Social Media and Web 2.0 for Emergency Medicine – the Luddiot’s guide

Social Media and Web 2.0 in Emergency Medicine* *the Luddiot’s guide domhnall brannigan 2012

Neologisms!

“ They said Ned Ludd was an idiot boy That all he could do was wreck and destroy, and He turned to his workmates and said:
Death to Machines They tread on our future and they stamp on our dreams”

Who am I?
A nearly-FACEM
Specifically, NOT an expert in technology!
Last person in my med class to get a mobile phone
No programming skills
My father was a language teacher who abhorrs the “destruction of language” of my generation (he’d be horrified if he knew of the existence of “ CU l8er” – we shelter him)

So how come I am up here?
I almost exclusively used Web 2.0 resources for FACEM exam preparation:
Lifeinthefastlane.com
e dexam.com.au
Social media definitely helped me pass the exam
I pester my colleagues with this stuff ad infinitum:
this Grand Round is their revenge, or at least shares the pain with the whole state
Social media has made me a better medical practitioner*
*if you know different, for the purposes of this talk, please shut up

(R)evolution in media
“ Printing was considered vulgar and only for the poor…aristocratic bibliophiles refused to disgrace their collections with the presence of a non-manuscript text. It fell to the lower classes to recognize the importance of the printing press…by the end of the fifteenth century, more than 1000 printers had printed 10,000,000 copies of more than 40,000 books”

The threat!

So, all of this suggests I should be fired!*
*again, for the purposes of this talk, please don’t agree!

What’s the point of this talk?
I believe managers are scared of Social Media:
They only see the abuse, not the usefulness
My aims:
Encourage you to explore Web 2.0 and Social Media and use it constructively
Suggest some resources worth using, and demonstrate their utility
Expand the “community” and ultimately improve education and patient care
(Boost my ego website traffic)

http://dreapadoir.wordpress.com/2011/12/01/is-the-textbook-dead/

What are social media?
Social media
"a group of Internet-based applications that build on the ideological and technological foundations of Web 2.0, and that allow the creation and exchange of user-generated content"
Web 2.0
“ cumulative changes in the ways software developers and end-users use the web”
A Web 2.0 site allows users to interact and collaborate with each other in a social media dialogue as creators of user-generated content in a virtual community

“ Discuss Social Media/Web 2.0”
Discuss = pros and cons!

Criticisms
Andrew Keen criticizes social media in his book The Cult of the Amateur:
"Out of this anarchy, it suddenly became clear that what was governing the infinite monkeys now inputting away on the Internet was the law of digital Darwinism, the survival of the loudest and most opinionated. Under these rules, the only way to intellectually prevail is by infinite filibustering."

Criticisms
Andrew Keen criticizes social media in his book The Cult of the Amateur:
"Out of this anarchy, it suddenly became clear that what was governing the infinite monkeys now publishing in medical journals was the law of print Darwinism, the survival of the richest and most influential . Under these rules, the only way to intellectually prevail is by infinite filibustering."
But I retort…

Criticisms
“ The danger of social networking sites is that most are silos and do not allow users to port data from one site to another”
“ Social networks can grow too big and become a monopoly - this tends to limit innovation”

BMJ article (Jan 2012)
“ There are clear things that doctors should not do, whether online or not—namely, break confidentiality or perform illegal acts…the trend for online discussion through blogs, discussion forums, or Twitter means that more people can view what doctors are saying to each other…”

Benefits?
Borrowed from Mike Cadogan, is this slick little video from his talks on Social Media at Essentials of EM 2011
http://www.youtube.com/watch?feature=player_embedded&v=vfimFQB8LN8#!

Benefits of social media in medicine
My opinion:
Tools for accessing and appraising the available information and resources
Don’t exist independent of literature, evidence, textbooks, journals – BUT offer a window, lenses and mirrors for them
A community where passionate and enthusiastic people can share ideas without hierarchical barriers

Benefits of social media in medicine
My opinion:
Don’t exist independent of literature, evidence, textbooks, journals – BUT offer a window , lenses and mirrors for them

Social media
Creation
Dissemination
Curation
Amplification
Reverberation
Assimilation
Discussion
Unfettered peer review
Sense of community

What are the platforms?
Ideally, they should be:
Sharable
Mobile
Low Maintenance
Durable
Credible
Cost Effective (FREE)

Describe and interpret this image:

Readers, RSS feeds
RSS feeds
Extremely useful for us!
Automatic updates from sites subscribed to
Avoids having to visit individual websites to obtain content updates
Google reader is the archetype

Wikis
Wikipedia is the obvious archetype, and every intern’s first port of call when stumped!

Blogs
Wordpress and Blogger etc…
http://resus.me/
http://www.thepoisonreview.com/
http://ercast.libsyn.com/
http://www.emlitofnote.com/
http://thennt.com

Blogs
The grand-daddy of them all is WA-based lifeinthefastlane.com
Particular features include:
Enormous database of clinical images and ECGs
Associated FACEM exam resources
R+R in the fast lane
LIFTL.com review
FFFF
Recent series of articles on LGH by Rick Abbott

Microblogs
Twitter
The discipline of a 140 character limit and the lack of advertising makes it a favourite for me
Michelle Johnson’s (@eleytherius) #path140 is fantastic
Tumblr
http://gmergency.tumblr.com/

Social networking
The dreaded Facebook!
Bebo
(LinkedIn)

Podcasts and vodcasts
Extension of blogs
Viewable direct from sites, via RSS feeds, iTunes, or specific apps on mobile devices
Emcrit.org
Smartem.org
http://ultrasoundpodcast.com/

Photography and video
Youtube
Vimeo
Posterous
Flickr

Search engines
The old style ones aren’t truly Web 2.0, but I recommend:
http://blitter.tripdatabase.com/

What I use, and how Instacast

The most useful stuff?
http://lifeinthefastlane.com/ is the world’s foremost repository of online EM resources:
All EM roads lead here (or here leads to all EM?)
There are a host of other gateways out there, including:
Quick plug: http://dreapadoir.wordpress.com/ (plug) has intermittent original content of variable quality, BUT features permanent links to most of the major Web 2.0 and Social Media resources

The future?

The future?
Michelle Lin is the author of one of the original EM blogs “ Academic Life in Emergency Medicine ” and on January 13 th was elected to the Academic Chair of Emergency Education at UCSF in California, largely on the basis of her blog

Educational responsibility
Tech comfy vs. tech-savvy
We MUST understand this stuff, because although future generations of doctors will be comfortable with the medium, they will still need us to guide them in how best to use it

Summary
Web 2.0 and social media are valuable tools
Use Web 2.0 and Social Media, but don’t abuse it
Join the international EM community!
The educational benefits far outweigh the potential downsides
If I can do it, it must be EASY!

Join the (R)evolution!
Don’t exist independent of literature, evidence, textbooks, journals – BUT offer a window , lenses and mirrors for them

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Social Media and Web 2.0 for Emergency Medicine – the Luddiot’s guide

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Social Media and Web 2.0 for Emergency Medicine – the Luddiot’s guide — Presentation Transcript