Use of Online Social Networking Resources for Education & Support in Psychiatry & Medicine

Disclosure “ AIl speakers must disclose relevant financial interests or other relationship (i.e., grants, research support, consultant fees, honoraria, royalties, ownership interest e.g., stocks, mutual funds) he/she or spouse/partner has or has had with the manufacturer of any commercial product within the past 12 months that may be discussed in the educational presentation. For this purpose we consider the relevant financial relationships of your spouse or partner that you are aware of to be yours.” I have no disclosures except that I do participate in a blog and a podcast that could potentially one day make money if someone came along and paid us to do what we are now doing for nothing. I’m not holding my breath.

Use of Online Social Networking Resources for Education and Support in Psychiatry
September 12, 2008
10th Annual Torrance CME
“ Behavioral Health & Society”
Blairsville, PA
Steven R. Daviss, MD, DFAPA
Chair, Dept Psychiatry
Baltimore Washington Medical Center

ad·vo·ca·cy (n.)
The act of pleading or arguing in favor of something, such as a cause, idea, or policy; active support.
- The American Heritage® Dictionary of the English Language, Fourth Edition

“ Online Social Networking”
Email
Blogs
Podcasts
Websites (eg, Facebook, Myspace)
Wikis
Virtual worlds (eg, Second Life)
Interaction

Supporting Hospital Doctors in the Middle East by Email Telemedicine: Something the Industrialized World Can Do to Help Victor Patterson, BChir, MB, FRCP; Pat Swinfen; Roger Swinfen; Emil Azzo, FRCOG; Husen Taha, MD; Richard Wootton, PhD, DSc JMIR 2007 http://www.jmir.org/2007/4/e30/HTML
283 cases resulted in 522 separate queries to specialists
median time to reply was 24.3 hours
“ Supporting individual doctor-patient encounters in this way is therefore often beneficial and is easily expandable. As well as improving care for individuals, email telemedicine provides effective case-based learning for local doctors, leading to improved care for subsequent similar patients.”

Use of the Internet to Communicate with Health Care Providers in the United States: Estimates from the 2003 and 2005 Health Information National Trends Surveys (HINTS) Ellen Burke Beckjord; Lila J Finney Rutten; Linda Squiers; Neeraj K Arora; Lindsey Volckmann; Richard P Moser; Bradford W Hesse JMIR 2007 http://www.jmir.org/2007/3/e20/HTML
Adult Internet users in 2003 (n = 3982) and 2005 (n = 3244) were queried about contacting their providers via email or internet
Internet contact with health care providers increased slowly from 7% in 2003 to 10% in 2005.
“ Policy-level changes are needed to maximize the availability and effectiveness of online patient-provider communication for health care consumers and health care providers. ”

Terminology
Web Log --> Weblog --> Blog : A collection of short writings or 'content', usually displayed in reverse chronological order, from newest to oldest
Post : A single piece of content within a blog (poster=one who posts)
Comment : A reader's response to a post
Podcast : An audio or video recording easily downloaded from the internet which can be listened to on a computer or ANY mp3 player (including iPods)

"Do I expect that blogs are going to be a significant part of public policy in government in the future?
Absolutely."
U.S. Secretary of Health Michael Leavitt, July 29, 2008, about his own blog at http://secretarysblog.hhs.gov/my_weblog/

"First of all, when I think of blogs, I think blogs are muffins; they range from everything from bran to chocolate cake. They are more of a shape than they are defining a particular kind of content. And I think ... there is a similarity to blogs ... they tend to have posts, links, and comments."
Tom Rosenstiel, Director of Project for Excellence in Journalism

Why would a psychiatrist write a blog?
Creative outlet
Education
Interaction
Understanding other points of view
Helping others understand more about psychiatry
ADVOCACY

Review of 1434 Medical Blogs in 2006 (5 posts from each)
271 appeared to be written by RN (22%) or MD (76%)
57% of authors could be identified by name or photo
JGIM
11% promoted health care products
42% blogged about patients (16% positive, 18% negative)
51% blogged about health care system (40% pos, 32% neg)
Lagu 2008

Lagu 2008 “ One of my patients last night was a pastor, who was such a trooper. i mean the guy didn’t even complain when we had to transfer him to a different unit at 4 A.M.”

“ When you come into the ER yelling, moaning, and twisting in agony because you have a sprained ankle - I will hate you. Why will I hate you? I will hate you because the man in the next stretcher is dying of an excruciatingly painful form of cancer, yet he is silent.” Lagu 2008

unprofessional content & tone
privacy violations
product promotion without full disclosure
public health communication
transmit new info
emphasize positive aspects of health care
encourage others to enter the field
Pros Cons Lagu 2008

Anatomy of a Blog

Comments

Links to other blogs

Who are you writing for?
Anonymity?
What to write about?
Responding to comments
Comment moderation?
Getting Started

Types of Posts: Serious...

...about another blog...

...book reviews...

...personal...

...grand rounds...

...and humor...

...humor...

...and more humor.

Things medical bloggers worry about
No medical advice
Do not do anything that could be construed as establishing a physician-patient relationship
Ethical Issues
Blogging about patient experiences
What not to write about
Legal issues (eg, don’t blog about your malpractice trial)

Who reads Shrink Rap?
20% Physicians
22% Other Healthcare Professionals
29% Patients/Consumers
29% Others
March 2007

Monthly Visits Monthly Pageviews Monthly Unique Visitors ~13,000/mo ~23,000/mo ~9,000/mo

Other popular mental health blogs
John Grohol’s World of Psychology
Psychology Today
The Last Psychiatrist
Mental Health Notes
Clinical Psychology & Psychiatry
Dr Helen
The Neurocritic
Musings of a Dinosaur
May Shrink or Fade
Intueri
Furious Seasons

Podcasts
Format
Frequency
Topics
Style
Sound quality

http://mythreeshrinks.com

~15,000 podcast downloads per month

ad·vo·ca·cy (n.)
The act of pleading or arguing in favor of something, such as a cause, idea, or policy; active support.
- The American Heritage® Dictionary of the English Language, Fourth Edition

blogger.com

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Use of Online Social Networking Resources for Education & Support in Psychiatry & Medicine

by sdaviss on Feb 05, 2009

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