FOAM EMCC Blogs 2016

Since 2009 we have reviewed, revised and revitalised the Emergency Medicine and Critical Care blogs (EMCC) database. It has been a great way to add new resources; marvel at the global collaboration and wealth of educational resources in the #FOAMed blogosphere and analyse the trends in the use of social media, and blogging platforms. In this 2016 analysis we review the #FOAMed conversation, blogging platforms and global spread of Free Open Access Medical Education and compare growth to 2011, 2012 and 2013 reviews.

Overview

Review of prospectively collected data pertaining to Emergency Medicine and Critical Care (EMCC) blogs and podcasts providing Free Open Access Medical Education (FOAM) with no barrier to entry (e.g. readers not required to logon to site or pay to read/listen).

  • 356 EMCC blogs/podcasts were identified as either
  • ALIVE (275) (currently functioning with at least 1 post within last 6 months);
    • Note: a subgroup exists with profound bradycardia and hypotension… ‘GOING’ (45) (previously active with at least 10 posts but zero posts/podcasts for 6-12 months)
  • DEAD (81) (previously active with at least 10 posts but zero posts/podcasts for greater than 12 months, or site redirected/incorporated)

Country of origin

  • EMCC blogs are now written in 14 different languages (up from 6 in 2013)
  • and originate from 33 different countries (up from 24 in 2013)
+Figure: EMCC Blogs/podcasts Languages 2016
EMCC-Blogpodcast-Languages-2016-620x441
+Figure: EMCC Blogs/podcasts Country of origin 2016
EMCC-Blogpodcast-Country-of-Origin-2016-620x991

Attrition Rate

  • 81 blogs/podcasts have been identified as ‘deceased
  • 42 no longer exist, 23 point to alternate sites (mainly porn…), 12 still exist but last post greater than 24 months ago and 4 have been marked as private only. These blogs have been removed from the Active EMCC blog table
  • The average ‘age‘ of the blog at the time of euthanasia was 52 months (4.3 years)
  • The average ‘age‘ of the currently active blogs/podcasts is 62 months (5.2 years)
  • The longest running blog (gruntdoc) is currently at 165 months (13.75 years)

Interesting factoids:

  • Growth: EMCC blogs have grown from 67 in 2011, 130 in 2012, 201 in 2013 and 275 in 2016
  • Disclaimer: A legal disclaimer now exists on 88% of sites
  • Anonymity: There is better identification of authors with 96% of blogs and podcasts citing the full name, credentials, contact form and geographical location of blog authors
  • Feed: Interestingly 16% (45/275) of blogs/podcasts fail to provide a valid RSS Feed for blog content. Without this valid feed it is impossible to syndicate and disseminate blog posts and data on FOAMEM.com
  • Platform: WordPress.org has become the blogging platform of choice being used by 41% of EMCC bloggers.
EMMC-Blog-growth-2002-2015-620x284
+Figure: EMCC Blogs/podcasts Blog platform 2016
EMCC-Blogpodcast-Blog-platform-2016-620x284

Social Media Platforms

  • Successful active blogs and podcasts show an increasing propensity to use social media to further discussion and information dissemination
  • An overall increase in information dissemination through social media
    • Twitter continues to be the mainstay of social media presence for blogs/podcasts rising from 72% in 2012 to 86% in 2016
    • Facebook maintained a steady growth in popularity from 32% in 2012 to 39% in 2016
    • Google+ showed a significant decline from 27% at its peak in 2013 to 16% in 2016
    • iTunes/soundcloud maintained steady growth up to 28% in 2016
    • Media accounts such as YouTube/Vimeo held steady, up slightly from 12% in 2012 to 15% in 2016
    • The lower number of social media accounts associated with the deceased blogs/podcasts may have contributed to their attrition. Only 15/81 (18%) of the blogs pre-dated the 2012 FOAMed sharing concept.
EMCC-Social-media-platforms-2012-2016-as-percentage-620x269
+Figure: Social media platforms as percentage
EMCC-Blogs-Social-Media-2016-620x220
+Figure: Growth of EM Physicians on Twitter
Twitter-EM-Physicians-620x629

Social Media Conversation #FOAMed

The FOAMed hashtag has become a useful means of disseminating media and medical education posts and advances in the twitter platform have made it easier to search, review, share and comment on posts/podcasts. We used Symplur to analyse the use of the hashtag, we compared the 6 months following inception in 2012 to the equivalent 6 months in 2015-2016.

