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Rodríguez-Lago I, Gros B, Sánchez K, Arumí D, Fortes MDP, Cábez A, Mesonero Gismero F. Use of digital health tools in inflammatory bowel disease. GASTROENTEROLOGIA Y HEPATOLOGIA 2024:S0210-5705(24)00158-4. [PMID: 38723768 DOI: 10.1016/j.gastrohep.2024.502200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/29/2023] [Revised: 02/15/2024] [Accepted: 02/16/2024] [Indexed: 06/03/2024]
Abstract
OBJECTIVE To analyse the characteristics and use of digital health tools (DHT) in inflammatory bowel disease (IBD). METHODS We performed a qualitative study based on a narrative literature review, a questionnaire and on the opinion of 3 expert gastroenterologists. Several searches were carried out until September 2022 through Medline to identify articles on the use of DHT in IBD by healthcare professionals. A structured questionnaire was designed to be answered by health professionals involved in the care of patients with IBD. The experts generated a set of recommendations. RESULTS There are multiple DHT for IBD with different characteristics and contents. We received 29 questionnaires. Almost 50% of the participants were 41-50 years old, the majority were women (83%) and 90% were gastroenterologists. A total of 96% reported the use of several DHT, but 20% used them occasionally or infrequently. Web pages were found the most used (62%). DHT are mostly used to get information (80%), followed by clinical practice issues (70%) and educational purposes (62%). G-Educainflamatoria website is the best known and most used HDS (96% and 64%, respectively). The main barriers to the use of DHT in IBD were the lack of time (55%), doubts about the benefit of DHT (50%) and the excess of information (40%). CONCLUSIONS Healthcare professionals involved in the care of patients with to IBD frequently use DHT, although actions are needed to optimize their use and to guarantee their efficient and safe use.
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Affiliation(s)
- Iago Rodríguez-Lago
- Servicio de Aparato Digestivo, Hospital Universitario de Galdakao; Instituto de Investigación Sanitaria Biobizkaia, Galdakao, Vizcaya, España
| | - Beatriz Gros
- Hospital Universitario Reina Sofía de Córdoba, IMIBIC, Universidad de Córdoba, Córdoba, España; Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Madrid, España.
| | - Kristy Sánchez
- Departamento médico de Pfizer, Alcobendas, Madrid, España
| | - Daniel Arumí
- Departamento médico de Pfizer, Alcobendas, Madrid, España
| | | | - Ana Cábez
- Departamento médico de Pfizer, Alcobendas, Madrid, España
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McQuade CN, Simonson MG, Ehrenberger KA, Kohli A. Developing a Web-Based Asynchronous Case Discussion Format on Social Media to Teach Clinical Reasoning: Mixed Methods Study. JMIR MEDICAL EDUCATION 2023; 9:e45277. [PMID: 37556191 PMCID: PMC10448285 DOI: 10.2196/45277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Revised: 07/18/2023] [Accepted: 07/18/2023] [Indexed: 08/10/2023]
Abstract
BACKGROUND Case-based learning conferences are valuable to trainees, but growing clinical demands hinder consistent attendance. Social media increasingly acts as a venue for trainees to supplement their education asynchronously. We designed and implemented a web-based asynchronous clinical case discussion series on the Twitter social media platform to fill this educational gap. OBJECTIVE The aim of this mixed methods study is to examine the nature of interactions among web-based case discussion participants and assess local attitudes regarding the educational intervention. METHODS Starting in February 2018, we posted clinical vignettes to a dedicated Twitter account with the prompt "What else do you want to know?" to stimulate discussion. The authors replied in real time when case discussion participants requested additional details. Additional data about the case were posted at regular intervals to the discussion thread to advance the overall case discussion. Participants were asked to explain their reasoning and support their conclusions when appropriate. Web-based engagement was assessed using Twitter Analytics. Participants' posts were qualitatively analyzed for themes, with special attention to examples of using clinical reasoning skills. A codebook of types of participant posts and interactions was refined iteratively. Local engagement and attitudes at our institution were assessed by surveying internal medicine trainees (n=182) and faculty (n=165) after 6 months. RESULTS Over a 6-month period, 11 live case discussions were engaged with by users 1773 times. A total of 86 Twitter profiles spanning 22 US states and 6 countries contributed to discussions among participants and the authors. Participants from all training levels were present, ranging from students to faculty. Interactions among participants and the case moderators were most commonly driven by clinical reasoning, including hypothesis-driven information gathering, discussing the differential diagnosis, and data interpretation or organization. Of 71 respondents to the local survey, 29 (41%) reported having a Twitter account. Of the 29 respondents with Twitter accounts, 17 (59%) reported participating in the case discussions. Respondents agreed that case participation increased both their clinical reasoning skills (15/17, 88%) and clinical knowledge (13/17, 76%). CONCLUSIONS A social media-based serialized case discussion was a feasible asynchronous teaching method for engaging web-based learners of all levels in a clinical reasoning discussion. Further study should examine what factors drive trainee participation in web-based case discussions and under what circumstances asynchronous discussion might be preferred over in-person teaching activities.
