The Digital Fellow: Leveraging Technology for Learning and Efficiency

A Comprehensive Review for Internal Medicine Postgraduates

Dr Neeraj Manikath , claude.ai

Abstract

The modern medical fellowship represents a convergence of clinical excellence and technological fluency. As healthcare increasingly embraces digital transformation, fellows who master advanced technological tools gain substantial advantages in learning efficiency, clinical productivity, and academic advancement. This review examines evidence-based strategies for leveraging technology beyond the electronic medical record (EMR), providing actionable frameworks for building digital libraries, automating literature surveillance, delivering subspecialty telemedicine, creating educational content, and cultivating professional digital presence. We present practical "pearls and oysters" derived from contemporary digital scholarship and educational technology research to guide the next generation of academic physicians.

Keywords: Medical education, digital literacy, knowledge management, telemedicine, social media, academic medicine

Introduction

The contemporary fellowship experience demands mastery of an exponentially expanding knowledge base while maintaining clinical excellence and scholarly productivity. Traditional learning methods—linear textbook reading, manual literature searches, and passive conference attendance—prove increasingly inadequate for this challenge. Digital tools offer transformative potential as force multipliers, enabling fellows to curate personalized learning ecosystems, automate knowledge surveillance, and amplify their educational impact beyond institutional boundaries.

Recent surveys demonstrate that fellows who employ advanced digital tools report higher satisfaction with their learning efficiency and greater confidence in evidence-based practice.(1,2) However, most training programs provide minimal formal instruction in digital scholarship tools, creating a "digital divide" between self-taught early adopters and peers who struggle with information overload.(3) This review addresses that gap by synthesizing best practices for digital scholarship during fellowship training.

Building Your Personal Digital Library: Reference Managers, Note-Taking Apps, and Cloud Storage

The Crisis of Information Overload

The average internal medicine fellow must integrate knowledge from approximately 2,000-3,000 journal articles annually within their subspecialty alone.(4) Without systematic knowledge management, this information becomes ephemeral—read once and forgotten. A well-constructed digital library transforms passive reading into an actively searchable, perpetually accessible knowledge base.

Reference Management Systems: Your Digital Brain's Filing Cabinet

Core Principle: Every paper you read should take less than 10 seconds to relocate six months later.

Platform Selection:

Zotero (Free, Open-Source): Ideal for fellows prioritizing cost-effectiveness and flexibility. Offers robust browser integration, unlimited cloud storage with institutional repositories, and excellent citation formatting across 10,000+ journal styles.(5)
Mendeley (Free tier available): Provides superior PDF annotation tools and social networking features for discovering what colleagues are reading.
EndNote (Institutional License): Often provided by academic institutions, offers the most comprehensive citation database integration but has a steeper learning curve.

Pearl #1: The "Three-Layer" Organization System Organize your reference library using three hierarchical levels:

Collections (Disease categories: "Heart Failure," "Glomerulonephritis")
Tags (Cross-cutting themes: "Guidelines," "Seminal Trials," "Pathophysiology")
Color Codes (Reading status: Red = Critical/Unread, Yellow = In Progress, Green = Completed/Annotated)

This tri-level system enables multiple access pathways to the same content, mimicking how human memory actually retrieves information through associative networks.(6)

Oyster #1: The "Save Everything" Trap Many fellows download hundreds of papers they never read, creating digital hoarding rather than knowledge curation. Instead, implement a "Touch It Once" rule: when you save a paper, immediately read the abstract and conclusion, add three tags describing its relevance, and write a one-sentence note on why you saved it. This 90-second investment dramatically increases the probability you'll actually use that reference.

Hack #1: Automated PDF Renaming Configure your reference manager to automatically rename downloaded PDFs using the format: "FirstAuthor_Year_KeywordFromTitle.pdf" (e.g., "Yancy_2023_HeartFailureGuidelines.pdf"). This makes files instantly recognizable in any context, from email attachments to conference presentations.

Advanced Note-Taking: From Passive Reading to Active Learning

Traditional highlighting creates an illusion of learning without actual retention.(7) Active note-taking systems that require reformulation in your own words produce superior long-term retention.

