Kevin Clauson's blog

“The Internet Makes Us Sick”: A Classic Revisited

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I recently gave a lecture on meta-analyses as part of a Drug Literature Evaluation course.  One example I typically use to illustrate the importance of critically evaluating literature combined with the potential impact of the media is, “Is Cybermedicine Killing You” – The Story of a Cochrane Disaster.  It is an editorial published back in 2005 in response to a fatally flawed Cochrane paper that was ostensibly published as a review of, “interactive health communication applications” (IHCAs).  The review’s plain language summary described it as “computer-based programmes for people with chronic disease”.

In my mind, there are four key observations about that situation:

Pharmacy Informatics – The Pharmacist, Librarian, and Pharmaceutical Scientist

Pharmacy Informatics by Philip O. Anderson: Book Cover

I was first alerted to the release of the new book Pharmacy Informatics via a blog post by @poikonen.  I took advantage of Amazon’s ‘Look Inside’ to check out the chapter titles and introduction.  That was enough for me, so I ordered it. I am really, really glad I did.

This textbook was created by three faculty members at the University of California, San Diego School of Pharmacy (along with area contributors) to accompany their forward-thinking pharmacy informatics course.  The authors bring a lot of credibility to the text as Phil Anderson is a very well known pharmacist in drug information and informatics circles, Susan McGuiness is a pharmacy librarian who is quite active in AACP, and Phil Bourne is the pharmaceutical scientist who is one of the more clever and creative fellows I have come across. 

Informatics Masters and Certificate Programs in the US

I teach in our University’s Master of Science in Biomedical Informatics (MSBI) program.  We also have a Medical Informatics Certificate program, a Public Health Informatics Certificate program, and offer a MSBI in Portugal.  However, this isn’t a commercial or sponsored post.  This information is simply to provide some context as to why I am interested in seeing a centralized source of information for all post-bac informatics programs.  More importantly, our Section Advisory Group for Pharmacy Informatics Education in the American Society of Health-System Pharmacists (ASHP) is also looking at this topic and relevant issues for pharmacy.

Medical Information Resource Deathmatch – A Closer Look

Last month a Letter was published in the peer-reviewed journal Medical Teacher titled, “Is Wikipedia unsuitable as a clinical information resource for medical students? “ [1].  That paper came on the heels of a Letter published in The Annals of Pharmacotherapy on a related topic, “Evaluation of pharmacist use and perception of Wikipedia as a drug information resource“ [2].  The Annals paper had some serious shortcomings (e.g., survey response rate) which likely contributed to its abbreviated publication form.  Its most eye-opening point was that only one-third of the respondents who used Wikipedia were aware that anyone could edit the entries.  This is perhaps the real value of the Letter and why it was published – it helps illustrate the need for education about appropriate online resources in that group.

Confessions of a Public Speaker (review)

I confess.  I am not a trained reviewer.  I have reviewed a few texts for biomedical journals, but that hardly qualifies.  However, I am going to share my thoughts on Confessions of a Public Speaker by Scott Berkun (@berkun).  I hope writing this review forces me to think holistically about the value of the resource.  And, since there is a constant stream of books being published, perhaps the review will even help someone else with their decision making process. 

 

How easy is it to read dietary supplement patient leaflets?

One of the aspects of information quality that is still very much an imperfect science is readability.  There are a handful of established tools to evaluate it, with the Flesch Kincaid Grade Level (FKGL) being the best known.  The FKGL is simple and thus limited.

 

I first met Qing when I was giving a poster presentation during Mednet in Toronto in 2006 (Mednet later morphed into Medicine 2.0).  We exchanged some ideas and our business cards, and that was it for awhile.  We reconnected at AMIA and formally explored some research ideas.  One area of potential collaboration revolved around a tool her group was developing called the Health Information Readability Analyzer (HIReA).

Soapbox 2.0: Blog and microblog use by pharmacists for ranting and discourse

This study was driven by a couple of very motivated pharmacy students and recently presented in poster form at the ASHP Midyear Clinical Meeting.  I was prompted to post it because of a recent tweet by @SusannahFox about the Health On Net Code.  As with all posters, the complete results are not contained here.  Ironically, the fact that while about a third of pharmacist blogs contained disclaimers, only 7% contained evidence of HON certification is not included on this poster - despite that piece being the impetus for this post.  Of note, the Healthcare Blogger Code of Ethics seal was not similarly tracked at the time of the study.

 

The full manuscript will hopefully be published in a peer-reviewed journal in the not-too-distant future.

 

@kevinclauson

Teaching a Course on CHI & Web 2.0 in Healthcare

Last year I developed a course titled “Consumer Health Informatics & Web 2.0 in Healthcare”.  It was an excellent learning experience for me and hopefully beneficial for the students as well.  The course was offered last semester in our College of Osteopathic Medicine – Biomedical Informatics Program.  I plan to offer a similar course next semester in our College of Pharmacy tailored for those students and capitalizing on the lessons learned from the previous version.

 

Meet the Consumer Health Informatics Subspecialty!

Pharmacy is a profession in healthcare.  Pharmacy informatics is a specialty within this profession. It is not yet one of the recognized specialty areas by the Board of Pharmaceutical Specialties, but it is a specialty nonetheless.  Consumer health informatics is a subspecialty within informatics, and can be integrated with pharmacy or any other profession in healthcare.  My path has led to immersion in the possibilities associated with consumer health informatics.

 

Consumer health informatics (CHI), like medical informatics, health informatics, and pharmacy informatics, suffers from a bit of an identity crisis – or at least a lack of consensus terminology.  The two working definitions for CHI that I am particular to are:

 

 

“…analyses consumers' needs for information; studies and implements methods of making information accessible to consumers; and models and integrates consumers' preferences into medical information systems.”

British Medical Journal article by Eysenbach

 

 

"…studies from a patient/consumer perspective the use of electronic information and communication to improve medical outcomes and the health care decision-making process."

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