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#MMed13 | @chimooseContents are proprietary and confidential.1Medical Education in Online ConversationGreg MatthewsApril 2...
#MMed13 | @chimooseContents are proprietary and confidential.0102030405060708090100MDigital Life MedEd Tweet Volume
#MMed13 | @chimooseHow do doctors talk aboutMedical Education online?Contents are proprietary and confidential.
#MMed13 | @chimooseKey Medical Education Conversations - #MedEdContents are proprietary and confidential.40100200300400500...
#MMed13 | @chimooseKey Medical Education Conversations - #FOAMedContents are proprietary and confidential.5010020030040050...
#MMed13 | @chimooseKey Medical Education Conversations - #TwitJCContents are proprietary and confidential.6010020030040050...
#MMed13 | @chimooseKey Medical Education Conversations – MedEd2Contents are proprietary and confidential.70100200300400500...
#MMed13 | @chimoose#MedStudentsContents are proprietary and confidential.
#MMed13 | @chimooseSharing the experience of studying medicineContents are proprietary and confidential.9
#MMed13 | @chimooseSharing the experience of studying medicineContents are proprietary and confidential.10
#MMed13 | @chimooseContents are proprietary and confidential.050100150200250#MedStudents Tweet Volume
#MMed13 | @chimooseMatch Day!Contents are proprietary and confidential.12
#MMed13 | @chimooseUS Medical Schools with >4 tweetsContents are proprietary and confidential.13
#MMed13 | @chimooseHead and shoulders …Contents are proprietary and confidential.14
#MMed13 | @chimooseContents are proprietary and confidential.Brazil7%Canada6%China4%other9%UK3%USA71%#MedStudents Geograph...
#MMed13 | @chimoose#MedEdContents are proprietary and confidential.
#MMed13 | @chimooseMDigitalLife – Top Overall HashtagsTOP HASHTAGS#health(8,215)#meded (4,547)#hcsm (4,532)#mhealth (3,412...
#MMed13 | @chimooseContents are proprietary and confidential.01002003004005006007008009001000#MedEd Tweet VolumeTweet Volu...
#MMed13 | @chimooseContents are proprietary and confidential.Australia9%Canada6%other10%UK9%USA66%#MedEd Geographic Distri...
#MMed13 | @chimooseTop Hashtags in MedEd tweets“Confidential: The strategies and tacticsdescribed herein are subject to le...
#MMed13 | @chimooseWhat are the top information sources?Contents are proprietary and confidential.21Most linked by All Mos...
#MMed13 | @chimooseTop Tweeters in #MedEdContents are proprietary and confidential.22Top TweetersRyanMadanickMDBrianSMcGow...
#MMed13 | @chimooseContents are proprietary and confidential.0 500 1000 1500 2000 2500 3000 3500 4000 4500Before May 2010M...
#MMed13 | @chimooseTop SpecialtiesContents are proprietary and confidential.Specialty Percent of MedEdTweetsInternal Medic...
#MMed13 | @chimoose#FOAMedContents are proprietary and confidential.
#MMed13 | @chimooseWhat’s #FOAMed?Contents are proprietary and confidential.26FOAMed is the movement that has spontaneousl...
#MMed13 | @chimooseWhat’s FOAMed?Contents are proprietary and confidential.27If you want to know how we practiced medicine...
#MMed13 | @chimooseContents are proprietary and confidential.0100200300400500600700800#FOAMed Tweet Volume
#MMed13 | @chimoose“Confidential: The strategies and tacticsdescribed herein are subject to legal andregulatory approval p...
#MMed13 | @chimooseContents are proprietary and confidential.Australia28%Brazil5%Canada7%Egypt5%other5%UK3%USA47%#FOAMed G...
#MMed13 | @chimooseTop SpecialtiesContents are proprietary and confidential.31Specialty Percent of FOAMed TweetsEmergency ...
