Welcome address at the Medicine 2.0'08 congress in Toronto from Gunther Eysenbach, Organizer and Chair of Medicine 2.0

3. Associate Professor Department of Health Policy, Management and Evaluation, University of Toronto; Senior Scientist , Centre for Global eHealth Innovation, Division of Medical Decision Making and Health Care Research; Toronto General Research Institute of the UHN, Toronto General Hospital, Canada Editor/Publisher Journal of Medical Internet Research (JMIR) Welcome from the Conference Organizer + Chair Gunther Eysenbach MD MPH Gunther Eysenbach MD MPH

4. Observations from the patients’ perspective 5 weeks before the conference I decided to test our health care system and threw myself in front of a taxi who ran a red light… (the taxi was stronger)

5. Shared the news on Facebook…

7. Medicine 2.0: New web-technologies and approaches change health and medicine Picture Credits: lower left from Hansen M, J Med Internet Res 2008;10(3):e26, www.jmir.org lower right image from Falkman et al J Med Internet Res 2008;10(3):e25, www.jmir.org Upper right collage by G. Eysenbach, showing MS Healthvault and Googel Health PHR, PHA Web 2.0 Web 3.0 (semantic web) Virtual Worlds, MMOG

8. http://en.wikipedia.org/wiki/Image:Web20_en.png

9. Another (simpler) definition of Web 2.0 “ Web 2.0 is a meaningless buzzword used by Starbucks-slurping cretins.” “ Ilyag” on Digg, 10-12-2007 URL:http://digg.com/tech_news/10_definitions_of_Web_2_0?t=2733038#c2741199. Accessed: 2008-09-01. (Archived by WebCite ® at http://www.webcitation.org/5aVjOQ8nX)

11. Medicine 2.0 (“next generation medicine”) From: Gunther Eysenbach. Medicine 2.0: Social Networking, Collaboration, Participation, Apomediation, and Openness J Med Internet Res 2008; 10(3):e22 http://dx.doi.org/ 10.2196/jmir.1030 DOI: 10.2196/jmir.1030 Consumer / Patient Health Professionals Biomedical Researchers Science 2.0 Peer-review 2.0 Personal Health Record 2.0 Virtual Communities (peer-to-peer) Professional Communities (peer-to-peer) Health 2.0 HealthVault Google Health HealthBook Sermo WebCite CiteULike Medting WiserWiki eDoctr BioWizard Dissect Medicine E-learning PLoS One BMC JMIR Wikis Blogs RSS RDF, Semantic Web Virtual Worlds Web 2.0 Technologies & Approaches Apomediation Participation Social Networking Collaboration XML AJAX Openess Revolution Health PatientsLikeMe PeerClip Connotea ALIVE HealthMap caBIG Doctorshangout.com Asklepios

12. Patient data External evidence General health information Personal health information Literature Mass Media Internet Health Record Relevant +credible Information Patient Patient accessible electronic health records Medical knowledge Disintermediation / Apomediation Physician (health professionals, librarians) as intermediary Irrelevant inaccurate Irrelevant Information Eysenbach, 2008 “ Apomediaries”

13. Other examples of disintermediation/apomediation Scientist Professional Publishers Communicating research findings to other scientists, The public Health Professionals Information Brokers Access to EBM information = apomediaries = former intermediary (roles are changing) Other scientists Other Health professionals Patients Health Professionals Access to relevant and credible information Other patients

14. Social Networking

15. EMR “ Tethered” PHR/ PAEHR “ stand-alone” PHR PHR EMR Read only Read+Write/Annotate PHR PHR © Gunther Eysenbach, CC-BY

16. EMR EMR PHR PHR PHR Different providers PHR 2.0 © Gunther Eysenbach, CC-BY Community Other peoples’ PHR Other peoples’ PHR Other peoples’ PHR

19. Walking the talk: Some experiments in open / collaborative peer-review

20. Join the social network at http://medicine20.crowdvine.com/

25. Thank you! Dr G. Eysenbach, Email: geysenba at uhnres.utoronto.ca or @gmail.com, My peer-reviewed Journal : http://www.jmir.org My Blog : http://gunther-eysenbach.blogspot.com My Conferences : http://www.medicine20congress.com http://www.ehealthcongresss.org My Slides : http://www.slideshare.net/eysen

26. Director CMA Online Content, Canadian Medical Association (CMA) "Asklepios: The CMA's new social networking site for Canadian physicians" Pat Rich Pat Rich