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

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

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

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

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

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.

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 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

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

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

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

RSS 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

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

Podcast 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

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

Videocast Video Podcasts on Health Edge by the Cleveland Clinic

Video Podcasts on Health Edge by the Cleveland Clinic

Persistent Search

Persistent Search 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

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

Write Online

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

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

We use Writely to write research papers and articles in the Section of Hospital Medicine at the Cleveland Clinic

Blog

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

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

It’s not difficult at all

Creating a website is as easy as opening an email account

Maintaining a website is even easier

How easy? 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

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

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? Right They may not be serious but they get millions of visitors

Blogging can’t be serious, right?

Right

They may not be serious but they get millions of visitors

Compare 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

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

PR Power Microsoft Blogger Has as Much PR Power as CEO . What Does That Mean for Your Hospital?

Microsoft Blogger Has as Much PR Power as CEO . What Does That Mean for Your Hospital?

Hospitals want visitors to their websites Why? Because 15% of visitors become customers Source: Hospitals use websites to attract out-of-town patients - USA Today

Why?

Because 15% of visitors become customers

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

“ 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

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

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

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

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

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

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 Stay updated Share knowledge with medical professionals all over the world Take research collaboration to the next level Career advancement

Web 2.0 offers a great opportunity. We should use it to:

Benefit our patients

Stay updated

Share knowledge with medical professionals all over the world

Take research collaboration to the next level

Career advancement

Questions? Email: [email_address] All text is copyright © 2006 of the author. If you plan to use slides for a presentation or an article, please reference: Web 2.0 in Medicine, V. Dimov, MD, May 18, 2006. Link to ClinicalCases.org