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Hospice and Palliative MedicineSocial Media
2010 Year in Review
Annual AssemblyVancouver, Canada
February 2011
LOTS
of things areclickable in thisslidedeck.
Just click it!
What is Social Media?Internet-based tools for
creating, sharing and discussing information
Social Networking
What Social MediaHas Taught Me
Diane Meier, MD
2010 Review of
Health Care in Social Media
Alex Smith
Assistant Professor of Medicine
Division of Geriatrics
UCSF and San Francisco VAMC
16
Health 2.0
• My definitions:– Web 1.0 = information gathering– Web 2.0 = user generated content/interaction– Health 2.0 = health outside of patient-doctor
interaction
• Health 2.0: explosive growth 2010:– Innovative startups– Patient and caregiver communities– Health care organizations
Innovative Startups
Mobilizing Health
• Cal Berkeley and Stanford Grads• Non-profit. Uses texts to allow village
health directors in India to message doctors and receive immediate advice about what next steps to take
• Goal: weight loss• How: TWYE, enter calories if known• Anyone can see your food diary• Uses crowd-sourcing to tell you how many
calories in the food you eat– Example, “oatmeal cookie”– TWYE averages 200 calories, based on
others who entered calories for “oatmeal cookie”
• Goal: improve ease of access and use of prognostic indices (calculators) for older adults
• Method: systematic review located indices, programmer put them online
Challenges
• How to use social media effectively? How much effort, for what reward?
• Tension between giving generic health advice and patient specific advice
• Tension between public and private lives of health workers (e.g. drunk med student)
• Tension between top down regulation (e.g. FDA) and immediate, organic, shifting nature of social media
#HPMSocial Media
2010In Review
StoriesEarly Palliative Care in Lung CAThe Death of Dr. Pardi (NYT)Atul Gawande – Letting GoThe Death of E. EdwardsAdv Dir v. Death PanelPalliative Care in Haiti
BlogsLost some prominent bloggersWell established networkSeeing more org blogsNeeding more voicesPC Grand Rounds
TwitterInitiated #HPM TweetchatLeading medical specialtyIncreased growth of coreRapid disseminationRising influence
Type your Tweet hereRT = Re-tweet
#hpm automatically added
Your own tweet
Someone replying to you
Lots o’ links!
Reply
Re-Tweet
Quick Use Buttons
Feature/Block
Favorite Tweet
Visual Example of a Tweetchat
Tweetchat
Tweetchat
Group of people begin to have a conversation around a single hashtag
Tweetchat
Using Tweetchat they can all see the same thread
Tweetchat
All the people following the individuals see only a few tweets with #hpm
Tweetchat
Tweetchat
Tweetchat
Passed on to 2,838 followers
Tweetchat Impact
TwitterAAHPM/HPNA AssemblyTweets (#HPM)
2009 - 2242010 - 8342011 (to date) -
Contributors2009 - 302010 - 922011 (to date) -
YouTubeBoring videos
- of news interviews- of people holding hands- of talking heads
With a few exceptions…
Online Advocacy
1 Tweet per dayand/or
1 per dayand/or
1 Comment per weekand/or
1 Post per 2 months
Goal: Steer the discussion Objective: 1 Tweet or 2 retweets (RT) / day Impact increased by following (& followed
by): Our #HPM Community Local Reporters National Reporters Thought Leaders
Mobile/Smartphones
Likes
Goal: Show support/Push content Objective: 1 / day Impact by ‘Likes’ on Facebook Fan
Pages/YouTube: Drives content to other people’s walls Drives content to your wall Your like makes other people like A shows that page is alive with
activity
Comments Goal: Reframe the discussion Objective: 1 Comment / week Impact by commenting on:
Blogs (HPM and National) Online newspaper articles Facebook Fan Pages (AAHPM/HPNA/Blogs) YouTube Calls for comments by government
agencies Regulations.gov
Posts Goal: Start the discussion Objective: 1 Post / 2 months Impact increased by:
Joining/starting a blog community Developing novel content
Web 2.0A Tool for Efficiency
Holly Yang, MD
Web 2.0
Collaborative
Interactive
Dynamic
Really Simple Syndication(RSS)
Crowdsourcing/Microvolunteering
Collaborative Wikis
Web 2.0: Collaborative online learningSuzana Makowski, MD MMM FACP
Why Personal Learning Network? Diverse
schedules Learners with
diverse needs: Disciplines Experience Goals
Diverse locations
Virtual Learning Network
StaticDidactic
Authority-based
Personal Learning Network
DynamicDialogue
Constructed
PLN’s are deliberately formed networks of people and resources capable of guiding our independent learning goals and our professional development needs.
“
”Corrine Weisberger (via slideshare)
LGLCbased on ning platform
Core curriculum Referenced articles (delicious, citeulike, diig)
Discussion board: Case discussions Journal club Member topics
Member Blog – reflection & narrative medicine
RSS feeds to other blogs, microblogs
Format