The Virtual NICU Team:
Using Social Media in
Medicine
Workshop on Perinatal Practice Strategies
March 30-April 1, 2012
CLARA SONG, MD, FAAP
Assistant Professor of Pediatrics
Section of Neonatal-Perinatal Medicine
DISCLOSURE
• SPEAKER: Clara Song, MD
• 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.
The Truth and Nothing but…
• I am not a social media expert.
• There really are no social media experts.
There are only social media users (maybe
some are mega-users).
I am…
• General Pediatrician in a previous life
• Early Career Neonatologist (“ECN”)
• Social media user
– (@songMD, @AAPperinatal, @TECaNchat, @OU
NICU physician, @TiniestSooners)
• A fan of 80’s music, especially Journey
• Afraid of driving in the snow
OBJECTIVES
• Understand the evolution of social media to its
current state and its impact
• Navigate the various available web-based tools to
enhance daily practice, communication and
collaboration between healthcare communities
• Identify and prevent negative consequences
associated with social media use
Social Media Anxiety Disorder
• “Social Media” = Facebook and Twitter
• Rumor mill of unprofessional conduct on
Facebook and Twitter
• Unaware of closed Facebook account and
protected tweets
• Unaware of RSS, feed readers and other
useful applications of social media
Metha, N. "How physicians can overcome social media anxiety on Twitter." Technology in (Medical)
Education, blog. Aug 14, 2011.
Social networking – 51% of all adults
Source: Permission to use from Rainie Lee. The Social Media Landscape. Pew Internet & American Life Project. Sept
20 2011, http://www.slideshare.net/PewInternet/the-social-media-landscape-9363253, accessed on Oct 26, 2011
Social media impacts our lives
• Facebook Kawasaki diagnosis story
• President Obama’s townhall forum on
Facebook live
• Tweets from Egypt
• Refresh the World: Pepsi Refresh
Project
Source: slate.com, July 2011
Source: wired.com, Feb 2011
Source: jeffbullas.com, Sept 2011
• $20 million for >1000 ideas
• 2,640,026 lives positively
affected
• Facebook:
– > 6.9 million fans
• Twitter:
•120,000 ideas
•>82 million
votes
– > 631 800 followers
(>142,000 in Oct 2011)
• YouTube:
– > 17.7 million upload views
(16.4 million in Oct 2011)
Source: refresheverything.com
Healthcare 2.0
Image source: whatifpost.com
-Information: resources &
sharing
-Medical education
-Collaboration & practice
-Disease management &
patient education
-Research & data sharing
-Professional
Development &
Networking
Health 2.0
Source: http://en.wikipedia.org.wiki/Health_2.0, health20.org/images/ c/c1/Virtuous_Cycle.png
E-Patient &
Social Media
Source: 2009 Path of the Blue Eye Project report, Communicating with the Empowered E-Patient"
Clinician use of social media is
UP
• February 2010: 41% practicing physicians
(N=141)
• August 2011: 87% practicing clinicians
(N=4033)
• “Connected Clinicians”
Bosslet et al, The Patient-Doctor Relationship and Online Social Networks, J Gen Intern Med, June
2011; QuantiaMD. Doctors, Patients, & Social Media, Sept 2011.
#1 reason for professional participation:
educational
Why do you engage in social media?
1.
2.
3.
4.
Professional
Educational
Personal
All of the above
-Information: resources &
sharing
-Medical education
-Collaboration & practice
-Disease management &
patient education
-Research & data sharing
-Professional
Development &
Networking
Health 2.0
Source: http://en.wikipedia.org.wiki/Health_2.0, health20.org/images/ c/c1/Virtuous_Cycle.png
“The largest school in the world is run (and taught) by one man.
Simple, direct, clear, no frills, no tricks. Just a computer blackboard, YouTube…
Sal Khan is a new hero.”
