SlideShare a Scribd company logo
Use of Blogs for 
Dermatology Education 
Rosa Taberner 
Hospital Son Llàtzer (Palma de Mallorca)
Web 2.0 applications 
• Web 2.0 applications have been increasingly 
adopted by many online health-related 
professional and educational services. 
• Opportunity for powerful information sharing 
and ease of collaboration.
“Infoxication”
@FisioenAP
Content curation
PLE 
• Personal Learning Environment. 
• Systems that help learners take control of and 
manage their own learning. This includes 
providing support for learners to: 
– Set their own learning goals. 
– Manage their learning, both content and process. 
– Communicate with others in the process of 
learning.
PLE for @rosataberner
What’s a blog? 
• A blog (web log) is a discussion or 
informational site published on the internet 
and consisting of discrete entries ("posts") 
typically displayed in reverse chronological 
order (the most recent post appears first). 
• Blogs are interactive, allowing visitors to leave 
comments.
Dermatologic blogosphere 
Patients 
(divulgation, 
marketing, 
branding) 
General 
Practitioners 
(learning) 
Dermatologists 
(learning, 
news)
Divulgation…
For general 
practitioners
For 
dermatologists
So… Let’s blog 
• www.dermapixel.com 
• Blog of “daily dermatology” 
• Addressed to family doctors, paediatricians, 
dermatology residents, students and other 
health workers. 
• Main goals: 
– Evaluation tool for rotating residents in 
Dermatology Service at Son Llatzer Hospital. 
– Teaching dermatology tool. 
– Independence (no funding).
Blog dynamics 
Saturday 
• Clinical case Comments 
Wednesday 
• Answer
Subscriptions
Subscriptions
Subscriptions
Subscriptions
HON*-Code 
• The HONcode certification is an ethical 
standard aimed at offering quality health 
information. It demonstrates the intent of a 
website to publish transparent information. 
• The HONcode is the most widely accepted 
reference for online health and medical 
publishers. 
*Health On the Net Foundation
Blogging is easy 
• You don’t need technical skills
Blogging is free (it can be) 
• Free blogging 
platforms. 
• Blogger (Google), 
WordPress.
Digital reputation, visibility
Prizes…
Radio program
Other blogs…
Feedback
The dark side 
of blogging
Privacy 
• Clinical images (real 
cases). 
• Consent from 
patients. 
• Invented names, 
situations. 
• No legal conflict.
Digital divide
Venereal diseases 
• Blogger could 
ban “sensitive 
content”. 
• No genital 
lesions*
Moderate comments 
• Personal 
consultations 
• Destructive 
comments (trolls) 
• Spam
Fear of being copied 
Creative 
Commons
No money
Present… and future 
• Guest blogging 
(invite other 
dermatologists 
to collaborate) 
• E-book (free)
rtaberner@gmail.com 
@rosataberner 
www.dermapixel.com 
www.facebook.com/dermapixel

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Use of Blogs in Dermatology Education

