Document Type : Original Article

Authors

1 1 Fanshawe College, London, Ottawa Paramedic Service, Ontario, Canada

2 1 Fanshawe College, London Monash University, Melbourne, CQUniversity, Queensland, Australia

Abstract

BACKGROUND AND AIM: Twitter® use among paramedics and other prehospital care clinicians is
on the rise and is increasingly being used as a platform for continuing education and international
collaboration. In 2014, the hashtag #FOAMems was registered. It is used for the sharing of emergency
medical services, paramedicine, and prehospital care‑related content. It is a component of the ‘free
open‑access meducation’ (FOAM) movement. The aim of this study was to characterize and evaluate
the content of #FOAMems tweets since registration.
MATERIALS AND METHODS: An analytical report for #FOAMems was generated on symplur.com
from February 4, 2014, to April 30, 2017. A transcript of all #FOAMems tweets for a randomly selected
1 month period (October 2015) was generated, and quantitative content analysis was performed by
two reviewers. Tweets were categorized according to source (original tweet/retweet) and whether
referenced. The top 92 tweeters were analyzed for professional identity.
RESULTS: During the study period, there were over 99,000 tweets containing #FOAMems, by
over 9,200 participants. These resulted in almost 144 million impressions. Of the top 92 tweeters,
50 were paramedics (54%). Tweets were mainly related to cardiac (23%), leadership (19%), and
trauma (14%). The 1‑month period resulted in 649 original tweets, with 2110 retweets; 1070 of these
were referenced.
CONCLUSION: Paramedics are engaging with both clinical and nonclinical content on Twitter® using
#FOAMems. Social media resources are widely shared, which is in line with the FOAM movement’s
philosophy. However, opportunities exist for paramedics to share further diverse resources supported
by referenced material.

Keywords

1. Nickson CP, Cadogan MD. Free open access medical
education (FOAM) for the emergency physician. Emerg Med
Australas 2014;26:76‑83.
2. Mehta NB, Hull AL, Young JB, Stoller JK. Just imagine: New
paradigms for medical education. Acad Med 2013;88:1418‑23.
3. Lin M, Thoma B, Trueger NS, Ankel F, Sherbino J, Chan T,
et al. Quality indicators for blogs and podcasts used in medical
education: Modified delphi consensus recommendations by an
international cohort of health professions educators. Postgrad
Med J 2015;91:546‑50.
4. Mallin M, Schlein S, Doctor S, Stroud S, Dawson M, Fix M, et al.
A survey of the current utilization of asynchronous education
among emergency medicine residents in the United States. Acad
Med 2014;89:598‑601.
5. Purdy E, Thoma B, Bednarczyk J, Migneault D, Sherbino J. The
use of free online educational resources by canadian emergency
medicine residents and program directors. CJEM 2015;17:101‑6.
6. Morris ZS, Wooding S, Grant J. The answer is 17 years, what is
the question: Understanding time lags in translational research.
J R Soc Med 2011;104:510‑20.
7. Arbesman S. The Half‑Life of Facts: Why Everything We Know
Has an Expiration Date. Penguin Publishing Group; 2012.
8. Paterson QS, Thoma B, Milne WK, Lin M, Chan TM. A systematic
review and qualitative analysis to determine quality indicators
forHealth professions education blogs and podcasts. J Grad Med
Educ 2015;7:549‑54.
9. Chan TM, Grock A, Paddock M, Kulasegaram K, Yarris LM,
Lin M, et al. Examining reliability and validity of an online
score (ALiEM AIR) for rating free open access medical education
Resources. Ann Emerg Med 2016;68:729‑35.
10. Christensen CM, Raynor ME. The Innovator’s Solution: Creating
and Sustaining Successful Growth. Harvard Business School
Press; 2003.
11. Cadogan M, Thoma B, Chan TM, Lin M. Free open access
meducation (FOAM): The rise of emergency medicine and critical
care blogs and podcasts (2002‑2013). Emerg Med J 2014;31:e76‑7.
12. BattA, Cummins NM. E‑learning on the road : Online learning and
social media for continuous professional competency E‑learning
on the road : Online learning and social media for continuous
professional competency. Irish J Paramed 2016;1:Article 4.
13. Ward J, Batt A, Menzies D. A9: Facilitating Paramedic Continuous
Professional Competency: The #IrishEMS chat. Irish J Paramed
2016;1:5.
14. Ellis G, Ryan G, Ryan D. A4: The uptake of online Continuous
Professional Competency activity by prehospital care providers.
Irish J Paramed 2016;1:3.
15. Escajeda J, Martin‑Gill C. 101. Prehospital providers’ utilization
of online medical education resources and social media. Prehosp
Emerg Care 2016;20:161.
16. Wolbrink TA, Burns JP. Internet‑based learning and applications
for critical care medicine. J Intensive Care Med 2012;27:322‑32.
17. Gaikwad N, Tankhiwale S. Interactive E‑learning module in
pharmacology: A pilot project at a rural medical college in india.
Perspect Med Educ 2014;3:15‑30.
18. Jaffar AA. Exploring the use of a facebook page in anatomy
education. Anat Sci Educ 2014;7:199‑208.
19. DiVall MV, Kirwin JL. Using facebook to facilitate course‑related
discussion between students and faculty members. Am J Pharm
Educ 2012;76:32.
20. Grundlingh J, Harris T, Carley S. FOAM: The Internet, social
media and medical education. Emerg Med J 2013;S10:2‑4.
21. Weiler A. Information‑Seeking behavior in generation Y students:
Motivation, critical thinking, and learning theory. J Acad
Librariansh 2005;31:46‑53.
22. Sandars J, Morrison C. What is the net generation? The challenge
for future medical education. Med Teach 2007;29:85‑8.
23. Boulos MN, Maramba I, Wheeler S. Wikis, blogs and podcasts:
A new generation of web‑based tools for virtual collaborative
clinical practice and education. BMC Med Educ 2006;6:41.
24. Batt A. #FOAMems is now here! 2014. Available from: http://
www.prehospitalresearch.eu/?p=747. [Last accessed on
2017 Jul 05].
25. Dugan L. Advanced Twitter Terminology to Get You
Tweeting Like A Pro. AdWeek 2011. Available from: http://
www.adweek.com/digital/advanced‑twitter‑terminology
‑to‑get‑you‑tweeting‑like‑a‑pro/. [Last accessed on 2017 Jul 05].
26. Twitter. Tweet Activity Dashboard; 2017. Available from: https://
www.support.twitter.com/articles/20171990. [Last accessed on
2017 Jul 05].
27. AckerJ, Johnston T. Swimming in an ocean of FOAM: Using open
access medical education to drive better health outcomes. In: Mid
North Coast Research Conference. Australia: NSW; 2015.