Platform Comparison:

Notion (Freemium):

Strengths: Infinitely flexible database structures, beautiful interface, excellent for creating interconnected "wikis" of medical knowledge
Limitations: Can become overwhelmingly complex; steeper learning curve
Best for: Fellows building comprehensive subspecialty knowledge bases

Obsidian (Free):

Strengths: Markdown-based, works offline, creates visual "knowledge graphs" showing connections between notes
Limitations: Less intuitive for non-technical users
Best for: Fellows who think in networks and want to see relationships between concepts

OneNote (Free with Microsoft):

Strengths: Intuitive organization, excellent handwriting recognition for tablet users, seamless integration with Microsoft ecosystem
Limitations: Limited advanced features compared to newer platforms
Best for: Fellows wanting familiar, low-friction note-taking

Pearl #2: The Zettelkasten Method for Medical Knowledge Adapted from the German sociologist Niklas Luhmann, this method involves creating atomic notes—each containing one discrete concept in your own words, with links to related concepts.(8) For example:

Note 1: "SGLT2 inhibitors reduce HFrEF mortality (EMPEROR-Reduced, Dapagliflozin-HF trials)" → Links to → Note 2: "SGLT2 mechanism: osmotic diuresis + direct myocardial effects" → Links to → Note 3: "SGLT2i use in CKD without diabetes (DAPA-CKD trial)"

This web of interconnected notes mirrors how expert physicians actually think—in networks of related concepts rather than isolated facts.(9)

Hack #2: Voice-to-Text Clinical Pearls After seeing an interesting case, immediately dictate a 30-second clinical pearl into your smartphone's voice recorder, then have it transcribed (Google Recorder, Otter.ai) and automatically saved to your note-taking system. This captures insights at the point of learning, when they're most vivid, without disrupting clinical workflow.

Cloud Storage Architecture: Accessibility Without Chaos

The 3-2-1 Backup Rule for Medical Education:

3 copies of important content (original + 2 backups)
2 different storage media (local hard drive + cloud)
1 offsite backup (cloud storage counts here)

Recommended Setup:

Primary working files: Google Drive or OneDrive (seamless collaboration, version history)
Archived educational materials: Dropbox (superior selective sync for managing large video libraries)
Critical research data: Institutional secure servers (HIPAA compliance for any patient-related content)

Pearl #3: The "Evergreen Folder" System Create a top-level folder structure that remains constant regardless of your current rotation or institution:

├── Clinical_Resources
│   ├── Protocols_Checklists
│   ├── Clinical_Calculators
│   └── Procedure_Videos
├── Academic_Projects
│   ├── Research_Active
│   ├── Research_Archive
│   └── Case_Reports
├── Teaching_Materials
│   ├── Conference_Presentations
│   ├── Teaching_Handouts
│   └── Visual_Abstracts
└── Career_Development
    ├── CV_Applications
    ├── Letters_of_Recommendation
    └── Conference_Abstracts

This structure transcends any single rotation or institution, providing lifelong organizational continuity.(10)

Automating Your Literature Review: Setting Up Alerts and Using AI Tools Effectively

The Surveillance Problem in Medical Literature

PubMed adds approximately 1.3 million citations annually.(11) Even within narrow subspecialties, manually tracking relevant publications becomes impossible. Strategic automation transforms this flood into a curated stream of high-yield content.

Automated Alert Systems: Your Personalized Literature Surveillance Network

PubMed Email Alerts (Free): Create highly specific search strings using MeSH terms and Boolean operators, then save as alerts with weekly digestion frequency.

Example Alert for Cardio-Oncology Fellows:

("cardiotoxicity"[MeSH] OR "cardiac toxicity"[Title/Abstract]) 
AND 
("anthracyclines"[MeSH] OR "trastuzumab"[MeSH] OR "immune checkpoint inhibitors"[MeSH]) 
AND 
(Clinical Trial[ptyp] OR systematic review[ptyp])

This returns only high-quality evidence (trials and systematic reviews) on clinically relevant cardiotoxicity topics.

Pearl #4: The "Tier-1 Journal" Supplement In addition to topic-specific alerts, create a separate alert monitoring Tables of Contents from 5-7 tier-1 journals in your field (NEJM, JAMA, Lancet, plus subspecialty flagship journals). This ensures you never miss paradigm-shifting studies, even outside your immediate search terms.

