thischangedmypractice.com
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1 thischangedmypractice.com The CFPC Continuing Professional Development Program Award Toronto September 2014 Steve Wong, MD, FRCPC Internal Medicine Clinical Associate Professor, Dept. of Internal Medicine Medical Director, thischangedmypractice.com, UBC CPD Medical Director, Clinical Practice Reviews, UBC CPD
2 Faculty/Presenter Disclosure Faculty: Steven Wong, MD, FRCPC Relationships with commercial interests: Grants/Research Support: None Speakers Bureau/Honoraria: Received speaking honoraria from Abbott, Abbvie, Bayer, B-I, GSK, Lilly, Merck Novonordisk, Pfizer Consulting Fees: None Other: Medical Director: This Changed My Practice, UBC CPD Medical Director: Clinical Practice Reviews, UBC CPD
3 Disclosure of Commercial Support This program has received NO COMMERCIAL financial support. This program has received NO COMMERCIAL inkind support
4 Many thanks... Ms. Nina Zoric, Educational Program Coordinator and webmaster UBC CPD Dr. Brenna Lynn, Associate Dean, UBC CPD Dr. Bob Bluman, Medical Director, Special Projects, UBC CPD GP editors: Dr. Christie Newton Dr. Daniel Ngui Dr. Shirley Sze Dr. Bruce Hobson Our authors & readers
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6 Overview Turning a personal reflective activity into a teaching tool Website design decisions & philosophy Challenges Moving forward
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9 ARTICLES THAT CHANGED MY PRACTICE: 2014 Steve Wong, MD, FRCPC Internal Medicine Clinical Associate Professor, Dept. of Internal Medicine Medical Director, thischangedmypractice.com, UBC CPD Medical Director, Clinical Practice Reviews, UBC CPD
10 TCMP: Timeline February 2009: Dr. Bob Bluman proposes idea of a website based on 5 Articles That Changed My Practice presentations Work began on website ideas, design, structure and features April 2010: thischangedmypractice.com soft launch: 2,500 subscribers. December 2010: ~6,000 subscribers Current (September 2014): > 15,000 subscribers ( ) Website analytics (Sept vs Sept ): Sessions: 36.93% increase (50,062 vs 36,561) Pageviews: 19.46% increase (93,688 vs 78,424)
11 TCMP: Timeline Accreditation: October 2010: Mainpro M-1 accreditation February 2011: automatic credit transfer June 2011: RCPSC MOC Section 2 accreditation June 2013: automatic credit transfer for Royal College credits September 2012: Royal College Accredited CPD Provider Innovation Award
12 TCMP: Design philosophy Entirely funded by UBC CPD - no industry funding High impact, concise summaries of evidence/practice tips Curated content, not comprehensive coverage Reflective, opinion statements backed by evidence Encourage interaction reader <---> author reader <---> reader
13 TCMP: Design philosophy Lowest barrier to data Simple URL: thischangedmypractice.com No login or registrations required FULL article available via , RSS or website reduces site traffic but ensures user-friendliness Easy commenting, voting and credit submission
14 TCMP: Posting format Articles range words Audience: practicing physicians (primary care focus) Biweekly publication Most articles written by specialists
15 TCMP: Posting format Local experts, local advice Billing tips BCMA guidelines Local resources Help readers apply data directly to practice
16 TCMP: Posting format Standard format What I did before This Changed My Practice What I do now
17 TCMP: Posting format Practice Tip format Care Gaps I ve noted or Frequently Asked Questions Data that address the gap or question What I now recommend
18 TCMP: Posting format This App Changed My Practice What I did before This App Changed My Practice What I do now
19 TCMP: Posting format This Changed my Teaching How I taught before This changed my teaching How I teach now
20 TCMP: Site features Biweekly articles: , RSS, website Hyperlinks to reference sources Votes on impact Reader/Author comments Tags & categories allow more flexibility to follow interest areas thischangedmypractice.com/category/psychiatry/ thischangedmypractice.com/tag/pain/ Accreditation
21 TCMP: Interactivity Active, community-like feel Multiple comments per article encourages learning offers reader (and author) feedback Votes help gauge relevance & impact Leaving a comment allows commenter to subscribe to future comments on the thread
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29 TCMP: Author benefits Most authors are Royal College Fellows (specialists) Article format forces reflective exercise Web-based audience and far reach encourages veracity of recommendations Challenge: author vulnerability Reading & responding to comments and vote results can help enhance author s own knowledge, reflection and teaching on the topic
30 thischangedmypractice: concordance Average of all votes for September September % I disagree with this approach 20% I will consider changing my practice, but need more information/time 23% I already do this 31% I will likely change my practice 24% I will definitely change my practice thischangedmypractice.com
31 Impact on practice from Learner Reflective Activity September September 2014 My practice is (will be) changed and improved 43% I learned something new 60% I am motivated to learn more 36% This information confirmed I did (am doing) the right thing 29% I am reassured I am reminded of something I already knew 22% 22% I am dissatisfied There is a problem with this information I disagree with the content of this information I think this information is potentially harmful 1% 1.4% 0.5% 0% thischangedmypractice.com total exercises = 3269
32 How do you intend to use this information? September September 2014 Practice change 60% Teaching 29% Patient Education 58% Reference/resource 26% Other 3% thischangedmypractice.com total exercises = 3269
33 Read enewsletters September 2010 to September thischangedmypractice.com
34 TCMP: Challenges The content treadmill Controversy: is it bad? Curation vs volume Technology shifts
35 TCMP: Challenges Driving traffic to the site? Are we missing an opportunity? analytics research interaction community
36 Looking ahead... Expansion Rural-focus articles Local vs national content Other CPD organizations Research? Degree to which TCMP met learning needs Physician self-perceived increase in skills & practice change, knowledge Author reflections on the educational impact of putting their opinions forward
37 Wisdom
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