quality forum 2012 - smc - pat rich (keynote)
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TRANSCRIPT
Canadian physicians and social media: A prognosis
BC Patient Safety and Quality CouncilMarch 7, 2012
Pat Rich – Director, CMA Online Content
The agenda
1. Introduction
2. What we know (and don’t know) about Canadian doctors and their use of social media
3. Why your family doctor is probably not using SM
4. Why a doctor should consider SM
5. Physician champions
6. What medical associations are doing
7. Other resources
Introduction
What we know about MDs and SM
What we know about MDs and SM II
Hot off Twitter: Randomized sample of 307 US physicians conducted in summer of 2011 by Deloitte Center for Health Solutions
6% report using social networks to communicate with patients
What we know about MDs and SM III
Canadian Medical Association ePanel Survey 2010
647 respondents (20% response rate) nonrandomized volunteers
80% believed SM poses legal and professional risks
Use of social media professionally - Facebook – 1%, Twitter – 11%, Other social networking sites – 22%, Blog – 19%
Epanel comments
“Given the weight of privacy issues, using social media in a physician-patient relationship is a dangerous trap, best to be avoided.”
vs.
“Social media is very important for us and should be harnessed. I greatly welcome this for patient-patient and physician-physician interaction.”
Why your doctor is probably not using SM -
Time Money Regulatory environment
Privacy/security concerns Boundary issues
Lack of knowledge about technology Lack of proven clinical benefit
Why your doctor is probably not using SM II
Regulatory environment
Why your doctor is probably not using SM
The Council has recently become aware that some physicians have posted information on Facebook … such that specific patients have been inadvertently identified…Council does not believe there is ever a need, or a point, to posting any information regarding a physician’s professional or clinical activity in such a fashion, considering the many risks and no discernable benefits.
College of Physicians and Surgeons of New Brunswick
Why your doctor is probably not using SM
We’d rather you didn’t but if you do …
Why your doctor is probably not using SM
They have no time in busy practice dominated by individual patient care
They don’t get paid to do it They don’t understand the technology and what
they have heard about Facebook or Twitter doesn’t encourage them
They don’t see how SM could be used to improve the care they deliver
Why a doctor should consider SM
To communicate more effectively with groups of patients or the public
To stay better informed and up-to-date about medical or health developments
To exchange information with peers on a secure network
To monitor public health trends To conduct medical research
Why a doctor should consider SM
New and effective ways to communicate with and engage patients
Write a blog to update people on useful health information
Correct erroneous information online Post videos on YouTubes informing or
educating patients about medical procedures Start a Twitter account to tweet from medical
conferences Moderate a patient community discussion
“…as a profession we are just coming to understand how these social media can help us interact and communicate better to engage in conversations about health or to more effectively deliver messages about better health
…Don’t expect your doctor to be your “friend” on Facebook but don’t be surprised as you see more and more doctors using these social media tools in ways that can help make everybody’s health better.”Dr. John Haggie, CMA President
Physician academic perspective
“It is an important challenge for us as researchers and health system leaders to work with the public to find ways to use the social media to achieve the ideal state … where important decisions are based upon a combination of evidence of needs and impacts; costs and affordability; and fairness and justice.”
Andreas Laupacis
Notes for the Justice Emmett Hall Lecture
Halifax, Nova Scotia, Canada
May 11, 2011
Physician champions I
Dr. Allan Brookstone
Physician champions II
Dr. Brian Goldman
Physician champions III
Dr. Mike Evans
Physician champions V
Dr. Anne Marie Cunningham (@amcunningham)
Physician champions VI
Dr. Wendy Swanson
Seattle, WA-based pediatrician and blogger who is paid to write about issues of children’s health
Epatient champions
Dave deBronkart
@epatientdave
Founding member of the Society for Participatory Medicine
Epatient champions
Regina Halliday (@reginahalliday)
Medical Associations
“[As] with any social media campaign, when you want to get people talking, we started the conversation with a question: do you think addiction is a disease or a human failing?”
Sharon Shore, BCMA Communications and Public Affairs Officer
Medical Associations II
Canadian Medical Association
Launched social networking site for physicians (Asklepios) in 2008First Twitter feed in 2009 (@cmaer)Twitter # with annual meeting starting in 2009Public engagement campaign www.healthcaretransformation.ca 2011Developed SM guidelines for members 2011
Tips from an MD icon
“Don’t be banal, self promote excessively, share confidential material (especially about patients), be a troll, break the law, commit a libel, or overdo it.”
Dr. Richard Smith, BMJ, March 1, 2012
Other Resources
KevinMD.com Foremost blog posting site for informative views on
physicians and use of social media
#hcsmca Foremost Canadian Twitter stream for posting of issues
relating to social media in health care. Weekly Tweetup at 1 pm (EST) on Wednesdays
Other resources
The prognosis
Canadian physician use of various social media will increase
Social media will transform physician-patient interactions in some situations
Social media will strengthen the ePatient movement
Social media will lead to a re-evaluation of the ethics and professionalism surrounding boundary issues for physicians