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Ou nnp.10.2011

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A talk given at a conference for neonatal nurse practitioners.

A talk given at a conference for neonatal nurse practitioners.


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  • 1. The Virtual NICU Team: Using Social Media in Medicine CLARA SONG, MD, FAAP Assistant Professor of Pediatrics Section of Neonatal-Perinatal Medicine
  • 2. DISCLOSURE • SPEAKER: Clara Song, MD • I have no relevant financial relationships with the manufacturers of any commercial products and/or provider of commercial services discussed in this CME activity. • I do not intend to discuss an unapproved or investigative use of commercial products or devices.
  • 3. The Truth and Nothing but… • I am not a social media expert. • There really are no social media experts. There are only social media users (maybe some are mega-users).
  • 4. I am… • Pediatrician in a previous life • Academic Neonatologist • Social media user – (@songMD, @AAPperinatal, @TECaN chat, @OU NICU physician) • A Journey fan • Afraid of driving in the snow
  • 5. From one perspective…
  • 6. From another…
  • 7. OBJECTIVES • Define social media, the evolution to its current state and its impact • Navigate the various available web-based tools to enhance daily practice, communication and collaboration between healthcare communities • Identify and prevent negative consequences associated with social media use
  • 8. Social Media Anxiety Disorder • “Social Media” = Facebook and Twitter • Rumor mill of unprofessional conduct on Facebook and Twitter • Unaware of closed Facebook account and protected tweets • Unaware of RSS, feed readers and other useful applications of social media Metha, N. "How physicians can overcome social media anxiety on Twitter." Technology in (Medical) Education, blog. Aug 14, 2011.
  • 9. Social media has taken over… … porn as the #1 activity on the web. Source: Social Media Revolution from Socialnomics.net
  • 10. Everyday….. … approximately 2 Billion Google searches occur. Source: Social Media Revolution by Socialnomics.net
  • 11. Interestingly….. Facebook TOPS Google for weekly traffic in the U.S.! Source: Social Media Revolution 2 from Socialnomics.net
  • 12. In 2010, social media use increased… • Baby Boomers (46-65 yr): 54 76% • Gen X (32-45 yr): 70 85% • Millennials/Gen Y (13-31 yr): 84 91% Source: PR Newswire, Nov 2010; Beyond.com Poll
  • 13. Social networking – 51% of all adults
  • 14. Groups in America • 40% church, spiritual groups • 24% sports for self or children • 24% consumer groups • 22% charitable or volunteer orgs • 20% professional or trade groups • 19% neighborhood associations • 18% illness groups or personal situation • 17% hobby groups or clubs • 15% national or local organizations • 15% political parties • 14% alumni associations • 13% parent groups • 11% literary, study groups • 10% arts groups • 9% are active in fan groups sports • 9% are active in youth groups • 8% labor unions • 8% fraternal clubs, sororities/fraternities • 7% environmental groups • 7% sports fantasy leagues • 7% veterans organizations • 6% gaming communities • 6% fan groups celebrities • 5% ethnic or cultural groups • 5% travel clubs • 4% farm organizations • 3% in fan groups for company/product • 3% “other” Source: Pew Internet Project Sept 2011
  • 15. Social side of internet – participation in 27 kinds of groups 75% 80% 82% 85% 56% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% All adults Internet users Social network users Twitter users Non-internet users Participate in at least one group Source: Pew Internet Project. Sept 2011.
  • 16. Saying it simply… Many people are on the web… AND on the web to utilize social media tools.
  • 17. Social media impacts our lives • Facebook Kawasaki diagnosis story • President Obama’s townhall forum on Facebook live • Tweets from Egypt
  • 18. Source: wired.com, Feb 2011
  • 19. • $20 million for >1000 ideas • 2,640,026 lives positively affected • Facebook: – > 6 million fans • Twitter: – >142,000 followers • YouTube: – > 16.4 million uploads & 2.5 million views •120,000 ideas •>82 million votes
  • 20. “Social media is NOT a fad… “…it’s a fundamental shift in the way we communicate.” Source: solcomhouse.com
  • 21. “I don’t care what people say… Facebook is here to stay.”
