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Health care in an era of web 2.0

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Revised ppts for CHCM

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  • Thank you for asking me to come this morning. I’m here to provide an introduction to web 2.0 for and my work as the biomed librarian on site involves helping residents with their SR searching – BUT I also see the enormous potential of web 2.0 in medicine and to help you stay current with the best evidence in your field
  • So, I have some basic learning objectives this morning – spend 30 minutes or so talking about the Identify some useful features of web 2.0 use in surgery Find out how to connect with colleagues worldwide Discuss where web 2.0 fits (if at all) into surgical / medical education social engagement, education & collaboration
  • “… web 2.0 is commonly associated with web tools that facilitate interactive sharing , interoperability, user-centred design … and collaboration on the web. These sites give users the freedom to interact or collaborate with others as consumers & creators of content in a virtual community … most websites are limited to viewing content only … some popular examples of web 2.0 are social-networking sites, blogs, wikis, video-sharing, mashups & folksonomies …”
  • "Web 2.0" describes a collection of web-based technologies which share a user-focused approach to design and functionality, where users actively participate in content creation and editing through open collaboration between members of communities of practice. The current generation of students in medical school made Web 2.0 websites such as Facebook and MySpace some of the most popular on the Internet. Medical educators and designers of educational software applications can benefit from understanding and applying Web 2.0 concepts to the curriculum and related websites. Health science schools have begun experimenting with wikis, blogs and other Web 2.0 applications and have identified both advantages and potential problems with these relatively open, student-focused communication tools. This paper reviews the unique features of Web 2.0 technologies, addresses questions regarding potential pitfalls and suggests valuable applications in health science education.
  • Social media promotes visibility, findability, searchability, accessibility Med Educ Online. 2010 Sep 15;15. doi: 10.3402/meo.v15i0.5324. Social media policies at US medical schools. Kind T , Genrich G , Sodhi A , Chretien KC . Department of Medical Education, Children's National Medical Center, The George Washington University School of Medicine, Washington, DC, USA. tkind@cnmc.org Abstract BACKGROUND/PURPOSE: Today's medical students are learning in a social media era in which patient confidentiality is at risk yet schools' social media policies have not been elucidated. The purpose of this study is to describe the presence of medical schools on top social media sites and to identify whether student policies for these schools explicitly address social media use.
  • Google has changed the whole landscape and is now a Web 2.0 company
  • Social media is clearly changing clinical practice and research
  • Web 2.0 applications are available to physicians but there are concerns about how these information technologies compromise the practice of medicine. We should be able to navigate the ecosystem of the web Social media is clearly changing clinical practice and research Web 2.0 can help people collaborate and work together Can help health professionals form communities of practice Web 2.0 is a platform to bring patients & physicians together
  • Save PubMed searches for periodic updates Keep up with today’s literature using RSS feeds Receive literature updates in your e-mail Scan updates on iGoogle or other ‘RSS readers’
  • Examples of the range of possible social tools that help to manage information
  • Quintessential use of web 2.0 in medicine - NEJM
  • Privacy settings are fine, but you need an anonymizer also
  • Jay Parkinson is a very web-savvy doctor and his patients contact him by MSN, Google Talk or video chat.
  • Be smart, be social Having a robust social network of highly intelligent people with similar interests means that high yield information is ‘pushed’ to you effortlessly. The key is to build a network of people that will help you meet your knowledge needs. Possible to learn in real time from peers across geographical areas and specialties; disseminate info more quickly and more efficiently

