Transcript of #MDchat - a Twitter chat for physicians - for Wednesday, October 13, 2010. Follow @MD_chat for regular updates. Visit the blog: MDchat.org Topic was: T1 Physician-lead/involved Innovation: How can docs get more active in tech innovation processes? What role could the Web play? Moderated by @PhilBaumann

1. Transcript of #MDchat for October 13, 2010
Follow @MD_chat for regular updates - Visit MDchat.org
Welcome to #MDchat - this is the third one. If you're new to this, it may take a bit
MD_Chat to get. It's OK to lurk. We'll start in 1 moment.
Before our first topic, let's begin with introductions. Tell us a bit about yourself.
MD_Chat #MDchat
Luis Saldana, ER and med informatics doc with large hospital system in Dallas/FW
lsaldanamd metroplex #Mdchat
FaceLiftMD hello everyone, washington dc facial plastic surgeon #mdchat #mdchat
I'm Beth - work w/ pts, employers, and providers to improve pt-provider
CrescendoCG communication amp; help pts make better hc choices hc #mdchat #mdchat
Hi folks! Ellen here, a critical care nurse amp; legal nurse consultant in FL who
EllenRichter enjoys social media amp; health care! I'll be lurking :) #MDchat
aliciad3 Hi everyone! I'm Alicia Demirjian, a pediatric ID fellow in Boston, MA #MDchat
Kathy Mackey, Houston, TX watch trends in medical, healthcare amp; technology
mkmackey listening in to #mdchat
@lsaldanamd @FaceLiftMD @CrescendoCG @EllenRichter Welcome amp; good
MD_Chat evening! #MDchat
ultimatecarwash Hi! RT @EllenRichter Hi folks! #MDchat
Greetings. I'm an 'experienced' Patient often a victim of some bad quot;seedsquot;
HospitalPatient BUT also the beneficiary of some AMAZING medical pros. #mdchat
hjluks Howard Luks, quiet orthopod in NY :-) #mdchat
Hi all, was participating in #hpm chat, might say hi here aswell, I'm Joe a pall care
joegormally reg in Australia #mdchat
MD_Chat @aliciad3 Hi Alicia, welcome here! #MDchat
OK, we'll have 2 topics tonight. When responding to a topic, please prepend with
MD_Chat T1, T2, etc. #MDchat. First topic coming right up.
Perhaps a Doc an explain the Patient-relevant differences in Residents, Fellows,
HospitalPatient Interns, etc? That would be VERY interesting. #mdchat
Good evening! I'm Vanessa, a new grad RN pursuing a career as an ICU nurse; @
FreshRN Los Angeles, CA. I will be lurking as well #MDchat
T1 Physician-lead/involved Innovation: How can docs get more active in tech
MD_Chat innovation processes? What role could the Web play? #MDchat
Sorry for suggesting an quot;issuequot; - I got it - I will follow T1. T2, etc. Thanks.
HospitalPatient #mdchat
FaceLiftMD should teaching tech innovation in med school, along with everything else #mdchat

2. Gov intervention right now is most likely stifling innovation by handcuffing
hjluks docs/device/pharma #mdchat
T! - Docs can offer Patients 15 mins of Social Media quot;Interactionquot; per
HospitalPatient Ailment - more for Fee-Based Time Increments. #mdchat
@HospitalPatient No worries. btw, you can always submit topics here tinyurl.
MD_Chat com/MDtopic #MDchat
T1 Docs can help spread tech/innovation by being examples for their peers. Docs
lsaldanamd leading docs best tool for diffusion #Mdchat
T1 I think it might be something that docs need to get official qualifications to have
joegormally say in hospital IT issues.. #mdchat
RT @hjluks: Gov intervention right now is most likely stifling innovation by
rawarrior handcuffing docs/device/pharma #mdchat
RT @lsaldanamd: T1 Docs can help spread tech/innovation by being examples for
mkmackey their peers. Docs leading docs best tool for diffusion #mdchat
@HospitalPatient mny of us do... but payment mechanisms are still being worked
hjluks out #mdchat
T1 - Docs can also use Web like every other Entrepreneur 2 start tweaking their
HospitalPatient business model. #mdchat
@hjluks T1 Interesting perspective. Is it really that tough for innovations to occur
EllenRichter in the current arena? #MDchat
T1 generational issue, how many quot;olderquot; docs e-prescribe amp; EMR, let
FaceLiftMD alone social media, etc #mdchat
T1 I like @FaceLiftMD's suggestion of teaching doctors better, but realize it's easier
aliciad3 said than done. #MDchat
T1 embrace and model innovation and use of tech to advance better pt care and
lsaldanamd communication. Testimonies. #Mdchat
@EllenRichter gov is making it very diff for docs to work with device/pharma and
hjluks remain practitioner #mdchat
T1 HC ors are looking for docs to lead the way on this. Need to step up to the plate.
