Excuses and Delays

Yesterday my first PhD student’s comprehensive exam kept me from blogging (she passed, of course), and today I must finish a journal club presentation. Journal club sounds like it might be some sort of fun, exclusive activity for which you wait in line; if you aren’t dressed correctly, the bouncer may not let you participate.

Of course, I would be dressed correctly for any occasion!

In reality, journal club provides an important piece of biomedical training, honing skills in critical appraisal of the literature. Participants (me, this time around) select an article to critique.

The process proceeds similar to manuscript review. We discuss the experimental question, the methods used to collect and analyze the data, the interpretation of the data, and how it all fits together with everything else we know. For established physician-scientists such as myself, journal club is a good way to review a topic and discover something new. For trainees, critiquing studies helps develop a sense of “the way things are done.” Science and medicine, especially when written, have their own language and conventions. Learning how to fit into this culture is part of the training- along with learning how to conduct and critique research. Oh, and picking up a bunch of facts as well.

Tomorrow I will provide a brief post on my article.

Image courtesy of PhotoXpress.

Then Color Me Pinko

I have friends and relatives living in terror. They fear that they will lose their health care coverage to “Obama’s socialist agenda.”

Of course, their primary coverage is via Medicare, a government program. One could say a socialist program.

What is socialism? According to Wikipedia:

various theories of economic organization which advocate either public or direct worker ownership and administration of the means of production and allocation of resources.

In short, public ownership constitutes socialism. I live in Nebraska, a generally red state, where “socialist” is considered a major insult, yet I purchase my water, gas, and electricity from publically-owned utilities with elected boards. Looks like socialism to me.

My children attend excellent public schools and universities. An educated electorate is essential to democracy, and most education in the US is subsidized by the public one way or another. More socialism in action.

Early intervention is  another service readily available through our socialist education system. Every state in the union put these programs into place during the 1990’s to target children with special needs. Their development improves with programs implemented before the traditional school age, sometimes during the first year of life. Most parents would not be able to afford the intensive behavioral and occupational therapy provided by these publically-funded programs.

Yup, early intervention programs are another example of pooling public resources to provide a public good. More of that “S” word.

Sarah Palin denounces socialism every chance she gets. She attended several public universities, though, and has thus benefitted from educational socialism. Yes, you pay to go to university, but it is highly subsidized via tax dollars, even for out-of-state students. State universities are big-government at work.

Palin claims to have turned down government handouts. Will she become even more suspect of public and government funding as the tea-party movement gathers steam? I hope not; for the sake of her son, Trig, I hope she accepts those socialist early intervention services.

Just say thanks- the American public does this because it is the right correct thing to do. We all want Trig to have the best life he possibly can. I personally want every child to have nutritious food, educational opportunities, vaccinations, and adequate healthcare, even though it means higher taxes for me. Even though it means a larger government. I would like every US citizen to have guaranteed health care, whether or not they are employed or have pre-existing medical conditions. I do not see how these changes to healthcare threaten individual freedoms in any way.

Guess that makes me a socialist. Please don’t shoot me.

Another Sad Farewell…

The senator from Massachusetts may be the top news story, but another sad passing has my attention. The last episode of Reading Rainbow airs today.

My kids moved out of its target audience years ago, but I was still depressed to learn that LeVar Burton would no longer lead children on adventures. No more children reviewing books. No more junior book club.

As reported on NPR this morning, the demise has been expected for several years:

the funding crunch is partially to blame, but the decision to end Reading Rainbow can also be traced to a shift in the philosophy of educational television programming. The change started with the Department of Education under the Bush administration, he explains, which wanted to see a much heavier focus on the basic tools of reading — like phonics and spelling.

John Grant (who is in charge of content at WNED Buffalo, Reading Rainbow's home station) says that PBS, CPB and the Department of Education put significant funding toward programming that would teach kids how to read — but that's not what Reading Rainbow was trying to do.

My daughter discovered this show shortly before her 4th birthday. Field trips and other diversions explored the themes suggested by the book of the episode. Nothing was off-limits; shows explored slavery and parents in prison, as well as animals and farms. Episodes often sent Jen and I traipsing to the library or Barnes & Noble, looking for a book we saw on the show or one with a similar theme.

No, this show was not about how to read; it was about the joy of reading, of losing yourself in another world. As John Grant noted in the NPR interview:

Reading Rainbow taught kids why to read," Grant says. "You know, the love of reading — [the show] encouraged kids to pick up a book and to read.

For many children educational television may support those first building blocks of reading- the alphabet and phonics on Sesame Street come to mind. Very few children’s shows encourage reading the way Rainbow did. Even though I had not turned it on in years, I am sad to know it will not be there for my grandchildren (not that I feel old enough to be a grandmother, even though it is biologically feasible at this time).

Guess I will just buy them books.

Rainbow courtesy of PhotoXpress.

Ears vs. Eyes: Learning to Love Podcasts

I am a visual person. I remember faces and I remember names, but I can’t always put them together again. I often find the very act of making a list allows me to remember what I need, even though the list gets left in the car. I can still see what I have written in my mind.

The popularity of audio books escapes me. I read fast, and I process things so much easier by seeing them than by hearing them. A multi-chapter book would require a recap at the start of each commuter session (or a long enough trip to listen to the whole book in one session).

A couple of years ago, I won an Ipod Nano. I quickly transferred a bunch of CDs and set up my Itunes account. I am not fond of listening through headphones, but my new car has a Ipod jack. The podcast, however, has only recently gotten my attention.

