Alex Djuricich, MD Indiana University School of Medicine Terry Kind, MD, MPH George Washington University School of Ryan

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1 Alex Djuricich, MD Indiana University School of Terry Kind, MD, MPH George Washington University School of Ryan Madanick, MD University of North Carolina School of AAMC Mini-Workshop November 6, 2012

2 Dr. Djuricich has no financial disclosures Dr. Kind has no financial disclosures Dr. Madanick has no financial disclosures

3 We want to help you in your journey to understand and use social media If you are more than a Twitter beginner, follow along and tweet at #AAMC12 If you are a Twitter beginner, you will learn what this means and how to do this by the end of this workshop! Twitter contacts: Alex ; Terry ; Ryan

4 Clarify misconceptions surrounding use of social media in medical education Describe potential positives and unintended consequences resulting from engagement in social media Explore meaningful use of social media by physicians, trainees and medical students Devise an action plan for incorporating Twitter into one s involvement in medical education

5 Who are you? How and to what extent do you use social media? Twitter contacts: Alex ; Terry ; Ryan

6 What attracts or repels you from social media professionally in medical education? Twitter contacts: Alex ; Terry ; Ryan

7 Twitter contacts: Alex ; Terry ; Ryan

8 Social media is only for young people I don t have time for social media Doesn t take long to read 140 characters Not obligated to read every tweet of those you follow I won t get anything out of social media People will think I am weird Arora V. blog:

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10 The delivery of healthcare is changing Participatory medicine is growing Using social media in medicine is changing the locus of control to the patient Hawn C., et al. Take two aspirin and tweet me in the morning: how Twitter, Facebook and other social media are reshaping health care. Health Aff 2009;28(2):361-8.

11 Pediatricians can and will use [social networking] tools to promote the pediatric profession as a whole, as well as the health and well being of the children and families they serve. McKenna MP, et al. Social networks and the practice of medicine: harnessing powerful opportunities. J Pediatr 2011;158:1-2.

12 [Social Media] is a major potential source of education for the surgical community, and, perhaps, more importantly, the patient population. The infrastructure is there surgeons just need to learn to use it. Yamout SZ, et al. Using social media to enhance surgeon & patient education & communication. Bull Amer Coll Surg July 2011.

13 MEDICAL STUDENTS RESIDENTS [Classmates and I] used Facebook to follow applicable professional organizations for our fields of interest, such as ACS, ACP, and the AAP. Many interview days ended with Friend me on Facebook. Social networking sites can serve as an invaluable tool for keeping in touch with friends & colleagues from past educational & work experiences. It seems only logical that the medical field should incorporate social networking sites into the network of health care delivery. Wells KM. Social media in medical school education. Surgery 2011;150:2-4. Tilt A, et al. How surgical residents use social media. Surgery 2011;150:5-6.

14 100% 90% 80% 70% % 50% 40% 30% 20% No Yes 10% 0% All Physician Residents Med Students Bosslet GT, et al. The patient-doctor relationship and online social networks: results of a national survey. J Gen Intern Med 2011;26(10):

15 McGowan BS, et al. Understanding the factors that influence the adoption and meaningful use of social media by physicians. J Med Internet Res 2012;14(5):e117.

16 Study of physicians on Twitter Analyzed tweets from physicians May % of Tweets deemed unprofessional Social networks may be considered the new millenium s elevator. Chretien KC, Azar J, Kind T. Physicians on Twitter. JAMA 2011;305(6): Mostaghimi A. Professionalism in the digital age. Ann Intern Med 2011;154:560.

17 Lapse in professionalism 2 nd year medical student Facebook post Info made its way to school administration as violation of school Honor Code Student came before Student Promotions Committee as possible dismissal Student wrote reflections for other students to learn and, ultimately, to publication Strausburg M. How Facebook almost ended my career with a single click. Acad Emerg Med 2011;18(11):1220. Bosslet GT. Commentary: the good, bad & ugly of social media. Acad Emerg Med 2011;18:

18 New intern orientation Discussed expectations Mentioned my interest in Twitter One intern became a Twitter follower His avatar is here:

19 New intern orientation Discussed expectations Mentioned my interest in Twitter One intern became a Twitter follower His avatar is here:

20 We must go farther than curtailing unprofessional behavior online and embrace the positive potential for social media: physicians and health care organizations can and should utilize the power of social media to facilitate interactions with patients and the public that increase their confidence in the medical profession. Greysen SR, et al. Online professionalism and the mirror of social media. J Gen Intern Med 2010;25(11):

21 Medical school websites were reviewed for their presence on Facebook and Twitter and publicly available policies 100% had websites 95% had Facebook pages 10% had policies mentioning social media Conclusion: policies lag behind actual usage Kind T, et al. Social media policies at US medical schools. Med Educ Online 2010;15:5324.

22 Western Australia Social Media Policy content/uploads/2011/12/wa-health-policy-on-use-of-social- Media.pdf American Medical Association Avvo (Health and legal Q&A resource) 2011 Being Influential Online: Social Media Tactics for Physicians Free resource: found at Blog about social media policies

23 Difficult to enforce policy One strike and you re out Three strikes and you re out Guideline Indiana University School of Medicine onalism.pdf Guideline Decalogue (Spain) Link to several other policies from medical organizations Guiding Principles Helpful information that front-line physician can understand Mayer MA, et al. How medical doctors and students should use social media: a review of the main guidelines for proposing practical recommendations. Stud Health Technol Inform 2012;180:853-7.

24 [Social media in health care] isn t an addition to your job. This is part of your job [as a physician]. Farris Timimi, MD, Medical Director of the Center for Social Media at Mayo Clinic

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26 Two groups Twitter Beginners Twitter Intermediates/Experts

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28 Terry Alex Ryan #AAMC12

29 Please take a picture of your Tweet to Learn sheet and actually tweet it Tweet any final thoughts about this workshop at #AAMC12 Copies of the handouts and links to resources can be found here: Twitter contacts: Alex ; Terry ; Ryan Link to resources: QR code noted above OR

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