A Medical Educator Joins Social Media: One Year Later

I just realized that yesterday was my one-year “anniversary” for joining Twitter.  Wow, what a ride it has been.  I have learned so much in this short year.  Here are a few take-home points:

1.      If physicians and other health care professionals are not becoming involved in social media, they are missing out on a “place” where many of the patients already are.

2.      Despite #1, there are late adopters who feel that social media is a “waste of time” for physicians.  That is ok.  Forcing them to “do social networking” will not be fruitful.

3.      Social media is a fantastic way to meet other like-minded individuals who have similar interests.  I never would have met a great group of people (some in real life) had I not joined social media.

4.      Patients crave information about their health.  If they want it via social networking routes, we should offer it to them.

5.      There is a lot of mis-information floating around on the internet.  It is a duty of physicians to combat this and provide correct information.  I fail to understand why physicians don’t embrace this more: it is advocacy in the truest sense!

6.      If you decide to join social media, start slow, but start.  It will take a while, like riding a bike is not learned in 15 minutes.

7.      Do not let social media take over your life.  The important things (family, friends, etc.) are still the important things, so don’t lose the priorities.

8.      Push the envelope.  It is time for curricula in social media within medical education to be formally written, and also to be disseminated.  Policies or guidelines are one thing, but curricula are another.

9.      There are many “tools” to make it easier to integrate social media into “what you do”.  Pick one or two, and use them.  It will make the process less overwhelming.

10.   Have fun!  There is some great learning, and in addition there are some fun people out there, and I am a better person for having met them virtually.

Disseminating the Message

I have had a blast the past few weeks.  I enjoyed a great vacation with my family.  I was privileged to give a Grand Rounds presentation on how doctors can use social media responsibly to improve education and health in general.  What a great opportunity, capped off by several across the country watching the live stream and others live tweeting specific points from the presentation.

Today, a segment on physicians using social media is airing on the radio show Sound Medicine.  I have to say that doing this segment was simply a phenomenal time, and an honor to work with the incredible people from Sound Medicine.  Nora Hiatt, Barbara Lewis, and of course, Dr. Kathy Miller, are complete professionals, who left me wanting to come back as soon as possible to do another show.  The radio show that is Sound Medicine is an example of what is good in medicine, and how we can educate not only other health care professionals but also patients and families.  Click here for more information about Sound Medicine.

So what’s the point of this post?  Disseminate the message.  Make it simple.  Social media can really help medicine and ultimately, patient care.  Doctors should not blindly jump in without a plan, but should definitely consider joining in social media to deliver information, ideally for the betterment of patients.  It is an opportunity to provide factual content to a place where many of the patients currently exist: on the internet, looking up health information.  We have an obligation to our patients to educate them how they want to be educated: let’s make good on that obligation.

Social Media for Physicians

Social media for physicians: what's all the buzz about?

 

I've read some great posts on social media in medicine recently.  Here are a few of my own thoughts (in no particular order), after reflecting on some great writing:

 

1.  Patients--lots of them--are looking online for health information. If doctors are not finding them there, then those patients may be getting information from others who may not have the requisite knowledge, thus increasing the chances of dissemination of mis-information.

2. Yes, doctors understand that they need to be careful and keep privacy in mind. HIPAA has been around for several years now.  Docs get it.  But if they let that hesitancy get in the way, they miss the opportunity to educate.  That is a lost opportunity.

3. The cost of advertising on social media is measured in time.  Yes, it is a doctor's most precious commodity, but it is not like an investment in a many-million-dollar new scanner.  The benefits are definitely worth it. And there is a Return on Investment (not only financial, but also in opportunities for meeting new people and forging new relationships). 

4. Good communication skills should never be forgotten. Yes, doctors still need to know how to communicate with patients one-on-one. But again, patients are already in the social media environment.  Why not meet them there?  See #1.

5. Doctors need to embrace the technology, not just complain about the "new generation" and their obsession with technology (which may not necessarily be true).  The new tools are here to stay.  Either get on the bus or risk being left in the dust.  It's similar to saying "I'm not going to try to improve my practice because I like the old way." That would not fly.  So why are doctors so hesitant to try and taste the water from the social media fountain?

