Scottsdale.2012
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Social media 101 for the neonatologist, presented at the AAP Workshop on Perinatal Practice Strategies in Scottsdale, April 2012
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Scottsdale.2012
- 1. Social Media for the Neonatologist: Leadership in the Virtual World Clara Song, MD Children’s Hospital at OU Medical Center University of Oklahoma Health Sciences
- 2. DISCLOSURE • SPEAKER: Clara Song, MD • I have no relevant financial relationships with the manufacturers of any commercial products and/or provider of commercial services discussed in this CME activity. • I do not intend to discuss an unapproved or investigative use of commercial products or devices.
- 3. The Truth and Nothing but… • I am not a social media expert. • There really are no social media experts. There are only social media users (maybe some are mega-users).
- 4. I am… • General Pediatrician in a previous life • Early Career Neonatologist (“ECN”) • Social media user – (@songMD, @AAPperinatal, @TECaNchat, @OU NICU physician, @TiniestSooners, @PedsTwearls) • A fan of 80’s music, especially Journey • Afraid of driving in the snow
- 5. OBJECTIVES • Understand the evolution of social media to its current state and its impact • Navigate the various available web-based tools to enhance daily practice, communication and collaboration between healthcare communities • Identify and prevent negative consequences associated with social media use
- 7. Social Media Anxiety Disorder • “Social Media” = Facebook and Twitter • Rumor mill of unprofessional conduct on Facebook and Twitter • Unaware of closed Facebook account and protected tweets • Unaware of RSS, feed readers and other useful applications of social media Metha, N. "How physicians can overcome social media anxiety on Twitter." Technology in (Medical) Education, blog. Aug 14, 2011.
- 8. Social networking – 51% of all adults Source: Permission to use from Rainie Lee. The Social Media Landscape. Pew Internet & American Life Project. Sept 20 2011, http://www.slideshare.net/PewInternet/the-social-media-landscape-9363253, accessed on Oct 26, 2011
- 10. Source: Viral Media Solutions
- 11. Social media impacts our lives • Facebook Kawasaki diagnosis story • President Obama’s townhall forum on Facebook live • Tweets from Egypt • Refresh the World: Pepsi Refresh Project
- 12. Source: slate.com, July 2011
- 14. Source: wired.com, Feb 2011
- 15. Source: Viral Media Solutions
- 16. • $20 million • >82 million votes • 2,640,026 lives • Facebook: > 6.9 million fans • Twitter: > 631 800 followers • YouTube: >17.7 million upload views Source: refresheverything.com
- 17. Health 2.0 -Information: resources & sharing -Medical education -Collaboration & practice -Disease management & patient education -Research & data sharing -Professional Development & Networking Image Source: Steve Shreeve MD, made available by creative commons.org/licenses/by-nc/2.5/
- 18. E-Patient & Social Media Source: 2009 Path of the Blue Eye Project report, Communicating with the Empowered E-Patient”, Permission to use granted by Fard Johnmar, Founder, Path of the Blue Eye Project
- 19. Image: Permission to use granted by Ed Bennett
- 20. Image: Permission to use granted by Ed Bennett
- 21. Clinician use of social media is UP • February 2010: 41% practicing physicians (N=141) • August 2011: 87% practicing clinicians (N=4033) • “Connected Clinicians” Bosslet et al, The Patient-Doctor Relationship and Online Social Networks, J Gen Intern Med, June 2011; QuantiaMD. Doctors, Patients, & Social Media, Sept 2011
- 22. #1 reason for professional participation: educational Image: Permission to use granted by QuantiaMD
- 23. Interim Summary • Social media can be scary for some. • Social media is very popular. • Social media impacts our lives and our world. • Social media is being utilized by communities in healthcare more everyday.
