McGowan ACPE Meaningful Use of SoMe by Pharmacists 9212011
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Transcript of McGowan ACPE Meaningful Use of SoMe by Pharmacists 9212011
9/22/2011
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Bridging to Your Learners through Social Media:
Social Learning, Media, Networking for Continuing Education
Brian S. McGowan, Ph.D., Senior Director, Oncology;
Medical Education Group, Pfizer IncChair, Committee on Emerging Technologies in Education
Alliance for Continuing Medical Education
Consult Columnist, Social Media ConnectionsMedical Meetings, A MeetingsNet Magazine
ACPE’s 14th Continuing Pharmacy Education Conference. September 2011
Bridging to Your Learners through Social Media:
Social Learning, Media, Networking for Continuing Education
Blog: www.cmeadvocate.comTwitter: @CMEAdvocate
– Curator: #SoMeCME & #ACMEETC– Founder: #CMEchat (W’s 11amET)– Contributor: #Meded chat (Th4PM and 9PMET)
YouTube: http://www.youtube.com/user/BriansmcgowanLinkedIn: http://www.linkedin.com/in/cmeadvocate
– Member: Alliance for CME Group– Member: CME Group– Manager: MAACME
Quora: http://www.quora.com/Brian-S-McGowan-PhDG+: http://bit.ly/McBrian
Session Objectives:
At the completion of this session, participants will be able to:
• Introduce the fundamentals of social media.• Summarize available evidence on the use of
social media by healthcare providers.• Share case examples of how medical educators
use social media to support education programs.• Discuss how social media can be a means to
support our own professional development.
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Why Should I Care Why Should I Care About Social Media?About Social Media?
Where Does the US Rank in Quality?
http://www.rand.org/content/dam/rand/ww/external/health/projects/qdart/images/predominantly_hispanic_areas_low_ldl_testing_rates.jpg
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http://www.rand.org/content/dam/rand/www/external/health/projects/qdart/images/predominantly_hispanic_areas_low_ldl_testing_rates.jpg
http://www.rand.org/content/dam/rand/www/external/health/projects/qdart/images/predominantly_hispanic_areas_low_ldl_testing_rates.jpg
http://trace.wisc.edu/docs/function-aging/pics/graying.gif
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http://www.rand.org/content/dam/rand/www/external/health/projects/qdart/images/predominantly_hispanic_areas_low_ldl_testing_rates.jpg
http://www.rand.org/content/dam/rand/www/external/health/projects/qdart/images/predominantly_hispanic_areas_low_ldl_testing_rates.jpg
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QUALITYHEALTHCARE
Safe
Efficient
PayersPatients
SolutionsEvidence-
Base
http://trace.wisc.edu/docs/function-aging/pics/graying.gif
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The [education] system as it is structured today is so
deeply flawed that it cannot properly support the
development of health professionals…this has left
health professionals unprepared to perform at
the highest levels…
http://jama.ama-assn.org/content/303/8/716.full
Driving Hypotheses: #1
The parallel movements of personalized medicine &
rapid-learning healthcare systems will both fail if we fail to establish a
culture (and science) of social learning within medicine
Driving Hypotheses: #2
The meaningful use of social media as an element of
one’s commitment to life-long learning is a natural extension of
social learning theory…
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Why Should I Care Why Should I Care About Social Media?About Social Media?
Background
Evolution of Traditional Media
BroadcastingArchiving Teaching
2000190018001700160015001400
Revolution of Social Media (SoMe) - 2000
Networking, Sharing, and Learning
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Social media are…
• digital tools for sharing and discussing information among friends, followers, and (not so) like-minded.
• transforming monologues into dialogues
• defined by user-generated content (UGC) or consumer-generated media (CGM)
Traditional vs. Social Media
http://en.wikipedia.org/wiki/Social_media
Traditional Media Social Media
Reach
Accessibility Private, controlled Public, open
Usability Specialized Training Common skills
Recency Days, weeks, months Virtually instantaneous
Permanence Static, unchanging Fluid, yet auditable
3 Ways SoMe Supports CME Professionals
1. Supporting the professional development of medical community.
2. Supporting the professional development of CME community.
3. Amplifying the voice of CME advocacy.
Bucket 1 Bucket 2 Bucket 3
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Bucket 1: To Teach
• 61% of adult patients look online for health information1
• 50% of healthcare providers have used Wikipedia in practice2
• 66% of Docs &32% of Pts expect their online communication on health-related matters to increase over the next 18 months3
1 http://bit.ly/dF2ViK; 2 http://bit.ly/3sQVb; 3 http://bit.ly/bAjrXu
By not adoptingsocial media,we are failing
to stop information-seeking HCPs from
relying on less credible and less
regulated sources of medical information.
