1. Medicine 2.0 Doctors and their online presence Author: Eileen Gaspar, MD Resident, Kaiser Oakland Medical Center December 2009

3. What is Medicine 2.0?

4. The main concept of web 2.0 is that you don’t need IT training

5. Web 1.0 – ”The Static Web”

6. Web 1.0 users follow links to content

7. Web 1.0 – ”The Static Web”

10. What is Web 2.0?

12. Web 2.0 users comment, edit and create content

14. 45 million users in 1996

15. 250,000 sites

16. 80,000,000 sites

17. 1,000,000,000 + users

18. Web 1.0 Web 2.0

19. Medicine 2.0 = Medicine + Web 2.0

20. “Use of a specific set of web tools (blogs, podcasts, etc)

21. by actors in health care including doctors, patients, and scientists

22. using principles of open source and generation of content by users, and the power of networks

23. to personalize health care, collaborate, and promote health education.”

26. Does it do something useful?

27. What are those things you hate about the web?

32. …and attitude

33. The tools

35. RSSPodcastWrite/CollaborateBlog

36. RSS

37. What is RSS? RSS = Really Simple Syndication A hybrid between a personal assistant and your “inbox for the web”

39. Search PubMed

40. Click on RSS symbol

41. Click on: XML

42. Determine Settings & Click: Subscribe NOW

43. Click on Google Reader

44. Start reading…

45. Persistent Search Set up a search query Get updated any time something new is published about your search term

46. Podcast

47. Podcast = portable broadcast (audio file) iPod file It’s portable, you can take it with you whenever you go

49. Top 5 Podcasts ACC Conversations with Experts Johns Hopkins Medicine JAMA Audio Commentary NEJM This Week Lancet

50. How to listen to podcasts? P Podcast Portable audio P C Pod iPod/iTunes

51. Videocast Health Edge by the Cleveland Clinic JAMA

52. Collaboration

53. Write / Collaborate online

54. Collaboration

55. Blog

56. What is a blog? Web log

60. Clinical Cases and Images A website based on blog platform It is NOT a blog This is a small example of Web 2.0

61. Blogosphere Collection of blogs on the Internet is called blogosphere and is doubling in size every 5 months A new blog is created every second

63. Using Blogging Software to Create a "Regular" Website You don’t have to be a blogger to use blogging software You can create a regular website (NOT a blog) for free, host it for free and even make money off of it with Google AdSense

65. Social MEdia

66. Umbrella term used to describe media which are formed mainly by the public as a group, in a social way, rather than media produced by journalists, editors and media conglomerates

67. It’s also a fancy way to describe zillions of conversations people are having online 24/7

82. Information mulch aggregation Sunlight Readership Sunlight Water – Rain News, RSS, FF, Life Blog Blog Posts Social Network Flower Organic Content Information Mulch

93. Guess where I'm at? @eileengmd

94. @singleguycooksThx for the tip- free ice cream @ Fenton's for 115th bday @eileengmd

95. Wtf is happening to the Bay Bridge? Looks like part of it fell off and hit some cars. Blocking 2 lanes wowow @larfo

96. Twitter for questions

102. What sparks a tweet?

109. How Are Hospitals Using Social Media? Customer ServiceAnother contact point for our customers Community OutreachThe people in our physical community are on these sites EducationA natural extension of our efforts to reach & teach RecruitmentLinkedIn, Facebook and other tools are used to recruit Clinical and Administrative staff

110. Current Hospitals with Social Media Accounts

111. Rapid Growth – YouTube & Twitter Number of Hospital Accounts by Month

112. Community Outreach – Sutter Medical Center twitter.com/SutterEdenMed Sutter Eden Medical Engages the local community about hospital building plans with this blog and a Twitter feed. suttermedicalcentercastrovalley.org

113. Real-time Education - Aurora Health Care Bilateral knee replacement surgery In the first wave of Live OR Twitter events Advance marketing built viewership from 900 to 2,000 followers in one week Local / National press coverage “Had this done about 2 years ago but I know I will learn more today being awake” “I heard about this on GMA this morning and got excited”

114. We are closing—tumor is out and patient can speak fluently @HenryFordNews

118. Crisis Communications – Scott and White

119. Our ER is currently not accessible to the public, however, ALL other S&W operations/facilities remain open

120. People local to Fort Hood can call 254-724-4376 to reach @SWHealthcare about blood needs

122. Social Media “Kits” – Badges, embedded widgets, content syndication

123. Coordinating with independent bloggers

124. Multiple Twitter feeds with over 800,000 followers

128. What happens in Vegas…

129. What happens in Vegas, stays on

130. What happens in Vegas, stays on

131. What’s stays in Vegas, stays on

133. The intersection of online social networking with medical professionalism.

135. Online posting of unprofessional content by medical students.

138. How about HIPAA and patient cases? There are 18 identifiers that must not be present in the case description

139. How not to blog and get fired? Always check with your boss Comply with the institutional blogging guidelines (if available) Your patients may be blogging about you Do not blog about them in any HIPAA-identifiable way

140. FACEBOOK FLIRTS

141. PRIVACY

142. PRIVACY

146. Web 2.0 Services I Use Google GMail Google Docs & Spreadsheets Blogger Google Calendar iTunes twitter

147. Why should I care about medicine2.0?

151. Credits and Acknowledgements VesDimov “Web 2.0 and Medicine” BertalanMesko “Practicing Medicine in the Web 2.0 Era” Jacqueline Limpens “Introduction Medicine 2.0” Jacquelyn Cyr “What the F**K is Social Media: One Year Later” Jason Bhan “Social Media: Patients And Providers” Dean Guistini “Social Media For LIBR500” Cameron Neylong “The Web as a Tool Rather than a Threat” Ed Bennett “Hospitals & Social Media” Mike Cadogan “The Blogging Ecoystem”

152. Credits and Acknowledgements Lemley, T. “Web 2.0 Tools in Medical and Nursing School Curricula” J Med Libr Assoc 2009 January 97 (1): 50-52 Jain, SH. “Practicing Medicine in the Age of Facebook .” NEJM 2009 Aug 13; 361 (7) :649-651 Chen, Pauline. “Medicine in the Age of Twitter.” New York Times. 2009 June 11 Grossman, Lev. “Time's Person of the Year: You.” TIME 2006 Dec 13 Eysenbach, G. “Medicine 2.0: Social Networking, Collaboration, Participation, Apomediation, and Openness .” J Med Internet Res. 2008 Jul–Sep; 10(3): e22. Hughes, B. “Junior physician's use of Web 2.0 for information seeking and medical education: a qualitative study.” Int J Med Inform. 2009 Oct;78(10):645-55 Chretien, K. “Online Posting of Unprofessional Content by Medical Students” JAMA. 2009;302(12):1309-1315. Thompson, LA. “The Intersection of Online Social Networking with Medical Professionalism.” J Gen Intern Med. 2008 Jul;23(7):954-7.

153. Credits and Acknowledgements Websites: Clinical Cases and Images http://casesblog.blogspot.com/ Science Roll http://casesblog.blogspot.com/ Laika’sMedLibLoghttp://laikaspoetnik.wordpress.com Life in the Fast Lane http://lifeinthefastlane.com 33 charts http://www.33charts.com Stock Exchange photos http://www.sxc.hu/