Upload a brief bio about yourself and add your career interests as well to let people know who you are. Nobody likes to connect with a profile devoid of a photograph and personal details.
Professionalism: When you come across a anecdotal/baseless information, do not jump to any conclusions but try to understand the other persons's perspective. If you don't get that or disagree with that, state your opinions without being unprofessional in anyway. Remember that people are watching you on social media. Don't be abusive or mean and avoid making any sarcastic remarks, rather try and have an educated and fruitful discussion. It is also recommended to use a different account for your personal and professional use. Try and keep Politics/Celebrities away from your professional account.
For instance, if you perform a resuscitative thoracotomy then you must have the ability to quickly mobilise the resources and arrange for definitive care. When you plan a Peri-Mortem LSCS, you must have OBGYN and Neonatology support ready within minutes.
Educators on FOAMed world do appreciate this issue and explicitly mention this as on their website disclaimer as well. It is important to stick to local protocols and go by the clinical acumen of a physician when making life-changing decisions.
My advice - Before you start using some sort of intervention that you recently heard on a podcast, have a discussion with your consultants outside the clinical shifts. In the midst of a busy shift, it can be hard to convince people for obvious reasons. It is extremely rare to find a mentor who trusts your acumen as a junior physician and is open to an immediate change. However, I have been fortunate to work with physicians who were always open for a conversation.
Here I recall when I first used ketamine as an induction agent for a septic hypotensive patient, despite my consultant being unfamiliar with it. He was brave enough to say "I have never used ketamine before for RSI" and allowed me to use my choice of RSI drugs. More importantly stood at the bedside and said - go ahead and I am going to stay around to handle any mishaps. To my surprise, the very next day I noticed ketamine employed in our choice of RSI meds. He could have easily ridiculed me and moved on with traditional Midazolam and Sux.
FOAMed questions our current practise and dissects the evidence behind a treatment/ intervention which is what makes many of us uncomfortable. As medical students and residents, the importance of having a solid foundation cannot be emphasised enough.
Before doing a Delayed Sequence Intubation, familiaze yourself with a Rapid Sequence Intubation.
Take Home: FOAMed appears to be paramount for developing EM systems. It is here to stay and we need to get comfortable with it. In this era of technology, it is hard to escape FOAMed and teaching residents about how to incorporate this into their curriculum seems to be the way out rather than going into a completely aversive mode towards it.
A list of my favourite FOAMed resources:
- Nickson, Christopher P., and Michael D. Cadogan. "Free Open Access Medical education (FOAM) for the emergency physician." Emergency Medicine Australasia 26.1 (2014): 76-83.
- Cadogan M, Thoma B, Chan TM, et al. Free open access meducation (FOAM): the rise of emergency medicine and critical care blogs and podcasts (2002-2013). Emerg Med J. 2014
- Thoma, Brent, et al. "Five strategies to effectively use online resources in emergency medicine." Annals of emergency medicine 64.4 (2014).