  • Tweet impressions increased from 40 Million to 725 Million
  • Total tweets rose from 20,000 to 237,000
  • Active participants surged from 2,400 to 30,000
  • #FOAMed on twitter is the major source of referral and conversation in the online space. It’s use has grown significantly and the number of active users (with #FOAMed in their twitter profile) has increased from 500 in 2013 to 1,300 in 2016
Figure: #FOAMed Tweet activity 2012 compared to 2015
2013-2016-EMCC-Tweets-620x451
Figure: #FOAMed Influencers 2012 compared to 2015
2013-2016-EMCC-Influencers-620x550

I am not sure exactly why there are so many EMCC blogs in existence, or why they are appearing with such rapidity. Maybe it is because a lot of our work is frontline, public, diverse and altruistic. There are myriad stories to be told and many educational resources being shared freely and without reservation using the language of FOAM.

Resources

EMCC Blogs/Podcast 2019
Blog/PodcastTwitterFBPodcastMedia
StorytellERdocTwitter
Finn'EMTwitterFB, IG
PAINE podcastTwitterFBPodcast
Military MedicineTwitterFBMedia
EM PulseTwitterFBPodcast
33 ChartsTwitterFBG+
BLOCKCHOCTwitterFBG+Media
EM GuidewireTwitterFBPodcastMedia
OBcastTwitter
MedED GuruTwitter
The BreachTwitterPodcast
EM Clerkship
Admin EMTwitterFB
Break EMTwitterFB
EM SandboxTwitterFBPodcast
IM ReasoningTwitterFB
EM Over EasyTwitter
FOAMfratTwitter
Dutch ResusTwitterG+
Torrey EKGTwitter
EM DailyTwitter
Monkey EM
Island Docs
dasFOAMTwitterFB
Docs D'UrgenceTwitterFB
DownEast EMTwitterFBMedia
Emergencia RulesTwitterFBPodcastMedia
FeminEMTwitterFB
NUrgentiegeneeskundeMETwitterFB
JWatchTwitterFB
Oxford Med EdTwitterFBMedia
Paediatric FOAMTwitterFB
ResusitasyonTwitterFB
scanFOAMTwitterFBG+PodcastMedia
DoctorParadoxTwitterFBPodcast
Ultrasound GelTwitterFB
RATHEM BlogTwitter
FOAMShEDTwitter
StonyBrook EMTwitter
Total EMTwitter
5 Min SonoTwitter
The CMEMedia
EM Curiosa
My Emergency Dr
RPH Doctor
EM Cage
NUEM BlogTwitter
Bold City EM
ffolliet presentations
Das FOAM
The 9th Call
IM Reasoning
Geeky Medics
The Silk City Blog
NEM BlastME
Reddit Emergency Medicine
News Papers
AciltipTwitterFB
Aciltip TVTwitterFB
badEMTwitterFBMedia
CanadiEMTwitterFBG+
CORD EMTwitterFB
Core EMTwitterFBG+Podcast
EM3 SimulationTwitterFBG+Media
EM3 Mini TeachTwitterFBG+Media
EM KenyaTwitterFBG+Media
EMRA BlogTwitterFBMedia
Kings of CountyTwitterFBMedia
Aneszt ITOFB
MUE VodcastsTwitterFBMedia
Time Critical Medical EducationTwitterFBG+Media
Seymour EMSTwitterFBG+
The CurbsidersTwitterFB
Brown EMTwitter
EM SIM CasesTwitter
EM DidacticTwitterG+
PEM PlayBookTwitterG+Podcast
First 10 EMTwitter
GEM PodcastTwitterMedia
RCEM FOAMedTwitterPodcast
GP Paeds TipsTwitter
GP Paeds TipsG+
RACP Podcast
FOAMina
EM Rounds
ED ECMOTwitterFBG+PodcastMedia
EMIG castTwitterFB
60 second EMTwitterFBG+
EDE BlogTwitterFB
Temple EMTwitterFB
Adventure MedicTwitterFB
