establishing a virtual team in the nicu
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Neonatology Fellows’ Workshop 2010CAN/AAP District IX SOPP 16th Annual
Conference
CLARA SONG, MDUSC Division of Neonatal Medicine of the
LAC+USC Medical Center and Childrens Hospital Los Angeles
Keck School of MedicineUniversity of Southern California
Los Angeles, CA
Establishing a Virtual Team in the NICU
OBJECTIVES
To define social media and its evolution
To classify the current available web-based tools
To utilize web-based tools in an effort to facilitate collaboration between health professionals
Social media has taken over porn as
the #1 activity on the web
Source: Social Media Revolution from Socialnomics.net
Web 1.0
Source: www.jeffc.me/web-10-and-web-20-visual-differences
Web 2.0
Source: www.jeffc.me/ web-10-and-web20-visual-differences
WEB 2.0
“… web associations that facilitate interactive information sharing, interoperability, user-centered design and collaboration on the World Wide Web…”
Concept of web evolution, coined in 1999 by Darcy DiNucci
Repopularized in 2004 by O’Reilly Media with first Web 2.0 conference
Source: http://en.wikipedia.org/wiki/Web_2.0; Markus Angermeier, Web 2.0 Mindmap
WEB 2.0Blogs
Photos
Videos
Audio
Social Networks
Event Networks
Wikis
Microblogs
Source: blog.milestoneinternet.com
Web 2.0
Source: fasticon.com
Social Media1. Concept
2. Media
3. Social interface
Social media is a “group of Internet-based applications…that build on the foundations of Web 2.0, and that allow the creation and exchange user-generated content.”
Social media uses Internet and web-based technologies to transform broadcast media monologues (one to many) into social media dialogues (many to many). It supports the democratization of knowledge and information, transforming people from content consumers into content producers.
Source: http://en.wikipedia.org/wiki/Social_media
Web 2.0 tools allow 20% increase in production
innovation and 20% decrease in communication and travel
costs.
Source: Social Media Revolution from Socialnomics.net
Social Media is Changing Our Lives
Social media sites, like Facebook and Twitter, are becoming trusted sources of information and communication.
New relationships are being created and old ones maintained.
Average citizens have the opportunity to influence public opinion and policies.
Shift in communication to focus on honesty and transparency.
New possibilities have been opened for those launching and/or promoting a business.
Source: mashable.com/2009/10/16/social-media-changing-lives/
“Social media is NOT a fad, it’s a fundamental
shift in the way we communicate.”
Social Media: Reaching out and having a conversation.
Source: www.telegraph.co.uk
One in five Americans uses a social media networking service. (Pew Internet & American Life Project)
By 2010, Generation Y outnumber baby boomers
96% join a social network
Source: Social Media Revolution by Socialnomics.net, Beyond.com Poll
RADIO: 38TELEVISION: 13
INTERNET: 4 IPOD: 3
Years to Reach 50 Million Users…..
Source: Social Media Revolution by Socialnomics.net
Facebook added 100 million users in less
than 9 months!
Source: Social Media Revolution by Socialnomics.net
Approximately 2 Billion Google searches occur
each day.
Source: Social Media Revolution by Socialnomics.net
Health 2.0“…the use of a specific set of Web tools (blogs, Podcasts, tagging, search, wikis, etc.) by actors in healthcare including doctors, patients, and scientists, using principles of open source and generation of content by users, and the power of networks in order to personalize healthcare, collaborate, and promote health education.”
