UMEMLive Brings You Live FOAMed!

FOAMed has become an essential part of our lives in emergency medicine and critical care education and has revolutionized the way we learn, teach, and assimilate information. There are lots of great things out there in the FOAMed world, and we at the University of Maryland would like to take it to the next level. Ladies and gentlemen, we bring you….UMEMLive.

FOAMed and how it’s delivered:

  • Blogs (lots and lots of great FOAMed blogs out there)
  • Websites
  • Podcasts
  • Tweets
  • Google Hangouts
  • Online videos (e.g. Amal Mattu’s ECG video series)
  • Text documents
  • And a whole lot more…

Check out the fantastic post about FOAMed on Life in the Fast Lane by Chris Nickson.

What is UMEMLive?

UMEMLive is a new program developed by the University of Maryland Department of Emergency Medicine. The goal is to take FOAMed to the next level and provide live, high quality educational sessions and FOAMed content. What better way to spread the FOAMed wealth than to do it live?


Follow us on Twitter @UMEMLive

How do we provide UMEMLive content?

The Livestream HD500 is our new baby. It’s a multifunctional, multicamera live production studio. We have piloted it during our grand rounds (, and we will be using it during the 3rd annual International Teaching Course in April 2014. The really neat thing about the HD500 (and the broadcaster below) is the ability to moderate live comments that come in through our personal Livestream blog. People watching the live presentations can type in comments and ask the speakers questions. Truly awesome. Here is the link to our Livestream site where you can watch the most recent recording of our grand rounds: UMEMLive


We also use the Livestream Broadcaster. I have used this for the past 2 years to broadcast the International Teaching Course. It’s relatively inexpensive, $500 USD, and is very easy to use. All you need is an internet connection and a camera and you are up and running. I should also note that you need a Livestream account (~$50 USD per month) to be able to broadcast. Videos are streamed live and stored on your very own Livestream site. You can send out the site link on Twitter, and people can watch live on the site as well. Very easy and very cool.



What does UMEMLive encompass?

  • Live tweets during emergency department shifts at the University of Maryland Hospital (Tweeting While Treating)
  • Live video feeds from the University of Maryland Emergency Medicine Residency Education Conference (Wednesdays 7:30am-11:30am)-Schedules will be sent out via Twitter
  • Live video feeds from select CME conferences run out of the Department of Emergency Medicine (more on that later)
  • Live video feeds from conferences around the world (in the planning process for this)
  • Live lectures from the International Teaching Course ( twice yearly in Baltimore, Maryland
  • Live cadaver/procedure labs with the Grandfather of Procedure Education, Mak Moayedi
  • Live simulation sessions with George Willis and other UMEM faculty (with the ability for viewers to ask questions and interact)
  • Future potential for live video feeds from the emergency department (patient privacy issues to be worked out)-UMEMLive ED Teaching (Teaching While Treating)
  • Future potential for livestreaming with Google Glasses-more on that in a future post
  • Updates on Twitter (Follow us: @UMEMLive)
  • UMEMLive audio updates on the iTeachEM podcast-audio file links sent out via Twitter
  • FOAMTv…yes, that’s what I said, FOAMTv. What about a live stream event where people can watch topics they want to hear about? Big plans being made…

Live Emergency Medicine Grand Rounds and Educational Conference-What’s the Content?

  • Emergency Medicine Board Review
  • Medical-Legal lectures
  • Grand Rounds
  • Core Content emergency medicine lectures
  • Code Blue sessions (resuscitation simulation)
  • ECG rounds with @amalmattu
  • and much, much more…

What happens if I miss a live event? The “UMEMLive DVR” is there for you

Well, it’s not actually a DVR, but it’s almost a DVR. Don’t worry, live lectures recorded at conferences and grand rounds are housed on our Livestream site. The link to archived presentations will be sent out on Twitter. That way you have your very own FOAMed DVR! Miss the latest educational offerings from the University of Maryland Department of Emergency Medicine? Don’t worry, you can watch them anytime you want-day or night, rain or shine. It just doesn’t get better than this.

Doesn’t UMEMLive cost a lot of money to access?

The simple answer….NO! Remember, it’s FOAMed. Live FOAMed from The University of Maryland. It just can’t get much better than that!

