Showing posts with label medical education. Show all posts
Showing posts with label medical education. Show all posts

Thursday, 20 March 2014

social media in medical education... it's all about the network



What is the role of Twitter in medical education?

I started using Twitter (and this blog) because I wanted to connect with people who I didn't know how to connect with otherwise. I wanted to connect to people who worked in medical education but I got a lot more than I bargained for. I found a wonderful network of people who I continually learn from. I can share, and get feedback, dip in and out, refine my thoughts, and the rest.

But do I think that we should use it in our courses? What for?

Last week I attended a workshop lead by Claudia Megele on social media in higher education. She has done tremendous work in establishing several 'knowledge networks' including #mhchat (mental health chat). She then introduced a group of social work students to social media including Twitter. They used pseudonyms but participated in regular Twitter chats and discussed topics online.

It seems to me that the most powerful thing that Claudia did was to introduce her students to her networks. She helped them to become part of a community discussing mutual topics of interest online.

So how can we, committed to health professional education, help our students? I think we can do the same thing. We can give our students access to our knowledge networks.


Thursday, 12 December 2013

#1carejc - Primary Care Journal Club

This was an idea that started last summer- why don't we have an online primary care journal club? #twitjc - Twitter journal club is still going strong, but we always had the idea that wanted to try something different and try different forms of social media. A few weeks ago I spoke to Peter Sloane, an Irish GP, on google plus and he mentioned that he wanted to explore the potential of G+ for education so I suggested that #1carejc would be a great thing to try and get going.

We picked a paper on osteopathy in primary care that was suggested by David Lewis a few weeks before his death last summer. On our panel we had primary care researcher Ceri Butler who has also lived with chronic back pain for many years. Joining us from Australia was Karen Price, an Australian GP and educationalist who knew David Lewis well. I was just off the train from Cardiff to Manchester. Unfortunately we couldn't get Prof John Licciardione, the 1st author of the paper to join  the conversation- but we hope to catch up with him again.

Was it a success? Well yes, we had a good discussion about the context of this research on back pain- the experience of GPs and of patients. We had a little bit of time to discuss the research itself but we were missing the voice of the researcher. Our teething technical problems limited the amount of time we had to discuss the paper but it was only ever intended that the google plus hangout should be one part of a wider discussion about the research topic.

We hope that the discussion can continue in the google plus community we have started. And that the videos will be a resource that people can look back on. We'd appreciate any feedback you have especially if you can leave it in the google plus community.

So here it is! Skip the 1st part (technical mishaps) and start at about 27 mins in - or even at 32 mins in when Ceri starts speaking very powerfully about her experiences.

Thursday, 7 November 2013

Burlesque medical student calendar... unprofessional or not?

A brief post. The above image is on the Facebook page for a 2014 charity calendar, Medemoiselles, and features female medical students. Last year the calendar featured male medical students in their underwear.

This morning it was tweeted by one of the medical students pictured. Here are her own thoughts on the response to the calendar.
Is the calendar unprofessional? Is it inappropriate for medical students to take of their clothes for a charity calendar? What are your thoughts?

Wednesday, 4 September 2013

Hanging out with Eve Purdy

"The future is already here – it's just not evenly distributed." - so said William Gibson in 2003. If you want to see the future of medical education then talk to students like Eve Purdy. She is a 3rd year medical student in Kingston, Ontario. She blogs and tweets. This morning I grabbed her for a quick chat. You can watch our 'google hangout on air' below. 


Thursday, 18 April 2013

What you need to know about Twitter...


What you should know about twitter..... from Anne Marie Cunningham

This morning I had the great pleasure of giving this talk at a workshop on mobile learning in medicine and dentistry as part of the Changing the Learning Landscape project.

Arriving at the venue I thought it would be useful to record the audio of my session and share it on Slideshare. I didn't have my Zoom Q3 audio recorder with me so decided to record the audio on my iPhone. I downloaded an app Audio Memos and set it running.

When I got home I set about figuring out how to get the audio file off the iPhone and on to my computer. I tried emailing it but it was too big and I was advised to purchase the full version for 69p, But it was still too big to email. I tried and failed to enable servers but the solution was to send the file to google drive and then download it to laptop. It then needed to be converted from a .wav to mp3 file. Fortunately I had written a blog post about the first time I had made a slidecast, so I was able to refer to the screencast I had made in 2010 to remind myself how to use iTunes to do this! (Yay for self-archiving!)

It is still as easy as ever to sync audio with slides in Slideshare so the last stage was easy.