  • 22. Source: radarnetworks.com Evolution of the Internet
  • 23. Social Media…. transforms broadcast media monologues (one to many) into social media dialogues (many to many). 1. Concept 2.Media 3.Social interface Source: http://en.wikipedia.org/wiki/Social_media
  • 24. WEB 2.0 Blogs Microblogs Photos Videos Audio Networks Source: blog.milestoneinternet.com
  • 25. Source: www.telegraph.co.uk Reaching out and having a conversation. Social Media is about….
  • 26. Health 2.0 -Information: resources & sharing -Medical education -Collaboration & practice -Disease management & patient education -Research & data sharing -Professional Development & Networking Source: http://en.wikipedia.org.wiki/Health_2.0, health20.org/images/ c/c1/Virtuous_Cycle.png
  • 27. 3rd most prevalent activity • Pew Research Center’s Internet & American Life Project Feb 2011 report • Survey of 3,001 American adults • 8 in 10 Internet users search for health informationONLINE Source: pewinternet.org/Reports/2011/HealthTopics.aspx
  • 28. Social Media for Health Information • 94% use Facebook • 32% useYouTube • 18% use MySpace or Twitter National Research Corporation Survey • 23,000 Americans • 41% use social media • Avg age: 41 yr Source: CNN Health, thechart.blogs..cnn.com,3/4/2011
  • 29. We are e-Patients • Seek online guidance for their own conditions or for loved ones • “equipped, electronic, enabled, educated, empowered, engaged, equals, emancipated……” • ?expert- “I have an A.A.D degree (Almost A Doctor).” • 2 effects “better health information/services and different relationships with their doctors” Source: http://enwikipedia.org/wiki/E-Patient
  • 30. Social Media helps patients get through it… • Patients and their families benefit from the community support by connecting through social media before, during and after a hospital stay – SmartBlog on Social Media, Nov 2010 • 1 in 5 internet users are online searching for other e- patients- “We can say things to each other we can’t say to to others.” – Pew Internet & American Life Project Feb 2011
  • 31. • Facebook: 685,302 likes + 19 other Facebook pages • YouTube: 411,936 views + 6 otherYouTube channels • Twitter: 8,210 followers + 13 otherTwitter accounts • 6 Blogs
  • 32. Twitter and Facebook (Farmville) was used to raise $1 million for the new children’s hospital. Source: Modern Healthcare, March 14, 2011
  • 33. We are e-Clinicians • 99% of U.S. physicians and clinicians are online • 83% consider the Internet essential to their practice • 91% use Google for medical/pharmaceutical queries • Textbooks, conferences web, iPhones, Blackberrys • ….“e-Provider” … all the “e’s” and then some (empathetic, eloquent, encouraging,….. expert” Source: pharma2blog.com/2008/07/03/taking-the-pulse of-the-physician
  • 34. Clinician use of social media is UP • February 2010: 41% practicing physicians (N=141) • August 2011: 87% practicing clinicians (N=4033) • “ConnectedClinicians” Bosslet et al, The Patient-Doctor Relationship and Online Social Networks, J Gen Intern Med, June 2011; QuantiaMD. Doctors, Patients, & Social Media, Sept 2011.
  • 35. #1 reason for professional participation: educational
  • 36. 61% 28% 31% 17%
  • 37. - JOURNEY Hang on, don’t you let go now. You know, with every heartbeat, we love. Nothing comes easy… Hang on, ask the lonely.
