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The Impact of Social Media in Physician Continuing Medical Education
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The Impact of Social Media in Physician Continuing Medical Education



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  • 1. The Impact of Social Media In CME
    Joseph Kim, MD, MPH
    President of Medical Communications Media, Inc.
  • 2. Incorporated in 1995, MCM is a provider of certified continuing education solutions for health care professionals. MCM develops educational activities in joint-sponsorship with accredited providers.
  • 3. Partnerships and Collaborations
  • 4. 4
    How can social media impact the formal educational experience?
  • 5. QuantiaMD & Care Continuum Alliance
    “Doctors, Patients & Social Media” (Sept 2011)
    28% already use professional physician communities, with the highest enthusiasm around using them to learn from experts and peers.
  • 6. The “Connected Clinician”
  • 7. Closed vs. Open Communities
    Open communities
    Everything may become public
    Consumers/patients may get involved
    Not discussing specific patients
    Anonymous vs. identified postings
    Closed communities
    HCPs may discuss anything, including specific patients
    Curbside consultations with patient-specific information
    Anonymous vs. identified postings
  • 8. Online Medical Communities
  • 9. Sermo
    117,000+ members (1 in 5 practicing US physicians)
    All physicians are verified
    400,000 post views (discussions) per month
    1 Million comments, 50,000 posts, 3.5 million votes
  • 10. Certified CME Activities on Social Media & Medication Adherence
    • “Using Social Media to Improve Medication Adherence”
    1. Outline the appropriate ways of communicating with colleagues and with patients on social media websites
    2. Describe how social media can be used to communicate with patients about the importance of medication adherence.
    • Supported by an educational grant from Pfizer
  • 11. Discussing “medication adherence”
    First poll + discussion on Sermo:
    21 votes, 27 comments
    Comments reflect:
    Physician attitudes about EHR systems
    Attitudes about patient motivation to adhere to medication regimens
    Thoughts regarding the importance of team-based care
  • 12. On a closed social network (restricted community)
    Physicians are open
    They don’t hold back their comments
    Some are willing to admit mistakes
    Most admit their knowledge gaps
    They are willing to discuss controversial topics
  • 13. A series of CME activities on fibromyalgia
  • 14. Ongoing, longitudinal education
    Social media discussions identify areas where there is an ongoing need for education
    Controversies and confusion around the diagnosis and management
    Sharing experiences on what is and is not working
    Overcoming challenges related to disease management
  • 15.
  • 16. QuantiaMD
    Over 300,000 members, over 125,000 physicians
    Access on mobile devices
    300,000 minutes of content consumed
    40,000 questions answered
    1,000+ resources delivered
  • 17. Doximity
    HIPAA-compliant physician network and communication platform
    Connect with physicians and get more referrals and consults
  • 18. Traditional CME (CME 1.0)
  • 19. Improving CME (CME 2.0)
  • 20. Thank You
    Joseph Kim, MD, MPH
    Twitter: @DrJosephKim
  • 21. Thank You
    Joseph Kim, MD, MPH
    Twitter: @DrJosephKim
  • 22. Closed Networks
    Admit a mistake: “I accidentally did this and harmed a patient. How could I avoid this mistake in the future?”
    Voice frustration managing a patient: “I can’t get my patients with diabetes to goal. What else can I do?”
    Discuss controversial or challenging issues: “What do you do when your patient stops a medication? When do you fire a patient for non-compliance?”
  • 23. Social media is…
  • 24. 24
  • 25. Closed Networks
    Physicians are willing to be vulnerable and admit their mistakes or their gaps in knowledge
    They are discussing specific patients
    Post photos and/or videos of patients
    Curbside consultations
    Gaining comfort with second-line and third-line treatments
  • 26. 26
  • 27. Extra Slides
  • 28. Title – Font - Century Gothic
    Content – Font Century GothicSize 24
  • 29. Student Doctor Network
    Over 3.5 million visits per month
    300,000 registered members
    over 10 million posts
  • 30. “Twitter in the classroom”
  • 31. Source: HCPs & Social Media 2011 by UBM Medica
    Where do physicians spend their time?
  • 32. Hashtags:
  • 33. How many physicians use social media for professional purposes?
