social media and medical education · 2019. 12. 19. · social media at cardiology conferences •...
TRANSCRIPT
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
• @drjohnm
• www.drjohnm.org