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Web2 0 in Medicine - 2009 Update


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Web2 0 in Medicine - 2009 Update

  1. 1. Web 2.0/Social Media in Medicine Author: Ves Dimov, MD Allergy and Immunology Fellow, Creighton University, Division of Allergy & Immunology, Member of the New England Journal of Medicine Advisory Board for Students and Residents, Former Clinical Assistant Professor of Medicine, Cleveland Clinic and Case Western Reserve University Last updated: 04/22/2009
  2. 2. About Us (me) Any reputable website has “About Us” section
  3. 3. Who are you to talk to me about Web 2.0 and websites? <ul><ul><li>I have made 9 educational websites: for Cleveland Clinic, University of Miami, Case Western Reserve University and personal </li></ul></ul><ul><ul><li>They have been featured multiple times in BMJ, Medscape, peer reviewed journals </li></ul></ul><ul><ul><li>Abstracts presented at multiple national and international scientific meetings </li></ul></ul>
  4. 5. How many people visit your website? <ul><ul><li>Three million page views since 2005. It feels as if you have written a book and somebody reads 3,000 pages of it… every day </li></ul></ul><ul><ul><li>1.3 million visitors from all over the world, probably a larger readership than many journals </li></ul></ul><ul><ul><li>Google loves quality content </li></ul></ul>
  5. 6. Web 2.0/Social Media in Medicine
  6. 7. What is Web 2.0 ? The web world has changed before our eyes
  7. 8. What is Web 2.0? <ul><ul><li>Web 2.0 is a collection of (mostly) free web services </li></ul></ul><ul><ul><li>You can’t buy Web 2.0 at the store but you can use it today </li></ul></ul>
  8. 9. Web 1.0 vs. Web 2.0 <ul><ul><li>Web 1.0 users follow links to content </li></ul></ul><ul><ul><li>Web 2.0 users comment, edit and create content </li></ul></ul><ul><ul><li>It is user-created content. For the user, by the user </li></ul></ul>
  9. 10. RSS Podcast Write/Collaborate Blog Twitter Social network - Facebook
  10. 11. Web 1.0 / Web 2.0 G Docs & Spreadsheets MS Word Tags - Directories , Favorites  Wikipedia Britannica Online  Syndication, RSS , Podcast, website follows you Stickiness, stay on the website  Participation ( blogs , comments, Twitter) Publishing ( websites )  Search, like Google Portal, like Yahoo Web 2.0 Web 1.0 
  11. 12. Why should I care about Web 2.0?
  12. 13. Where is my place in all that? <ul><ul><li>Everybody is busy </li></ul></ul><ul><ul><li>Web 2.0 saves time by helping you get exactly the information you are interested in </li></ul></ul><ul><ul><li>Blogs and Twitter let you create content and share it with others – this is content created FOR the user BY the user </li></ul></ul>
  13. 14. How can I use Web 2.0?
  14. 15. RSS Podcast Write/Collaborate Blog Twitter Social network - Facebook
  15. 16. RSS
  16. 17. What is RSS ? <ul><ul><li>RSS = R eally S imple S yndication </li></ul></ul><ul><ul><li>A hybrid between a personal assistant and your “inbox for the web” </li></ul></ul>
  17. 18. RSS to Master the Information Overflow <ul><ul><li>Get only the news you want  River of news concept, e.g. Medscape </li></ul></ul><ul><ul><li>&quot;It's like having a personal assistant who goes through every publication and blog that could possibly interest you and picks out stories to bring to your attention&quot; - PC Magazine </li></ul></ul><ul><ul><li>Instead of visiting 20 websites per day, let them send information to you, Google Reader  or Bloglines </li></ul></ul>
  18. 19. Choose your RSS feed
  19. 20. This is how my Google Reader looks like – inbox for the web
  20. 21. RSS <ul><ul><li>S ubscribe to specific searches on Pubmed (e.g. statins and dementia), or any search engine and collect them in one place </li></ul></ul><ul><ul><li>S ubscribe to the major medical journals RSS feeds </li></ul></ul>
  21. 22. Make your own “medical journal” <ul><li>Combine RSS feeds from the journals you read into one easy-to-scan page </li></ul><ul><li>Use iGoogle or other aggregators </li></ul>
  22. 23. Make your own journal with iGoogle
  23. 24. PubMed and RSS <ul><li>Why and how to do use it? </li></ul>
  24. 25. Search and export to RSS
  25. 26. Export to RSS feed
  26. 27. Click “Create Feed”
  27. 28. Subscribe to this specific RSS feed in your RSS reader of choice: Google Reader, iGoogle, Bloglines
