{"id":43873,"date":"2019-01-16T10:10:40","date_gmt":"2019-01-16T09:10:40","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=43873"},"modified":"2019-02-23T19:16:09","modified_gmt":"2019-02-23T18:16:09","slug":"is-ted-dead-a-return-to-good-old-fashioned-conversation","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2019\/01\/16\/is-ted-dead-a-return-to-good-old-fashioned-conversation\/","title":{"rendered":"Is TED dead?\u2014a return to good-old fashioned conversation"},"content":{"rendered":"

We two authors used to attend medical conferences that felt more like pathetic gladiator battles. Weapons included poison-tipped USB sticks, monotone delivery, and a complete lack of eye-contact. The audience\u2019s ritualized beating often also included an entirely pointless ten-minute speaker biography, followed by a bludgeoning from 120 slides. The cruellest speakers went further still: \u201cthere\u2019s too much information on this slide but let me try anyway;\u201d \u201cI know my time is up but I\u2019ll just go overtime.\u201d In brief, we were tired of the \u201csage on the stage.\u201d<\/span><\/p>\n

We paid good money to live (and die) through blurry images and the entire front page of their manuscript stating the blindingly obvious. We endured the speaker delivering the same tedious joke as last year\u2014and it wasn\u2019t funny the first time. For reasons we could never deduce this death-via-powerpoint often included a picture of the presenter\u2019s children. A big question mark on the final slide then indicated that it was time for the chairperson to contrive a gratuitous question. He or she had to, after all the audience was now comatose. Sometimes, we would leave with a morsel of medical insight. More often we would depart with a sore arse, indecipherable notes, and a useless rucksack. That, and during the break there was never enough tea and biscuits!<\/span><\/p>\n

However, empires crumble and time marches on. In the educational ring, this has meant the explosion of what naysayers call \u201cinfotainment\u201d and what we choose to call \u201cabout bloody time\u201d. Thanks to the hard graft of @ffolliet<\/a>, <\/span>SMACC<\/span><\/a> and the other people\u2019s champions, we believe that the medical conference has changed and will never be the same again. Admittedly, some of these newer events feel like rock concerts, and have ticket prices to match. Faculty may still be a little too pleased with themselves, and likely still trade invites to the next conference. However, increasingly the presentation is geared to the audience\u2019s needs and not the presenter\u2019s ego. <\/span><\/p>\n

The goal is to disrupt and to inspire via an engaging story that \u201csticks.\u201d Multimedia is widely applied and no useful emotion is spared. Some presenters have been known to loosen their ties and some to shed a tear. Regardless, we are big fans and occasional contributors. These talks are both celebrated or derided by calling them \u201cTED-style.\u201d This is after the organization that launched conferences around Technology Entertainment and Design in 1984. At the time these talks really were revolutionary, and were eagerly shared via that other wonder of the modern world\u2014the internet. <\/span><\/p>\n

Importantly, TED has subsequently worked hard to stay current and user-friendly. They understand that a speaker riding a unicycle while performing beat-poetry (we made that up) might be oodles of fun, but not necessarily fit-for-task. Moreover, for everything gained, something may be lost. Bite-sized inspiration is easy to digest, but doesn\u2019t always offer nutritional balance. Before we overdo this dietary analogy, the point is that we still need nuance, detail, thought, and debate. Above all, we need a conversation. <\/span><\/p>\n

TED releases long form interview <\/span>podcasts<\/span><\/a> from speakers where the backstory can be further dissected. These complement rather than compete with the flash-bang of the big stage performance. Long-form conversational podcasts include three hour offerings from celebrity-atheist <\/span>Sam Harris<\/span><\/a>, the polymath <\/span>Joe Rogan<\/span><\/a> and Canada\u2019s most unapologetic man, Jordan Petersen. Of note, these are hugely popular, and assuming that most-downloaded equals most-influential. Regardless, the popularity of long-form argues that learners do not have the attention span of a goldfish. Moving back to our more comfortable dietary analogy: we all enjoy tapas, but we will also order an entire meal: it just needs to be tasty.<\/span><\/p>\n

The value of a medical conferences will always be in its unscripted conversations and the discussion afterwards that matters most. It\u2019s that lightbulb moment when we realize we need international coordination and collaborative research. Importantly, these disruptive discussions often occur away from the stage\u2019s twinkling lights. Accordingly, the best conference makes time for breaks, encourages the hoisting of pints, and emphasizes that debate long outlive the event. Notably, <\/span>the disruptive and marvellous EMCrit Conference<\/span><\/a> no longer promotes speakers, but rather people to speak with. The organisers provide a platform, a relaxing setting, along with time and space to simply talk. Like us they seem eager to celebrate the long-lost art of conversation. After all, some things should never get old. <\/span><\/p>\n

Matt Morgan<\/strong> is\u00a0<\/span><\/i>Honorary Senior Research Fellow at Cardiff University, Consultant in Intensive Care Medicine, R&D lead for Critical Care at University Hospital of Wales, and an editor of BMJ OnExamination<\/a><\/em>. He is on twitter\u00a0@dr_mattmorgan<\/a><\/span><\/p>\n

Peter Brindley<\/strong>, Professor of Critical Care Medicine, Medical Ethics, Anesthesiology at University of Alberta, Canada. He is on twitter @docpgb<\/a><\/span><\/i><\/p>\n

Competing interests<\/strong>: None declared.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

We two authors used to attend medical conferences that felt more like pathetic gladiator battles. Weapons included poison-tipped USB sticks, monotone delivery, and a complete lack of eye-contact. The audience\u2019s […]<\/p>\n

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