Bucket 2: To Learn
• The learning and quality-improvement communities outside of CME are actively engaging in social media.
• By delaying adoption of social media, we are ignoring readily available best practices used by other forms of adult education.
1. Blogs enable community leaders to communicate ideas and best practices.
2. Staff can use google alerts to learn about the latest trends in their profession.
3. Staff can share using micro-blogging. 4. Staff can social bookmarking to archive
important information. 5. Collaborative workspaces enable teams to
share documents, screens, photos, files, and presentations.
Sharing is simplified (virtual teams).
6. Staff can search for experts who have the skills necessary to address needs.
http://www.astd.org/lc/2010/0510_medved
American Society of Training and Development
Bucket 3: To Advocate
• SoMe = the quickest, simplest, and most cost-effective channel for sharing these successes.
• By ignoring social media, we are missing out on the opportunity to share all of our success stories in an easily accessible channel that keeps up with the fast-pace of modern news cycles and new media.
Alliance
SACMEACCME
CMSS
PACME
ACPE
ANCC
NAAMECC
AAMC
IHI
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Why Should I Care Why Should I Care About Social Media?About Social Media?
Understanding ‘Use’
What Do We Know About Our Learners & SoMe Use?
Inconsistent Data of Docs Using SoMe
http://blog.influence-interactive.com/2009/09/04/physicians-and-social-media/
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Inconsistent Data of Docs Using SoMe
2% Twitter 4% Facebook
Sermo 2010
PeerView 2010 MCM 2010; unpublished
Do you use ____ professionally?
Inconsistent Data of Docs Using SoMe
(n~300) American College of Surgeons 2010: http://bit.ly/e5PiaP
Do you ‘have a Facebook account’?
Have you ever ‘used’ Twitter?
Do you ‘use’ YouTube?
Have you ever participated in an online health blog?
64% YES 36% NO
20% YES 80% NO
82% YES 18% NO
35% YES 65% NO
* ACS has a YouTube Channel
0% 25% 50% 75% 100%
Medical Students
Residents
Physicians
All
Inconsistent Data of Docs Using SoMe
Bosslet GT. J Gen Intern Medicine 2011
74% YES
42% YES
79% YES
94% YES
Have you ever used social networking sites?
N = 454
N = 137
N = 131
N = 186
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Inconsistent Data of Docs Using SoMe
Bosslet GT. J Gen Intern Medicine 2011
If yes, what social networking sites have you used?
0% 25% 50% 75% 100%
Other
97%
14%
35%
5%
Docs: N = 137; n = 57
Inconsistent Data of Docs Using SoMe
Bosslet GT. J Gen Intern Medicine 2011
Type of ‘utilization’ of social networking sites? Docs: N = 137; n = 57
0% 25% 50% 75% 100%
Personal
Professional
Both
89%
4%
7%
11%
Inconsistent Data of Docs Using SoMe
Rich P. Medicine 2.0 2011
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Inconsistent Data of Docs Using SoMe
Rich P. Medicine 2.0 2011
What about What about Pharmacists?Pharmacists?
Survey Development
37 item questionnaire1) assess the use and
knowledge of Web 2.0 tools/technology
2) characterize perceptions of P-1 students towards Web 2.0 and social media
Open-ended attitudinal items regarding the educational integration of Web 2.0 tools
@kevinclauson
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Demographics
Gender AgeFemale 64.3% Average: 25
Male 35.7% Range: 20-49
208 first year pharmacy students196 completed the survey
⌧ 12 declined to participate
Read 74.0%Post 16.3%Author 11.7%
Wikis
Use 97.5%Contribute 12.3%
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Microblogs
Ever use it 7.1%
Never use it 58.7%
Never heard of 34.2%
M>F (p=0.004)
Social Network Use (Overall 86.2%)
82.7%
30.9%
1.5%
“I think PDAs, laptops and informative websites are and will
be very important tools in our practice. I also believe that
Facebook, Myspace, twittering and other similar social media will
never be very useful in our professional career.”
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“I would like to see more social networking in the field of
pharmacy. Social networking provides an easy medium to distribute drug information.”
RSS & Social BookmarkingYes 27.1%No 41.3%Never heard of 31.6%
Yes 11.2%No 51.0%Never heard of 37.8%
Collaborative Toolbox
Media Sharing– 84.2– 49.4– 66.3
Google Docs, 16.3
VoIP, , 40.8
Application Use (%)
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“…to be honest I have never even heard of RSS readers, collaborative writing tools, or
social bookmarking.”
