I first saw this YouTube film a few years back when I was a Clinical Lead and Service Manager of a psychological therapies service. Our service saw people who were struggling to cope with the symptoms of depression and anxiety disorders- we were their first port of call, demand was high and capacity inadequate
Like most in the room, I laughed and nodded my head empathetically at what I heard on this video. Once the humour and satire wore off, I came face to face with a chilling reality that this was my service, and many other services in health and social care. We think we are delivering a high quality, patient-centred service to people, yet we seem to go out of our way to inadvertantly trip people up, catch them out or make life harder for them in the form of DNA-discharge, opt-in processes, weekday/workday hours, lack of flexibility, lack of integration...the list goes on. See what you think. What can you take from this?
If lack of trust and respect wasn’t enough, medical professionals have a whole new challenge to face – social media. Although many hospitals have introduced basic social media policies, these guidelines target primarily patient confidentiality. At Medisave, we’ve found 5 DOs and DON’Ts for doctors to maintain and gain reputation online.
#1 Don’t Be Just “Familiar” with Your Employer’s Social Media Policy…
…study it in detail. As a doctor, your actions directly reflect on your employer, be it a hospital or a private practice. Such policies are designed to protect not just patients, but all parties, and are designed so well that Forbes advises all businesses to consider hospitals’ use of social media when designing their own policy.
Step one towards building your online reputation is complying with the mandated social media policy. These are the most essential guidelines that should be followed at all times. Nothing ruins one’s reputation like disciplinary actions, so take caution.
#2 Don’t Forget LinkedIn
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Kevin MD describes maintaining a LinkedIn profile as a low-threat, low-resource, high-yield action. In his blog post he brings up something very important- as useful and good as LinkedIn can be, it shouldn’t be the only place where people can feel your online presence. Online message boards and doctor rating web sites in particular should also be considered.
#3 Do Keep Track of Doctor Rating Web Sites
We all know that the information on sites such as HealthGrades and RateMDs is not to be believed at 100%, but it does make an impression on patients when they research you. It’s not uncommon to see doctors’ ratings that are not consistent, to say the least.
Even good physicians are not immune to bad ratings. Patients are often not in their best mood when visiting physicians’ offices and this can color their online reviews. Don’t ignore these bad reviews, though. Be proactive and solve the problem with your patient, but be extremely cautious as to how you approach them.
#4 Do Follow the Big Fish
I’m not talking about stalking, but keeping an eye on major social media influencers in medicine. It’s a great way to come up with a plan of your own for your social media presence. Copying strategies is not stealing, but taking guidance from the best.
Doctors in social media like Howard J. Luks and Kevin Pho are among the most popular in the U.S. and can teach anybody how to master social media. A quick glance at their profiles and blogs is all it takes to profile them- bold, knowledgeable and informative. They both openly express expert opinions on controversial problems in healthcare, medical ethics and the medical industry, creating a strong identifiable voice people want to follow.
One thing to keep in mind is that their online success is not achieved without help. Kevin Pho often invites guest bloggers and Howard J. Luks’ stunning website is a result of a skillful team of designers and developers. Try to find a balance between your practice and online efforts. Remember to focus your efforts on the most important thing – helping patients. You can always get help with the rest.
#5 Do Look for 21st Century Help
Today’s smartphones and tablets are awesome! You can do so much on them- they’re great sources for quick answers, conveniently gathered information and even reputation manager apps. Wait, what?
It was only a matter of time before social media gurus started designing tools and sharing them. UpCity compiled a list of 25 apps to help you monitor your social media and build reputation. These apps have been getting a lot of press attention lately and range from content aggregation tools, to apps that alert you whenever you or your brand are mentioned on a social media channel.
Even back in 2011, Pew Internet Research Group released results showing that 65% of adults online use social media. It’s only logical to make use of these social outlets and build an image of the reputable doctor your patients would trust. In today’s world it is absolutely critical that your online reflection shows all the great things you offer in person.
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Deatails at http://socialmedialab.ca/?p=9057 WHAT: Social Media Lab Panel Discussion on “Social Media for Health” WHEN: January 30th, 2014, 10:00am-11:30am W...
