Medicine 2.0

Medicine 2.0 The beginning of a new era with web 2.0 and medicine Bertalan Meskó University of Debrecen, Hungary Faculty of Medicine May 3, 2007

Why me? My English medical blog (http://scienceroll.com) had 220,000 visitors in 5 months. More than 150 medical blogs link to me. I've been a host of Grand rounds, the weekly blog carnival of the best of the medical blogosphere. My Hungarian medical blog (http://mediq.blog.hu) had 65,000 viewers in 2 months, more than 350 blogs link to me. In Medgadget’s Weblog Awards, Scienceroll got special mention in the best new medical blog category. In the English Wikipedia, I'm the maintainer of the medicine portal, medicine wikiproject, medical collaboration of the week and I'm the creator and maintainer of the medical genetics wikiproject.

Why me? ↓ Brandon Keim, a well-known, freelance science and culture writer and news intern at Nature Medicine asked me to give him an interview about my experiences in Wikipedia and to talk about the future of online encyclopedias. (News@Nature 13, 231 - 233 or Wikimedia; Nature Medicine; March of 2007 ) An interview with Nicholas Genes was published on Medscape journal. (Med Student Helping Shape Medicine on the 'Net)

Why have all of these things happened to me? Because the topic is new, mostly uncovered and the importance of this field is exponentially growing: In 2006, Time's Person of the Year was You, the user of World Wide Web .

So what is that Web 2.0? Web 2.0 is a collection of second generation services which are based on communities and collaboration. It doesn't differ physically from the web itself, but has many advantages.

What are these advantages? Saves time (RSS, Podcast, Videocast) Makes it possible to share knowledge and experience (Community sites; Wikipedia, Medical wikis) Makes it easier to follow the changes of our field of interest (PubMed RSS, Blogs)

Web 1.0  Web 2.0 Surfing on the net The content follows (following the content)  us (Feed, Podcast) Static homepages  Updated blogs Printed journals and Online journals and encyclopedias  Wikipedia Microsoft Word  Google Docs Google, Yahoo  Medical metasearch Databases  Medical wikis

What kind of web tools and sites could ease the work of physicians, researchers and users seeking medical information?

Medical blog RSS Podcast, Videocast Wikis Medical search Content sharing sites Virtual World Online communities Companies, E-book Online writing

Medical blogosphere A blog is a user-generated website where entries are made in journal style and displayed in a reverse chronological order. According to Technorati, there more than 75 million blogs in the world. Subgroups: blogs of physicians, hospitals, nurses, medical students, health care lawyers (blawgers) There are hundreds of medical blogs, and the number is still growing.

Why to deal with blogs? Articles of blogs are not referenced in medical papers yet, but medical blogs have more and more readers:

Why to deal with blogs? The number of blogs is duplicated every 5-6 months, so in September of 2007, every 50th person in the world will have a blog. According to the surveys of HealthCare Vox and iHealthBeat: 93% of medical bloggers have been blogging less than 3 years, 52% have been blogging less than a year 8.9 million US adults reported reading health blogs on-line British Medical Journal and Medscape have featured medical bloggers many times.

Famous blogs by subject and profession Medical Technology: Physician: Medgadget Kevin, MD Doc in the Machine Health Care Lawyer: Genetics: Health Care Law Blog Eye on DNA Medical Student: Sandwalk Vitum Medicinus Neurology: Nurse: Neurophilosophy Emergiblog Medical Imaging: Medical Librarian: Street Anatomy David Rothman's Blog

Blog carnivals But you can't run through all the best blogs day by day, so medical bloggers collect the best posts, articles for you: Grand rounds: the weekly rotating carnival of the best of the medical blogosphere Gene Genie: a blog carnival of genes, clinical genetics and the news of genomics Mendel's Garden: a blog carnival devoted to genetics

What is RSS? RSS = Really Simple Syndication RSS is a family of web feed formats used to publish frequently updated digital content, such as blogs, news feeds or podcasts. Programs known as feed readers or aggregators can check a list of feeds on behalf of a user and display any updated articles that they find.