Podcasts & Vodcasts
Listen Yes 73.5%No 25.0%Never heard of 1.5%
WatchYes 42.8%No 47.4%Never heard of 9.6%
Student Attitudes Towards Impact of Integrating Web 2.0 on Learning
Very Positive16%
Positive58%
Neutral23%
Negative2%
Very Negative1%
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Perceptions of Web 2.0 Integration on feelings of engagement
Very Connected
16%
Connected51%
Neutral24%
Disconnected7%
Very Disconnected
2%
Column1
Pharmacist ‘Use’ of Social Media
International Journal of Pharmacy Practice. 2011. 19:140-142.
Pharmacist ‘Use’ of Social Media
International Journal of Pharmacy Practice. 2011. 19:140-142.
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Pharmacist ‘Use’ of Social Media
1. While a substantial number of pharmacists currently use social media, its professional use in pharmacy is still in a nascent stage.
2. Early developments in this space include pharmacist-specific social networking sites (e.g. PharmQD), involvement of Pharma with microblogs, and pharmacovigilance 2.0 of patient views of antidepressant side effects.
3. A number of other projects are underway already and even more have been proposed drawing from sources such as the ‘140 Health Care Uses for Twitter’.
International Journal of Pharmacy Practice. 2011. 19:140-142.
What Do We Know About Our Learners & SoMe “Use”?
ZIP
ZERO
ZILCH
NADA
NIL
0.0
A Research A Research OpportunityOpportunity
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Understanding ‘Meaningful Use’
Hypothesis:There are 3 ways that HCPs ‘use’ social media:
1. To practice – treating patients2. To promote public health messaging (& promotion)3. To learn – sharing of medical information/knowledge
Bucket 1 Bucket 2 Bucket 3
Visualizing ‘Meaningful Use’
Bucket 1
Bucket 2
Bucket 3
Care
Info
Info
Understanding ‘Meaningful Use’
Narrow in on definition of ‘meaningful use’
• What applications are used most commonly?• How?
– To lead/contribute– To follow/participate– To lurk and learn
• When?– Daily, weekly…
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RESEARCH: ‘Meaningful Use’ of SoMe
• Explore theoretical models ‘predicting’ adoption of SoMe as an information technology system. – Technology Acceptance Model (TAM)
– Exploring ‘utility’, ‘ease of use’, ‘barriers to adoption’• Additional validated questions adressing:
– Which applications? How often?
Adapted from the Theory of Reasoned Action [Ajzen and Fishbein, 1980] & originally proposed by Davis [1986]
RESEARCH: ‘Meaningful Use’ of SoMe
Sampling and Distribution: • The survey instruments will be
distributed to a random sample of physicians in the AMA database (up to N=500). – 300 PCPs and 200 Oncologists
Analysis:• Descriptive analyses will provide basic
adoption and use data • Predictive analyses will explore:
– Technology Acceptance Model & other variables on SoMe adoption
Timeline:• Descriptive = Medicine 2.0 September• Predictive = NEJM? In review
Bucket 3
Physician Use and Attitudes Towards The Use of Social Media to Share Medical Knowledge with Other Physicians
Current Users
‘Will Never’ Users
CPD-related use
Attitudes Towards Social Media
n =485
http://medicine20congress.blogspot.com/2011/08/physician-adoption-of-social-media-for.html
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Benefits of using social media
http://medicine20congress.blogspot.com/2011/08/physician-adoption-of-social-media-for.html
n =485
Social media helps improve the quality of my patient care…
Social media helps enables me to care for patients more effectively…
Social media increases my job productivity…
Social media improves my job performance…
Social media enables to accomplish job tasks more effectively…
Why Should I Care Why Should I Care About Social Media?About Social Media?
SoMe in Education
How Can We Use SoMeTo Enhance Medical Meetings &
Education?
Case StudiesBucket 1
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2010 ASCO Meeting and Social Media
1.www.asco.org/twitter– Resource for all SoMe
2.@ASCO – ‘Official’ account.
