6 – e.g. EMR login
# 5, 9, 10 – e.g. taking call
# 3, 4, 9 – e.g. encrypted email
# 9 – e.g. patient notes
# 8, 9, 10 – e.g. Copyright, citations in projects
# 3, 4, 7 – e.g. Clin decision support tools
# 1, 2, 5, 6 – e.g. social networking posts
# 3, 4, 7 – e.g. behaviours & observations
when using technology
# 1 – 10
Names: not the same. To those that “what’s in a name” matters, you can appreciate there is variability in the literature that has not been reconciled. For those who are not sticky on the name, let’s move on to this idea that exposure to media matters. Just by having technology, I’m different than you. This is based on the assumption that more technology is related to your birth year, ergo you are digitally savvy. This is problmeatic: it assumes the whole generation is the same, it assumes an end to the generation. But let’s be good critical appraisers of research and look at the evidence. Some is opinion. Notably, Prensky – video game company owner. Some is research –based. Variety of results. Focus in on big studies – even big studies don’t say “media = media savvy user”
Technology use is actually complexLet’s widen gaze, look at other researchCitations at bottom relate to various areas of research – business, education, economics, population statisticsShows that there are multiple factors in media adoption that cut across populations and generations – not just a generation issue!
So when we look at our students: Not all students the sameDigital use does NOT mean digitally savvyBut digital use might have helped students develop some skills we don’t give them credit forThis student knows how to meet standards of a community of peers, understands peer review, understands professionalism (but not all professionalism). Do we give our students credit for this in our institutions of higher learning?
Our students are being searched before residency. Do they know this?
We expect students to use the digital but we don’t account for these activities in exams, simulation experiences, etc.
We expect students to use the digital but we don’t account for these activities in exams, simulation experiences, etc.
We often react like Darth Vader & the storm troopersCitations = authors who have said we need punitive frameworks or to do the right thing – what is the right thing when media changes, we live in a post-modern society?
Current UofC curriculum
All 10 points of digital professionalism framework are covered throughout the program, IN existing curricular moments AND we come back on the same points again but with fresh examples as they relate to students’ progress in the program and transition to clinical spaces. Example: Orientation5. Surveillance – IT user agreementUpdate – you are in med school = professional program = #2 – manage your access to FB, email3, 4 – Your actions reflect on you, UofC, profession. This is the start of how you manage being a professional and a personal life – just like MDs in rural AND urban areas. You are a visible representative held in different esteem in society. Introduction – Year 17. Working responsibly and positively within online communities. Posting professionally on LMS – obeying copyright, etc.
If I haven’t yet convinced you that techology is a part of medical education