Post on 17-Oct-2014
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Medical Education in Online Conversation Greg Matthews April 26, 2013
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MDigital Life MedEd Tweet Volume
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How do doctors talk about Medical Education online?
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Key Medical Education Conversations - #MedEd
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MedEd
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Key Medical Education Conversations - #FOAMed
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MedEd FOAMed
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Key Medical Education Conversations - #TwitJC
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MedEd FOAMed TwitJC
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Key Medical Education Conversations – MedEd2
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MedEd FOAMed TwitJC MedEd2
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#MedStudents
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Sharing the experience of studying medicine
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#MMed13 | @chimoose
Sharing the experience of studying medicine
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#MMed13 | @chimoose Contents are proprietary and confidential.
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#MedStudents Tweet Volume
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Match Day!
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US Medical Schools with >4 tweets
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#MMed13 | @chimoose
Head and shoulders …
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#MMed13 | @chimoose Contents are proprietary and confidential.
Brazil 7%
Canada 6%
China 4%
other 9%
UK 3%
USA 71%
#MedStudents Geographic Distribution
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#MedEd
Contents are proprietary and confidential.
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MDigitalLife – Top Overall Hashtags
TOP HASHTAGS
#health(8,215)
#meded (4,547)
#hcsm (4,532)
#mhealth (3,412)
#fmrevolution (2,721)
Family Medicine
Residents
Most used by
Most used by
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#MMed13 | @chimoose Contents are proprietary and confidential.
0 100 200 300 400 500 600 700 800 900
1000 #MedEd Tweet Volume
Tweet Volume Linear (Tweet Volume)
Ryan Madanick @RyanMadanickMD
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Australia 9%
Canada 6%
other 10%
UK 9%
USA 66%
#MedEd Geographic Distribution
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Top Hashtags in MedEd tweets
“Confidential: The strategies and tactics described herein are subject to legal and regulatory approval prior to implementation.”
Hashtag Percent of MedEd Tweets
HCSM 8.3%
medschool 3.8%
premed 2.6%
cmechat 2.4%
FOAMed 2.1%
medstudents 3.6%
healthcare 1.9%
medicine 1.8%
mdchat 1.5%
Health 1.5%
#MMed13 | @chimoose
What are the top information sources?
Contents are proprietary and confidential.
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Most linked by All Most linked by MDs
nih.gov www.geripal.org
kevinmd.com www.nytimes.com
well.blogs.nytimes.com nih.gov
webicina.com www.kevinmd.com
blogs.einstein.yu.edu well.blogs.nytimes.com
nytimes.com neuroednerd.blogspot.com
imedicalapps.com www.nejm.org
thehappymd.com journals.lww.com
TheAtlantic.com www.theatlantic.com
NEJM.org futureoffamilymedicine.blogspot.com
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Top Tweeters in #MedEd
Contents are proprietary and confidential.
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Top Tweeters
RyanMadanickMD
BrianSMcGowan
ARJalali
MedPedsDoctor
FutureDocs
amcunningham
whole_patients
MedEdChat
Kind4Kids
College_Experts
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Before May 2010
May 2010 - April 2011
May 2011 - April 2012
May 2012 - April 2013
Mdigital Life MedEd Tweet Volume
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Top Specialties
Contents are proprietary and confidential.
Specialty Percent of MedEdTweets
Internal Medicine 42.8%
Resident 14.7%
Psychiatry & Neurology 14.6%
Cardiology 9.0%
Pediatrics 8.4%
Family Medicine 5.3%
Emergency Medicine 2.1%
Surgery 0.8%
Orthopaedic Surgery 0.7%
Anesthesiology 0.5%
#MMed13 | @chimoose
#FOAMed
Contents are proprietary and confidential.
#MMed13 | @chimoose
What’s #FOAMed?
Contents are proprietary and confidential.
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FOAMed is the movement that has spontaneously emerged from the exploding collection of constantly evolving,
collaborative and interactive open access medical education resources being distributed on the web with one
objective — to make the world a better place. FOAM is independent of platform or media — it includes blogs, podcasts, tweets, Google hangouts, online videos, text documents, photographs, facebook groups, and a whole lot more.
FREE OPEN ACCESS MEDUCATION
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What’s FOAMed?
Contents are proprietary and confidential.
