FEATURE Using digital health interventions to improve access to sexual and reproductive health services in British Columbia COMMENTARY Medicine and the media: a synergistic combination? REVIEW All fun and games? Exploring the positive effects educational video games can have on medical learners NEWS AND LETTERS Mixed reviews: critiques and compliments of physician-rating websites The University of British Columbia Medical Journal (UBCMJ) is a On the cover peer-reviewed, student- driven academic journal with the goal of engaging students in medical dialogue and contributing meaningful discourse to the scientific community. FEATURE Using digital health interventions to improve access to sexual and reproductive health services in British Columbia COMMENTARY Medicine and the media: a synergistic combination? REVIEW All fun and games? Exploring the positive effects educational video games can have on medical learners NEWS AND LETTERS Mixed reviews: critiques and compliments of physician-rating websites www.ubcmj.com ISSN: 1920 -7425 9 771920 742004 edia has long been an integral part of how the medical Mcommunity communicates with the public. Technological advances have made creating and consuming media content easier than ever before. In this issue, we explore how physicians can use digital media to make healthcare more accessible for the community as well as how media can change the way we study and practice medicine. To subscribe, advertise or submit, see our website. ubcmj.med.ubc.ca Rachel Zhao, MD Program, Faculty of Medicine, University of British Mailing Address: Columbia, Vancouver, BC, Canada UBC Medical Journal c/o Student Affairs, UBC Faculty of Medicine 2775 Laurel Street, 11th Floor Vancouver, BC V5Z 1M9 DISCLAIMER: Please note that views expressed in the UBCMJ do not necessarily reflect the views of the editors, the Faculty of Medicine or any organizations affiliated with this publication. They are solely the authors’ opinion and are intended to stimulate academic dialogue. Contents VOLUME 11 ISSUE 2 | Spring 2020 EDITORIAL COMMENTARIES 3 Medicine and media: opposites attract 30 Medicine and the media: a synergistic Hur S.A., Wang C. combination? Dean P.H., Zou V.Z. 32 Caution and guidance for the social media FEATURE savvy physician Khan W.I. 4 Using digital health interventions to improve access to sexual and reproductive health 34 The role of the public on physician services in British Columbia remuneration in Canada: the cases of British Pedersen H., Gilbert M., Smith L., Ogilvie G. Columbia and Ontario McNeely B. 6 Social media impacts on the dissemination of health-related information and patient- 36 An analysis of current trends in multimedia physician relationships platform usage and surgery Goobie G.C. Udwadia F.R., Khan H.M. 9 SmartMom: teaching by texting 38 Young physicians on YouTube: helping Janssen P.A., Pennington S. patients connect with health care Rietchel L. ACADEMIC RESEARCH 40 Launching resident-led simulations to augment the undergraduate medical school 11 Gender/sex disparity in self-reported sleep curriculum Moroz P.A., Douglas S.L.M., Gill D.D. quality among Canadian adults Rich A.J., Koehoorn M., Ayas N.T., Shoveller J. NEWS AND LETTERS REVIEWS 43 Mixed reviews: critiques and compliments of 17 Climate change and human health physician rating websites Paul B.R. Dayan Z., Suleman R., Kapoor V. 20 All fun and games? Exploring the positive effects educational video games can have on medical learners Chow R., Cheung M. 23 A review of wilderness patient transport: a British Columbian perspective Stanley A., Buhler H. 27 Backcountry triggered avalanches: a summary of risk factors, causes of death, and wilderness medical management Stich A., Blanco J. UBCMJ Volume 11 Issue 2 | Spring 2020 2 EDITORIAL Medicine and media: opposites attract Seo Am Hur1, Christine Wang1 Citation: UBCMJ. 2020: 11.2 (3) re medicine and media a compatible pair? Medicine, at its core, BC Centre for Disease Control, which discusses the development of Avalues privacy, confidentiality, and professionalism. On the other two digital health interventions aimed to improve access to sexual and hand, most forms of media thrive on transparency, dissemination of reproductive health screening, as well as the realistic opportunities and knowledge, and—at times—informality, especially with the rise of challenges of incorporating such resources in today’s care. Lastly, this social media. Despite (or perhaps due to) these differences, medicine issue features a discussion of a text message-based prenatal education has been a longstanding subject of interest in the media and the two program developed by Dr. Patricia Janssen and her team at the UBC work closely alongside each other. Newspapers and scientific