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Take two tweets social media for doctors


Given 10/08/10 to the Medical Society of Johnson and Wyandotte Counties (Kansas)

Given 10/08/10 to the Medical Society of Johnson and Wyandotte Counties (Kansas)

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  • Intro
  • 15 sec
  • Understand the definitions and potential impact of social media and social networking on the palliative care field•Develop a comfort level with social media and reduce risk•Employ two social media platforms to advance palliative care knowledge among professionals and the public
  • >500M active users>50% log on each day700,000,000,000 minutes on Facebook per month30,000,000,000 items shared on Facebook each month10,000,000 become fans of pages each dayFacebook were a country it would be almost as large as the US – 300+million usersAverage user has 130 friends
  •  guest blogger  Mary Ann Belliveau, Google's health industry director, shares new findings and insights on how consumers find and use health information on the web.Just about everything is online these days and so, for users to be looking for health information on the web is almost a given.  But working 15 years in health care and nearly nine on this topic for Google, I’ve learned that “health” isn’t just another category of information.It’s different, and for the same reasons online as it is off: It is extremely sensitive, personal, and the stakes in its applications couldn’t be higher.Health-related information is one of the web’s most popular topics. According to a recently completed Google-commissioned study with the research and consulting firm OTX, 75 percent of patients research their conditions online before discussing them with a physician, and 70 percent said they search the web afterwards to learn more.  Search was the online tool of choice for most users, as 64 percent said that search engines were their first stops online, and 37 percent noted that they conduct health-related searches on a weekly basis.Search is just one of several tools that people employ to find health information online.  They’re also using social media tools, like YouTube, to view and to share this info as well.  Ho-hum, you might think; a little bit of everything is on YouTube, so in the 24 hours of video that are uploaded every minute to the site, a health-related clip must make it in there occasionally! Indeed, this is true, but like search, the health category isn’t a niche on the vast online universe.  Consider this: the ‘Health’ category on YouTube, according to our survey, was more popular than the ‘Sports,' 'Food,' and even 'Celebrity' categories.  Moreover, nearly one in three YouTube users said they watch health-related video, i.e. educational condition-specific videos, videos featuring experts (e.g. doctors), and videos about specific medications.The No. 1 thing we hear from patients and caregivers is a desire to hear from people in situations similar to their own. Video can help facilitate that.Online health information is driving users to take action and improve their conditions.  According to our survey findings, after searching for health info:55 percent changed behaviors/lifestyle52 percent made a self-diagnosis49 percent started an over-the-counter treatment46 percent told a doctor about a symptom I/someone else hadSimilarly on the video front, 43 percent of users that viewed health-related content subsequently performed searches about the video’s topic to learn more about it.Having watched the health space evolve over the last decade, what’s most encouraging to me about increased health-related web-usage is that patients are using the information they gather to make better, more informed health care decisions.
  • Social media and networking can be overwhelming especially when information is flying as fast as it does these days.What may seem like a bunch of companies with silly names is actually a new way to do what we have been doing in person for ages. Just more efficient and faster.
  • To work well try a conversation, not a lecture. Otherwise you would call it social broadcast media.It enhances and extends everyday interaction instead of regressing and replacing.Like the ocean it’s messy, disorganized & hard to control. You can drown or ride the wave.Like a fax, phone, letter or lecture It’s a tool, not an end-pointLike it or not, it’s where people spend their timeAdapted from Ed Bennett, Found in Cache
  • As new technologies emerge, an explosion of information occurs and the old technology usually becomes secondary to the emerging technology.
  • quills typeCreation/Invention (Time)A ThoughtAn ExpressionPublication (Time & Money)Mass ProductionDistribution
  • Mass ameteurizationFilter then publish reversed to publish then filter
  • Note these could be used for any other communication tool
  • This could also be said of just about any communication tool
  • A blog started in 2005 by Drew Rosielle, MD a palliative care fellow from the Medical College of WisconsinFocus - review articles from non-core palliative care journals for relevanceGoals – Promote discussion among palliative care docs, an educational reference8,000 visits20k+ views2300+subscribers
  • All people in this ecosphere all equally important
  • 12k+views of the top 10, 18k+ of all 29 public presentations; 7.6k+ of 16 documents
  • We asked respondents what concerns they have about using social media…
  • This could also be said of just about any communication toolWilliam Wells arrived at the emergency room at St. Mary Medical Center in Long Beach on April 9 mortally wounded. The 60-year-old had been stabbed more than a dozen times by a fellow nursing home resident, his throat slashed so savagely he was almost decapitated.
  • Prestigious degrees from Mayo Clinic Correspondence School, Hollywood Upstairs Medical Colleg
  • 2-2-2Pick two toolsUse and explore every two daysFor at least two weeks
  • Unless you are in a cave, you are being influenced and impacted by social media and online and offline social networkingYou can start smallLook to your internal expertsConsult with your legal team & create policiesAudit courses at SMUG - Only begin what you can maintainBe able to respond quicklyPrepare for the negative, but expect mostly positiveRemember, only 350 U.S. hospitals out of 5,000 use social media tools – this is just the beginning