UMEMLive & Future Collaboration with the FOAMed World


We are currently looking for partners to work with on livestreaming EM/CC educational events. Of course, we are also open to the idea of streaming and collaborating on non-EM/CC courses and presentations. We have teamed up with the brilliant minds (Matt Dawson and Mike Mallin) who run the CastleFest ultrasound course and will be helping broadcast 2 days of content during their course in April. It’s an absolutely awesome ultrasound course, by the way. You can follow them on Twitter @ultrasoundpod

If you have an interest in learning how to live broadcast a course feel free to contact us. You can also leave a comment in the comment section.



A podcast explaining the ins and outs of UMEMLive is currently being edited and will be up soon. Cheers.

The Teaching Course 2013

Last week we held the 2nd annual International Teaching Course in Baltimore, Maryland (greatest city on the planet). Our guest speakers included Mike Cadogan, Mike Stone, and Michelle Lin. The course was epic! 30 physicians from all over the world showed up to learn how to teach and make a difference in their countries

We are planning two courses in 2014: April 28-May2 and October 20-24

How to live tweet #FOAMed from Keynote!

Ever want to tweet out your own lecture pearls, while lecturing?  Want to make sure the #FOAMed community is receiving the top pearls from your talk?  Well, if  you use Keynote there is a way set this up in under 10 minutes using a recently updated open-access app called Keynote Tweet v2.5 by Alan Levine.

Keynote Tweet makes live tweeting SIMPLE by allowing the presenter to add a short Applescript to their presenter notes, which will then automatically send a tweet  as soon as that slide appears in the actual presentation.  You can even set your tweets to automatically include hashtags such as #EMConf, #FOAMed #smaccGOLD, or #IEMTC13!

Now I do have to warn you that setting this up isn’t completely click and go, but once you have it set up it you should be good to go.

 Install some necessary code

  1. Run the Terminal application. (Search for it in your applications folder)
  2. At the prompt, type: sudo gem i twurl –source
  3. Next, enter your system admin password (your OSX password)

Allow your computer to send Tweets

  1. Open your web-browser and go to
  2. Create a new Twitter developer application
  3. The application name needs to be unique, and can be whatever you want.  I chose “FOAMedKeynoteTweet”. You can use this for the description field too.
  4. For website: Enter your blog, website, or you may even be able to use something as simple as your facebook page.  In the fine print it does say you can use a “placeholder” here if you don’t have your own site, so it doesn’t appear to be an absolute necessity.
  5. Agree the terms & click create your Twitter application.
  6. Important: Click the 2nd tab ‘Settings’ on the tabs under your application name.
    • Change ‘Application type’ to ‘Read and Write’.
    • If you do not change this, you will not be able to send tweets!
    • Click ‘Update this Twitter application’s settings’.
  7. Locate the following information under the ‘Details’ tab
    • Consumer-Key
    • Consumer Secret
  8. Return to your Terminal window and paste this line of code:
    twurl authorize –consumer-key ENTER YOUR KEY HERE –consumer-secret ENTER YOUR SECRET HERE
  9. The Terminal window will return a web address.  Copy the complete web address and paste it into your browser, hit return.
  10. Click ‘Authorize’ to allow Keynote Tweet 2.5 to access your Twitter account
  11. You will be given a pin code. Copy and paste this into the Terminal window and hit return.
  12. That’s it!  Now your computer is able to send it’s own tweets.

Set-up Keynote Tweet

  1. Download Keynote Tweet v2.5 here
  2. Copy Keynote Tweet 2.5 to your applications directory. I also keep my in my dock along side the Keynote application itself.
  3. Run Keynote Tweet 2.5 and enter any hashtag (#_____) or handle (@_____) you wish to include. These items will be added to the end of any tweet you send out.
  4. Run Keynote.  Anything between [twitter] and [/twitter] within your slide notes will be tweeted once you reach that slide in presentation mode.
  5. In order for your tweets to be sent out during your presentation, you must:
    • Have a working internet connection
    • Be logged in to Twitter
    • Have the Keynote Tweet app running along with your presentation.

Make sure to check out Alan Levine’s site if you have any questions about the app or just want to leave a big #FOAMed thanks!!

