Kaplan Medicine20 Sept08

Medicine 2.0 Congress Medical Bloggers Panel Keith J. Kaplan, MD Mayo Clinic Department of Pathology

Disclosures

Consultant – Aperio, Inc.

Digital Pathology Blog

www.tissuepathology.com

Digital Pathology Digital Data Set/Whole slide image Telepathology Image analysis & CAD Research Education Imaging & Archiving Virtual microscopy PACS signout Virtual IHC Consultation Diagnosis Consultation Targeted therapies Image based searches Reporting Links to images Digital archive Undergraduate GME/CME TMA Comparative analysis HSI Rare event detection

Why is it Effective?

It is persistent; one can view slide from anywhere

It is consistent; same slide, same time, no degradation or loss of material

It is effective; maintain single repository electronically, enhanced archival and retrieval of material, no slide loss

Why Do I Blog?

Someone talked me into it

Cover digital pathology

Academic blogging

Less personal

Social marketing and networking tool

White noise

RSS

http://www.corporeality.net/museion/2008/07/29/all-883-health-and-medicine-blogs-on-display-in-one-image-playing-with-wordle-part-3 ; Accessed 30 July 2008

Why do MDs Blog?

Amplify MDs perspective on devices, tests, rules, regulations in medicine

Personal reflections on practicing medicine

Patient encounters – “Doctor stories”

A Piece of My Mind

Personal reflections – death of parent or patient

Expose fraudulent practices or ideas/propose and propagate new ideas or concepts in practice of medicine or subspecialty

Academic Blogging

Workspace to explore and share new ideas, technologies, practices

University/hospital employees afforded an independent voice

Constraints with clinical duties and respect for institution

Academic Blogging

Disseminate new ideas for discussion

Short form of journalism/medical publication

# of people helped may outweigh peer-reviewed manuscripts published on esoterica (1 day/1 year)

Synergy between industry and academia for collaboration

Affords industry low-cost marketing and advertising for investigators investing sweat equity to post on relevant topics

Academic Blogging

Scan horizon for worthy items within your personal interests and expertise

Filter and interpreter for other laboratory professionals & digital pathology community

Re-post items from sources not available to public, patients, industry or researchers outside domain

Deliverables

Good blogs are discovered; not marketed

“Word of blog”

Bloggers read a lot of blogs

Millions of blogs and most keep up with 4 or 5

New content/information to keep loyalty

Imitation sincerest form of flattery

Re-posting; track backs; referencing; blog carnivals

Immediacy of response and feedback

Why is this important?

e-Cleveland Clinic CME website receives about 1 million visitors per year

DailyKos has nearly that many page views on an average day

About 10-15% of users become patients

Getting the word out for Centers of Excellence

Attracting e-consumers to patients

Digital Pathology and Medicine 2.0 Triaging cases and reports to identify most complex cases in need of consultations Automated rule-based software to screen results/diagnose Customized information for PCP, specialist (oncologist) and patient “ Smart” Pathology Reports Ideal documentation of gross/micro images; teaching & collaboration tool with clinicians Image integration into surgical pathology reports Enable physicians to access lab reports and images using browser software Wi-Fi enabled devices Enhanced capability for lab medicine consulting; easy access to MD office Web portal software; web-enabled LIS Application in Pathology Name of IT Tool

Primary Pathologist Anywhere in the 50 US states Secondary Pathologist Lab performing IHC, Consultation Tertiary Pathologist “ Glass-Less” virtual Microscopy consultation

Patient report Specialist report Pathology report 1 2 3 4