dean giustini - surgery in an era of web 2.0

Surgery in an era of web 2.0 …an introduction for UBC surgery residents

Dean Giustini / UBC Biomedical Branch Librarian UBC Surgery Residents, November 4th, 2010

[ surgical tweets -- made news in 2010 ]

Surgery in an era of web 2.0

• Learn what web 2.0 is and what it might offer surgeons

• Identify some useful features of web 2.0 use in surgery

• Find out how to connect with colleagues worldwide

• Discuss where web 2.0 fits (if at all) into surgical / medical educationsocial engagement, education & collaboration

What role do mobile devices play in web 2.0?

Dean Giustini, UBC biomedical librarian | dean.giustini@ubc.ca | November 2010

What is web 2.0?

“… web 2.0 is commonly associated with web tools that facilitate sharing, interoperability, user-centred design … and collaboration on the web. These

sites give users the free choice to interact or collaborate as consumers & creators of content in a virtual community … most websites are limited to viewing content only …some popular examples include social-networking

sites, blogs, wikis, video-sharing, mashups & folksonomies …”

- Wikipedia, November 3rd, 2010

Dean Giustini, UBC biomedical librarian | dean.giustini@ubc.ca | November 2010

What role might web 2.0 play in CANMEDS?

• Two-way interactivity • hallmark of web 2.0 = interaction with others

• Social networking • users post and share personal opinions, artistic creations and connect with

others having similar interests

• Decentralized knowledge production • a combination of experts and users generate content by uploading files,

using online word processors & sharing online documents

McGee JB, Begg M. What medical educators need to know about web 2.0. Med Teacher 2008;30:164-169

Features of web 2.0

Dean Giustini, UBC biomedical librarian | dean.giustini@ubc.ca | November 2010

• Syndication • subscribe to content which comes to you based on your needs

• Software gets better as more people use it • users contribute & others review & organize it… as user base grows, so does

quantity and quality of content

• Other features? Concerns?

Features of web 2.0 (cont’d)

Dean Giustini, UBC biomedical librarian | dean.giustini@ubc.ca | November 2010

McGee JB, Begg M. What medical educators need to know about web 2.0. Med Teacher 2008;30:164-169

Google is not just a search company It’s a web 2.0 company Follows your online activities Use a pseudonym or anonymizer

Google creates many web 2.0 tools for use in the cloud

blogs, wikis, calendars, media, writing tools,YouTube, iGoogle, even more …

Google Books & Google Scholar Search for surgical literature

The “Google Factor”

Dean Giustini, UBC biomedical librarian | dean.giustini@ubc.ca | November 2010

“…web 2.0 is difficult to define …the web as platform and architecture of participation are used to describe it [but] rather than the platform it's the spirit of open sharing and collaboration that is important…the more we share and exchange information… the more open and creative the platform becomes; hence, the more useful it is in our work.”

Giustini Dean. How web 2.0 is changing medicine. BMJ 2006;333: 1283-84.

How web 2.0 is changing medicine (BMJ, 2006)

Dean Giustini, UBC biomedical librarian | dean.giustini@ubc.ca | November 2010

A few popular Web 2.0 technologies

• Twitter (microblogging) http://twitter.com

• Facebook (social networking) http://facebook.com • Wikipedia (encyclopedia) http://wikipedia.org

• YouTube (video-sharing) http://youtube.com

• LinkedIn (professional networking) http://linkedin.com

Dean Giustini, UBC biomedical librarian | dean.giustini@ubc.ca | November 2010

Openness I(Surgical Tweets)

@HenryFordNews

Dean Giustini, UBC biomedical librarian | dean.giustini@ubc.ca | November 2010

Openness I(Surgical Tweets)

Dean Giustini, UBC biomedical librarian | dean.giustini@ubc.ca | November 2010

Medical encyclopedias

• AskDrWiki http://askdr.wiki.com/• Ganfyd http://www.ganfyd.org

Medical education

• Medpedia http://medpedia.com• Meducation http://www.meducation.net

Communities of practice

• Asklepios http://www.cma.ca/asklepios• Wikisurgery http://wikisurgery.com

A few popular Web 2.0 tools in medicine

Dean Giustini, UBC biomedical librarian | dean.giustini@ubc.ca | November 2010

AskDrWiki: a medical wiki

Dean Giustini, UBC biomedical librarian | dean.giustini@ubc.ca | November 2010

http://askdr.wiki.com/

Medpedia – recent wiki project

Dean Giustini, UBC biomedical librarian | dean.giustini@ubc.ca | November 2010

Described as having these main features:

1. Social Networking

2. Participation

3. Collaboration

4. Apomediation (‘stand-by’ wisdom of crowds)

5. Openness

Reference: Eysenbach G. Medicine 2.0: Social Networking, Collaboration, Participation, Apomediation, and Openness. J Med Internet Res 2008;10(3):e22.

Medicine 2.0 – Eysenbach et al (2008)

Dean Giustini, UBC biomedical librarian | dean.giustini@ubc.ca | November 2010

Dr. Morad Hameed, MD, MPH et al (2010) look at :Dr. Morad Hameed, MD, MPH et al (2010) look at :

Hameed SM. General surgery 2.0 : the emergence of acute care surgery in Canada. Canadian J of Surgery. 2010 April; 53(2): 79–83.

Question to you:

How might web 2.0 technologies be used to enhance your practice of surgery?

Surgery in an era of web 2.0 – of value?

Dean Giustini, UBC biomedical librarian | dean.giustini@ubc.ca | November 2010

RSS Feeds(pubmed.gov)(pubmed.gov)

• Save PubMed searches for periodic updates • Keep up with today’s literature using RSS feeds

• Receive literature updates in your e-mail

• Scan updates on iGoogle or other ‘RSS readers’

Dean Giustini, UBC biomedical librarian | dean.giustini@ubc.ca | November 2010

RSS Feeds +Medscape.comMedscape.com

Dean Giustini, UBC biomedical librarian | dean.giustini@ubc.ca | November 2010

http://www.medscape.com/generalsurgery

Participation (Facebook)(Facebook)

Dean Giustini, UBC biomedical librarian | dean.giustini@ubc.ca | November 2010

Online Doctoring

Salter, C. “The Doctor of the Future” Fast Company

2009 Jay Parkinson MD MPH

Dean Giustini, UBC biomedical librarian | dean.giustini@ubc.ca | November 2010

Openness (Ethics, professionalism)

Do ‘live tweets’ contravene HIPAA regulations?Do ‘live tweets’ contravene HIPAA regulations?

There are 18 identifiers that must not be present about a case

Dean Giustini, UBC biomedical librarian | dean.giustini@ubc.ca | November 2010

Using web 2.0 technologies in surgery

Use Web 2.0 tools to connect / network globally with colleagues / experts

Many medical and surgery websites use web 2.0 tools for social engagement, education & collaboration

Web 2.0 + Surgery = Surgery 2.0

Mobiles, virtual & ‘immersive’ reality take us to web 3.0

Dean Giustini, UBC biomedical librarian | dean.giustini@ubc.ca | November 2010