the virtual team 1

WORKSHOP ON PERINATAL PEDIATRIC STRATEGIESSCOTTSDALE, AZ APRIL 9-11, 2010

CLARA SONG, MDUSC Division of Neonatal Medicine of the

LAC+USC Medical Center and Childrens Hospital Los AngelesKeck School of Medicine

University of Southern CaliforniaLos Angeles, CA

The Virtual Team: Social Networking and

the NICU

DISCLOSURE

I have no relevant financial relationships with the manufacturers of any commercial products and/or provider of commercial services discussed in this CME activity.

I do not intend to discuss an unapproved or investigative use of commercial products or devices.

OBJECTIVES

To define social media and its evolution

To classify the current available web-based tools

To utilize web-based tools in an effort to facilitate collaboration between health professionals

Social media has taken over porn as the #1 activity on

the web

Source: Social Media Revolution from Socialnomics.net

Web 1.0

Source: www.jeffc.me/web-10-and-web-20-visual-differences

Web 2.0

Source: www.jeffc.me/ web-10-and-web20-visual-differences

WEB 2.0

“… web associations that facilitate interactive information sharing, interoperability, user-centered design and collaboration on the World Wide Web…”

Concept of web evolution, coined in 1999 by Darcy DiNucci

Repopularized in 2004 by O’Reilly Media with first Web 2.0 conference

Source: http://en.wikipedia.org/wiki/Web_2.0; Markus Angermeier, Web 2.0 Mindmap

WEB 2.0Blogs

Photos

Videos

Audio

Social Networks

Event Networks

Wikis

Microblogs

Source: blog.milestoneinternet.com

Web 2.0

Source: fasticon.com

Social Media1.Concept

2.Media

3.Social interface

Social media is a “group of Internet-based applications…that build on the foundations of Web 2.0, and that allow the creation and exchange user-generated content.”

Social media uses Internet and web-based technologies to transform broadcast media monologues (one to many) into social media dialogues (many to many). It supports the democratization of knowledge and information, transforming people from content consumers into content producers.

Source: http://en.wikipedia.org/wiki/Social_media

Web 2.0 tools allow 20% increase in production

innovation and 20% decrease in communication and travel

costs.


Social Media is Changing Our Lives

Shift in communication to focus on honesty and transparency.

Social media sites, like Facebook and Twitter, are becoming trusted sources of information and communication.

New relationships are being created and old ones maintained.

Average citizens have the opportunity to influence public opinion and policies.

New possibilities have been opened for those launching and/or promoting a business.

Source: mashable.com/2009/10/16/social-media-changing-lives/

SOCIAL MEDIA

Unveiling the truth behind the mystery

“…it’s a fundamental shift in the way we

communicate.”

“Social media is NOT a fad…

Social Media: Reaching out and having a conversation.

Source: www.telegraph.co.uk

One in five Americans uses a social media networking service. (Pew Internet & American Life Project)

By 2010, Generation Y outnumber baby boomers

96% join a social network

Source: Social Media Revolution by Socialnomics.net, Beyond.com Poll

RADIO: 38TELEVISION: 13 INTERNET: 4

IPOD: 3

Years to Reach 50 Million Users…..

Source: Social Media Revolution by Socialnomics.net

Facebook added 100 million users in

less than 9 months!


Approximately 2 Billion Google searches occur

each day.


Health 2.0“…the use of a specific set of Web tools (blogs, Podcasts, tagging, search, wikis, etc.) by actors in healthcare including doctors, patients, and scientists, using principles of open source and generation of content by users, and the power of networks in order to personalize healthcare, collaborate, and promote health education.”

Source: http://en.wikipedia.org.wiki/Health_2.0, health20.org/images/ c/c1/Virtuous_Cycle.png

61% of American adults look online for health information- Pew Internet & American Life Project, June 2009

Information: resources and sharing

Medical education

Collaboration and practice

Disease management

Research & data sharing

Professional Development & Networking

Source: health20.org/wiki/ Health_2.0_Definition

Personal Health Records (PHR)

GoogleHealth: privateMicrosoft HealthVault: privatePatientsLikeMe: viewed with user consent

MedHelp.org: viewed with user consentMedicAlert: privateFollowMe: privateMyMedicalRecords: viewed with user consent, or in cases of emergency by physician

Hospitals in the United States

Source: http://ebennett.org/hsnl_11_15_09, www.healthcareos.com

“If our patients are Health 2.0 patients, then we have to be Health 2.0 docs.”

