How web 2.0 is changing medicine* Dean Giustini UBC Biomedical Branch Librarian Vancouver General Hospital April 12 th , 2007 *A presentation at the 2007 Emerging Trends in Scholarly Publishing seminar, National Press Club, Washington, D.C.

Outline Discuss types of social software use in medicine How do doctors communicate? Evidence-based medicine Trends to watch Open access (OA) Medical publishing 2.0 Web 2.0 & medicine, Giustini – April 2007

Discuss types of social software use in medicine

How do doctors communicate?

Evidence-based medicine

Trends to watch

Open access (OA)

Medical publishing 2.0

Talking medicine How do physicians communicate? Formally Journal articles, print and e-books, conferences Informally Conversation, ‘on the wards’, online, with residents Community of practice (Lave & Wenger) Web 2.0 & medicine, Giustini – April 2007

How do physicians communicate?

Formally

Journal articles, print and e-books, conferences

Informally

Conversation, ‘on the wards’, online, with residents

Community of practice (Lave & Wenger)

Doctors are social Web 2.0 creates conversations Tools, ‘ social-software’ Blogs, wikis, podcasts, video, RSS feeds Socialization Conversation, ‘on the wards’, online, rounds with residents Knowledge begins with conversations* * Kenneth Megill. Thinking for a living: the Coming Age of Knowledge Work . 2004 Web 2.0 & medicine, Giustini – April 2007

Web 2.0 creates conversations

Tools, ‘ social-software’

Blogs, wikis, podcasts, video, RSS feeds

Socialization

Conversation, ‘on the wards’, online, rounds with residents

Knowledge begins with conversations*

* Kenneth Megill. Thinking for a living: the Coming Age of Knowledge Work . 2004

Key tools in the knowledge economy Blogs, wikis… Is a medical wikipedia the next step? Podcasts & vodcasts Do physicians listen and/ or watch? RSS feeds “push” content Other tagging, photo & slide sharing Web 2.0 & medicine, Giustini – April 2007

Blogs, wikis…

Is a medical wikipedia the next step?

Podcasts & vodcasts

Do physicians listen and/ or watch?

RSS feeds “push” content

Other

tagging, photo & slide sharing

Blog discourse in medicine Blogs stimulate discussion, self-directed learning & reflective practice Useful educational tools Clinical Cases & Images, Ves Dimov, M.D. Kidney Notes blog, Joshua Schwimmer, M.D. Over!My!Med!Body!, Graham Walker, Stanford medical student Medical librarian search blogs To help find medical information, rapidly Web 2.0 & medicine, Giustini – April 2007

Blogs stimulate discussion, self-directed learning & reflective practice

Useful educational tools

Clinical Cases & Images, Ves Dimov, M.D.

Kidney Notes blog, Joshua Schwimmer, M.D.

Over!My!Med!Body!,

Graham Walker, Stanford medical student

Medical librarian search blogs

To help find medical information, rapidly

Clinical Cases & Images blog Web 2.0 & medicine, Giustini – April 2007

Good medical wikis AskDrWiki.com FluWikie.com Ganfyd.org Just The Facts PubDrug Wikisurgery.com Web 2.0 & medicine, Giustini – April 2007

AskDrWiki.com

FluWikie.com

Ganfyd.org

Just The Facts

PubDrug

Wikisurgery.com

Ganfyd wiki AskDrWiki Web 2.0 & medicine, Giustini – April 2007

AskDrWiki

Doctor-moderated - AskDrWiki Web 2.0 & medicine, Giustini – April 2007

AskDrWiki

Content development @ AskDrWiki Credentials needed to become an editor or contributor Transparent editorial policy with contributors and credentials listed (Name, degree, location) RSS feeds to notify editors of content changes/ additions. New clinical domains: General Surgery, ENT, Vascular Surgery, Hospital Administration, Bio Informatics, Dermatology, Emergency Medicine, Orthopaedics and Basic Science Editors. ‘ Lock down’ of some content pertaining to medical/ drug dosing. Additions can be made, but not until approved by editors. Web 2.0 & medicine, Giustini – April 2007

Credentials needed to become an editor or contributor

Transparent editorial policy with contributors and credentials listed (Name, degree, location)

RSS feeds to notify editors of content changes/ additions.

