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Page 1: The Future of Medical Education - An Online Conversation Analysis

#MMed13 | @chimoose Contents are proprietary and confidential.

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Medical Education in Online Conversation Greg Matthews April 26, 2013

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#MMed13 | @chimoose Contents are proprietary and confidential.

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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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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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#MMed13 | @chimoose

#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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#MMed13 | @chimoose Contents are proprietary and confidential.

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%  

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What are the top information sources?

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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

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Top Tweeters

RyanMadanickMD

BrianSMcGowan

ARJalali

MedPedsDoctor

FutureDocs

amcunningham

whole_patients

MedEdChat

Kind4Kids

College_Experts

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0 500 1000 1500 2000 2500 3000 3500 4000 4500

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

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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%

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#FOAMed

Contents are proprietary and confidential.

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What’s #FOAMed?

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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?

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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

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#FOAMed Tweet Volume

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#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

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#MMed13 | @chimoose Contents are proprietary and confidential.

Australia 28%

Brazil 5%

Canada 7%

Egypt 5% other

5% UK 3%

USA 47%

#FOAMed Geographic Distribution

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Top Specialties

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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%

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Top MDigitalLife Tweeters in FOAMed

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Top Physician Tweeters

mastinmd

JoeLex5

bedsidesono

SonoSpot

drsamko

embasic

TheTechDoc

meganranney

grahamwalker

nyjsm

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#MMed13 | @chimoose

Top Overall Tweeters in #FOAMed

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Top Tweeters

precordialthump

sandnsurf

EMS12Lead

JoeLex5

RogerDJones1

rfdsdoc

CriticalCareNow

smacc2013

umanamd

IVLINE

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#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%

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Top Domains linked-to by Physicians

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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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#TwitJC

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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

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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%

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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?

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http://storify.com/amcunningham/what-happens-when-you-ask-atul-gawande-to-join-in-?

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#MedEd2

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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

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Top #MedEd2 Links

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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

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MedEd2 can look like this …

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MedEd2 can look like this …

Contents are proprietary and confidential.

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MedEd2 can look like this …

Contents are proprietary and confidential.

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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?

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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

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search.mdigitallife.com

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What do doctors talk about online?

Contents are proprietary and confidential.

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At the highest level …

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Health Education

Business of Health

Politics of Health

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At the highest level …

Contents are proprietary and confidential.

Health Education

Business of Health

Politics of Health

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Strongest Focus Areas

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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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Where education makes a difference

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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.

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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%)

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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%

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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%