lsaldanamd #Mdchat
@EllenRichter and w/o MD feedback, innovation in those realms will suffer...
hjluks #mdchat
T1 - I understand the generational issues but Social Media can quickly become the
HospitalPatient quot;Newquot; Old House Call for Patients. #mdchat
T1 I've heard what is similar to focus groups on twitter with MDs discussing
mkmackey favorite applications amp; tech innovations #mdchat
@hjluks I do agree that regulation can be a barrier, docs need to work within a
lsaldanamd framework, such as HC org #Mdchat

3. RT @mkmackey: T1 Ive heard what is similar to focus groups on twitter with MDs
lsaldanamd discussing favorite applications amp; tech innovations #Mdchat
@EllenRichter Hi Ellen (and everyone), my DH is a critical care/pulm/sleep doc,
drpoppyBHRT I'm an Ob/gyn #hpm #MDChat
@EllenRichter on T1, I would consider comparing academic centers with youthful
raovac docs, with the 85% of hospitals without. #mdchat
@drpoppyBHRT Good to see you here, welcome! T1 is here http://bit.ly/94CHxA
MD_Chat #MDchat
@EllenRichter Youth=point source for diffusion of innovation, as default. If a
raovac hospital has no residents, then what works?? #mdchat
T1 I think that in this electronically advancing society #doctors would be at the
EllenRichter forefront of creating e-programs that improve care #MDchat
T1 web allows physicians to communicate abt their speciality with the masses.we
StrategicGen posted live physician interviews 4 @FibroidsProject #MDchat
RT @HospitalPatient T1 - Docs can also use Web like every other Entrepreneur 2
chukwumaonyeije start tweaking their business model. #mdchat
hjluks @EllenRichter hmmm ... wld make sense. #mdchat
T1: doctors definitely need to be involved with IT policy in the hospital setting
joegormally #MDchat
T1 A difficult challenge for smaller amp;/or non-academic practices is becoming
EllenRichter familiar amp; adept w/ health informatics amp; electronics #MDchat
@hjluks @FutureDocs This is a scary trend...but I had to switch to fee-for-service
drpoppyBHRT to maintain my private practice. #MDchat
CrescendoCG @StrategicGen T1 Were live interviews well received/attended by pts? #mdchat
Medical schools are beginning to add tablets to curriculums..like all industries
mkmackey technology and adoption may lag in certain areas #mdchat
@StrategicGen Yes. Get docs comfortable with tools, bring them along and make
lsaldanamd them enthusiasts #Mdchat
@EllenRichter I actually found that EMR made my life more complicated and
drpoppyBHRT hectic, switched to paper #solopractice #MDchat
RT @joegormally: T1: doctors definitely need to be involved with IT policy in the
drseisenberg hospital setting #MDchat
lsaldanamd T1 Ride trends, docs love smart phones ipads, etc #Mdchat
Amen. so many pros otherwise RT @joegormally T1: doctors definitely need to be
chukwumaonyeije involved with IT policy in the hospital setting #MDchat
@drpoppyBHRT T1 Oh dear. How distressing to hear THAT! But you'll have to go
EllenRichter back to EMR again. :( #MDchat

4. @CrescendoCG yes.our users for @FibroidsProject loved it. we had them ask
StrategicGen questions b4 the interview #mdchat
T1 @EllenRichter True! But docs are last to test innovations (scientific doubt?). We
aliciad3 rely on info from books, based on 10 y.o data #MDchat
Wow - this is a good convo. I do have a second topic, but we could continue with
MD_Chat this one. Want to keep going w/T1? #MDchat
@EllenRichter T1 actually smaller offs may exercise more flexibility in adopting
chukwumaonyeije new tech #MDChat.
