Blockchain and Holochain in Medical Education from Planetary Health and Climate Change Perspectives

Authors

DOI: https://doi.org/10.6018/edumed.560581
Keywords: blockchain, Holochain, planetary health, climate change, medical education

Abstract

As we are transitioning from the age of information to the age of artificial intelligence, this study aims to explore the potential of blockchain and Holochain technologies as solutions to the data privacy, security, and integrity concerns in medical education, and to provide standpoints of a medical education researcher for their use that also minimize negative impacts regarding planetary health and climate change. While these technologies offer promising solutions, their environmental impact has not been discussed in the literature with regard to medical education. This study offers two key standpoints for medical education researchers, educators, and policy makers to ensure the responsible use of Web3 technologies in this field. Standpoint 1: If the use of blockchain technology is necessary, avoid using proof-of-work blockchains. Standpoint 2: Use Holochain instead of blockchain.

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References

Wartman SA, Combs CD. Medical Education Must Move From the Information Age to the Age of Artificial Intelligence: Academic Medicine. 2018;93(8): 1107–1109. https://doi.org/10.1097/ACM.0000000000002044.

Thoma B, Turnquist A, Zaver F, Hall AK, Chan TM. Communication, learning and assessment: Exploring the dimensions of the digital learning environment. Medical Teacher. 2019;41(4): 385–390. https://doi.org/10.1080/0142159X.2019.1567911.

ten Cate O, Dahdal S, Lambert T, Neubauer F, Pless A, Pohlmann PF, et al. Ten caveats of learning analytics in health professions education: A consumer’s perspective. Medical Teacher. 2020;42(6): 673–678. https://doi.org/10.1080/0142159X.2020.1733505.

Masters K. Ethics in medical education digital scholarship: AMEE Guide No. 134. Medical Teacher. 2020;42(3): 252–265. https://doi.org/10.1080/0142159X.2019.1695043.

Gengoux GW, Roberts LW. Ethical Use of Student Profiles to Predict and Prevent Development of Depression Symptoms During Medical School: Academic Medicine. 2019;94(2): 162–165. https://doi.org/10.1097/ACM.0000000000002436.

Meunier S. Blockchain 101. In: Transforming Climate Finance and Green Investment with Blockchains. Elsevier; 2018. p. 23–34. https://doi.org/10.1016/B978-0-12-814447-3.00003-3. [Accessed 1st March 2023].

Kıyak YS, Poor A, Budakoğlu Iİ, Coşkun Ö. Holochain: a novel technology without scalability bottlenecks of blockchain for secure data exchange in health professions education. Discover Education. 2022;1(1): 13. https://doi.org/10.1007/s44217-022-00013-y.

Nabben K. Web3 as ‘self-infrastructuring’: The challenge is how. Big Data & Society. 2023;10(1): 205395172311590. https://doi.org/10.1177/20539517231159002.

Zaman S, Khandaker MRA, Khan RT, Tariq F, Wong KK. Thinking Out of the Blocks: Holochain for Distributed Security in IoT Healthcare. IEEE Access. 2022;10: 37064–37081. https://doi.org/10.1109/ACCESS.2022.3163580.

Brock A, Zemel J. Unenclosable Carriers and the Future of Communication. Holochain. 2020. https://medium.com/holochain/unenclosable-carriers-and-the-future-of-communication-4ac6045ac894 [Accessed 7th April 2022].

Goshua A, Gomez J, Erny B, Burke M, Luby S, Sokolow S, et al. Addressing Climate Change and Its Effects on Human Health: A Call to Action for Medical Schools. Academic Medicine. 2021;96(3): 324–328. https://doi.org/10.1097/ACM.0000000000003861.

Schwerdtle PN, Maxwell J, Horton G, Bonnamy J. ‘12 tips for teaching environmental sustainability to health professionals’. Medical Teacher. 2020;42(2): 150–155. https://doi.org/10.1080/0142159X.2018.1551994.

Shaw E, Walpole S, McLean M, Alvarez-Nieto C, Barna S, Bazin K, et al. AMEE Consensus Statement: Planetary health and education for sustainable healthcare. Medical Teacher. 2021;43(3): 272–286. https://doi.org/10.1080/0142159X.2020.1860207.

Wellbery C, Sheffield P, Timmireddy K, Sarfaty M, Teherani A, Fallar R. It’s Time for Medical Schools to Introduce Climate Change Into Their Curricula: Academic Medicine. 2018;93(12): 1774–1777. https://doi.org/10.1097/ACM.0000000000002368.

Xie M, Liu J, Chen S, Lin M. A survey on blockchain consensus mechanism: research overview, current advances and future directions. International Journal of Intelligent Computing and Cybernetics. 2022; https://doi.org/10.1108/IJICC-05-2022-0126.

