Web 2.0 in Medicine


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  • I guess that even though Double Click is seen to be 'Web1', it's got massive usage - I don't know about you, but I find that there are *always* doubleclick cookies to be cleaned out from the PC!
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  • It's like a dog fetching your subsribe newspaper or magazines for you every morning.
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  • This is a simple table yet almost all encompassing. Thanks a lot.

    Isn't it interesting that Google recently decided to buy Doubleclick for 3 billion?

    Web 2.0 giant buying a Web 1.0. Perhaps Doubleclick is not as outdated as it seems and have strength and values Google did not have.
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Web 2.0 in Medicine

  1. 1. Web 2.0 in Medicine Author: Vesselin Dimov, MD Section of Hospital Medicine, The Cleveland Clinic May 18, 2006
  2. 2. <ul><li>All blue links in the presentation are click-able </li></ul><ul><li>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 </li></ul>
  3. 3. About Us (me) Any reputable website has an “About Us” section
  4. 4. Who are you to talk to me about Web 2.0 and websites? <ul><li>I have made 9 websites </li></ul><ul><li>They were featured in BMJ 3 times including a leading BMJ editorial which cited my posts in the same group with NEJM </li></ul><ul><li>MSNBC linked to the website. Content is referenced in the largest online encyclopedia, Wikipedia </li></ul><ul><li>Medscape (16 mln visitors per quarter) profiled my site when I hosted the online Grand Rounds </li></ul>
  5. 5. How many people visit your website? <ul><li>Half a million page views. Just imagine: you had written a book and people have read 500,000 pages of it </li></ul><ul><li>170,000 visitors from all over the world </li></ul><ul><li>This is 1,500-3,000 page views daily </li></ul><ul><li>600-900 visitors daily (and growing) </li></ul><ul><li>Google loves content </li></ul>
  6. 6. <ul><li>If I can do it, you can do it too </li></ul><ul><li>The question is: Why would you want to do it? </li></ul><ul><li>Let me show you why with this presentation </li></ul>
  7. 7. An Example of Web 2.0
  8. 8. Clinical Cases and Images <ul><li>A website based on the Google blog platform </li></ul><ul><li>It is NOT a blog </li></ul><ul><li>This is a small example of Web 2.0 </li></ul><ul><li>See the visitors statistics </li></ul>
  9. 9. Web 2.0 in Medicine
  10. 10. What is this? The web world is changing before our eyes
  11. 11. Tim O'Reilly Defines Web 2.0 <ul><li>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. </li></ul><ul><li>It's for this reason that I argue that the real heart of Web 2.0 is harnessing collective intelligence. </li></ul><ul><li>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. </li></ul>
  12. 12. Web 1.0 vs. Web 2.0 <ul><li>Web 1.0 users follow links to content </li></ul><ul><li>Web 2.0 users comment, edit and create content </li></ul><ul><li>This is user-created content. For the user, by the user </li></ul>
  13. 13. 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 
  14. 14. Web 2.0 = Web as a Platform just like Windows (and better)
  15. 15. <ul><li>You can’t buy Web 2.0 at the store but you can use it today </li></ul>
  16. 16. Why should I care about Web 2.0?
  17. 17. Where is my place in all that? <ul><li>Everybody is busy </li></ul><ul><li>Web 2.0 saves time by helping you get exactly the information you are interested in </li></ul><ul><li>Blogs let you create content and share it others – this is content created FOR the user BY the user </li></ul>
  18. 18. How can I use Web 2.0?
  19. 19. RSS Write/Collaborate Blogs
  20. 20. RSS = R eally S imple S yndication
  21. 21. RSS to Master the Information Overflow <ul><li>Get only the news you want  River of news concept, e.g. Medscape </li></ul><ul><li>&quot;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&quot; -- PC Magazine </li></ul><ul><li>Instead of visiting 20 websites per day, let them send the information to you  Bloglines </li></ul>
  22. 22. RSS <ul><li>Subscribe to specific searches on Pubmed (e.g. cardiac resynchronization therapy) or any search engine and collect them in one place </li></ul><ul><li>Subscribe to the major medical journals RSS feeds </li></ul>
  23. 23. Podcast
  24. 24. Podcast <ul><li>Podcast is a downloadable audio file. You can subscribe via RSS </li></ul><ul><li>Most major journals feature weekly audio summary of contents </li></ul><ul><li>You can listen when you commute to work or exercise </li></ul><ul><li>Make CME portable by using text-to-speech </li></ul>
  25. 25. Videocast Image source: Apple.com
  26. 26. Videocast <ul><li>Video Podcasts on Health Edge by the Cleveland Clinic </li></ul>
  27. 27. Persistent Search