- 24. Health 2.0 -Information: resources & sharing -Medical education -Collaboration & practice -Disease management & patient education -Research & data sharing -Professional Development & Networking Source: Steve Shreeve MD, made available by creative commons.org/licenses/by-nc/2.5/
- 27. “The largest school in the world is run (and taught) by one man. Simple, direct, clear, no frills, no tricks. Just a computer blackboard, YouTube… Sal Khan is a new hero.” Source: khanacademy.org, 37signals.com, May 16, 2010
- 28. Health 2.0 -Information: resources & sharing -Medical education -Collaboration & practice -Disease management & patient education -Research & data sharing -Professional Development & Networking Image Source: Steve Shreeve MD, made available by creative commons.org/licenses/by-nc/2.5/
- 29. 1. 6. TOP 10 2. 7. Most Popular 3. 8. in 4. 9. 2012 5. 10. Source: ebizmba.com/articles/social-bookmarking-websites
- 31. Health 2.0 -Information: resources & sharing -Medical education -Collaboration & practice -Disease management & patient education -Research & data sharing -Professional Development & Networking Image Source: Steve Shreeve MD, made available by creative commons.org/licenses/by-nc/2.5/
- 32. HealthMap.org
- 33. “…these informal reports were available online up to two weeks before official government reports, which had to go through the traditional chain-of-command structure of public health.” Source: nature.com, Chunara R, Andrews J, Brownstein J. Am J Trop Med Hyg. 2012 Jan; 86 (1): 36-8.
- 34. Health 2.0 -Information: resources & sharing -Medical education -Collaboration & practice -Disease management & patient education -Research & data sharing -Professional Development & Networking Image Source: Steve Shreeve MD, made available by creative commons.org/licenses/by-nc/2.5/
- 37. Health 2.0 -Information: resources & sharing -Medical education -Collaboration & practice -Disease management & patient education -Research & data sharing -Professional Development & Networking Image Source: Steve Shreeve MD, made available by creative commons.org/licenses/by-nc/2.5/
- 38. Google + • Chat and follow • Share publicly or in Circles • “Hangout” with 10 • Photos, videos, links • “Search Plus Your World” Source: google.com
- 40. “140 Health Care Uses” for ? • Office hours for trainees • Trainee education • Office hours for families • Family updates for inpatient mothers • Virtual NICU visits • Subspecialist consultation
- 41. Interim Summary • Social media can enhance medical education and information sharing. • Social media can be used as tools for both research and public service. • Social media tools encourage communication and collaboration.
- 49. Lions and Tigers and Lawsuits, oh my! • Social networking is online= Public domain, no longer private • Posting online is permanent; can be deleted, but may be archived • Professional liability risks (violations of medical code of ethics, HIPAA, employer or medical staff policy) • Anonymity cannot by guaranteed; privacy can be violated Source: Armon, Keller. Who is Dr. Wiki and Why You Need to Know. Unique Opportun. 2009.
- 50. Source: “When Facebook goes to the hospital, patients may sufffer." articles.latimes.com/2010/aug/08/local/la-me-facebook- 20100809
- 51. Social Do’s • Use common sense. Ask permission. Be the same courteous, respectful person virtually that you are in the world everyday. • Be transparent. • Write what you know. (Share your e-xpert knowledge.) • Aware of the perception you create. Virtual “perception is Reality.” • Engage in the conversation…. Add to it. • Be a leader, an example- you represent us all! • Admit your whoopsy… it’s human! (Disclaimers help). • Think, review and pause, then post. Modified from: Social Media Policy for Physicians and Staff, foxepractice.com
- 52. Why ? Utilize Communicate Educate Engage Empower
- 53. Don’t stop believin’, Hold onto that feelin’. -JOURNEY
- 54. For resources to help with Social Media Anxiety, contact: clara-song / at/ ouhsc/ dot/ edu Thank you!
Notas del editor
- Director of Education at Case Western Reserve University
- Social media is popular and increasing among all the generations. Factoring in age group <18, percentage of use increases to high 90’s.
- The number of unique Facebook accounts continues to steadily increase. Google and Facebook continue to battle over the #1 most popular website.
- Twitter, no longer a baby in the social media world, is among the top 10 most popular websites. Over a billion real-time searches occur on a daily basis.