RT @chukwumaonyeije: @EllenRichter T1 actually smaller offs may exercise more
lsaldanamd flexibility in adopting new tech #MDChat. #Mdchat
T1 I love @NEJM's innovative website, videos, and iPhone app. @AAPNews also
aliciad3 has an iPhone app. I'm hopeful others will follow. #MDchat
T1 I spoke with a dept chair today that REFUSES to tweet, no time. Thoughts?
StrategicGen #mdchat
@aliciad3 T1 But theres a difference between using books for validating scientific
EllenRichter data amp; using electronics to enhance diagnosis #MDchat
RT @lsaldanamd: T1 Ride trends, docs love smart phones ipads, etc #Mdchat /
subatomicdoc Sometimes I feel like my phone is smarter than I am!
quot;Fee-4-servicequot; - also comes w/ NEW opportunities via Web 2 both
MMMDeal increase Patient Care amp; Stabilize Practice Cash Flow #MDChat
quot;Fee-4-servicequot; - also comes w/ NEW opportunities via Web 2 both
HospitalPatient increase Patient Care amp; Stabilize Practice Cash Flow #MDChat
T1: lag in tech an unfortunate reality. Pt told me once that he felt his supermarket
CrescendoCG knew more about him that his doc's office did. #mdchat
@EllenRichter No I won't. I am not contracted with insurance cos/Medicare or
drpoppyBHRT Medicaid. #MDChat
@MD_chat T1 Docs could work in partnership with patients and developers to
drseisenberg create new ways of connecting and creating community. #MDchat
@StrategicGen T1 I think that your dept chair just needs education about Twitter's
EllenRichter true value. Most just dont get it yet #MDchat
@StrategicGen T1 tweet only 1 aspect of tech innovation in medicine, but yes docs
FaceLiftMD love gizmos #mdchat
MD_Chat We'll keep going with T1 - it's getting great traction here. #MDchat
@StrategicGen Need to make value proposition for them, high value for SM/tech
lsaldanamd tools needs to be based on individual values #MDChat
RT @drseisenberg Docs could work in partnership w/pts and developers to create
CrescendoCG new ways of connecting and creating community. #mdchat

5. Heyup people - Peds ID fellow in Upstate NY here - also a bit of a techy geek
peds_id_doc #MDChat
EllenRichter @MD_Chat LOL now I'm curious what T2 was going to be ;) #MDchat
joegormally @EllenRichter some don't know what twitter is :) #MDchat
@MD_Chat What a great crowd that showed up amp; are contributing to this chat
EllenRichter tonight! :) #MDchat
lsaldanamd MHealth a key tool that will engage docs. #MDChat
@EllenRichter he wasn't mine. It was for an interview for @FibroidsProject. we ask
StrategicGen questions on behalf of our users #mdchat
lsaldanamd I find docs very enthusiastic about leveraging their smartphones ipads #MDChat
@StrategicGen unfortunate. 21st century buggy whip salesman. Not adapting.
chukwumaonyeije #mdchat
T1 engage younger generation of med trainees who are even more tech savvy and
FutureDocs will be docs of future #Mdchat
Just stumbled upon #MDchat -Awesome! I'm Amy from @hinfonet, advancing use
AmyinMaine of #EMRs and #health info exchange #HIE in Maine
CrescendoCG @joegormally LOL - another unfortunate reality :) #mdchat
@joegormally T1 Exactly!Still a great learning curve but we're the ones that will
EllenRichter shorten the gap between health care amp; social media #MDchat
MD_Chat @EllenRichter For sure! #MDchat
Me too! RT @lsaldanamd: I find docs very enthusiastic about leveraging their
mkmackey smartphones ipads #mdchat
Chilean Miners is Life/Death amp; we all came together 2 figure it out - US
HospitalPatient Healthcare is as bad 4 Docs amp; Patients - WEB MUST B Vital. #MDChat
Chilean Miners is Life/Death amp; we all came together 2 figure it out - US
MMMDeal Healthcare is as bad 4 Docs amp; Patients - WEB MUST B Vital. #MDChat
lsaldanamd That can be used to connect to other tech/tools like SM #MDChat
RT @FutureDocs: T1 engage younger generation of med trainees who are even
AmyinMaine more tech savvy and will be docs of future #Mdchat
T1: I use several mobile Apps in my work - as well as the usual stuff (excel, word,
peds_id_doc PDF reader). Also write my own PC s/ware #MDChat
@subatomicdoc in a way our phones *are* smarter than we. Power comes from
chukwumaonyeije harnessing this pwr.#mdchat
Me too! Thats great! gt;gt; RT @lsaldanamd: T1 I find docs very enthusiastic about
EllenRichter leveraging their smartphones ipads #MDChat #MDchat
@EllenRichter T1 Agree, with spread/access to medical info being an aspect of
aliciad3 technology we can improve #MDchat

6. RT @chukwumaonyeije: @subatomicdoc in a way our phones *are* smarter than
lsaldanamd we. Power comes from harnessing this pwr.#mdchat #MDChat
T1: could not function well without Sanford Guide or Red Book - both available as
peds_id_doc Apps #MDChat.
