Social Media Lecture
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Social Media Lecture
- 1. Social Media in Healthcare Not Just for Socializing Ryan Werblow, CRNA, MSN Twitter: @werbrj
- 2. PLEASE TURN ON ALL ELECTRONIC DEVICES, CAMERAS, CELL PHONES, IPADS, TABLETS, and/or PHABLETS Thank you for your cooperation in sharing new information with others. @werbrj
- 4. Top 5 Reasons A CRNA Should Join Twitter 1. It’s safe. 2. It’s the most efficient way to keep up to date on the literature. 3. It’s where the experts are. 4. You can attend a conference from your bathroom. 5. It’ll make you a better CRNA. @werbrj
- 5. Social Media Defined “Social media is a social interaction among people in which they create, share, or exchange information and ideas in virtual communities and networks.” 1 @werbrj
- 6. Don’t Pre-Judge Social Media Based on How Most People Use It @werbrj VERSUS
- 7. Criticisms of Social Media • Unprofessional • Amateur • Anti-social @werbrj It’s Anything BUT !!!
- 8. Criticisms of Social Media Lectures 5 Years Ago – Be careful! – Don’t engage! – What about HIPAA?! – Personal privacy? The focus was on the NEGATIVES @werbrj
- 9. Social Media is Here to Stay • Like the fax machine of the 1980s, or email of the 2000s, social media has gone from optional to essential. • There’s still time to be an ‘early adopter’ • But the concerns from 5 years ago still exist… @werbrj
- 10. Top 5 Reasons A CRNA Should Join Twitter 1. It’s safe. @werbrj
- 11. Concern #1: Patient Privacy Three Rules to Follow 3 1. Don’t be stupid… 2. Don’t be stupid… 3. Don’t be an idiot… @werbrj
- 12. BBC News Corporate Policy… @werbrj “A useful summary always has been, and remains: ‘Don’t do anything stupid.’ ”
- 13. Concern #2: Personal Privacy • iCloud hacking • Edward Snowden • NSA wiretapping @werbrj PRIVACY ON THE INTERNET DOES NOT EXIST. PERIOD. Refer to my previous slides on how to protect yourself on social media.
- 14. Concern #3: Accuracy & Quality of Information on Social Media • Everyone can contribute – even non-experts • Facts get distorted quickly • However… – No one is shy on social media – If you post something dumb or inaccurate – it’ll get noticed! – The internet is the ultimate peer review – Sharing of ideas happens in real time @werbrj
- 15. Top 5 Reasons A CRNA Should Join Twitter 2. It’s the most efficient way to keep up to date on the literature. @werbrj
- 16. @werbrj If you want to know how we practiced anesthesia 5 years ago, read a textbook. If you want to know how we practiced anesthesia 2 years ago, read a journal. If you want to know how we practice anesthesia today, attend a conference. If you want to know how we will practice anesthesia in the future, use social media. - @JoeLex5 , Dr. Joe Lex (alterations in italics)
- 18. Diffusion of New Ideas @werbrj Social Media 0 years Conference 1 year Journals 2 years Textbook 5 Years Dogma Never - Credit: @srrezaie , Twitter, 2/2/2015
- 19. Knowledge Translation How Many Years From Research To 90% Clinical Uptake? @werbrj
- 20. How Many Years From Research To 90% Clinical Uptake? • Routine use of PEEP • Cuffed ETT in children • Smaller tidal volumes + PEEP • Use of PA catheters in cardiac surgery @werbrj 16 YEARS!!!
- 22. We Can Do Better Journals, Textbooks, and Conferences Are No Longer the Only Way to Get Educated @werbrj Is Social Media a Feasible Alternative?