    Manhattan Research: 24%
    QuantiaMD/Care Continuum: 65% and 28% 45%
  • 34. 2009
    “Practicing Medicine in the Age of Facebook”
    Harvard Dean for Medical Education writes: “Caution is recommended . . . in using social networking sites such as Facebook or MySpace. Items that represent unprofessional behavior that are posted by you on such networking sites reflect poorly on you and the medical profession. Such items may become public and could subject you to unintended exposure and consequences.”
    N Engl J Med 2009; 361:649-651
  • 35. Physician fired over Facebook posts
    April 2011: Rhode Island physician wrote about her experience in a hospital emergency room. She didn’t use names, but used enough descriptors that readers in the community were able to identify the patient.
    Fired from the hospital
    Fined $500
    Reprimanded by the state medical board
    Boston Globe ( April 19, 2011
  • 36. 36
  • 37. Why Should HCPs Use Social Media?
  • 38. Mayo Clinic Center for Social Media
    The Mayo Clinic Center for Social Media exists to improve health globally by accelerating effective application of social media tools throughout Mayo Clinic and spurring broader and deeper engagement in social media by hospitals, medical professionals and patients.
  • 39. Mayo Clinic’s Social Media Philosophy:
    Mayo Clinic believes individuals have the right and responsibility to advocate for their own health, and that it is our responsibility to help them use social media tools to get the best information, connect with providers and with each other, and inspire healthy choices.
  • 40. Twitter
    Physicians are using hash tags # at major medical conferences to share information with colleagues
    “Oncologists Using Twitter to Advance Cancer Knowledge” Oncology Times Jan 2010
    Live tweeting during surgery
    “…information on Twitter is not verified, and it may be impossible to authenticate sources” JAMA Feb 9, 2011
  • 41. Consumers Are Using Social Media
    “Consumers Seek Healthcare Advice On Facebook, Docs Absent” (InformationWeek July 11, 2011)
    “Patients Use Facebook, Twitter, to get health information” (CNN Blog March 4, 2011)
    In the survey of nearly 23,000 people in the United States, 16% said they use social media as a source of health care information. For nearly all of them – 94% - Facebook was their site of choice, with YouTube coming in a distant second at 32%.
  • 42. Infographic: Mobile Statistics, Stats & Facts 2011 by Microsoft Tag
    Rapid Growth in Mobile
  • 43. Social Media Interactions
    Patients are:
    Asking questions
    Voicing complaints
    Sharing stories
    The health care community is:
    Educating patients
    Improving awareness
    Building trust
    Learning from patients
  • 44. Social Gaming and Health
  • 45. Concerns: Security & Privacy
    HCPs & Social Media 2011 by UBM Medica
  • 46. Suggested Social Media Guidelines
    Remember that everything you write may be publicly shared and permanent
    Never write about specific patients or use identifying information
    Always display professionalism, courtesy, and respect
    It is OK to discuss health and medical topics, but only in general terms
    Maintain appropriate boundaries of the patient-physician relationship in accordance with professional ethical guidelines
  • 47. Suggested Social Media Guidelines (cont…)
    Never provide medical advice
    If you would not say it in front of a crowded room of strangers, do not say it online
    Know when to ignore comments or take discussions offline
    Separate your personal and professional online presence
    Report content posted by colleagues that reflect unprofessional conduct
  • 48. #SocialMedia in Medicine
    Webinar originally recorded on June 22, 2011
    Over 1,000 health care professionals registered
    Covered the basics:
    Now archived on
  • 49. Additional Resources
    AMA Policy: Professionalism in the Use of Social Media
    Social Media Governance
    Guseh JS 2nd, Brendel RW, Brendel DH. Medical professionalism in the age of online social networking. J Med Ethics. 2009;35(9):584-6.
    Gabbard GO, Kassaw KA, Perez-Garcia G, Professional boundaries in the era of the internet. Acad Psych. 2011;35:168-74.
  • 50. Conferences
    Medicine 2.0 (Stanford University)
    Health 2.0
    Doctors 2.0
    Annual Health Care Social Media Summit (Mayo Clinic Center for Social Media)
  • 51. HCPs & Social Media 2011 by UBM Medica