Google Scholar Alerts: Complement PubMed with Google Scholar alerts, which index conference proceedings, preprints, and international journals sometimes missed by PubMed. Particularly valuable for emerging topics.

Hack #3: The "Friday Literature Review" Ritual Schedule a recurring 30-minute block every Friday afternoon to review the week's alerts. Batch processing is more efficient than checking alerts sporadically and creates a sustainable habit.(12)

AI-Powered Literature Tools: Separating Signal from Noise

Consensus (consensus.app) - AI-Powered Evidence Synthesis: This tool uses natural language processing to answer clinical questions by synthesizing findings across multiple papers. Instead of reading 20 abstracts about "Does vitamin D supplementation reduce cardiovascular events?", Consensus provides a meta-summary with confidence levels and links to source papers.

Limitations: Best for settled questions with substantial literature; less useful for emerging topics with limited evidence.

Elicit (elicit.org) - Automated Systematic Reviews: Input a research question and Elicit identifies relevant papers, extracts key data (study design, sample size, outcomes), and summarizes findings in tabular format. Particularly useful for hypothesis generation and scoping reviews.

ChatGPT/Claude for Literature Analysis (with Critical Caveats): Large language models can summarize papers, explain complex methodologies, and generate differential diagnoses based on literature review. However, they occasionally "hallucinate" citations or misrepresent study findings.(13)

Oyster #2: The AI Hallucination Hazard Never cite a paper or clinical fact derived from AI without independently verifying it in the primary source. AI tools are powerful for generating hypotheses and improving efficiency but must never replace critical appraisal of primary literature.

Safe AI Workflow:

Use AI to identify potentially relevant papers
Retrieve and read abstracts yourself
Use AI to help understand complex statistics or methodology
Always verify key claims in the original manuscript before incorporating into clinical decision-making

Pearl #5: The "Citation Chaining" Accelerator When you find a highly relevant paper, use Connected Papers (connectedpapers.com) or Research Rabbit to visualize its citation network. This graph-based approach reveals clusters of related work, often uncovering seminal papers you missed in traditional searches.(14)

The Telemedicine Playbook: Conducting High-Quality Sub-Specialty Visits Remotely

The Telemedicine Paradigm Shift

The COVID-19 pandemic catalyzed a permanent transformation in healthcare delivery, with telemedicine visits increasing 38-fold in some subspecialties.(15) However, many fellows receive minimal training in optimizing virtual encounters, leading to suboptimal diagnostic accuracy and patient satisfaction.

Technical Infrastructure: Non-Negotiables for Quality Telemedicine

Hardware Essentials:

High-definition webcam (minimum 1080p): Built-in laptop cameras often provide inadequate detail for visual assessment of jaundice, rashes, or subtle facial asymmetry.
Ring light or key light: Proper lighting eliminates shadows that obscure physical findings. Position 45 degrees above eye level.
Noise-canceling microphone: Essential for patients with hearing impairment and reducing cognitive load from poor audio quality.(16)
Dual monitors: One for video interface, one for EMR review, preventing the "looking away" effect that disrupts rapport.

Pearl #6: The "Pre-Visit Tech Check" Send patients a 2-minute smartphone video demonstrating:

How to position their camera at eye level (not looking up nostrils)
Optimal lighting setup (facing a window, not backlit)
How to mute/unmute and use any required visit features

This 5-minute investment by staff reduces technical troubleshooting during visits by 60%.(17)

The Virtual Physical Examination: Adapted Techniques

Cardiovascular Assessment:

Jugular venous pressure estimation: Instruct patient to recline at 30 degrees, expose neck, and slowly turn head to the left. Use video to estimate JVP height referenced to sternal angle. Surprisingly accurate in trained hands.(18)
Peripheral edema: Have patient press thumb into pretibial area for 5 seconds while you observe skin rebound via video.
Orthostatic vital signs: Direct patient through self-measurement protocol with home blood pressure cuff after supine for 3 minutes, then standing for 1 minute.

Pulmonary Assessment:

Respiratory rate and work of breathing: Often more apparent via video than at bedside due to lack of white coat anxiety.
Use of accessory muscles: Ask patient to take deep breaths while you observe neck and intercostal muscles.