- 23. @werbrj Residents favored open access social media tools, such as youtube, blogs, and podcasts as being more beneficial (70.3%) than textbooks( 54.3%), and journals (36.5%).4
- 24. Recording Lectures Enhances Learning • Two groups of residents – Group that attends the lecture, and records the lecture to playback later. – Group that doesn’t attend lecture, but has access to the recording. • Who retained the information better? @werbrj
- 25. New Frontiers in Education And Continuing Education, Too • Free • Multi-media (or multi-modal?) • Easily accessible • Immediate peer review/feedback • Crowd sourced – Not just 5 peers reviewing each publication – 1000s get to view it and critique it @werbrj
- 26. FOAMed : Free Open Access Medical Education • Free • Open access – easily available to EVERYONE • Peer-review on steroids – Crowd sourced peer review @werbrj Twitter allows ALL of this!
- 27. #FOAMed Free, open source, evidence based education is the idea. Twitter is the classroom. @werbrj
- 28. Top 5 Reasons A CRNA Should Join Twitter 3. It’s where the experts are. @werbrj
- 29. @werbrj
- 30. @werbrj
- 31. @werbrj
- 32. @werbrj
- 33. Why Twitter? Why not Facebook or Myspace? • Posts appear in real time • Less personal information • Short and to the point • More INforming, less MEforming • Sharing of ideas and knowledge – Twitter > Facebook @werbrj
- 34. What is Twitter? • A social media app/website that lets users post messages (+/- pictures) of 140 characters or less • These messages are called Tweets • Many tweets contain links • You follow people. People follow you. – You may also block people @werbrj
- 35. Only 140 Characters??6 • Average English word is 4.5 letters • This equals roughly 30 words per tweet • 30 words per PowerPoint Slide = Optimal • Optimal PP Slide = Optimal Tweet • It’s almost as if Twitter was designed with teaching in mind! @werbrj
- 36. What is a #Hashtag? • Hashtag: # -- it is NOT the pound sign…it is NOT the number sign. • It precedes a word or phrase. • Can give context to a Tweet. #sarcasm • Hashtags can also categorize a Tweet so it can be searchedfor easily. #anesthesia #DeweyDecimalSystem @werbrj
- 37. What Twitter Does • Fosters global conversations on the latest and greatest in anesthesia. – Most efficient way to stay up to date on the literature • Allows one to make professional connections – It’s not anti-social • Allows one to attend conferences from…anywhere. @werbrj
- 38. Top 5 Reasons A CRNA Should Join Twitter 4. You can attend a conference from your bathroom. @werbrj
- 39. • Emergency Medicine Journal, May 20147 • Analyzed all tweets from the 2012 International Conference on Emergency Medicine (#ICEM2012). • Over 400 people tweeted about the conference – Only 34% were physically present at the conference! @werbrj
- 43. Twitter at #AANAMYA ?? ONE MILLION? @werbrj
- 44. Top 5 Reasons A CRNA Should Join Twitter 5. It’ll make you a better CRNA. @werbrj
- 45. Maslow’s Four Stages of Learning 1. Unconscious Incompetence* – I don’t know what I don’t know. 2. Conscious Incompetence – I know what I don’t know. 3. Conscious Competence – I know what I know. 4. Unconscious Competence – I don’t know what I know. @werbrj
- 46. How Do You Know What You Don’t Know? Get social, and avoid unconscious incompetence. @werbrj
- 47. What I’ve Learned From Twitter @werbrj What I didn’t know that I didn’t know There’s a new analog of Etomidate undergoing Phase I trials. It eliminates the imidazole ring and the associated adrenocortical effects.8 AFE is A-O-K: Atropine-Ondansetron-Ketorolac for Amniotic Fluid Embolism.9 Have a tiny IV in the hand, but need a big one in the AC? Tourniquet, instill 100ml of Normal Saline. Genuis!10