The Mayo Clinic Center for Social Media (#MCCSM) is already preparing for next year’s Social Media Summit after proudly hosting this year’s event with more than 300 participants. In ourkeynote address, “Bringing the Social Media Revolution to Health Care," MCCSM director Lee Aase and I illustrated how social media will play a major role in the future of health care because we need to go where the patient is.Attendees from Australia, Canada, Czech Republic, Japan, Mexico, and the Netherlands agreed that social media is creating new ways to connect patients all over the globe. Social media can unite, giving patients the capacity to find companionship and support.An example of the power of digital partnership with patients can be found with those who have suffered from spontaneous coronary artery dissection (SCAD). SCAD (featured in our 2011 Social Media Summit) is a rare disease in which the lining of a heart artery suddenly tears. As the tear spreads, it can impact blood flow, causing a heart attack, which can result in sudden death or the pump becoming weaker, yielding heart failure. Victims are often young women, many of child-bearing age, without any of the typical risk factors for heart disease.Until recently, the published studies to guide care and to inform patients of this rare disease were limited to brief case descriptions, leaving patients and their physicians with more questions than answers. While geography isolated these women, they persevered and found community and peer support online.One peer-to-peer support group, hosted on Inspire.com by WomenHeart, had significant online traffic. Very quickly, this collection of empowered, engaged and electronically adept women realized that they had formed a larger group of patients than had been scientifically studied previously. They understood that their social network had the capacity to be a rich resource for understanding their disease. All they lacked was a physician scientist to study them. At a WomenHeart-sponsored symposium at Mayo Clinic, two group members sought help from a Mayo Clinic cardiologist, inviting her to serve as the scientist for a research project made possible by their social network efforts.That cardiologist, Sharonne Hayes, M.D, began a 12-patient pilot study to assess whether a medical disease could be studied via a virtual registry. Within one week of starting the pilot (and patient-advocate recruitment through the Womenheart group), study subjects were identified from New Zealand, Canada, the United Kingdom, and the United States, none of whom traveled to Rochester, Minnesota. After successful pilot completion, Dr. Hayes created a 200-person virtual registry. Thanks to the continued efforts of this stellar peer-to-peer patient group, and their pioneering use of social media (i.e., Twitter, Facebook, etc.) for study growth, the virtual SCAD registry at the Mayo Clinic is now on track to recruit 200 study subject — the majority of whom have not traveled to Rochester, Minnesota — for what will be the largest registry of this rare and devastating disease.Fortunately, the Mayo Clinic Center for Social Media had established the structure and support from leadership (see Mayo Clinic CEO, Dr. John Noseworthy’s, presentation two years ago at our Social Media Summit) that recognized the potential for social-networking as a tool for patient engagement by employees, and the social media training and guidelines that encouraged physicians to partner with their patients online. So we were prepared to offer support to Dr. Hayes as she ventured into this promising new field of research.All too often, health care providers view health care social media as a risk more than an opportunity, which can lead to risk-averse avoidance of online engagement. But not participating with our patients online ignores two facts:
Social media has grown explosively, with social network participation accounting for nearly one-fifth of all time spent online.
When online, our patients are increasingly seeking health care information, which is now the third most common online activity.These facts highlight the reality that health care and social media are already “living together.” In marrying the two we can help legitimize the relationship for the good of our patients and society.As health care providers, we must walk with our patients as they journey from health to illness, and from illness to recovery. In Medicine, morality and health care social media, published in BMC Medicine, I discuss further how social networks allow us to share content and join conversations that reach beyond the confines of time and space.We must be present in those conversations. This is the future of health care.If you would like learn more about social media transforming the patient experience, please follow me on Twitter or view some of my recent presentations, and consider joining with us in the Social Media Health Network.
