Medicine 2.0<br />Doctors and their online presence<br />Author: Eileen Gaspar, MD<br />Resident, Kaiser Oakland Medical C...
What is Medicine 2.0?<br />
The main concept of web 2.0 is that you don’t need IT training<br />
Web 1.0 – ”The Static Web”<br />
Web 1.0 users follow links to content<br />
Web 1.0 – ”The Static Web”<br />
What is Web 2.0?<br />
Web 2.0 users comment, edit and create content<br />
45 million users in 1996<br />
250,000 sites<br />
80,000,000 sites<br />
1,000,000,000 +<br />users<br />
Web 1.0 Web 2.0<br />
Medicine 2.0  = Medicine + Web 2.0<br />
“Use of a specific set of web tools (blogs, podcasts, etc) <br />
by actors in health care including doctors, patients, and scientists<br />
using principles of open source and generation of content by users, and the power of networks<br />
to personalize health care, collaborate, and promote health education.”<br />
Does it do something useful? <br />
What are those things you hate about the web?<br />
…and attitude<br />
The tools<br />
RSSPodcastWrite/CollaborateBlog<br />
RSS<br />
What is RSS?<br />RSS = Really Simple Syndication<br />A hybrid between a personal assistant and your “inbox for the web”<...
Search PubMed<br />
Click on RSS symbol<br />
Click on: XML<br />
Determine Settings & Click: Subscribe NOW<br />
Click on Google Reader<br />
Start reading…<br />
Persistent Search<br />Set up a search query<br />Get updated any time something new is published about your search term<b...
Podcast<br />
Podcast = portable broadcast (audio file)<br />iPod file<br />It’s portable, you can take it with you whenever you go<br />
Top 5 Podcasts<br />ACC Conversations with Experts <br />Johns Hopkins Medicine<br />JAMA Audio Commentary<br />NEJM This ...
How to listen to podcasts?<br />P<br />Podcast<br />Portable audio<br />P C<br />Pod iPod/iTunes<br />
Videocast<br />Health Edge by the Cleveland Clinic<br />JAMA<br />
Collaboration<br />
Write / Collaborate online<br />
Collaboration<br />
Blog<br />
What is a blog?<br />Web log<br />
Clinical Cases and Images<br />A website based on blog platform<br />It is NOT a blog<br />This is a small example of Web ...
Blogosphere<br />Collection of blogs on the Internet is called blogosphere and is doubling in size every 5 months<br />A n...
Using Blogging Software to Create a &quot;Regular&quot; Website<br />You don’t have to be a blogger to use blogging softwa...
Social MEdia<br />
Umbrella term used to describe media which are formed mainly by the public as a group, in a social way, rather than media ...
It’s also a fancy way to describe zillions of conversations people are having online 24/7<br />
Information mulch aggregation<br />Sunlight<br />Readership<br />Sunlight<br />Water – Rain<br />News, RSS, FF, Life<br />...
Guess where I&apos;m at? <br />              @eileengmd<br />
@singleguycooksThx for the tip-<br />free ice cream @ Fenton&apos;s for 115th bday<br />                       @eileengmd<...
Wtf is happening to the Bay Bridge? Looks like part of it fell off and hit some cars. Blocking 2 lanes wowow<br />        ...
Twitter for questions<br />
What sparks a tweet? <br />
How Are Hospitals Using Social Media?<br />Customer ServiceAnother contact point for our customers<br />Community Outreach...
Current Hospitals with Social Media Accounts<br />
Rapid Growth – YouTube & Twitter<br />Number of Hospital Accounts by Month<br />
Community Outreach – Sutter Medical Center<br />twitter.com/SutterEdenMed<br />Sutter Eden Medical <br />Engages the local...
Real-time Education - Aurora Health Care<br />Bilateral knee replacement surgery <br />In the first wave of Live OR Twitte...
We are closing—tumor is out and patient can speak fluently @HenryFordNews<br />
Crisis Communications  – Scott and White<br />
Our ER is currently not accessible to the public, however, ALL other S&W operations/facilities remain open<br />
People local to Fort Hood can call <br />254-724-4376 to reach @SWHealthcare about blood needs<br />
Page 121<br />Education / Outreach – Centers for Disease Control<br />H1N1 Preparation<br /><ul><li>Targeting Young Adults
Social Media “Kits” – Badges, embedded widgets, content syndication
Coordinating with independent bloggers
Multiple Twitter feeds with over 800,000 followers
Podcasts, RSS feeds, email lists, text messaging alerts</li></li></ul><li>
What happens in Vegas…<br />
What happens in Vegas, stays on<br />
What happens in Vegas, stays on<br />
What’s stays in Vegas, stays on<br />
The intersection of online social networking with medical professionalism.<br />
Online posting of unprofessional content by medical students.<br />
How about HIPAA and patient cases?<br />There are 18 identifiers that must not be present in the case description<br />
How not to blog and get fired?<br />Always check with your boss<br />Comply with the institutional blogging guidelines (if...