I think the end result is worth the effort. And I do think that when you are using mainly images in slides, hearing what someone is actually saying is pretty essential to understanding the point of the presentation. So I will try to do it again as I do more presentations this year.

Thanks to Jane and the team behind today's workshop for the great organistation, and to all the other really interesting presenters and such an engaged audience. A special plug for my colleague Duncan Cole for his great prezi on Digital Curation


Tuesday, 23 October 2012

Renal #meded on Twitter

Wednesday, 25 July 2012

I'm thinking about Twitter but....



This is a follow-up to my recent presentation at #asme2012 where I tried to convince anyone who was at the conference, and therefore interested in medical education, that they had something to gain from Twitter. These were my 10  reasons, more fully explained here. At the end I asked, "What is stopping you?". Here are some of the queries, and I'll add others as they arise and hopefully you can contribute some questions and answers too.

I'm already swamped by email, etc etc - how would I manage Twitter?

Email swamps us because it is hard to discern the messages that we do need to reply to from the junk that we shouldn't have received in the first place. But Twitter is an opt-in service. If you feel swamped by getting a newspaper at the weekend then perhaps this is not for you. You will choose who to follow and how often you want to check if something interesting is waiting there for you to discover, or respond to. But if you don't have time then you can ignore it. No one will be annoyed or upset. If someone really wants to get your attention they probably have other ways of contacting you than by a tweet (the dreaded email!) but you will very likely be surprised by how liberating you find 140 characters. Brevity is your friend!

And if like me you want to explore Twitter for your professional development then you can make some choices. What do you currently do for CPD? Why don't you swap 10% of that time to Twitter and see what return you get on your time investment? (I can make that challenge quite confidently!)

Should I have a personal and a professional account?

I have one account. It makes life easy. I don't feel that I share very much of my personal life but you probably will get a very good sense of what I will be like if you meet me at a conference from my tweets. You won't know how I interact with my family but I don't imagine you are very interested in that. Despite leading quite a public life I like my privacy. I feel that I have reached a happy balance.

Is it a problem that tweets are archived?

This question surprised me a little. If my tweets are professional then it is good that they are archived surely? Often the first thing I do when I attend a conference is check if the tweets are archived and if not then set up an archive. Or I try to curate tweets into stories myself using tools like storify. So archiving is not the enemy, it is our friend. I think the questioner was concerned that I was through my limited personal tweets I was exposing personal data. But this happens every time I use my mobile phone, my Visa card, and with CCTV cameras in the UK, often just walking down the street. We are all trading privacy for convenience to a certain extent. Again I am happy with my current balance?

I hope to do another follow-up post about how to get the most out of Twitter, but in the meantime, what are the questions that people raise when you talk to them about social media?



Tuesday, 24 July 2012

Why does a twittering doctor tweet?- note from ASME 2012


"My very first tweet was made in May 2008.

 I was invited to join Twitter by a friend who works in IT. It just happens that at the time I was still at work thinking about a teaching session so my first tweet has quite a strong medical education flavour. Like many people I wasn't sure what to actually make of Twitter after this and I left it for several months until I went to two medical education conferences and decided that social media could serve a purpose for me.

 But I'm not a techno-evangelist. I believe we have to be very careful about how we use technology and to consider how it impacts on relationships. If you google web 2 (a term for newer social technologies including social media) sceptic then the top result is actually about me, because I have disputed with other doctors in the past that these technologies are having any impact on our clinical practice. And I am still uncertain about this. However I am certain, and have decided that I can allow myself to be evangelical, about the benefits that can be had for anyone who is at this conference and is therefore interested in improving medical education. I started becoming aware of this a short while after starting my own blog in October 2008 which is why in 2009 I gave a presentation at ASME about how social media and networks could develop and support scholarship in medical education. However, this did not lead to the expected paradigm shift in scholarly communication. So I have decided that I might need to be a little more direct with you this time. And this is why I am going to give you 10 reasons why you should be on Twitter now.

10 reasons anyone interested in medical education should be using Twitter 1. To connect

The first is my own initial reason- to develop a network with other researchers, educators and practitioners. This works and it can happen.

2. To engage

The second reason is something I didn't expect. Beyond simple connection you can have meaningful engagement with those whose voices you might not usually hear- students, junior doctors and patients, or the wider public. For me this has been tremendously powerful.

3. To inform

Third, is to inform. I'll use as an example the hashtag of this conference #asme2012. In the past few days more than 1000 tweets have been made by more than 100 participants and reached thousands of people who are mainly not at this conference. But what does that mean? Well, it means that ASME has a higher profile in the global education community. If your mission is to spread the word, then you should be using Twitter.

