Baylor College of Medicine Grand Rounds: 06/17/20 - Use of social media for medical education - Utilizing social media for research - How to strategically employ social media when applying for promotion - Common pitfalls - Social media in the times of COVID-19

1. Social Media and Medicine:
A Recipe for Success
Viren Kaul, MD
Pulmonary and Critical Care Medicine, Crouse Health
Assistant Professor of Medicine, Upstate Medical University
Twitter: @VirenKaul

2. No Conflicts to Declare
… Except my desire to get my
Twitter: @VirenKaul

3. What is Social Media?
Format Examples
Microblogging / Social Network Twitter, Facebook, Instagram, Snapchat, Reddit, Google +
Blogs CHEST Thought Leaders, ATS WEAR, PulmCCM, Mayo Clinic
Professional Networks LinkedIn, Sermo
Thematic Networking DocMatters, Doc2Doc, Doctor’s Hangout, Figure 1
Crowdsourced Knowledge Wikipedia, Wikisurgery, WikiEM
Media Sharing Youtube, Vimeo, Slideshare
File Sharing Dropbox, Google Drive
Collaborative Platforms Google docs/sheets, Asana, Slack
Physician Rating Websites Health Grades, RateMDs
Applications Read by QxMD, Browzine
Twitter: @VirenKaul
Barnes, Kaul, Kudchadkar. JICM. 2018

4. MedEd
Research
Promotion Pitfalls
COVID19
What Will We be Talking About Today
Twitter: @VirenKaul

5. MedEd
Research
Promotion Pitfalls
COVID19
What Will We be Talking About Today
Twitter: @VirenKaul

6. 01
02
05
04
03
RESEARCH
SoMe in MedEd
Stakeholder priorities (LungCa)
Faculty-trainee interactions
Support groups
Study recruitment
AUDIOVISUAL
Video series
Podcasts
Interviews
Simulations
Gamification
.
WRITING
Blogs
Commentaries
Editorials
Investigative pieces
Tweetorials
ORGANIZATIONAL / INSTITUTIONAL
Social media teams
Online journal clubs
Post publications peer-reviews
Program / institutional accounts
Mentorship / sponsorship
PROMOTION
Opportunities on Social Media
Twitter: @VirenKaul

7. No COI
Blogs, Podcasts, Videos & Webcasts
Twitter: @VirenKaul
@GrahamCarlos
@CuriousClinPod
@AvrahamCooperMD

8. Online Journal Clubs / Twitter Chats:
Collaborative Learning
Twitter: @VirenKaul

9. Tweetorials: aka “Notes” in 2020
Twitter: @VirenKaul

10. Visual
Abstracts:
Making it
Stick
Twitter: @VirenKaul

11. Messaging Apps / Collaborative Platforms
Twitter: @VirenKaul

12. Is Teaching on #SoMe Different vs
Traditional Classroom?
Twitter: @VirenKaul

13. Twitter: @VirenKaul
Is Teaching on #SoMe Different vs
Traditional Classroom?

14. Twitter: @VirenKaul
Is Teaching on #SoMe Different vs
Traditional Classroom?

15. Sapna offered this opportunity on Twitter,
out of a random conversation
Since then, our collaborative productivity:
4 abstracts, 1 publication, 2 studies underway, 1 in planning
Oh, I haven’t met Sean yet!
4 specialties
3 authors
2 hospitals
Collaborations
on Steroids
Twitter: @VirenKaul

16. Mentors / Sponsors Without Borders
Twitter: @VirenKaul
Within 1 year,
found myself a mentor and a mentee. Thank you, Twitter!

17. Crowdsource Content &
Receive Feedback
Twitter: @VirenKaul

18. Crowdsource Content &
Receive Feedback
Twitter: @VirenKaul

19. Wellness:
Combating Burnout
through Community
Twitter: @VirenKaul

20. Advocacy
Twitter: @VirenKaul

21. MedEd
Research
Promotion Pitfalls
COVID19
What Will We be Talking About Today
Twitter: @VirenKaul

22. Social Media
Based Research
Huge benefit:
A significant amount of data is in
public domain and may not need IRB
approval!
Twitter: @VirenKaul
Dissemination:
eg. Surveys
Stakeholder
priorities and
disease states
Recruitment
Support and
recovery groups
Medical education
research