ViaMedEMTwitterFB
The Bottom LineTwitterFBG+
CEM FOAMed NetworkTwitterPodcast
EM FundamentalsTwitter
FOAMcastTwitterPodcast
Humaizing Intensive CareTwitterG+Media
Intensive BlogTwitter
Mayo EM BlogTwitter
Pondering EMTwitter
PulmCritTwitter
Saudi EMTwitter
Everyday EBMTwitterG+
UCSF Med
EMJ ClubTwitterFBPodcast
Crit CloudTwitterFB
Critical Care PractitionerTwitterFB
Don't Forget the BubblesTwitterFBG+
EM DocsTwitterFB
Rebel EMTwitterFBG+
The PEMNetworkTwitterFBPodcast
Taming the SRUTwitterFBPodcastMedia
EM in 5TwitterMedia
Reviews and OpinionsTwitter
Laceration RepairTwitter
EM NerdTwitterG+
Maryland CC ProjectTwitter
Thinking Critical CareTwitter
WikEM BlogTwitter
Global EMSTwitterG+
ER GoldBook
Adult Emergency Medicine
foam4GP
Charlies ED
EMJ BlogTwitterFB
Ottowa Emergency MedTwitterFBMedia
EM on the EdgeTwitterFBG+
ACILCITwitterFBG+PodcastMedia
Emergency Physicians InternationalTwitterFB
SMACCTwitterFB
PEM BlogTwitterFBPodcast
SIMEUTwitterFBG+
The Skeptics guide to EMTwitterFBG+PodcastMedia
AmboFOAMTwitter
Auckland HEMSTwitter
Edinburgh Emergency MedicineTwitter
EMergucateTwitter
Emergency Medicine PharmDTwitter
ECG of the weekTwitterG+Media
KI DocsTwitterG+
PHARMTwitterPodcast
The Short CoatTwitterG+
MEDEST118Twitter
PedEM MorselsTwitter
Emergence PhenomenaTwitter
Google FOAMTwitter
SOCMOBTwitter
SCANCRITTwitter
M2E Too
Airway Jedi
Emergency Medicine CasesTwitterFBG+Podcast
EMJ PodcastTwitterFBPodcast
EM PillsTwitterFBG+Media
ACMTTwitterFBPodcastMedia
capriles urgenciasTwitterFBG+
Intensive Care NetworkTwitterFBG+Podcast
PulmCCMTwitterFB
Tox NowTwitterFBPodcast
Ultrasound PodcastTwitterFBG+PodcastMedia
Sinai EM USTwitterFBMedia
Sinai EMTwitterFB
St Emlyns BlogTwitterFBG+Podcast
UMEM PearlsTwitterFBMedia
EM EducationTwitter
Broome DocsTwitterG+PodcastMedia
Critical Care ReviewsTwitter
Crashing PatientTwitter
EM Lit of noteTwitterG+
REMI Journal of Intensive Care MedicineTwitter
Flipped EM ClassroomMedia
AMP EM
Emergency Medicine updatesTwitterFBG+
Global Emergency CareTwitterFBMedia
HamalradTwitterFBG+
Free Emergency Medicine TalksTwitterFBPodcast
SCCMTwitterFBG+PodcastMedia
Emergency Medicine IrelandTwitterG+PodcastMedia
GlassHospitalTwitter
EMERGPATwitter
medicina críticaTwitterG+
Trauma ProfessionalTwitter
Rollcage MedicTwitter
TakeokunTwitter
Dr ERMedia
ECG interpretation
Broad Complex
EMCrit BlogTwitterFBG+PodcastMedia
NALIEMMETwitterFBG+
Annals of Emergency MedicineTwitterFBPodcast
CCPEMTwitter
ResusTwitter
ACEP nowTwitter
EM GuidelinesTwitterG+
NephroblogTwitterG+
Cosas del PAC
Medscape
WikiTox
Urgencias Bidasoa
Eastern AssociationTwitterFBPodcast
EMS 12 leadTwitterFBPodcast
EP MonthlyTwitterFB
Resus METwitterFBPodcast
Dr Smith's ECG BlogTwitterFB
CDEM Twitter
Edwin LeapTwitter
HQMedEdTwitterMedia
Anesthesia - ICUG+
Rogue Medic
LITFLTwitterFBG+Media
AAEMRSA
EDNurseasauras
Emergency Medic
ER Nurses Blog
