According to Paul Levinson, a Marshall McLuhan scholar, “The medium is the message” in the digital age means that the way we use the medium to consume and produce information is much more important than the content itself. This phrase originated from a book authored by Marshall McLuhan in 1964 called Understanding Media: The Extensions of Man. McLuhan talked about the electronic age as a catalyst for creating a global village. These were some of McLuhan’s viewpoints even before the Internet had been invented. If the ultimate purpose of publishing is to communicate with each other, we should explore how we are carrying on this endeavor, its effects on our thinking process and practices via current medium.

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We make decisions every day, all day long. Sometimes we are aware of it and sometimes we are not. Our decision process is affected by many factors. Some are under our conscious control while others are not. In order to sharpen our decision process, we gain knowledge, practice, and then reflect. We are selective and gain knowledge from different sources, practice in the appropriate setting, and reflect alone or with others for feedback. It is important to explore all possible clinical reasoning pathways as we don’t know which process will get us in the right path. 

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As you are aware there has been lots of discussion going on about the concept of flipping the  classroom in education these days. ALiEM recently hosted a book club where Salman Khan’s book (The One World School House: Education Reimagined) was featured in a Google Hangout. Khan, an ex-hedge fund manager, started making videos to help his niece with her math homework years ago. These videos ended up on YouTube and became quite popular. It wasn’t until later with the help of Bill Gates that he formed The Khan Academy and popularized the concept of the flipped classroom.

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