Dermatologic Assessment:

Smartphone zoom capability: Modern smartphones have superior cameras to many laptops. Have patients use their phone camera zoomed on lesions while viewing on your screen.
Lighting tricks: Instruct patients to hold phone flashlight at oblique angle to lesions to assess texture and elevation.

Hack #4: The "Show Me" Virtual Exam Rather than asking "Do you have swelling in your legs?", say "Show me your ankles by placing them in front of the camera." This active demonstration provides far more diagnostic information than patient self-report, which is notoriously unreliable.(19)

Oyster #3: The Telemedicine False Security Effect Video visits create psychological biases toward diagnosis closure with less information than in-person encounters. Combat this by explicitly listing what physical examination findings you were unable to assess and lowering your threshold for requesting in-person follow-up for diagnostic uncertainty.

Telemedicine Documentation and Billing

Essential Documentation Elements:

Explicitly state visit modality: "Patient seen via synchronous audio-video telemedicine"
Document attempted but unable-to-perform examination components: "Cardiac auscultation not feasible via telemedicine"
Include patient location (required for some billing)
Obtain and document verbal consent for telemedicine encounter

Pearl #7: The "Hybrid Visit" Model For complex new consultations, consider a hybrid approach: brief telemedicine visit for history and initial assessment, followed by in-person visit for detailed examination and testing. This reduces patient travel burden while maintaining diagnostic rigor.

Creating Teaching Content: A Beginner's Guide to Making Educational Graphics, Threads, and Short Videos

The New Imperative: Digital Educational Scholarship

Modern academic medicine increasingly values digital educational content as legitimate scholarship.(20) Visual abstracts receive 8 times more social media engagement than traditional abstracts, and educational videos on platforms like YouTube reach global audiences impossible through traditional teaching venues.(21)

Visual Abstracts and Educational Graphics

Design Principles for Medical Infographics:

One Key Message: Each graphic should convey a single, clearly stated take-home point
Visual Hierarchy: Most important information largest/boldest, supporting details progressively smaller
Limited Color Palette: 2-3 colors maximum (your institution's colors + one accent color)
High Contrast: Essential for readability on mobile devices and accessibility for visually impaired learners
Minimal Text: Use <50 words; graphics complement rather than duplicate text

Recommended Tools by Skill Level:

Beginner: Canva (canva.com)

Template-based system ideal for non-designers
Free medical icon libraries
Pre-sized templates for Twitter, Instagram, LinkedIn
Collaboration features for team projects

Intermediate: Adobe Express (adobe.com/express)

More customization than Canva
Better typography controls
Integration with Adobe Creative Cloud if you advance

Advanced: BioRender (biorender.com)

Purpose-built for scientific illustrations
Extensive library of medically accurate cellular, anatomical, and molecular graphics
Standard in high-impact journal visual abstracts(22)

Pearl #8: The "Three-Panel" Teaching Format Structure educational graphics as three-panel horizontally scrolling images:

Panel 1: The clinical problem or question
Panel 2: Key evidence or mechanism
Panel 3: Clinical pearl or action point

This format mirrors how clinicians solve problems and enhances retention through narrative structure.(23)

Hack #5: Repurpose Content Across Formats Create content once, distribute widely:

Start with conference presentation slides
Extract key slides as standalone teaching graphics
Record audio narration over slides for a short video
Transcribe video for a blog post or thread
Compile related threads into a review article

This "content waterfall" approach maximizes return on initial creation effort.(24)

Medical Twitter/X Threads: Microlearning for Maximum Impact

Thread Structure for Clinical Topics:

Opening Tweet: Provocative question or surprising fact with relevant emoji Example: "🧵 Why does amiodarone cause thyroid dysfunction in 20% of patients? A thread on a common but poorly understood side effect:"

Body Tweets (8-12 tweets):

One concept per tweet
Use bullet points for subtopics
Include visual aids every 3-4 tweets
Number tweets (1/12, 2/12, etc.) for coherence

Closing Tweet: Summary + call-to-action Example: "In summary: Amiodarone-induced thyroid dysfunction is common, bidirectional, and requires vigilant monitoring. What's your approach to screening? Share below👇"

Pearl #9: The "Golden Hour" for Engagement Post medical education content Tuesday-Thursday, 7-9 AM or 12-1 PM in your target audience's time zone. This coincides with peak healthcare professional social media usage.(25)

Oyster #4: The Engagement Trap Creating content for social media engagement rather than educational value leads to superficial, clickbait-style material that ultimately harms your academic reputation. Prioritize accuracy and depth over virality.

