Internet & Medicine 2.0
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Transcript of 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
HON code
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”