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Affiliation(s)
- Casey N McQuade
- Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States
| | - Michael G Simonson
- Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States
| | - Kristen A Ehrenberger
- Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States
- Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States
| | - Amar Kohli
- Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States
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Sleiman J, Duong N, Aby ES, Guerrero Vinsard D, Advani R, Bilal M. Professional Networking at Gastroenterology Scientific Meetings: A Trainee's Practical Guide. Dig Dis Sci 2023; 68:24-28. [PMID: 36310307 PMCID: PMC9618300 DOI: 10.1007/s10620-022-07730-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/13/2022] [Indexed: 02/01/2023]
Affiliation(s)
- Joseph Sleiman
- Division of Gastroenterology, Hepatology & Nutrition, University of Pittsburgh Medical Center, Pittsburgh, PA, USA
| | - Nikki Duong
- Department of Gastroenterology, Hepatology, and Nutrition, Virginia Commonwealth University, Richmond, VA, USA
| | - Elizabeth S Aby
- Department of Gastroenterology, Hepatology and Nutrition, University of Minnesota, Minneapolis, MN, USA
| | | | - Rashmi Advani
- Department of Gastroenterology and Hepatology, Cedar Sinai Medical Center, Los Angeles, CA, USA
| | - Mohammad Bilal
- Department of Gastroenterology, Hepatology and Nutrition, University of Minnesota, Minneapolis, MN, USA. .,Advanced Endoscopy, Division of Gastroenterology & Hepatology, Minneapolis, VA Medical Center, 1 Veterans Drive, Minneapolis, MN, 55417, USA.
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A Brighter Red Section. Am J Gastroenterol 2021; 116:2316-2317. [PMID: 34797220 DOI: 10.14309/ajg.0000000000001561] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/15/2021] [Accepted: 10/15/2021] [Indexed: 12/11/2022]
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Reflections on Our Editorship of The American Journal of Gastroenterology. Am J Gastroenterol 2021; 116:2313-2315. [PMID: 35134007 DOI: 10.14309/ajg.0000000000001558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/14/2021] [Accepted: 10/14/2021] [Indexed: 12/11/2022]
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Abstract
PURPOSE OF REVIEW Social media use by patients with inflammatory bowel disease (IBD) and their respective providers continues to increase, promoting disease awareness and scholarship. In this review article, we summarize the current literature regarding social media use and IBD, discuss both the patient and physician perspective, and provide guidance to avoid commonly encountered pitfalls. RECENT FINDINGS Patients and providers commonly rely on social media to share medical information, advocate for improved IBD care, and to network and collaborate on common research interests. This shift from more traditional formats of education and networking continues to grow exponentially, and even more rapidly so during the COVID-19 pandemic. SUMMARY Social media use in the IBD community will continue to grow and lead to further innovation. Providers should be aware of social media as a valuable tool for their patients and themselves.
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Confidentiality and Conflicts of Interest: An Assessment of Twitter Posts in Gastrointestinal Endoscopy. Am J Gastroenterol 2021; 116:1542-1544. [PMID: 33767102 DOI: 10.14309/ajg.0000000000001238] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/25/2020] [Accepted: 02/23/2021] [Indexed: 12/11/2022]
Abstract
INTRODUCTION To evaluate compliance with confidentiality and conflicts of interest (COI) in tweets sharing gastrointestinal (GI) endoscopy videos/images. METHODS Physicians' tweets containing GI endoscopy videos/images were assessed for confidentiality and COI compliance. RESULTS Identifiable details in tweets included procedure date (17.9%), date of birth (0.8%), and patient's face visible (0.5%). Ninety-five tweets (10%) mentioned the name/brand of a medical device. Of the 19 posted by US physicians, 7 came from physicians who had received payments from the device manufacturer. None of these physicians disclosed relevant COI. DISCUSSION GI endoscopy tweets describing clinical cases or procedures may insufficiently address issues of confidentiality and COI.
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Aguila EJT, Cua IHY. Adapting digital technology to the gastroenterology and endoscopy practice in the pandemic era. ADVANCES IN DIGESTIVE MEDICINE 2021. [DOI: 10.1002/aid2.13262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Enrik John T. Aguila
- Institute of Digestive and Liver Diseases St. Luke's Medical Center Global City Taguig Philippines
| | - Ian Homer Y. Cua
- Institute of Digestive and Liver Diseases St. Luke's Medical Center Global City Taguig Philippines
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Chang JW, Dellon ES. Challenges and Opportunities in Social Media Research in Gastroenterology. Dig Dis Sci 2021; 66:2194-2199. [PMID: 34052939 PMCID: PMC8164479 DOI: 10.1007/s10620-021-07058-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/21/2021] [Accepted: 05/11/2021] [Indexed: 12/27/2022]
Abstract
In recent years, social media has transformed how we as gastroenterologists communicate with each other and has grown into an arena of knowledge and peer support for patients. Gastroenterologists commonly use social media for education networking, patient populations use social media for peer support and advocacy, but little is known about how gastroenterologists can use social media to conduct thoughtful and rigorous patient-centered research. Therefore, we aim to introduce the scope of social media research, highlight prominent examples in gastroenterology, and review innovative opportunities and unique challenges to using and studying social media for research.