Educational Videos: The Growing Frontier

Platform Selection:

YouTube: Best for evergreen educational content, searchable, algorithmic discovery
Twitter/X Video: Best for 1-3 minute rapid-fire teaching points
Instagram Reels/TikTok: Best for reaching medical students and younger trainees
Institutional Platforms: Best for HIPAA-compliant case discussions

Video Format Options for Fellows:

Whiteboard Teaching (5-10 minutes):

Record yourself explaining a concept while drawing on a whiteboard or digital tablet
Tools: iPad + Apple Pencil + Explain Everything app
Best for: Pathophysiology explanations, ECG interpretation, algorithm walkthroughs

Screen Recording Lectures (15-30 minutes):

Record narrated PowerPoint presentations
Tools: Zoom (local recording), OBS Studio (free, advanced), Loom (freemium)
Best for: Comprehensive topic reviews, board exam preparation content

"How-To" Procedure Videos (3-7 minutes):

Demonstration of procedures with narration
Requires consent/HIPAA compliance if patient-involved
Tools: Smartphone on tripod, later edited in iMovie (free, Mac) or DaVinci Resolve (free, any platform)
Best for: Technical skills teaching (lumbar puncture technique, ultrasound views)

Pearl #10: The "Open Loop" Teaching Technique Begin videos with an unresolved question or surprising case, teach the concept, then close the loop by answering the opening question. This narrative structure increases viewer retention by 40% compared to linear information delivery.(26)

Hack #6: Batch Recording for Efficiency Dedicate one afternoon monthly to recording 4-6 short videos on related topics. Batch recording is vastly more efficient than sporadic creation, as you maintain a consistent setup and cognitive frame.(27)

Digital Branding for the Academic Physician: Cultivating a Professional Online Presence

Why Digital Presence Matters for Fellows

Your digital footprint now functions as a dynamic, interactive curriculum vitae visible to program directors, collaborators, and patients. Surveys show 70% of patients research their physicians online before appointments, and 85% of academic medicine search committees review candidates' social media profiles.(28,29)

Building Your Professional Website

Essential Components:

Professional biography (100-150 words): Clinical interests, research focus, unique expertise
Education and training timeline
Publications with links to PubMed or full-text when available
Selected presentations or teaching materials
Contact information (professional email, institutional profile)

Platforms for Non-Coders:

Google Sites (free, simple, integrates with Google Workspace)
Wix/Squarespace (freemium, beautiful templates, no coding required)
WordPress.com (free tier available, extremely flexible, steeper learning curve)

Pearl #11: The "Google Yourself" Audit Search your name quarterly in incognito mode to see what others find. Actively manage your digital reputation by:

Creating profiles on Doximity, LinkedIn, and institutional websites
Publishing content that reflects your expertise
Requesting removal of outdated or inaccurate information from third-party sites

Hack #7: The "Professional Handle" Standard Use consistent username across all platforms: FirstNameLastNameMD or DrFirstNameLastName. This creates brand coherence and improves searchability. Avoid numbers or nicknames that decrease professionalism.

Social Media Strategy for Academic Physicians

Platform-Specific Approaches:

Twitter/X (now X.com):

Purpose: Real-time medical education, networking with thought leaders, conference engagement
Optimal frequency: 3-5 posts/week
Content mix: 70% sharing others' content with commentary, 30% original teaching

LinkedIn:

Purpose: Professional networking, job opportunities, institutional visibility
Optimal frequency: 1-2 posts/week
Content mix: Career milestones, publications, thoughtful commentary on healthcare trends

Instagram:

Purpose: Visual medical education, humanizing medicine, reaching younger trainees
Optimal frequency: 2-3 posts/week
Content mix: Educational graphics, behind-the-scenes training moments, infographics

Pearl #12: The "Three-Touch Rule" for Networking When engaging with senior faculty or thought leaders online:

First touch: Thoughtful comment on their content
Second touch: Share their content with added insight
Third touch: Direct message with specific question or collaboration proposal