#MMed13 | @chimooseTop MDigitalLife Tweeters in FOAMedContents are proprietary and confidential.32Top Physician Tweetersma...
#MMed13 | @chimooseTop Overall Tweeters in #FOAMedContents are proprietary and confidential.33Top Tweetersprecordialthumps...
#MMed13 | @chimoose“Confidential: The strategies and tacticsdescribed herein are subject to legal andregulatory approval p...
#MMed13 | @chimooseTop Domains linked-to by PhysiciansContents are proprietary and confidential.35Top Domainslifeinthefast...
#MMed13 | @chimooseWhat FOAM looks likeContents are proprietary and confidential.36
#MMed13 | @chimooseWhat FOAM looks likeContents are proprietary and confidential.37
#MMed13 | @chimooseWhat FOAM looks likeContents are proprietary and confidential.38
#MMed13 | @chimoose#TwitJCContents are proprietary and confidential.
#MMed13 | @chimooseContents are proprietary and confidential.050100150200250300350#TwitJC Tweet VolumeNatalie Silvey@silv2...
#MMed13 | @chimooseContents are proprietary and confidential.TwitJC Language
#MMed13 | @chimooseTop Hashtags in #TwitJC TweetsContents are proprietary and confidential.42Hashtags Percent of FOAMed Tw...
#MMed13 | @chimooseTop #TwitJC LinksContents are proprietary and confidential.43Top Domainswww.twitjc.comwww.nejm.orgonlin...
#MMed13 | @chimooseTop Tweeters in #TwitJCContents are proprietary and confidential.44Top Tweeterssilv24TwitjournalclubPae...
#MMed13 | @chimooseWho cares about a journal club?Contents are proprietary and confidential.45http://storify.com/amcunning...
#MMed13 | @chimoose#MedEd2Contents are proprietary and confidential.
#MMed13 | @chimooseContents are proprietary and confidential.0102030405060MedEd2 Tweet Volume
#MMed13 | @chimooseTop Tweeters in #MedEd2Contents are proprietary and confidential.48Top TweeterswestrPfandersonConcierge...
#MMed13 | @chimooseTop #MedEd2 LinksContents are proprietary and confidential.49Top Domainswww.kevinmd.comwww.genomeweb.co...
#MMed13 | @chimooseMedEd2 can look like this …Contents are proprietary and confidential.50
#MMed13 | @chimooseMedEd2 can look like this …Contents are proprietary and confidential.51
#MMed13 | @chimooseMedEd2 can look like this …Contents are proprietary and confidential.52
#MMed13 | @chimooseSpecial	  Thanks	  Brian	  McGowan	  of	  Archemedx	  @BrianSMcGowan	  Kayla	  Rodriguez	  of	  WCG	  @...
#MMed13 | @chimooseAppendix
#MMed13 | @chimooseWhat’s MDigitalLife?Contents are proprietary and confidential.55
#MMed13 | @chimooseUnderstanding Doctors’ Online Behavior56 Contents are proprietary and confidential.18%21%31%8%22%(0500 ...
#MMed13 | @chimoosesearch.mdigitallife.comContents are proprietary and confidential.57
#MMed13 | @chimooseWhat do doctors talk about online?Contents are proprietary and confidential.58
#MMed13 | @chimooseAt the highest level …Contents are proprietary and confidential.Health EducationBusiness of HealthPolit...
#MMed13 | @chimooseAt the highest level …Contents are proprietary and confidential.Health EducationBusiness of HealthPolit...
#MMed13 | @chimooseStrongest Focus Areas0%10%20%30%40%50%60%70%80%90%100%DoctorsMediaCongress6%33%2%14%11%64%27%22%15%6%10...
#MMed13 | @chimooseWhere education makes a difference62
#MMed13 | @chimooseThe PSA Controversy35%54%11%Negative Neutral PositiveDoctors who state an opinion aremore than 3:1again...
