social media and medical education · 2019. 12. 19. · social media at cardiology conferences •...

Social Media and Medical Education

John Mandrola, MD

Baptist Health Louisville

@drjohnm

Disclosures – None

Baptist Health Louisville

AF ablation CRT HBP

Life-Long Learning

• When I was young I had no idea how much there would be

to learn

1996-2009 Anonymous

September 2009

I did not know how to write

The American Scholar1837

Ralph Waldo Emerson

Academic has an obligation to….

• Think clearly -- not influenced by tradition or historic views

• Think publicly

Translation of Evidence to the Bedside

• Medicine’s first RCT in 1747

• Citrus (Vit C) in Scurvy

• Published in 1753

• Ignored until 1795

https://en.wikipedia.org/wiki/James_Lind

42 years

Morris 2011 J Royal Society Medicine

Average time lag between published evidence and uptake

17 years

Reversal of LBBB with His Bundle Pacing First Described in Animal Model

His Bundle Pacing in Humans

1978

El-Sherifet al

2000

Deshmukh et al

Then nothing happened until 2015-2016

Translate EP –Twitter

Hashtag #DontDisTheHis

Rise in Twitter impressions (A) and Twitter users (B) utilizing the

hashtag #dontdisthehis ...

Beer EHJ 2019

Twitter Impressions

Twitter Users

Sales of MDT 3830 lead

Even More Rapid Translation on Twitter

Note the dates

Tweeting the Meeting:

Social Media at Cardiology Conferences

• 3 major cardiology

conferences

o ACC

o HRS

o TCT

• 80,0000 tweets over 3 years

223%

241% 134%

Courtesy of J Han

Medical Journals

Fox CS, et al. Circulation. 2016;133:1978-1983

Twitter Journal Clubs:

#NephJC

Nephrology Journal

Club

Started in 2014

Regularly scheduled

Virtual

Tweetchats:

Scheduled

Regular or intermittent

1 hour

Discussion of topic

Moderated

Open forum

Key opinion leaders

Public participation

Social Media as post-publication peer-review

Little empirical evidence is available to support the use of editorial peer review as a mechanism to ensure quality of biomedical research

N = 28 Studies

Descriptive review

http://cochranelibrary-wiley.com/doi/10.1002/14651858.MR000016.pub3/abstract;jsessionid=2B478E634C4BE8F60B0A766E36F8BE30.f04t04

April 2007

• Wisdom of the many > wisdom of the few• Publish everything and filter after the fact?

http://blogs.bmj.com/bmj/2011/01/26/richard-smith-twitter-to-replace-peer-review/

Critiques/Flaws Posted on Twitter

Loading Dose of Atorvastatin Pre-PCI

65-year-old w/ persistent Mitral Isthmus Flutter

4 previous ablations

• Me: “I cannot get this MI blocked.”

• My Partner: “You ever done an ETOH ablation of Vein of Marshal?”

• Me: “No.”

• My Partner: “I’ve seen one.”

Partial block MI LAA Isolation

No further tachycardia ≈ 18 months

Translate –EP YouTube

55-year-old man with class 3 heart failure and wide LBBB and LVEF 20%

Snare Technique I learned online from Seth Worley

Blogs

Author of an influential book on regression modeling

Biostatistics Prof Statistician at FDA

Dr. Frank Harrell

• “Independent” Blogger• No #FCOI • Medical School in Nepal • Now has an appointment at Harvard

Translation – Blogs

“Blogs are a great translation tool. People see data but don't always know what it means.”

“I wish I could blog more often but when I do, I find it very satisfying as a teaching tool.

It also forces me to clarify my own thinking on complicated issues -- which is really helpful.”

Partnerships SoMe – Journals

Lin Ann Em Med 2017 https://www.sciencedirect.com/science/article/pii/S0196064416313737?_rdoc=1&_fmt=high&_origin=gateway&_docanchor=&md5=b8429449ccfc9c30159a5f9aeaa92ffb#bib21

• Goal to encourage participation, and engagement w online community • Minimize barriers

Example of a New Model for Journal-SoMe collaboration

Journal Club of a Featured Article

Free Open Access Med…education

#FOAMed

Side Effect of Public Thinking…

Podcasts?

Translate -- Podcasts

Mallin Acad Med 2014 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4885578/

Survey study N = 226 EM residents

Most Beneficial:

• 70% Podcasts• 54% Textbooks• 36% Journals• 33% Google

Podcast

Podcasts

Why -- Social Media

If “we” are not online -- other less informed people will fill the void

You cannot complain about bad content online if you are not creating content online

The Beauty of #SoMe:

• You used to be able to teach your students, and patients.

• Now…

• You can teach the world!

• Good content rises up on its merits

Finally

You don’t need permission or

an invitation

Seriously

You don’t need permission or

an invitation

Thank you – Please Stay in Touch

• John.Mandrola@gmail.com

• @drjohnm

• www.drjohnm.org