Transcript

  • 1. Providing health care in an era of web 2.0 … an introduction for workshop participants Dean Giustini / UBC Biomedical Branch Librarian UBC Centre for Health Care Management, Fall 2011 [ surgical tweets -- made news in 2010 ]
  • 2. Health care in an era of web 2.0
    • Learn what web 2.0 is and what it might offer managers
    • Identify some useful features of web 2.0 use
    • Find out how to connect with colleagues worldwide
    • Discuss where web 2.0 fits (if at all) into health care
      • social engagement, education & collaboration
    What role do mobile devices play in web 2.0 ? Would you ‘tweet’ for help? Dean Giustini, UBC biomedical librarian | [email_address] | Fall 2011
  • 3. What is web 2.0?
    • “… web 2.0 is commonly associated with web tools that facilitate sharing, interoperability, user-centred design … and collaboration on the web. These sites give users the free choice to interact or collaborate as consumers & creators of content in a virtual community … most websites are limited to viewing content only …some popular examples include social-networking sites, blogs, wikis, video-sharing, mashups & folksonomies …”
    - Wikipedia, July 2011 What role might web 2.0 play in CANMEDS ? Dean Giustini, UBC biomedical librarian | [email_address] | Fall 2011
  • 4.
    • Two-way interactivity
      • hallmark of web 2.0 = interaction with others
    • Social networking
      • users post and share personal opinions, artistic creations and connect with others having similar interests
    • Decentralized knowledge production
      • a combination of experts and users generate content by uploading files, using online word processors & sharing online documents
    Features of web 2.0 McGee JB, Begg M. What medical educators need to know about web 2.0. Med Teacher 2008;30:164-169 Dean Giustini, UBC biomedical librarian | [email_address] | Fall 2011
  • 5.
    • Syndication
      • subscribe to content which comes to you based on your needs
    • Software gets better as more people use it
      • users contribute & others review & organize it… as user base grows, so does quantity and quality of content
    • Other features ? Do you have any concerns ?
    Features of web 2.0 (cont’d) McGee JB, Begg M. What medical educators need to know about web 2.0. Med Teacher 2008;30:164-169 Dean Giustini, UBC biomedical librarian | [email_address] | Fall 2011
  • 6.
      • Google is not just a search company
          • It’s a web 2.0 company
          • Follows your online activities
          • Use a pseudonym or anonymizer
      • Google creates many web 2.0 tools for use in the cloud
      • blogs, wikis, calendars, media, writing tools,
      • YouTube, iGoogle, even more …
      • Google Books & Google Scholar
          • Search for surgical literature
    The “Google Factor” Dean Giustini, UBC biomedical librarian | [email_address] | Fall 2011
  • 7.
    • “… web 2.0 is difficult to define …the web as platform and architecture of participation are used to describe it [but] rather than the platform it's the spirit of open sharing and collaboration that is important…the more we share and exchange information… the more open and creative the platform becomes; hence, the more useful it is in our work.”
      • Giustini Dean. How web 2.0 is changing medicine. BMJ 2006;333: 1283-84.
    How web 2.0 is changing medicine (BMJ, 2006) Dean Giustini, UBC biomedical librarian | [email_address] | Fall 2011
  • 8. A few popular Web 2.0 technologies
    • Twitter (microblogging) http:// twitter.com
    • Facebook (social networking) http://facebook.com
    • Wikipedia (encyclopedia) http:// wikipedia.org
    • YouTube (video-sharing) http://youtube.com
    • LinkedIn (professional networking) http://linkedin.com
    Dean Giustini, UBC biomedical librarian | [email_address] | Fall 2011
  • 9. Openness I (Surgical Tweets) @HenryFordNews Dean Giustini, UBC biomedical librarian | [email_address] | Fall 2011
  • 10. Openness I (Surgical Tweets)
  • 11.
    • Medical encyclopedias
    • AskDrWiki http:// askdr.wiki.com /
    • Ganfyd http://www.ganfyd.org
    • Medical education
    • Medpedia http://medpedia.com
    • Meducation http://www.meducation.net
    • Communities of practice
    • Asklepios http://www.cma.ca/asklepios
    • Wikisurgery http://wikisurgery.com
    A few popular Web 2.0 tools in medicine Dean Giustini, UBC biomedical librarian | [email_address] | Fall 2011
  • 12. AskDrWiki: a medical wiki http:// askdrwiki.com Dean Giustini, UBC biomedical librarian | [email_address] | Fall 2011
  • 13. Medpedia – recent wiki project Dean Giustini, UBC biomedical librarian | [email_address] | Fall 2011
  • 14.
    • Described as having these main features:
      • Social Networking
      • Participation
      • Collaboration
      • Apomediation ( ‘stand-by’ wisdom of crowds )
      • Openness
      • Reference: Eysenbach G. Medicine 2.0: Social Networking, Collaboration, Participation, Apomediation , and Openness. J Med Internet Res 2008;10(3):e22.
    Medicine 2.0 – Eysenbach et al (2008) Dean Giustini, UBC biomedical librarian | [email_address] | Fall 2011
  • 15.
    • Sarringhaus MM. The great divide: social media's role in bridging healthcare's generational shift. Journal of Healthcare Management. 2011; 56(4):235-244.
    • “… social media, a resource largely untapped in the healthcare field, presents opportunities and advantages and, if used properly, can innovate healthcare…”
    • Question to you :
    • How might web 2.0 technologies be used to enhance your management practices ?
    Health care management in a web 2.0 era – of value? Dean Giustini, UBC biomedical librarian | [email_address] | Fall 2011
  • 16. RSS Feeds (pubmed.gov)
    • Save PubMed searches for periodic updates
    • Keep up with today’s literature using RSS feeds
    • Receive literature updates in your e-mail
    • Scan updates on iGoogle or other ‘RSS readers’
    Dean Giustini, UBC biomedical librarian | [email_address] | Fall 2011
  • 17. RSS Feeds + Medscape.com http:// www.medscape.com/generalsurgery Dean Giustini, UBC biomedical librarian | [email_address] | Fall 2011
  • 18.  
  • 19. Participation (Facebook) Dean Giustini, UBC biomedical librarian | [email_address] | Fall 2011
  • 20. Online Doctoring Salter, C. “The Doctor of the Future” Fast Company 2009 Jay Parkinson MD MPH Dean Giustini, UBC biomedical librarian | [email_address] | Fall 2011
  • 21. Openness (Ethics, professionalism) Do ‘live tweets’ contravene HIPAA regulations? PIPEDA in Canada? There are 18 identifiers that must not be present about a case Dean Giustini, UBC biomedical librarian | [email_address] | Fall 2011
  • 22. Using web 2.0 technologies
    • Use Web 2.0 tools to connect / network globally with colleagues / experts
    • Many medical websites use web 2.0 tools for social engagement, education & collaboration
    • Web 2.0 + health care management = Health care 2.0
    • Mobiles, virtual & ‘immersive’ reality take us to web 3.0
    Dean Giustini, UBC biomedical librarian | [email_address] | Fall 2011