The document discusses the significant changes that have occurred in healthcare and learning in the last 10-15 years, which have exceeded the amount of change in the previous 1000 years. New technologies like smartphones, social media platforms, MOOCs, and online learning tools have led to more disintermediation, decentralization, and democratization in healthcare and learning. These changes have disrupted traditional models and increased access to informal learning opportunities. The future of healthcare is moving towards more personalized and technical solutions like rapid diagnostic tests using small portable devices.

1. From Gutenberg
to Zuckerberg
Napsterisation of healthcare
Donald Clark

2. Moodle 2001
iTunes 2001
Wikipedia 2001
Blogger 2003
Wordpress 2003
Facebook 2003
Linkedin 2003
Flickr 2004
Youtube 2005
Twitter 2006
Slideshare 2006
Google docs 2007
Dropbox 2007
Evernote 2008
Pinterest 2009
Instagram 2011
Google + 2011
MOCs 2012

3. POLIC
THEORY
Jade Lily & Torley Torgeson

4. Healthcare
More disintermediation
in last 10 years
than last 1000 years

5. Oct 2000

6. Dec 2010

7. May 2011

8. • 20,000 calls a day - around 8 million calls a year
• 40% of calls completed within NHS Direct, only seeking
further advice if symptoms persist
• Of patients given self-care advice, if NHS Direct had not
been available
24% would have gone to A&E
31% to see their GP

11. Healthcare
More pedagogic
change in last 10 years
than last 1000 years

14. Coursera MOOCs on:
Data analysis
Nutrition
Primary health care
Biostatistics
Principles of obesity economics
(175,000 students)

15. Informal learning

17. Spending paradox
120
100
80
Formal
60
Informal
40
20
0
Spend Learning

18. University of Eindhoven
Recording can IMPROVE a bad
talk/lecture

19. Healthcare
More communication
change in last 10 years
than last 1000 years

20. Texting

22. Skype

24. Skype

25. Social media

28. Libya

31. Learner benefits
• Precis your thoughts
• Learning too short or too long
• Blogs make you concise but substantial
• Writing = deep processing = retention
• Aide memoire
• Comments and dialogue
• Good blogs have a ‘voice’

32. Teacher/trainer blogs
• What I Taught This Week
• second bite for students
• expand with media & links
• almost odd that a teacher, lecturer, trainer
does not blog
Learner blogs
• What I Learnt This Week
• reflect & summarise experience
• higher retention/notes for revision
• writing and communication skills
• continuous formative assessment

33. Manager/leader blogs
• humanises organisation
• gives a voice
• others get to know that person better
• consistency, change management
Expert blogs
Informal blogs
Published blogs
Blogs: vastly underused teaching & learning tool
http://donaldclarkplanb.blogspot.co.uk/search?q=blogs

35. "hello , this is Imogen
, Jan's daughter , just to
warn you if you are
meeting up with her or
due in work from her or
whatever - she is in
hospital after a stroke
on monday night so will
not be able to do
anything for a while."

37. “Nurses telling meboff for playing with my
phone too much”
“it is my lifeline and link thome and I've had
enough of this game can I stop now please?”
“Salad today consists of grated carrot, cress - slices of orange
and lemons.......truly weird”
“Had a few blubbery moments over the weekend... I miss
Imogen, I miss my as I just can't face it anymore ...”
“I'm going home hip hip hooraaaaay:):):)thank you everyone
for your support these past 11weeks”

38. “ from my perspective it was you and all my
other facebook friends sending me
messages and just getting on with your
daily lives that inspired me to get better –
the world was still turning out there and I
wanted to be included.”

39. Learner benefits
• everybody’s there (1 billion+)
• groups
• tools (apps)
• peer-to-peer
• mobile

43. Learner benefits
• in learning, less is more
• plagued by cognitive overload
• Twitter is short and sweet
• boosted by rise in mobile
• Twitter and professional network
• Twitter as backchannel (#)
• Twitter & courses/classes
• Twitter & workplace learning (Yammer)

44. Twitter
• Promote events
• It’s the links that matter
• Gather resources
• Poll/opinions (twitpol.com)
• Share resources (twitpic)

45. Tweetdeck

47. Twitter
• Medical schools @yalemedicine
• Medical Journals @bmj_latest
• Health Organisations @whonews
• Hospitals @mayoclinic
• Medical Libraries @ymedlib
• Academics
• Students

48. Twitter
• 140 healthcare uses for Twitter Phil
Baumann
http://philbaumann.com/2009/01/16/140-health-care-uses-for-twitter/
• 50 ways to use Twitter in class
http://www.onlinecolleges.net/2009/06/08/50-ways-to-use-twitter-in-the-college-classroom/
• Twitter: less is more
http://donaldclarkplanb.blogspot.co.uk/search?q=Twitter

50. Learner benefits
• TV out YouTube in
• less is more
• cheap to produce, free to distribute
• quality not important
• people, processes
• vast resource
• channels

51. Stanford University
• New England Journal of Medicine
• teaching hasn’t innovated in step with
rapidly expanding body of medical
knowledge
• flipped course
• core biochemistry class at Stanford’s
medical school
• attendance & attainment
scopeblog.stanford.edu/2012/05/stanford-professors-propose-re-
imagining-medical-education-with-lecture-less-classes/

53. • familiar medium (PPT)
• synchronise an MP3 audio file with
slides to create a slidecast
• conference talks
• create and load
• use any of hundreds of medical
education slidesets
• http://www.slideshare.net/russcucina/social-media-
and-your-practice-ready-or-not-advances-in-internal-
medicine-2012

59. > 1 BILLION >500m >175m
>120m/hour 5th on web
4 billion views
6 billion per day

60. Social media & LEARNING
Find things Share resources & ideas
Search effectively with Google Share your calendar
Search the Social Web with other tools Share files
Useful sources on the Social Web Share weblinks
Share photos, videos and screencasts
Share presentations
Keep up to date Share ideas and experiences by blogging
Monitor new stuff web content Share ideas and experiences by podcasting
Read industry, analyst & practitioner blogs
Subscribe to blog/web feeds with an RSS reader
Collaborate effectively
Build a trusted network Work collaboratively on a document
Collaborate on ad hoc documents in real-time
Facebook Create a collaborative resource using a wiki
LinkedIn Set up a group space
Twitter
Yammer
Other online communities Productivity gains
Use a good web browser
Communicate effectively Use a personal online dashboard
Use other personal productivity tools
Gmail webmail Use other team productivity tools
Skype
Group chat

61. M-learning

62. M-learning = learning on the move

65. Healthcare
More technical change
in 10 years than last
1000 years

79. • reusable microfluidic
device
• rapid, low-cost cell
counts
• measurements of
electrolytes, proteins &
other biomarkers
• optics & nanostrip
reagents for
haematology, chemistry,
and biomarker assays
• from single drop of blood
or bodily fluid

81. Napsterisation of
healthcare:
• democratisation
• decentralisation
• disintermediation

82. The future is already
here….
….it’s just not evenly
distributed.

83. 1) Everything that’s already in the world when
you’re born is just normal
2) Anything invented before you turn thirty is incredibly
exciting & creative and with any luck you can make a
career out of it
3) Anything invented after you’re thirty is against the natural
order of things and the beginning of the end of civilisation
as we know it, until it’s been around for about ten years
when it gradually turns out to be alright really!
Douglas Adams

84. Email
donald.clark@hotmail.co.uk
Blog
http://donaldclarkplanb.blogspot.com/
Twitter
@donaldclark
Facebook
DonaldClark