Follow me on Twitter @medicalgraffiti
Check out my critical care blog:

Leadership in Teaching: Mama’s Rules

I always try to read this article at least once a year, usually around the beginning of the year as the new intern class arrives.  In 2008, Dr. Arthur Kellerman gave the commencement speech at the Emory’s School of Medicine.  He took this opportunity to tell a wonderful story about a young resident who is in the midst of a heated exchange about a patient with an admitting service.  What happens after the attending steps in might surprise you.

If you haven’t read this article, take a minute or two to read Dr. Kellerman’s parting words for Emory’s Class of 2008. In this transcript he notes how each and every day we are, “challenged to balance pressures of modern health care, the expectations of your peers, and your own pride against the best interests of your patients.”  But he encourages them to never lose sight of why they chose a career in medicine.

Teaching medicine isn’t just about creating a new curriculum, lecturing, and bedside instruction. Teaching is also about leadership and being the type of doctor that our students will aspire to be like 5, 10, or even 20 years from now. Remember to remind your students why they chose the path that they did, especially during the toughest shifts.

As we begin the next academic year, share this article with your new interns  – or just read it for yourself.  The next time you find yourself dealing with a difficult consultant, or even a difficult patient, remember “Mama’s Rules.”  Our job only begins with teaching the medical knowledge, but doesn’t end until we have inspired those around us to become great physicians.

“The mediocre teacher tells. The good teacher explains. The superior teacher demonstrates. The great teacher inspires.”
— William Arthur Ward


  • Kellermann AL. Mama’s rules. Ann Emerg Med. 2009 May;53(5):688-9. doi: 10.1016/j.annemergmed.2008.12.014. PubMed PMID: 19380044. [Fulltext]

    Contact me on Twitter @JohnGreenwoodMD

Make Your Audience the Hero

One of the biggest mistakes lecturers make is failing to connect with their audience.  Last week’s post on the “Dr. Fox Effect” generated a bit of controversy about whether or not presentation style can affect the audience’s ability to learn from the teacher.  While this certainly can be debated, one thing we do know is that emotion has a strong influence on learning and memory.1

Building an emotional connection is one of the most effective methods to keep an audience’s attention and persuade them that what you are teaching is important. One way to build this connection is by viewing your audience as a hero and incorporating the power of story into your lectures.

The classic hero’s journey involves:

  1. The Current State – represented by the current state of the world, and what the audience already knows and believes.
  2. The Journey – Represented by the internal conflict an audience will experience as they are taught something new, which may make them feel uncomfortable.
  3. The Resolution – The final destination that is reached as the audience accepts the teacher’s perspective and adopts it as their own.

In medical lectures, persuading an audience of physicians to change their behavior can prove to be challenging.  The teacher can expect an audience to be skeptical at first and initially unwilling to change – because the lesson will require the audience to let go of personal beliefs of what has been taught to be true for years.  But the facts stated within a lecture can be brought to life by regularly incorporating story and anecdote that support the teacher’s position.

Miyagi & Daniel

A common mistake made by educators is that they view themselves as the hero, and that their teaching will save an audience from everything they don’t know. Whether you are in the classroom or in the lecture hall, the role of the teacher is NOT to be the hero. The teacher must embrace the role of a mentor. You are not Daniel Larusso, you are Mr. Miyagi.

A mentor is selfless and has a primary goal of making sure the student succeeds. A good lecturer should embrace a stance of humility and place the interests of the learner first.  Their goal should be to act as a facilitator and guide the audience along their personal journey of change. Think of this as audience-centered teaching.  Take your audience on the Hero’s Journey – and they will not only remember your presentation, but will be able to take the tools you have provided them back to the bedside, and ultimately save a life.

Mr. Miyagi says:  “No such thing as bad student, only bad teacher”

Reference & Additional Reading

  • LaBar KS, Cabeza R. Cognitive neuroscience of emotional memory. Nat Rev Neurosci. 2006 Jan; 7(1):54-64.
  • Duarte, Nancy. Resonate: Present Visual Stories That Transform Audiences. Hoboken, NJ: Wiley, 2010.

Check out the Resonate Multi-Touch iBook, definitely a great read with lots of included multimedia.

Contact me on Twitter @JohnGreenwoodMD