The relationship between patients and doctors has long been based on face-to-face communication and complete confidentiality. Whilst these fundamentals still absolutely remain, the channels of communication across all sectors have changed monumentally, with social media at the forefront of these changes.Increasingly patients are taking to the Internet to find recommendations for healthcare professionals and to self-diagnose. By having an online presence your business can positively influence these conversations – engaging with the public and colleagues both locally and globally and can facilitate public access to accurate health information. The reality is social media is here to stay, so in 2014 why not make it your resolution to become part of the conversation.To get you started and so that social media isn’t seen as such a daunting place, SocialB are providing a free eBook containing lots of fantastic advice on how to use social media within the healthcare sector ‘Twitter for Healthcare Professionals’ please visit http://www.socialmedia-trainingcourses.com/top-10-twitter-tips-ebook/ to receive your free copy.Here are 5 top tips on using social media in 2014:1. Decide on your online image and adhere to itDecide how you would like to be portrayed professionally and apply this to your online presence. Create a tone of voice and a company image – in line with your branding and values – and stick to it.2. Be approachable, whilst maintain professional boundariesConnecting with patients via social media can help to ease their concerns and develop a certain rapport or trust with you prior to their consultation. However, this must remain professional at all times, and individual advice should not be given. The general rule is that personal ‘friend requests’ should not be accepted; connection over corporate pages and accounts is encouraged to maintain a traditional doctor-patient relationship.3. Contribute your knowledge, experience and industry informationSocial media is a fantastic way to launch an online marketing campaign. Interaction with your patients and potential clients via social networks is an inexpensive way to engage with, and learn from your audience.As a healthcare professional, you will inevitably take part in conferences, training days and possibly new research. Social media allows you to share your knowledge, enabling your market to be better informed about you and your work.4. Treat others how you wish to be treatedBy engaging with other means that they are more likely to take notice of, and share, your social media updates. Sharing is key and it is this action that will substantially grow your audiences. Maintain your professionalism and pre-agreed tone of voice whilst communicating with others. Make it easy for peers and patients to recommend your level of skill and service, and ensure you recommend fellow healthcare professionals for the same reasons.5. Consider your audienceWhilst you may be astute at targeting a particular audience as a result of careful market research, always be aware who else can see your online presence. Governing bodies, competitors and the press are just a few examples. Whilst social media tends to be a more informal platform, by following the above points will ensure your professional reputation is upheld.
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Social media outlets are becoming essential for academia, not just for the promotion of research but for research development as well. Andy Miah provides an overview of his top picks for the social...
Andrew Bateman's insight:
I agree with the top5, although i haven't tried doing videos yet, i also think RebelMouse is useful for collating twitter - and this platform for sharing bookimarks and comments - at least i have been very impressed by how easy they are to use; the link through to a good AtoZ list nonetheless
Aiming for excellence as an applied psychologist - Vol. 23, Part 1 ( January 2010)
Andrew Bateman's insight:
Kapur and Wilson set out 3 groups of ideas: technical, personal and future pillars to support clinical excellence:
"The final set of pillars covers what improvements you will leave behind. This includes policy and succession planning, teaching and training, innovation, research and publication"
My thoughts in curating this section on scoop.it have been guided by this paper, or at least I've been thinking about how to implement these wise words of guidance, and trying to think about how to reflect on all that the web throws at us in any day or week. Debating policy, supporting future clinicians and scholars especially through sharing knowledge, shaping research and supporting publication all happen on twitter: for a start I'm going to perhaps just trying to be mindful of what type of stuff is trending?
a useful article, tagged here for #nhssm as it relates to a topic being discussed right now, more reflection to follow: I'd like to link this to Kapurs 15 pillars for clinical excellence: how we could map social media onto this
[ref Kapur, N. (2009). On the pursuit of clinical excellence. Clinical Governance: An International Journal, 14: 24-37]
Health Sector leaders say NHS reorganisation is hitting patient care Consultant News Almost half (45%) of senior health sector leaders believe there is no more accountability for patient care as a result of the reorganisation, with only a few (3%)...
Andrew Bateman's insight:
My view is that this is a bit premature. the new SCNs and Senates are only just getting going, and potentially when they do many of the previously not-addressed issues may actually now have a route to effecting change.
This is a fantastic, simple and easy to follow guide to using Twitter professionally. This is great for anyone who is new to Twitter and wants some pointers.
Who knew that Humpty Dumpty was exactly 140 characters?!
In his opening keynote at the Mayo Clinic’s Health Care Social Media Summit, Lee Aaseshared these wise words. They are part of a philosophy that has propelled the Mayo Clinic—traditionally a conservative institution—forward to become one of the most trusted healthcare brands online.
For the healthcare communicators in the room, the words certainly struck a chord. They describe the challenge—and the opportunity—of engaging in a time when it seems like everything changes on a daily basis. Consider: Three years ago, Pinterest, the third most popular social media site, didn’t exist.
Faced with this rapid evolution, how can healthcare communicators advance their goals? It starts with those three short sentences.
THINK BIG.
If your institution is not already active online, the idea of jumping into social media is daunting. But consider: New York Presbyterian Hospital had only been using social media for a few months when Hurricane Sandy struck the city. During the crisis, Twitter became one of the only viable forms of communicating with employees and patients. Now, social media is an essential part of the hospital’s strategy.
