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If you’re a healthcare professional looking to sharpen your skills, you need to know about FOAM. (And #foamed. And the difference.)

FOAM (Free Open-Access Medical education, or sometimes Meducation) is a term coined by Dr. Mike Cadogan at the International Conference on Emergency Medicine in June 2012. As Dr. Cadogan explained then, “what we tried to come up with, in the pub last night, was an alternative name to ‘social media,’ something that might allow other people to come in and enjoy the environs that the APIs or the internet allows us to have.”

FOAM discussions frequently use the #foamed hashtag, and it’s been said that “FOAM is the concept, #foamed is the conversation” — though given the open nature of the movement, this subtlety is often overlooked.

The work of Dr. Cadogan and fellow digital medical pioneers like Dr. Scott Weingart, Dr. Rob Orman, Dr. Chris Nickson and others created a movement inspired by the simple idea that life-saving medical knowledge should be universally and instantly available. FOAMed began on blogs and podcasts with a focus on emergency medicine. Today, FOAM conversations happen on every platform, within every specialty, on every continent, and at every minute of the day.

So what does FOAM have to do with Figure 1, a free app available to all of healthcare? It was the FOAM movement that inspired Dr. Joshua Landy to co-found Figure 1 in 2013. As a visiting scholar at Stanford University, Dr. Landy saw physicians sharing cases with one another over email and text message. In addition to the privacy concerns, this sharing in small groups was the very definition of closed-access medical education.

His solution was to assemble a team of healthcare professionals and engineers to build a platform where clinical knowledge could be widely shared without identifying patient data. To this day, the mission of Figure 1 is to empower all healthcare professionals to achieve clinical mastery by learning from one another.

Of course, we recognize and respect that FOAM is bigger than any one company and platform. We also acknowledge that Figure 1 is a for-profit company that includes sponsored educational content.

Our goal with this regular FOAM series is to introduce the millions of healthcare professionals in our global community to this movement and help them get the most out of it. In future weeks, we’ll focus on specific specialties and identify some of the great educators whose work we see every day.

Life in the Fast Lane: The Justice League of FOAM

All the leading lights and deepest resources of FOAM can be found on Life in the Fast Lane, a gigantic compendium of medical knowledge. Think of them as the Justice League, if the Justice League worked in the emergency departments down under. Dr. Mike Cadogan and Dr. Chris Nickson describe their team as “Australasian critical care physicians and nurses exploring the changing world of eLearning, emergency medicine, critical care and toxicology through clinical cases, fictionalized anecdotes and medical satire.”

Their site dates back to 2008 and is so extensive, it can be overwhelming.  To wit:

The best place to start is their weekly review, which aims to deliver a “bite-size chunk of FOAM” from contributors across the digital world. Note that the focus is very much on EM and critical care, and be prepared for charming Australian slang such as “The Most Fair Dinkum Ripper Beauts of the Week.”

The EMcrit Project: The Avengers of FOAM

If LITFL is the Justice League of FOAM, The EMcrit Project is The Avengers. EMcrit is led by the omnitalented Dr. Scott Weingart, a New York intensivist whose goal is “to bring ICU level care to the ED, so our patients can receive optimum treatment the moment they roll through the door.”  Dr. Weingart is chief of the Division of Emergency Critical Care at Stony Brook Hospital, a clinical associate professor of emergency medicine at Stony Brook Medicine, and an adjunct associate professor at the Icahn School of Medicine at Mount Sinai. He completed a residency in emergency medicine and fellowships in trauma, surgical critical care, and ECMO.

His EMcrit podcast launched in 2009 and remains the gold standard for audio EM resources. In addition to the twice-monthly show, the EMcrit site is constantly updated with useful links and articles.

In 2017, Dr. Weingart took questions from the Figure 1 community for a Figure 1 on 1 Q&A. In that discussion, he outlined how he views FOAM vs. traditional academic publishing:

In the old journals from 50 years ago, you were allowed to publish articles on “here was my clinical experience for the last 10 aortic dissections I took care of”, and there’s value to that. It’s not a randomized control trial, but if it’s speaking on a topic of tacit knowledge or of just “here is my clinical practice, I’m regarded as a good clinician, maybe you want to hear what I have to say”– there’s huge value to that. That’s kind of disappeared in traditional journals. There’s no outlet for that, and the new world of social media and FOAM has filled in the gaps to allow you to discuss clinical experience in areas where evidence doesn’t exist or in areas where evidence may send you to a path of confusion. So if I had to choose between traditional publishing and FOAM, then it’s pretty clear for me, I am a FOAM publisher. That’s the stuff I care about. I care about taking evidence, and if there’s no evidence out there then taking the best physiology and applications of clinical experience and trying to make sense of what to do on an actual patient encounter.

Between these two FOAM multiverses are thousands of physicians, educators, and allied healthcare professionals sharing knowledge. We’ll highlight their best work in future blog posts in this FOAM series.


Are we missing something? Is there a particular area you’d like to know more about? Let us know at foamed@figure1.com.