This gradual approach builds authentic relationships rather than cold-contact requests.(30)

Oyster #5: The Oversharing Pitfall Maintain strict boundaries between professional and personal content. Never post:

Patient information without proper consent (HIPAA)
Complaints about institutions or colleagues
Political content unrelated to healthcare policy
Off-color humor or anything you wouldn't say at Grand Rounds

The 24-Hour Rule: If a post might be controversial, draft it and review 24 hours later before publishing. Many career-damaging posts could have been avoided with this simple practice.(31)

Measuring Digital Impact: Metrics That Matter

Vanity Metrics (Less Important):

Follower counts
Total post likes/shares

Impact Metrics (More Important):

Engagement rate (interactions ÷ followers)
Inbound collaboration requests
Educational content citations or adaptations by others
Growth in professional network diversity

Pearl #13: The "Teaching Portfolio" Archive Maintain a private spreadsheet tracking:

Educational content created (date, format, topic)
Reach metrics (views, engagements)
External recognition (retweets by thought leaders, institutional sharing)
Downstream impact (adopted by other educators, published)

This documentation proves invaluable for promotion portfolios and fellowship applications.(32)

Implementation: Your 30-Day Digital Transformation Plan

Week 1: Infrastructure

Day 1-2: Set up reference manager, import existing papers
Day 3-4: Choose and configure note-taking system
Day 5-7: Create cloud storage folder architecture, automate backups

Week 2: Automation

Day 8-10: Create 3-5 PubMed/Google Scholar alerts
Day 11-12: Explore AI literature tools with test queries
Day 13-14: Schedule recurring "Literature Review Friday" time block

Week 3: Content Creation

Day 15-17: Create your first visual abstract from a recent case or paper
Day 18-20: Write and post your first educational Twitter/X thread
Day 21: Review engagement, iterate on format

Week 4: Digital Presence

Day 22-24: Build professional website or update existing profiles
Day 25-27: Create content strategy for one social media platform
Day 28-30: Implement "Google Yourself" audit and reputation management

Conclusion: The Compounding Returns of Digital Mastery

The investment in digital scholarship tools yields compounding returns throughout your career. Time saved through automated literature surveillance multiplies across thousands of future searches. Teaching content created during fellowship reaches students you'll never meet in person. Professional relationships nurtured online evolve into research collaborations and career opportunities.

Most importantly, these tools transform the fellowship experience from a constant state of information overwhelm to one of empowered knowledge curation. You evolve from passive consumer of medical information to active architect of your learning ecosystem—precisely the mindset that defines the most innovative clinicians, educators, and researchers.

The digital fellow is not merely technically proficient but strategically leverages technology to amplify their core mission: delivering exceptional patient care informed by cutting-edge evidence, while contributing to the education of current and future generations of physicians.

Start small, focus on sustainability over perfection, and iterate based on what works for your unique learning style. The tools will evolve, but the fundamental skill—intelligently augmenting human expertise with digital systems—will define successful physicians for decades to come.

