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How web 2.0 is changing medicine

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A presentation at the 2007 Emerging Trends in Scholarly Publishing seminar, National Press Club, Washington, D.C.
Dean Giustini
UBC Biomedical Branch Librarian
Vancouver General Hospital
April 12th, 2007

Published in: Technology, Health & Medicine
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How web 2.0 is changing medicine

  1. How web 2.0 is changing medicine* Dean Giustini UBC Biomedical Branch Librarian Vancouver General Hospital April 12 th , 2007 *A presentation at the 2007 Emerging Trends in Scholarly Publishing seminar, National Press Club, Washington, D.C.
  2. Outline <ul><li>Discuss types of social software use in medicine </li></ul><ul><li>How do doctors communicate? </li></ul><ul><li>Evidence-based medicine </li></ul><ul><li>Trends to watch </li></ul><ul><li>Open access (OA)‏ </li></ul><ul><li>Medical publishing 2.0 </li></ul>Web 2.0 & medicine, Giustini – April 2007
  3. Talking medicine <ul><li>How do physicians communicate? </li></ul><ul><li>Formally </li></ul><ul><ul><li>Journal articles, print and e-books, conferences </li></ul></ul><ul><li>Informally </li></ul><ul><ul><li>Conversation, ‘on the wards’, online, with residents </li></ul></ul><ul><li>Community of practice (Lave & Wenger)‏ </li></ul>Web 2.0 & medicine, Giustini – April 2007
  4. Doctors are social <ul><li>Web 2.0 creates conversations </li></ul><ul><li>Tools, ‘ social-software’ </li></ul><ul><ul><ul><li>Blogs, wikis, podcasts, video, RSS feeds </li></ul></ul></ul><ul><li>Socialization </li></ul><ul><ul><ul><li>Conversation, ‘on the wards’, online, rounds with residents </li></ul></ul></ul><ul><li>Knowledge begins with conversations* </li></ul><ul><li>* Kenneth Megill. Thinking for a living: the Coming Age of Knowledge Work . 2004 </li></ul>Web 2.0 & medicine, Giustini – April 2007
  5. Key tools in the knowledge economy <ul><li>Blogs, wikis… </li></ul><ul><ul><ul><li>Is a medical wikipedia the next step? </li></ul></ul></ul><ul><li>Podcasts & vodcasts </li></ul><ul><ul><ul><li>Do physicians listen and/ or watch? </li></ul></ul></ul><ul><ul><ul><li>RSS feeds “push” content </li></ul></ul></ul><ul><li>Other </li></ul><ul><ul><ul><li>tagging, photo & slide sharing </li></ul></ul></ul>Web 2.0 & medicine, Giustini – April 2007
  6. Blog discourse in medicine <ul><li>Blogs stimulate discussion, self-directed learning & reflective practice </li></ul><ul><li>Useful educational tools </li></ul><ul><ul><ul><li>Clinical Cases & Images, Ves Dimov, M.D. </li></ul></ul></ul><ul><ul><ul><li>Kidney Notes blog, Joshua Schwimmer, M.D. </li></ul></ul></ul><ul><ul><ul><li>Over!My!Med!Body!, </li></ul></ul></ul><ul><ul><ul><ul><li>Graham Walker, Stanford medical student </li></ul></ul></ul></ul><ul><li>Medical librarian search blogs </li></ul><ul><ul><ul><li>To help find medical information, rapidly </li></ul></ul></ul>Web 2.0 & medicine, Giustini – April 2007
  7. Clinical Cases & Images blog Web 2.0 & medicine, Giustini – April 2007
  8. Good medical wikis <ul><li>AskDrWiki.com </li></ul><ul><li>FluWikie.com </li></ul><ul><li>Ganfyd.org </li></ul><ul><li>Just The Facts </li></ul><ul><li>PubDrug </li></ul><ul><li>Wikisurgery.com </li></ul>Web 2.0 & medicine, Giustini – April 2007
  9. Ganfyd wiki <ul><li>AskDrWiki </li></ul>Web 2.0 & medicine, Giustini – April 2007
  10. Doctor-moderated - <ul><li>AskDrWiki </li></ul>Web 2.0 & medicine, Giustini – April 2007