4. To reflect

Fourth, is to reflect. To illustrate this I've chosen a tweet by a doctor in the US raising the topic of the fall in empathy levels of medical students during the medical course.
 It’s something that we often hear discussed at conferences. I decided to share, or retweet his thoughts, and to ask our UK medical students what their experience was of this phenomenon. I don't have time to show you all the responses (storified here) , but believe me that there was a rich discussion on what was wrong and what we might do better. So if you want to consider how you could make your practice better you could be helped by being on Twitter.

5. To share

The fifth reason is to share things that are important and meaningful to you. To do this best you need a space where you can write more than 140 characters and I would recommend that to get the most out of Twitter you also start a blog. But don't worry if you want to just stick to Twitter for now. In Twitter you can easily share links to content that is online; be that a research paper, or a blog post about your research or someone else's research or just a story that you think needs to be told. But remember you have no editor here. You have to be your own self-censor, but it doesn't matter if you make the odd mistake. Don’t let this fear stop you saying anything at all. The community is forgiving.

6. To be challenged

 But sixth, when you share your thoughts and ideas don't expect everyone to agree with you. Sometimes it is said that people online talk to those who are just like themselves. It can seem as if we are indeed sheep, so much that I have added to my twitter biography that I am determined NOT to be one of the sheep. Near the end of ASME 2011, Professor Trudie Roberts even warned against the ‘filter bubble’. But just as here at this conference we are prepared to defend our point of view, be prepared to be challenged about what you think online. This is a good thing. Don't be surprised if it happens. Enjoy and relish it.

7. To be supported

 But also expect support from your colleagues. My seventh point is illustrated by the development of a list of women healthcare academics by Prof Trisha Greenhalgh. She is someone who I really hoped would join Twitter after she attended AMEE last year, and then she did. If you want to see how a productive academic can get a lot out of Twitter then follow her. This list was started because we were aware that often women are less visible online. It started as a list of 50 but very quickly rose to more than 100 and is still growing. 

8. To lead

Trisha Greenhalgh was exhibiting leadership and if you are interested in leading your community you should be on Twitter. This is my colleague Natalie Lafferty from Dundee who many of you might know. Last year we held a series of discussions on Thursday nights called #meded chat. We picked the topic in discussion with our community and supported the chats with blog posts which helped pull together the learning. One week we discussed how students and trainees felt about the use of the portfolios to assess competency. We knew that this could be an explosive topic and it was. In advance of the discussion 25 people commented on a blog post with detailed descriptions of their own experience of the use of portolios. Many more participated in the chat. A year later a junior doctor has started a blog NHS eportfolio revolution which is bringing the voices of trainees directly to the AoRMC. If you are involved or want to be involved in the development of policy and you want to connect with your community then one way that you can lead is by being on Twitter.

9. To learn

Getting near the end, my 9th point is that you will learn. When you have worked at developing a network, you will have the benefit of other people curating the best of comment, news and research and directing it towards you. Priceless! 

10. To inspire

And lastly, you can inspire others. Do you know this amazingly busy, and productive man? 
Atul Gawande Video Shoot
Image: Atul Gawande Video Shoot by stevegarfield

It's Atul Gawande- surgeon, author and researcher. The eloquent Atul Gawande can teach you about how to use Twitter. Last year, I spotted this tweet one Sunday afternoon.
 Two minutes later I had made my reply to him.
 I invited him to participate in a discussion of his paper in the Twitter Journal Club, a twice monthly discussion of a paper on Twitter, started by a medical student, Fi Douglas, and Natalie Silvey, a junior doctor. This was too good an opportunity to miss. What do you think happened? Well- the discussion started and there was no sign of Atul Gawande. People were making some of the usual complaints about the original surgical checklist paper. It didn't apply to the developed world etc etc. But then he joined in. He started commenting on the discussion. And if you have any doubt about how 140 characters can be used to communicate anything useful watch and learn from this master.
What was the reaction? People were thrilled and informed. Atul Gawande was on vacation with his family but he was able to share his expertise with students and others who asked him questions about his work. He was inspiring. Do you want to inspire others? So this is only a short 10 minute race through how you might be able to contribute through Twitter to the development of the medical education community. Every voice is legitimate from students, to professors. So now I will take questions, but my question to you is what is stopping you from joining this conversation? "

Follow up:
some good introductory blogposts :

Saturday, 30 June 2012

Case discussion on Twitter: how can we make best practice explicit?

Did you consent to your involvement in this process?
Image by quinn.anya

It's great to see the growth of discussion in medical education on Twitter. Recently I have seen a few really interesting cases being discussed (and a lot being learned), but there have also been some questions about how we together can think about what is best practice in leading these discussions.

