Author Archives: Mike Painter

Another Step Toward Open Health Education

May 22, 2014, 8:00 AM, Posted by Mike Painter

Osmosis logo Image credit: Knowledge Diffusion

This post was originally published on The Health Care Blog by Shiv Gaglani, Ryan Haynes, and Michael Painter, MD.

Earlier this month Shiv and Ryan published a piece in the Annals of Internal Medicine, entitled What Can Medical Education Learn from Facebook and Netflix? We chose the title because, as medical students, we realized the tools our classmates are using to socialize and watch TV use more sophisticated algorithms than the tools we use to learn medicine.

What if the same mechanisms that Facebook and Netflix use—such as machine learning-based recommender systems, crowdsourcing, and intuitive interfaces—could transform how we educate our health care professionals? For example, just as Amazon recommends products based on other items that customers have bought, we believe that supplementary resources such as questions, videos, images, mnemonics, references, and even real-life patient cases could be automatically recommended based on what students and professionals are learning in the classroom or seeing in the clinic. That is one of the premises behind Osmosis, the flagship educational platform of Knowledge Diffusion, Shiv’s and Ryan’s startup. Osmosis uses data analytics and machine learning to deliver the best medical content to those trying to learn it, as efficiently as possible for the learner. Since its launch in August, Osmosis has delivered over two million questions to more than 10,000 medical students around the world using a novel push notification system that syncs to student curricular schedules.

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Creating a Knowledge Map with Stanford Medical School

Mar 24, 2014, 1:00 PM, Posted by Mike Painter

Mike Painter, senior program officer Mike Painter, senior program officer

Why should I be in the same room with these people?

That’s one of the many smart questions participants posed at a Stanford Medical School meeting I attended last weekend.  If I had been daydreaming (I’d never do that), I might have thought the question was for me. You see, the participants were a handpicked set of national medical education experts, folks nominally from the status quo medical-education-industrial complex—the very thing we’re trying to change.

You might think that they embodied that dreaded status quo.  I’m happy to report they did not—not even close.  I’m also relieved to tell you that the question (in spite of my paranoia) wasn’t for me. Instead, it was one of many challenges these thoughtful, passionate teachers tossed at each other.

“Why are we in the room?” was a challenge to each other. Why and when should teachers be in the same room with the learners?

When you think about it, that’s actually a central question if you’re attempting to use online education to flip the medical education experience.  It’s also a brave one if you’re a teacher: justify the time you spend with your students.

Read the rest of this post on The Health Care Blog

Shutdown

Oct 9, 2013, 12:05 PM, Posted by Mike Painter

Mike Painter

There are still places left where the prehistoric wisdom of our planet stands sentinel. I just returned from such a spot, a high elevation Sierra Nevada fortress of wildness and ancient Earth. Ironically, our own federal government has designated the region a wilderness. It's almost comical to me that right as we hiked into this area, bickering, partisan factions back east shut down the very government that presumes to preside here. In fact, until those folks sort out their problems, you can visit these wilderness areas without a federal permit. Heads up, however, if something happens to you during your permit-less visit; you are on your own. I like the sound of that, actually.

These places are vast and impervious to current events. Trust me; they do not care about human welfare, cultures, health, poverty, wealth, communities, cities, or governments. They just silently stand testament throughout the millennia to the true nature of our home.

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The Not-Normals Break Through: Update on the RWJF/Khan Academy Project

Sep 5, 2013, 8:00 AM, Posted by Mike Painter

Sal Khan speaking at TED 2011

If you’re going to get ambitious about your next task, don’t go and talk to normal people about it. You’ll only get normal answers. Get out of your comfortable little world and step into a completely alien one. As we say round here, when worlds collide, transformation happens.

Love that passage from Brian Millar’s 2012 Fast Company piece. (Plus, it gives me the awesome chance to nod to the eccentrics and outliers—like Millar’s dominatrix and tattooed hipster set—and their unlikely importance to pioneering, breakthrough ideas).

This week RWJF extended another grant to the Khan Academy; this one for $1.25 million.  I say another as we started this health education journey with Sal, Rishi and the Khan team—right after Sal’s outstanding 2011 TED/Long Beach talk. That discussion resulted in a preliminary 2012 $350,000 bet on this great team. We were intrigued by their big idea—and we thought the world might be too.

What’s that big idea again? Just this: an entirely free, utterly fantastic health education for anyone in the world with a computer and an Internet connection.

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How Carrots and Sticks May Break Our Bones—and the Bank

Aug 7, 2013, 1:00 PM, Posted by Mike Painter

Mom-Child-Dr (Edited)

Today, the Health Care Incentives Improvement Institute, Inc. (HCI3®) released “Improving Incentives to Free Motivation,” a report developed with support from the Robert Wood Johnson Foundation (RWJF), that makes a bold assertion: Financial incentives won’t fix our payment problems in health care.

In a guest post on The Health Care Blog today, I outlined why simply throwing more carrots and sticks at doctors and patients won’t improve the quality or affordability of our health care:

Until we get [the] human motivators right in health care, we can try all sorts of complicated, elegant payment models and formulas and still ultimately not get to the goal of sustainable high value. It will always be just over the horizon. Let's absolutely be smart about incentives in health care, but let's also get away from talking about simple carrots and sticks. Instead, let’s find the right mix of motivators to promote the creativity we need to get the best care every single time.”

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