23. SoMe Based Research: Recruitment
Twitter: @VirenKaul

24. SoMe Based Research:
Support & Recovery Groups
Twitter: @VirenKaul
SUPPORT
GIVING
OPINION

25. SoMe Based Research:
Stakeholder Priorities & Disease States
Twitter: @VirenKaul

26. SoMe Based
Research:
Stakeholder
Priorities &
Disease States
Twitter: @VirenKaul

27. Counting conversations on lung cancer:
Analyzing the footprint of various
healthcare stakeholders on Twitter
Viren Kaul, MD (Crouse/Upstate)
Kamran Boka, MD (UTSW)
Yonatan Greenstein, MD (Rutgers NJMS))
Silvio Ñamendys-Silva, MD
(Hospital Medica Sur &
Instituto Nacional de Cancerologia, Mexico)
Christopher Carroll, MD (UCONN)
• Healthcare organizations have largest digital footprint
• Clinicians & non-healthcare individuals have similar presence
• Interactions surround secondary # eg. #LCSM & #LCAM
• Conversations revolve around patients &
“Screening” is a commonly occurring term
BACKGROUND:
⁃ No data on interactions
between various
stakeholders on subject of
lung cancer on social
media
METHODS
⁃ Used Symplur Signals to
examine interactions
surrounding hashtag
#LungCancer
⁃ Data collected quarterly
between January 2014
and December 2018
CLINICAL IMPLICATIONS
- Healthcare conversations
abound on social media
- Healthcare organizations
leading the charge with
engaging patients online
- Role for physicians to
increase #SoMe presence
SCAN TO
FIND ME
SCAN FOR OUR
ABSTRACT and
DATA ANALYSIS
Quarterly
metrics
Overall Clinicians HCOs Industry Patients
Tweets
27,496 + 8,993 4,986 + 1,595 8,596 + 3,115 268 + 113 4,175 + 1,214
Users 9,124 + 3,250 1,574 + 420 1,343 + 330 37 + 9 1,023 + 324
Impressions 144.5 million +
69.7 million
12.8 million +
7.8 million
63.5 million +
28.7 million
12.1 million +
8.5 million
19.7 million +
9.3 million
% users with
> 10 tweets
4% + 0.4% 5% + 1% 9% + 1% 21% + 7% 7% + 1%
Tweets/Hour 12.5 + 4.1 2.3 + 0.7 3.9 + 1.4 0.1 + 0.1 1.9 + 0.5
% tweets
with links 71% + 4% 63% + 6% 80% + 3% 66% + 8% 60% + 7%
% tweets
with
mentions
69% + 5% 84% + 4 48% + 5% 35% + 6% 83% + 7%
% replies 2% + 3% 2% + 2% 1% + 1% 4% + 7% 3% + 3%
% retweets 54% + 6% 66% + 5% 31% + 5% 13% + 5% 69% + 8%
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,000
18,000
Jan2014-Mar2014
Jul2014-Sep2014
Jan2015-Mar2015
Jul2015-Sep2015
Jan2016-Mar2016
Jul2016-Sep2016
Jan2017-Mar2017
Jul2017-Sep2017
Jan2018-Mar2018
Jul2018-Sep2018
Quarterly Tweets By Stakeholder Group
Over Time
0
100
200
300
400
500
600
700
800
Jan2014-Mar2014
Jul2014-Sep2014
Jan2015-Mar2015
Jul2015-Sep2015
Jan2016-Mar2016
Jul2016-Sep2016
Jan2017-Mar2017
Jul2017-Sep2017
Jan2018-Mar2018
Jul2018-Sep2018
Use of Associated Term “Screening”
by Stakeholder Groups

28. SoMe Based
Research:
MedEd
Twitter: @VirenKaul

29. MedEd
Research
Promotion Pitfalls
COVID19
What Will We be Talking About Today
Twitter: @VirenKaul

30. Twitter: @VirenKaul

31. Creating a Digital
Portfolio
Glassick’s
Framework
Twitter: @VirenKaul

32. Who?
Audience
• Students
• Residents
• Fellows
• Practicing physicians
• Specialty
What?
Content
• Basic Science
• Clinical
• Med Ed
• Analytical
• Explorative
• Translational
• Evidence Appraisal
• Visual Representation
How?
Platform
• AV based content?
• Microblogging
• All other avenues
before!
Social Media Portfolio: Clear Goals
Twitter: @VirenKaul

33. Who?
Audience
• Students
• Residents
• Fellows
• Practicing physicians
• Specialty
What?
Content
• Basic Science
• Clinical
• Med Ed
• Analytical
• Explorative
• Translational
• Evidence Appraisal
• Visual Representation
How?
Platform
• AV based content?
• Microblogging
• All other avenues
before!
Social Media Portfolio: Clear Goals
Twitter: @VirenKaul

34. Who?
Audience
• Students
• Residents
• Fellows
• Practicing physicians
• Specialty
What?
Content
• Basic Science
• Clinical
• Med Ed
• Analytical
• Explorative
• Translational
• Evidence Appraisal
• Visual Representation
How?
Platform
• AV based content?
• Blogging
• Microblogging
• Messaging services
• All other avenues
before!
Social Media Portfolio: Clear Goals
Twitter: @VirenKaul

35. Content
• Type of Content
• Durable?
• Curated
• Platform
• Data Analysis
Peer Review
• Clear Process
• Inclusion and
Acknowledgeme
Timely Review
Analytics
• RTs, Likes
• Altmetrics
• Page Visits
• Comments
• Utilization of
Others
Social Media Portfolio: Reporting Metrics
Twitter: @VirenKaul

36. Understanding The
Altmetric Attention Score
Altmetric Attention Score
The Doughnut
Social Media Channels That Contributed
Twitter: @VirenKaul