  • 38. Health 2.0-Information: resources & sharing -Medical education -Collaboration & practice -Disease management & patient education -Research & data sharing -Professional Development & Networking Source: http://en.wikipedia.org.wiki/Health_2.0, health20.org/images/ c/c1/Virtuous_Cycle.png
  • 39. How do you currently save your references and articles? 1. Print and file 2. Drag and drop onto a USB drive 3. Save and file into folders in Documents onto My Computer 4. Bookmark reference onto a web account
  • 40. Bookmark, Share & Save Source: tootf.com
  • 41. Source: geekestateblog.com
  • 42. Social Bookmarking and News Aggregates Diigo Connotea CiteULike Google Chrome: AddThis Delicious Technorati Reddit StumbleUpon Digg Source: doublejdesign.co.uk
  • 43. Social bookmarking steps • Choose a site • Register • Add button (optional, but recommended) • Find references (websites, articles, etc.) • “Add to …” with one-click • Add “tags” • Socialize and share
  • 44. Slide Share Google Docs SlideBoom SlideServe Scribd 280 Slides SlideRocket Slide Source: sethpickens.files.wordpress.com/2009/02/luke-yoda SLIDE SHARING “Try not. Do or do not. There is no try.” -Yoda
  • 45. • Upload presentations, documents, video • Follow and be followed • Mark your “Favorites”
  • 46. Health 2.0 -Information: resources & sharing -Medical education -Collaboration & practice -Disease management & patient education -Research & data sharing -Professional Development & Networking Source: http://en.wikipedia.org.wiki/Health_2.0, health20.org/images/ c/c1/Virtuous_Cycle.png
  • 47. 2010
  • 48. Source: www.facebook.com/press/info.php?statistics, comScore 2009 • More than 750 million active users • 50% of active users are logged on in any given day • Fastest growing demographic is age 35 and older; second is 55-65 year olds (Fastest growing segment is 55-65 year old females) • More than 30 billion content pieces shared each month SEARCH functionality • Most popular site to share photos • 3rd most popular site to view online video Facebook
  • 49. … it would be the 3rd largest in population. If Facebook was a country…. Source: Social Media Revolution 2 from Socialnomics.net
  • 50. Image Source: flagspot.net, cia.gov, toddpaynefortennessee.com
  • 51. FACEBOOK Fun, casual Meet old friends Make new friends Join interest groups Learn Share stories Make professional connections Source: facebook.com
  • 52. Facebook is casual, it’s fun!
  • 53. It’s a party!
  • 54. But, not this kind of party…
  • 55. Meet old friends & make new ones
  • 56. Learn and Share stories
  • 57. Make professional connections
  • 58. Join interest groups and communities
  • 59. Create educational groups
  • 60. - JOURNEY It’s time to see how you imagine your life… You want to dream, anything is possible.
  • 61. Social= Share: Facebook Sign-up Tips • Connecting on Facebook: default is Everyone! • “Edit your profile” Customize • “How Tags Work” OFF/ON for max sharing • Public search ON • “Secure browsing is currently disabled” is default • Customize sharing (photos, tags, posts)
  • 62. Source: www.linkedstrategies.com/blog/tag/linkedin-statistics, press.linked in.com • > 120 million professionals in 150 industries in over 200 countries • Average age is 41 years • Over 50% users have income >$100,000 • Over-representation of graduate school-educated users • 64% male • 95% of companies use LinkedIn as their primary tool to find new employees • Searchable by Google LinkedIn
  • 63. LinkedIn: Conference • Neonatology on LinkedIn – Neonatal-Perinatal Medicine Group – Neonatal/Pediatric Specialty (RT) – National Association of Neonatal Nurses- NANN – Neonatal Nurses – NHS Neonatal and Maternity Networking Forum – Preemie Purple Hearts Network
  • 64. Health 2.0-Information: resources & sharing -Medical education -Collaboration & practice -Disease management & patient education -Research & data sharing -Professional Development & Networking Source: http://en.wikipedia.org.wiki/Health_2.0, health20.org/images/ c/c1/Virtuous_Cycle.png
  • 65. HealthMap.org
  • 66. Health 2.0-Information: resources & sharing -Medical education -Collaboration & practice -Disease management & patient education -Research & data sharing -Professional Development & Networking Source: http://en.wikipedia.org.wiki/Health_2.0, health20.org/images/ c/c1/Virtuous_Cycle.png
  • 67. Health 2.0-Information: resources & sharing -Medical education -Collaboration & practice -Disease management & patient education -Research & data sharing -Professional Development & Networking Source: http://en.wikipedia.org.wiki/Health_2.0, health20.org/images/ c/c1/Virtuous_Cycle.png