Source: http://en.wikipedia.org.wiki/Health_2.0, health20.org/images/ c/c1/Virtuous_Cycle.png
61% of American adults look online for health information- Pew Internet & American Life Project, June 2009
Information: resources and sharing
Medical education
Collaboration and practice
Disease management
Research & data sharing
Professional Development & Networking
Source: health20.org/wiki/ Health_2.0_Definition
Personal Health Records (PHR)
GoogleHealth: privateMicrosoft HealthVault: privatePatientsLikeMe: viewed with user consentMedHelp.org: viewed with user consent
Hospitals in the United States
Source: http://ebennett.org/hsnl_11_15_09, www.healthcareos.com
HITECH ActSecurity of Health IT
Patient-Centered Cognitive Support
Healthcare Application and Network Platform Architecture
Secondary Use of Electronic Health Record Data
On December 18, 2009, David Blumenthal, M.D., Department of Health and Human Services National Coordinator for Health Information Technology, announced plans to make $60 million available to support the development of Strategic Health IT Advanced Research Projects (SHARP).
Source: http://healthit.hhs.gov
Social Networking Sites
MySpace
Friendster
Ning
Hi5
Bebo
MocoSpace
MyLife
Source: emarketer.com, June 2009
More than 350 million active users50% of active users are logged on in any given dayFastest growing demographic is age 35 and older;
second is 55-65 year oldsMedian user age: 33Average user has 130 friendsWorldwide, more than 8 billion minutes a day spent on
Facebook, yielding 45 million status updates each dayMore than 2 billion pieces of content shared every weekMost popular site to share photos (comScore 2009)3rd most popular site to view online video (Nielson
VideoCensus, Nov 2009)
Source: www.facebook.com/press/info.php?statistics
5.5% of all time spent online in the U.S. during the month of November
2009 was spent on Facebook.
Source: comScore, December 2009
If Facebook was a country, it would be the
4th largest in population.
Source: Social Media Revolution from Socialnomics.net
No good deed goes unpunished.
Elphaba Thropp, The Wicked Witch of the West
Global network with over 25 million experienced professional in 150 industries
Average age is 41 yearsOver 50% users have income >$100,000Over-representation of those who attended graduate school,
compared to all internet users64% male34% own a Smartphone/PDA80% of companies use LinkedIn as their primary tool to find
new employeesSearchable by Google
Source: www.linkedstrategies.com/blog/tag/linkedin-statistics
“No one physician is as knowledgeable as physicians working together.”
Largest online physician communityOver 110,000 community members68 specialties, 50 statesFree to practicing physiciansFree of advertisingFacebook, Twitter and monthly Sermo Blog
Source: www.sermo.com/node/11/
“The Business Model”: “For physicians, ..unique online environment in
which clinical observations can be exchanged in real-time… build consensus on products and issues, take advantage of financial opportunities, and improve patient care by working directly with colleagues…”
For Sermo clients, .. a way to target and engage physicians… capture real-world physician insights into treatments, medications and devices…
Source: www.sermo.com/node/11/
Social: Physician-specific
SermoDoctorsHangoutStudentDoctor.netHealthevaDoctorNetworkingRelaxDocSocialMDClinicalVillageOzmosis99nicu.org
NICU-NetMD LinkMedscape
Physician ConnecteMedicineMedicSpeakiMedExchange:
practicing MD onlyFacebookGroups
Twitter Old home page: “ Twitter is a service for friends, family, and co-
workers to communicate and stay connected through the exchange of quick, frequent answers to one simple question: What are you doing? Join the conversation!”
“Share and discover what’s happening right now, anywhere in the world.”
unique visitors increased by 1,382% in a year 475,000 in Feb 2008 7 million in Feb 2009
As of Feb 2009, largest Twitter group 35-49 year olds (42%) Median user age: 31 80% usage on mobile devices Twitter.com primarily visited from work
62% assess from work only 35% assess from home onlySource: http://blog.nielson.com/nielsonwire/online_mobile/twitters-tweet-smell-of-success/
Ashton Kutcher and Ellen Degeneres have more
followers than the entire population of Ireland, Norway
& Panama.