- July 2011- 4 yo, strep neg, photo of rash at ped’s officeApril 2011- Obama used Facebook as a platform for a public town hall, This was live-streamed via multiple venues on the web, including the White House FB page. The focus of the town hall was the national budget.On an international level, in Jan 2011- The turmoil in Egypt was chronicled in real-time and disseminated by Twitter, FB and YouTube. Social Media can impact our daily lives in seemingly insignificant as well as profound ways- Iran political rallies, Egypt inside stories, Oklahoma Senator tweets State of the Union Address
- Initially started last year in 2010 with the seed $ that should have bought Super bowl commercial time. Great idea to make a positive impact on the world- promote it and get people to vote for it! “Dream it, submit it, get enough votes, and we’ll help make it happen for your community.”Is campaign primarily driven by social media 82 million votes- that is more than the last non-presidential federal election in 2006., which had the best voter turn out. The only thing that more Americans will come together to vote for (other than the Pepsi Refresh ideas) is the President.
- How is affecting our world in healthcare and as clinicians? I’d like to talk now about the concept of Health 2.0- which is the use of Web 2.0 tools byclinicians, administrators, researchers as well as patients and their families in order to collaborate and personalize healthcare, and promote health education…..The idea is to utilize these tools to strengthen the relationships and communication between communities in the healthcare system and within those communities. (clinicians/ researchers, administrators/industry, patients/family)
- “E-patient”= an individual who uses the internet and other tools to seek out, share and sometimes create information about health and wellness. Majority are female,Caucasian, 18-49 y/o, and college graduates.6 Data sources: Google search 10/2010, Pew Internet & American Life Project 2009 and 2010, Kantar Media 2010, Manhattan Research 2009, Enspoktos LLC 2008, Path of the Eye Project 2009
- UPDATE
- We are electronic- but are we social?July 2011 J of General Internal Medicine study- survey mailed to 1004 med students, 1004 trainees, 1004 prac physicians- Aug 2011 survey- 4033 cliniciansPhysician- Facebook personal use 60%#1 reason for professional participation- learn from experts and peers… also, keep up with new developments, new articles, discuss professional challenges, communicate with colleagues
- FB- #1 for personal use, physician communities- #1 for professional use.Aug 2011 survey- 4033 cliniciansPhysician- Facebook personal use 60%#1 reason for professional participation- learn from experts and peers… also, keep up with new developments, new articles, discuss professional challenges, communicate with colleagues
- Anxiety-provoking for whatever reason, but- like rock n roll- it’s here to stay. People continue to use it, and more people than not, are adopting it.
- Let’s see what tools we can use to enhance info gathering and sharing, education, collaboration, and research.
- Tweets are short and sweet….. Casual conversation, some chit-chat, some breaking news..-Keep up-to-date: follow, search, engage-Push your cause: personal talk showLike going to the water cooler work and getting the latest news of the day- But, if you are away too long, you’ll miss the conversation. It’s also like everyone having their very own talk show- given people their own personal soapbox- you can listen or not… 1- gather info (follow, search, engage/converse) CHAT, coffee talk. 2- Send a message, push your cause- talk show/Coffee Talk. 3- create a presence, (businesses, companies, non-profit entities)- keep your finger on the public pulse. -Create a presence: keep your finger on the public pulse
- YouTube: fun facts- More video is uploaded in 60 days than the 3 major US networks created in 60 years.>7,000 full length movie & showsMost watched video is “Charlie bit my finger” >409 million views
- Let’s see what tools we can use to enhance info gathering and sharing, education, collaboration, and research.
- As of January 2012, top 10 social bookmarking sites. Bookmarking sites to create a digital library of all your articles (journals, websites, blogs)- to replace the “print/pack”, “drag/drop- USB” or “save/file-docs” that locks down one library to one computer or drive. Social bookmarked libraries can be shared with others, and searched by others.
- Choose a site.Register.Add button (optional, but recommended).Find references (websites, articles, etc.).“Add to …” with one-click.Add “tags”.Socialize and share your library of marked websites/articles. Tags allow you to Create your own Dewey Decimal System. Helpful for education and teaching, research.