- 48. What I’ve Learned from Twitter (cont.) 1 min of N2O at 500ml/min has the equivalent greenhouse effect of driving a car 1 km. So, 2 hr anesthetic = 120km!11 Succinylcholine, because of the 02 consumption associated with fasiculations, results in quicker desaturation than Rocuronium for RSI.12 @werbrj
- 49. What I’ve Learned from Twitter (cont.) Ketorolac has an analgesic ceiling effect of ~10mg in acute pain, doses beyond that have no more benefit, and many more side effects.13 Confirming the ability to ventilate before giving a paralytic is not based on science, but rather dogma. May be more harm than good.15-17 Lastly, this is how to do an inhaled induction on a chinchilla… @werbrj
- 50. @werbrj
- 51. What Now? Step #1: Join Twitter • Download the Twitter App • Create a new account – Pick your twitter handle, aka username, “@username” • Start following people • You DO NOT have to post @werbrj
- 52. Twitter Without Tweeting..It’s Possible • You can be a passive Tweeter – View Tweets without contributing • Wall Street Journal, April 2014 • After watching for a while, many begin contributing to the #anesthesia, #CRNA, #FOAMed, or #FOAMgas conversation. @werbrj
- 53. Top 5 Reasons A CRNA Should Join Twitter 1. It’s safe. Don’t do anything stupid. @werbrj
- 54. Top 5 Reasons A CRNA Should Join Twitter 2. It’s the most efficient way to keep up to date on the literature. Not 16 years. @werbrj
- 55. Top 5 Reasons A CRNA Should Join Twitter 3. It’s where the experts are. I’m not one of them. @werbrj
- 56. Top 5 Reasons A CRNA Should Join Twitter 4. You can attend a conference from your bathroom. Hashtag #GameOfThrones @werbrj
- 57. Top 5 Reasons A CRNA Should Join Twitter 5. It’ll make you a better CRNA. Don’t be an Unconscious Incompetent. @werbrj
- 59. Credit For the Content Goes To @werbrj 1. Ahlqvist, Toni; Bäck, A.; Halonen, M.; Heinonen, S (2008) "Social media road maps exploring the futures triggered by social media". VTT Tiedotteita – Valtion Teknillinen Tutkimuskeskus (2454): 13. 2. Twitter account, @EliLanger. “@Brilliant_Ads Updated Version: pic.twitter.com/v5s6Oc6ZEi.” Microblog. @Brilliant_Ads, March 30,2014. https://twitter.com/Brilliant_Ads/status/450249797761372160/photo/1. 3. Dawson, M. (2013). Lecture from American College of Emergency Physicians Scientific Assembly 2013 [PowerPoint Slides]. Social Media in Medical Education. Retrieved from http://www.ultrasoundpodcast.com/2014/05/acep_pt1/. 4. Mallin, M., Schlein, S., Doctor, S., Stroud, S., Dawson, M., & Fix, M. (2014). A Survey of the Current Utilization of Asynchronous Education Among Emergency Medicine Residents in the United States: Academic Medicine, 89(4), 598–601. doi:10.1097/ACM.0000000000000170 5. Creation Healthcare (2014). Prepared for a presentation at Stanford Medicine X 2014. Healthcare Professionals Using Twitter. Retrieved from: http://www.creationpinpoint.com/stanford-medx-100000- healthcare-professionals-analysed-twitter/ . 6. Faust, J. (2013). Lecture 3: Medical Education & Twitter. [Powerpoint Slides]. Navigating the waters of medical education and social media. Retrieved October 1, 2014, from: http://www.aliem.com/navigating- the-waters-of-medical-education-and-social-media/. 7. Neill, A., Cronin, J. J., Brannigan, D., O’Sullivan, R., & Cadogan, M. (2014). The impact of social media on a major international emergency medicine conference. Emergency Medicine Journal: EMJ, 31(5), 401–404. doi:10.1136/emermed-2012-202039 8. Awad, N. (2013, November 22). Emergency Medicine PharmD: Carboetomidate: The Answer to the Prayers of the Intubated Septic Patient? Emergency Medicine PharmD. Retrieved October 1, 2014, from http://empharmd.blogspot.com/2013/11/carboetomidate-answer-to-prayers-of_22.html.
