As authorized by Osmosis.org (acquired by Elsevier in Dec. 2021), Bilibili - Osmosis中文 is the official channel of Osmosis.org on Bilibili operated by Meducalix to share open-access medical knowledge videos with copyright protections since 2018, so far with 280,000 subscribers.

Story of Meducalix

• Meducalix is a non-profit organization empowered by the passion of over 100 medical students and physicians in the movement of Free-and-Open Access Medical education (FOAM), advocating for lifelong learning and health literacy.
• If you're interested in localizing your prime contents targeting the Chinese market, feel free to Reach out and Join Meducalix for further inquiries.

Open Osmosis from 2015

• We conducted research on online knowledge media of medical knowledge with key measures of learners' engagement and knowledge retention. Osmosis stood out as it advocates the open-access medical knowledge and was hailed by medical students and the public on YouTube around the globe, with its vivid animation videos on professional medical terminology and concepts, so as to stimulate the students' interest in learning.
• The videos of Osmosis with bilingual subtitles in English and Chinese enhanced students' mastery of medical terminology in a contextual learning manner, preparing students for licensed exams including USCLE, COMLEX, NCLEX, PANCE, and the Certification of Healthcare Interpreters examination.

Lead the Initiative

• Having learned that there have been Vietnamese and Arabic translation groups of Osmosis.org and the medicine and health module of Khan Academy has localization successfully rolled out, we initiated the Osmosis Chinese localization and coordinated with interested medical students on Bilibili to translate the pathology, physiology, and learning sciences videos on an initial basis of self-teaching, and to share medical knowledge and the importance of health literacy on the video platform Bilibili, which turned out to be popular among Gen Z medical students in China.

Organization and the birth of Meducalix

• Upon research based on mainstream video platforms, we noticed that there have been medical students uploading some Osmosis videos with open copyrights and translations on subtitles for the benefit of understanding for the Chinese community.
• Through the connections built based on common interests in FOAM, we quickly convened a group of medical students and practitioners to start the weekly translation and proofreading on Osmosis videos. The Emergency Medicine resident Dr. Daonan Chen at the School of Medicine of the Shanghai Jiao Tong University provided much professional guidance at the beginning.
• With considerations of limited budgets then, we set the cloud collaborative localization project to be interest-based, and we have members responsible for coordinating and operating the business channels, and team knowledge and overseeing the collaboration from medical curriculum topics mapping to the videos, translation, proofreading, video editing, and SEO marketing of the channel.
• The channel on Bilibili populated with increasingly professional translation of Osmosis videos prioritizes the learning needs of our audience as a digital librarian of FOAM resources to expand the community of subscribers and also team members.
• Through iterative feedbacks, the team collaboration turns more organic and community-sourced, like Dr. Molly Lan Ma and Dr. Marie Zhuoxi Feng from Southern Medical University in China become the backbones of the translation and proofreading and they even hosts offline community to share experiences on translating Osmosis videos.
• During the pandemic from 2019 to 2021, the channel drew more attention from the Bilibili community, and we took the chance to consolidate the collaboration and acknowledgement on copyright from Osmosis.org. The ongoing collaboration with Osmosis enables us to obtain the brand-new daily updates on COVID-19 with efficient translation collaboration, and further reached the 100K subscribers milestone. This achievement attracts more professionals with international medical practising experiences and Chinese IMG students preparing for USMLE to join the team to guide on the localization of the overall knowledge base as being continuously developed by Osmosis, catering to the competency-based medical education curriculum revolution to help raise the line and flatten the curve. The verification of the channel was endorsed by the medical license of Dr. Daisy Jing Xu at the Johns Hopkins University, which is also the alma mater of Shiv and Ryan, the co-founders of Osmosis.
• The growth of channel has since been empowered by the rapport of collaboration, passion for medical knowledge sharing, and efficient task management workflows via new advances of cloud collaboration software.

Interaction with the Bilibili Community

• Bilibili, as hailed by the Gen Z initially, highlights the learning experiences of videos on its platform with features on note-taking, columns, Danmu, and limited advertisements, and its roots in ACG also supports the spread of animation videos of Osmosis among the community.
• The overseas contents on Bilibili became more popular and builds more incentives for Content Creators with its platform-wise support on copyright protection.
• With the copyright memorandum completed and the acknowledge of Osmosis, the channel was renamed to be Osmosis Chinese, encouraging the morale of the team to further localize engaging contents.
• There's a surge of growth of content creators with backgrounds of medical education on Bilibili from Top medical universities, like "Lifashixiaobang" with 500K followers used Osmosis as an engaging tutorial on physiology of reproductive system during his rotation in gynecology, and popular creators like "Tianlangdangjian" also joined Meducalix team to collaborate on videos operations.
• With the background of learning experiences and diversity of medical specialties of team members, the translation with annotations and insights on the Chinese medical educations becomes more accurate, ranging from anatomy, physiology, pathology, to, pharmacology, covering topics in common diseases and even rare diseases.

