Digital Doctoringand
Healthy Communication
Matthew Katz, MD
May 19, 2016
PhysicianUse of Social Media
Disclosure
• Founder/owner, nonprofit RadiationNation.com
• Volunteer for
• Massachusetts Medical Society
• American Society of Radiation Oncology (ASTRO)
• American Society of Clinical Oncology (ASCO)
Social Media in Medicine
• Manywant to knowhow to:
• Enhance reputation
• Get relevant information
• Grow your practice
• Collaborate, learn
• Minimize/avoid risk
• Start instead with:
• Who am I?
• Why do I want to communicate?
Know the Rules First
Know Who You Are
• Decide comfort level being public
• As a non-professional person
• As a health professional
• As a citizen
• Start conservatively
• Learn the rules of each road you choose
• Start in the parking lot, not the highway
• Build skills
• Art and science of digital communication
Medicine5.0 – Millenniaof Healing
v. Era Example Divine Healer/W
ounded
Dyad
Knowledge Scientific
Method
1.0 Prehistoric Shaman + +
2.0 400 B.C. Galen + + +
3.0 18th-19th c. Virchow + + +
4.0 20th Osler + +
5.0 21st ? + + +
Professionals are increasingly interactive intermediaries in health
Hippocrates
“I will use treatment to help the
sick according to my ability and
judgment, but never with a view to
injury or wrong-doing”
“Into whatsoever houses I enter, I
will enter to help the sick”
Maimonides
“Grant me the strength, time and
opportunity always to correct what
I have acquired, always to extend
its domain; for knowledge is
immense and the spirit of man can
extend indefinitely to enrich itself
daily with new requirements.”
Hippocrates
“I will use treatment to help the
sick according to my ability and
judgment, but never with a view to
injury or wrong-doing”
“Into whatsoever houses I enter, I
will enter to help the sick”
Maimonides
“Grant me the strength, time and
opportunity always to correct what
I have acquired, always to extend
its domain; for knowledge is
immense and the spirit of man can
extend indefinitely to enrich itself
daily with new requirements.”
Your oath holds true online, on
whatsoever platform you extend your domain
Representing the Profession
Am I My Colleague’s Keeper?
What the public expects
Mr. John Doe ( General Manager )
• Professionalism based upon
• Quality as clinician
• Workmanship
• Citizenship
• Doctors expected to be
• Confident
• Reliable
• Composed
• Accountable
• Dedicated
Source: Chandratilake et al, Clin Med 2010
Risks in Clinical Practice
Patients/Caregivers
• Misinformation
• Loss of privacy
• Psychologic
amplification
Professionals
• Professional harm
• Patient harm
• Psychological harm
Public Medicine: Scalable Good or Harm
Bik HM, Goldstein MS. PLOS Biol 2013
Flexner Mentality= Dangerous
SOURCE: Simon Wardley, blog.gardeviance.org
M.D. =Master Dilettante
• Able, not ‘expert’
• Absorb and synthesize information, research
• Apply evidence to needs, values of each patient
• Free from false expectation of omniscience
• Better communication
• Listening, understanding essential
• Skills can be learned for clinic and online
What is Stopping Us?
QuantiaMD.com, 2011 http://bit.ly/OKR00w
http://bit.ly/16cPIUH
Start with Why
Where People ShareTheir Care
Why Doctors Need to Be Online
• Patients and caregivers are increasingly
online, seeking help and support
• If clinicians don’t engage online, expect more
influence on health decisions by
• Peers and family
• Fearmongerers, opportunists
• Industry (Direct-to-consumer)
What patients and doctors deserve
Mr. John Doe ( General Manager )
Source: subatomicdoc, Flickr.com
Any social media tool should improve or preserve this covenant
WHO Definition of Health
Health includes yours
Doctor’sHierarchy ofNeeds
Source: subatomicdoc, flickr.com
DefineYour Purpose
Whyyou are online determines
• How you want to contribute
• Where to go
• What skills you will need
Which One AreYou?