- 60. Credit…(cont.) 9. Copper, P., Otto, M., Leighton, B., (2013). Abstract S47; Society for Obstetric Anesthesia and Perinatology 2013. Successful treatment of amniotic fluid embolism with ondansetron, metoclopramide, atropine, and ketorolac: A case report. Retrieved October 1st, 2014, from http://soap.org/display_2013_abstract.php?id=S%2047. 10. Quinn, L. M., & Sheikh, A. (2013). Establishing intravenous access in an emergency situation. Emergency Medicine Journal: EMJ. doi:10.1136/emermed-2012-202106 11. McGain F. Why anaesthetists should no longer use nitrous oxide. Anaesth Intens Care 2007; 35:808-9. Retrieved October 1, 2014, from http://dea.org.au/news/article/green_doctors_anaesthetic_life. 12. S. K., El-Khatib, M. F., Baraka, A. S., Haidar, Y. A., Abdallah, F. W., Zbeidy, R. A., & Siddik-Sayyid, S. M. (2010). Effect of suxamethonium vs rocuronium on onset of oxygen desaturation during apnoea following rapid sequence induction. Anaesthesia, 65(4), 358–361. doi:10.1111/j.1365-2044.2010.06243.x 13. Staquet, M. J. (1989). A double-blind study with placebo control of intramuscular ketorolac tromethamine in the treatment of cancer pain.Journal of Clinical Pharmacology, 29(11), 1031–1036. Retrieved October 1, 2014, from http://socmob.org/2013/02/nsaids-part-2-the-ceiling-effect/. 14. Marcus, D. (2013). Lecture 1: Medical Education & Twitter. [Powerpoint Slides]. Moving on. A six step guide to academic independence. Retrieved October 1, 2014, from: http://www.aliem.com/navigating-the- waters-of-medical-education-and-social-media/. 15. Salem MR, Ovassapian A. Difficult mask ventilation: what needs improvement? Anesth Analg 2009;109:1720 –2 16. Warters RD, Szabo TA, Spinale FG, DeSantis SM, Reves JG. The effect of neuromuscular blockade on mask ventilation. Anaesthesia 2011;66:163–7 17. Calder I, Yentis SM. Could ‘safe practice’ be compromising safe practice? Should anaesthetists have to demonstrate that face mask ventilation is possible before giving a neuromuscular blocker? Anaesthesia 2008;63:113–5 @werbrj
Notas del editor
- For this lecture, and my next I encourage you all to be on your smartphones, tablets, computers while I present. If you see a slide you like: take a picture of it. If you see a slide other people might like, tweet about it. If you don’t know what twitter is, then you’ve come to the right place….
- It’s a blanket term that covers everything from blogging, facebook, linkedIn and the one I am going to focus on the most: twitter
- I’m going to use this slide as the outline for my talk. I’ll come back to it throughout the next hour.
- Notice that no where in this definition does it mention the word selfie, crossfit, or pictures of food It is exactly these stereotypes about social media that I want to dispel….and that it can be used professionally, for clinical education, and for professional networking
- Dismissing twitter because of the kardashians is sort of like avoiding library the library because of Paleo Diet Cookbooks – just because you don’t like a certain aspect of it, doesn’t mean you should avoid it all together.
- `There’s a lot of angst around this term, social media…especially amongst professional such as you and I. We think of it as amateur, unprofessional. Many people say twitter is causing the youth to lose the skill of how to interact in person with other, to have attention spans no greater than 140 charecters, is causing kids to forget how to spell out words……there’s a really good book on how twitter is doing this, transformaing an entire generation….but I haven’t read it, I don’t have the attention span.
- It deterred a lot of people from becoming early adopters in social media. I think the unknown’s of social media 4 or 5 years ago led many people to take the ‘sit back and wait’ approach…and as a result, many people resisted. it shed a bad light on social media…furthering the sterotypes many healthcare professionals have about it today: that it’s amateur, unprofessionals, and just for playing bejweled, farmville, and posting selfies.
- To resist SoMe would be like an egymptian saying….welllllllll, this whole hieroglyohics written laguage thing, ya know, I’m not really buying into that. It kind of scares me. I’ll just stick with the whole talking thing. The concerns about SoMe 5 years ago were real, and still exist….especially in the context of medical professionals such as us.