  • 68. Twitter is a service for friends, family, and co- workers to communicate and stay connected through the exchange of quick frequent answers to one simple question: What are you doing? “Share and discover what’s happening right now, anywhere in the world.” Source: twitter.com
  • 69. Source: http://blog.nielson.com/nielsonwire/online_mobile/twitters-tweet-smell-of-success/, denverpost.com/business, marketinggum.com June 2011 Twitter • 175 million registered users, as of January 2011 • 200 million tweets a day, as of June 2011 • Largest Twitter group 35-44 year olds, 64% >35 yr • The median user age: 39 • 600 million search queries/day • 37% of active users are mobile
  • 70. Tweets are short and sweet….. Casual conversation, some chit- chat, some breaking news.. -Keep up-to-date: follow, search, engage -Push your cause: personal talk show -Create a presence: keep your finger on the public pulse Image Source: nydailynews.com
  • 71. • ……to make the use of Twitter more accessible for providers and the healthcare community as a whole… By lowering the learning curve ofTwitter with a database of relevant hashtags to follow….. Source: odomlewis.posterous.com
  • 72. • Tissue recruitment • Disaster alerting/ response • Amber alerts • Tracking patient/disease trends • Live-tweets: surgical procedures, medical conferences • Publishing health-related news • Clinical education coordination
  • 73. Google + Source: google.com • Now Public! • Circles for sharing • Chat and follow • Hangout feature: • Voice and video chat • Photos, videos, links • Search functionality
  • 74. -JOURNEY Be good to yourself when nobody else will. Oh, be good to yourself. You’re walkin’ a high wire, caught in a cross fire. Oh, be good to yourself.
  • 75. Lions and Tigers and Lawsuits, oh my! • Social networking is online= Public domain, no longer private • Posting online is permanent; can be deleted, but may be archived • Professional liability risks (violations of medical code of ethics, HIPAA, employer or medical staff policy) • Anonymity cannot by guaranteed; privacy can be violated Source: Armon, Keller. Who is Dr. Wiki and Why You Need to Know. Unique Opportun. 2009.
  • 76. Minimize Risks • Use common sense. – “The least common thing in the world is common sense.” • Review the terms of service of the online communities. • Review your professional liability policy. • Review your employer’s social media policy. • Include a disclaimer. • Remember- anonymity cannot be guaranteed. • Review before you post. (Think, pause, then post.) Source: Armon, Keller. Who is Dr. Wiki and Why You Need to Know. Unique Opportun. 2009.
  • 77. To Friend or Not to Friend • “Please Don’t ‘Friend’Your Patients” • Violation of HIPAA by jeopardizing the protection of individually identifiable health information (IIHI) Source: MDNews.com, 3/19/2011
  • 78. Ignore….. • 84% would NOT use social media to communicate with their physician • 72% would call nurse help line • ~50% prefer email communication with physician, online appointment setting, online access to medical records , online bill payment Source: HealthcareITnews.com, 3/24/2011
  • 79. Social Do’s • Use common sense. Ask permission. Be the same courteous, respectful person virtually that you are in the world everyday. • Be transparent. • Write what you know. (Share your e-xpert knowledge.) • Aware of the perception you create. Virtual “perception is Reality.” • Engage in the conversation…. Add to it. • Be a leader, an example- you represent us all! • Admit your whoopsy… it’s human! • Think, review and pause, then post. Modified from: Social Media Policy for Physicians and Staff, foxepractice.com
  • 80. AMA Policy: Professionalism in the Use of Social Media • Standards of patient privacy and confidentiality • Privacy settings • Appropriate boundaries of patient-physician relationship • Professional boundaries • Ethical responsibility to report unprofessionalism • Possibility of negative consequences
  • 81. Why bother?? Use web tools with confidence to streamline Enhanced education Effective communication More “expert-user- generated” content alongside user –generated content Ethical considerations?
  • 82. “Social media is like voting… You may not like the system, but unless you vote, you don’t have a right to complain about the outcome.”
  • 83. Why not vote?
  • 84. Still (social media) anxious?
  • 85. -JOURNEY Don’t stop believin’, Hold onto that feelin’.
  • 86. • For resources to help with Social Media Anxiety, contact: • clara- song@ouhsc.edu