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

About Us (me) Any reputable website has “About Us” section

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

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

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

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

Web 2.0/Social Media in Medicine

What is Web 2.0 ? The web world has changed before our eyes

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

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

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

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

RSS Podcast Write/Collaborate Blog Twitter Social network - Facebook

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

Why should I care about Web 2.0?

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

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

How can I use Web 2.0?

RSS Podcast Write/Collaborate Blog Twitter Social network - Facebook

RSS

What is RSS ? RSS = R eally S imple S yndication A hybrid between a personal assistant and your “inbox for the web”

RSS = R eally S imple S yndication

A hybrid between a personal assistant and your “inbox for the web”

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

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

Choose your RSS feed

This is how my Google Reader looks like – inbox for the web

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

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

Make your own “medical journal” Combine RSS feeds from the journals you read into one easy-to-scan page Use iGoogle or other aggregators

Combine RSS feeds from the journals you read into one easy-to-scan page

Use iGoogle or other aggregators

Make your own journal with iGoogle

PubMed and RSS Why and how to do use it?

Why and how to do use it?

Search and export to RSS

Export to RSS feed

Click “Create Feed”

Subscribe to this specific RSS feed in your RSS reader of choice: Google Reader, iGoogle, Bloglines

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

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

Google Reader = Inbox for the web

Information Flow

RSS Podcast Write/Collaborate Blog Twitter Social network - Facebook

Podcast

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

Podcast = po rtable broad cast (audio file)

i Phone/iPod file

It’s portable, you can take it with you whenever you go

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

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

Videocast Same as podcast but with video Video lectures in your area of interest are available from iTubes

Same as podcast but with video

Video lectures in your area of interest are available from iTubes

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

ACC Conversations with Experts

Johns Hopkins Medicine

JAMA Audio Commentary

NEJM This Week

The Lancet

How to listen to podcasts? P P odcast P ortable audio P C P od, iPhone/iPod and iTunes

P

P odcast

P ortable audio

P C

P od, iPhone/iPod and iTunes

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

Set up a search query

Get updated any time something new is published about your search term

Search for a particular topic, choose “News”

Subscribe to the RSS feed for your “persistent search”

RSS Podcast Write/Collaborate Blog Twitter Social network - Facebook

Write/Collaborate Online with Google Docs

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

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

RSS Podcast Write/Collaborate Blog Twitter Social network - Facebook

Blog

What is a blog? Blog = Web log Easy-to-make website

Blog = Web log

Easy-to-make website

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/

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/

List of Medical Bloggers Categorized by Specialty

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

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

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

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

How can I make a website? Google Blogger.com WordPress.com

Google Blogger.com

WordPress.com

What about those bloggers? Blogging can’t be serious, right? Right They may not be serious but they get millions of visitors

Blogging can’t be serious, right?

Right

They may not be serious but they get millions of visitors

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

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

More than 3 million page views since 2005

Visitors from all over the world

Visitors from all over the world: see who is on the website in real time

Visitors from all over the world – check the map

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

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

More and more people see the world through “Google eyes”

An Example of Web 2.0

Search Search for: Clinical Cases Clinical Cases Cardiology Clinical Cases Nephrology Procedure Note Admission Note Central Line

Search for:

Clinical Cases

Clinical Cases Cardiology

Clinical Cases Nephrology

Procedure Note

Admission Note

Central Line

#1 search result

#1 search result – higher than the American College of Cardiology and Medscape

#1 search result

#1 search result

#1 search result

#1 search result

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

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

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

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

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

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

Information Flow

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?

Patients will Google you

Your employers will Google you

Your colleagues will Google you

Your future spouse will Google you

What will they find?

Example

Your website will show in search results when someone searches for your name

Online CV Contact info

List publications, projects, etc.

List educational activities and interests

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

There are 18 identifiers that must not be present in the case description

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

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

RSS Podcast Write/Collaborate Blog Twitter Social network - Facebook

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

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

Information Flow

Twitter: Updates from conferences

Twitter: Journal Club Updates

Twitter: Health News Updates

Twitter: Workshop Updates

Twitter It only takes a cell phone Easy to do Microblog Follow/followers

It only takes a cell phone

Easy to do

Microblog

Follow/followers

Information Flow

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

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

Questions? Please email clinicalcases@gmail.com