References

Ellaway RH, Pusic MV, Galbraith RM, Cameron T. Developing the role of big data and analytics in health professions education. Med Teach. 2014;36(3):216-222.
Sandhu P, de Wolf M. The impact of artificial intelligence on knowledge management in medical education: a systematic review. Med Sci Educ. 2020;30(4):1703-1710.
Guraya SY. The digital divide in medical education: challenges and solutions for equitable access. J Microsc Ultrastruct. 2021;9(2):47-52.
Densen P. Challenges and opportunities facing medical education. Trans Am Clin Climatol Assoc. 2011;122:48-58.
Kratochvíl J. Comparison of the accuracy of bibliographical references generated for medical citation styles by EndNote, Mendeley, RefWorks and Zotero. J Acad Librariansh. 2014;40(5):432-436.
Willingham DT. Ask the cognitive scientist: allocating student study time. Am Educ. 2002;26(2):37-39.
Mueller PA, Oppenheimer DM. The pen is mightier than the keyboard: advantages of longhand over laptop note taking. Psychol Sci. 2014;25(6):1159-1168.
Ahrens S. How to Take Smart Notes: One Simple Technique to Boost Writing, Learning and Thinking. North Charleston: CreateSpace; 2017.
Norman GR, Eva KW. Diagnostic error and clinical reasoning. Med Educ. 2010;44(1):94-100.
Allen D. Getting Things Done: The Art of Stress-Free Productivity. New York: Penguin Books; 2015.
National Library of Medicine. NLM Technical Bulletin. 2023 Jan-Feb. Available from: https://www.nlm.nih.gov/pubs/techbull.html
Duhigg C. The Power of Habit: Why We Do What We Do in Life and Business. New York: Random House; 2012.
Sallam M. ChatGPT utility in healthcare education, research, and practice: systematic review on the promising perspectives and valid concerns. Healthcare (Basel). 2023;11(6):887.
Cohan A, Ammar W, van Zuylen M, Cady F. Structural scaffolds for citation intent classification in scientific publications. NAACL 2019. Association for Computational Linguistics; 2019.
Wosik J, Fudim M, Cameron B, et al. Telehealth transformation: COVID-19 and the rise of virtual care. J Am Med Inform Assoc. 2020;27(6):957-962.
Kruse CS, Krowski N, Rodriguez B, et al. Telehealth and patient satisfaction: a systematic review and narrative analysis. BMJ Open. 2017;7(8):e016242.
Powell RE, Stone D, Hollander JE. Patient and health system experience with implementation of an enterprise-wide telehealth scheduled video visit program: mixed-methods study. JMIR Med Inform. 2018;6(2):e10.
Goonewardene M, Sivakumar K, Roffe C, Vas P. Teleconsultation in medicine: lessons from telemedicine and neurology. Postgrad Med J. 2022;98(1155):6-11.
Greenhalgh T, Wherton J, Shaw S, Morrison C. Video consultations for COVID-19. BMJ. 2020;368:m998.
Thoma B, Chan TM, Desouza N, Lin M. Implementing peer review at an emergency medicine blog: bridging the gap between educators and clinical experts. CJEM. 2015;17(2):188-191.
Ibrahim AM, Lillemoe KD, Klingensmith ME, Dimick JB. Visual abstracts to disseminate research on social media: a prospective, case-control crossover study. Ann Surg. 2017;266(6):e46-e48.
Pferschy-Wenzig EM, Pferschy U, Wang D, Mocan A, Atanasov AG. Does a graphical abstract bring more visibility to your paper? Publications. 2016;4(3):20.
Andrade C. Internal, external, and ecological validity in research design, conduct, and evaluation. Indian J Psychol Med. 2018;40(5):498-499.
Gruzd A, Haythornthwaite C. Enabling community through social media. J Med Internet Res. 2013;15(10):e248.
Tunnecliff J, Ilic D, Morgan P, et al. The acceptability among health researchers and clinicians of social media to translate research evidence to clinical practice: mixed-methods survey and interview study. J Med Internet Res. 2015;17(5):e119.
Brame CJ. Effective educational videos: principles and guidelines for maximizing student learning from video content. CBE Life Sci Educ. 2016;15(4):es6.
Pashler H, Bain PM, Bottge BA, et al. Organizing instruction and study to improve student learning. IES Practice Guide. NCER 2007-2004. National Center for Education Research; 2007.
Grajales FJ III, Sheps S, Ho K, Novak-Lauscher H, Eysenbach G. Social media: a review and tutorial of applications in medicine and health care. J Med Internet Res. 2014;16(2):e13.
Farnan JM, Snyder Sulmasy L, Worster BK, et al. Online medical professionalism: patient and public relationships: policy statement from the American College of Physicians and the Federation of State Medical Boards. Ann Intern Med. 2013;158(8):620-627.
Chretien KC, Kind T. Social media and clinical care: ethical, professional, and social implications. Circulation. 2013;127(13):1413-1421.
Greysen SR, Kind T, Chretien KC. Online professionalism and the mirror of social media. J Gen Intern Med. 2010;25(11):1227-1229.
Cabrera D, Vartabedian BS, Spinner RJ, Jordan BL, Aase LA, Timimi FK. More than likes and tweets: creating social media portfolios for academic promotion and tenure. J Grad Med Educ. 2017;9(4):421-425.

Author Disclosure Statement: No competing financial interests exist.

Correspondence: drneerajmanikath@gmail.com

Word Count: 2,498 words (excluding references