Source: khanacademy.org, 37signals.com, May 16, 2010
-Information:
resources & sharing
-Medical education
-Collaboration &
practice
-Disease management &
patient education
-Research & data
sharing
-Professional
Development &
Networking
Health 2.0
Source: http://en.wikipedia.org.wiki/Health_2.0, health20.org/images/ c/c1/Virtuous_Cycle.png
TOP 10
Most
Popular
in
2012
1.
6.
2.
7.
3.
8.
4.
9.
5.
10.
Source: ebizmba.com/articles/social-bookmarking-websites
-Information:
resources & sharing
-Medical education
-Collaboration & practice
-Disease management
& patient education
-Research & data
sharing
-Professional
Development &
Networking
Health 2.0
Source: http://en.wikipedia.org.wiki/Health_2.0, health20.org/images/ c/c1/Virtuous_Cycle.png
HealthMap.org
“…these informal reports were available online up to two weeks before official
government reports, which had to go through the traditional
chain-of-command structure of public health.”
Source: nature.com, Chunara R, Andrews J, Brownstein J. Am J Trop Med Hyg. 2012 Jan; 86 (1): 36-8.
-Information: resources &
sharing
-Medical education
-Collaboration &
practice
-Disease management
& patient education
-Research & data sharing
-Professional
Development &
Networking
Health 2.0
Source: http://en.wikipedia.org.wiki/Health_2.0, health20.org/images/ c/c1/Virtuous_Cycle.png
iConsult
Real-time
visual
consultation
-Information:
resources & sharing
-Medical education
-Collaboration &
practice
-Disease management
& patient education
-Research & data
sharing
-Professional
Development &
Networking
Health 2.0
Source: http://en.wikipedia.org.wiki/Health_2.0, health20.org/images/ c/c1/Virtuous_Cycle.png
Google +
•
•
•
•
•
•
Now Public!
Chat and follow
Share publicly or in Circles
“Hangout” with 10
Photos, videos, links
“Search Plus Your World”
Source: google.com
140 Health Care Uses for Google +
?
• Office hours for trainees
• Trainee education
• Office hours for families
• Family updates for inpatient mothers
• Virtual NICU visits
• Subspecialist consultation
Hang on, don’t you let go now.
You know, with every heartbeat, we love.
Nothing comes easy…
Hang on, ask the lonely.
- JOURNEY
Source: twitter.com
Source: twitter.com
Source: facebook.com
Source: facebook.com
Source: linkedin.com
Source: aap.org/sections/perinatal/
Source: aap.org/sections/perinatal/tecan/tecan.html
Be good to yourself when nobody else will.
Oh, be good to yourself.
You’re walkin’ a high wire, caught in a cross
fire.
Oh, be good to yourself.
-JOURNEY
Lions and Tigers and Lawsuits,
oh my!
• 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)
• Anonymity cannot by guaranteed; privacy can be
violated
Source: Armon, Keller. Who is Dr. Wiki and Why You Need to Know. Unique Opportun. 2009.
Source: “When Facebook goes to the hospital, patients may sufffer." articles.latimes.com/2010/aug/08/local/la-me-facebook20100809
Social Do’s
• Use common sense. Ask permission. Be the same
courteous, respectful person virtually that you are in the
world everyday.
• Be transparent.
• Write what you know. (Share your e-xpert knowledge.)
• Aware of the perception you create. Virtual “perception
is Reality.”
• Engage in the conversation…. Add to it.
• Be a leader, an example- you represent us all!
• Admit your whoopsy… it’s human! (Disclaimers help).
• Think, review and pause, then post.
Modified from: Social Media Policy for Physicians and Staff, foxepractice.com
Why
?
• Utilize
• Communicate
• Educate
• Engage
• Empower
Don’t stop believin’,
Hold onto that feelin’.
-JOURNEY
• For resources to help with Social Media
Anxiety, contact:
clara-song / at/ ouhsc/ dot/ edu