By the end of this lecture, participants should be able to: 1. Present the role of physicians as advocates; 2. Discuss social media platforms; and 3. Provide examples of physician leadership through communication and advocacy.

1. @@EMARIANOMD
#WAS2020
Why Physicians Should
Speak Up and Lead
Edward R. Mariano, M.D., M.A.S.
Professor of Anesthesiology, Perioperative & Pain Medicine
Stanford University School of Medicine
Chief, Anesthesiology and Perioperative Care
Veterans Affairs Palo Alto Health Care System

2. @EMARIANOMD #WAS2020
Financial Disclosures
• None.

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https://www.weforum.org/agenda/2019/01/these-are-the-world-s-most-respected-professions/

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https://www.pewresearch.org/internet/fact-sheet/social-media/

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https://www.pewresearch.org/internet/fact-sheet/social-media/

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Overview
• Speak up for others
• Speak up for yourselves

7. @EMARIANOMD #WAS2020
Overview
• Speak up for others
• Speak up for yourselves

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https://www.nytimes.com/2017/10/20/health/social-media-fake-news.html

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Del Vicario, et al. PNAS 2016;113:554

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Del Vicario, et al. PNAS 2016;113:554

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https://www.newstalkzb.co.nz/on-air/the-sunday-session/audio/dr-ed-mariano-doctors-
urged-to-up-social-media-game-to-combat-misinformation/

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https://www.rnz.co.nz/national/programmes/afternoons/audio/2018710031/
why-doctors-need-to-fight-misinformation-online

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The Best Defense…

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https://www.newyorker.com/culture/annals-of-inquiry/why-doctors-should-organize

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Use Your Voice

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Overview
• Speak up for others
• Speak up for yourselves

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http://time.com/3006511/under-appreciated-professions-invisibles-zweig/

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Is Some “Burnout” Really Loss of Identity?
https://www.beckershospitalreview.com/workforce/why-physician-burnout-jumped-to-54-over-3-years.html

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Emerging Technology
https://engineering.stanford.edu/magazine/article/can-
algorithm-diagnose-pneumonia-better-radiologist

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Emerging Technology
https://engineering.stanford.edu/magazine/article/can-
algorithm-diagnose-pneumonia-better-radiologist

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https://www.washingtonpost.com/business/economy/new-machine-could-one-day-replace-
anesthesiologists/2015/05/11/92e8a42c-f424-11e4-b2f3-
af5479e6bbdd_story.html?utm_term=.cc307b242841

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https://www.newsweek.com/plug-pulled-robot-doctor-after-humans-complain-442036

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Hammerling. Anesthesiology 2020

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“For better or for worse, we cannot resist
technological advances. Our role is to manage those
advances to best benefit patients, but also to avoid
disappearing, like travel agents and bank tellers,
who were displaced by the Internet. Taking
ownership of the technology is paramount: we need
to be the drivers of progress rather than those who
resist it out of inertia.”
Anesth Pain Med. 2014 Feb; 4(1): e16468

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1. Physicians are bound by an oath
2. Physicians know how to make tough decisions
3. Physicians are trained improvement experts.
4. Physicians are lifelong learners.
5. Physicians work their way up from the bottom.
https://www.kevinmd.com/blog/2018/08/5-reasons-you-should-put-
physicians-in-charge-of-hospitals.html

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Summary
• We discussed why physicians should speak up and lead:
–For others and
–For themselves

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