37. Talk At
Lahey
Webinar on
#HCSM with
NYACP
Thought
Leaders
Blog With
CHEST
37
Traditional
Publication
on Topic of
SoMe in
CCM
Invited speaker, Medical
Grand Rounds, Lahey
Hospital and Medical Center.
Topic: ***. 02/01/19.
Attendees: ***
Kaul V. Hot Topics in
CHEST October 2018. Date.
Accessible at: *Link*
Understanding The
Altmetric Attention Score
There are other scores as well eg. PlumX
Twitter: @VirenKaul

38. Talk At
Lahey
Thought
Leaders
Blog With
CHEST
38
Invited speaker, Medical
Grand Rounds, Lahey
Hospital and Medical Center.
Topic: ***. 02/01/19.
Attendees: ***
Kaul V. Hot Topics in
CHEST October 2018. Date.
Accessible at: *Link*
But Really, What’s in it for me?
Twitter: @VirenKaul Luc. Ann Thorac Surg. 2020
112 articles randomized to tweeted vs not
by Thoracic Surgery Social Media Network (58,000 followers)

39. Talk At
Lahey
Webinar on
#HCSM with
NYACP
Thought
Leaders
Blog With
CHEST
39
Traditional
Publication
on Topic of
SoMe in
CCM
Invited speaker, Medical
Grand Rounds, Lahey
Hospital and Medical Center.
Topic: ***. 02/01/19.
Attendees: ***
Kaul V. Hot Topics in
CHEST October 2018. Date.
Accessible at: *Link*
Will My PnT Committee Care?
Asked to ”live
tweet” for ATS 2017
Started Sharing
Clinical Pearls /
MedEd content on
Twitter
Article with
Sapna / Sean
2018
Promoted Interests and
Scholarship on Twitter +
Digital Work w/ Orgs:
Sessions at ATS, CHEST and
ACGME
2019
CHEST SoMe Editor
ATS SoME Web Lead
Grand Rounds at BAYLOR!
2019 - 2020
Twitter: @VirenKaul

40. Talk At
Lahey
Webinar on
#HCSM with
NYACP
Thought
Leaders
Blog With
CHEST
40
Traditional
Publication
on Topic of
SoMe in
CCM
Invited speaker, Medical
Grand Rounds, Lahey
Hospital and Medical Center.
Topic: ***. 02/01/19.
Attendees: ***
Kaul V. Hot Topics in
CHEST October 2018. Date.
Accessible at: *Link*
Will My PnT Committee Care?
Article with
Sapna / Sean
2018
Promoted Interests and
Scholarship on Twitter +
Digital Work w/ Orgs:
Sessions at ATS, CHEST and
ACGME
2019
100%
Twitter: @VirenKaul
CHEST SoMe Editor
ATS SoME Web Lead
Grand Rounds at BAYLOR!
2019 - 2020
Asked to ”live
tweet” for ATS 2017
Started Sharing
Clinical Pearls /
MedEd content on
Twitter
PROBABLY
NOT

41. MedEd
Research
Promotion Pitfalls
COVID19
What Will We be Talking About Today
Twitter: @VirenKaul

42. Sleepless in Houston
Twitter: @VirenKaul

43. Oversharing
It’s good practice to keep
professional accounts distinct!
Dancing in an OR hallways
with PPE on not a good idea
Professional Profile
& Interactions
Avoid anonymous profiles
Clear photograph / AVI
List interests / expertise
Patients are watching us
Privacy
Comes First
HIPAA is the minimum standard
We are held to a higher standard!
No Take Backs / Do-overs
If it doesn’t feel right, it likely is NOT
“Don’t post something you wouldn’t
want your chair, parents, wife or
lawyer to see!”
Keeping the Oath
Twitter: @VirenKaul

44. MedEd
Research
Promotion Pitfalls
COVID19
What Will We be Talking About Today
Twitter: @VirenKaul

45. Information and COVID19
Twitter: @VirenKaul
22,366
Results for COVID-19 on PubMed as of June 14th, 2020

46. Twitter: @VirenKaul Cinelli. arXiv.org. 2020
Information and COVID19

47. Twitter: @VirenKaul Cinelli. arXiv.org. 2020
Information and COVID19
VS

48. Twitter: @VirenKaul
Information and COVID19:
Maintaining Sanity
Curate Your Feed:
Halt That Hose
Limit Time Online:
Take a Break
Share Responsibly:
Battle Misinformation,
Find Your Community
Protect Yourself First:
Don’t Tolerate Harassment
Don’t Share Personal Info

49. Acknowledgements
Ms. Lauren Kaul
Dr. David Landsberg
Dr. Russ Acevedo
Dr. Chris Carroll
Dr. Graham Carlos
Dr. Sapna Kudchadkar
Dr. Avraham Cooper
Dr. Ann Wu
Dr. Roozehra Khan
Dr. Alice Gallo
Dr. Esther Choo
Dr. Judy Melinek
Ms. Tricia Pendergrast
Dr. Rahul Kashyap
Dr. Naftali Kaminski
Dr. Sheetal Gandotra
Dr. Nida Qadir
If you want to go fast,
go alone
If you want to go far,
go together

50. Tweet you soon!
Viren Kaul, MD
Pulmonary and Critical Care Medicine, Crouse Health
Assistant Professor of Medicine, Upstate Medical University
Twitter: @VirenKaul