3.Hashtags:– #ASCO for general info– #ASCO10 - official
Annual Mtg hashtag– #ASCOehr for EHR-
related discussions
http://meetingsnet.com/social-media/0701-great-asco-tweetup/
2010 ASCO Meeting and Social Media
1. Planning Ahead:• What to ‘officially’ tweet • Who should ‘officially’ tweet/monitor• Crisis plan
2. For Education/Information Sharing:• Official – faculty coordination• Attendees – social learning
3. For Operations/Logistics:• Official – additional/limited channel• Attendees – feedback/complaints
http://meetingsnet.com/social-media/0701-great-asco-tweetup/
4,500 tweets in 4 days
2011 ASCO Meeting & Twitter
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MS Needs Assessment:Looking Beyond Traditional Audiences
During an assessment of the clinical landscape in MS care, the following practice gaps were identified:
• Neurologists do not always consider all relevant factors when choosing a first line disease modifying therapy.
• The lack of a clear consensus defining treatment failure challenges clinicians regarding when to switch therapies.
• Clinicians do not have adequate knowledge or comfort level to diagnose, treat, and counsel patients on their cognitive dysfunction symptoms.
• Neurologists can improve outcomes by proactively increasing patient adherence to disease modifying therapies.
• Clinician knowledge of newly emerging therapies does not fulfill patient needs.
A patient perspective was needed.
Facebook Survey Distribution Case Study
• Engaged 50 local chapters of the National Multiple Sclerosis Society (NMSS) Via Facebook groups and pages.
42 Chapters Responded - 368 responses
65% of knowledge is outside Neuro control!
Facebook Survey Distribution Case Study
• Engaged 50 local chapters of the National Multiple Sclerosis Society (NMSS) Via Facebook groups and pages.
Need to build better reminder systems!
42 Chapters Responded - 368 responses
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Social Media: Promote
INITIAL RECRUITMENT: Email/E-newsletterssign up links via Twitter“RSVP” on Facebook Share hand outs from live meeting
REMINDERS TO “TUNE IN”: Emails, notices via Twitter, Facebook
ONGOING RECRUITMENT:Cross platform promotion post live - via XM radio, pri-med.com, reachmd.com, mobile (iPhone), iTunes
KEEP EMPLOYEES IN-THE-KNOWUse yammer to highlight the event
CONTENT & FEEDBACK SHARING• Activity reviews – Attendee content ratings• Bookmark & Share content with peers• Submit comments, engage with peers
REMOTE OPERATIONSManage faculty/editorial remotely via IM
Social Media: Engage
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INTERACTION WITH FACULTYPre-Meeting: Post questions on Twitter, FacebookLive: Call in, email or tweet questions live
Learning Blog Mini Case
• Faculty-driven discussion topics generated from Q&A discussion, learning objectives and outcomes measures
• Learners invited to ‘participate’ in blog during telecon, on archive, on reminders, through email campaign (3 part, serial blast)
• Toolkit hosted on blog site to drive traffic and discussion
• Program evaluations to be posted for commentary
• Categorization of blog commentary and responses for assessment
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Text Messaging Mini Case
• Live HCP education fibromyalgia (FM) was offered in 9 series programs: Women’s Health Annual Visit®,
Breakfast with the Professors®, and Innovations in Gynecology®
• Patients were introduced to the text program through their HCP (2,000+) or collaboration partners
• 487 patients self-enrolled
• 44,841 messages sent
• Broad geographic reach
On-going SoMe and Educational Pilots
Summary: Social Media Mind Map
http://ebakerysocialmedia.com/wp-content/uploads/2010/07/mind-map.jpg
Social Media & Health Care
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Why Should I Care Why Should I Care About Social Media?About Social Media?SoMe in Lifelong Learning
How Can We Use SoMeTo Enhance Our Own Professional
Development?
Case StudiesBucket 2
When you have questions, where do you go for answers?
Personalized Learning Network?
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How do you curate your new knowledge?
Bookmarking v Social Bookmarking?
Twitter: a Social Learning Channel
#CMEchat – Wed 11AM ET
• Weekly discussion on fundamentals of CME and education
• Open to all interested• To date:
–More than 200 participants–More than 7,000 comments
• Archive available: www.cmeadvocate.com
CMEAdvocate
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LinkedIn: a Social Learning Channel
Mendeley: a Social Learning Channel
Content Curation: RSS Feeds
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Content Curation: Google Alerts
Content Curation: Bookmarking
Social Bookmarking
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Alliance 2.0Brian S. McGowan, PhD
Chairperson, Emerging Technologies Committee
Alliance Site
Homepage I – Navigation
Homepage II – Widgets
1
23
4
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Homepage Navigation Tour
Social Media Signups
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Communities
Communities
Communities Navigation
Find & Join Groups…
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Use ‘My Forums’ To Ask Q’s
Use ‘My Forums’ to Answer Q’s
Participate: Listserv Archives
Participate: Other New Features
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Adopt ‘My Page’ w/i you PLN
Control the Outflow - I
Alliance 2.0 Summary
• Surf the new site
• Use the Communities portal–Join–Set up your profile (photo, bio, tags…)–Find groups–Participate
Alliance Site
Communities
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Why Should I Care Why Should I Care About Social Media?About Social Media?