Case discussions have always been a very important way of learning in medicine. And as one doctor said, junior staff are still encouraged to submit cases to journals, but it can take many months for a case submitted to a journal to reach publication. In the meantime, social media removes those barriers to publication. We can all self-publish. But we have to be responsible too. I think that all of the people currently involved in leading discussions are being responsible, but how do we make clear to others what best practices we are following? I think that it is important to consider this for a few reasons. First, we have an obligation to all patients to make these discussions safe. Second, we are modelling how to share these cases to other students and professionals.

We also need to think about whether the existing guidance, which in the UK is from the GMC, is sufficient to guide us.

So a few questions....

What should we tell patients about sharing their story? Do we need their consent if the story is not recognisable to others?
When the GMC discuss confidentiality the emphasis is on not sharing information (without consent) that would allow another to recognise a patient or someone close to them. In the new draft guidance on social media the only additional emphasis is on the impact of embedded information such as GPS co-ordinates that would allow us to know from where a tweet was made, or an image taken. 

My own practice is that if I want to share a story about a patient that might allow them to recognise themselves then I ask permission, and I record that when sharing the story. So far this has only happened once and it was in a blog post. How could it be conveyed that a patient was aware and happy that their story was being shared on Twitter? If this is done in a separate tweet then those following the tweets may miss it and wonder if permission has been given. Is this something we need to be concerned about?

What about sharing images routinely made as part of care?


In 2011 the GMC gave additional guidance on the audio-visual recordings. For some images made as part of routine care, such as pathology slides, internal images of organs, and xrays,  then no specific consent to take the images is needed. It is presumed that if the patient gives consent to the procedure then they give consent to the image being recorded. The guidances says that attempts should be made to make patients aware that they may be shared in an anonymised form, but there is no need to ask permission before doing this. This includes for publication in widely-accessible media such as press, print and internet. We can presume this includes Twitter!  

The draft social media guidance makes no additional comment on this so sharing an anonymised image on Twitter for teaching purposes seems acceptable. But images are rarely of much value without an accompanying story. So we are back to the situation above. How much permission is it good practice to obtain before sharing a story? And we have to remember that the real-time nature of social media means that a story about a patient might be shared as it is happening, rather than six months later, so that it is more likely that people may recognise themselves or others.

Other images that are made as part of routine care, but are not part of a procedure, such as an image of the outside of the body, do need specific consent to be given. And again patients should be made aware that these images may be used for teaching or research, but specific consent does not have to be given for them to be shared for this purpose as long as they are anonymised and all identifying details are removed. However, the guidance states that if the image is to be shared in widely accessible media (eg Twitter or a blog) then if the image is identifiable consent must be obtained. If the image has been anonymised then good practice is that consent should also be obtained but," if it is not practicable to do so, you may publish the recording, bearing in mind that it may be difficult to ensure that all features of a recording that could identify the patient to any member of the public have been removed."

What about recording an image to share in an educational discussion on social media?


The GMC guidance which applies here is the section on "recordings for use in widely accessible public media". Here, even if the patient is not identifiable, and has been anonymised, consent must be given explicitly. Paragraph 37 states:
"You must get the patient's consent, which should usually be in writing, to make a recording that will be used in widely accessible public media, whether or not you consider the patient will be identifiable from the recording"
We are also obliged to check with our employers what their policies are. Some trusts prohibit the use of mobile phone cameras by staff to protect patient confidentiality.

If consent has been obtained from patients to share their non-identifiable images online, how can we share that information in a tweet? Can we presume that if we see an image shared on Twitter then the person sharing it has followed the correct policies, just as when we see an image in a journal we might presume that the correct policies have been followed? Should those leading case discussions develop their own policies and make these accessible from their Twitter profile?

Medical education on Twitter is fantastic. There are no professional or geopgraphic boundaries to discussions. And no boundaries to patients participating either! I want to see all that is happening already continue and also for more people to get involved. I think that by considering these issues and showing how we can be safe and transparent we can take these discussions to a new level of participation.

Sunday, 29 April 2012

Facebook and educators- "There be dragons!"



Do students use Facebook for social learning? YES! 

Yesterday was interesting. I listened to an interview with Jon Scott, a researcher/educator in Cardiff University about the need for social academic platforms- that would support collaborative learning, for example students working on group projects together, annotating documents, question and answer forums. Theoretically VLEs like Blackboard can support this. But either they aren't used this way or attempts to use them this way fail. The discussion that followed on Twitter considered that whatever platform was developed should be like Facebook. It should seem as easy to use. It should be somewhere that students wants to be and were anyway. Afterall as a student your social and academic life do often collide in any case. But then it was suggested that Facebook wasn't that easy to use. Most people didn't understand the privacy settings. They probably were not using it for academic work.