- Who’s heard stories of people getting in trouble with social media at work? Getting fired? It does happen….not as often as critics may sometimes claim, but the concern is real. I’ve adopted a few rules on this one from a influential physician on social media. I’d advise you take notes on these, because they are very very important for anyone engaging in social media Credit to: @ultrasoundpod It may seem like I’m being aloof about this and discrediting the risks, but think about it. If you simply use common sense. What you don’t say in an elavator on the phone, don’t say online. It’s that simple.
- Accepting the fate that, to remain relevant, social media is necessary, their guidelines are a reflection that social media is now just just part of their job. They offer an official policy for all emplloyees, and they summarize it all so well.
- So I just covered patient privacy, specifically HIPAA, as it relates to social media. Now onto personal privacy. There’s no reason to worry about personal privacy on social media BECAUSE THERE IS NONE!!! Personal privacy no longer exists, its all a matter of how many degrees of separation do you want. Once you accept that, and want to protect yourself on social media, ive got a set of rules for you to follow. Refer to
- The last one is very important, and it is what separates social media from all other mediums by which we get our information
- To take this a step further, and to integrate a theory that Is used across many disciplines…. This is a graph that people use when discussing how people adopt new ideas. Often times used by managers when trying to change a process at work, or by advertisers when trying to market a new product.
- How long does it really take? February 2015, American Heart Journal They didn’t track just any evidence, they tracked high quality Level I, and II evidence. Pulling from several of the cardiac/ myocardial infarction registries out there and looked at how long it took for high quality recommendations to gain widespread adoption. Their definition of widespread adoption was 90%. How long do you think it takes from the time a high quality recommendation is published in a journal to the time that recommendations is adopted on a widespread scale?
- Not only did it take 16 years for 90% clinical uptake, but it took 2 years before these recommendations were adopted as guidelines. That’s a 2 year lag between time of publication and the initial adoption of a new idea! Again, these aren’t just any ideas/recommendations. They are practice changers. They are the game changers in management of an MI, such as giving plavix, aspirin, heparin, etc. in the treatment of MI. They are the mainstays of treatment today….yet there was a lag time of two years before anyone even took the research and ran with it!
- Our current way of educating and staying educated has resulted in almost a 16 year lag time between publication, and full-on adoption into the work place! Surely there’s a better way? Perhaps social media can help reduce this from 16 years ? Now, one area of concern the traditionalists at anesthesia schools and medical schools would have is that textbooks have been, and remain to be, the gold standard by which information is disseminated. However, as generations change, so too has the way in which they learn.
- Cutting the lag time in translational research starts with the way we educate our CRNAs, nurses and physicians. In fact, Education, specifically medical education, is transforming from traditional teaching methods. Students want easily accessible education materials, which is forcing educators to re-evaluate teaching methods. More people, 70.3% found podcasts, a type of social media, to be more beneficial than textbooks and journals. The thing is, these other forms of media are all inclusive…they cite textbooks, they cite articles….but they old school methods a step further and offer commentary, often times clearing up confusing or controversial topics.
- Another study The group that didn’t attend the lecture actually had higher test scores! This is probably because the only way they could get the information is to play the audio recording…and that allowed them to pause, rewind, and replay confusing and important concepts. In essence, learning at their own pace. The other group probably thought that attending the lecture was enough and decided not to listen to the recordings they made. Or they didn’t think it was worth their time, given that they already heard the lecture in person.
- We are using crowd sourcing for everything: We use apps on our phone to tell is what traffic is like – this draws data from the hundreds of cars along the same route you are traveling We use apps to hail taxis –
- This ideal way of learning is not novel, by any means. It’s actually a thing! No longer do a few experts dictate what research or ideas are worthy of publication. No longer do you need to subscribe to various journals for hundreds, if not thousands, of dollars a year. No longer does a practice changing idea have to go through a lengthy vetting process just to get published, and then wait another 16 years before everyone buys in….
- Or journal. Or textbook. Or conference.
- Experts favor twitter for sharing information instead of facebook, where they tend to maintain accounts out of necessity to stay in touch with friends/family I once heard someone say, the difference between my facebook friends and twitter followers is that some of my facebook friends still think vaccines cause autism..
- So who’s actually doing this? Is this just a small group of people?