Dr. Gwenn Schurgrin O’Keefe, MD, FAAP

Source: Schurgrin O’Keefe. MDNGnetguide 2009, bitstrategist.files.wordpress.com

HITECH ActSecurity of Health IT

Patient-Centered Cognitive Support

Healthcare Application and Network Platform Architecture

Secondary Use of Electronic Health Record Data

On December 18, 2009, David Blumenthal, M.D., Department of Health and Human Services National Coordinator for Health Information Technology, announced plans to make $60 million available to support the development of Strategic Health IT Advanced Research Projects (SHARP).

Source: http://healthit.hhs.gov

Social Networking Sites

Facebook

MySpace

Friendster

LinkedIn

Ning

Hi5

Bebo

MocoSpace

MyLife

Source: emarketer.com, June 2009

FACEBOOK

It’s a party!

Fun, casual

Meet old friends, make new friends

Make professional connections

Join interest groups, communities

Learn

Share stories

Source: www.landermedia.com/ images/gfbf.jpg

More than 350 million active users50% of active users are logged on in any given day

Fastest growing demographic is age 35 and older; second is 55-65 year olds

Median user age: 33Average user has 130 friendsWorldwide, more than 8 billion minutes a day spent on Facebook, yielding 45 million status updates each day

More than 2 billion pieces of content shared every week

Most popular site to share photos (comScore 2009)3rd most popular site to view online video (Nielson

VideoCensus, Nov 2009)

Facebook

Source: www.facebook.com/press/info.php?statistics

during the month of November 2009 was spent on Facebook.

5.5% of ALL time spent online in the U.S.

Source: comScore, December 2009

… it would be the 4th largest in population.

If Facebook was a country…


Neonatologists on Facebook

Public pages Neonatology Neonatology Review AAP Perinatal FB Page

Private groups AAP Perinatal FB Group AAP Perinatal Trainees FB Group

No good deed goes unpunished.

Elphaba Thropp, The Wicked Witch of the West

Global network with over 25 million experienced professional in 150 industries

Average age is 41 yearsOver 50% users have income >$100,000Over-representation of those who attended graduate school, compared to all internet users

64% male34% own a Smartphone/PDA80% of companies use LinkedIn as their primary tool to find new employees

Searchable by Google

LinkedIn

Source: www.linkedstrategies.com/blog/tag/linkedin-statistics

“No one physician is as knowledgeable as physicians working together.”

Largest online physician communityOver 110,000 community members68 specialties, 50 statesFree to practicing physiciansFree of advertisingFacebook, Twitter and monthly Sermo Blog

Source: www.sermo.com/node/11/

“The Business Model”: “For physicians, ..unique online environment in which clinical observations can be exchanged in real-time… build consensus on products and issues, take advantage of financial opportunities, and improve patient care by working directly with colleagues…”

For Sermo clients, .. a way to target and engage physicians… capture real-world physician insights into treatments, medications and devices…

Source: www.sermo.com/node/11/

Social: Physician-specific

SermoDoctorsHangoutStudentDoctor.netHealthevaDoctorNetworkingRelaxDocSocialMDClinicalVillageOzmosis99nicu.org

NICU-NetMD LinkMedscape Physician Connect

eMedicineMedicSpeakiMedExchange: practicing MD only

FacebookGroups

Twitter is a service for friends, family, and co-workers to communicate and stay connected through the exchange of quick frequent answers to one simple question: What are you doing?

Twitter is a service for friends, family, and co-workers to communicate and stay connected through the exchange of quick frequent answers to one simple question: What are you doing?

“Share and discover what’s happening right now, anywhere in the world.” “Share and discover what’s happening right now, anywhere in the world.”

Twitter

Source: twitter.com

Twitter

unique visitors increased by 1,382% in a year 475,000 in Feb 2008 7 million in Feb 2009

As of Feb 2009, largest Twitter group 35-49 year olds (42%)

Median user age: 3180% usage on mobile devicesTwitter.com primarily visited from work

62% assess from work only 35% assess from home onlySource: http://blog.nielson.com/nielsonwire/online_mobile/twitters-tweet-smell-of-success/

Ashton Kutcher and Ellen Degeneres……

….have more followers than the entire population of Ireland, Norway & Panama.