New clinical domains:

General Surgery, ENT, Vascular Surgery, Hospital Administration, Bio Informatics, Dermatology, Emergency Medicine, Orthopaedics and Basic Science Editors.

‘ Lock down’ of some content pertaining to medical/ drug dosing.

Additions can be made, but not until approved by editors.

Post-textual web Podcasts, vodcasts New England Journal of Medicine MEDLINE/PubMed indexing Trend is toward integration; ‘mash ups’ Web 2.0 & medicine, Giustini – April 2007

Podcasts, vodcasts

New England Journal of Medicine

MEDLINE/PubMed indexing

Trend is toward integration; ‘mash ups’

Post-textual web Podcasts, vodcasts New England Journal of Medicine MEDLINE/PubMed indexing Trend is toward integration; ‘mash ups’ Web 2.0 & medicine, Giustini – April 2007

Podcasts, vodcasts

New England Journal of Medicine

MEDLINE/PubMed indexing

Trend is toward integration; ‘mash ups’

Post-textual web Podcasts, vodcasts New England Journal of Medicine MEDLINE/PubMed indexing Trend is toward integration; ‘mash ups’ Web 2.0 & medicine, Giustini – April 2007

Podcasts, vodcasts

New England Journal of Medicine

MEDLINE/PubMed indexing

Trend is toward integration; ‘mash ups’

Virtual, social reality Immersive, gaming environments Tools for facilitated conversation? MMORPGs Role-playing games, Second Life Simulated medical services Medical librarians 2.0 ‘avatars’ Web 2.0 & medicine, Giustini – April 2007 Second Life – secondlife.com ‘ Goodwillstacey’ medical librarian in Second Life

Immersive, gaming environments

Tools for facilitated conversation?

MMORPGs

Role-playing games, Second Life

Simulated medical services

Medical librarians 2.0 ‘avatars’

In summary: Web 2.0 & medicine, Giustini – April 2007 Open access, data liberation Proprietary, closed access Integrated, virtual, mashed Disparate pieces Social tagging ie. Connotea, del.icio.us Medical directories, bookmarks, favorite sites Blog posts, RSS readers E-mail alerts, listservs Syndication, RSS “push” Information comes to you Sticky sites “ Pull” information “ The open web as platform” Standalone, firewalls Participative, non-hierarchical “wisdom of crowds” Static websites; hierarchies Social search ie. Google health Yahoo, Google, MSN Web 2.0 Web 1.0

A new medical journal Web 2.0 & medicine, Giustini – April 2007 Open Medicine www.openmedicine.ca * a new peer-reviewed, independent, open-access journal launch is imminent (next few weeks) physician-created, many former CMAJ editors editorial independence, scientific integrity as core values Open Medicine blog

Open Medicine

www.openmedicine.ca

* a new peer-reviewed, independent, open-access journal

launch is imminent (next few weeks)

physician-created, many former CMAJ editors

editorial independence, scientific integrity as core values

Open Medicine blog

In conclusion Web 2.0 & medicine, Giustini – April 2007 Physicians should learn about the vast ecosystem of the web Web 2.0 is not a fad, but is changing the way patients and physicians interact Wikis and blogs help doctors to communicate, collaborate and participate more Software tools help physicians to form digital communities of practice In the future, physicians will publish in the absence of associations or affiliations.

Physicians should learn about the vast ecosystem of the web

Web 2.0 is not a fad, but is changing the way patients and physicians interact

Wikis and blogs help doctors to communicate, collaborate and participate more

Software tools help physicians to form digital communities of practice

In the future, physicians will publish in the absence of associations or affiliations.