- How is affecting our world in healthcare and as clinicians? I’d like to talk now about the concept of Health 2.0- which is the use of Web 2.0 tools byclinicians, administrators, researchers as well as patients and their families in order to collaborate and personalize healthcare, and promote health education…..The idea is to utilize these tools to strengthen the relationships and communication between communities in the healthcare system and within those communities. (clinicians/ researchers, administrators/industry, patients/family)
- Dr. John Brownstein-works on public health surveillance at Children’s Hospital Boston created HealthMap.org with Computational Epidemiology group at Children’s Hospital Boston and Harvard Medical School. This online platform surveysonline news aggregators, eyewitness reports, expert-curated discussions and validated official reports, to achieve a comprehensive view of the current global state of infectious diseases and their effect on human and animal health. Automated updates 24/7/365.The system monitors, organizes, integrates, filters, visualizes and disseminates online information about emerging diseases in 9 languages, facilitating early detection of global public health threats. In 2009, HealthMap identified and reported evidence of an epidemic of acute respiratory infections with the novel influenza A (H1N1) virus in Veracruz, Mexico- while the rest of the world was focusing on the threat of avian influenza originating in Asia. Funded by National Library of Medicine, CDC, and Google.
- Using HealthMap, recent study found that social media new feeds were faster than and just as accurate as official records at detecting the start and early progress of the cholera epidemic that occurred in Jan 2010 and killed more than 6,500 people. The study found that the # of cases directly paralleled the volume of informal media reports about cholera.
- Virtual office. Connect and educate the patient community, colleagues, and trainees. Medical students can learn to answer patient questions.
- Sermo >130,000 physicians, iPhone/iPad only, iConsult released this month- 5,000 physicians already signed up. Availability for Droid expected soon..
- Let’s see what tools we can use to enhance info gathering and sharing, education, collaboration, and research.
- Stream- “marriage” of FB and Twitter, Circles, Hangout with up to 10- private, not stored. Fastest growing social network- reached 10 million users at 16 days. BUT… not yet easily linked like with FB and Twitter (no click and share feature yet), does not support Google Reader/RSS feeds. “Search Plus”= Personalized search functionality, launched in Jan 2012.. Still in state of infancy, most isolated of all the networks (likely since it competes with FB & Twitter instead of collaborating) and favors search within G+ (as of Jan 2012).
- Enhanced privacy by organizing contacts into circles, and deciding how much/ to which circle you share.
- Pre-reading: 140 Health Care Uses for Twitter by Phil Baumann’s list from Jan 2009. Extend out to other social media tools- research, keep in touch patents for follow-up.
- One example of how I am using social media professionally. Official Twitter identity of the AAP Section on Perinatal Pediatrics.
- Twitter identity for AAP Section on Perinatal Pediatrics TECaN group
- Facebook groups for the TECaN, as well as the Perinatal Section
- AAP Perinatal Page for the public
- LinkedIn group open to all neonatologists and perinatologists
- All tools link back to home base- Perinatal Section website… live Twitter feed from AAPperinatal on homepage, links to TECaNChat from Trainee/TECaN page and AAPNICUfamilies on Families page.
- Potential risks
- Extreme example with extreme consequences….
- Many Do’s- more than Don’ts…. Unofficial, and written policy that HC professionals all stick to- found on multiple sites. Again Virtual World= respect it like the real World. Remember that- Anything you post should be treated as if it can show up the next day on the front page of the NY Times.
- In conclusion, I would like to give you my 2 cents on why we should even bother investing anytime on learning all this. I think it would be fantastic if we were familiar with what is available to us on the web and use it with confidence, so that it can help streamline our lives and the information available on the web. It has become an the most current, effective way of communication and information-sharing. I would like to see more expert-generated content alongside user-generated content.I wonder if we as a medical community actually have an ethical responsibility to create more of a voice and presence in this ocean of chatter that clearly desires knowledge ??? should we as the experts managing the messages to the public? Since someone else is already there, so why not us?…….