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Social Media in Medicine

Social Media in Medicine. Alexander M. Djuricich, MD, FACP, FAAP Associate Dean of CME Program Director, Med- Peds Residency Associate Professor of Clinical pediatrics and clinical medicine Indiana University School of Medicine St. Vincent’s Fall Pediatric CME Conference October 3 , 2012.

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Social Media in Medicine

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  1. Social Media in Medicine Alexander M. Djuricich, MD, FACP, FAAP Associate Dean of CME Program Director, Med-Peds Residency Associate Professor of Clinical pediatrics and clinical medicine Indiana University School of Medicine St. Vincent’s Fall Pediatric CME Conference October 3, 2012

  2. My Social Media “Profiles” • Twitter: @MedPedsDoctor • LinkedIn: Alex Djuricich • Alliance for Continuing Education in the Health Professions • American College of Physicians • Continuing Medical Education • Indiana University School of Medicine • Doximity: Alexander M. Djuricich, MD • Google+: Alexander Djuricich • Facebook: choosing to wait • Blog: http://alexdjuricich.blogspot.com The idea for this slide comes from seeing a presentation by B McGowan, PhD, at ACEHP 2012

  3. Disclosures I have nothing to disclose I receive no financial remuneration from any Social Media outlet, pharma company, or anyone except my employer I am interested in emerging technology to improve education and patient care

  4. Disclosures Part 2 • I do not consider myself an expert in Social Media • But I think social media is a cool niche • If you would have told me 1 year ago that I would be presenting a CME talk on Social Media, I would have said that you need your head examined • I enjoy finding and using ideal methods to teach doctors and doctors-in-training

  5. http://www.ehow.com

  6. http://www.ehow.com

  7. Objectives Clarify misconceptions surrounding use of social media in medicine/medical education Describe opportunities in addition to unintended consequences resulting from health care professionals (HCPs) engaging in social media Explore meaningful use of social media by physicians and other HCPs, hospitals and patients Review opportunities social media can bring to medical education arena

  8. Definition SOCIAL MEDIA “Internet-based applications which allow for the exchange of user-generated content; includes services such as social networking, professional online communities, wikis, blogs and microblogging”

  9. Example Online Social Networks Facebook 845 million users (December 2011) YouTube ~800 million users Twitter ~500 million users (including spammers) SlideShare Doximity LinkedIn

  10. Infographics

  11. Infographics http://blog.bufferapp.com/the-5-funniest-twitter-infographics and http://imgur.com/f2iP4

  12. Doximity Physicians/Med Students only Verification of credentials before allowing full access HIPAA-compliant info with other physicians Send fax via mobile/web to other docs or pharm

  13. Social Media Myths • “Social media is only for young people” • “I don’t have time for social media” • Doesn’t take long to read 140 characters • Not obligated to read every tweet of those you follow • “I won’t get anything out of social media” • “People will think I am weird” Arora V. blog: http://futuredocsblog.com/top-twitter-myths-tips/

  14. So What is the Current State of Physician Usage of Social Media?

  15. Physician “Use” of social networking sitesHave you ever used a social networking site?N (All): 454 N (Physician): 137 N (Resident): 131 N (med student): 186 Bosslet GT, et al. The patient-doctor relationship and online social networks: results of a national survey. J Gen Intern Med 2011;26(10):1168-74.

  16. Physician attitudes towards using social media n= 296 Mean 6.2 St.dev. 2.5 n= 183 Mean 6.0 St.dev. 2.6 n= 479 Mean 6.0 St.dev. 2.5 When sharing medical advances and knowledge with other physicians, using social media is _____________. Note: Responses categorized as 1-3 waste of time, 4-7 neutral, 8-10 essential use of time Wasko M, et al. Physician adoption and use of Social Media to sharemedicalknowledgewithotherphysicians. Personal communication, usedwith permission from B McGowan, PhD , senior author,. J Med Internet Res 2012 (in press).

