morgan rouprêt, md, phd professor of urology hopital pitié salpétrière, assistance publique-...
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Morgan Rouprêt, MD, PhD
Professor of Urology
Hopital Pitié Salpétrière, Assistance Publique- Hôpitaux de Paris
Université Paris 6, Paris, France
Social Media for Beginners
Climate changes…
Eyjafjallajokull
Surgery changes…. Robot a new god?
fascinationadoration
ConsumerDemand
Popular surgery?Role of the surgeon?
EAU changes ….
European Urology changes ….http://www.europeanurology.com/social-media
A new era of medicine…
IntroductionThe main generalist social media sites are essential in any field of professional life to DISCUSS, PROMOTE, MONITOR and ENGAGE with peers.
For researchers a number of sites have become well established as specialist resources to CREATE, DISCOVER, SHARE, DISCUSS and MEASURE research outputs…
7
Social media is user generated content that is shared over the internet via technologies that promote engagement, sharing and collaboration.*
* Definition from The Social Media Guide.com
Innovation adoption …
The Internet Revolution
Billi
ons o
f Use
rs
Percent of population
55
65
46
21.9
24.9
9.6
http://www.itu.int/ITU-D/ict/statistics/at_glance/keytelecom.html
Social networking – 50% of all US adults
2005 2006 2007 2008 2009 2010 2011 20120%
20%
40%
60%
80%
100%
9%
49%
67%76%
86%83%
85%
7%8%
25%
48%
61%70% 71%
6% 4%11%
25%
47% 51%52%
1%7%
13%
26%33%
35%
18-29 30-49 50-64 65+
% of internet users
Pew Internet Project
Social media is the second Internet revolution.
http://en.wikiversity.org/wiki/File:Web_2.0_elements.png http://en.wikiversity.org/wiki/File:Web_1.0_elements.png
Used w/ permissions GNU License
YOUR PATIENTS Are Using Social Media
80%of all US Adults use the internet
59% go online for health information
25% read other’s health experiences online
20% track their own health info online
18% consult online reviews of treatments /drugs
13% go online to find others w/ similar
conditions3% post
experience with drug or treatment•Source - Pew Internet project
60% of patients say Information found online
affected a decision about how to treat an illness or
condition
Source - Pew Internet Project
E-PATIENTS engage in communities online to share their stories, disease & treatment information, referrals and support
Social media sites have 24 TIMES the activity of healthcare sites
HOSPITALS are using Social Media
1,229 US Hospitals
• 575 YouTube Channels• 1068 Facebook pages• 814 Twitter Accounts• 566 LinkedIn Accounts• 946 Four Square• 149 Blogs• 4,118 Hospital Social Networking Sites
http://ebennett.org/hsnl/
Video Visits, Instant message visits
Mobile patient platform
• Online communication - patients can upload
BP, blood sugars, weight data for review online
• Online appointment scheduling, refills
• Patients pay an annual fee + low costs per visit
• No insurance
E-Medicine Practices
Jay Parkinson, MD
61% doctor 55% Hospital
42% Insurer
27% Pharma
41% doctor 39% Hospital
34% Insurer
28% Pharma
Online, your patients TRUST YOU the most
Likely to trust online information from…
Likely to share online information from…..
Source: PwC Health Research Institute: Social Media “Likes” healthcare Chart pack
Physicians & Social Media Use
You Tube
MD Communities
Linked In
Google+
Blogs
Any
0 10 20 30 40 50 60 70 80 90 100
ProfessionalPersonal
Blogs
Percent
Source - http://www.quantiamd.com/q-qcp/DoctorsPatientSocialMedia.pdf
Liability concerns (73%)
Patient privacy concerns (71%)
No way to get paid for it (41%)
Lack of time (28%)
It’s not inappropriate (20%)
Not interested (9%)
Don’t know the technology (6%)
Why Don’t Docs Engage in Social Media?
Source - http://www.quantiamd.com/q-qcp/DoctorsPatientSocialMedia.pdf
Don’t believe me?