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If you want to know how we practiced medicine 5 years ago, read a textbook If you want to know how we practiced medicine 2 years ago, read a journal If you want to know how we practice medicine now, go to a (good) conference If you want to know how we will practice medicine in the future, listen in the hallways and use FOAM. - Joe Lex, MD
#MMed13 | @chimoose Contents are proprietary and confidential.
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#FOAMed Tweet Volume
#MMed13 | @chimoose “Confidential: The strategies and tactics described herein are subject to legal and regulatory approval prior to implementation.”
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MDigital Life FOAMed Tweet Volume
AAEM13
#MMed13 | @chimoose Contents are proprietary and confidential.
Australia 28%
Brazil 5%
Canada 7%
Egypt 5% other
5% UK 3%
USA 47%
#FOAMed Geographic Distribution
#MMed13 | @chimoose
Top Specialties
Contents are proprietary and confidential.
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Specialty Percent of FOAMed Tweets
Emergency Medicine 78.7%
Surgery 7.9%
Resident 6.8%
Internal Medicine 2.5%
Family Medicine 0.9%
#MMed13 | @chimoose
Top MDigitalLife Tweeters in FOAMed
Contents are proprietary and confidential.
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Top Physician Tweeters
mastinmd
JoeLex5
bedsidesono
SonoSpot
drsamko
embasic
TheTechDoc
meganranney
grahamwalker
nyjsm
#MMed13 | @chimoose
Top Overall Tweeters in #FOAMed
Contents are proprietary and confidential.
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Top Tweeters
precordialthump
sandnsurf
EMS12Lead
JoeLex5
RogerDJones1
rfdsdoc
CriticalCareNow
smacc2013
umanamd
IVLINE
#MMed13 | @chimoose “Confidential: The strategies and tactics described herein are subject to legal and regulatory approval prior to implementation.”
Top #Hashtags used in FOAMed Tweets
Hashtag Percent of MedEd Tweets
aaem13 37.9%
ultrasound 4.2%
hanoitrauma13 3.0%
harvardultrasound 2.2%
villareal 1.9%
pemc12 1.7%
meded 1.4%
smacc2013 1.1%
joelex 1.0%
williams 0.8%
#MMed13 | @chimoose
Top Domains linked-to by Physicians
Contents are proprietary and confidential.
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Top Domains
lifeinthefastlane.com
sonospot.wordpress.com
www.ultrasoundpodcast.com
embasic.org
gmep.org
academiclifeinem.blogspot.com
nih.gov
www.essr.org
www.pbfluids.com
journals.lww.com
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What FOAM looks like
Contents are proprietary and confidential.
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#MMed13 | @chimoose
What FOAM looks like
Contents are proprietary and confidential.
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#MMed13 | @chimoose
What FOAM looks like
Contents are proprietary and confidential.
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#MMed13 | @chimoose
#TwitJC
Contents are proprietary and confidential.
#MMed13 | @chimoose Contents are proprietary and confidential.
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#TwitJC Tweet Volume Natalie Silvey @silv24
Fiona Douglas @FiDouglas
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TwitJC Language
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Top Hashtags in #TwitJC Tweets
Contents are proprietary and confidential.
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Hashtags Percent of FOAMed Tweets
meded 2.6%
foamed 1.3%
gasclass 1.0%
ecgclass 0.7%
sciteachjc 0.6%
edcases 0.6%
evidencelive 0.6%
microtwjc 0.6%
hcsm 0.6%
phtwitjc 0.6%
#MMed13 | @chimoose
Top #TwitJC Links
Contents are proprietary and confidential.
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Top Domains
www.twitjc.com
www.nejm.org
onlinelibrary.wiley.com
jamanetwork.com
wishfulthinkinginmedicaleducation.blogspot.co.uk
www.bmj.com
blogs.nejm.org
nih.gov
alltrials.net
www.consort-statement.org
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Top Tweeters in #TwitJC
Contents are proprietary and confidential.
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Top Tweeters
silv24
Twitjournalclub
PaedsSHO
Taggiemonster
_elljay_
Christiplady
Northern_doctor
Dr_dyb
Jonjhilton
amcunningham
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Who cares about a journal club?
Contents are proprietary and confidential.
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http://storify.com/amcunningham/what-happens-when-you-ask-atul-gawande-to-join-in-?
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#MedEd2
Contents are proprietary and confidential.
#MMed13 | @chimoose Contents are proprietary and confidential.