Editor's Notes

  1. And for this reason someone invented another concept called PLE which means Personal Learning Environment PLE are systems that help learners (like you and me) take control of and manage their own learning. This includes providing support for learners to: Set their own learning goals Manage their learning, both content and process Communicate with others in the process of learning
  2. For example, this could be my PLE. I compile useful information with RSS (feed readers), storing in the cloud, using social networks, evernote, tools for online reputation, and with all of these I write a blog and I share my powerpoints in Slideshare Several tools that help me to learn (not only dermatology). Everybody here has his own PLE (it can be analogical, also)
  3. A blog (web log) is a discussion or informational site published on the internet and consisting of discrete entries ("posts") typically displayed in reverse chronological order (the most recent post appears first). Blogs are interactive, allowing visitors to leave comments.
  4. In the last 8-10 years several articles have been published about this topic, so we will try today to answer the question: Can a blog be used in dermatology education?
  5. There are a lot of dermatology blogs. This is called dermatologic blogosphere, but not all of them have the same goal, purpose. They can be addressed to patients (for divulgation or as a marketing tool), to general practitioners (for learning) and to dermatologists (also for learning or for news).
  6. The Derm blog is a good example of a divulgation blog addressed to patients.
  7. The same than DermBytes. Dermatologic information created by a dermatologist for patients o interested people in dermatology
  8. We have here in Spain other examples of dermatology blogs addressed to general practicioners, like Dermatology and other things by Mª José Alonso.
  9. Or Cuaderno en piel (which means Leather Notebook) by Eduardo Lauzurica, addressed sometimes to GP, sometimes to patients
  10. Dermoscopy is an example of blog for dermatologists, in this case interested in learning dermoscopy, of course, and very interesting to follow
  11. And Dermatología-Madrid by Sergio Vañó is a blog with some posts addressed to dermatologist and others for GPs, even patients.
  12. I will try to talk about my own experience with writing a dermatology blog. My blog is called Dermapixel (because the importance of clinical images), and you can find it at (www.dermapixel.com). I call it a blog of “daily dermatology”, because I don’t talk about sophisticated diseases or complicated cases. It’s addressed to family doctors, paediatricians, dermatology residents and students. The main goals of the blog are using it as an evaluation tool for rotating residents in our dermatology service, but also as a teaching dermatology tool for anyone interested, always preserving the independence from labs (no funding)
  13. This was the initial look of the blog more than 3 years ago, with my first post, a basal cell carcinoma.
  14. This is the current look of the blog. More minimalist
  15. The blog dynamics is always the same: on Saturday I present a clinical case. Then people has a few days to make their comments and on Wednesday the answer post is published.
  16. Remember I’ve said before that new entries appear first in the blog. So if someone enter to the blog on Thursday or Friday the answer to the clinical case appears first. In this case, if you want to make a quiz, you can filter the entries by tags. If you click in diagnostic case, only appear the clinical cases, and the answer is linked but you can’t see. The same if you only want to consult the pediatric cases, etc.
  17. Interested people can simply connect to the site and read the content, or subscribe to the blog using RSS services (like Feedly, Bloglines)…
  18. You can also subscribe using Flipboard (a service only for iOS, iPad), and read the contents like a magazine. In this case I add content from other blogs, not only mine.
  19. You can also subscribe to the Google Plus Page
  20. And of course, you can follow the contents by the Facebook page
  21. But if you prefer, you can also subscribe by mail filling the form in the blog and you will receive the posts by mail when they are published.
  22. These are some numbers from 2011 till now. More than 3 hundred seventy posts, near 5.000 comments, and about 2 posts per week 2 weeks ago we arrived to 3 million of visitors, and now Dermapixel has about 5.000 visits a day from more than one hundred countries.
  23. This chart represents the evolution of visitors along the time since the beginnings of the blog. I’m not sure if I’ve arrived at the top or not
  24. One of the most curious things for me is the high number of visits from other countries. Because the language is Spanish is logical I have traffic from south and central America…
  25. But the third country is United States of America (well, a lot of people in US speaks Spanish, that’s true), but you can see India and sometimes China or Russia in top ten countries visiting the blog. This is a mystery for me.
  26. And finally let me share my experience with you with some pros and cons of writing a dermatology blog.
  27. One of the main advantage is that you don’t need to be an programmer to blog. It’s really very easy and you only need a connected computer and some time and attitude, of course.
  28. You don’t need money either, there are several free blogging platforms you can use very easily. About if it’s better Blogger or Wordpress we could be talking one hour or more. In my case I use Blogger.
  29. Suddenly…. You feel important. If you have readers you gain in digital reputation and visibility. It’s obvious that it can represent an important advantage in case of private practice as a very powerful marketing tool (it’s not my case, because I’m only in a public hospital).
  30. You can win prizes even improving your digital reputation (I was very close last year in Bitacoras Prizes).
  31. Because of the blog and social networking I collaborate in a radio program talking about health and technologies.
  32. And in other blogs, like The Healthy Skin Blog which belongs to the Sanex group (in this case, not for free).
  33. Sometimes it can be difficult to manage all this positive feedback, because too much ego will kill your talent. But I try do my best.
  34. But blogging has also a “dark side”. Let me explain to you in a few slides
  35. The most important for me is the privacy. I use clinical images from real cases, so I always try getting the consent from patients. Even in this case, I invent names and situations, and I never include cases with a possible legal conflict.
  36. The term Digital divide is used to describe a gap between those who have ready access to information and communication technology and the skills to make use of those technology and those who do not have the access or skills to use those same technologies within a community. So you can have a fantastic blog but you won’t arrive to all people, dermatologists and no dermatologists.
  37. It’s not about age. It’s about attitude
  38. We are dermatologists and sexually transmitted diseases are also an important part of our practice. But Blogger (the platform) has his own rules and policy, and eventually could ban this images for sensitive content, so by the moment I haven’t include genital lesions in the blog, just in case… I don’t know if this will change soon, but I think that it can be a little risky.
  39. A blog has to be interactive, so you have to moderate comments, and it’s time consuming: people make personal consultations (and you have to answer, not solving its personal case, but addressing him or her to a professional) , sometimes destructive comments (they are called trolls in the internet, an you have to avoid them) and you have to control the possible spam.
  40. Many dermatologists have some problems with sharing their knowledge in an open way, because the fear of being copied. I think we have to change our minds because times are changing, but we can solve this with a Creative Commons license. Other can copy you but they have to cite you, and they can’t use your contents to make money.
  41. Because this can be another disadvantage: It’s all for free (in my case)
  42. And the last slide is to talk about the present and the near future For me is very interesting invite other dermatologists, even my residents to write in the blog. I think it’s a rewarding experience . And finally I’ve compiled all the posts of the blog (from the beginnings to august) in a free ebook you can find in iBook Store or in PDF format, with more than 170 clinical cases and 500 clinical images which has more than 5.000 downloads now.
  43. That’s all. If you have any question…