Whether you know it or not -
Information in the public domain Insurer’s databases Physician review sites Pharmacy databases Patient websites Social networking sites
Whether you like it or not - You are Online
YES
• Authority • Influence• Reputation• Marketing of practice• Patient education• Share medical knowledge• Crowd-sourcing• Expressing yourself
NO
• Lack of personal privacy• Liability concerns• Patient privacy risks• No way to get paid for it• Takes time• Employment Insecurity• Being marketed to• Being asked for advice online
Will YOU engage in Social Media?
SOCIAL MEDIA – GETTING STARTED• PRACTICE WEBSITE
– Professional, clean design with simple interface, Dynamic updates, RSS Feed– ? Patient portal (appointment, refill requests),? Online EMR, ? Patient community
• TWITTER – Each doc has their own twitter page (? + practice twitter for larger practices)– Broadcast health news, commentary & messages– Engagement with colleagues ,Crowd sourcing medical dilemmas– Avoid direct patient interactions
• LINKED IN – Professional network, useful for job networking
• FACEBOOK – Keep practice page and personal pages separate
• YOUTUBE – Patient education videos , medical education
• BLOG– Can be part of practice website or separate
Your patients are not your friends
ANONYMITY
Privacy
Freedom
Employment security
?Increases risky online behavior
IDENTITY
Authority
Reputation Control
Enhanced practice
Employment security
Engagement
vs.
• Posts limited to 140 characters• Can have private account or public account• Users follow other users
– Can block followers or be private and only permit certain followers. – You don’t have to follow everyone who follows you
• Post tweets, comment on other’s tweets, send private messages• Hashtags (#) allow for grouping of related posts
– Conferences, breaking news, topics of interest, Twitter chats• WHO TO FOLLOW?
– Experts in your field– Reporters who report in your areas of interest– Medical journalists– Colleagues
Doctors on Twitter Nature of tweets
49% Health or medical related21% Personal12% Self-promotional1% Medical education1 % Recommended medical product
148 Tweets (3%) were Unprofessional33 (0.6%) Contained profanity
38 (0.7%) Potential patient privacy violations
14(0.3%) Contained sexually explicit material
4 (0.1%) Discriminatory statements
2158 tweets from 260 twitter users with >500 followers
JAMA, February 9, 2011—Vol 305, No. 6 567
Twitter Smarts(@DrWes )
1. Follow smart people doing work that is relevant to yours. Trash most others.
2. Post relevant, valuable content of interest to your followers.
3. Watch your time on Twitter. At most, I spend 20 minutes a day on Twitter, and I think it would take me far more time offline to gain and share the same information.
4. Do not EVER post patient information – Tweets are public and searchable on Google.
Twitter Not-so-Smarts@mommy_doctor )
The Eleven Commandments of Social Media Engagement1. Observe, Listen & Think Before Engaging What are your goals with this tweet/post/comment? Is this
the best platform?
2. Add Value. Be relevant. Be Accurate. Research & attribute your sources.
3. Maintain patient privacy – Don’t post anything about a patient that he/she would recognize themselves. Go beyond HIPAA. Stay away from patient-specific dialogue.
4. Be Respectful. Keep it Civil. Keep it Clean. Don't post material that is profane, libelous, obscene, threatening, abusive, harassing, hateful, defamatory or embarrassing to anyone.
5. Abide by the law. Don't post content that violates any state or federal laws. Get permission to use or reproduce copyrighted content.
6. Be Transparent. Disclose affiliations and conflicts. Clearly identify any advertising as such.
7. Remember - What happens on the Web stays on the Web. Forever. Even if you delete it.
8. Engage with others. Social media is not a place for you to talk without listening, commenting and responding to the conversations around you.
9. Don’t give individual medical advice online
10. Patients are not your friends. Keep your individual Facebook page private.
11. Be yourself. That’s what social media is all about. Show your personality.
Modified from Vanderbuilt University Med Center Social Media Toolkit
ESU course: the twitter contest!
1stRank
Take aways
Engagement with peers through social media… and especially specialist media for researchers… can accelerate professional development by:
Enhancing your profile in professional networks Increasing your efficiency in the discovery and
monitoring of information, new developments in your field
Exposing your work in multiple channels for improved discovery, readership and even citations
Improving chances of collaboration with researchers internationally
Demonstrating the wider impact of your work beyond traditional citation metrics