What is RSS or web feed good for? To follow the search results of PubMed To follow medical journals, medical blogs without visiting dozens of blogs and journals a day How to read it? Via Bloglines.com, Netvibes.com or Google reader, web browsers Via program: feedreader.com An easy and comfortable method to follow the changes of our field of interest.

Create PubMed RSS feed to follow search results automatically

How to subscribe to a blog's RSS feed? Click on the Feed icon!

Copy the link of the feed

Insert it into your feedreader program, browser or online feedreader

Click OK! And you're ready... Let the information come to you!

What if the site doesn't contain feed? For feedless sites and blogs, the solution is Feed43. Feed43 is an online service that allows you to create your own news feeds in RSS format for any web site, that is to monitor any web site from within news reader.

Podcast PodCast: Portable broadcast A portable audio file (or video file: videocast) that you can listen to while working, doing exercises Most of the medical journals maintain podcasts (and now more and more medical blogs do) Medical Podcats Podcast Directory of Medicine

Top Podcasts ACC Conversations with Experts Journal of the American Medical Association New England Journal of Medicine Lancet John Hopkins Medicine iCritical Care Podcast

Videocast Videocast is the online delivery of video on demand video clip content via RSS. It's the same as podcast but in video format. National Institute of Health VideoCasting Cleveland Clinic Videocast

Wikipedia Wikipedia is the free encyclopedia that anyone can edit. Why is it important? 4 million users 1.7 million articles More than 200 languages For many searches, the Wikipedia article is among the first results (Google loves content)

Reliability of Wikipedia Here, I listed 6 articles of the List of causes of death by rate and counted the number of references and external links in them. What I wanted to show is that Wikipedia is improving on the field of reliability (and never forget that Wikipedia is a work in progress): Wikipedia Article Number of references Number of external links 2006 2007 2006 2007 Cardiovascular diseases 2 10 0 10 Cancer 6 26 13 31 Stroke 10 26 4 8 Respiratory system article 1 5 2 3 HIV/AIDS 61 144 19 42 COPD 5 39 2 7

What is a wiki? A wiki is a website that allows visitors to add, remove, edit and change content, typically without the need for registration. It also allows for linking among any number of pages. This ease of interaction and operation makes a wiki an effective tool for mass collaborative authoring.

Other Medical Wikis Ask Dr Wiki Radiopaedia Wikisurgery Ganfyd AIDS Wiki Wiki MD WikiKidney Medical Images Wiki Nursing Wiki WikiCancer

Medical search engines Search engines (like Google, Yahoo) don't select among sources, that's why many of the medical search results can't be relevant. But medical search engines use peer-reviewed sources and sites selected by experts providing the most relevant and reliable medical information of the best quality.

Medical search engines Healthline Mammahealth Medhunt Google Health OmniMedicalsearch: a metasearch engine for the medical search engines Genetic Search Toolbox

Google Scholar Google Scholar: provides a simple way to broadly search for scholarly literature. From one place, you can search across many disciplines and sources: peer-reviewed papers, theses, books, abstracts and articles, from academic publishers, professional societies, preprint repositories, universities and other scholarly organizations. Features of Google Scholar Search diverse sources from one convenient place Find papers, abstracts and citations Locate the complete paper through your library or on the web Learn about key papers in any area of research

Content sharing sites Freely usable medical sources on the web: Youtube: medical video collection Flickr: medical image collections Clinical Cases: collection of cases

Second Life, the virtual world Second Life (at secondlife.com) is a 3-D virtual world entirely built and owned by its residents. Today it is inhabited by a total of about 6 million people from around the globe.

Medicine in the virtual world Virtual physician: Jude Lundquist Virtual hospitals Virtual equipments Virtual libraries

A wonderful project: Ann Myers Medical Center AMMC was created to test the possibilities of virtual training for First Life medical and nursing students. The goals of the AMMC are: A student will right click on an ECG machine and be taken to a URL, where they will have to accurately diagnose the medical issue through analysis of telemetric outputs. They will be assisting students to become more proficient in the analysis of MRIs, CTs and X-rays. AMMC will also be training psychology students in various methodologies and treatment protocols.

