internet & medicine 2.0

Dr Anuj Sharma

Why should I be talking on this?

My love for the web Some websites I’m associated with

DoctorNDTV.com – Associate Editor HISIndia.org - WebEditor SGRH.com – Secretary, Website committee

Computers in Medicine Internet Reliability? Online Medical resources Web 2.0 Future - Web 3.0

Cost

Easy to use

Freeware* / Shareware

Changing attitudes

Handhelds / PDAs / Smart phones

Voice recognition

Patient History / records Prescriptions / drug interactions Treatment history Education

Accounts Appointments Correspondence / reminders - email

Equipment Radiology – 3D images (CT / MRI / PET) Robotic surgery

Hospitals - HIS Registration / Billing / Admission Insurance - EMR

Medical transcription Laboratories (LIMS/LIS)

Online results

Websites for medical conferences Conference website - interactive

Registration Abstract submission Conference proceedings / abstracts Presentations

Doctor … Teacher / Educator “The Best Prescription is Knowledge” Power of knowledge >> empower the

users

efficiency enhance quality evidence based empowerment encouragement

education enabling extending ethics equity

What Is eHealth (3): A Systematic Review of Published Definitions; http://www.jmir.org/2005/1/e1/

Information Public health Updates

Communication Email Instant messengers / VoIP / Skype Blogs

Education / E-commerce (B2B / B2C) CME / Research Supply - Drugs / Equipment / Instruments Books / Medical software – Reference manager Publicity / Advertisement Doctor / patient education

Email: 91% Search: 91% Map / driving instructions: 86% Look for health information: 80% Go to a health website: 58% 8 million Americans look for health

information on the web daily

Pew Internet and American Life Project, US / Dec 2006

Technologies Analogue modem (dial up) - Last mile

bottleneck ISDN - 64/128 kbps Leased line Broadband (DSL /ADSL)

Cable Satellite Wi-fi Mobile / iPods / Blackberries

2008 www.internetworldstats

Depends on the source

Information overload

Relevant search information

Google

HON code

A. Anuj@Ndtv.com

B. anuj@ndtv.com

C. ANUJ@NDTV.COM

D. AnuJ@NdTv.CoM

A. www.DoctorNDTV.com

B. www.doctorndtv.com

C. www.DOCTORNDTV.COM

D. www.DocToRndTV.CoM

Which is/are the correct format(s) for email & web addresses?

Trick question Email addresses & web addresses are

case insensitive But remember, for emails, login id and

password are case sensitive

Internet helps a lot in the following activities: Selection of topic Review of Literature Research Design Techniques Online clinical trials DiscussionYou can check if something has been

plagiarised by googling for a sentence enclosed in double quotes

Latest News / updates - 24 hoursAdvances in diagnosis / therapy / clinical trials

eBooks / journals CME - learning / teaching Recommendations / advice

Resources for doctors / researchers How / where to find accurate, complete and current

information?

Medline – articles Abstracts Full text / PDF

eJournals – usually free to print subscribers online bibliographic links / citation manager links to websites e-mail notifications of user specified content download and print articles and graphics

“If it is not on the web, it does not

exist”

Your patients, friends &

employers will be

“Googling” you

Get used to it

Googling for a diagnosis

BMJ 10 Nov 2006

26 Case reports

in NEJM 2005

Diagnosis in 15 cases (58%)

Differential diagnosis

in difficult cases

… a must read

Top global usage (site-specific basis) WebMD MSN Health PubMed Yahoo! Health AOL Health MedlinePlus

National Library of Medicine (NLM) Medscape WebMD drkoop BMJ Intellihealth Mayo Health Centres for Disease Control (&

Prevention) Netdoctor MD Consult

Ultimate digital online library

Licensed by more than 1,700 health care organisations worldwide (~95% US medical schools)

> 300,000 users Search > 1.5 million times per month

View > 8 million pages

Core Service/ Infectious Disease / Pain Medicine / Respiratory & Critical care

Reference Books: 52 leading textbooks Journals / Clinics: >80 Full text / PDFs Drug Information: >22,000 medications News / RSS feeds - This Week In Medicine /

Synopses Guidelines - >1000 Medical images - >50,000 photos, tables, graphs CME Patient education PDA / PocketConsult

Indian Medlars Centre

Web 1.0 users follow links to content

Web 2.0 users comment, edit & create

content

User-created content

for the user & by the user

Web 1.0 Web 2.0

Portal, like Yahoo Search, like Google

Publishing (websites) Participation (blogs, comments)

Stickiness, stay on the website

Syndication, RSS, Podcast, website follows you

Britannica Online Wikipedia

Directories, Favorites Tags - De.licio.us

MS Word Writely

Ads, like DoubleClick Google AdSense

What Is Web 2.0 - Tim O'Reilly

Web as platform / Architecture of participation

Open sharing and collaboration – Harnessing Collective Intelligence

Data is the next “Intel inside” Social Software – continually requesting

consuming and reinterpreting information Dynamic interactive experiences Open access

Family of web feed formats (XML) Rich Site Summary / RDF Site Summary

Really Simple Syndication (RSS 2.0)

RSS feed / webfeed / RSS stream / RSS channel

Free and easy News Reader / Aggregator – subscribe Automatic updates from chosen websites

"It's like having a personal assistant who goes through every publication and blog that could possibly interest you and picks out stories to bring to your attention" -- PC Magazine

Instead of visiting many websites every day, let them send the information to you

Get only the news you want

Subscribe to specific searches on Pubmed / search engine and collect them in one place

Subscribe to major medical journals

RSS links from BBC incorporated in Firefox (Latest Headlines)

Podcast is a downloadable audio file you can subscribe via RSS

Most major journals feature weekly audio summary of contents

You can listen when you commute to work or exercise

Make CME portable by using text-to-speech

Video Podcasts on Health Edge by the Cleveland Clinic

Earlier used by Webmasters to keep logs listing site visitors

Now – short for Web Log Website with articles in a reverse

chronological order Google’s Blogger claims that it takes 5

minutes to start a website

More interactive / participatory web Blogs / wikis

Social software tools Website tagging – Del.icio.us / Connotea Podcasts / webcasts RSS feeds

One of the best medical blogs by Ves Dimov

Updates, case discussions, medical headlines, clinical images

Virtual laboratory for doctors and medical librarians

Web 2.0 in medicine (on slideshare)

http://casesblog.blogspot.com/

Web 2.0 applications get better the more people use it Google gets smarter every time someone makes a

link on the web OR every time someone makes a search

Real heart of Web 2.0 is harnessing collective intelligence

Share knowledge and insights Filter the news for each other Find out obscure facts Make each other smarter and more responsive

AskDrWiki.com FluWikie.com Ganfyd.org Just The Facts PubDrug Wikisurgery.com

Benefit our patients Stay updated Share knowledge with medical

professionals all over the world Take research collaboration to the next

level Career advancement

Web 3.0 – semantic web Invisible to users / used by softwares Resource Description Framework (RDF) – can be

used to ascribe meaning to data depending on the context

SPARQL – www consortium

“In the past, it was

very hard work. Now

with Internet it is

much better: I can be

everywhere,

everytime, without

even moving from my

office”

anuj@NDTV.com

dr.anujsharma@GMAIL.co

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