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Acr talk blogging for rheumatologists_final

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A beginner's guide to blogging - why should I bother?

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Acr talk blogging for rheumatologists_final

  1. 1. Why Blog? An Overview Philip Gardiner Rheumatologist, N.Ireland @philipgardiner
  2. 2. Disclosures I have no commercial interests related to this talk
  3. 3. EBM References 1. The social (media) side to rheumatology Francis Berenbaum Nature Reviews Rheumatology 2014(10):314–318  2. Systematic Review of Social Media in Medical Education.  Cheston C et. al. Acad Med 2013:88;893-90  3. Understanding the Factors That Influence the Adoption and Meaningful Use of Social Media by Physicians to Share Medical Information  Bryan McGowan J Med Internet Res. 2012 Sep 24;14(5):e117 [Details to be posted on my blog for later reference]
  4. 4. EBM3  Evidence Based Medicine  Can medical bloggers help to get evidence based learning across more effectively and accurately?  Should academics use social media?  Esteem Based Medicine  Can doctors earn public trust by blogging responsibly (taking good care of our online profile)?  Can blogging stimulate creativity & innovation?  Empathy Based Medicine  Reflection is an essential ‘grounding mechanism’ for the empathic physician  Can Blogging help doctors to reflect and empathise?
  5. 5. Information Overload Pitfalls Outline Blogging Rheumatologists Academia & Education YOUR SPECIALTY NEEDS
  6. 6. Overload? Information Discovery Information Consumption Information gap/mismatch
  7. 7.  Towards a Healthy Diet…  Aggregation  Books, Reviews, Conferences  Evernote, Mendeley/Zotero/Endnote  Social Discovery  Discussions with colleagues  Blogs & Twitter A Problem of Ingestion
  8. 8. A Problem of Digestion  What really matters?  Just let it go: ‘flatus and flatulence’  What new information should inform a change in my practice?  Highlight practical points at a conference  Reflect and summarise after the conference – ?prepare a blog for colleagues  Contextualize & apply 
  9. 9. The Missing Elements “Medicine is the Science of Uncertainty and the Art of Probability” – William Osler "Evidence based medicine should always be used for the 5% of clinical decisions for which we have good evidence. Mark Reid, MD @medicalaxioms “What I was taught in medical school didn’t prepare me for what I feel when a patient dies…” – Atul Gawande ‘Being Mortal’ Can blogs / reflective medical literature help?
  10. 10. Ground Rules for Health Blogs  Avoid discussion of…  Your alcohol consumption  Your patients (unless ‘aggressively de-identified stories’)  Your relationships & your children  Your work grievances  Avoid/Be very careful  Bad language; Photos of patients; religion & politics;  ‘Black Humour’, Racist or sexist language .  ‘Prescribing without a professional relationship’  Not declaring financial interests Bryan Vartabedian, MD @Doctor_V
  11. 11. We WILL investigate…  Misinformation on physician practice website  Misleading information about clinical outcomes  Use patient images without consent  Misrepresent credentials  Inappropriate contact with patients Survey of FSMB We MAY investigate…  Depiction of alcohol intoxication  Violating patient confidentiality  Using discriminatory or derogatory speech We WILL NOT investigate…  Narrative blog of patient encounter with no identifiers Greysen SR, Ann Intern Med. 2013;158(2):124-130
  12. 12. Do Physicians Misbehave Online?  260 Physicians with >500 followers on Twitter  Country: 76% US  Content of >5,000 tweets analysed:  3% of tweets ‘unprofessional’  0.7% potential patient privacy breaches  0.3% sexually explicit material  0.3% conflict of interest Chretian KC JAMA 2011 Feb 9;305(6):566–8
  13. 13. Oops…
  14. 14. Should Academics Blog? “More researchers should engage with the blogosphere, including authors of papers in press” Nature Editorial ‘It’s good to blog’ Nature 457, 1058 (26 February 2009)  Work presented at conferences becomes public knowledge so blogging doesn’t break Nature’s embargo – but avoid active ‘promotion’ for media coverage
  15. 15. Figure 1 Personal view on the evolution of the flow of knowledge and health information reaching patients Berenbaum, F. (2014) The social (media) side to rheumatology Nat. Rev. Rheumatol. doi:10.1038/nrrheum.2014.20 [Used with Nature Publishing Group License]