So I wrote a blog post asking students if they 'used' Facebook for learning and lo and behold they do!
The uses cover:
1. Private messages (as an email replacement?)- to ask close friends questions and to work on projects in a groups as documents can be attached.
2. The use of peer-led academic content groups where students can ask each other questions particularly in the run-up to exams.
3. Following pages from BMJ learning, eMedicine, medrevise to help with revision
4.The use of private (even secret) groups to work on group collaborative tasks by sharing documents. The notifications side-bar is particularly useful for letting students know when something new has happened.
5. For sharing information from face-to-face small group activities. There is no additional task to be shared but the content is useful to others.
6. Instant messaging! If VLEs were set up with instant messaging this would be a big win. It is one of the features that students like most about Facebook.

And why are people using Facebook?
-Privacy - this is a space that does not belong to the university so the chances that what is being said will be seen by a member of staff are reduced
-Accessibility- there is a lot less clicking on Facebook than in the VLE and it is faster than the VLE
-People are there- most people go in to Facebook every day. There is every likelihood that you will get a fast response to a query. This is in contrast to asking a question in a discussion forum to support learning on the VLE. As one student said; " if I asked a question on there, it would be as useful as talking to a brick wall as there's no one else on there!"


I also asked students if they felt pressure to be on Facebook in order to be able to keep up with peers. Would students miss out if they didn't have a Facebook account?
One student described how a colleague stopped using Facebook whilst they were in the middle of working on a project. That meant a lot more to-ing and fro-ing for the others in the group. Another student said that they weren't aware of anyone objecting to Facebook but if they did then they could manage as long as someone else kept them in the loop by sharing what was on Facebook.

There was also an interesting point made that some students thought that there university might not approve of the sharing of notes within these communities. The same might go for the sharing of exam questions. This reminded me of a post by Dave White on the Learning Black Market. 

Did students worry about their privacy using Facebook? Some did mention disliking the fact that they had to use Facebook but it worked. It was a trade-off they were prepared to make. 

If students use Facebook for social learning then should educators be there too?

Remember yesterday's blog post had emerged out of a discussion about whether an additional social academic platform was necessary and whether Facebook was already acting as that platform. It appeared that to a certain extent it is. The next question is should educators be there too in order to support the social learning that is taking place?

That conversation had been progressing rapidly in tandem! Alan Cann had started a discussion on google + about my post. His opinion " Allow Facebook to be a student owned space. if you want to set up groups to support learning, do it elsewhere". Now in ways this is a little surprising from Alan. His general mantra is "Build networks, not destinations." In Facebook the network is there! The students are there! Trying to take them to another destination that isn't about their network seems slightly doomed.

I'd come across a post by Cristina Costa titled "Why Facebook and teaching don't go together". She makes a few points here. Her strongest contention is that Facebook is not a pleasant organisation and that we don't know how or can not understand how they are using our data. If students wish to organise themselves there then that is up to them, but if educators have a presence on Facebook then they could be seen as giving tacit approval to Facebook. They might also be seen as encouraging students to set up a Facebook account. 

On the other hand, Natalie Lafferty shared a post that Donald Clark had written earlier this year giving 7 reasons why Facebook was posed to become THE social learning platform. But as Natalie pointed out, in a survey in Dundee University, there was a 50:50 split when students were asked if they wanted an institutional presence on Facebook. So the university held back.

At this stage I'd like to state that my attitude to Facebook is pragmatic. I have an account. It is personal. Nearly everyone that I am friends with are people who I have went to school with, worked with, met on holiday, met at university. Oh and family! We have a secret group where we can share pictures and videos and updates that we don't wan't to share with others.

But I have also used Facebook as an academic. I have been involved in using a Facebook group to help recruitment to a student research project. I've set up a Facebook page in the past to share content that I was already posting to Blackboard. A few hundred students liked the page. No one asked to become by Facebook friend and I didn't ask them to become mine. These uses of Facebook did not seem to present any kind of boundary confusion. It didn't stop students using Facebook to support their learning in the ways that they had already been doing.

"There be dragons!"