Source: Social Media Revolution from Socialnomics.net
Twitter Directories
WeFollow
Twellow
Just Tweet It
Twibs: businesses
Tweeter tags
Twitter Fan Wiki
GovTwit
Twitter Forge: 10 directories
Twubble: find people
TwitterectorySource: tugagames.com
Twitter: Search conversations
Tweeter Search: Twitter’s official search page
Tweet Scan
Twitterment
TwitScoop
Tweetmeme: Social bookmarking site
Twemes: hashtags, keywords
TweetVolume
Tweet CongressSource: twittertweettweet.com
Real-time Updates
February 2009:Surgeons at Henry Ford Hospital, Detroit,
Michigan, used Twitter “To let people know that a tumor can be
removed without taking out the entire kidney,” said
Craig Rogers, MD, lead surgeon, to CNN.
140 Healthcare uses for Twitter
BY PHIL BAUMANNBLOG, “HEALTH IS SOCIAL”
Top Twitter Topics of 2009
Iran ElectionSwine FluGazaIranTehran
Source: http://mashable.com/2009/12/15/twitter-reveals-most-discussed-topics-of-2009/
Most Popular Twitter Users
Ashton KutcherThe Ellen Degeneres ShowBritney SpearsCNN Breaking NewsBarack ObamaOprah Winfrey
Source: www.blog.newwave.net.au/?p=76
iPhone application downloads hit one billion
in 9 months.
Mobile Media
Source: Social Media Revolution from Socialnomics.net
Mobile Media
Over 30 social networking sites available for mobile devices
64% of U.S. physicians use a smartphone (Manhattan Research April 2009, http://tinyurl.com/clojeb)
Facebook MobileTwitter.comMyspace MobileWikipedia MobileFriendstribe.comHobnobsterBroadtexter.comZinadoo.comDodgeball.comMocospace.comZyb.comBrightKite.com
Free!Free! For-a-FeeFor-a-Fee
EpocratesMedscapeMedical EncyclopediaMuscle Head and Neck
SystemDiagnose the Disease
gameStress checkMedCalcPsych DrugsWirdy Medical
Instant ECG GuideDoctor’s AidDrugs & MedicationsNICUNeonatal NurseHuman Body 3D AnatomyApgar ScoreMedical CalculatorACLS AdvisorDue Date Calc OB
iPhone applications
Social Bookmarking and News Aggregates
CiteULike
Connotea
Delicious
Technorati
Newsvine
SlashDot
StumbleUpon
Digg
The Clinical Reader
DiigoSource: doublejdesign.co.uk
There are over 175 ways to bookmark
and share information!
Source: Social Media Revolution from Socialnomics.net
“Try not. Do or do not, there is no try”- Yoda
SLIDE SHARING
SlideShare
SlideBoom
SlideServe
Scribd
280 Slides
SlideRocket
Zoho Show
Slide
Source: sethpickens.files.wordpress.com/2009/02/luke-yoda
Media SharingYou Tube
rrripple
Flickr
Daily Motion
Vimeo
Videoegg
vSocial
Jumpcut
Source: www.freesocialicons.com
As of October 2009, YouTube reached one billion views per day.
YouTube: the world’s 2nd largest search engine
Source: youtube-global.blogspot.com/2009/10/y000000000utube.html
20 hours of video are uploaded to YouTube
every MINUTE.
Source: youtube.com/t/fact_sheet
Social Network Aggregation
Consolidates multiple networking profiles into one profile
Provides tools to consolidates messages, track messages, combine bookmarks and search across multiple social networking sites
Source: Dion Hinchcliffe, http://web2.socialcomputingmagazine.com
Social Aggregators
ProfilacticMinggl: invitation-onlyiStalkrCorrelate.usExplode.us: social
search toolSpokeoProfileflyPeopleAggregatorSocialURLSocialstreamTabber
Naymz8handsSecond Brain:
invitation onlyUpScoopProfileOMatMyLifeBrand:
invitation onlyProfileLinkerSnagSocialnetwork.inMyMashable
Individuals, business or organizations
“Real-time feed aggregator that consolidates the updates from social media and social networking websites, social bookmarking websites, blogs, and microblogging updates…”
Average of one million visitors/month
Source: friendfeed.com
ON AUGUST 10, 2009, FRIENDFEED WAS ACQUIRED BY FACEBOOK, INC. FOR $15 MILLION IN CASH AND $32.5
MILLION IN FACEBOOK STOCK.
