旧媒体与新媒体

With the rapid expansion of digital media worldwide, it is unsurprising that the medical literature has followed suit. Although similarities exist, there are inherent differences between traditional, printed media and the new digital platform.

The quality of traditional media is mediated by publishers, with peer reviewers selected from a pool of ‘experts’. Publishing via this route is expensive and access is limited to those paying the necessary subscription fees (limited receivers). Another aspect regularly debated and often objected to, is the time taken for information to reach readers. Once published and printed, articles available remain permanent and cannot be undone.

另一方面，社交媒体（有些）有许多资源（多个接收器），并且有不同的信息是参与者介导的信息质量，其中许多人将在同行评审过程中接受培训。但是，它更便宜或免费发布，可提供简单，无限的访问。即使出版后，出版是直接的，信息也是灵活的。通过分享我们的特定能力，协议和经验，我们可以转移到新的在线学习范式上，该范式将把医学教育带入一个新时代。

Adaptation

The challenge for medical education is how to adapt to this ever-changing environment, whilst still training the next generation of healthcare professionals to deliver the high-quality care expected of society. It is also apparent that the general public is becoming increasingly aware of the availability of this easily accessible information. As their medical practitioners, some may expect us to engage with it. When attending a General Practitioner surgery, patients will often see their doctor’s face aglow, consulting ‘Professor Google’, as a part of normality.

资源，站点，影响和传播这个词

It is very difficult to quantify the impact of SoMe using the techniques that we are familiar with using for traditional learning resources. Twitter attracts a high number of “followers” and retweets that are difficult to compare with traditional impact factors. However, many web blogs are used to host daily summaries of conferences and have demonstrated, via web analytics, an increase in the visitor traffic over the duration of a conference, indicating the presence of a significant audience who make use of the SoMe resources.

同样,网络资源提供peer-reviewed summaries of relevant publications (e.g.The Bottom Line），通过其读者的重新启动稳步获得动力和读者，引起了宣传以吸引感兴趣的读者。这样的资源也已经用于采访试验作者，，，，allowing a wide audience to engage in critical discussion of their results just days (and in some case hours) after publication. This provokes earlier changes in practice than we had previously seen with more traditional methods of information dissemination.

急诊医学一直被认为是泡沫界的先驱，许多高度活跃的网站和博客都强调了一些出色的工作。作为相对新移民的重症监护现在已经有300个左右的活动站点紧密落后。如上所述，其中许多站点依赖于通过Twitter和其他社交媒体网站在社交媒体世界中极有效地放大信息（例如重症监护北安普敦，，，，International Fluid Academy）.A list of recommended sites can be found in the below table.

Some recommended FOAMcc sites (List is not exhaustive)

Can FOAM replace peer review?

Other potential problems can relate to the submission of manuscripts, comments and letters in relation to intellectual property and the effects of peer review (of sorts) with forums such as blogs etc. Opinions and posts may not be consistently regulated across different SoMe resources (caveat emptor）.也有regardi绚丽的讨论ng the presence of ‘SoMe celebrities’, i.e. charismatic and vocal users with a heavy social media presence who may be influencing masses of followers with potentially biased views and opinions. Of course, the same could be said for large journals, prolific authors and speakers. It is obvious that the areas of interest and passions of the regarded ‘major players’, will have bearing and influence on others. Perhaps this is where ‘Eminence based’ vs ‘evidence based’ medicine comes into play.

The question therefore arises whether FOAM could possibly replace peer review? The answer is, perhaps: FOAM ignores traditional hierarchy, it is free and has equitable access 24/7, it crosses professional boundaries, it is multi-national, transparent, robust and apolitical. Due to the ever expanding awareness and of FOAM, a社交媒体指数（SMI）has been suggested, while others suggested the so-calledKardashian index (KI)。SMI能够评估泡沫资源的影响和质量，使教育工作者能够获得学术信用，并允许学习者确定受人尊敬的资源。KI根据引文数量和Twitter关注者的直接比较来衡量科学家的社交媒体概况与出版记录之间的差异。

Possible dangers of FOAM relate to the reliability and correctness of the information provided. Recently, a quality label for medical websites has been launched, the so called HONcode by theHealth on the Net foundation。Another danger related to SoMe and FOAM is reductive education: first we read the textbook, then we just read the chapter, then just the paper, then just the abstract and now we just read the Tweet.

Not everyone is active on social media and indeed, there is distaste towards it amongst many. Those who是活跃于医学上的社交媒体通常会发现自己沉浸在一个志趣相投的人管理的世界中，因此，可以安全地落入自己的封闭泡沫中。最终，在会议/会议上或在正常工作日中与某些人互动的程度取决于个人学习者。

In the final part of this series, the authors explain why social media is such a key resource for physicians and offer advice on how to use it as safely and effectively as possible.

Part 3:Using social media in medicine to your advantage, with care!