Medgadget: EM ArchivesTwitterFB
Pediatric EducationTwitterFB
Medical News TodayTwitterFBG+
GruntDocTwitter
5 Minute AirwayTwitter
EM BytesTwitterFB
NERDfallmedizinTwitterFB
EMEDSATwitter
LearnEDTwitter
LAEM DoctorsTwitter
Ditch DocTwitterFB
ICU Education
EMHUMTwitter
Paciente CriticoTwitterFB
AirwayNauticsTwitterMedia
Bits and BumpsTwitter
SkorovikTwitter
ICM Case StudiesTwitter
EDtime StoriesTwitterFB
nerdicinaTwitter
PEM GeekTwitter
Sketchy EBMTwitterFBMedia
Ecografia en UCITwitterMedia
Essential Critical CareTwitter
Ultrasound of the weekTwitter
wAIN's WorldTwitterFB
EMCC Room
Survive ED
Adelaide EMTwitter
echopraxisTwitterFB
Shak EMTwitter
Vinnies ICU
All NYC EMTwitterG+
EM CuriousTwitterFB
NFOAMedStudentMETwitterFB
SOAPTwitter
Medics MedicineTwitter
Flipped EMTwitterFBG+
UK ED MonkeyTwitter
EmergencyPediaTwitterFB
VIBE-UrgenceTwitter
HEFT EMTwitterPodcast
The Poison ReviewTwitterFB
DGINA BlogTwitterFB
Chile Emergency MedicineTwitterFBG+Media
NAMETwitterG+
FOAM FeedsTwitterG+
Injectable OrangeTwitter
Paediatric EMTwitterG+
ECG+TwitterG+
PICU DoctorTwitterFB
RAGE podcastTwitter
Improving Care in EDTwitter
MediNuggetsTwitterFB
VENN of EMTwitter
EM etcTwitterG+
Resus Room MxTwitter
Rural DocsTwitter
neurocriticalTwitterFB
Twitter Mass CasualtyTwitter
StripTease
EM DutchTwitter
EM REMSTwitter
Essentials of EMTwitterFBG+
EMBERTwitterFB
servicio deurgencia pacTwitter
ReanimaciónTwitterFB
The EM Res PodcastTwitterFBG+PodcastMedia
EM 20 WikiTwitterG+Media
EM IM DocTwitter
KardioblogTwitterG+
Paterson ERTwitter
PEM LiteratureTwitter
The Blunt DissectionTwitter
Emergency Ultrasound TeachingTwitter
Resus ReviewTwitterG+Media
emerJencyWEBBTwitterFB
SonoSpotTwitterFBG+Media
AkutdoctornTwitter
EM BasicTwitterFBPodcast
Emergency WebNotes
Everyday MedicineTwitterFBPodcast
FlobachTwitter
Emergency Room NurseTwitter
thoracotomieTwitterFBG+
The Sharp EndTwitterFBMedia
EM LyceumTwitterFB
PEM EDTwitterFBPodcast
Dr Cottles DeskG+
Critical Care in the ED
EMPEMTwitterFBPodcast
MedMastersTwitter
WikemergTwitter
Practical EvidenceTwitterPodcast
TeachMDTwitterG+
HarrisCPDTwitterFBG+PodcastMedia
MDawareTwitter
Sonography 123TwitterFBMedia
REANYMATwitter
Stories from a Kiwi ParamedicFB
Global Emergency MedicineTwitter
Adventures in Emergency MedicineTwitter
Academic Emergency Medicine
Asystole: The Most Stable RhythmTwitter
The Central LineTwitter
ED informatics
Ivor KovicTwitter
Crit-IQTwitterFBG+PodcastMedia
Receiving The place for EM
Movin' MeatTwitter
Tales form the ER
Agraphia
EM Physician Backstage Pass
BlogborygmiTwitterG+
Mr Hassles Long Underpants

Emergency physician MA (Oxon) MBChB (Edin) FACEM FFSEM with a passion for rugby; medical history; medical education; and informatics. Asynchronous learning #FOAMed evangelist. Co-founder and CTO of Life in the Fast lane | Eponyms | Books | vocortex |

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