Source: www.businessweek.com/technology/ccontent/aug2009/tc20090810_284380.htm
RSS= “Really Simple Syndication”
RSS is “a family of web feed formats used to publish frequently updated works- such as blog entries, news headlines, audio, and video- in a standardized format.”
RSS feeds “benefit readers who want to subscribe to timely updates from favored websites or to aggregate feeds from many sites into one place.”
Source: http://en.wikipedia.org/wiki/Rss
READERGoogle Reader
Bloglines
NewsGator
My Yahoo!
Source: rssboard.org
Trends, Tags, and Alerts in Medicine
PubMed Save Search functionPubMed ReaderPeRSSonalized Medicine from Webicinia.comBioWizardGoogle AlertsREEmemeAllTopWatchThatPageDailyMeTweepBeep
Source: www.webicinia.com/journals_and_sites/step_1_tools_that_help_you_keep_yourself_up_to_date_trend_trackers_84/
“We no longer search for news, the news finds
us.”
Wiki= “Quick” in Hawaiian
Over 85,000 active contributors
Over 14 million articles
Over 260 languages
Over 3 million articles are in English
Over 10,992,799 registered users ( 1,696 administrators)
Over 156 articles posted every hour
Source: http://en.wikipedia.org
You…“… the millions of anonymous contributors of user-generated content to Wikipedia, YouTube, MySpace, Facebook and Second Life…”
Source: http://en.wikipedia.org/wiki/You_(Time_Magazine_Person_of_the_Year_2006)
AAP in Social Media
Section on Perinatal Pediatrics
WebsiteDiscussion Board
YP Connection AAP Perinatal Trainees
Twitter AAPperinatal AAP news NCE Pedialink
Facebook groups AAP Perinatal AAP Perinatal Trainees
Facebook pageso AAP Perinatalo NeoReviews
• Blog by AAP President, Judith Palfrey• 12/15/09 AAP SmartBrief
2010: Web 3.0??
Source: ahi.cl/blog/category/ uncategorized/2009/10/ socialmediacampaign1
Potential Risks
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)
Source: Armon, Keller. Who is Dr. Wiki and Why You Need to Know. Unique Opportun. 2009.
Minimize Risks
Use common sense. “The least common thing in the world is common
sense.” – overheard from Istvan Seri
Review the terms of service of the online communities.
Review your professional liability policy.Review your employment agreement.Review your posting before you post.Be aware that you may not remain anonymous.Include a disclaimer.
Source: Armon, Keller. Who is Dr. Wiki and Why You Need to Know. Unique Opportun. 2009.
“In an e-mail to students and faculty of Harvard Medical School, Dean for Medical Education Jules Dienstag wrote:
‘Caution is recommended . . . in using social networking sites such as Facebook or MySpace.
Items that represent unprofessional behavior that are posted by you on such networking sites reflect
poorly on you and the medical profession. Such items may become public and could subject you to
unintended exposure and consequences.’”
Source: Jain. Practicing Medicine in the Age of Facebook. NEJM. 2009.
Future doctors share too much on Facebook
Source: news.ufl.edu/2008/07/10/facebook/
“The NBA fined Brandon Jennings $7500 for a tweet written after a double-OT victory in Portland on
December 12.”
The tweet, “Back to 500! Yes!!! ‘500’ means where doing way good. Way to Play Hard
Guys.”
Source: www.huffingtonpost.com/2009/12/18/brandon-jennings-twitter_n_397401.html
Life is what happens while you’re busy making
other plansJohn Lennon
Time you enjoy wasting, was not wasted.
John Lennon
THANK YOU!
chsong@aap.net
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