  28. 29. RSS = Inbox for the Web <ul><ul><li>RSS is like you email “inbox for the web” </li></ul></ul><ul><ul><li>Collects all the information you need in one place </li></ul></ul><ul><ul><li>I rarely visit websites anymore despite following more than 350 sites a day </li></ul></ul><ul><ul><li>RSS reader is the central point </li></ul></ul>
  29. 30. Google Reader = Inbox for the web
  30. 31. Information Flow
  31. 32. RSS Podcast Write/Collaborate Blog Twitter Social network - Facebook
  32. 33. Podcast
  33. 34. What is a podcast? <ul><ul><li>Podcast = po rtable broad cast (audio file) </li></ul></ul><ul><ul><li>i Phone/iPod file </li></ul></ul><ul><ul><li>It’s portable, you can take it with you whenever you go </li></ul></ul>
  34. 35. Podcast <ul><ul><li>Podcast is a downloadable audio file. You can subscribe via RSS </li></ul></ul><ul><ul><li>Most major journals feature weekly audio summary of contents </li></ul></ul><ul><ul><li>You can listen when you commute to work or exercise </li></ul></ul><ul><ul><li>Make CME portable by using text-to-speech </li></ul></ul>
  35. 38. Videocast <ul><li>Same as podcast but with video </li></ul><ul><li>Video lectures in your area of interest are available from iTubes </li></ul>
  36. 39. Top 5 Medical Podcasts <ul><ul><li>ACC Conversations with Experts </li></ul></ul><ul><ul><li>Johns Hopkins Medicine </li></ul></ul><ul><ul><li>JAMA Audio Commentary </li></ul></ul><ul><ul><li>NEJM This Week </li></ul></ul><ul><ul><li>The Lancet </li></ul></ul>
  37. 40. How to listen to podcasts? <ul><ul><li>P </li></ul></ul><ul><ul><li>P odcast </li></ul></ul><ul><ul><li>P ortable audio </li></ul></ul><ul><ul><li>P C </li></ul></ul><ul><ul><li>P od, iPhone/iPod and iTunes </li></ul></ul>
  38. 41. Persistent Search <ul><ul><li>Set up a search query </li></ul></ul><ul><ul><li>Get updated any time something new is published about your search term </li></ul></ul>
  39. 42. Search for a particular topic, choose “News”
  40. 43. Subscribe to the RSS feed for your “persistent search”
  41. 44. RSS Podcast Write/Collaborate Blog Twitter Social network - Facebook
  42. 45. Write/Collaborate Online with Google Docs
  43. 46. Google Docs is for Writing and Collaboration <ul><ul><li>Online alternatives to MS Word Excel and PowerPoint </li></ul></ul><ul><ul><li>Several users can revise a document at the same time, compare the revisions </li></ul></ul><ul><ul><li>No more emailing back and forth different versions of a Word document </li></ul></ul><ul><ul><li>Export to MS Word, Excel or PDF </li></ul></ul>
  44. 47. RSS Podcast Write/Collaborate Blog Twitter Social network - Facebook
  45. 48. Blog
  46. 49. What is a blog? <ul><ul><li>Blog = Web log </li></ul></ul><ul><ul><li>Easy-to-make website </li></ul></ul>
  47. 50. Find bloggers in your specialty <ul><ul><li>For example: Psychiatry </li></ul></ul><ul><ul><li>Shrink Rap - </li></ul></ul><ul><ul><li>Dr. Shock - </li></ul></ul><ul><ul><li>Why am I Still Here? - </li></ul></ul><ul><ul><li>PsychCentral - </li></ul></ul><ul><ul><li>Dr. Sanity - </li></ul></ul>
  48. 53. List of Medical Bloggers Categorized by Specialty
  49. 54. How to start a blog <ul><ul><li>Web 2.0 = Give the power back to the user </li></ul></ul><ul><ul><li>It’s not difficult at all </li></ul></ul><ul><ul><li>Creating a website is as easy as opening an email account </li></ul></ul><ul><ul><li>Maintaining a website is even easier </li></ul></ul>
  50. 55. How easy? <ul><ul><li>Google’s Blogger claims that it takes 5 minutes to start a website </li></ul></ul><ul><ul><li>The NY Times gave it a try and it took them 4 minutes </li></ul></ul>
  51. 56. How can I make a website? <ul><ul><li>Google </li></ul></ul><ul><ul><li> </li></ul></ul>
  52. 57. What about those bloggers? <ul><ul><li>Blogging can’t be serious, right? </li></ul></ul><ul><ul><li>Right </li></ul></ul><ul><ul><li>They may not be serious but they get millions of visitors </li></ul></ul>
  53. 58. Compare <ul><ul><li>Cleveland Clinic CME website receives 1.3 million visitors per YEAR </li></ul></ul><ul><ul><li>I have 700,000 visitors per year </li></ul></ul><ul><ul><li>DailyKos has 5.4 million per WEEK, 700,000 per day. This is the CCF CME yearly count in 2 days </li></ul></ul>
  54. 59. More than 3 million page views since 2005