A Summary
Why Should I Care About Social Media?
Healthcare Quality Improvement is Increasingly Tied to the Movements of Personalized Medicine & the Rapid-Learning Healthcare System
Personalized Medicine & the Rapid-Learning Healthcare System WILL NOT SUCCEED w/o a Social Learning Culture
Online Social Networking & Social Media are Natural Extension of Social Learning Theory
Practitioners are Integrating Social Media into the Activities of Daily Learning (ADLs)
Educators, Educate Thyself – Social Learning and Social Media Are Vital CPD Channels
Questions and Comments
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Additional ResourcesSocial Media and Networking
for Medical Meetings
Twitter Glossary
• TWEET: A 140-character message posted on Twitter• @USERNAME: The @symbol establishes a reference to a user's
account (e.g., @asco, @CMEAdvocate, @spelletier).• FOLLOWING: Accounts you have elected to view; their tweets appear
in your “feed”• FOLLOWERS: Accounts that have opted to view your tweets• DIRECT MESSAGE (DM): A tweet sent privately to a follower, used to
have a private conversation• HASHTAG (#): The # symbol establishes a topic and allows accounts
that are not following one another to search for tweets related to a topic (e.g., #ASCO10, #learning).
• LISTS: A relatively new feature that allows any user to create a list of accounts that can be followed to simplify monitoring
• REPLY: A tweet sent in response to one account, but visible to all followers, used to have a public conversation
• RETWEET (RT): The act of taking a tweet from someone you follow and a sharing it with everyone who follows you
http://meetingsnet.com/social-media/0701-great-asco-tweetup/index2.html
Healthcare and Social Media Resources
• http://meetingsnet.com/social-media/Social media's impact on medical meetings
• http://social-media-university-global.org/curriculum/twitter/The ultimate resource for anyone or any organization looking to participate in or learn more about social media
• http://ebennett.org/A comprehensive list of hospitals and healthcare systems using social media; also includes resources for social media policies
• http://bit.ly/9aYRjfIncludes one author's opinions of the steps in a physician's acceptance of Twitter
• http://bit.ly/vYYrf140 healthcare uses for Twitter — a phenomenal resource
• http://bit.ly/cHZIOGA compilation and brief overview of social media sites used by healthcare professionals
• http://bit.ly/4vpcn8Short case studies addressing how oncologists use Twitter
• http://bit.ly/a3tTWdHow to keep social media policies short, simple, encouraging, educational, and transparent
http://meetingsnet.com/social-media/0701-great-asco-tweetup/index2.html
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Pharmacists Influential On Social Media
Brent Fox, PharmD, PhDAuburn
@Brent_Fox
Jerry Fahrni, PharmDTalyst
@Jfahrni
Jeff Cain, PhD*U Kentucky
@DrJeffCain
Kevin Clauson, PharmDNova Southeastern University
@kevinclauson
Leader in pharmacy informatics education and social media
Early adopter of social media & mobile; now representative from vendor side
Foremost expert on eprofessionalism in pharmacy; social media leader *Jeff is not actually a pharmacist, but is prominent in pharmacy education
Created course on Web 2.0 in Healthcare; researches social media tools & mHealth
Pharmacist Social Media Resources
Pharmacist Social Networks:PharmQDhttp://www.pharmqd.com/
Pharmacist Societyhttp://pharmacistsociety.skipta.com/public/index.aspx
Other ResourcesWeb 2.0-mediated Blended Learning: Separating Fact from Fiction
[http://www.slideshare.net/kclauson/web-20mediated-blended-learning-separating-fact-from-fiction
How Facebook and Twitter are Changing Healthcare http://www.slideshare.net/kclauson/how-facebook-and-twitter-are-changing-healthcare
http://meetingsnet.com/social-media/0701-great-asco-tweetup/index2.html
Beyond the Big 5 SoMe ToolsTechnology in Education (and Meetings)
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Top 100 Learning Tools - 2010
http://www.c4lpt.co.uk/recommended/top100-2010.html
Top 10
Top 100 Learning Tools - 2010
http://www.c4lpt.co.uk/recommended/top100-2010.html
Tools 11-20
Top 100 Learning Tools - 2010
http://www.c4lpt.co.uk/recommended/top100-2010.html
Tools 21 - 30