Don’t wait until there is a crisis to think about social media channels. Think big. What could you accomplish with digital tools?
START SMALL.
It doesn’t take a social media army to have an impact. Start with small steps, such as creating a single, heartfelt video that tells the story of one of your patients. As Arnold Palmer Hospital for Children discovered with The Tin Man, when your institution sees the impact of one video (or one Twitter feed, or one Facebook page) the door to doing more will open wider.
MOVE FAST.
Finally, remember that social media engagement takes place in real time. As the Mayo Clinic discovered when it first ventured into social media, you can’t form a committee to answer every question. Instead, establish a social media policy and then empower your employees to move fast. Doing so can avert a crisis – or allow you to seize an opportunity online.
I've set this picture as the lead for this set of scoops - as it captures in one great graphic what is meant my social media. so of course this rhetorical question, might be better put..."how can social media improve health"?.... and the answer is surely in many ways ...through promoting advances in evidence (ie staff improving their knowledge) (patients improving their knowledge of their condition), knowledge about systems that contributing to providing health (and this knowledge is needed by patients and health employees alike) i have curated some interesting sites here that explain the 'new NHS'; sharing experiences and, well, how many more ways?... https://www.nice.org.uk/about/what-we-do/our-programmes/evidence-standards-framework-for-digital-health-technologies
Here are some reflections and interactions from my trip to Glasgow for the #SRR2014 meeting. I mainly posted tweets as @ozcboss, and there are a couple of us this week usingthe SRR's own handle @rehabresearchuk. Chris Burton is our new President of the Society.
and I do think their growth raises some important questions for us in CCS: first because this type of example of community facing compassion is something we should applaud - second it is where we will encounter our communities' most vulnerable, and third the consequences of hunger and malnutrition for frail elderly are very serious. I'm sure there's many more reasons why we need to engage with this.
I've never posted a link to the morning star before, but this is well written
Pinterest is an image-driven social network that has rocketed in popularity in the last couple of years. Pinterest works as a way to visually organize things on the Internet via “Boards,” which act kind of like folders, to organize thoughts into certain categories or interests. As more and more people use the Internet to search about healthcare, Pinterest is a way to organize the information they find, also allowing for them to share content easily with others. The other potential benefit from Pinterest is to reach people when they’re in various Internet “mindsets.” It can be a way to reach the patient when they’re not necessarily concerned with a particular problem at the moment (i.e. searching for specific health information for an issue they have right now). Pinterest can provide a medium for reaching patients to remind people of the many aspects of their life in which health plays an important role.Pinterest is a good medium for patient education because many people learn best visually. Images can help convey information that would be much harder to digest in words. It can also serve as a good reference, and is more shareable.What can Healthcare marketers do? Use Pinterest to inform patients about:1. How the body worksGiving patients a better understanding of how the body works will help them understand problems they may have and the treatments that are available. It also helps patients better identify issues to communicate with their doctor when they know where things are, how they work, and what they’re called.Pinterest for Patient Education 2. How medical procedures workWhen a patient understands how a medical procedure works they may feel more comfortable getting it done. A patient who understands the procedure is also probably less likely to be as anxious about the procedure if they know what is going to happen. Patients can also be informed of procedures or treatment options that they may not have been familiar with before.Pinterest for Patient Education3. How medical devices workGiving people illustrations about how a medical device works can not only help patients who are currently using the device, but can also help to bring awareness to other patients who may not have known about the device. Patients who are using the device can become more familiar with how the device is actually working.Pinterest for Patient Education4. General wellness and maintaining good healthPinterest for Patient EducationPinterest is a good way to give patients reminders about how to take care of their health in general. Visuals can serve as reference points that can be digested easily. Imagery can also be an effective tool for conveying information in a way that resonates with patients more effectively.5. Diseases, medical conditions, and illness preventionPinterest can be used to generate awareness for diseases and how they are identified and managed. Images can be used to illustrate the way a disease affects the body and what kinds of symptoms can be present. Infographics and other images serve as powerful vehicles for educating patients.