My fear is that as educators we have ended up demonising Facebook. And we've done this in a few different ways. 
Particularly in medicine, Facebook has been presented as a place where bad things happen and a challenge to professionalism. Have a look at the references on Pubmed. In the piece I wrote for the GMC in advance of the publication of their social media guidance I made the point that the reactions to Facebook seem to approach moral panic, when in fact most people are using it in very civilised ways.
All of this has meant that some, maybe many, students do not trust us to be anywhere near them on Facebook. Jon Hilton has left a great comment which illustrates that the very accessibility that makes Facebook great (2 clicks and you're there!) is also what makes it feel risky. What if a student posts a drunken photo to the wrong group? What if they say something about a lecturer that they wouldn't have said otherwise? Can educators be trusted to respond responsibly to those events? Can we? I would hope that we could. Mistakes are made. People learn. Students and educators both need to learn about digital literacy and digital professionalism, and I think it would be great if we started as we meant to go on and learnt together.

But what about the accusations that it is irresponsible to lead students to Facebook, or to give tacit approval to the organisation. This is a decision that educators need to make themselves. My instinct is that students have decided that they know they are the product. This is a free service and they are paying for it by handing over their information. But it is a trade-off that has value for them. They are prepared to put up with ads for topics they mention in passing. Being off the grid isn't really an option for them. Yes, we don't know how all this information will be tied together and made sense of in the future. 

I also sense that there is a fear amongst educators that their presence on Facebook will be desperately uncool. Private groups that an educator might set up in Facebook might be seen as 'creepy treehouses'. The concept of the creepy treehouse emerged in 2008 just as people were starting to explore the possibilities of social media for learning. But 4 years later how has our understanding shifted? Is it time to explore the opportunities of Facebook in a mature and confident way? Actually, Melanie McBride was arguing that we should do this back then:
"If we do not all venture into these spaces together – as a guided and pedagogically relevant tour – we will become even further disconnected from a student population who are being corporatized at every turn."

We have to be clear to not ask too much of any platform. Can Facebook work with the VLE? Could it be used to support specific pieces of work or just for a big private year group to answer student queries in the way that students are already using it? Any new uses of Facebook by educators shouldn't step on the toes of students who are already doing a great job. 

And because I like to put my money where my mouth is, I decided last night to start a Facebook group to try and learn together with Cardiff University students how we could use technology/elearning better in the course. This could have been done through the VLE. I could have set up different forums for each year group. The students would have been less certain about who was reading their posts. The first thing I posted was the YouTube above which gives quite a very negative view of Facebook. The next item I posted was this screencast about how to check how your timeline looks to members of the public.

Is it time that educators started making timid expeditions into the scary land that is Facebook? What do you think?

Sunday, 8 April 2012

100+ women healthcare academics


About 50 100 women academics on Twitter (in no particular order)

Last month a blog post listing "50 Medical School Professors You Should Be Following On Twitter" was doing the rounds on Twitter. We can all make our own lists and blog about them- it's one of the great things about social media. This list seemed short on women -something picked up by Professor Trisha Greenhalgh who tweets as @trishgreenhalgh. An extremely productive academic she shows better than anyone else I know how and why an academic should be on Twitter. Deciding that we needed a list that would flag up women healthcare academics she started the hashtag, #womenhealthcareacademics. She asked people to nominate others and themselves. Who is a woman healthcare academic? Simply: " those we classify, or who self-classify,as [a] women, [b] h/c and [c] academic ". This is an inclusive list. It is not just doctors or women who work in universities. It includes many doctoral students and others working in the community. 

What follows is the list crowd-sourced by Trish. I offered to host it for her on this blog and then realised  that I had not nominated some of my own favourite women healthcare academics on Twitter so I have added these at the end. I've pulled everyone together in a Twitter list which you can find here. We're sure that there are many other people that should be in this list but aren't. Please leave a message in the comments or tweet using the #womenhealthcareacademics tag. 

EDUCATORS
@amcunningham Medical educator from Cardiff, UK. “Determined not to be one of the sheep”. 6000+ followers
@SarahStewart Educator, consultant, facilitator. 2500+ followers
@fidouglas medical student, co-founder of @twitjournalclub 1000+ followers
@misselspeth Medical student intercalating with PhD in medical education. 400+ followers
@ajburls Director of postgrad education at Oxford Centre for Evidence Based Medicine
Other educators recommended by Twitter community: @kathwoolf @clairehamshire @suzannevee 