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Affiliation(s)
- Joy W. Chang
- grid.214458.e0000000086837370
Division of Gastroenterology and Hepatology, Department of Internal Medicine, 3912 Taubman Center
, University of Michigan, 1500 E. Medical Center Drive, SPC 5362, Ann Arbor, MI 48109 USA
| | - Evan S. Dellon
- grid.410711.20000 0001 1034 1720
Division of Gastroenterology and Hepatology, Center for Esophageal and Swallowing Disorders
, University of North Carolina, Chapel Hill, NC USA
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Duong N, Aby ES, Hathorn KE, Simons-Linares CR, Bilal M. How to Become a Competitive Applicant for Gastroenterology Fellowship: Tips and Tricks for Success Part II. Dig Dis Sci 2020; 65:2172-2175. [PMID: 32356262 DOI: 10.1007/s10620-020-06293-4] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/09/2022]
Abstract
In recent years, gastroenterology has become one of the most competitive subspecialties included in the internal medicine fellowship match, which increases the stressful nature of an already potentially nerve-wracking process for the trainee. Though each applicant has unique strengths and thus the process is somewhat individualized, there are some basic principles that can render an applicant more competitive for a gastroenterology fellowship. These include establishing mentorship, achieving scholarly work, building your resume, honing interpersonal and networking skills, and writing a well-planned application. The goal of this article is to outline some basic principles that will help improve the competitiveness of an applicant, and also highlight some practical tips and tricks for applicants with diverse backgrounds, such as international medical graduates, minority applicants, and women in medicine.
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Affiliation(s)
- Nikki Duong
- Department of Internal Medicine, Georgetown University Hospital, 3800 Reservoir Rd NW, Washington, DC, 20007, USA.
| | - Elizabeth S Aby
- Division of Gastroenterology, Hepatology and Nutrition, University of Minnesota, 500 SE Harvard St, Minneapolis, MN, 55455, USA
| | - Kelly E Hathorn
- Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA
| | - C Roberto Simons-Linares
- Department of Gastroenterology, Hepatology and Nutrition, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH, 44195, USA
| | - Mohammad Bilal
- Division of Gastroenterology, Hepatology and Nutrition, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Boston, MA, 02215, USA
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Siau K, Lui R, Mahmood S. The role of a social media editor: What to expect and tips for success. United European Gastroenterol J 2020; 8:1253-1257. [PMID: 33276712 DOI: 10.1177/2050640620975760] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- Keith Siau
- Medical and Dental Sciences, University of Birmingham, Birmingham, UK.,Gastroenterology Unit, Dudley Group Hospitals NHS Foundation Trust, Dudley, UK
| | - Rashid Lui
- Division of Gastroenterology and Hepatology, The Chinese University of Hong Kong, Hong Kong, PR China
| | - Sultan Mahmood
- Division of Gastroenterology, Hepatology and Nutrition, University at Buffalo, Buffalo, USA
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Mallepally N, Bilal M, Hernandez-Barco YG, Simons M, Berzin TM, Oxentenko AS. The New Virtual Reality: How COVID-19 Will Affect the Gastroenterology and Hepatology Fellowship Match. Dig Dis Sci 2020; 65:2164-2168. [PMID: 32613594 PMCID: PMC7327209 DOI: 10.1007/s10620-020-06432-x] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/09/2022]
Affiliation(s)
- Niharika Mallepally
- grid.42505.360000 0001 2156 6853Department of Gastroenterology, University of Southern California, Keck School of Medicine, Los Angeles, CA USA
| | - Mohammad Bilal
- grid.38142.3c000000041936754XDivision of Gastroenterology and Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Boston, MA 02215 USA
| | - Yasmin G. Hernandez-Barco
- grid.38142.3c000000041936754XDivision of Gastroenterology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Boston, MA 02114 USA
| | - Malorie Simons
- grid.411935.b0000 0001 2192 2723Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, 1800 Orleans St, Baltimore, MD 21287 USA
| | - Tyler M. Berzin
- grid.38142.3c000000041936754XDivision of Gastroenterology and Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Boston, MA 02215 USA
| | - Amy S. Oxentenko
- grid.66875.3a0000 0004 0459 167XDepartment of Internal Medicine, Division of Gastroenterology and Hepatology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905 USA
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