- Almost 300,000 tweets per day! That’s impressive!
- It should come as no surprise that nurses talk the most (on twitter that is)
- Why am I focusing so much on twitter. For one, it’s where the experts are, as I showed you in the previous slides. Several distinct differences between it an facebook make it superior, in my opinion. Realtime: versus facebook, which relies on facebook’s robots to decide what shows up on your newsfeed and what doesn’t Doesn’t require, or even have the option, of creating an elaborate personal profile. Allows one to maintain anonymity without trying all that hard Sick of people and their lengthy rants on facebook. Take a a break and join twitter.
- This is one of the defining charecteristics that differentiates twitter from facebook
- If your friends on facebook are anything like my friends on facebook, many of them should probably be limited to less than 140 charecters. This is part of what makes twitter so great….and so unique It’s almost as if twitter wwas designed with teaching
- One of the most common concerns people have about joining twitter, or even thinking about doing so, is what the heck are these hash tags? *Call it this and you’ll lose style points. Sort of like the dewey decimal system, or the keywords located in published articles
- Remember….if you want to know how to practice anesthesia in the future…use social media Mention examples of who ive met on twitter before I met online Social media isn’t anti social at all and doesn’t eliminate face to face interaction…it almost served as the ice breaker!
- We don’t just go to conferences to get CEUs required to recertify…we actually go there to learn new things, right? With conference costs going up, employer reimbursement rates going down, many are choosing to spend their education funds on ipads and cell phones. How are we to learn new information if we choose not to attend conferences? Or just can’t make it to one?
- I’ve provided a lot of data from critical care and emergency medicine – that’s because they have been the true early adopters of this whole social media thing with medical education. This provides a hige opportunity for CRNAs to be the leader in #FOAMed for the anesthesia world. To put the 400 participants in perspective, there were 229 participants in CRNAWeek
- Our efforts as CRNA’s have been slow, but steady. In my two years on the national PR committee, we have advocated hard for the AANA to improve their exposure on social media. In doing so, I hope to see more people use it for advocacy, education, and professional growth. Our first real leap into social media came at Mid year assembly last year in Washington DC. It was a weak attempt, but it stuck with a few people…
- In just a few months, we had exceptional growth and adoption of social media by SRNAs/CRNAs at AANA conferences. And then this spring we celebrated CRNAweek15
- My goal at MYA in a few weeks is to get 1 million impressions on twitter. This is important, because as I said, social media allows people to attend a conference virtually….and not just passively like a video feed would. It allows people to engage in the conversation from miles away.
- We talk about this in regards to trainees, first year SRNAs..Whe But, in my opinion this is a dynamic trajectory, one in which you can be at any spot at any point in your career, and theres no shame in it. Have you ever had a student, an anesthesiologist, a med student, or another CRNA offer an idea and you think “that’s not right, because I’ve never heard of it.? Or, if that was true, surely I would have heard of that before. We often prejudge ideas based on whether we’ve heard it before…not accepting the truth that we, as experienced CRNAs, may be unconsiously unconsious. There are many things out there that I never knew were even a thing! And I wouldn’t have found out had it not been for twitter!
- The anti-inflammatory ceiling effect is much higher. However, most of the time we are treating pain, it is of the acute type where inflammation is unlikely to play a role.
- A lot of people use twitter purely as a news aggregator….ever heard of those email newsletters you can subscribe to where it sends you weekly emails with all of the recent journal articles, and quick summaries on them? You didn’t have to reply to these emails to still get the benefit of seeing the new research and studies. The same thing applies to Twitter.
- Experts favor twitter for sharing information instead of facebook, where they tend to maintain accounts out of necessity to stay in touch with friends/family I once heard someone say, the difference between my facebook friends and twitter followers is that some of my facebook friends still think vaccines cause autism..
- We don’t just go to conferences to get CEUs required to recertify…we actually go there to learn new things, right? With conference costs going up, employer reimbursement rates going down, many are choosing to spend their education funds on ipads and cell phones. How are we to learn new information if we choose not to attend conferences? Or just can’t make it to one?