FACEBOOK FLIRTS<br />
PRIVACY<br />
PRIVACY<br />
Web 2.0 Services I Use<br />Google<br />GMail<br />Google Docs & Spreadsheets<br />Blogger<br />Google Calendar<br />iTune...
Why should I care about medicine2.0?<br />
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  • How many of you can relate to this picture? I know I can. Login, check out health connect, inbox with secure messages, lotus notes, schedule’s full with all these patients to see, consultants to call or if you are the specialistEverybody is busyweb applications that facilitate interactive information sharing, interoperability, user-centered design[1] and collaboration on the World Wide Web aka Medicine 2.0 Or Web 2.0 in Medicinecan save you time by helping you get exactly the information you are interested in, risks of having an online presence as a doctor, and why you should still use it At the end of this talk, you’ll have a set of tools that hopefully can prevent you from ending up like this guy
  • Medicine 2.o is basically web 2.0 and medicine So what’s web 2.0Hint it’s The Matrix
  • Chloe o’ brien fox tv show 24Collection of (mostly) free web servicesYou can’t buy Web 2.0 at the store but you can use it today, in fact you’ve probably already have been using it Who are you to talk to me about Web 2.0 and websites? I don’t have any formal website or information technology training. I picked this up on my own, tried to integrate this into our residency website reslounge.com and so if I can do it, you can too. Disclaimer – not being paid by and have no affiliations with any organizations in social media like twitter and facebookLet me show how you can use web 2.0 and want to use them
  • History about the web
  • As of Early 2000s, this is a map of online communities, geographic areas represents estimated size of membership xangaFriendsterMyspaceyoutube
  • Medicine20

    1. 1. Medicine 2.0<br />Doctors and their online presence<br />Author: Eileen Gaspar, MD<br />Resident, Kaiser Oakland Medical Center<br />December 2009<br />
    2. 2.
    3. 3. What is Medicine 2.0?<br />
    4. 4. The main concept of web 2.0 is that you don’t need IT training<br />
    5. 5. Web 1.0 – ”The Static Web”<br />
    6. 6. Web 1.0 users follow links to content<br />
    7. 7. Web 1.0 – ”The Static Web”<br />
    8. 8.
    9. 9.
    10. 10. What is Web 2.0?<br />
    11. 11.
    12. 12. Web 2.0 users comment, edit and create content<br />
    13. 13.
    14. 14. 45 million users in 1996<br />
    15. 15. 250,000 sites<br />
    16. 16. 80,000,000 sites<br />
    17. 17. 1,000,000,000 +<br />users<br />
    18. 18. Web 1.0 Web 2.0<br />
    19. 19. Medicine 2.0 = Medicine + Web 2.0<br />
    20. 20. “Use of a specific set of web tools (blogs, podcasts, etc) <br />
    21. 21. by actors in health care including doctors, patients, and scientists<br />
    22. 22. using principles of open source and generation of content by users, and the power of networks<br />
    23. 23. to personalize health care, collaborate, and promote health education.”<br />
    24. 24.
    25. 25.
    26. 26. Does it do something useful? <br />
    27. 27. What are those things you hate about the web?<br />
    28. 28.
    29. 29.
    30. 30.
    31. 31.
    32. 32. …and attitude<br />
    33. 33. The tools<br />
    34. 34.
    35. 35. RSSPodcastWrite/CollaborateBlog<br />
    36. 36. RSS<br />
    37. 37. What is RSS?<br />RSS = Really Simple Syndication<br />A hybrid between a personal assistant and your “inbox for the web”<br />
    38. 38.
