%0 Journal Article
%@ 2369-3762
%I JMIR Publications
%V 4
%N 2
%P e18
%T Enterprise Microblogging to Augment the Subinternship Clinical Learning Experience: A Proof-of-Concept Quality Improvement Study
%A Anderson,Irsk
%A Hulland,Oliver
%A Farnan,Jeanne M
%A Lee,Wei Wei
%A Milton,Debra
%A Arora,Vineet M
%+ Department of General Internal Medicine, Pritzker School of Medicine, University of Chicago, 5841 S Maryland Avenue, MC3051, Room L324, Chicago, IL, 60637, United States, 1 773 702 6840, ianderso@medicine.bsd.uchicago.edu
%K social media
%K medical education
%K microblogging platform
%K distance learning
%D 2018
%7 21.08.2018
%9 Original Paper
%J JMIR Med Educ
%G English
%X Background: Although the Clerkship Directors in Internal Medicine (CDIM) has created a core subinternship curriculum, the traditional experiential subinternship may not expose students to all topics. Furthermore, academic institutions often use multiple clinical training sites for the student clerkship experience. Objective: The objective of this study was to sustain a Web-based learning community across geographically disparate sites via enterprise microblogging to increase subintern exposure to the CDIM curriculum. Methods: Internal medicine subinterns used Yammer, a Health Insurance Portability and Accountability Act (HIPAA)–secure enterprise microblogging platform, to post questions, images, and index conversations for searching. The subinterns were asked to submit 4 posts and participate in 4 discussions during their rotation. Faculty reinforced key points, answered questions, and monitored HIPAA compliance. Results: In total, 56 medical students rotated on an internal medicine subinternship from July 2014 to June 2016. Of them, 84% returned the postrotation survey. Over the first 3 months, 100% of CDIM curriculum topics were covered. Compared with the pilot year, the scale-up year demonstrated a significant increase in the number of students with >10 posts (scale-up year 49% vs pilot year 19%; P=.03) and perceived educational experience (58% scale-up year vs 14% pilot year; P=.006). Few students (6%) noted privacy concerns, but fewer students in the scale-up year found Yammer to be a safe learning environment. Conclusions: Supplementing the subinternship clinical experience with an enterprise microblogging platform increased subinternship exposure to required curricular topics and was well received. Future work should address concerns about safe learning environment. 
%M 30131315
%R 10.2196/mededu.9810
%U http://mededu.jmir.org/2018/2/e18/
%U https://doi.org/10.2196/mededu.9810
%U http://www.ncbi.nlm.nih.gov/pubmed/30131315