Separate Medicineand Business
• Be the professional
• Coordinate with practice, hospital to do
the marketing
Have a Social Media Policy
Your staff, colleagues affect your reputation
• How you want to contribute
• Where to go
• What skills you will need
Goals
Purpose Example
Patient Care Best Practices
Learn From Patients
Enhance Career Education
Reputation Management
Networking
Job Opportunity
Teaching Medical education
Research/Academics
Advocacy Fundraising
Collaboration
Public education
VAK Learning Styles
Platform Visual
See/Read
Auditory
Listen/Speak
Kinesthetic
Touch/Do
Blogs X
Twitter X X
Facebook X
LinkedIn X
Instagram/Pinterest X
Tumblr X X X
YouTube/Vimeo X
Google + X X X
Adapted from: Meredith Gould, The Social Media Gospel
You are what you
Surf Search Share
Source: flowingdata.com
Professional = Patient Privacy
If in doubt, HIPAA applies
Act Like It’s Permanent
“Beniceronlinethanyouareoffline”
Respect and Dignity
Engage,butdon’t‘friend’or‘link’toyourpatients
Maintain Boundaries
• Applies especiallytoFacebook
• Knowandperiodically reviewprivacysettings
Transparency ofIntent
Reputation = EMR
Join
Post
Network
Establish Monitor Respond
Listen
Watch
‘ReadtheRoom’
Calm
Accountable
Reliable
Empathic
Hang your digital shingle
• Get a website domain with your name and your
brand
• Brands may fail, but save a place for you to tell your
story and achievements
• Build a “moat” to defend your reputation
http://www.matthewkatzmd.com
Type into domain registrar searchHyperText
Transfer Protocol
Establish, Track Yourself
• Pick a professional ‘handle’
• Non-anonymous
• Join multiple platforms to protect
your ‘brand’
• Monitor
• Google Alerts
• Physician rating sites
• Can’t eliminate the negative
• Accentuate/amplify the positive
Starting social media services*
Sign up
Explore
settings
Lurk Interact Lead
* Applies to most platforms
Medicolegal Risks
Mr. John Doe ( General Manager )
• Consider your online presencediscoverable
• By institution, professional society
• Social mediapolicy for your practice
• Want to keep your staff aware, accountable
• Describedin MMS Guidelines
Conclusion
Mr. John Doe ( General Manager )
• Ethics beforemechanics
• Why you do it drives how you will do it
• Use Digital Tools,Don’t Be One
• MoreResearchNeeded
Questions?
Mr. John Doe ( General Manager )
Look at MMS Physicians’ Guide at massmed.org
Contact me at:
@subatomicdoc [Twitter]
www.subatomicdoc.com

Physician Use of Social Media

  • 1.
    Digital Doctoringand Healthy Communication MatthewKatz, MD May 19, 2016 PhysicianUse of Social Media
  • 2.
    Disclosure • Founder/owner, nonprofitRadiationNation.com • Volunteer for • Massachusetts Medical Society • American Society of Radiation Oncology (ASTRO) • American Society of Clinical Oncology (ASCO)
  • 3.
    Social Media inMedicine • Manywant to knowhow to: • Enhance reputation • Get relevant information • Grow your practice • Collaborate, learn • Minimize/avoid risk • Start instead with: • Who am I? • Why do I want to communicate?
  • 5.
  • 6.
    Know Who YouAre • Decide comfort level being public • As a non-professional person • As a health professional • As a citizen • Start conservatively • Learn the rules of each road you choose • Start in the parking lot, not the highway • Build skills • Art and science of digital communication
  • 7.
    Medicine5.0 – MillenniaofHealing v. Era Example Divine Healer/W ounded Dyad Knowledge Scientific Method 1.0 Prehistoric Shaman + + 2.0 400 B.C. Galen + + + 3.0 18th-19th c. Virchow + + + 4.0 20th Osler + + 5.0 21st ? + + + Professionals are increasingly interactive intermediaries in health
  • 8.
    Hippocrates “I will usetreatment to help the sick according to my ability and judgment, but never with a view to injury or wrong-doing” “Into whatsoever houses I enter, I will enter to help the sick” Maimonides “Grant me the strength, time and opportunity always to correct what I have acquired, always to extend its domain; for knowledge is immense and the spirit of man can extend indefinitely to enrich itself daily with new requirements.”
  • 9.
    Hippocrates “I will usetreatment to help the sick according to my ability and judgment, but never with a view to injury or wrong-doing” “Into whatsoever houses I enter, I will enter to help the sick” Maimonides “Grant me the strength, time and opportunity always to correct what I have acquired, always to extend its domain; for knowledge is immense and the spirit of man can extend indefinitely to enrich itself daily with new requirements.” Your oath holds true online, on whatsoever platform you extend your domain
  • 10.
  • 11.
    Am I MyColleague’s Keeper?
  • 12.