  17. Use of Twitter • 15% of online adults use Twitter • 8% use it regularly (doubled since May 2011) • Hypothesis: rise in smartphones and using Twitter on such a device http://pewinternet.org/Reports/2012/Twitter-Use-2012.aspx

  18. Meaningful Use • 4 possible ways physicians could use social media • TREAT (engage directly with patients) • TEACH (provide credible information to other HCPs) • LEARN (share and retrieve medical information) • ADVOCATE (for profession, for societal good, for patients) Adapted from McGowan B. http://www.slideshare.net/cmeadvocate/medicine-2pt0-meaningful-use-of-so-me-by-physicians-final & Kind T, et al. Advantages and challenges of social media in pediatrics. Pediatr Ann 2011;40(9):430-4.

  19. What Can Docs Do? Provide Context [to new information] Dispel Myths Influence the health care debate Connect with mainstream media [and each other] Hear what patients have to say Comments by blogger Kevin Pho, MD, found on http://healthworkscollective.com/jamierauscher/26931/five-reasons-why-doctors-need-connect-patients-through-social-media

  20. Conference Blogging Reinhardt W, et al. How people are using Twitter at conferences. Creativity & Innovation Competencies on the Web. 145-6.

  21. Examples • IU Pediatric Grand Rounds: Tweeting since Jan 2012 • #IUPedsGrRounds • AAMC Nov 2011 • My tweets are my “notes” from meeting • ACEHP Jan 2012 • Tweets about improving CME process

  22. Example Tweets from AAMC Conference 11

  23. Social Media in Medical Education Medical Content spread to learners through Social Media channels EXAMPLES “Influenza vaccine shot does NOT cause the flu—it is not a live vaccine” “Metoclopramide now has a black box warning for tardive dyskinesia” Teach medical learners about Social Media Teach actual ways to use different networks Role model (“teach”) professionalism in context of social media

  24. Social Media in Medical Education http://thecourse.webicina.com/ (a free course for medical professionals in how to use social media)

  25. Professionalism Challenging to apply principles of professionalism to online environment Physicians may not consider impact of online content on patients/profession Momentary lapse in judgment by one can reflect poorly on entire profession Consider one’s “digital footprint” Greysen SR, et al. Online professionalism and the mirror of social media. J Gen Intern Med 2010;25(11):1227-9.

  26. Professionalism – Cautious Optimism Commentary Reviewed positive and negative side to physician use of social media Social Media guidelines/policies should be created and reviewed Bosslet GT . Commentary: the good, the bad and the ugly of social media. AcadEmerg Med 2011;18(11):1221-2.

  27. Are Physicians Unprofessional on Social Media? Study of 260 physicians who use Twitter Physician = self-identified by biographical sketch Studied month of May, 2010 3% of Tweets by physicians were deemed unprofessional Chretien KC, et al. Physicians on Twitter. JAMA 2011;305(6):566-7.

  28. Professionalism “Social networks may be considered the new millennium’s elevator.” Mostaghimi A. Professionalism in the digital age. Ann Intern Med 2011;154:560.

  29. Professionalism – The Positive “We must go farther than curtailing unprofessional behavior online and embrace the positive potential for social media: physicians and health care organizations can and should utilize the power of social media to facilitate interactions with patients and the public that increase their confidence in the medical profession.” Greysen SR, et al. Online professionalism and the mirror of social media. J Gen Intern Med 2010;25(11):1227-9.

  30. Professionalism – The Positive “We must go farther than curtailing unprofessional behavior online and embrace the positive potential for social media: physicians and health care organizations can and should utilize the power of social media to facilitate interactions with patients and the public that increase their confidence in the medical profession.” Greysen SR, et al. Online professionalism and the mirror of social media. J Gen Intern Med 2010;25(11):1227-9.

  31. Pediatrics “Pediatricians can and will use [social networking] tools to promote the pediatric profession as a whole, as well as the health and well being of the children and families they serve.” McKenna MP, et al. Social networks and the practice of medicine: harnessing powerful opportunities. J Pediatr 2011;158:1-2.