Twitter Directories

WeFollow

Twellow

Just Tweet It

Twibs: businesses

Tweeter tags

Twitter Fan Wiki

GovTwit

Twitter Forge: 10 directories

Twubble: find people

TwitterectorySource: tugagames.com

Twitter: Search conversations

Tweeter Search: official search page

Twopular

Tweet Scan

Twitterment

TwitScoop

Tweetmeme: Social bookmarking site

Twemes: hashtags, keywords

TweetVolume

Tweet CongressSource: twittertweettweet.com

Real-time Updates

February 2009:Surgeons at Henry Ford Hospital, Detroit,

Michigan, used Twitter “To let people know that a tumor can be removed without taking out the entire

kidney,” said

Craig Rogers, MD, lead surgeon, to CNN.

140 HEALTHCARE USES FOR TWITTER

BY PHIL BAUMANNBLOG, “HEALTH IS SOCIAL”

Top Twitter Topics of 2009

Iran ElectionSwine FluGazaIranTehran

Source: http://mashable.com/2009/12/15/twitter-reveals-most-discussed-topics-of-2009/

Most Popular Twitter Users

Ashton KutcherThe Ellen Degeneres ShowBritney SpearsCNN Breaking NewsBarack ObamaOprah Winfrey

Source: www.blog.newwave.net.au/?p=76

Friday, April 2,2010:

Columbia University and MixedInk in New York identified 52,000 Tweets mentioning antibiotics during a 4 ½

month period in 2009.

Approximately 700 of those tweets included incorrect information.

Twitter is not always reliable

Source: www.healthday.com/Article.asp?AID=637674

iPhone application downloads hit one billion

in 9 months.

Mobile Media


Mobile Media

Over 30 social networking sites available for mobile devices

64% of U.S. physicians use a smartphone (Manhattan Research April 2009, http://tinyurl.com/clojeb)

Facebook MobileTwitter.comMyspace MobileWikipedia MobileFriendstribe.comHobnobsterBroadtexter.comZinadoo.comDodgeball.comMocospace.comZyb.comBrightKite.com

Free!Free! For-a-FeeFor-a-Fee

EpocratesMedscapeMedical EncyclopediaMuscle Head and Neck System

Diagnose the Disease game

Stress checkMedCalcPsych DrugsWirdy Medical

Red BookThe ECG GuideDrugs & MedicationsNelson’s Pocket ConsultKindle for iPhoneHuman Body 3D Anatomy5-minute Clinical Consult

Medical CalculatorApgar TimerICDMeister

iPhone applications

Social Bookmarking and News Aggregates

CiteULike

Connotea

Delicious

Reddit

Technorati

Newsvine

SlashDot

StumbleUpon

Digg

2collab

DiigoSource: doublejdesign.co.uk

There are over 175 ways to bookmark and share information!


“Try not. Do or do not, there is no try”- Yoda

SLIDE SHARING

SlideShare

SlideBoom

SlideServe

Scribd

280 Slides

SlideRocket

Zoho Show

Slide

Source: sethpickens.files.wordpress.com/2009/02/luke-yoda

Media SharingYou Tube

rrripple

Flickr

Daily Motion

Vimeo

Google Video

Yahoo Video

Source: www.freesocialicons.com

As of October 2009, YouTube reached one

billion views per day.

YouTube: the world’s 2nd largest search engine

Source: youtube-global.blogspot.com/2009/10/y000000000utube.html

20 hours of video are uploaded to YouTube

every MINUTE.

Source: youtube.com/t/fact_sheet

Social Network Aggregation

Consolidates multiple networking profiles into one profile

Provides tools to consolidates messages, track messages, combine bookmarks and search across multiple social networking sites

Source: Dion Hinchcliffe, http://web2.socialcomputingmagazine.com

Individuals, business or organizations

“Real-time feed aggregator that consolidates the updates from social media and social networking websites, social bookmarking websites, blogs, and microblogging updates…”

Average of one million visitors/month

Source: friendfeed.com

ON AUGUST 10, 2009, FRIENDFEED WAS ACQUIRED BY FACEBOOK, INC. FOR $15

MILLION IN CASH AND $32.5 MILLION IN FACEBOOK STOCK.

