Web 2.0 in Medicine

Web 2.0 in Medicine Author: Vesselin Dimov, MD Section of Hospital Medicine, The Cleveland Clinic May 18, 2006 All blue links in the presentation are click-able This presentation was given to the Section of Hospital Medicine at the Cleveland Clinic on 10/17/05, internal medicine residents and faculty at the Cleveland Clinic on 1/05/06, Grand Rounds of the Department of Internal Medicine at the Cleveland Clinic on 1/25/06, and internal medicine residents and faculty at Case Western Reserve University (St. Vincent/St. Lukes) on 5/18/06 About Us (me) Any reputable website has an “About Us” section Who are you to talk to me about Web 2.0 and websites? I have made 9 websites They were featured in BMJ 3 times including a leading BMJ editorial which cited my posts in the same group with NEJM MSNBC linked to the website. Content is referenced in the largest online encyclopedia, Wikipedia Medscape (16 mln visitors per quarter) profiled my site when I hosted the online Grand Rounds How many people visit your website? Half a million page views. Just imagine: you had written a book and people have read 500,000 pages of it 170,000 visitors from all over the world This is 1,500-3,000 page views daily 600-900 visitors daily (and growing) Google loves content If I can do it, you can do it too The question is: Why would you want to do it? Let me show you why with this presentation An Example of Web 2.0 Clinical Cases and Images A website based on the Google blog platform It is NOT a blog This is a small example of Web 2.0 See the visitors statistics Web 2.0 in Medicine What is this? The web world is changing before our eyes Tim O'Reilly Defines Web 2.0 A true Web 2.0 application is one that gets better the more people use it. Google gets smarter every time someone makes a link on the web. Google gets smarter every time someone makes a search. It's for this reason that I argue that the real heart of Web 2.0 is harnessing collective intelligence. The world of Web 2.0 *can* be one in which we share our knowledge and insights, filter the news for each other, find out obscure facts, and make each other smarter and more responsive. We can instrument the world so it becomes something like a giant, responsive organism. Web 1.0 vs. Web 2.0 Web 1.0 users follow links to content Web 2.0 users comment, edit and create content This is user-created content. For the user, by the user Web 1.0  Web 2.0 Web 1.0  Portal, like Yahoo  Publishing (websites)  Stickiness, stay on the website  Britannica Online  Directories, Favorites  Web 2.0 Search, like Google Participation (blogs, comments) Syndication, RSS, Podcast, website follows you Wikipedia Tags - De.licio.us MS Word Ads, like DoubleClick  Source: What Is Web 2.0 - Tim O'Reilly, modified Writely Google AdSense Web 2.0 = Web as a Platform just like Windows (and better) You can’t buy Web 2.0 at the store but you can use it today Why should I care about Web 2.0? Where is my place in all that? Everybody is busy Web 2.0 saves time by helping you get exactly the information you are interested in Blogs let you create content and share it others – this is content created FOR the user BY the user How can I use Web 2.0? RSS Write/Collaborate Blogs RSS = Really Simple Syndication RSS to Master the Information Overflow Get only the news you want  River of news concept, e.g. Medscape "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 20 websites per day, let them send the information to you  Bloglines RSS Subscribe to specific searches on Pubmed (e.g. cardiac resynchronization therapy) or any search engine and collect them in one place Subscribe to the major medical journals RSS feeds Podcast Podcast 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-tospeech Videocast Image source: Apple.com Videocast Video Podcasts on Health Edge by the Cleveland Clinic Persistent Search Persistent Search Set up a search query Get updated any time something new is published about your search term Cleveland Clinic uses the concept on its front page Write Online Writely is for Writing and Collaboration Writely is a web word processor, a MS Word alternative Several users can revise a document at the same time, compare the revisions No more emailing back and forth different versions of a Word document Export to MS Word or PDF We use Writely to write research papers and articles in the Section of Hospital Medicine at the Cleveland Clinic Blog Blog = weB log Before: webmasters used to keep web logs listing site visitors Now: blog is a simple website with articles in a reverse chronological order The new entries are at the top, the old ones at the bottom Web 2.0 = Give the power back to the user It’s not difficult at all Creating a website is as easy as opening an email account Maintaining a website is even easier How easy? Google’s Blogger claims that it takes 5 minutes to start a website. The NY Times gave it a try and it took them 4 minutes How can I make a website? Google Blogger.com or WordPress.com And many others - all for free It just takes a phone call to post a case description on a website What about those bloggers? Blogging can’t be serious, right? Right They may not be serious but they get millions of visitors Compare Cleveland Clinic CME website receives 1.3 million visitors per YEAR DailyKos has 5.4 million per WEEK, 700,000/d. In other words, he makes the Clinic CME yearly count in 2 days Some medical bloggers have 11,000 visitors per day, which is about 4 million per year PR Power Microsoft Blogger Has as Much PR Power as CEO. What Does That Mean for Your Hospital? Hospitals want visitors to their websites Why? Because 15% of visitors become customers Source: Hospitals use websites to attract out-of-town patients - USA Today More and more people see the world through “Google eyes” “If it is not on the web, it does not exist” Your patients, friends and employers will be Googling you Get used to it Help them find the real you Looking for a Job? Start a Blog Looking for a Job? Start a Blog It helped me Control the search for your name Let employers find you, not somebody else. Example search: Dimov, MD Looking for a Job? Start a Blog Blogs 'essential' to a good career, Boston Globe Set up a blog Buy a domain name, e.g. velez.com Get your CV there Include the address in emails and printed CVs Cost = $ 8 for the name Create a “regular” website with blogging software Using Blogging Software to Create a "Regular" Website You don’t have to be a blogger to use blogging software You can create a regular website (NOT a blog) for free, host it for free and even make money out of it with Google AdSense Use it as a Notebook Collect interesting articles Write down research ideas Collect interesting cases Make you own educational portfolio and share it with the world People want to know How about HIPAA and patient cases? There are 18 identifiers that must not be present in the case description Do not get fired How to blog and not get fired? Always check with your boss Comply with the institutional blogging guidelines (if available). Made by IBM, Microsoft, Yahoo, Sun… now hospitals Your patients may be blogging about you Do not blog about them in any HIPAAidentifiable way Web 2.0 is here to stay Nobody can stop the world Take Home Message Web 2.0 offers a great opportunity. We should use it to: Benefit our patients Stay updated Share knowledge with medical professionals all over the world Take research collaboration to the next level Career advancement Questions? Email: clinicalcases@gmail.com All text is copyright © 2006 of the author. If you plan to use slides for a presentation or an article, please reference: Web 2.0 in Medicine, V. Dimov, MD, May 18, 2006. Link to ClinicalCases.org