RT @HospitalPatient: Chilean Miners is Life/Death amp; we all came together 2
figure it out - US Healthcare is as bad 4 Docs amp; Patients - WEB MUST B Vital.
rawarrior #MDChat
RT @CrescendoCG T1: lag in tech an unfortunate reality. Pt ... he felt supermarket
chukwumaonyeije knew more about him that his doc's office did. #mdchat
T1 We are trying to teach medical educators to use #socialmedia at @aamctoday in
social_meded DC amp; #aaim in SanAntonio this Sat #mdchat
MD_Chat @FutureDocs Hey you, good to see ya here. - Phil #MDchat
@HospitalPatient great point. But sadly the US may need a *disaster* before
chukwumaonyeije addressing healthcare #mdchat
lsaldanamd @social_meded very good! #MDChat
lsaldanamd @social_meded very good! #MDChat
FutureDocs @MD_Chat great to be here :) This is awesome turnout! #mdchat
@chukwumaonyeije Good point. As long as the technology extend my ability to
subatomicdoc function rather than replace it. #mdchat
@chukwumaonyeije if the end goal is helping patients .. then it is a matter of
StrategicGen learning different ways to reach them. #mdchat
Gotta run. Bye all. Good to be with you. Good to connect with you again
lsaldanamd @ellenrichter :) #MDChat
@peds_id_doc I find the online version of Red Book more difficult to use than
aliciad3 print version (inefficient search). Haven't tried app. #MDchat
#Mdchat T1: docs need to go beyond the #EMR - health analytics, connection to
AmyinMaine health information exchanges and personal health records.
T1 Many newer #doctors use electronic access to office records amp; hospital charts
EllenRichter from home or smartphones to better orchestrate care #MDchat
EllenRichter @lsaldanamd Yes, nice to see you again! Great input tonight! #MDchat
@PhilBaumann Hey monkey. I'll be on #MDchat next week. Was travelling back
Doctor_V from #Swedish100 yesterday. We'll give it a go
Don't understand ANY Business wondering WHY re: New Media as we live in a
HospitalPatient NEW ECONOMY - there is no choice. quot;Just Do Itquot; :) #MDChat
Good for you! RT @social_meded T1 We are trying to teach medical educators to
aliciad3 use #socialmedia #MDchat
social_meded @lsaldanamd thx! will live tweet the workshop this sat #mdchat

7. @subatomicdoc don't think the physician will be replaced.. but our ability to work
joegormally easier will be enhanced #MDchat
@AmyinMaine T1 I think its just a matter of time amp; your wishes will be
EllenRichter actualities in health care #MDchat
@aliciad3 T1:#MDChat RB is pretty good - 2006 version was really good. Can
peds_id_doc search by keyword or disease very fast. Occ broken links tho:(
RT @subatomicdoc: @chukwumaonyeije quot;As long as the technology extends
MMMDeal my ability to function rather than replace it.quot; DEAD-ON POINT #mdchat
EllenRichter @PhilBaumann Monkey? :) #MDchat
@subatomicdoc precisely. Technology extends basic skills. Doesn't replace.
