Web2 0 in Medicine - 2009 Update

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  • 1. Web 2.0/Social Media in Medicine Author: Ves Dimov, MD Allergy and Immunology Fellow, Creighton University, Division of Allergy & Immunology, Member of the New England Journal of Medicine Advisory Board for Students and Residents, Former Clinical Assistant Professor of Medicine, Cleveland Clinic and Case Western Reserve University Last updated: 04/22/2009
  • 2. About Us (me) Any reputable website has “About Us” section
  • 3. Who are you to talk to me about Web 2.0 and websites?
      • I have made 9 educational websites: for Cleveland Clinic, University of Miami, Case Western Reserve University and personal
      • They have been featured multiple times in BMJ, Medscape, peer reviewed journals
      • Abstracts presented at multiple national and international scientific meetings
  • 4.  
  • 5. How many people visit your website?
      • Three million page views since 2005. It feels as if you have written a book and somebody reads 3,000 pages of it… every day
      • 1.3 million visitors from all over the world, probably a larger readership than many journals
      • Google loves quality content
  • 6. Web 2.0/Social Media in Medicine
  • 7. What is Web 2.0 ? The web world has changed before our eyes
  • 8. What is Web 2.0?
      • Web 2.0 is a collection of (mostly) free web services
      • You can’t buy Web 2.0 at the store but you can use it today
  • 9. Web 1.0 vs. Web 2.0
      • Web 1.0 users follow links to content
      • Web 2.0 users comment, edit and create content
      • It is user-created content. For the user, by the user
  • 10. RSS Podcast Write/Collaborate Blog Twitter Social network - Facebook
  • 11. Web 1.0 / Web 2.0 G Docs & Spreadsheets MS Word Tags - De.licio.us Directories , Favorites  Wikipedia Britannica Online  Syndication, RSS , Podcast, website follows you Stickiness, stay on the website  Participation ( blogs , comments, Twitter) Publishing ( websites )  Search, like Google Portal, like Yahoo Web 2.0 Web 1.0 
  • 12. Why should I care about Web 2.0?
  • 13. Where is my place in all that?
      • Everybody is busy
      • Web 2.0 saves time by helping you get exactly the information you are interested in
      • Blogs and Twitter let you create content and share it with others – this is content created FOR the user BY the user
  • 14. How can I use Web 2.0?
  • 15. RSS Podcast Write/Collaborate Blog Twitter Social network - Facebook
  • 16. RSS
  • 17. What is RSS ?
      • RSS = R eally S imple S yndication
      • A hybrid between a personal assistant and your “inbox for the web”
  • 18. RSS to Master the Information Overflow
      • Get only the news you want  River of news concept, e.g. Medscape
      • "It's like having a personal assistant who goes through every publication and blog that could possibly interest you and picks out stories to bring to your attention" - PC Magazine
      • Instead of visiting 20 websites per day, let them send information to you, Google Reader  or Bloglines
  • 19. Choose your RSS feed
  • 20. This is how my Google Reader looks like – inbox for the web
  • 21. RSS
      • S ubscribe to specific searches on Pubmed (e.g. statins and dementia), or any search engine and collect them in one place
      • S ubscribe to the major medical journals RSS feeds
  • 22. Make your own “medical journal”
    • Combine RSS feeds from the journals you read into one easy-to-scan page
    • Use iGoogle or other aggregators
  • 23. Make your own journal with iGoogle
  • 24. PubMed and RSS
    • Why and how to do use it?
  • 25. Search and export to RSS
  • 26. Export to RSS feed
  • 27. Click “Create Feed”
  • 28. Subscribe to this specific RSS feed in your RSS reader of choice: Google Reader, iGoogle, Bloglines
  • 29. RSS = Inbox for the Web
      • RSS is like you email “inbox for the web”
      • Collects all the information you need in one place
      • I rarely visit websites anymore despite following more than 350 sites a day
      • RSS reader is the central point
  • 30. Google Reader = Inbox for the web
  • 31. Information Flow
  • 32. RSS Podcast Write/Collaborate Blog Twitter Social network - Facebook
  • 33. Podcast
  • 34. What is a podcast?
      • Podcast = po rtable broad cast (audio file)
      • i Phone/iPod file
      • It’s portable, you can take it with you whenever you go
  • 35. Podcast
      • Podcast is a downloadable audio file. You can subscribe via RSS
      • Most major journals feature weekly audio summary of contents
      • You can listen when you commute to work or exercise
      • Make CME portable by using text-to-speech
  • 36.  
  • 37.  
  • 38. Videocast
    • Same as podcast but with video
    • Video lectures in your area of interest are available from iTubes
  • 39. Top 5 Medical Podcasts
      • ACC Conversations with Experts
      • Johns Hopkins Medicine
      • JAMA Audio Commentary
      • NEJM This Week
      • The Lancet
  • 40. How to listen to podcasts?