Listen to Cardiac Murmurs!

New opportunities You can arrange meetings, classes, conferences in Second Life, you can give slideshows to your students or collegues.

Online community sites User driven social content websites. You can submit articles and others will read and rate your submission. So the community works as a screening system to feature the most important or most interesting medical articles. Digg.com/Health and Science.reddit.com

Online community sites Can laypeople determine properly a scientific article's scientific value? Probably not... What to do? BioWizard: A Digg-like site created for physicians and researchers. BioWizard users submit relevant, timely research articles they have found to be useful and interesting to the BioWizard site. Just perform your usual PubMed search on BioWizard and submit your favorite research. The articles you submit are then read by the rest of the community who promote articles they feel are deserving of recognition. The best articles in a research field are brought to the top page for all to read and discuss.

Biowizard.com

Online community sites Tiromed.com: free social networking, resource portal for physicians and students of medicine. You can: Find and share medical information Build network with colleagues, physicians, peers

Online community sites Sermo: physicians aggregate observations from their daily practice and then - rapidly and in large numbers - challenge or corroborate each others opinions, accelerating the emergence of trends and new insights on medications, devices and treatments.

Companies Organized Wisdom is a health-focused, social-networking site that enables consumers, physicians, healthcare professionals, and health organizations to collaborate on more than 6,500 health topics. Social MD: is a new way to network with other physicians. Whether you are a medical student, resident, fellow or physician you will find that SocialMD helps you to meet and network with other medical professionals. Revolution Health: a free, comprehensive health and medical information site, specifically designed with the Family’s Chief Medical Officer - women and other caregivers - in mind. It offers health information, treatment advice and more than 125 online tools.

E-book Electronically available, freely usable textbooks. medicalstudent.com avaxhome.ru ebooksclub.org: 4000 medical books gigapedia.org

Online collaboration Google Docs és Spreadsheets is a free web-based word processing and spreadsheet program that keeps documents current and lets the people you choose update files from their own computers. You can, for example, coordinate your student group's homework assignments or collaborate with remote colleagues on a new article. Just like you could use your Word or Excel online. You can save the results in Word, Excel or in pdf extensions. International collaborations use it regularly.

A few words about open access All works published in PLoS journals are open access, licensed under the Creative Commons Attribution License. Everything is immediately available online without cost to anyone, anywhere -to read, download, redistribute, include in databases, and otherwise use- subject only to the condition that the original authorship is properly attributed. Copyright is retained by the author. PloS Journals

What about the future? Web X? Web 3.0: Humans are capable of using the Web to carry out tasks such as finding the Finnish word for “car”, to reserve a library book, or to search for the cheapest DVD and buy it. However, a computer cannot accomplish the same tasks without human direction because web pages are designed to be read by people, not machines. The semantic web is a vision of information that is understandable by computers, so that they can perform more of the tedium involved in finding, sharing and combining information on the web.

Web 3.0 WikiProteins: it's going to be a universal protein database with clearly trackable content. Barend Mons, “a bioinformatician at the Erasmus Medical Centre in Rotterdam,” seeks to “meld some of the most important biomedical databases into a single information resource.” (Nature News, 15, Feb)

WikiProteins

References Ves Dimov's presentation (special thanks) Bob Coffield's presentation (special thanks) Judy Burnham's presentation (University of South Alabama, Biomedical Library) Bared Mons' presentation on web 3.0 BMJ: How Web 2.0 is changing medicine Wikipedia articles: RSS Blog Wiki Semantic Web

Thank you for your attention! If you have questions or suggestions: berci.mesko@gmail.com For further reading: Scienceroll Clinical Cases Blog Web 2.0 and Medicine Blog Medicine 2.0: the beginning of a new era

Medicine 2.0

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