#MMed13 | @chimoosePediatricians often provide advice on low-effort, high-impact activitiesthat can improve family healthW...
#MMed13 | @chimoosePediatricians focus on high-probability dangers, like head injuries,drowning, poisons, firearms; Little...
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The Future of Medical Education - An Online Conversation Analysis

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Presentation delivered by Greg Matthews to the Millenial Medicine Symposium on April 26, 2013. #MMed13

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The Future of Medical Education - An Online Conversation Analysis

  1. 1. #MMed13 | @chimooseContents are proprietary and confidential.1Medical Education in Online ConversationGreg MatthewsApril 26, 2013
  2. 2. #MMed13 | @chimooseContents are proprietary and confidential.0102030405060708090100MDigital Life MedEd Tweet Volume
  3. 3. #MMed13 | @chimooseHow do doctors talk aboutMedical Education online?Contents are proprietary and confidential.
  4. 4. #MMed13 | @chimooseKey Medical Education Conversations - #MedEdContents are proprietary and confidential.401002003004005006007008009001000MedEd
  5. 5. #MMed13 | @chimooseKey Medical Education Conversations - #FOAMedContents are proprietary and confidential.501002003004005006007008009001000MedEd FOAMed
  6. 6. #MMed13 | @chimooseKey Medical Education Conversations - #TwitJCContents are proprietary and confidential.601002003004005006007008009001000MedEd FOAMed TwitJC
  7. 7. #MMed13 | @chimooseKey Medical Education Conversations – MedEd2Contents are proprietary and confidential.701002003004005006007008009001000MedEd FOAMed TwitJC MedEd2
  8. 8. #MMed13 | @chimoose#MedStudentsContents are proprietary and confidential.
  9. 9. #MMed13 | @chimooseSharing the experience of studying medicineContents are proprietary and confidential.9
  10. 10. #MMed13 | @chimooseSharing the experience of studying medicineContents are proprietary and confidential.10
  11. 11. #MMed13 | @chimooseContents are proprietary and confidential.050100150200250#MedStudents Tweet Volume
  12. 12. #MMed13 | @chimooseMatch Day!Contents are proprietary and confidential.12
  13. 13. #MMed13 | @chimooseUS Medical Schools with >4 tweetsContents are proprietary and confidential.13
  14. 14. #MMed13 | @chimooseHead and shoulders …Contents are proprietary and confidential.14
  15. 15. #MMed13 | @chimooseContents are proprietary and confidential.Brazil7%Canada6%China4%other9%UK3%USA71%#MedStudents Geographic Distribution
  16. 16. #MMed13 | @chimoose#MedEdContents are proprietary and confidential.
  17. 17. #MMed13 | @chimooseMDigitalLife – Top Overall HashtagsTOP HASHTAGS#health(8,215)#meded (4,547)#hcsm (4,532)#mhealth (3,412)#fmrevolution (2,721)FamilyMedicineResidentsMost used byMost used by17 Contents are proprietary and confidential.