EPIDEMIOLOGY / PUBLIC HEALTH
@marionnestle Professsor in dept of nutrition, food studies, public health. 80,000+ followers
@aetiology Microbiologist / epidemiologist 3000+ followers
@AllysonPollock Academic, public health doc, 2000+ followers 
@murzee Physician / public health blogger. 1600+ followers
@ProfKEPickett “Social epidemiologist, co-author of 'The Spirit Level' and co-founder of The Equality Trust”. 1200+ followers
@imaginarygf “Stats nerd” 1300+ followers
@lou_hurst  “Public health, epi, stats and stuff”. 500+ followers
@MegPopHealth epidemiology / nutrition. 500+ followers
@siobhanfarmer Public health registrar, runner. 400+ followers
@angelaraffle “Public health medic, interest in sustainable economies” 300+ followers
@gingerly_onward “Newbie epidemiologist with interest in clinical outcomes research, ehealth” 200+ followers
@erica_pool pulic health, NHS, climate change, more. 200+ followers
@profhelenward Academic and activist, public health focus 100+ followers
Plus others in public health / epidemiology recommended by Twitter community: @jennyhall33 @helen_barratt @vanessasaliba  @jeanmadams @Talkingwalking @dr_asbo   @epidemiologista @sadieboniface @Sara__Johnson

GENERAL PRACTICE / FAMILY MEDICINE / PRIMARY HEALTH CARE
@mgtmccartney “Evidence, medical professionalism, politics, screening, risk + more” 1200+ followers 
@trishgreenhalgh Doctor (GP), academic, agitator, ageing athlete. 1700+ followers
@JuliaHCox GP epidemiologist, QRisk queen 
@PennyL50 Academic nurse with interest in depression management
@ClareRCGP Chair of the Royal College of General Practitioners and soon to be honorary Professor at King's College London

HEALTH ECONOMICS
@kbloor Health economist 450 followers

HEALTH SERVICES RESEARCH / HEALTH SYSTEMS
@DTFinegood Professor in systems thinking from Canada
@DinaBalabanova Health systems researcher, LSHTM
@TaranehDeann @butlerceri @RowanM   @ir4b health services research

CLINCIAL DOCTORS (INTERNAL MEDICINE / PAEDIATRICS / SURGERY)
@silv24 Junior doc, global health, in @Twitjournalclub, 2000+ followers
@dr_fiona Hospital doc. Nudging 2000 followers
@drmlb Professor of Pediatric Surgery, USA
@DrMarkham Haematologist, oncologist 600+ followers
@VerranDeborah Transplant surgeon, Australia
@DrSuparnaDas Anaesthetist with MBA 300+ followers
@ingridjohanna66 “UK child health on the front line” 300+ followers 
@lungsatwork respiratory consultant

LAB SCIENCE
@ani2tall cell biologist, working mum. 200+ followers

PSYCHOLOGY / MENTAL HEALTH
@drpetra Psychologist, ‘evidence-based agony aunt’, sexual health researcher, also tweets about combining motherhood with academic work. 7000+ followers
@doseofnuxvomica Psychiatry and music. 600+ followers
@soozaphone doing PhD on cannabis / psychosis / depression. 400 followers
@essividing professor of developmental psychopathology. 200+ followers
@whole_patients “Demystifying psychiatry and psychotherapy for patients and doctors”

SOCIAL SCIENCE / HEALTH POLICY / NURSING
@Viil “Socio-technical PhD student” 2000 followers
@Ermintrude2 Social policy, health policy, social care, social justice. 1700+ followers 
@HealthCulture Historian of science/medicine 1000+ followers
@JulieLeask Social scientist, Sydney. 600+ followers
@KateT_health “Health policy, post-socialism, higher education” 300 folllowers
@nzruthdesouza Academic nurse from NZ, social justice / feminism. 400 followers 
@ProfSandyOliver Sociologist, “making knowledge more democratic”. 200+ followers
@cj_pope Medical sociology prof
@profsophieday Anthropology prof
@jomaybin Fellow in health policy at Kings Fund
@lizforbat therapist working in cancer care

JOURNALS / EDITORS
@JAdvNursing Journal of Advanced Nursing (edited by a man, but many excellent papers relevant to women academics and practitioners). 1100+ followers
@Ed_N_Researcher Editor of Nurse Researcher 800+ followers
@trished BMJ / BMJ Open 1300+ followers
@katiejcole “Public health doc, co-founder of Lancet UK Policy Matters”. 500+ followers
@deb_cohen BMJ investigations editor

OTHER DISCIPLINES (e.g. GEOGRAPHY / MANAGEMENT / INFORMATICS)
@mariawolters E-health 700+ followers
@renarde “liberal atheist feminist geek” 600+ followers
@christineburns Equality / diversity, business / IT
@geodianna Geographer who maps health data 
@fraslette Geographer / population health analyst
@Keeping_Mum carer 100+ followers
@Subu_OT Occupational therapy + art. 400 followers