  55. 60. Visitors from all over the world
  56. 61. Visitors from all over the world: see who is on the website in real time
  57. 62. Visitors from all over the world – check the map
  58. 63. Blogosphere <ul><ul><li>The collection of blogs on the Internet is called blogosphere and is doubling in size every 5 months </li></ul></ul><ul><ul><li>A new blog is created every second </li></ul></ul>
  59. 65. More and more people see the world through “Google eyes”
  60. 66. An Example of Web 2.0
  61. 67. Search <ul><ul><li>Search for: </li></ul></ul><ul><ul><li>Clinical Cases </li></ul></ul><ul><ul><li>Clinical Cases Cardiology </li></ul></ul><ul><ul><li>Clinical Cases Nephrology </li></ul></ul><ul><ul><li>Procedure Note </li></ul></ul><ul><ul><li>Admission Note </li></ul></ul><ul><ul><li>Central Line </li></ul></ul>
  62. 68. #1 search result
  63. 69. #1 search result – higher than the American College of Cardiology and Medscape
  64. 70. #1 search result
  65. 71. #1 search result
  66. 72. #1 search result
  67. 73. #1 search result
  68. 75. <ul><ul><li>A website based on the Google blog platform </li></ul></ul><ul><ul><li>It is NOT a blog </li></ul></ul><ul><ul><li>This is a small example of Web 2.0 </li></ul></ul><ul><ul><li>See the visitors statistics </li></ul></ul>
  69. 77. Using Blogging Software to Create a &quot;Regular&quot; Website <ul><ul><li>You don’t have to be a blogger to use blogging software </li></ul></ul><ul><ul><li>You can create a regular website (NOT a blog) for free, host it for free and even make money from it with Google AdSense </li></ul></ul>
  70. 78. Why do I need a website? <ul><ul><li>Collect interesting articles </li></ul></ul><ul><ul><li>Write down research ideas </li></ul></ul><ul><ul><li>Collect interesting cases </li></ul></ul><ul><ul><li>Make your own educational portfolio and share it with the world </li></ul></ul><ul><ul><li>Post your resume/CV </li></ul></ul><ul><ul><li>Make a website for your practice </li></ul></ul>
  71. 79. Information Flow
  72. 80. Make yourself Google-able <ul><li>Patients will Google you </li></ul><ul><li>Your employers will Google you </li></ul><ul><li>Your colleagues will Google you </li></ul><ul><li>Your future spouse will Google you </li></ul><ul><li>What will they find? </li></ul>
  73. 81. Example
  74. 82. Your website will show in search results when someone searches for your name
  75. 83. Online CV Contact info
  76. 84. List publications, projects, etc.
  77. 85. List educational activities and interests
  78. 86. How about HIPAA and patient cases? <ul><ul><li>There are 18 identifiers that must not be present in the case description </li></ul></ul>
  79. 87. How to blog and not get fired? <ul><ul><li>Always check with your boss </li></ul></ul><ul><ul><li>C omply with the institutional blogging guidelines (if available) </li></ul></ul><ul><ul><li>Your patients may be blogging about you </li></ul></ul><ul><ul><li>Do not blog about them in any HIPAA-identifiable way </li></ul></ul>
  80. 88. RSS Podcast Write/Collaborate Blog Twitter Social network - Facebook
  81. 89. <ul><li>Twitter is a microblogging service where people answer the question &quot;What are you doing?&quot; via 140-character messages from their cellphone, laptop or desktop </li></ul><ul><li>You can select the messages (called &quot;tweets&quot;) that you find useful, amusing, or both </li></ul><ul><li>Micro-blogging on Twitter is easy, fun and can be very useful and educational if you follow/subscribe to interesting people </li></ul>
  82. 90. Information Flow
  83. 93. Twitter: Updates from conferences
  84. 95. Twitter: Journal Club Updates
  85. 96. Twitter: Health News Updates
  86. 97. Twitter: Workshop Updates
  87. 98. Twitter <ul><li>It only takes a cell phone </li></ul><ul><li>Easy to do </li></ul><ul><li>Microblog </li></ul><ul><li>Follow/followers </li></ul>
  88. 99. Information Flow
  89. 100. Summary <ul><ul><li>Web 2.0 offers a great opportunity. We should use it to: </li></ul></ul><ul><ul><li>Benefit our patients </li></ul></ul><ul><ul><li>Stay updated </li></ul></ul><ul><ul><li>Share knowledge with medical professional all over the world </li></ul></ul><ul><ul><li>Take research collaboration to the next level </li></ul></ul><ul><ul><li>Career advancement </li></ul></ul>
  90. 101. Questions? Please email