The document discusses the impact of Web 2.0 technologies on the field of medicine, highlighting how social software facilitates communication among doctors and enhances knowledge sharing through blogs, wikis, and podcasts. It emphasizes the shift towards open access medical publishing and patient-physician interactions as a result of these advancements. The conclusion suggests that Web 2.0 is fundamentally transforming medical practice and the collaborative environment for physicians.

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 Discuss types of social software use in medicine How do doctors communicate? Evidence-based medicine Trends to watch Open access (OA)‏ Medical publishing 2.0 Web 2.0 & medicine, Giustini – April 2007

3. Talking medicine How do physicians communicate? Formally Journal articles, print and e-books, conferences Informally Conversation, ‘on the wards’, online, with residents Community of practice (Lave & Wenger)‏ Web 2.0 & medicine, Giustini – April 2007

4. Doctors are social Web 2.0 creates conversations Tools, ‘ social-software’ Blogs, wikis, podcasts, video, RSS feeds Socialization Conversation, ‘on the wards’, online, rounds with residents Knowledge begins with conversations* * Kenneth Megill. Thinking for a living: the Coming Age of Knowledge Work . 2004 Web 2.0 & medicine, Giustini – April 2007

5. Key tools in the knowledge economy Blogs, wikis… Is a medical wikipedia the next step? Podcasts & vodcasts Do physicians listen and/ or watch? RSS feeds “push” content Other tagging, photo & slide sharing Web 2.0 & medicine, Giustini – April 2007

6. Blog discourse in medicine Blogs stimulate discussion, self-directed learning & reflective practice Useful educational tools Clinical Cases & Images, Ves Dimov, M.D. Kidney Notes blog, Joshua Schwimmer, M.D. Over!My!Med!Body!, Graham Walker, Stanford medical student Medical librarian search blogs To help find medical information, rapidly Web 2.0 & medicine, Giustini – April 2007

7. Clinical Cases & Images blog Web 2.0 & medicine, Giustini – April 2007

8. Good medical wikis AskDrWiki.com FluWikie.com Ganfyd.org Just The Facts PubDrug Wikisurgery.com Web 2.0 & medicine, Giustini – April 2007

9. Ganfyd wiki AskDrWiki Web 2.0 & medicine, Giustini – April 2007

10. Doctor-moderated - AskDrWiki Web 2.0 & medicine, Giustini – April 2007

11. Content development @ AskDrWiki Credentials needed to become an editor or contributor Transparent editorial policy with contributors and credentials listed (Name, degree, location)‏ RSS feeds to notify editors of content changes/ additions. New clinical domains: General Surgery, ENT, Vascular Surgery, Hospital Administration, Bio Informatics, Dermatology, Emergency Medicine, Orthopaedics and Basic Science Editors. ‘ Lock down’ of some content pertaining to medical/ drug dosing. Additions can be made, but not until approved by editors. Web 2.0 & medicine, Giustini – April 2007

12. Post-textual web Podcasts, vodcasts New England Journal of Medicine MEDLINE/PubMed indexing Trend is toward integration; ‘mash ups’ Web 2.0 & medicine, Giustini – April 2007

13. Post-textual web Podcasts, vodcasts New England Journal of Medicine MEDLINE/PubMed indexing Trend is toward integration; ‘mash ups’ Web 2.0 & medicine, Giustini – April 2007

14. Post-textual web Podcasts, vodcasts New England Journal of Medicine MEDLINE/PubMed indexing Trend is toward integration; ‘mash ups’ Web 2.0 & medicine, Giustini – April 2007

15. Virtual, social reality Immersive, gaming environments Tools for facilitated conversation? MMORPGs Role-playing games, Second Life Simulated medical services Medical librarians 2.0 ‘avatars’ 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 Open Medicine www.openmedicine.ca * a new peer-reviewed, independent, open-access journal launch is imminent (next few weeks)‏ physician-created, many former CMAJ editors editorial independence, scientific integrity as core values Open Medicine blog

18. In conclusion Web 2.0 & medicine, Giustini – April 2007 Physicians should learn about the vast ecosystem of the web Web 2.0 is not a fad, but is changing the way patients and physicians interact Wikis and blogs help doctors to communicate, collaborate and participate more Software tools help physicians to form digital communities of practice In the future, physicians will publish in the absence of associations or affiliations.