  18. 18. #MMed13 | @chimooseContents are proprietary and confidential.01002003004005006007008009001000#MedEd Tweet VolumeTweet Volume Linear (Tweet Volume)Ryan Madanick@RyanMadanickMD
  19. 19. #MMed13 | @chimooseContents are proprietary and confidential.Australia9%Canada6%other10%UK9%USA66%#MedEd Geographic Distribution
  20. 20. #MMed13 | @chimooseTop Hashtags in MedEd tweets“Confidential: The strategies and tacticsdescribed herein are subject to legal andregulatory approval prior toHashtag Percent of MedEd TweetsHCSM   8.3%  medschool   3.8%  premed   2.6%  cmechat   2.4%  FOAMed   2.1%  medstudents   3.6%  healthcare   1.9%  medicine   1.8%  mdchat   1.5%  Health   1.5%  
  21. 21. #MMed13 | @chimooseWhat are the top information sources?Contents are proprietary and confidential.21Most linked by All Most linked by MDsnih.gov www.geripal.orgkevinmd.com www.nytimes.comwell.blogs.nytimes.com nih.govwebicina.com www.kevinmd.comblogs.einstein.yu.edu well.blogs.nytimes.comnytimes.com neuroednerd.blogspot.comimedicalapps.com www.nejm.orgthehappymd.com journals.lww.comTheAtlantic.com www.theatlantic.comNEJM.org futureoffamilymedicine.blogspot.com
  22. 22. #MMed13 | @chimooseTop Tweeters in #MedEdContents are proprietary and confidential.22Top TweetersRyanMadanickMDBrianSMcGowanARJalaliMedPedsDoctorFutureDocsamcunninghamwhole_patientsMedEdChatKind4KidsCollege_Experts
  23. 23. #MMed13 | @chimooseContents are proprietary and confidential.0 500 1000 1500 2000 2500 3000 3500 4000 4500Before May 2010May 2010 - April 2011May 2011 - April 2012May 2012 - April 2013Mdigital Life MedEd Tweet Volume
  24. 24. #MMed13 | @chimooseTop SpecialtiesContents are proprietary and confidential.Specialty Percent of MedEdTweetsInternal Medicine 42.8%Resident 14.7%Psychiatry & Neurology 14.6%Cardiology 9.0%Pediatrics 8.4%Family Medicine 5.3%Emergency Medicine 2.1%Surgery 0.8%Orthopaedic Surgery 0.7%Anesthesiology 0.5%
  25. 25. #MMed13 | @chimoose#FOAMedContents are proprietary and confidential.
  26. 26. #MMed13 | @chimooseWhat’s #FOAMed?Contents are proprietary and confidential.26FOAMed is the movement that has spontaneously emerged from the exploding collection of constantly evolving,collaborative and interactive open access medical education resources being distributed on the web with oneobjective — to make the world a better place. FOAM is independent of platform or media — itincludes blogs, podcasts, tweets, Google hangouts, online videos, text documents, photographs, facebook groups, and a whole lotmore.FREE OPEN ACCESS MEDUCATION
  27. 27. #MMed13 | @chimooseWhat’s FOAMed?Contents are proprietary and confidential.27If you want to know how we practiced medicine 5 years ago,read a textbookIf you want to know how we practiced medicine 2 years ago,read a journalIf you want to know how we practice medicine now,go to a (good) conferenceIf you want to know how we will practice medicine in the future,listen in the hallways and use FOAM.- Joe Lex, MD
  28. 28. #MMed13 | @chimooseContents are proprietary and confidential.0100200300400500600700800#FOAMed Tweet Volume