  16. 16. Dissemination of new research findings from ACR meeting to Clinicians 1995
  17. 17. 1995 2005
  18. 18. 1995 2005 2014
  19. 19. Does Anyone Read My Research Paper?  Traditional Journals – Very Few!  90% published papers never cited  50% papers only read by authors & peer reviewers  How many people bother to respond?  Blog posts – often >5k readers, comments common  Measuring the REAL impact factor:  Altmetrics  Measuring impact on Twitter, Blogs, Mendeley  Open Access vs. Subscription only Journals
  20. 20. Can Blogs Improve Medical Education?  Systematic Review of Social Media in Medical Education. Cheston C et. al.  14 studies, only one RCT!  Results:  Blogs were used in 71%, Twitter 14%, Facebook 14%  Evidence of improved learner engagement: 166 of 177 student entries on blog were ‘reflective’  engaged students had better exam scores, better reflective writing skills, higher empathy scores  BUT Blog facilitation did increase faculty time Acad Med 2013:88;893-90
  21. 21. Can Social Media Help to Support a Course?  4th year elective course on Ultrasound spread over 10 months  Methods  Focus on emergency U/S (Monthly topics on Trauma, critical care, cardiac and Ob/G)  Daily Twitter feed @EDultrasound: 101 Followers  Regular posts on Facebook (78 followers): students can ‘Like’ or comment on posts and interact  Results:  89% found it user friendly  81% agreed that the content was useful Bahner DP et al. Med Teacher 2012
  22. 22. Do Medical Students Misbehave online?  Online posting of unprofessional content by medical students: Survey of deans of student affairs (78 of 130 replied to the survey)  13% had come across an incident deemed to violate patient confidentiality  60% had seen an example of unprofessional conduct, but <5/year for 78% of deans Greysen SR et al JAMA 2012;307(11):1141
  23. 23. Do Physicians Use Social Media? (2011)  Email survey: random sample of 1695 practicing oncologists and primary care physicians in the United States in March 2011: 485 respondents (29%)  61% scan Social Media at least once a week  46% contribute to Social Media at least once a week  58% said Social Media helped them to improve patient care Bryan McGowan J Med Internet Res. 2012 Sep 24;14(5):e117
  24. 24. Who is my Target Audience?  (Me)  My Patients  Specialty Colleagues  Other Colleagues  Other Professions  The Wider Public  Opinion leaders
  25. 25. Diet/Drinks Patient Focus Historical Patient Safety Frustrations New Ideas Education Research Outcomes Tech My Blog Topics Use #Hashtags on Twitter to direct your blog post to the right audience
  26. 26. Formats  Don’t forget the mobile visitor!  Desktop/Tablet version  Smartphone enabled version
  27. 27. Irwin Lim @_connectedcare Rheumatologist, Sydney Antoni Chan @synovialjoints Rheumatologist, UK synovialjointsblog.blogspot.com Ms Rheumatologist
  28. 28. Blog of Blogs  Carlo Caballero’s blog on Paper.li  Twitter pic & pic of page
  29. 29.  Dr Irwin Lim & the ‘Connected Care’ blog  Engaging  Regularly updated  Focused, patient related topics  Team engagement with the public  Branding and design  Description of services  iSpondylitis app ‘Professional’ Blogging
  30. 30. Dr Suleman Bhana, Dr Michael Laccheo, Dr Paul Sufka
  31. 31. “Physician, know thyself”  Are you suffering burnout?  Are you stuck in a rut? “The task of the doctor is to recognise the man” John Berger 1997  Can you face up to your own limitations? Refresh, Reboot, Blog!
  32. 32. 'Confessional blogging'
  33. 33.  “Good story-telling is all about emotional connection” Tyler DeWitt  Attention: to be able to think WITH, not ABOUT  Representation: using written/spoken/performed/visual arts  Develop Affiliation/’Resonate’: create bonds between clinician and patient Narrative Skills
  34. 34. Narrative Competence  ‘Creative non-fiction’ – co-construct stories and use to teach students.  Louise Aronson  Use blogging to develop these skills: Jordan Grumet’s Blog  Listening and reading  Attention, reflection, affiliation  Absorb, interpret, allow yourself to ‘be moved’
  35. 35. So…why DO you blog? “When once the itch of literature comes over a man, nothing can cure it but the scratching of a pen. But if you have not a pen, I suppose you must scratch any way you can.” Samuel Lover

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