chukwumaonyeije #mdchat
RT @EllenRichter: @AmyinMaine T1 I think its just a matter of time amp; your
subatomicdoc wishes will be actualities in health care #MDchat
@aliciad3 T1 #MDChat The same links are broken on the online version...dodgy
peds_id_doc programming #GIGO I've reported a couple of issues ;-)
RT @FutureDocs: T1 engage younger generation of med trainees who are even
stewy6 more tech savvy and will be docs of future #Mdchat
RT @AmyinMaine #Mdchat T1: docs need to go beyond the #EMR - health
chukwumaonyeije analytics, connection to health information exchanges and PHRs
RT @HospitalPatient Don't understand ANY Business wondering WHY re: New
chukwumaonyeije Media as we live in a NEW ECONOMY - quot;Just Do Itquot; :) #MDChat
@joegormally I agree, I don't think docs will be replaced. I meant more how
subatomicdoc #socialmedia is used should augment what we do #mdchat
Anyone mind if we go a few minutes over? (Hour is already almost up!) Just let me
MD_Chat know!! #MDchat
joegormally @MD_Chat no worries :) #MDchat
T1 social media is not magic ... just another way to engage ... convos are just public
StrategicGen #mdchat
@MD_chat Smartphones are great, but compassionatephones are all the rage.
drseisenberg #MDchat #hpm
subatomicdoc @joegormally @MD_Chat No problem! #mdchat
@MD_chat #MDChat - I just got here, I'm ok with it - are we going to get onto T2?
peds_id_doc ;-)
@peds_id_doc T1 Is Sanford guide available as iPhone app? Or do you mean
aliciad3 Hopkins guide through Skyscape? #MDchat
aliciad3 @MD_Chat Sure! Great discussion. #MDchat
@StrategicGen T1 Social media conversations can be private too, ie: Direct
EllenRichter Messages (if you consider them private) #MDchat

8. @peds_id_doc Had a second topic, but earlier decided to stay with T1 since it was
MD_Chat pretty hot. #MDchat
RT @drseisenberg: @MD_chat Smartphones are great, but compassionatephones
joegormally are all the rage. #MDchat #hpm
If anyone on #MDchat is interested we will live tweet from #socialmedia in
social_meded #meded workshop this Sat 1030 to noon CST thx! #smime
Doctor_V Holy crap. #MDchat is now. I'm here. Let's keep going
OK - we'll keep going for a bit. I didn't want to commit Chatus Interruptus ;-)
MD_Chat #MDchat
T1 Docs may not be replaced, but technology affects the way they practice medicine
aliciad3 - has to be used wisely #MDchat
@EllenRichter I agree, but the real power comes from putting out info amp; having
StrategicGen ppl learn amp; improve -gt; collective intelligence #mdchat
@subatomicdoc Yes I heard they can, too!! ....thats why I said what I said :)
EllenRichter #MDchat
RT @social_meded: T1 We are trying to teach medical educators to use
cmeadvocate #socialmedia at @aamctoday in DC amp; #aaim in SanAntonio this Sat #mdchat
Doctor_V Next year, Phil, you need to do #MDchat live from #BWE10
@aliciad3 #mdchat T1: Sanford Guide looks like it's blackberry or WinMo only. I'm
peds_id_doc a WinMo fanboy #nerd
Yes!! RT @StrategicGen: the real power comes from putting out info amp; having
EllenRichter ppl learn amp; improve -gt; collective intelligence #mdchat #MDchat
MD_Chat @Doctor_V Yep - totally agree - shall buy tix now :) #MDchat
Excellent chat.. only concern is the clash with #hpm.. would be great to participate
joegormally in both next week :) #MDchat
RT @mkmackey: RT @lsaldanamd: T1 Docs can help spread tech/innovation by
cmeadvocate being examples for their peers. Docs leading docs best tool for diffusion #mdchat
aliciad3 @peds_id_doc That's too bad :( #MDchat
@joegormally I agree! I watched my first #hpm with only 2/3 of one eye because of
EllenRichter good discussion at #MDchat tonight!