  32. Pediatric Example Wendy Sue Swanson, MD @SeattleMamaDoc http://www.youtube.com/watch?v=BtmP5yWm7XA

  33. Surgery “[Social Media] is a major potential source of education for the surgical community, and, perhaps, more importantly, the patient population. The infrastructure is there—surgeons just need to learn to use it.” Yamout SZ, et al. Using social media to enhance surgeon & patient education & communication. Bull AmerCollSurg July 2011

  34. Hospitals • Review of sites occurred in Feb-March, 2010 • 21% of hospitals utilize Social Media • Facebook • Twitter • YouTube • Motivations to use social media • Target General Audience • Provide content about organization • Announce news and events • Further public relations • Promote health Thaker SI, et al. How US hospitals use social media Ann Intern Med 2011;154(10):707-8,

  35. Hospitals part 2 • Hospital Social Network List (October, 2011) • 1229 Hospitals utilize Social Media (out of a total 6436) = approx. 19% • Indiana • 17 use Social media • IU Health, IU Cancer Center, Riley Hospital were 3 separate hospitals in this study • @_StVincentHealth is Twitter feed http://ebennett.org/hsnl/

  36. How Can Patients Use Social Media? Pew Internet Research: 80% of internet users have accessed health information online http://pewinternet.org/Reports/2011/HealthTopics/aspx and www.patientslikeme.com

  37. E-Patient Internet-savvy patient: uses internet to collect information about a medical condition of interest Uses electronic communication tools Equipped Enabled Empowered Engaged Link between E-Patient and Participatory Medicine Kvedar JC, et al. E-patient connectivity and the near term future. J Gen Intern Med 2011;26 (Supple2):636-8.

  38. How Can Caregivers Use Internet? • 79% of caregivers have access to internet • Of those, 88% look online for health info • Caregivers are social • Offline and online http://pewinternet.org/Reports/2012/Caregivers-online/Summary-of-Findings.aspx

  39. Population Health • Social Media allows public health researchers to monitor misinformation and public’s negative responses to health initiatives • Trends in influenza vaccine comments on Twitter • Social media does NOT substitute for “old-fashioned” conversations • “Social media can be useful in monitoring and dispelling health misinformation and myths.” http://www.livescience.com/19056-social-media-helps-health-myths-misinformation.html

  40. Disaster Medicine • Michigan tornado March 17, 2012 • Family members able to reach loved ones via social media • Virginia earthquake, August 2011 • Tweets arrived BEFORE shock waves in Ohio and New York were felt Facebook, Twitter become lifelines during Michigan tornadoes. Detroit Free Press, 3/17/12 http://mashable.com/2011/08/23/virginia-earthquake/

  41. Quotes “[Social media in health care] isn’t an addition to your job. This is part of your job [as a physician].” Farris Timimi, MD, Medical Director of the Center for Social Media at Mayo Clinic http://newsblog.mayoclinic.org/2012/03/24/farris-timimi-m-d-discusses-the-role-and-use-of-social-media-in-healthcare/

  42. Special Thanks IUSM Division of CME http://cme.medicine.iu.edu Nikki Stuckwisch, MD

  43. Final thoughts “Let’s meet our patients where they actually are, which is on social media.” “Physicians have an obligation to society to disseminate clear, succinct and truthful health care messages to combat online misinformation that is unfortunately too common; what better way than to use social media to accomplish this.” Djuricich AM. Social Media in Medicine. Fall CME Pediatric Conference. October 3, 2012. You heard it here!!

  44. Links to Helpful Information Guiding Principles for Social Media in Healthcare http://socialmedia.mayoclinic.org/2012/03/13/guiding-principles-for-physician-use-of-social-media/ 140 Uses for Twitter in Healthcare http://philbaumann.com/2009/01/16/140-health-care-uses-for-twitter/ Twitter for Beginners: http://www.readwriteweb.com/enterprise/2012/01/a-beginners-guide-to-twitter.php IUSM Social Media policy:http://msa.medicine.iu.edu/files/7113/2648/2858/OnlineProfessionalism.pdf My blog: http://alexdjuricich.blogspot.com/

  45. Take Home Summary Provide Context [to new information] Dispel Myths Influence the health care debate [professionally] Connect with mainstream media [and each other] Hear what patients have to say Comments by blogger Kevin Pho, MD, found on http://healthworkscollective.com/jamierauscher/26931/five-reasons-why-doctors-need-connect-patients-through-social-media

  46. Questions? Email: adjurici@iupui.edu Twitter: @MedPedsDoctor Chat on medical educ topics: #MedEdThur 9PM EST SoundMedicine podcast on “Social Media in Medicine” : http://soundmedicine.iu.edu/segment/3202/social-media-for-physicians Thank you so much for attending!

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