  28. 28. Persistent Search <ul><li>Set up a search query </li></ul><ul><li>Get updated any time something new is published about your search term </li></ul><ul><li>Cleveland Clinic uses the concept on its front page </li></ul>
  29. 29. Write Online
  30. 30. Writely is for Writing and Collaboration <ul><li>Writely is a web word processor, a MS Word alternative </li></ul><ul><li>Several users can revise a document at the same time, compare the revisions </li></ul><ul><li>No more emailing back and forth different versions of a Word document </li></ul><ul><li>Export to MS Word or PDF </li></ul>
  31. 31. <ul><li>We use Writely to write research papers and articles in the Section of Hospital Medicine at the Cleveland Clinic </li></ul>
  32. 32. Blog
  33. 33. Blog = we B log <ul><li>Before: webmasters used to keep web logs listing site visitors </li></ul><ul><li>Now: blog is a simple website with articles in a reverse chronological order </li></ul><ul><li>The new entries are at the top, the old ones at the bottom </li></ul>
  34. 34. Web 2.0 = Give the power back to the user <ul><li>It’s not difficult at all </li></ul><ul><li>Creating a website is as easy as opening an email account </li></ul><ul><li>Maintaining a website is even easier </li></ul>
  35. 35. How easy? <ul><li>Google’s Blogger claims that it takes 5 minutes to start a website. </li></ul><ul><li>The NY Times gave it a try and it took them 4 minutes </li></ul>
  36. 36. How can I make a website? <ul><li>Google Blogger.com or WordPress.com </li></ul><ul><li>And many others - all for free </li></ul><ul><li>It just takes a phone call to post a case description on a website </li></ul>
  37. 37. What about those bloggers? <ul><li>Blogging can’t be serious, right? </li></ul><ul><li>Right </li></ul><ul><li>They may not be serious but they get millions of visitors </li></ul>
  38. 38. Compare <ul><li>Cleveland Clinic CME website receives 1.3 million visitors per YEAR </li></ul><ul><li>DailyKos has 5.4 million per WEEK, 700,000/d. In other words, he makes the Clinic CME yearly count in 2 days </li></ul><ul><li>Some medical bloggers have 11,000 visitors per day, which is about 4 million per year </li></ul>
  39. 39. PR Power <ul><li>Microsoft Blogger Has as Much PR Power as CEO . What Does That Mean for Your Hospital? </li></ul>
  40. 40. Hospitals want visitors to their websites <ul><li>Why? </li></ul><ul><li>Because 15% of visitors become customers </li></ul>Source: Hospitals use websites to attract out-of-town patients - USA Today
  41. 41. More and more people see the world through “Google eyes” <ul><li>“ If it is not on the web, it does not exist” </li></ul><ul><li>Your patients, friends and employers will be Googling you </li></ul><ul><li>Get used to it </li></ul><ul><li>Help them find the real you </li></ul>
  42. 42. Looking for a Job? Start a Blog
  43. 43. Looking for a Job? Start a Blog <ul><li>It helped me </li></ul><ul><li>Control the search for your name </li></ul><ul><li>Let employers find you, not somebody else. Example search: Dimov, MD </li></ul>
  44. 44. Looking for a Job? Start a Blog <ul><li>Blogs 'essential' to a good career , Boston Globe </li></ul><ul><li>Set up a blog </li></ul><ul><li>Buy a domain name, e.g. velez.com </li></ul><ul><li>Get your CV there </li></ul><ul><li>Include the address in emails and printed CVs </li></ul><ul><li>Cost = $ 8 for the name </li></ul>
  45. 45. Create a “regular” website with blogging software
  46. 46. Using Blogging Software to Create a &quot;Regular&quot; Website <ul><li>You don’t have to be a blogger to use blogging software </li></ul><ul><li>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 </li></ul>
  47. 47. Use it as a Notebook <ul><li>Collect interesting articles </li></ul><ul><li>Write down research ideas </li></ul><ul><li>Collect interesting cases </li></ul><ul><li>Make you own educational portfolio and share it with the world </li></ul><ul><li>People want to know </li></ul>
  48. 48. How about HIPAA and patient cases? <ul><li>There are 18 identifiers that must not be present in the case description </li></ul>
  49. 49. Do not get fired
  50. 50. How to blog and not get fired? <ul><li>Always check with your boss </li></ul><ul><li>Comply with the institutional blogging guidelines (if available). Made by IBM, Microsoft, Yahoo, Sun… now hospitals </li></ul><ul><li>Your patients may be blogging about you </li></ul><ul><li>Do not blog about them in any HIPAA-identifiable way </li></ul>
  51. 51. Web 2.0 is here to stay Nobody can stop the world
  52. 52. Take Home Message <ul><li>Web 2.0 offers a great opportunity. We should use it to: </li></ul><ul><li>Benefit our patients </li></ul><ul><li>Stay updated </li></ul><ul><li>Share knowledge with medical professionals all over the world </li></ul><ul><li>Take research collaboration to the next level </li></ul><ul><li>Career advancement </li></ul>
  53. 53. 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