  • 1. Take Two Tweets…Social Media & Social Networkingin Physician’s Practices
    Christian Sinclair, MD, FAAHPM
    Kansas City Hospice & Palliative Care
    Presented at:
    Medical Society of Johnson and Wyandotte Counties
    October 8, 2010
  • 2. Disclaimer
    Founding partner in KLX Media, LLC
    Social media consulting for health care
  • 3.
    Life moves pretty fast. If you don't stop and look around once in a while, you could miss it.”
    -Ferris Bueller’s Day Off (1986)
  • 4. Learning Objectives
    Understand the definitions and potential impact of social media and social networking for medicine
    Develop a comfort level with social media and reduce risk
    Mitigate risk and privacy concerns from using social media
  • 5.
  • 6.
  • 7.
  • 8. 200 Billion Hours/year
  • 9. >500M active users
    700B minutes per month
    30B shared items per month
    Average user has 130 friends
    Source: Oct 2010
  • 10.
  • 11. 75%
    search the web after
    talking to their doctor
    Source: Belliveau, Google Health/CNN
  • 12.
  • 13.
  • 14. What is Social Media?
    Internet-based tools for
    creating, sharing and discussing information
  • 15. Social Networking
    Metcalfe’s Law
    Value of a network is proportional to the square of the number of connected users of the system (n2)
    Number of users
    Pattern of connectedness
    Source: Wikipedia
  • 16. Relative Volume of Information
  • 17. Creation
  • 18. Digital Text
  • 19. Opportunities
    Start a conversation
    Interact with your peers
    Educate the public
    Filtered search engine
    Immediate feedback
    Speak directly to your target audience
    Get ahead of the competition
    Build your brand online
  • 20. Risks
    HIPAA violation
    End a conversation
    Make someone mad
    Give out false information
    Wasted time and effort
    Risk your own privacy
    Identity theft
    Actual theft
  • 21. Case Examples
    Morphine concentrated liquid and the FDA
  • 22.
  • 23.
  • 24. Pallimed
  • 25. Pallimed
  • 26. Site Visits
  • 27. Read Blogs(updated quarterly on Pallimed)
  • 28. First mention on Twitter
  • 29. Re-tweeted in one hour
  • 30. Re-tweeted again in few minutes
  • 31. For more details on how social media/networking
    reversed the FDA in 9 days see Slideshare
  • 32.
  • 33. Twitter Stats for @ctsinclair
  • 34. Link Stats
  • 35. 2010 Annual Assembly
    # of Tweets per User
    The Long Tail Effect
  • 36. Medical Conference Comparison
  • 37. Type your Tweet here
    RT = Re-tweet
    #hpm automatically added
    Lots o’ links!
    Quick Use Buttons
    Your own tweet
    Someone replying to you
    Favorite Tweet
  • 38. Visual Example of a Tweetchat
  • 39. Tweetchat
    Group of people begin to have a conversation around a single hashtag
  • 40. Using Tweetchat they can all see the same thread
  • 41. All the people following the individuals see only a few tweets with #hpm
  • 42. Tweetchat
  • 43. Tweetchat
  • 44. Tweetchat
    Passed on to 2,838 followers
  • 45. Tweetchat
  • 46. SlideShare
  • 47.
  • 48.
  • 49. Risks
    HIPAA violation
    End a conversation
    Make someone mad
    Give out false information
    Wasted time and effort
    Risk your own privacy
    Identity theft
    Actual theft
    Risk if you don’t participate
  • 50. Slide 50
    really about
    This is
  • 51. Mitigating Risk
    Be professional
    Be credible
    Be responsible
    If you pause, don’t publish
    Don’t talk about cases, generalize
    Don’t give specific advice
    Have disclosure statements
  • 52. Social Media Tools to Know
    1st Tier – Be familiar
    2nd Tier – Read about it
  • 53. Summary
    Social media and networking is all around
    Use tools to understand usefulness
    Conversations are happening
    How are you involved?
    Security and privacy risks can be mitigated
    Be professional
    This is just the beginning
  • 54. Christian Sinclair, MD, FAAHPM
    Pallimed (iPhone app)
    Let’s get connected!
  • 55. Highly-Recommended Reading
    Gladwell: The Tipping Point: How little things can make a big difference
    Christakis and Fowler: Connected: The surprising power of our social networks
    Shirky: Here Comes Everybody: The power of organizing with organizations
  • 56. Creative Commons
    Slide 3: Google Images
    Slide 10: What the F**k is Social Media Now
    Slide 11: iStockphoto
    Slide 13: Flickr User: Stabilo Boss