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BACKGROUND: Applying active recall during studying vexes medical students. The integration of social media into medical education is rapidly expanding; however, there is minimal use of Instagram in medical education. Histology is a visually dominant subject and pairs well with Instagram. We sought to create a standardized process for medical educators to establish Instagram as a study tool for histology. METHODS: An Instagram account accessible to MS1s was created. Histology images in the course syllabus along with questions and explanations for each image were organized and posted to Instagram in a question and answer format. Instagram analytics on student engagement were gathered along with student survey responses. RESULTS: Seventy-four percent (141/190) of the class followed the account. Images had an average of 442 total views. Images had an average of 3.5 views per user (VPUs), ranging from 2.6 to 4.3 VPUs, suggesting that students are viewing images multiple times. Ninety-eight percent of survey responders found the account easy to use. Ninety-five percent said studying the account increased their confidence when answering histology questions on exams, and 75% said the account led to decreased stress when studying histology. DISCUSSION: Instagram is a platform that the majority of our medical students are already using daily. There was strong evidence of student engagement via Instagram analytics. Once a database of images with questions and answers is established, content can readily be posted to Instagram for students to study. Once established, this process can be applied to other visual content, such as anatomy, radiology, pathology, and microbiology.
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AIMS: No current clinical guidelines focus on weight management in youth with type 1 diabetes mellitus (T1DM). Our aim was to characterize the patient-perceived experience and barriers to weight management in youth with T1DM. METHODS: Participants were recruited from the University of North Carolina (n = 16, 56% female, 60% White, 50% insulin pump users, mean age 14.8 years, mean HbA1c 8.5% (69 mmol/mol)) and the University of Colorado (n = 18, 50% female, 80% white, 53% pump users, mean age 15.3 years, mean HbA1c 9.3% (78 mmol/mol)). Focus groups were stratified by sex and weight status (BMI cutoff = 25). Discussions were guided by a standardized set of questions, audio-taped, transcribed, and analyzed thematically using inductive qualitative methods. RESULTS: Youth with T1DM expressed four interrelated themes of antagonism between type 1 diabetes and weight management: dysregulated appetite, disruption of blood glucose levels associated with changing diet/exercise, hypoglycemia as a barrier to weight loss, and the overwhelming nature of dual management of weight and glycemic control, and two interrelated themes of synergism: improvement in shared, underlying heath behaviors and exercise as a tool for weight and glycemic control. Variation in emphasis of specific thematic elements was greatest across sex. Youth identified five major components of a weight management program for T1DM: intensified glucose management, healthy diet with known carbohydrate content, exercise, individualization and flexibility, and psychosocial and peer support. CONCLUSIONS: There is critical need for personalized, T1DM-specific weight recommendations to overcome disease-specific barriers to weight management in the context of T1DM.
