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
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
Disclosure of Commercial Support This program has received NO COMMERCIAL financial support. This program has received NO COMMERCIAL inkind support
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
Overview Turning a personal reflective activity into a teaching tool Website design decisions & philosophy Challenges Moving forward
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
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 email subscribers. December 2010: ~6,000 subscribers Current (September 2014): > 15,000 subscribers (email) Website analytics (Sept 2013-14 vs Sept 2012-13): Sessions: 36.93% increase (50,062 vs 36,561) Pageviews: 19.46% increase (93,688 vs 78,424)
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
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
TCMP: Design philosophy Lowest barrier to data Simple URL: thischangedmypractice.com No login or registrations required FULL article available via email, RSS or website reduces site traffic but ensures user-friendliness Easy commenting, voting and credit submission
TCMP: Posting format Articles range 500-1000 words Audience: practicing physicians (primary care focus) Biweekly publication Most articles written by specialists
TCMP: Posting format Local experts, local advice Billing tips BCMA guidelines Local resources Help readers apply data directly to practice
TCMP: Posting format Standard format What I did before This Changed My Practice What I do now
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
TCMP: Posting format This App Changed My Practice What I did before This App Changed My Practice What I do now
TCMP: Posting format This Changed my Teaching How I taught before This changed my teaching How I teach now
TCMP: Site features Biweekly articles: email, 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
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
thischangedmypractice.com
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
thischangedmypractice: concordance Average of all votes for September 2013 - September 2014 1.6% 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
Impact on practice from Learner Reflective Activity September 2013 - 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% 0 500 1000 1500 2000 2500 thischangedmypractice.com total exercises = 3269
How do you intend to use this information? September 2013 - September 2014 Practice change 60% Teaching 29% Patient Education 58% Reference/resource 26% Other 3% 0 500 1000 1500 2000 2500 thischangedmypractice.com total exercises = 3269
Read enewsletters September 2010 to September 2014 6000 4500 3000 1500 0 thischangedmypractice.com
TCMP: Challenges The content treadmill Controversy: is it bad? Curation vs volume Technology shifts
TCMP: Challenges Driving traffic to the site? Are we missing an opportunity? analytics research interaction community
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
Wisdom doc@stevewongmd.com