The most rehabilitation relevant session I attended was a workshop called The Two-sided Market Perspective of e-Health where the concept being discussed boiled down to Uber for health services: the idea that an electronic platform, that acted as a neutral transactional space, could allow people with health needs to be match up with, and purchase health services.\u00a0 This is a relatively new concept, although I notice one of the workshop facilitators has already edited a book on the subject<\/a>!\u00a0 The vigorous discussion highlighted the challenges of \u201cusers\u201d not always having sufficient knowledge of services and treatments to be able to judge which \u201cservice\u201d is the best fit for them for currently and future health outcomes, the challenges of user rating systems for services (sometimes the medicine tastes bad) and how will payers feel about allowing users\/clients\/patients to choose their own services in a market place.\u00a0 A similar system, although not digital, being developed for people in New Zealand through \u201cEnabling good lives<\/a>\u201d where people with disabilities and their whanau identify their goals, the support they require to meet them and then services are matched to enable to them to reach these goals.\u00a0 \u00a0I also wondered if ACC, currently going through a digital transformation, might provide an online directory of services providers for ACC clients to match with.\u00a0 We are likely to see significant digital overhaul of health in New Zealand in the next ten years so not beyond possibilities.<\/p>\n <\/p>\n <\/p>\n <\/p>\n While in Hangzhou I was also lucky enough to visit the famous WestLake<\/p>\n <\/p>\n <\/p>\n <\/p>\n <\/p>\n and visit a Tea Village where the famous and supposedly health-giving Dragon\u2019s Wells tea is grown.<\/p>\n <\/p>\n <\/p>\n <\/p>\n <\/p>\n <\/p>\n My next conference was the Association of Medical Educators of Europe (AMEE) conference in Helsinki.\u00a0 A larger conference at 3700 attendees was a deep dive into Health professionals education.\u00a0 There was a lot of discussion of Programmatic Alignment, the concept that all aspects of the curriculum from learning outcomes, methods of teaching and learning and assessment should be congruent.\u00a0 So if the learning outcome is to be a \u201ccritical consumer of rehabilitation evidence base\u201d the teaching and learning should include practice of critical appraisal and the assessment should require demonstrate of this skill.\u00a0 I will be reflecting this back to RTRU to prompt reflection that we are achieving this in our taught papers.\u00a0 I was also introduced to the curious concept of \u201cThreshold concepts<\/a>\u201d which are an idea that, once grasped, changes the way learners think about themselves. The concept cannot be forgotten and may be emotionally difficult. An example might be the myth of black\/white answers in medicine.\u00a0 These are the \u201cah-ha\u201d moments in our learning as health professionals.\u00a0 I am still processing this idea but already can recognise a few in my own journey \u2013 have you had any?\u00a0 Also I am pondering what are the Threshold concepts in our understanding of rehabilitation.\u00a0 Any ideas are welcome.<\/p>\n <\/p>\n![\"\"](\"https:\/\/blogs.otago.ac.nz\/rtru\/files\/2017\/09\/IMG_5631-300x225.jpg\")
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