    39. 39. Search PubMed<br />
    40. 40. Click on RSS symbol<br />
    41. 41. Click on: XML<br />
    42. 42. Determine Settings & Click: Subscribe NOW<br />
    43. 43. Click on Google Reader<br />
    44. 44. Start reading…<br />
    45. 45. Persistent Search<br />Set up a search query<br />Get updated any time something new is published about your search term<br />
    46. 46. Podcast<br />
    47. 47. Podcast = portable broadcast (audio file)<br />iPod file<br />It’s portable, you can take it with you whenever you go<br />
    48. 48.
    49. 49. Top 5 Podcasts<br />ACC Conversations with Experts <br />Johns Hopkins Medicine<br />JAMA Audio Commentary<br />NEJM This Week<br />Lancet<br />
    50. 50. How to listen to podcasts?<br />P<br />Podcast<br />Portable audio<br />P C<br />Pod iPod/iTunes<br />
    51. 51. Videocast<br />Health Edge by the Cleveland Clinic<br />JAMA<br />
    52. 52. Collaboration<br />
    53. 53. Write / Collaborate online<br />
    54. 54. Collaboration<br />
    55. 55. Blog<br />
    56. 56. What is a blog?<br />Web log<br />
    57. 57.
    58. 58.
    59. 59.
    60. 60. Clinical Cases and Images<br />A website based on blog platform<br />It is NOT a blog<br />This is a small example of Web 2.0<br />
    61. 61. Blogosphere<br />Collection of blogs on the Internet is called blogosphere and is doubling in size every 5 months<br />A new blog is created every second<br />
    62. 62.
    63. 63. Using Blogging Software to Create a &quot;Regular&quot; Website<br />You don’t have to be a blogger to use blogging software<br />You can create a regular website (NOT a blog) for free, host it for free and even make money off of it with Google AdSense<br />
    64. 64.
    65. 65. Social MEdia<br />
    66. 66. Umbrella term used to describe media which are formed mainly by the public as a group, in a social way, rather than media produced by journalists, editors and media conglomerates<br />
    67. 67. It’s also a fancy way to describe zillions of conversations people are having online 24/7<br />
    68. 68.
    69. 69.
    70. 70.
    71. 71.
    72. 72.
    73. 73.
    74. 74.
    75. 75.
    76. 76.
    77. 77.
    78. 78.
    79. 79.
    80. 80.
    81. 81.
    82. 82. Information mulch aggregation<br />Sunlight<br />Readership<br />Sunlight<br />Water – Rain<br />News, RSS, FF, Life<br />Blog<br />Blog<br />Posts<br />Social Network Flower<br />Organic Content<br />Information Mulch<br />
    83. 83.
    84. 84.
    85. 85.
    86. 86.
    87. 87.
    88. 88.
    89. 89.
    90. 90.
    91. 91.
    92. 92.
    93. 93. Guess where I&apos;m at? <br /> @eileengmd<br />
    94. 94. @singleguycooksThx for the tip-<br />free ice cream @ Fenton&apos;s for 115th bday<br /> @eileengmd<br />
    95. 95. Wtf is happening to the Bay Bridge? Looks like part of it fell off and hit some cars. Blocking 2 lanes wowow<br /> @larfo<br />
    96. 96. Twitter for questions<br />
    97. 97.
    98. 98.
    99. 99.
    100. 100.
    101. 101.
    102. 102. What sparks a tweet? <br />
    103. 103.
    104. 104.
    105. 105.
    106. 106.
    107. 107.
    108. 108.
    109. 109. How Are Hospitals Using Social Media?<br />Customer ServiceAnother contact point for our customers<br />Community OutreachThe people in our physical community are on these sites<br />EducationA natural extension of our efforts to reach & teach<br />RecruitmentLinkedIn, Facebook and other tools are used to recruit Clinical and Administrative staff<br />
    110. 110. Current Hospitals with Social Media Accounts<br />
    111. 111. Rapid Growth – YouTube & Twitter<br />Number of Hospital Accounts by Month<br />
    112. 112. Community Outreach – Sutter Medical Center<br />twitter.com/SutterEdenMed<br />Sutter Eden Medical <br />Engages the local community about hospital building plans with this blog and a Twitter feed.<br />suttermedicalcentercastrovalley.org<br />
    113. 113. Real-time Education - Aurora Health Care<br />Bilateral knee replacement surgery <br />In the first wave of Live OR Twitter events<br />Advance marketing built viewership from 900 to 2,000 followers in one week <br />Local / National press coverage<br />“Had this done about 2 years ago but I know I will learn more today being awake”<br />“I heard about this on GMA this morning and got excited”<br />
    114. 114. We are closing—tumor is out and patient can speak fluently @HenryFordNews<br />
    115. 115.
