This is a post about oPortfolio - a project that Meducation and Podmedics are collaborating on. We have a Kickstarter project and would love your support!
Students? Junior Doctors? Senior Doctors?
Over the last two days we've been asked by lots of people who oPortfolio is for. Some people want it for students, others to replace junior doctor systems, and some for revalidation purposes. The simple answer is that it's for everyone going through their medical careers from student to consultant and on to retirement.
There are two challenges to building a system that's relevant for such a wide variety of people. The first is to make something that has all the features that are needed for all the people. We are strong believers in self-directed learning and want that to be at the core of oPortfolio. We want people to be able to build their own personal portfolios, keeping a log of everything they want to - their own personal space for reflection and learning. oPortfolio should be something that you find useful at all stages, and that's crucial to our vision.
The second challenge is working with existing ePortfolio systems, and to have functionality that deaneries and Colleges need to adopt our platform if they want to. Making a system that is incompatible with existing systems, or that involves doctors still having to use other horrible software defies the whole point of what we're doing. If a user's oPortfolio has to be manually copied & pasted into another system, everyone loses out. This, therefore, also has to be a large consideration as we move forwards.
At all times, we will have to balance these two challenges up against each other.
oPortfolio is for everyone. It certainly won't have all the features that everyone needs from day one, but our aim is to build a solid base everyone can use, and then expand it from there. With regards to who we give our initial focus to, it will be the people who support us on Kickstarter. They are showing genuine support for what we're doing, and therefore deserve to be prioritised. That only seems fair.
Please support us today. Thank you.
Hi guys, my name is Angela! I am currently an F2 doing a year in Australia! My key interest is neurosurgery and as a neurosurgery SHO now in Adelaide, I thought I'd start a blog on a few neurosurgery/neurology issues I encounter regularly on the wards. This is aimed to help all medical students studying neurology/F1/SHO in neurosurgery. Few topics could include:
Basic management of neurosurgery/neurology patients - the neurology exam
Ophthalmology exam and lesion representation
Raised intracranial pressure
Acute head injury
Decreased conscious level
Electrolytes imbalance in the neurosurgical patient
Fluid management in the neurosurgical patient
Our University is embarking on a Project of web-based education for General Physicians in Pakistan and the whole region in the form of recorded videos. The videos shall cover a pertinent area of interest or knowledge considered important to a GP.
The recorded lectures shall be presented as groups of class-room lectures put together as modules. Each module shall carry weightage of certain CME credithours when the required percentage of a pass are achieved by answering the post-test questionnaires. Some thirty to forty
such modules are in plan to cover all the essential clinical areas and core competencies required in a GP for safe, evidence based practice in the community. This is the level I activity and forms a mandatory course or review material for all grades of General practitioners.The lectures
are being delivered by local expertise and expected to include international ones in due course of time. More and more are being contacted and those,who agree to join and participate in the programme are welcome regardless of their speciality and parent institution and location and free from any obligation.
A second level entry and access shall be provided to the successful participants to get trained for professional membership and fellowship programmes either developed locally or in collaboration with international institutions. Will it be successful in attracting and enrolling enough FPs and GPs locally and internationally? If so how?
Dr.Syed Shakeel Ahmad
Coordinator e-CME Programme
and Pakistan College for General Practitioners Pakistan
The NHS provides care free at the point of us to British citizens and anyone who needs emergency care while in the UK. It tries to provide every kind of service and treatment that it can but obviously there are limits.
The NHS gets its money mainly from governments taxes, charities, research grants, some payment for services and from renting out retail space etc. Healthcare is a financial blackhole, any money put in the budget will get spent, efficiently and effectively or not.
The NHS is constantly being expected to provide a better, more efficient service and new treatments, without a comparable increase in government funding. So, why doesn’t the NHS set up services that could make it money?
Some money making suggestions
Gift shops and NHS clothing brand – The American hospital I went to for elective had quite a large shop near the entrance that sold hospital branded goods. People love the NHS and it could make itself a brand, “I love the NHS” t-shirts, “I was born here” ties, “I gave birth at Blah hospital” car stickers, hats, jackets, tracksuits, teddy bears in white coats and so many more things could be sold in this shops to raise money for the NHS.
Patients in a hospital are a captive market and their visitors are semi-captive. The captives get very bored! Why not provide opportunities for these people to spend their money and relieve the boredom while they are in hospital with some retail therapy? For instance, new hospitals should be built with a shopping mall in them and a cinema. A couple of clothes shops would give people something to do and raise money from rent.
While we are on the subject of new hospitals, they should be designed with the input of the clinical staff who know how to maximise the flow of patients through the "patient pathway". Hospitals should be built like industrial conveyor belts: patients enter through ED, get stabilised, get fixed in theatre, stabilised again in ITU, recover on the wards and out the exit to social services and the outpatient clinics.
New hospitals should be designed to sit on top of HUGE underground multi-story car parks. If shopping centres can do this then so can hospitals. Almost all hospitals are short of parking spaces and most car parks are eye sores. So, try to plan from the beginning to get as many car parking spaces as possible. Estimate how many are needed for staff and visitors - then double it! Also, design a park and ride system so additional parking is available off site.
If costa can make money from a coffee shop in an NHS hospital, why isn’t the NHS setting up its own brand of high quality coffee shops in the hospitals and cutting out Costa the middle man?
“NHS healthy eating” – NHS branded diet plans or ready meals could be produced in partnership with a supermarket brand. Mixing public heath, profit and the NHS brand. “Good for you and good for the NHS”
The NHS could set up hospitals abroad that are for profit institutions that use the NHS structures, or market our services to foreigners that they then pay for. Health tourism is a thing, why not make the most of it?
“NHS plus” – the NHS should be a two tier system. Hours of 8am til 6pm should be for elective procedures free at the point of use and free emergency care. Between 6pm and 11pm the hospitals currently only do emergency care, so there is loads of rooms and kit lying about unused. Why not allow hospitals to set up systems where patients can pay for an evening slot in the MRI scanner and cut the queue? Allow surgeons to pay to use the facilities for private procedures in the evenings. Allow physicians to pay to use the outpatients clinics for private work after hours.
An “NHS Journal” could publish research and audits conducted within and relevant to the NHS.
“NHS pharma” – the NHS buys a huge amount of off patent drugs, why not produce them itself? Set up a drug company that produces off patent medication, these can be given to the NHS at cost price and sold to other healthcare providers for profit. NHS pharma could also work with British universities and researchers to produce new drugs for the British market that would be cheaper than new Drug company drugs because they wouldn’t need huge advertising budgets.
There are so many ways the NHS could make more money for itself that could then be used to deliver newer and better treatments. Yes, it is a shift in ideology and culture, but I am sure it would have positive outcomes for the NHS and patients.
If you have any ideas on how the NHS could produce more money then please do leave a comment.