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In the space of a few short years, Twitter has grown from several strands of inconsequential drivel to an information powerhouse. Originally conceived as a way to keep up to date with a small network of friends and family, the micro-blogging model, which sees the rapid exchange of quick-fire information, was soon recognised as an invaluable resource for professional organizations. An area that has benefited in particular from this format is the healthcare industry, where the output of short bursts of relevant news and developments can mean the difference between life and death. Social media sites such as Twitter now represent the largest source of healthcare discussion in the world. Just as celebrities have found Twitter a useful platform for communicating directly with fans, Tweets cut out the media coverage middleman when it comes to providing accurate news in real time from healthcare professionals. Read on to find out how medical authorities and industry experts are using twitter accounts to change the way healthcare is delivered. Reaching out to a wider audienceFrom Health Secretary Jeremy Hunt, to NHS organisations, hospitals and individual GPs, twitter offers an effective and efficient means of communication. With only 140 characters to work with, even the heavyweights in healthcare still have time to Tweet. Unlike Facebook, where privacy settings dictate the visibility of the status updates, Twitter works on a more open and accessible system. As the length of Tweets are limited, the information is also more likely to be regularly updated. So when a hospital needs to alert staff and patients about problems with a service, there’s a good chance the Tweet will have saved a lot of time and hassle all round.
Norwich and Norfolk Hospital has the most followers out of any NHS hospital on Twitter
Direct communication with followersThe Internet has changed the landscape of public opinion and freedom of speech forever. Nowhere is this more apparent than in the stream of Twitter feeds where anyone with an interesting or controversial opinion can suddenly be propelled to Twitter stardom. The healthcare industry can only thrive if the relationship between patient/consumer and provider is nurtured. By receiving direct communication from the people who use their services everyday in the form of criticism, comments and suggestions, the healthcare industry can better understand what areas require improvement.The power of the hashtagTwitter takes some aspects of traditional forms of media and combines them with the best practices in social media that encourage cross-network conversation between users. Hashtags help to collect information about a topic and present them for anyone wishing to find opinions about that topic or contribute to the discussion. For users wishing to get involved in conversations about social media in healthcare, a useful hashtag is #HCSM where you can find all the latest news from healthcare innovators such as ‘medical futurist’ Bertalan Mesko. Twitter chats are usually hour-long conversations that focus on a number of topics related to the main hashtag. For example, in thetranscript from the last #HCSM Tweetchat on the 15th December participants were asked what they had learned from HCSM over the past year. You can choose to join in on the conversation or ‘lurkers’ can take a step back and observe. Whether you’re simply curious about the latest news circulating or want your voice to be heard loud and clear, Twitter is one of the best places around for finding like-minded individuals. This sense of community is extremely relevant for people with rare or chronic conditions who want to interact directly with healthcare professionals or seek support and reassurance from other sufferers. Campaigns and Charitable Causes The speedy dissemination of information makes Twitter an ideal tool for organising large gatherings, protests or even riots. Fortunately, this feature also helps to provide awareness of health campaigns and worthy causes. The NHS Stoptobercampaign, reached almost 20,000 followers and this Christmas’ Winter Friends Pledge, which urges people to check in on an elderly neighbour this winter, has been actively endorsed on Twitter by Mumsnet, Stephen Fry, and actress Joanna Lumley. Small charities, not-for-profit organisations and even individuals looking to fund their healthcare needs have turned to Twitter as a powerful, free platform for generating donations. Since the cost of advertising on Twitter is zero, employees can exert more energy forging connections and gaining followers. With the right social media skills, many of these followers can then be converted into regular donators. Charities have even made money from investing in Twitter. It was recently reported that the Wellcome Trust, a charity for medical research, profited considerably from “the post-year end IPO of Twitter’s, where our stake of more than 1% was marked up by more than $100 million.” Twitter is also a great place to connect people who want to be generous with those who need it most. After being touched by a huge display of support from Twitter users following a recent injury, footballer Micah Richards has raised the amount he is donating to charity from £20,000 to £25,000. One of the lucky beneficiaries is Ruby Leigh Jackson, a six-year-old sufferer of cerebral palsy in need of an operation. Emergency SituationsTwitter has been in invaluable resource in emergency situations around the world, such as during the aftermath of typhoon Haiyan in the Philippines. A study by the Red Cross show that people are increasingly using social media as a vital resource for organising relief, helping families and friends find each other and discovering the scale of damage caused. On the 25th September Twitter announced the launch of a new alert system to help organisations ‘enhance the visibility of critical Tweets.’ Services using the alert system, including the London Fire Brigade, Foreign Office and Environment Agency, can mark an important Tweet with an orange bell. Followers will then receive a text alert in the event of an emergency situation. It is hoped that these Tweets will act as warnings of imminent danger, provide evacuation instructions and information about resources. Twitter analyticsThe scope for reaching meaningful conclusions through analysis of Twitter feeds is immense. Researchers have already learned a lot about the way healthcare information travels through social media and how to successfully track epidemics.Symplur is a company that aims to ‘connect the dots in healthcare social media’. So far Symplur’s big data includes 170 million healthcare Tweets, 3.4 million healthcare Twitter profiles and 1,500 health communities. These analytics may benefit ‘public health organizations, governmental agencies, communication agencies, pharmaceutical companies, healthcare researches and academia.’ One of Symplur’s major undertakings is The Healthcare Hashtag Project, which aims to make finding relevant hashtags easier for the healthcare community and providers. The most astonishing benefit for healthcare providers is in Twitter’s proven capacity to accurately track and predict outbreaks of disease and epidemics. In the same way that Google has been tracking the spread of influenza through related search terms since 2008, Twitter analysis has shown the same principle can be applied to Tweets. One good example of this is the cholera outbreak that effected Haiti in 2010. Researchers found thatanalysis of real-time Tweets could have led to early detection of the outbreak, as this information was available up to two weeks earlier than reports from official sources. In a study conducted at John Hopkins University it was discovered that many people put very revealing health information on their Twitter feeds, such as their symptoms, self-diagnosis, the medication they are using to treat the problem and the effects it is having. The researchers supposed that much of this information is not recorded in any official health record and could provide insights into common health misconceptions that need to be addressed, such as when to use antibiotics.
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In a recent article by David Shaywitz, he describes 4 reasons why physicians are concerned about the increase in popularity of social media and online search. The information used in the article was gathered from a group of physicians attending a breakout session during a medical conference.After reading these concerns it occurred to me, that there is a significant gap (lack of understanding) on the part of the medical community surrounding the incredible BENEFITS associated with online search and social media. Which is typically the basis for unfounded fear…The following 4 central themes emerged:Concern #1 Patients Receiving “Bad” Information“Many physicians described the challenges of dealing with patients who had retrieved wrong or incomplete information from the internet. This turns out to be a remarkably common problem; doctors reported spending a lot of time undoing bad information.”Solution: Evaluate. Embrace. Engage.Become part of the discussion. Create a viable online presence with up to date accurate information. Encourage patients to visit your Virtual Medical Community for important information related to their diagnosis.Concern #2 Patients Transmitting “Bad” Information“Many doctors in the audience were also visibly troubled by the ease with which patients could share “misleading” information, whether about medicine or the doctors themselves.”Solution: Evaluate. Embrace. Engage.Control your online reputation. Encourage patients to share their positive experiences online. Contact those patients who were frustrated and try to make it right. See if you can get the post removed. Avoid a victim mentality.Concern #3 Physicians Receiving Information Badly“While some senior physicians worried that young doctors might start to rely on tweets rather than peer-reviewed articles, it seemed that the most significant concern raised was the impact that the “internet culture” was having on the practice of medicine.”Solution: Evaluate. Embrace. Engage.Concern #4 Physicians Transmitting Information Badly“The ability afforded by social media to share information rapidly and broadly was another source of concern. Many senior physicians worried young doctors might use social media in unprofessional ways – sharing things they shouldn’t, saying things they shouldn’t – potentially placing themselves and their institutions at risk.”Solution: Get over it. This is not to trivialize the concern but to put it in a more realistic light. Every “industry” is going through this. Small groups of doctors, lawyers, entrepreneurs, stock brokers etc. have been making bad choices since the dawn of humanity. There is no way to stop it. We must all focus on the things we can control.What we can do is EMBRACE the fact that online search and social media are powerful mediums and they are here to stay. So the real multi-billion dollar question is what do we do about it.?According to David Shaywitz:“I reject the view that the internet and social media are somehow degrading the culture of medicine, or causing it to change for the worse. Instead, I see emerging modalities as offering the profession an urgently needed chance to radically update its approach, and interact with patients, data, and each other in important new ways. Care can evolve from episodic to continuous, and physicians, increasingly accountable, will appreciate the opportunity to partner with patients who are informed, empowered, and engaged.Rather than isolating doctors, the new technology promises to be fundamentally enabling, allowing doctors to redefine and strengthen their relationships — with patients and with colleagues. The result: a new sense of connection and meaning.”Medicine could be fun again.”I am not a Doctor. But that sounds like great advice to me. To learn how your practice can capitalize on the shifting behavior of the social patient contact….