6. We need to role model the balance of this new communication method with "traditional communication" for the trainees.  But did the old way really work?  Unfortunately, the medical profession is less trusted than it has ever been.  Maybe the new generation has ideas for how to remedy this, and some of those ideas will come from social media.  Let's listen and learn!

7. Let's study the impact of social media like we study the impact of the newest drug. Certainly, we know that some drugs work better for some conditions than other drugs.  But what about the impact of a patient education app on real patient outcomes?  Or the impact on physician knowledge and attitudes?  How about a randomized trial of a medical education app to teach murmurs (half the trainees) compared with a simulation mannequin that focuses on teaching murmurs (the other half of the trainees)?

8. It's fun!  I have learned so much from meeting people I never would have met had I not joined Twitter.   Plus, social media is not like email that has to be answered.  If I don't have time today, well, then that is ok.  Some days I may "use" social media a lot, and other days not at all.

9. The opportunity to have conversations with others with similar interests is definitely one worth exploring.  And there are others out there with similar interests, both down the hall, and across the globe.  It is easy to walk 20 feet and ask the colleague down the hall, but what an opportunity to learn from the colleague several thousand miles away!

10. The opportunities to present a clear public health message are undeniable.  Isn't that a responsibility which the medical field should take on and own?

Social Media in Academic Medicine

The inspiration for this post came from a Twitter chat on the theme of Social Media in Academic Medicine on the “meded” chat, on Thursday 2-16-2012

Social media is definitely integrated into today’s culture. So many young people are using social media. In addition, a quicly growing demographic in social media is actually those in their 40s-50s. Despite this impressive growth, social media has not, in my opinion, made its way into mainstream academic medicine yet. Certainly papers have been written on the topic of social media in medical schools, but much of the focus has been on professionalism around using social media, and less on what positives social media can bring to medicine.

With regards to social media in academia, however, the growth is slow. Promotion of faculty in academia on the strength of a portfolio focusing on social media is currently probably not that common. But should it become more common in the future? Will physicians who choose to be engaged in social media for purposes of promoting medical education or medicine consider this as their main “scholarship”? And what about the physician who chooses to blog on medical topics (which can provide quality information on the internet to counteract some questionable medical material that currently exists)? Is that something to put on a dossier? Surely it can attract an audience, and can provide useful information to patients and those interested in health.

Finally, as we talk about the hidden curriculum in medicine often, how should the academic physician who is “laughed at” or “taunted” for tweeting or blogging react when she hears: “You are wasting your time with that social media stuff.” (you can probably ascertain that indeed I have heard this quote more than once)

I have my opinions, and would love to hear yours. I will leave you with a few articles on Social Media in the academic arena.

Professors like social media more than other educational technology

How higher education uses social media

Social Media Footprint for Academics

A doctor's reputation vs a hospital's responsibility: Social Media

The Intersection of Social Media with Medical Students and Residents

The impact of social media on our current society is unmistakable.   This extends of course to the health care field as well, with a majority of adults seeking information about health care online and through social media venues.  Which brings me to how to consider trainees.  The overwhelming majority of medical students and residents are younger than their teachers, and are plugged in more than any previous generation.  They “live and breathe” in the world of social networking everyday.

Some medical educators have recommended for students to avoid involvement in social media.  “The risks are too great” is what is often said, citing examples of unprofessional behavior by trainees.  Certainly there are instances when students or residents acted in an unprofessional manner with their use of social media. 

But what about the positives?  What about opportunities to learn and have social media and medical education go hand in hand?  What about opportunities to help patients with the use of social media? 

Social media “policies” by academic medical centers or medical schools point out the “don’t do this, don’t do that”, but let’s also focus on what the trainees CAN do.  Let’s consider how we can IMPROVE our current health care system and ultimately the care of patients with innovative uses of social media and social networking, such as this amazing site from Webicina.

I really like this “policy” explanation by the Canadian Medical Association, which has a positive outlook on the use of social media for physicians. A wonderful article by a colleague of mine at the Indiana University School of Medicine, Dr. Gabe Bosslet, highlights both the positives and the potential negative ramifications from social media use by medical students (Dr. Bosslet also was instrumental in writing our medical school’s Social Media guidelines).

What’s your take?  Should we recommend trainees avoid the use of social media, fearing repercussions, or should we embrace these new technologies and try to work with (and learn from) trainees, in whom social networking is already playing a major role?