General Practice – Uk India Partnership Initiative – Professional …

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⠨⠨An article featured in BMJ reports on a ‘white paper’, which investigates as to how India and the UK can collaborate more closely in an equal partnership to improve both nations’ primary health care.

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Getting Better: 200 Years of Medicine

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Getting Better is a short documentary that explores three remarkable stories of medical progress: Cancer, HIV/AIDS, Surgery. The film looks at the role of re…

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Is it SMART to use Social Media?

Terms behind the letters

There is no clear consensus about what the five or seven keywords mean, or even what they are in any given situation. Typically accepted values are:
Letter Major Term Minor Terms
S Specific Significant, Stretching, Simple
M Measurable Meaningful, Motivational, Manageable
A Attainable Appropriate, Achievable, Agreed, Assignable, Actionable, Ambitious, Aligned, Aspirational, Acceptable, Action-focused
R Relevant Results-oriented, Realistic, Resourced, Resonant
T Timely Time-oriented, Time framed, Timed, Time-based, Timeboxed, Time-bound, Time-Specific, Timetabled, Time limited, Trackable, Tangible
E Evaluate Ethical, Excitable, Enjoyable, Engaging, Ecological
R Reevaluate Rewarded, Reassess, Revisit, Recordable, Rewarding, Reaching

Choosing certain combinations of these labels can cause duplication, such as selecting ‘Attainable’ and ‘Realistic’, or can cause significant overlapping as in combining ‘Appropriate’ and ‘Relevant’ for example. The term ‘Agreed’ is often used in management situations where buy-in from stakeholders is desirable (e.g. appraisal situations).
[edit] Developing SMART goals

Paul J. Meyer describes the characteristics of S.M.A.R.T. goals in Attitude is Everything. Meyer, Paul J (2003). What would you do if you knew you couldn’t fail? Creating S.M.A.R.T. Goals. Attitude Is Everything: If You Want to Succeed Above and Beyond. Meyer Resource Group, Incorporated, The. ISBN 9780898113044

Good question on #hcsmanz made me ponder on the question of why using Twitter and other social media is attractice way to learn and interact with people removed from my immediate local circle of contacts.

The S.M.A.R.T. framework does seem to hold the answer. And I am grateful to the team from #hcsmanz for indentifying this concept here.

I have learned much more from social media interactions in the past 6 months than from other sources of information. And here is why.

The topics which matter are SIGNIFICANT to me. The format is MANAGEABLE and MEANINGFUL. The concepts are ALIGNED (not least because social media does tend to herd like minded people together) and APPROPRIATE for the moment. The sentiments are RESONANT with my own. Twitter chat sessions are TIME-BOUND and TIMETABLED, while many of the ideas are TANGIBLE. The crux of the discussion today is “evaluation”, and it feels to me that most discussions do meet goals for learning for the aforementioned reasons. But there is more to social medial chat too: I find the discussions ENJOYABLE, ENGAGING, and ETHICAL. Finally, after the event, I have discovered that the discussions are RECORDABLE (transcripts often available soon afterwards), and REWARDING because some ideas and suggested actions can be used in my clinical work or interactions with colleagues soon after.

It will be a shame if bureaucrats impose more concrete evaluation on the social media discussions because, in my opinion, the unstructured nature of the social media discussion would lose something precious if the conversation were reduced to measurable outcomes. David Haslam, former RCGP Chief Examiner once stated, that not all that is measurable counts while not all that counts is measurable. It is worth keeping this in mind when thinking about evaluation of social media.

We Can Treat The Cancer, But Can We Care For The Survivors?

We Can Treat The Cancer, But Can We Care For The Survivors?.

Managing the health needs of people who have survived invasive cancer deserves more attention.

With 20 years behind me since my own lymphoma treatment it is clear that no-one is particularly interested in the emotional toll surviving brings.

A Mosaic Activating Mutation in AKT1 Associated with the Proteus Syndrome — NEJM

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Original Article from The New England Journal of Medicine — A Mosaic Activating Mutation in AKT1 Associated with the Proteus Syndrome… proof of concept in this landmark study of rare condition of Chromosome 14
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Modelling the efficacy of population-wide preventative measures in preventing CVD (via Twitter Journal Club)

Good article. Pity BMJ/Highwire still broken so cannot read full article online

Anyone who enjoyed the discussion on Rose's Prevention Paradox back in June may find Barton et al's paper in the BMJ this week interesting. The study aimed to model the cost-effectiveness of population-wide risk-reduction strategies in preventing cardiovascular disease (CVD). Currently, CVD costs the NHS around £30bn each year and this study has been devised to inform the Department of Health via NICE. While previous studies have already shown th … Read More

via Twitter Journal Club

Type 2 diabetes and obesity in pregnancy is a daunting duo: New research

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Type 2 diabetes and obesity in pregnancy is a daunting duo, according to new research published this month in The Journal of Maternal-Fetal and Neonatal Medicine.
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