数字革命！

The wealth of knowledge traditionally stored in books, articles or other printed media is increasingly being digitalized. In fact, reading a journal, picking up a textbook, or carrying around paper manuscripts is becoming so rare these days, it could be viewed as rather a, ‘Do you remember when…’, sort of reminiscence. Whether researching for a manuscript, preparing for a lecture, constructing a teaching session or simply keeping yourself up-to-date, you need not leave the comfort of your office chair.

我们永远不超过几乎所有我们需要的一切。现在可以访问以前存储在库中的教科书的架子，因为数字下载和期刊可以在自己的网站中访问，无论是免费的开放访问还是基于订阅的免费访问。当面对知识赤字时，图书馆仍然存在时，大多数学习者会在其移动设备上咨询互联网。这甚至可能是在咨询自己的书架上的教科书之前。所有这些都大大提高了生产率，并且确实可能​​是新出版物流动似乎无穷无尽的原因的一部分。尽管可能很难过，但图书馆也正在成为他们自己定义的受害者 - 安静的地方。

SoMe, FOAM & #

SoMe describes the myriad of cloud- and web-based applications that allow people to create and exchange content. The UK’s总体医学委员会指导use the term to include blogs and microblogs (such as Twitter), internet forums (such as doctors.net), content communities (such as YouTube and Flickr), and social networking sites (such as Facebook and LinkedIn). This term however is very broad and is constantly evolving.

Closely related to SoMe is the concept or principle ofFree Open Access Medical education (FOAM),在线资源（文章，视频，播客等）与更广泛的受众共享的地方。它构成了资源，社区和精神的集合。泡沫社区自发地从不断发展的，协作和互动的开放式医学教育资源收集到网络上以一个目标分发 - 使世界变得更美好！它独立于平台或媒体，并具有个性化的，不断扩展的医学教育资源数据库：它包括博客，播客，推文，Google视频群聊，在线视频，文本文档，照片，照片，Facebook组，还有更多。

Placing a hashtag (#) symbol before an item being described allows every Twitter user rapid access anything associated with it. It has become a rapid way of filtering the relevant cohorts of information on Twitter, and here is where FOAM comes in. Anything related to Ultrasound (#FOAMus), anything relating to Emergency medicine (#FOAMem), and anything critical care (#FOAMcc) and so on (Table 1). A revolution has also occurred in the area of point of care ultrasound (#POCUS), where live ultrasound clips are posted promoting remote learning and discussion.

Table 1 – Relevant hashtags and their descriptors

How to start in social media

• Find what you are interested in, activate Twitter

Twitter形成了一个神话般的平台，可以从中访问大量信息。设置帐户并选择一个吸引人的用户名。这可能与您从日常工作或可能仅仅是您的名字而言。可以识别，不要匿名和专业。我们必须提及有关使用假名或虚假身份的谨慎，因为人们在 *拖钓他人时藏在这种别名后面众所周知。（*一个巨魔是一个愿意通过对其他用户及其意见的故意和有争议的，常常发炎的评论）。使用大量的线条让人们知道您是谁，并以自己的形象很好地走上了里程。人们可以像在会议上介绍自己一样查看它；毕竟，仅说明您的名字可能不会激发太大的兴趣。那些没有描述段的人往往会吸引更少的关注者。 People want to know who you are and what you are about. Register as a FOAM user and promoter.

• Search the hashtags (#)

This is similar to searching for a generic term in a search engine and forms an excellent filter. As mentioned above, there are many identifiable hashtags out there. Searching for #FOAMed will highlight anything to do with Free Open Access Medicine, #POCUS, point of care ultrasound related posts and so on (see Table 1). You can also have a look at theSymplur Healthcare Hashtag projectto see what is trending.

• Follow people

寻找主题标签搜索中的人，他们似乎正在向您提供吸引您的信息（表2）。这样，您会形成一个链接，其他人可以找到您。然后，您关注的人可以跟随您，依此类推，直到形成网络并与您最初开始的更多人接触到乘法效果。因此，已经创建了个人学习/社交媒体小组，为非常有用的网络，学习和生产力铺平了道路。

• Download or subscribe to a podcast

播客是可以在以后下载和收听的录音。它们在旅行，骑自行车，跑步或通常过时的时间时非常有用。有些人发现这是学习的绝佳媒介。它们可以在每个用户平台上，无论是在各个商店中的Android还是Apple找到，也可以在提供演员自己的站点上的链接。

• Follow or subscribe to a blog

There are many out there to choose from, over 300 within critical care alone. Look for a RSS feed icon and use this to alert/stream appropriate material to you. Perhaps an easier way is to look for the ‘subscribe’ button on the site itself. Most will have these enabled and you can then receive brand new updates/news/blogs direct to your inbox, rather than checking each day and missing new posts. Apps such asFeedlywill help you to filter what you want to look at. If you find you are enjoying this side of FOAM, then perhaps start your own website/blog and accrue followers of your own.

• 订阅视频频道

There are many video feed channels readily available, such as YouTube and Vimeo. Simply search for interesting topics and save them into your own playlists. These can be embedded into any website, should you start your own. You can also subscribe to selected users and their content, again, with alerts on release of new material. Videos offer an immersive and intricate learning platform and many come highly recommended.

• 通用规则

Be generous with your criticism and with what you share. The more you put in, the more you get out. Use filters to beat information overload, and be a filter yourself.玩得开心，不要太认真

Table 2 – Key people to follow on Twitter (not exhaustive)

Inpart 2 of this series，，，，the authors discuss the FOAM resources available and whether, ultimately, it could even replace peer review.