Douceur JR. The Sybil Attack. In: Druschel P, Kaashoek F, Rowstron A (eds.) Peer-to-Peer Systems. Berlin, Heidelberg: Springer Berlin Heidelberg; 2002. p. 251–260. https://doi.org/10.1007/3-540-45748-8_24. [Accessed 12th March 2023].

Schinckus C. Proof-of-work based blockchain technology and Anthropocene: An undermined situation? Renewable and Sustainable Energy Reviews. 2021;152: 111682. https://doi.org/10.1016/j.rser.2021.111682.

Mora C, Rollins RL, Taladay K, Kantar MB, Chock MK, Shimada M, et al. Bitcoin emissions alone could push global warming above 2°C. Nature Climate Change. 2018;8(11): 931–933. https://doi.org/10.1038/s41558-018-0321-8.

Dittmar L, Praktiknjo A. Could Bitcoin emissions push global warming above 2 °C? Nature Climate Change. 2019;9(9): 656–657. https://doi.org/10.1038/s41558-019-0534-5.

Houy N. Rational mining limits Bitcoin emissions. Nature Climate Change. 2019;9(9): 655–655. https://doi.org/10.1038/s41558-019-0533-6.

Masanet E, Shehabi A, Lei N, Vranken H, Koomey J, Malmodin J. Implausible projections overestimate near-term Bitcoin CO2 emissions. Nature Climate Change. 2019;9(9): 653–654. https://doi.org/10.1038/s41558-019-0535-4.

De Vries A. Cryptocurrencies on the road to sustainability: Ethereum paving the way for Bitcoin. Patterns. 2023;4(1): 100633. https://doi.org/10.1016/j.patter.2022.100633.

Alammary A, Alhazmi S, Almasri M, Gillani S. Blockchain-Based Applications in Education: A Systematic Review. Applied Sciences. 2019;9(12): 2400. https://doi.org/10.3390/app9122400.

Funk E, Riddell J, Ankel F, Cabrera D. Blockchain Technology: A Data Framework to Improve Validity, Trust, and Accountability of Information Exchange in Health Professions Education. Academic Medicine. 2018;93(12): 1791–1794. https://doi.org/10.1097/ACM.0000000000002326.

Park J. Promises and challenges of Blockchain in education. Smart Learning Environments. 2021;8(1): 33. https://doi.org/10.1186/s40561-021-00179-2.

Rathod J, Gupta A, Patel D. Using Blockchain Technology for Continuing Medical Education Credits System. In: 2020 Seventh International Conference on Software Defined Systems (SDS). Paris, France: IEEE; 2020. p. 214–219. https://doi.org/10.1109/SDS49854.2020.9143876. [Accessed 16th July 2022].

Loukil F, Abed M, Boukadi K. Blockchain adoption in education: a systematic literature review. Education and Information Technologies. 2021;26(5): 5779–5797. https://doi.org/10.1007/s10639-021-10481-8.

Thibault LT, Sarry T, Hafid AS. Blockchain Scaling Using Rollups: A Comprehensive Survey. IEEE Access. 2022;10: 93039–93054. https://doi.org/10.1109/ACCESS.2022.3200051.

Walsh K. Could blockchain be applied to healthcare professional education?. The BMJ. 2019. https://blogs.bmj.com/bmj/2019/04/25/kieran-walsh-could-blockchain-be-applied-to-healthcare-professional-education/ [Accessed 10th March 2023].

Yang G. An Overview of Current Solutions for Privacy in the Internet of Things. Frontiers in Artificial Intelligence. 2022;5: 812732. https://doi.org/10.3389/frai.2022.812732.

Zhoua Q, Huang H, Zheng Z, Bian J. Solutions to Scalability of Blockchain: A Survey. IEEE Access. 2020;8: 16440–16455. https://doi.org/10.1109/ACCESS.2020.2967218.

Fritsch F, Emmett J, Friedman E, Kranjc R, Manski S, Zargham M, et al. Challenges and Approaches to Scaling the Global Commons. Frontiers in Blockchain. 2021;4: 578721. https://doi.org/10.3389/fbloc.2021.578721.

Holochain. Get Started - Holochain Docs. https://developer.holochain.org/ [Accessed 3rd April 2023].

Poor AJ. Data Sovereignty in Action: Designing Building and Implementing a Radically Distributed Health Information System in Aotearoa New Zealand. Auckland University of Technology; 2022.

Holo. Holo. https://holo.host/ [Accessed 12th March 2023].

Published
04-04-2023
How to Cite
Kıyak, Y. S. (2023). Blockchain and Holochain in Medical Education from Planetary Health and Climate Change Perspectives. Spanish Journal of Medical Education, 4(1). https://doi.org/10.6018/edumed.560581