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Top Tweeters in #MedEd2
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Top Tweeters
westr
Pfanderson
Conciergedoc
MedObserver
Drbachinsky
Giasison
JohnNosta
Aftjae
dopaminergic13
Faisal_hoque
#MMed13 | @chimoose
Top #MedEd2 Links
Contents are proprietary and confidential.
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Top Domains
www.kevinmd.com
www.genomeweb.com
www.forbes.com
33charts.com
www.nejm.org
www.medicineandtechnology.com
www.incrowdnow.com
www.fastcompany.com
www.ihealthbeat.org
www.nytimes.com
#MMed13 | @chimoose
MedEd2 can look like this …
Contents are proprietary and confidential.
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#MMed13 | @chimoose
MedEd2 can look like this …
Contents are proprietary and confidential.
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#MMed13 | @chimoose
MedEd2 can look like this …
Contents are proprietary and confidential.
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#MMed13 | @chimoose
Special Thanks Brian McGowan of Archemedx @BrianSMcGowan
Kayla Rodriguez of WCG @kaylarodrigue11
Natalie Silvey – Junior Doctor in the UK @silv24
MaLhew Hager of W2O Digital @ismashew
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Appendix
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What’s MDigitalLife?
Contents are proprietary and confidential.
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#MMed13 | @chimoose
Understanding Doctors’ Online Behavior
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18 % 21 % 31 % 8 % 22 %
(0500 – 0800) (0801 - 1200) (1201 - 1800) (1801-2300) (2301-0459) Morning Workday Work PM Evening Overnight
of all MDs are followed
by at least 20 MDs 34 %
of all MDs are mentioned by
other MDs in the data set 36 %
When Doctors Tweet
#MMed13 | @chimoose
search.mdigitallife.com
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#MMed13 | @chimoose
What do doctors talk about online?
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#MMed13 | @chimoose
At the highest level …
Contents are proprietary and confidential.
Health Education
Business of Health
Politics of Health
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#MMed13 | @chimoose
At the highest level …
Contents are proprietary and confidential.
Health Education
Business of Health
Politics of Health
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#MMed13 | @chimoose
Strongest Focus Areas
0%
10%
20%
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40%
50%
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70%
80%
90%
100%
Doctors
Media
Congress
6% 33%
2%
14%
11%
64%
27%
22%
15%
6%
10%
5% 47%
23% 15%
Perc
enta
ge o
f Hea
lthca
re C
onve
rsat
ion
Healthcare Conversation Topics
Treatment Research Prevention Policy Business
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#MMed13 | @chimoose
Where education makes a difference
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#MMed13 | @chimoose
The PSA Controversy
35%
54%
11%
Negative Neutral Positive
Doctors who state an opinion are
more than 3:1 against the USPSTF’s
ruling on PSA Tests
63 Contents are proprietary and confidential.
#MMed13 | @chimoose
Pediatricians often provide advice on low-effort, high-impact activities that can improve family health
What Pediatricians Are Talking About on Twitter*
Clinical Lifestyle
Behavior Management
Vaccinations
Nutrition
Organic Food/Clothing (.2%)
Household Safety
Childhood Diabetes(.4%)
Benefits of Bacteria (.6%)
Psychopathology
Childhood Obesity
Breast Feeding
Allergies
Stu
dy/N
ews
Sha
ring
Par
entin
g Ti
ps
Sun Exposure (.4%)
Infant Mortality (.8%)
#MMed13 | @chimoose
Pediatricians focus on high-probability dangers, like head injuries, drowning, poisons, firearms; Little mention of non-organic ingredients
Pediatrician Conversations About Safety*
Themes in Safety Conversations
• Pediatricians 3 most common pieces of safety advice were : a) teach your kids how to swim; b) install your car seat correctly; and c) know whether guns are stored at your child’s friends’ houses. • Household safety tips included stories on the dangers of curtains and detergent gel packs.
Types of Content Shared
News/Studies: • Drowning is the leading cause of child deaths in the U.S. • Colorful gel detergent packs are a potential danger to young children, although no deaths have been reported Tips: • Importance of swimming lessons • Car seat safety tips • Gun safety • Child-proofing curtains and kitchens
0.07%
0.07%
0.08%
0.12%
0.12%
0.18%
0.23%
0.36%
0.41%
0.00% 0.20% 0.40%
Sleep Safety Strollers
Detergent Packs Elements
Poisons Child-Proofing
Guns Transportation
Drowning
Percentage of All Posts
Tips 62%
News/
Studies 38%