    What the publicexpects Mr. John Doe ( General Manager ) • Professionalism based upon • Quality as clinician • Workmanship • Citizenship • Doctors expected to be • Confident • Reliable • Composed • Accountable • Dedicated Source: Chandratilake et al, Clin Med 2010
  • 13.
    Risks in ClinicalPractice Patients/Caregivers • Misinformation • Loss of privacy • Psychologic amplification Professionals • Professional harm • Patient harm • Psychological harm
  • 14.
    Public Medicine: ScalableGood or Harm Bik HM, Goldstein MS. PLOS Biol 2013
  • 15.
    Flexner Mentality= Dangerous SOURCE:Simon Wardley, blog.gardeviance.org
  • 16.
    M.D. =Master Dilettante •Able, not ‘expert’ • Absorb and synthesize information, research • Apply evidence to needs, values of each patient • Free from false expectation of omniscience • Better communication • Listening, understanding essential • Skills can be learned for clinic and online
  • 17.
    What is StoppingUs? QuantiaMD.com, 2011 http://bit.ly/OKR00w
  • 18.
  • 19.
  • 20.
  • 22.
    Why Doctors Needto Be Online • Patients and caregivers are increasingly online, seeking help and support • If clinicians don’t engage online, expect more influence on health decisions by • Peers and family • Fearmongerers, opportunists • Industry (Direct-to-consumer)
  • 23.
    What patients anddoctors deserve Mr. John Doe ( General Manager ) Source: subatomicdoc, Flickr.com Any social media tool should improve or preserve this covenant
  • 24.
    WHO Definition ofHealth Health includes yours
  • 25.
  • 26.
    DefineYour Purpose Whyyou areonline determines • How you want to contribute • Where to go • What skills you will need
  • 27.
  • 28.
    Separate Medicineand Business •Be the professional • Coordinate with practice, hospital to do the marketing
  • 29.
    Have a SocialMedia Policy Your staff, colleagues affect your reputation • How you want to contribute • Where to go • What skills you will need
  • 30.
    Goals Purpose Example Patient CareBest Practices Learn From Patients Enhance Career Education Reputation Management Networking Job Opportunity Teaching Medical education Research/Academics Advocacy Fundraising Collaboration Public education
  • 31.
    VAK Learning Styles PlatformVisual See/Read Auditory Listen/Speak Kinesthetic Touch/Do Blogs X Twitter X X Facebook X LinkedIn X Instagram/Pinterest X Tumblr X X X YouTube/Vimeo X Google + X X X Adapted from: Meredith Gould, The Social Media Gospel
  • 32.
    You are whatyou Surf Search Share Source: flowingdata.com
  • 33.
    Professional = PatientPrivacy If in doubt, HIPAA applies
  • 34.
    Act Like It’sPermanent “Beniceronlinethanyouareoffline”
  • 35.
  • 36.
    Maintain Boundaries • AppliesespeciallytoFacebook • Knowandperiodically reviewprivacysettings
  • 37.
  • 38.
    Reputation = EMR Join Post Network EstablishMonitor Respond Listen Watch ‘ReadtheRoom’ Calm Accountable Reliable Empathic
  • 39.
    Hang your digitalshingle • Get a website domain with your name and your brand • Brands may fail, but save a place for you to tell your story and achievements • Build a “moat” to defend your reputation http://www.matthewkatzmd.com Type into domain registrar searchHyperText Transfer Protocol
  • 40.
    Establish, Track Yourself •Pick a professional ‘handle’ • Non-anonymous • Join multiple platforms to protect your ‘brand’ • Monitor • Google Alerts • Physician rating sites • Can’t eliminate the negative • Accentuate/amplify the positive
  • 41.
    Starting social mediaservices* Sign up Explore settings Lurk Interact Lead * Applies to most platforms
  • 42.
    Medicolegal Risks Mr. JohnDoe ( General Manager ) • Consider your online presencediscoverable • By institution, professional society • Social mediapolicy for your practice • Want to keep your staff aware, accountable • Describedin MMS Guidelines
  • 43.
    Conclusion Mr. John Doe( General Manager ) • Ethics beforemechanics • Why you do it drives how you will do it • Use Digital Tools,Don’t Be One • MoreResearchNeeded
  • 44.
    Questions? Mr. John Doe( General Manager ) Look at MMS Physicians’ Guide at massmed.org Contact me at: @subatomicdoc [Twitter] www.subatomicdoc.com