Anne Marie's nominees not otherwise included!
@salma_patel - doctoral student at Warwick in eHealth and frequent contributor to the #nhssm (NHS social media) discussions
@deevybee Professor of developmental neuropsychology who has a great blog
@claireOT OT and blogger and so much more
@nlafferty Lead for elearning in Dundee medical school sometimes to be found leading #meded chats with me
@bonnycastle One of the first medical education bloggers, from Saskatoon, Saskatchewan 
@thinkbirth A passionate scholarly midwife
@bronwynah Speech pathologist and NHRMC post-doctoral fellow (and her colleagues    )
@VirtualOT Canadian OT and PhD student 
@evidencematters Great tweets on EBM etc
@motherinmed Internist, medical educator and researcher, and blogger 
@jane_mooney medical educator, PhD student, training in a/e (can code in Flash!)
@elaineleung Training as an academic in O/G
@kateellington  Physician in training- with particular interest in global health and health disparities 
@drjengunter Obs and gynae doctor, and blogger who often uses her 'lasso of truth' :)
@kind4kids academic paediatrician 
@suzanakm Palliative care doctor and medical educator 
@kerryhood Statistician and trialist- and a very good friend and colleague in Cardiff University
@claudiamegele Psychotherapist and senior lecturer and great tweeter
@psychepi psychiatric epidemiologist and policy analyst
@laylamccay UK doctor relocated to DC- tweets about all the very interesting events she attends
@laikas Dutch medical librarian with a fantastic blog 
@susannahfox researcher for Pew Internet on the place where technology meets healthcare
@cascadia Patient centred design evangelist- says it all:) 
@pfanderson emerging technologies librarian, ehealth, blogger 
@nfreundlich journalist, health policy wonk and blogger
@lindy2350 CUNY adjunct professor, journalist focussing on health policy
@shannonbrownlee researcher and author of 'Overtreated' 
@marilynmann Lawyer, breast cancer survivor, blogger
@drkkolmes psychologist and blogger
@emmaburnettx doing a PhD on risk perceptions of C Diff, nurse, lecturer
@loracenna nursing professor likes killer heels!
@faejones Medical student and @medsinUK joint national coordinator
@anyagopfert National policy and advocacy director for @medsinuk
@ellypilavachi Co-chair of BMA medical students committee
@genbois medical student with passion for global health
@snaraghi Training director for @medsinuk
@katerinahilari SLT, reader in acquired language impairment 
@naomi_cocks SLTsenior lecturer at City University
@nicolabotting Reader in developmental language impairment at City University, London 
@maroeskarovers professor of evidence-based surgery
@nicolainnes academic dentist and blogger
@profsuewhite Professor of Social Work at University of Birmingham
@brigid39 OU social work professor 
@annehollows Social work academic specialising in children and families policy and practice
@meganqb Professor of Healthcare education at Newcastle university, UK
@gillybean42 education adviser on medical, dental and veterinary education to HEA
@glittrgirl enthusiast for open educational resources in medical education. and she knits!
@m2hansen assocaite professor, school of Nursing, university of San Francisco 
@coleenkraft paediatrician and medical educator 
@drbarbara1 researcher in autistic intelligence
@catbonfiglioli senior lecturer in media studies, with special interest in portrayal of obesity, Sydney
@closetohomeMD paediatrician, blogger, Virginia USA
@francesmair Professor of general practice at Glasgow University 
@jessienyc Sociologist, cyber racism, at CUNY 
@drpattiethomas medical sociologist, educator and blogger 
@lisagualtieri teaches digital stategies for health communication and more at TUFTS
@m_lin emergency medicine physician at UCSF - blogger++
@drbrid Irish, public health pragmatic realist! 
@doctorblogs one of the first UK female doctors on Twitter with excellent EBM based tweets:)
@doctorpreneur Training as psychiatrist, with special interest in clinical leadership and author of MBA for Medics 
@gastromom gastroenterologist and blogger
@TaborF doctor and writer, researcher at Hopkins 
@iClinicalApps UK doctor training in paediatrics, now in Sydney working on health innovation and #meded
@dbensonsmith Professor of politics, race, gender and public policy 
@ProfHolloway bioethics, gender, race, medicine and law

Suggested by twittersphere 
@drcris PhD student and general surgical registrar
@doctorfullerton physician blogger
@dr_ginni Sydney media doctor
@dr_val founder of better health- medical blog collective 
@doctorJLB Melbourne based doctor interested in malaria and economics 
@anacfelix neurologist and educator