Source: www.businessweek.com/technology/ccontent/aug2009/tc20090810_284380.htm

RSS= “Really Simple Syndication”

RSS is “a family of web feed formats used to publish frequently updated works- such as blog entries, news headlines, audio, and video- in a standardized format.”

RSS feeds “benefit readers who want to subscribe to timely updates from favored websites or to aggregate feeds from many sites into one place.”

Source: http://en.wikipedia.org/wiki/Rss

READERGoogle Reader

Bloglines

NewsGator

My Yahoo!

Source: rssboard.org

Trends, Tags, and Alerts in Medicine

PubMed Save Search functionPubMed ReaderPeRSSonalized Medicine from Webicinia.comBioWizardGoogle Alerts (Google Scholar)REEmemeAllTopWatchThatPageDailyMeTweepBeep

Source: www.webicinia.com/journals_and_sites/step_1_tools_that_help_you_keep_yourself_up_to_date_trend_trackers_84/

“We no longer search for news, the news

finds us.”

Wiki= “Quick” in Hawaiian

Over 85,000 active contributors

Over 14 million articles

Over 260 languages

Over 3 million articles are in English

Over 10,992,799 registered users ( 1,696 administrators)

Over 156 articles posted every hour

Source: http://en.wikipedia.org

You…“… the millions of anonymous contributors of user-generated content to Wikipedia, YouTube, MySpace, Facebook and Second Life…”

Source: http://en.wikipedia.org/wiki/You_(Time_Magazine_Person_of_the_Year_2006)

AAP in Social Media

Section on Perinatal Pediatrics

WebsiteDiscussion Board

YP Connection AAP Perinatal Trainees

Twitter AAPperinatal AAP news NCE Pedialink

Facebook groups AAP Perinatal AAP Perinatal Trainees

Facebook pageso AAP Perinatalo NeoReviewso AAP Pediatrics

• Blog by AAP President, Judith Palfrey• 12/15/09 AAP SmartBrief

January 5, 2010January 5, 2010 February 26, 2010February 26, 2010

“Communication and Connection” www.healthychildren.org

Child Health Informatics Center

“So What’s Up With HIT?” “We are in the digital age with all its enormous benefits and many of its complexities.”

President’s Blog: Judith S. Palfrey, MD, FAAP

2010: Web 3.0??

Source: ahi.cl/blog/category/ uncategorized/2009/10/ socialmediacampaign1

Potential Risks

Social networking is online= Public domain, no longer private

Posting online is permanent; can be deleted, but may be archived

Professional liability risks (violations of medical code of ethics, HIPAA, employer or medical staff policy)

Source: Armon, Keller. Who is Dr. Wiki and Why You Need to Know. Unique Opportun. 2009.

Minimize Risks

Use common sense. “The least common thing in the world is common sense.” – overheard from Istvan Seri

Review the terms of service of the online communities.

Review your professional liability policy.Review your employment agreement.Review your posting before you post.Be aware that you may not remain anonymous.

Include a disclaimer.

Source: Armon, Keller. Who is Dr. Wiki and Why You Need to Know. Unique Opportun. 2009.

‘Caution is recommended . . . in using social networking sites such as Facebook or MySpace.

Items that represent unprofessional behavior that are posted by you on such networking sites

reflect poorly on you and the medical profession. Such items may become public and could subject you to unintended exposure and consequences.’”

“In an e-mail to students and faculty of Harvard Medical School, Dean for Medical Education Jules Dienstag

wrote:

Source: Jain. Practicing Medicine in the Age of Facebook. NEJM. 2009.

Future doctors share too much on Facebook

Source: news.ufl.edu/2008/07/10/facebook/

“The NBA fined Brandon Jennings $7500 for a tweet written after a double-OT victory in Portland on December 12.”

The tweet, “Back to 500! Yes!!! ‘500’ means where doing way good. Way to Play

Hard Guys.”

Source: www.huffingtonpost.com/2009/12/18/brandon-jennings-twitter_n_397401.html

Life is what happens while you’re busy making

other plans

JOHN LENNON

Time you enjoy wasting, was not wasted.

JOHN LENNON

THANK YOU!

[email protected]