In Pinball a TILT Stops the Game. In HCSM a TILT Expands the Value.

TILT is a Web Site that addresses a key aspect of learning: Reflection in Practice.

TILT is a place for a HCP to record their clinical learning experiences within a community. A member records a summary of what they learned with references. That entry becomes a personal learning log shared within a community. Users maintain a record of what they have learned, input received from colleagues, highlights of a learning need (problem), and solutions. TILT is social and it has an affective. It’s an ideal tool to reflect on learning in order to apply it in practice. Experiences that are reflected upon become action.

Donald Schon introduced Reflection in Practice. It is based on the fact that in education and medicine practitioners are engaged in life-long learning. At the center of life-long learning in medicine is experience. Experiences are continuous touch points in learning for HCP. When HCPs have a clinical experience (problem) they use that experience to learn through reflection.

Reflection in Practice is a way for learners to reshape what they have learned while applying it in practice. The learner reflects on what is happening as s/he tries out the skills (called reflection-in-action) and after s/he is finished (called reflection-on-action) (Schön, 1989). In both cases, the goals are insights that facilitate both continued learning and application after learning is over.

Reflection in Practice is associated with improved quality of care, personal and professional growth, and closing the gap between theory and practice.

What struck me about this site beyond its importance for clinician learning and their practice is its application for patients.
Think about our #HCSM chats on Sunday night. After those chats you go to a site to log what you’ve learned. Others comment. Now imagine that taking place over time. It becomes a log of your HCSM learning specific to topics/problems you are interested in. You and others in your community are sharing experiences and putting those experiences into action. For me I get input on solving the problem of identifying a methodology to measure SM outcomes in clinical practice. And I put it into a grant and a study. Experience, reflection, and action.

Now imagine a site similar to TILT where patients can maintain a log of their disease specific learning experiences that is part of a larger learning community. It offers great benefits.

This type of site gives SM an added dimension. Patients can track learning based on experiences within their healthcare world or track problems they are seeking to solve. They can monitor changes in their knowledge based on their experience over time and apply what they’ve learned to their HC. It is also a place patients can receive input from others who have similar experiences. They can search for knowledge from others who have solved similar problems.

It is a community of practice for patients built around an ever-evolving set of experiences and reflection. It is not a static source of knowledge but a dynamic place for reflection on experiences that becomes knowledge put it into action. In my estimation this is a next step in SMHC. This can become a place to monitor and manage a personal continuum of knowledge in healthcare within a community of learning.


One Response to In Pinball a TILT Stops the Game. In HCSM a TILT Expands the Value.

  1. carmen2u says:

    Thanks for the write-up, Mark. The TILT model does offer a great starting point for a patient-driven version. With appropriate privacy requirements in place, I think it would be a great addition to a patient’s toolkit. I worry about insurance companies getting access for the purposes of denying claims.

    (By the way, for the dear reader who may have struck upon the site without prior knowledge of #HCSM, the term #HCSM refers to a group on Twitter comprised of like minded people interested in the union of health care and social media. They mark their comments on Twitter with the tag #HCSM so that their messages can be located.)

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