journals School of Population and Public Health. This mobile health program report on the latest medical breakthroughs and rare disease case for expecting mothers again underscores the fact that multiple reports shared by healthcare professionals and researchers. Television healthcare resources facilitated by media are currently being used to and radio programs disseminate a variety of health-related messages, serve various populations in British Columbia. from advertisements of health products to public health campaigns Despite their seemingly conflicting values, medicine and media such as Stop Overdose BC.1 The internet contains a wealth of may be inseparable in this interconnected society. As you read this information that is just a click away. issue, we invite you to reflect on the impact of media in your life The impact of media on medicine has been magnified in the last as a medical student, healthcare professional, researcher, or everyday decade with the surge of social media. Platforms such as Facebook, consumer of information. Twitter, and YouTube that began as means for social networking and content sharing have now developed into ubiquitous media giants Conflict of interest with billions of active monthly users,2 including patients as well as The authors have declared no conflict of interest. current and future healthcare professionals. According to national References surveys conducted in the United States and Canada, approximately 1. Stop Overdose BC [Internet]. Victoria BC: Government of British Columbia; 2019 40% of practicing physicians reported using Facebook or other forms [cited 2019 Dec 11]. Available from: https://www.stopoverdose.gov.bc.ca/stop- overdose of online social media, with markedly higher usage rates of 79% and 2. Facebook. Facebook Newsroom [Internet]. Menlo Park CA: Facebook; 2019 [cited 93% among the younger cohorts of resident physicians and medical 2019 Dec 4]. Available from: https://about.fb.com/news/ 3,4 3. Bosslet GT, Torke AM, Hickman SE, Terry CL, Helft PR. The patient-doctor students, respectively. The pervasiveness of social media makes it relationship and online social networks: results of a national survey. J Gen Intern a convenient and powerful tool that can affect healthcare decisions Med. 2011;26(10):1168–74. 4. College of Family Physician of Canada. 2014 National physician survey. Mississauga made by patients, doctors, and policymakers. When used appropriately, ON: National Physician Survey; 2014. 13 p. social media can increase awareness and share knowledge among the 5. Cystic Fibrosis Canada [Internet]. Toronto ON: Cystic Fibrosis Canada; 2019 [cited 2019 Dec 11]. Available from: https://www.cysticfibrosis.ca lay and medical audience, as exemplified by the Movember initiative 6. National Kidney Foundation [Internet]. New York NY: National Kidney or Twitter hashtags used by researchers at major scientific meetings Foundation, Inc.; 2019 [cited 2019 Dec 4]. Available from: https://www.kidney.org to garner peers’ attention for their work. However, the interaction between social media and medicine can blur the professional boundary of patient-physician relationships and raise concerns of patient privacy and confidentiality. The ease of accessibility to social media can also be abused to spread misinformation and propagate false beliefs, as seen by the anti-vaccination movement today. In this issue’s feature articles section, clinician investigator program fellow Dr. Gillian Goobie discusses the impact of social media on dissemination of information and patient-physician relationships in the context of specific illnesses. Certain healthcare fields and their patients have embraced different forms of media to improve care and service accessibility. Patients living with chronic diseases, such as cystic fibrosis and chronic kidney disease, make use of social media groups to connect, find peer and medical support, and build advocacy programs for new treatments or patient engagement.5,6 This topic is explored in a joint feature by Dr. Mark Gilbert, Dr. Gina Ogilvie, and their teams from 1MD Program, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada Correspondence to Seo Am Hur ([email protected]) Christine Wang ([email protected]) 3 UBCMJ Volume 11 Issue 2 | Spring 2020 FEATURE Using digital health interventions to improve access to sexual and reproductive health services in British Columbia Heather Pedersen1, Mark Gilbert1,2, Laurie Smith3,4, Gina Ogilvie1,2,3 Citation: UBCMJ. 2020: 11.2 (4-5) Sexual and reproductive health service barriers information accessed.7 Digital health interventions are appealing ncreasing rates of sexually transmitted and blood borne infections for their convenience and reduce the need for interactions with the I(STBBI)