    116. 116.
    117. 117.
    118. 118. Crisis Communications – Scott and White<br />
    119. 119. Our ER is currently not accessible to the public, however, ALL other S&W operations/facilities remain open<br />
    120. 120. People local to Fort Hood can call <br />254-724-4376 to reach @SWHealthcare about blood needs<br />
    121. 121. Page 121<br />Education / Outreach – Centers for Disease Control<br />H1N1 Preparation<br /><ul><li>Targeting Young Adults
    122. 122. Social Media “Kits” – Badges, embedded widgets, content syndication
    123. 123. Coordinating with independent bloggers
    124. 124. Multiple Twitter feeds with over 800,000 followers
    125. 125. Podcasts, RSS feeds, email lists, text messaging alerts</li></li></ul><li>
    126. 126.
    127. 127.
    128. 128. What happens in Vegas…<br />
    129. 129. What happens in Vegas, stays on<br />
    130. 130. What happens in Vegas, stays on<br />
    131. 131. What’s stays in Vegas, stays on<br />
    132. 132.
    133. 133. The intersection of online social networking with medical professionalism.<br />
    134. 134.
    135. 135. Online posting of unprofessional content by medical students.<br />
    136. 136.
    137. 137.
    138. 138. How about HIPAA and patient cases?<br />There are 18 identifiers that must not be present in the case description<br />
    139. 139. How not to blog and get fired?<br />Always check with your boss<br />Comply with the institutional blogging guidelines (if available)<br />Your patients may be blogging about you<br />Do not blog about them in any HIPAA-identifiable way<br />
    140. 140. FACEBOOK FLIRTS<br />
    141. 141. PRIVACY<br />
    142. 142. PRIVACY<br />
    143. 143.
    144. 144.
    145. 145.
    146. 146. Web 2.0 Services I Use<br />Google<br />GMail<br />Google Docs & Spreadsheets<br />Blogger<br />Google Calendar<br />iTunes<br />twitter<br />
    147. 147. Why should I care about medicine2.0?<br />
    148. 148.
    149. 149.
    150. 150.
    151. 151. Credits and Acknowledgements<br />VesDimov “Web 2.0 and Medicine”<br />BertalanMesko “Practicing Medicine in the Web 2.0 Era”<br />Jacqueline Limpens “Introduction Medicine 2.0”<br />Jacquelyn Cyr “What the F**K is Social Media: One Year Later”<br />Jason Bhan “Social Media: Patients And Providers”<br />Dean Guistini “Social Media For LIBR500”<br />Cameron Neylong “The Web as a Tool Rather than a Threat”<br />Ed Bennett “Hospitals & Social Media”<br />Mike Cadogan “The Blogging Ecoystem”<br />
    152. 152. Credits and Acknowledgements<br />Lemley, T. “Web 2.0 Tools in Medical and Nursing School Curricula” J Med Libr Assoc 2009 January 97 (1): 50-52<br />Jain, SH. “Practicing Medicine in the Age of Facebook .” NEJM 2009 Aug 13; 361 (7) :649-651<br />Chen, Pauline. “Medicine in the Age of Twitter.” New York Times. 2009 June 11<br />Grossman, Lev. “Time&apos;s Person of the Year: You.” TIME 2006 Dec 13<br />Eysenbach, G. “Medicine 2.0: Social Networking, Collaboration, Participation, Apomediation, and Openness .” J Med Internet Res. 2008 Jul–Sep; 10(3): e22.<br />Hughes, B. “Junior physician&apos;s use of Web 2.0 for information seeking and medical education: a qualitative study.” Int J Med Inform. 2009 Oct;78(10):645-55<br />Chretien, K. “Online Posting of Unprofessional Content by Medical Students” JAMA. 2009;302(12):1309-1315. <br />Thompson, LA. “The Intersection of Online Social Networking with Medical Professionalism.” J Gen Intern Med. 2008 Jul;23(7):954-7.<br />
    153. 153. Credits and Acknowledgements<br />Websites:<br />Clinical Cases and Images http://casesblog.blogspot.com/<br />Science Roll http://casesblog.blogspot.com/<br />Laika’sMedLibLoghttp://laikaspoetnik.wordpress.com<br />Life in the Fast Lane http://lifeinthefastlane.com<br />33 charts http://www.33charts.com<br />Stock Exchange photos http://www.sxc.hu/<br />
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