  29. 29. #MMed13 | @chimoose“Confidential: The strategies and tacticsdescribed herein are subject to legal andregulatory approval prior to050100150200250MDigital Life FOAMed Tweet VolumeAAEM13
  30. 30. #MMed13 | @chimooseContents are proprietary and confidential.Australia28%Brazil5%Canada7%Egypt5%other5%UK3%USA47%#FOAMed Geographic Distribution
  31. 31. #MMed13 | @chimooseTop SpecialtiesContents are proprietary and confidential.31Specialty Percent of FOAMed TweetsEmergency Medicine 78.7%Surgery 7.9%Resident 6.8%Internal Medicine 2.5%Family Medicine 0.9%
  32. 32. #MMed13 | @chimooseTop MDigitalLife Tweeters in FOAMedContents are proprietary and confidential.32Top Physician TweetersmastinmdJoeLex5bedsidesonoSonoSpotdrsamkoembasicTheTechDocmeganranneygrahamwalkernyjsm
  33. 33. #MMed13 | @chimooseTop Overall Tweeters in #FOAMedContents are proprietary and confidential.33Top TweetersprecordialthumpsandnsurfEMS12LeadJoeLex5RogerDJones1rfdsdocCriticalCareNowsmacc2013umanamdIVLINE
  34. 34. #MMed13 | @chimoose“Confidential: The strategies and tacticsdescribed herein are subject to legal andregulatory approval prior toTop #Hashtags used in FOAMed TweetsHashtag Percent of MedEd Tweetsaaem13 37.9%ultrasound 4.2%hanoitrauma13 3.0%harvardultrasound 2.2%villareal 1.9%pemc12 1.7%meded 1.4%smacc2013 1.1%joelex 1.0%williams 0.8%
  35. 35. #MMed13 | @chimooseTop Domains linked-to by PhysiciansContents are proprietary and confidential.35Top Domainslifeinthefastlane.comsonospot.wordpress.comwww.ultrasoundpodcast.comembasic.orggmep.orgacademiclifeinem.blogspot.comnih.govwww.essr.orgwww.pbfluids.comjournals.lww.com
  36. 36. #MMed13 | @chimooseWhat FOAM looks likeContents are proprietary and confidential.36
  37. 37. #MMed13 | @chimooseWhat FOAM looks likeContents are proprietary and confidential.37
  38. 38. #MMed13 | @chimooseWhat FOAM looks likeContents are proprietary and confidential.38
  39. 39. #MMed13 | @chimoose#TwitJCContents are proprietary and confidential.
  40. 40. #MMed13 | @chimooseContents are proprietary and confidential.050100150200250300350#TwitJC Tweet VolumeNatalie Silvey@silv24Fiona Douglas@FiDouglas
  41. 41. #MMed13 | @chimooseContents are proprietary and confidential.TwitJC Language
  42. 42. #MMed13 | @chimooseTop Hashtags in #TwitJC TweetsContents are proprietary and confidential.42Hashtags Percent of FOAMed Tweetsmeded 2.6%foamed 1.3%gasclass 1.0%ecgclass 0.7%sciteachjc 0.6%edcases 0.6%evidencelive 0.6%microtwjc 0.6%hcsm 0.6%phtwitjc 0.6%
  43. 43. #MMed13 | @chimooseTop #TwitJC LinksContents are proprietary and confidential.43Top Domainswww.twitjc.comwww.nejm.orgonlinelibrary.wiley.comjamanetwork.comwishfulthinkinginmedicaleducation.blogspot.co.ukwww.bmj.comblogs.nejm.orgnih.govalltrials.netwww.consort-statement.org
  44. 44. #MMed13 | @chimooseTop Tweeters in #TwitJCContents are proprietary and confidential.44Top Tweeterssilv24TwitjournalclubPaedsSHOTaggiemonster_elljay_ChristipladyNorthern_doctorDr_dybJonjhiltonamcunningham
  45. 45. #MMed13 | @chimooseWho cares about a journal club?Contents are proprietary and confidential.45http://storify.com/amcunningham/what-happens-when-you-ask-atul-gawande-to-join-in-?
  46. 46. #MMed13 | @chimoose#MedEd2Contents are proprietary and confidential.