Campaign of Rare Diseases after Osmosis acquired by Elsevier

• The joint-efforts of Osmosis and NORD to advocate on the rare diseases start from 2020, we've translated and moderated discussions on pathology videos on Phenylketonuria, Multiple Sclerosis, Kallmann Syndrome, and Behcet diseases.
• The lead of an NGO "Family of Kallmann Syndrome Patients", Longfei Pan, also a patient with Kallmann Syndrome, once helped added the Chinese narrative to raise more attention from the community on the rare disease, advocating the rights of the rare diseases patients.
• Patients with Behçet syndrome in China communicated and connected on the helpful resources in the comments of the Osmosis videos, and help doctors to know more about the patients' needs.
• Following the acquiring of Osmosis by Elsevier, in 2023, the 40 years' anniversary of Orphan Drug Act of 1983, we've been leading the Year of Zebra campaign with Elsevier on Bilibili, to promote for the awareness of rare diseases weekly.
• The team collaboration maintains its voluntary basis, and the members are highly engaged on participation. Compared with common diseases, rare diseases sometimes were not largely covered in the textbook, and mostly commonly genetic diseases. To ensure the accuracy and relevancy to the Asian community, the team would refer to peer-reviewed journals, academic reports, clinical guides, and other credible medical resources like Merck Manuals, WHO, and other rare diseases organizations.
• Many medical professionals like residents also shared their experiences on treating rare diseases, especially in the stage of postgraduate medical education, the mastery on diagnostics and treatment for rare diseases would be required within certain medical specialties. Most of the time, the slow treatment and high prices of orphan drugs remains the pain points of patients with rare diseases.
• Though the contents of rare diseases are not widely covered online, through the campaign of Year of Zebra, we're determined to help more people learn about the trust-worthy and engaging introduction to rare diseases, contributing to the awareness of public health policies and cutting-edge clinical trials.
• Rare Diseases in China
  • Sept. 2023 - 2nd version of rare diseases published by NHC in China
  • Basic Medical Insurance, Private Insurance on Major Diseases, Medical Aid 基本医保、大病保险、医疗救助三重保障制度
• NIH Rare Diseases Information in the US

Trends on the Medical and Allied Health Sciences Education

• As a professional supporting medical and allied health program education and also learning from communication with Chinese medical students, it's noticed that Chinese medical education focused more on the training of clinical knowledge and skills based on textbooks, and also with more patients and adequate clinical experiences.
• While in Canada, the curriculum of medical programs are steering towards the competency-based education through the workplace-based assessments, in the education model of "biology-psychology-society", it highlights the competencies of health advocates, cultural understanding, and leadership with global visions.
• The medical education in the North America is followed by undergraduate education, the life experiences and backgrounds of medical students tend to be more diverse compared to the undergraduate education in China, in the background of more inclusiveness comparatively speaking.
• There may be more chances to get in touch with the clinical trials in overseas medical education, so as medical students can be equipped with more advanced treatment options in the training.
• The transformation potential by the generative AI may help promote the personalized learning of medical professionals, cost-control of drugs research and development for rare diseases, ultimately bringing more benefits to the patients.
• Med education comparisons
• 2015 Pediatrics education between China and Canada
  • [[Comparing_curriculum_of_pediatrics_between_Canada_and_China.pdf]]
  • 上海渥太华联合医学院
  • Biology-Psychology-Society - 生物心理社会的医学模式
  • Diseases Spectrum Globally 全球范围内的疾病谱
  • Policy on Child Health and Empowerment 儿童健康政策以及权力赋予
  • Doctors' Behaviors in the Medical Insurance system 医生医疗行为是由社会限定的医疗保障体系内进行的
  • Overall quality on social sciences and psychology of a medical expert 教育会关注社会和心理、医生的个人心理素养培养
  • Flipped Classroom 需要知其所以然，知道获得结果的过程；翻转课堂
  • Evidence-Based Medicine 循证医学理念
• COVID-19 and Medical education
• Canadian nursing education - multimedia learning

EPA and CBME

• RCPSC - EPA Guides
  • Foundation - when it takes time and repetition
  • Competency-based Medical Education (CBME)
    • evaluated based on transferrable learning objectives
    • Jodi Herold grades reflect on the degree of mastery of competencies
  • Graduate ME - Field note reporting
• While the responsibility to determine - people still need to discern
• how to better care with the empathy
  • ensure the right care at the right time
• differentiate the learning and thinking which is to generate the new ideas to extend the knowledge of human

AI and Clinicians 2023

• Puneet Seth, co-founder of InputHealth (Acquired by TELUS to feature the product of collaborative health records)
• Thinking is irreplaceable

How generative AI can best be used in Medical education

• Generative AI, ChatGPT, efficiency on exam preparation
  • students: personalized learning creating flashcards self-testing
  • efficiency - faculty - role of educator or moderator: curriculum, writing clinical cases for testing
• Limits
  • Plagiarism: Turnitin AI Writing detection - K12dive - Turnitin AI detection false positiveness
  • Intellectual property issue: Who owns the content generated or prompted by you

[[Elsevier_Clinician_of_Future_Report_2022.pdf]]

• In this report, insights from doctors and nurses around the world as well as experts and key opinion leaders are collected on changes impacting the work of clinicians and key area they require greater support and advancement, like data analytics, digital health technologies, and empathy improvement.