Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Acr talk blogging for rheumatologists_final


Published on

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

Published in: Health & Medicine
  • Be the first to comment

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 Ms Rheumatologist
  28. 28. Blog of Blogs  Carlo Caballero’s blog on  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