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Social media outlets are becoming essential for academia, not just for the promotion of research but for research development as well. Andy Miah provides an overview of his top picks for the social...
Andrew Bateman's insight:
I agree with the top5, although i haven't tried doing videos yet, i also think RebelMouse is useful for collating twitter - and this platform for sharing bookimarks and comments - at least i have been very impressed by how easy they are to use; the link through to a good AtoZ list nonetheless
Digital media is changing how scholars interact, collaborate, write and publish. Here, Jessie Daniels describes how to be a scholar now, when peer-reviewed articles can begin as Tweets and blog pos...
Andrew Bateman's insight:
describing the pipeline of an academic, whose objective is the creation of new knowledge, this blog post outlines some interesting ideas
“Dr. Ali Jalali, Professor of Anatomy and Teaching Chair of Faculty of Medicine at the University of Ottawa, discusses why physicians should consider leveragi...”
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Thanks to the technologic allure of iPhones replacing stethoscopes,apps substituting for doctors and electronic information substituting for having to actually talk to patients, the thoroughly modern Disease Management Care Blog is all about medical-social media.
Think Facebook for the flu. Twitter for tinnitus. Egads, listen to the typical consultant, pundit or futurist and it's easy to believe that we're on the verge of a silicon-based health care revolution
But then reality intrudes and some skeptic somewhere always asks about the bang for the buck, the juice for the squeeze, the return for the investment. It's a good question.
For something of an answer, consider the results appearing in a recently published randomized clinical trial. The actual condition in question is going unmentioned for now, so that the DMCB can better focus on the issue of patient engagement
Over a 4 month period, “at risk persons” were recruited for a clinical research trial with on-line ads (Facebook banners, Craigslist, for example) as well as announcements in community settings and venues. Once persons met the usual inclusion criteria and had a unique Facebook account, they were randomly assigned to one of two treatment arms.
One treatment arm used a closed Facebook group to coach persons about their at risk condition. The other treatment arm similarly used Facebook to coach persons about general health improvement. Lay “Peer Leaders,” who were given a three hour training session on “epidemiology of the condition or general health subjects and ways of using Facebook to discuss health and stigmatizing topics,” were assigned to lead the groups.
Peer Leaders attempted to reach out to their assigned group persons with messaging, chats and wall posts. Once the link was established, the relationship in the intervention group included communication about prevention and treatment of the condition. At the end of 1, 2 and three months of the study, participants completed a variety of surveys.
Results?
57 individuals were in the control general health group and 55 were in the condition coaching group. According to the surveys, intervention patients were ultimately statistically significantly more likely to agree to condition testing (44%) than the control patients (20%). Because there were few participants, the modest decrease in actual tests or risk behaviors were not statistically meaningful.
The DMCB's take:
While this was a small study, this is the first time that the DMCB has seen reasonable proof that social media by itself can move the behavior needle. On the other hand, this did not result in a patient engagement stampede toward better care or hard clinical outcomes. A majority of participants (56%) did not appear to benefit. Nonetheless, the results do support the inclusion of Facebook-style closed group social media in the suite of population health management services.
That being said, the condition at risk was HIV and study population was men who have sex with men (“MSMs”). It doesn't necessarily follow that what would work in this community of persons would necessarily be transferrable to other conditions, such as diabetes. The DMCB doesn't think that's really true and finds it credible that 112 persons with diabetes or hypertension would probably achieve the same kind of results (A1c testing or home blood pressure monitoring) in a similarly tailored Facebook closed group.
On Friday, I spoke at the Albert Einstein College of Medicine, along with Kevin Pho, MD. During a planning call, the symposium organizers had shared results from a faculty survey: Fully two-thirds ...
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I first saw this YouTube film a few years back when I was a Clinical Lead and Service Manager of a psychological therapies service. Our service saw people who were struggling to cope with the symptoms of depression and anxiety disorders- we were their first port of call, demand was high and capacity inadequate
Like most in the room, I laughed and nodded my head empathetically at what I heard on this video. Once the humour and satire wore off, I came face to face with a chilling reality that this was my service, and many other services in health and social care. We think we are delivering a high quality, patient-centred service to people, yet we seem to go out of our way to inadvertantly trip people up, catch them out or make life harder for them in the form of DNA-discharge, opt-in processes, weekday/workday hours, lack of flexibility, lack of integration...the list goes on. See what you think. What can you take from this?