      • P
      • P odcast
      • P ortable audio
      • P C
      • P od, iPhone/iPod and iTunes
  • 41. Persistent Search
      • Set up a search query
      • Get updated any time something new is published about your search term
  • 42. Search for a particular topic, choose “News”
  • 43. Subscribe to the RSS feed for your “persistent search”
  • 44. RSS Podcast Write/Collaborate Blog Twitter Social network - Facebook
  • 45. Write/Collaborate Online with Google Docs
  • 46. Google Docs is for Writing and Collaboration
      • Online alternatives to MS Word Excel and PowerPoint
      • Several users can revise a document at the same time, compare the revisions
      • No more emailing back and forth different versions of a Word document
      • Export to MS Word, Excel or PDF
  • 47. RSS Podcast Write/Collaborate Blog Twitter Social network - Facebook
  • 48. Blog
  • 49. What is a blog?
      • Blog = Web log
      • Easy-to-make website
  • 50. Find bloggers in your specialty
      • For example: Psychiatry
      • Shrink Rap - http://psychiatrist-blog.blogspot.com
      • Dr. Shock - http://www.shockmd.com
      • Why am I Still Here? - http://tinyshrink.blogspot.com
      • PsychCentral - http://psychcentral.com/blog
      • Dr. Sanity - http://drsanity.blogspot.com/
  • 51.  
  • 52.  
  • 53. List of Medical Bloggers Categorized by Specialty
  • 54. How to start a blog
      • Web 2.0 = Give the power back to the user
      • It’s not difficult at all
      • Creating a website is as easy as opening an email account
      • Maintaining a website is even easier
  • 55. How easy?
      • Google’s Blogger claims that it takes 5 minutes to start a website
      • The NY Times gave it a try and it took them 4 minutes
  • 56. How can I make a website?
      • Google Blogger.com
      • WordPress.com
  • 57. What about those bloggers?
      • Blogging can’t be serious, right?
      • Right
      • They may not be serious but they get millions of visitors
  • 58. Compare
      • Cleveland Clinic CME website receives 1.3 million visitors per YEAR
      • I have 700,000 visitors per year
      • DailyKos has 5.4 million per WEEK, 700,000 per day. This is the CCF CME yearly count in 2 days
  • 59. More than 3 million page views since 2005
  • 60. Visitors from all over the world
  • 61. Visitors from all over the world: see who is on the website in real time
  • 62. Visitors from all over the world – check the map
  • 63. Blogosphere
      • The collection of blogs on the Internet is called blogosphere and is doubling in size every 5 months
      • A new blog is created every second
  • 64.  
  • 65. More and more people see the world through “Google eyes”
  • 66. An Example of Web 2.0
  • 67. Search
      • Search for:
      • Clinical Cases
      • Clinical Cases Cardiology
      • Clinical Cases Nephrology
      • Procedure Note
      • Admission Note
      • Central Line
  • 68. #1 search result
  • 69. #1 search result – higher than the American College of Cardiology and Medscape
  • 70. #1 search result
  • 71. #1 search result
  • 72. #1 search result
  • 73. #1 search result
  • 74.  
  • 75. ClinicalCases.org
      • A website based on the Google blog platform
      • It is NOT a blog
      • This is a small example of Web 2.0
      • See the visitors statistics
  • 76.  
  • 77. 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 from it with Google AdSense
  • 78. Why do I need a website?
      • Collect interesting articles
      • Write down research ideas
      • Collect interesting cases
      • Make your own educational portfolio and share it with the world
      • Post your resume/CV
      • Make a website for your practice
  • 79. Information Flow
  • 80. Make yourself Google-able
    • Patients will Google you
    • Your employers will Google you
    • Your colleagues will Google you
    • Your future spouse will Google you
    • What will they find?
  • 81. Example
  • 82. Your website will show in search results when someone searches for your name
  • 83. Online CV Contact info
  • 84. List publications, projects, etc.
  • 85. List educational activities and interests
  • 86. How about HIPAA and patient cases?
      • There are 18 identifiers that must not be present in the case description
  • 87. How to blog and not get fired?
      • Always check with your boss
      • C omply with the institutional blogging guidelines (if available)
      • Your patients may be blogging about you
      • Do not blog about them in any HIPAA-identifiable way
  • 88. RSS Podcast Write/Collaborate Blog Twitter Social network - Facebook
  • 89.
    • Twitter is a microblogging service where people answer the question "What are you doing?" via 140-character messages from their cellphone, laptop or desktop
    • You can select the messages (called "tweets") that you find useful, amusing, or both
    • Micro-blogging on Twitter is easy, fun and can be very useful and educational if you follow/subscribe to interesting people
  • 90. Information Flow
  • 91.  
  • 92.  
  • 93. Twitter: Updates from conferences
  • 94.  
  • 95. Twitter: Journal Club Updates
  • 96. Twitter: Health News Updates
  • 97. Twitter: Workshop Updates
  • 98. Twitter
    • It only takes a cell phone
    • Easy to do
    • Microblog
    • Follow/followers
  • 99. Information Flow
  • 100. Summary
      • Web 2.0 offers a great opportunity. We should use it to:
      • Benefit our patients
      • Stay updated
      • Share knowledge with medical professional all over the world
      • Take research collaboration to the next level
      • Career advancement
  • 101. Questions? Please email clinicalcases@gmail.com