  11. Content development @ AskDrWiki <ul><li>Credentials needed to become an editor or contributor </li></ul><ul><ul><li>Transparent editorial policy with contributors and credentials listed (Name, degree, location)‏ </li></ul></ul><ul><ul><li>RSS feeds to notify editors of content changes/ additions. </li></ul></ul><ul><li>New clinical domains: </li></ul><ul><ul><ul><li>General Surgery, ENT, Vascular Surgery, Hospital Administration, Bio Informatics, Dermatology, Emergency Medicine, Orthopaedics and Basic Science Editors. </li></ul></ul></ul><ul><li>‘ Lock down’ of some content pertaining to medical/ drug dosing. </li></ul><ul><ul><li>Additions can be made, but not until approved by editors. </li></ul></ul>Web 2.0 & medicine, Giustini – April 2007
  12. Post-textual web <ul><li>Podcasts, vodcasts </li></ul><ul><li>New England Journal of Medicine </li></ul><ul><li>MEDLINE/PubMed indexing </li></ul><ul><li>Trend is toward integration; ‘mash ups’ </li></ul>Web 2.0 & medicine, Giustini – April 2007
  13. Post-textual web <ul><li>Podcasts, vodcasts </li></ul><ul><li>New England Journal of Medicine </li></ul><ul><li>MEDLINE/PubMed indexing </li></ul><ul><li>Trend is toward integration; ‘mash ups’ </li></ul>Web 2.0 & medicine, Giustini – April 2007
  14. Post-textual web <ul><li>Podcasts, vodcasts </li></ul><ul><li>New England Journal of Medicine </li></ul><ul><li>MEDLINE/PubMed indexing </li></ul><ul><li>Trend is toward integration; ‘mash ups’ </li></ul>Web 2.0 & medicine, Giustini – April 2007
  15. Virtual, social reality <ul><li>Immersive, gaming environments </li></ul><ul><li>Tools for facilitated conversation? </li></ul><ul><li>MMORPGs </li></ul><ul><ul><li>Role-playing games, Second Life </li></ul></ul><ul><li>Simulated medical services </li></ul><ul><li>Medical librarians 2.0 ‘avatars’ </li></ul>Web 2.0 & medicine, Giustini – April 2007 Second Life – secondlife.com ‘ Goodwillstacey’ medical librarian in Second Life
  16. In summary: Web 2.0 & medicine, Giustini – April 2007 Open access, data liberation Proprietary, closed access Integrated, virtual, mashed Disparate pieces Social tagging ie. Connotea, del.icio.us Medical directories, bookmarks, favorite sites Blog posts, RSS readers E-mail alerts, listservs Syndication, RSS “push” Information comes to you Sticky sites “ Pull” information “ The open web as platform” Standalone, firewalls Participative, non-hierarchical “wisdom of crowds” Static websites; hierarchies Social search ie. Google health Yahoo, Google, MSN Web 2.0 Web 1.0
  17. A new medical journal Web 2.0 & medicine, Giustini – April 2007 <ul><li>Open Medicine </li></ul><ul><li>www.openmedicine.ca </li></ul><ul><li>* a new peer-reviewed, independent, open-access journal </li></ul><ul><li>launch is imminent (next few weeks)‏ </li></ul><ul><li>physician-created, many former CMAJ editors </li></ul><ul><li>editorial independence, scientific integrity as core values </li></ul><ul><li>Open Medicine blog </li></ul>
  18. In conclusion Web 2.0 & medicine, Giustini – April 2007 <ul><li>Physicians should learn about the vast ecosystem of the web </li></ul><ul><li>Web 2.0 is not a fad, but is changing the way patients and physicians interact </li></ul><ul><li>Wikis and blogs help doctors to communicate, collaborate and participate more </li></ul><ul><li>Software tools help physicians to form digital communities of practice </li></ul><ul><li>In the future, physicians will publish in the absence of associations or affiliations. </li></ul>

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