  47. 47. #MMed13 | @chimooseContents are proprietary and confidential.0102030405060MedEd2 Tweet Volume
  48. 48. #MMed13 | @chimooseTop Tweeters in #MedEd2Contents are proprietary and confidential.48Top TweeterswestrPfandersonConciergedocMedObserverDrbachinskyGiasisonJohnNostaAftjaedopaminergic13Faisal_hoque
  49. 49. #MMed13 | @chimooseTop #MedEd2 LinksContents are proprietary and confidential.49Top Domainswww.kevinmd.comwww.genomeweb.comwww.forbes.com33charts.comwww.nejm.orgwww.medicineandtechnology.comwww.incrowdnow.comwww.fastcompany.comwww.ihealthbeat.orgwww.nytimes.com
  50. 50. #MMed13 | @chimooseMedEd2 can look like this …Contents are proprietary and confidential.50
  51. 51. #MMed13 | @chimooseMedEd2 can look like this …Contents are proprietary and confidential.51
  52. 52. #MMed13 | @chimooseMedEd2 can look like this …Contents are proprietary and confidential.52
  53. 53. #MMed13 | @chimooseSpecial  Thanks  Brian  McGowan  of  Archemedx  @BrianSMcGowan  Kayla  Rodriguez  of  WCG  @kaylarodrigue11  Natalie  Silvey  –  Junior  Doctor  in  the  UK  @silv24  MaLhew  Hager  of  W2O  Digital  @ismashew  
  54. 54. #MMed13 | @chimooseAppendix
  55. 55. #MMed13 | @chimooseWhat’s MDigitalLife?Contents are proprietary and confidential.55
  56. 56. #MMed13 | @chimooseUnderstanding Doctors’ Online Behavior56 Contents are proprietary and confidential.18%21%31%8%22%(0500 – 0800) (0801 - 1200) (1201 - 1800) (1801-2300) (2301-0459)Morning Workday Work PM Evening Overnightof all MDs are followedby at least 20 MDs34%of all MDs are mentioned byother MDs in the data set36%When Doctors Tweet
  57. 57. #MMed13 | @chimoosesearch.mdigitallife.comContents are proprietary and confidential.57
  58. 58. #MMed13 | @chimooseWhat do doctors talk about online?Contents are proprietary and confidential.58
  59. 59. #MMed13 | @chimooseAt the highest level …Contents are proprietary and confidential.Health EducationBusiness of HealthPolitics of Health59
  60. 60. #MMed13 | @chimooseAt the highest level …Contents are proprietary and confidential.Health EducationBusiness of HealthPolitics of Health60
  61. 61. #MMed13 | @chimooseStrongest Focus Areas0%10%20%30%40%50%60%70%80%90%100%DoctorsMediaCongress6%33%2%14%11%64%27%22%15%6%10%5%47%23% 15%PercentageofHealthcareConversationHealthcare Conversation TopicsTreatmentResearchPreventionPolicyBusiness61
  62. 62. #MMed13 | @chimooseWhere education makes a difference62
  63. 63. #MMed13 | @chimooseThe PSA Controversy35%54%11%Negative Neutral PositiveDoctors who state an opinion aremore than 3:1against the USPSTF’sruling on PSA Tests63 Contents are proprietary and confidential.
  64. 64. #MMed13 | @chimoosePediatricians often provide advice on low-effort, high-impact activitiesthat can improve family healthWhat Pediatricians Are Talking About on Twitter*Clinical LifestyleBehaviorManagementVaccinationsNutritionOrganic Food/Clothing (.2%)Household SafetyChildhoodDiabetes(.4%)Benefits of Bacteria(.6%)PsychopathologyChildhood ObesityBreast FeedingAllergiesStudy/NewsSharingParentingTipsSun Exposure (.4%)Infant Mortality (.8%)
  65. 65. #MMed13 | @chimoosePediatricians focus on high-probability dangers, like head injuries,drowning, poisons, firearms; Little mention of non-organic ingredientsPediatrician Conversations About Safety*Themes in Safety Conversations• Pediatricians 3 most common pieces of safety advicewere : a) teach your kids how to swim; b) install your carseat correctly; and c) know whether guns are stored atyour child’s friends’ houses.• Household safety tips included stories on the dangers ofcurtains and detergent gel packs.Types of Content SharedNews/Studies:• Drowning is the leading cause of child deaths in the U.S.• Colorful gel detergent packs are a potential danger toyoung children, although no deaths have been reportedTips:• Importance of swimming lessons• Car seat safety tips• Gun safety• Child-proofing curtains and kitchens0.07%0.07%0.08%0.12%0.12%0.18%0.23%0.36%0.41%0.00% 0.20% 0.40%Sleep SafetyStrollersDetergent PacksElementsPoisonsChild-ProofingGunsTransportationDrowningPercentage of All PostsTips62%News/Studies38%

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