Web 2.0 in Medicine Author: Vesselin Dimov, MD Section of Hospital Medicine, The Cleveland Clinic May 18, 2006
All blue links in the presentation are click-able
This presentation was given to the Section of Hospital Medicine at the Cleveland Clinic on 10/17/05, internal medicine residents and faculty at the Cleveland Clinic on 1/05/06, Grand Rounds of the Department of Internal Medicine at the Cleveland Clinic on 1/25/06, and internal medicine residents and faculty at Case Western Reserve University (St. Vincent/St. Lukes) on 5/18/06
About Us (me) Any reputable website has an “About Us” section
Who are you to talk to me about Web 2.0 and websites?
I have made 9 websites
They were featured in BMJ 3 times including a leading BMJ editorial which cited my posts in the same group with NEJM
MSNBC linked to the website. Content is referenced in the largest online encyclopedia, Wikipedia
Medscape (16 mln visitors per quarter) profiled my site when I hosted the online Grand Rounds
How many people visit your website?
Half a million page views. Just imagine: you had written a book and people have read 500,000 pages of it
170,000 visitors from all over the world
This is 1,500-3,000 page views daily
600-900 visitors daily (and growing)
Google loves content
If I can do it, you can do it too
The question is: Why would you want to do it?
Let me show you why with this presentation
An Example of Web 2.0
Clinical Cases and Images
A website based on the Google blog platform
It is NOT a blog
This is a small example of Web 2.0
See the visitors statistics
Web 2.0 in Medicine
What is this? The web world is changing before our eyes
Tim O'Reilly Defines Web 2.0
A true Web 2.0 application is one that gets better the more people use it. Google gets smarter every time someone makes a link on the web. Google gets smarter every time someone makes a search.
It's for this reason that I argue that the real heart of Web 2.0 is harnessing collective intelligence.
The world of Web 2.0 *can* be one in which we share our knowledge and insights, filter the news for each other, find out obscure facts, and make each other smarter and more responsive. We can instrument the world so it becomes something like a giant, responsive organism.
Web 1.0 vs. Web 2.0
Web 1.0 users follow links to content
Web 2.0 users comment, edit and create content
This is user-created content. For the user, by the user
Web 1.0 Web 2.0 Source: What Is Web 2.0 - Tim O'Reilly, modified Google AdSense Ads, like DoubleClick Writely MS Word Tags - De.licio.us Directories , Favorites Wikipedia Britannica Online Syndication, RSS , Podcast, website follows you Stickiness, stay on the website Participation ( blogs , comments) Publishing ( websites ) Search, like Google Portal, like Yahoo Web 2.0 Web 1.0
Web 2.0 = Web as a Platform just like Windows (and better)
You can’t buy Web 2.0 at the store but you can use it today
Why should I care about Web 2.0?
Where is my place in all that?
Everybody is busy
Web 2.0 saves time by helping you get exactly the information you are interested in
Blogs let you create content and share it others – this is content created FOR the user BY the user
How can I use Web 2.0?
RSS Write/Collaborate Blogs
RSS = R eally S imple S yndication
RSS to Master the Information Overflow
Get only the news you want River of news concept, e.g. Medscape
"It's like having a personal assistant who goes through every publication and blog that could possibly interest you and picks out stories to bring to your attention" -- PC Magazine
Instead of visiting 20 websites per day, let them send the information to you Bloglines
Subscribe to specific searches on Pubmed (e.g. cardiac resynchronization therapy) or any search engine and collect them in one place
Subscribe to the major medical journals RSS feeds
Podcast is a downloadable audio file. You can subscribe via RSS
Most major journals feature weekly audio summary of contents
You can listen when you commute to work or exercise
Make CME portable by using text-to-speech
Videocast Image source: Apple.com
Video Podcasts on Health Edge by the Cleveland Clinic
Set up a search query
Get updated any time something new is published about your search term
Cleveland Clinic uses the concept on its front page
Writely is for Writing and Collaboration
Writely is a web word processor, a MS Word alternative
Several users can revise a document at the same time, compare the revisions
No more emailing back and forth different versions of a Word document
Export to MS Word or PDF
We use Writely to write research papers and articles in the Section of Hospital Medicine at the Cleveland Clinic
Blog = we B log
Before: webmasters used to keep web logs listing site visitors
Now: blog is a simple website with articles in a reverse chronological order
The new entries are at the top, the old ones at the bottom
Web 2.0 = Give the power back to the user
It’s not difficult at all
Creating a website is as easy as opening an email account
Maintaining a website is even easier
Google’s Blogger claims that it takes 5 minutes to start a website.
The NY Times gave it a try and it took them 4 minutes
How can I make a website?
Google Blogger.com or WordPress.com
And many others - all for free
It just takes a phone call to post a case description on a website
What about those bloggers?
Blogging can’t be serious, right?
They may not be serious but they get millions of visitors
Cleveland Clinic CME website receives 1.3 million visitors per YEAR
DailyKos has 5.4 million per WEEK, 700,000/d. In other words, he makes the Clinic CME yearly count in 2 days
Some medical bloggers have 11,000 visitors per day, which is about 4 million per year
Microsoft Blogger Has as Much PR Power as CEO . What Does That Mean for Your Hospital?
Hospitals want visitors to their websites
Because 15% of visitors become customers
Source: Hospitals use websites to attract out-of-town patients - USA Today
More and more people see the world through “Google eyes”
“ If it is not on the web, it does not exist”
Your patients, friends and employers will be Googling you
Get used to it
Help them find the real you
Looking for a Job? Start a Blog
Looking for a Job? Start a Blog
It helped me
Control the search for your name
Let employers find you, not somebody else. Example search: Dimov, MD
Looking for a Job? Start a Blog
Blogs 'essential' to a good career , Boston Globe
Set up a blog
Buy a domain name, e.g. velez.com
Get your CV there
Include the address in emails and printed CVs
Cost = $ 8 for the name
Create a “regular” website with blogging software
Using Blogging Software to Create a "Regular" Website
You don’t have to be a blogger to use blogging software
You can create a regular website (NOT a blog) for free, host it for free and even make money out of it with Google AdSense
Use it as a Notebook
Collect interesting articles
Write down research ideas
Collect interesting cases
Make you own educational portfolio and share it with the world
People want to know
How about HIPAA and patient cases?
There are 18 identifiers that must not be present in the case description
Do not get fired
How to blog and not get fired?
Always check with your boss
Comply with the institutional blogging guidelines (if available). Made by IBM, Microsoft, Yahoo, Sun… now hospitals
Your patients may be blogging about you
Do not blog about them in any HIPAA-identifiable way
Web 2.0 is here to stay Nobody can stop the world
Take Home Message
Web 2.0 offers a great opportunity. We should use it to:
Benefit our patients
Share knowledge with medical professionals all over the world