Other faculty have been creating podcasts that physicians can download to answer specific questions. I didn’t get it, because I wouldn’t remember what I listened to long enough to benefit (see first two paragraphs). I far prefer to access an online “written” reference, especially if its presentation is friendly for my BlackBerry screen. Other physicians began downloading these short updates, though, and they still seem to be popular.

Now I have become a podcast personality. ASN Kidney News, the magazine I edit, started producing these with the May issue. I chat with the author(s) of something in the magazine, and we post it on the ASN web site and in Itunes. I was thrilled when the first one was downloaded more than 700 times. After all, kidneys are a niche audience. We just posted the second Kidney News podcast; in 10 days it has received >4,000 unique visits and >12,000 total visits!

I have also wandered around the Itunes store to see what other podcasts are out there. I am especially delighted to find my favorite NPR shows. I often miss Fresh Air on my local station; now I subscribe and listen the next morning at work (or on my way home in the car, if I have to do something away from my desk)! For the past year, I have planned Saturday morning rounds so I could hear as much of Wait, Wait, Don’t Tell Me as possible. If you haven’t tried this one, you do not know what you are missing; it is roll-on-the-floor, pee-your-pants funny. While this level of humor has, on occasion, proved problematic while driving, it is always appreciated. Now my patients don’t have to “wait, wait” while I laugh!

I still don’t remember as much of what I hear as what I read or see. I do appreciate what podcasts can do for the world, though.

By the way, I am a member of KIOS, the Omaha NPR station. Have you joined your local NPR affiliate?

A Woman of a Certain Age

Earlier today I was lusting over the shoes de jour at the blog of Isis when this ad showed up alongside her words of wisdom:

So we have a woman with gray hair writing on the chalkboard (how old school!) touting online educational opportunities (how… inexplicable).

And then you look to see which programs are being highlighted: Education, Nursing, Health Management, General Studies, and Financial Planning. How… traditional!

Now I grew up in Missouri and got my degrees (BA & MD) from one of the MU campuses (Kansas City). I suspect “women of a certain age” are a growth industry for universities, especially for online education. I suspect these may be popular programs amenable to online learning as well, but I can’t help noticing that they are very traditional pink collar fields.

The whole thing just made me feel, well, weird. I would have shown the potential student at a kitchen table, NOT in an obvious classroom situation. That is sort of the whole point of online education… it’s NOT in the classroom. The tiger tracks are cool, but surely the student could have been standing by a desk at home, perhaps in house slippers.

I also would have liked to see the “mature woman” looking a little nicer. The sweatshirt and jeans with runners is so “Early-bird special at Country Kitchen.” Surely a woman improving her mind and working toward an advanced degree would look a little more put together. Jeans, ballet flats, and a nice fitted jacket?

As a 48-year-old woman whose nest will be empty in a couple of years, I am near the age group this ad targets. I would think one that projects the desired image of an older, professional woman would be more successful.

But what do I know: I’m a doctor, not an advertising guru.

Career Maintenance in the 21st Century

Today I heard a story on NPR’s Morning Edition about social media and applying for jobs. That resume printed on heavy bond in a matching envelope is so 20th century… and we are almost a decade into the 21st! Sending a printed job application makes you look, well, old, or at least out of touch.

Some folks have found jobs through FaceBook or Twitter, but the most popular professional networking site is LinkedIn. This site allows you to set up a resume with current and past positions, education, more detailed descriptions of interests and job responsibilites, and a short status update similar to those on FaceBook.

The fun is just beginning! You can add links to your blog or other web pages. Apps let you share travel plans, books you are reading, and PowerPoint presentations or other documents.

The real power of LinkedIn is its networking. Using your places of education and employment, email address book, and interests, the site locates people you may know. You then ask them to “join your network” which is like being a “friend” in FaceBook. You can also ask your primary network contacts (your “friends” to continue the analogy) for recommendations. These can be viewed by others on LinkedIn to support your online resume. My public view is shown below:

Those who have joined LinkedIn can generate a bare-bones resume in PDF format as well.

Once you have set up your primary network and, perhaps, joined some groups, you can then arrange “introductions” via the service. Say you want to meet someone from Company X. You can search for Company X and identify people. The service reports those who are linked to your network. Secondary links are those connected to your primary network, and tertiary networks are one more step removed. You can request introductions via these links and eventually make contact with people.

A number of companies and headhunters use the service to find contacts who may want jobs they have or may be able to suggest appropriate candidates. When you sign up you specify what you want to hear about and how you want to be contacted. I am not actively job hunting, but I get at least one inquiry a month this way.

LinkedIn has been called “FaceBook for Professionals.” It is a useful tool for job hunting and career maintenance. If you are over the age of 18, you probably need a profile!

Singing like a bird in spring

Earlier this week I wrote about Twitter. I admitted that I found some interesting twists, but I couldn't figure out why so many people love it. And I mean LOVE it, if they are really tweeting at the times on their messages. Last night my loving spouse, who doesn't really understand the power of text messaging, asked me to explain the Twitter thing. I finally admitted that I was still trying to sort out what was truly useful.

One of the people I follow is blackberryman. Through his posts I came to one on the use of microblogging in education. It's sort of vague, but does give me food for thought.

I'm looking for specific examples of uses of Twitter or other microblogs in education, particular graduate or medical school teaching. Leave a comment or a link to your site. Or tweet me!