@joegormally Yup - I'll check other chat times too - decided on this one so we could
philbaumann night. Will expermt. #MDchat is still a little baby ;)
@EllenRichter I wish I could find the link. That's the challenge...balancing
subatomicdoc transparency and privacy. #mdchat
@aliciad3 T1 #MDChat - I'm tempted by the #iPad though, or similar. Looks like a
peds_id_doc decent size for writing, surfing, sharing pictures etc

9. RT @EllenRichter: Yes!! RT @StrategicGen: the real power comes from putting out
info amp; having ppl learn amp; improve -gt; collective intelligence #mdchat
subatomicdoc #MDchat
@aliciad3 T1 #MDChat - it needs a camera, USB ports tho... may end up with an
peds_id_doc Android wannabe. WinMo is losing medical App support
@peds_id_doc T1 (or is it?) - Yes tempting, looks so good. Not sure I can find a
aliciad3 good reason to buy yet, except for music sheet #MDchat
@subatomicdoc T1 When using social media, we must train ourselves to think twice
EllenRichter before hitting quot;sendquot; amp; know where 2 draw the line #MDchat
@philbaumann cheers Phil.. I'm sure there's room for all the various chats
joegormally somewhere :) #MDchat
aliciad3 So did we give up on T2? #MDchat
@MD_chat We once scheduled #RNchat during #IVchat, amp; now this! Not
EllenRichter enough days in the week eh? :) #MDchat
@aliciad3 Yes, earlier I polled to see if we should continue with T1 since it was
MD_Chat active. Easy to miss ma tweets, huh? ;) #MDchat
@EllenRichter Definitely. Impulse is not our friend when it comes to #socialmedia!
subatomicdoc #mdchat
Wow - OK, folks - this has been awesome. Let's wrap up in a few minutes. Feel free
MD_Chat to keep chatting, but we'll start last call. #MDchat
aliciad3 @MD_Chat Oops! Yes there's so much going on :) #MDchat
Did you all read the Ohio Medical Assoc quot;Social Media Toolkit For MDs, Office
EllenRichter staff, Patientsquot;? Its great! (PDF) http://j.mp/b16luu #MDchat
Before wrapping up tonight's #MDchat, give the group your parting thoughts or
MD_Chat pearls of wisdom!
T1 #MDChat - does anyone use FB with patients? We have some who connect with
peds_id_doc our NP's via FB. I use it more for personal reasons...
EllenRichter Wow, I can add some new follows after seeing the roster of tonight's #MDchat
@EllenRichter Yes on the Ohio Med Social Media PDF http://bit.ly/b213QJ . I even
StrategicGen added to my website to help my MD clients #mdchat
RT @EllenRichter: Did you all read the Ohio Medical Assoc quot;Social Media
Toolkit For MDs, Office staff, Patientsquot;? Its great! (PDF) http://j.mp/b16luu
aliciad3 #MDchat
docmuscles I use FB for personal contacts only #MDChat.
Great to see everyone here tonight - evidence that docs *are* using social media!
aliciad3 #MDchat
@peds_id_doc My policy, don't tell. That in and of itself might be a #HIPAA
subatomicdoc violation. #mdchat

10. subatomicdoc RT @docmuscles: I use FB for personal contacts only #MDChat.
@MD_Chat Great topic you picked! It certainly spurred some tweetage. Nice to see
EllenRichter what the Twitter #doctors have to say. Good stuff #MDchat
@peds_id_doc T1 idea of FB with patients makes me feel uncomfortable, I
aliciad3 wouldn't do it. I use it only for quot;real-lifequot; friends. #MDchat
RT @aliciad3: Great to see everyone here tonight - evidence that docs *are* using
subatomicdoc social media! #MDchat
T1 separate ur personal from professional social profiles amp; be strategic with
StrategicGen social media. let me know if I can help you. #mdchat
Alright everyone. THANK YOU for showing up to tonight's #MDchat. See next
MD_Chat tweets on announcements.!
joegormally @EllenRichter fantastic link, thanks so much #MDchat
docmuscles @EllenRichter #MDChat thanks for the website. Look forward to reading it!
@subatomicdoc T1 #MDChat - I can see why if you're a specialist (e.g. infectious
peds_id_doc disease) - quot;What infection U got missy?quot; ;-)
@MD_Chat Are you creating a transcript of these chats, Phil, so people can read
EllenRichter the tweets? #MDchat
aliciad3 @MD_Chat Thanks for a great chat! Looking forward to next session. #MDchat
Next #MDchat will be Tuesday 10/17 9pm Eastern. Transcript of tonight’s chat will
MD_Chat be up later. Transcript archive: bit.ly/aKRl2q