Tuesday, January 15, 2013

Bridging the quality gap: Becoming a peer-reviewed blog

We are now a peer-reviewed blog.
Starts today.

I have been frustrated (in a good way) by the recent social media discussions (see BoringEM.com) about how social media content is viewed with a skeptical eye by medical educators, academicians, and professionals because of the lack of formal quality-control mechanisms.

Common questions from skeptics:
  • "Is it peer-reviewed?"
  • "How can I tell that it is a quality blog post?"
These are reasonable questions to ask. These questions, however, can not be answered with traditional answers.
  • Blogs with greater web traffic most likely have higher-quality content by word of mouth and external linking from other websites. 
  • The power of the crowd "course-corrects" for errors, such as Wikipedia. 
Still these are not very satisfying answers. Can we do better?



Social media-based medical education (FOAMed = Free Open Access Meducation) has gained much popularity through a grass-roots approach, but now faces a glass-ceiling effect. Learners gravitate towards it, but traditional educators still shy away from it. Blogs often fall short when compared to the gold standard of print journals, which have a formal peer-review editorial system for quality control. This remains the gold standard despite known faults and biases in the system.

So this past weekend, I was frustrated into action!

I experimented with several blog models (example) to create a more formal peer-review process. The basic premise is that the power of the crowd should not be undervalued, as demonstrated by the star ranking system on commercial sites such as Amazon, Yelp, and Netflix. Think about the last time you revised your purchases based on reviews. Similarly, our star-rating system, which will be seen at the top of our blog posts, can now help readers assess the quality of each blog post, to assist less discriminating readers regarding content quality.

To make this work, I hope that our readers will help the FOAMed community by rating each blog topic that they read using the following criteria, which mirrors similar metrics for journal manuscripts:



At the bottom of each blog post, raters will be asked to give optional, anonymous demographic information about themselves to help demonstrate external validity.


Under this form will be a public link to the Demographics results (sample Google Docs sheet), in case people are interested.

In this past weekend's experiment, I received 6 peer reviews in the first 4 hours, which included 1 medical student, 1 resident, 3 practicing physicians, and 1 paramedic from 2 countries. (Thanks to those who responded!) How amazing is that? Contrast that to print journals who typically have 2-3 peer reviewers read your manuscript.

Now the question is: How many crowd-sourced reviewers will be needed to demonstrate an adequate quality-control process? I don't know. The more the better, I assume.  

Comments?

11 comments:

  1. Anonymity doesn't promote accountability and trolls that disagree on a specific topic can span the review process and mess up your metric.

    You should implement this review only for registered users, that will ensure that :
    - people can't vote twice
    - people are more accountable to their vote (although being registered is not the same as being identifiable)

    ReplyDelete
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    1. Hi Mathias:
      1. I believe this PollDaddy star-rating feature only allows one vote per IP address. This minimizes repeat votes. Registering users won't completely fix this problem, if someone really wanted to do repeat votes. They'd just have to sign up for multiple accounts.

      2. Registering doesn't necessarily mean that people will use their actual name/credentials.

      3. For print journals, reviewers are blinded to the author.

      I certainly don't have the perfect answer, but I'm thrilled to hear your comments. I'm writing them down in my log as I continue to improve this early peer-review system.

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  2. I love this whole idea Michelle, and think that this is the future of how blogs will be rated. I agree there are trolls out there (read any comment of a CNN article and you will quickly see it turn nasty), however I believe in the medical education community's desire for education and knowledge sharing. I believe that people will rate and comment with good intentions. And even if it appears troll like to others, perhaps it will still have some helpful nugget of information. I don't think the right idea is to restrict this, this is what the journals are already doing when they limit the peer review process to a few. Social media and FOAM is meant to be open, free, and all embracing. I am not a crazy optimist, but lets give this a try!

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    Replies
    1. Thanks Nikita. Right now, commenting is pretty rare on blogs focusing on teaching and medical education. Much of the discussion has moved to Twitter. So, ANY comments right (troll or not) are welcome. Also, I can always delete inappropriate comments.

      We are of the same spirit. People are so hung up on creating a perfect system before testing it out. I'm always game to try a moderately-effective model and improve on a continual basis. I'm ok with being wrong sometimes. At least I tried.

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  3. From an EBM perspective...good effort. Let me know what I can do to help. Happy to have FOAMeders review TheSGEM. Always can do better. Feedback good, status quo bad.

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    Replies
    1. Thanks, Ken. "Feedback good, status quo bad". I couldn't have said it better.

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  4. In my opinion it is time to work togheter on this topic. Big changes do not need a short time. feSo Michelle ... keep going!

    Few years ago I was dreaming that in the future we'll organize the First WebIntEm or WebEmInt, an international conference on emergency medicine internet resources. Or maybe just a workshop during one of the main conferences. The quality issue is probably one of the main issue, but there are several more to be discussed together. The "Australian" is doing a great job to collect, organize, keep together good bloggers around the world. We are probably the biggest revolution of the third millenium, and not only in terms of personal qualities, but even more as a new way to educate, share information, not to be in competion.

    Back to your proposal, I agree a little bit with Mathias. At least, I have the same concern. Usually, people who complaint are more active than people who thank. I would prefer a "peer-reviewed" judgment.

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  5. Michelle,

    This is a fantastic concept, and a much needed one! Without peer review, younger proponents of FOAMed are in danger of being ostracized by their seniors/peers, and the progress of FOAM based learning may hit a ceiling.

    I think we (the FOAM community) agree that the online peer review process is more arduous than that of some journals. However, this is not the view held by the majority of physicians, and definitely not that held by the journals themselves.

    Like you say, comments seem minimal on blogs, rather they are discussed over twitter. When my blog posts have comments, it generates discussion that stays in one place, rather than disappearing behind a new flood of tweets.
    I think we all value this "peer-reviewed" judgment greatly, so any means of encouraging it is a great idea.

    Peer-review and developing widespread acceptance of FOAM is critical, I am sure you could unite all bloggers in a GMEP type of project to brainstorm, trial different ideas, etc.

    I'm certainly happy to help out with this.

    Cheers,

    Chris Bond
    @SocmobEM
    socmob.blogspot.com

    ReplyDelete
  6. Great idea (as usual), Michelle. Peer review is so elusive with the Internet publications -- the barrier to publishing is so low. You have to make an effort to get reviewed. I love the wiki-concept where the crowd makes corrections and grows knowledge and I think it's proven out to be fairly accurate (errors don't have a long half-life).

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  7. Like the idea Michelle. My only issue with it is that it appears largely isolated to your blog. I've listed some of my other thoughts on peer review & FOAM evaluation here http://www.ivline.info/2013/01/capturing-great-foam.html.

    Ended up just writing a blog post after reading your post and BoringEM's :D

    ReplyDelete
    Replies
    1. Your blog post is great, capturing the pros and cons of various options. I agree that a rating widget will eventually need to be centralized and compared/contrasted to other blogs, if the social media collective thinks this is the way to go. Still not sure if peer review and this approach to it are the right answers.

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