social media in health care

Social Media and Healthcare Ready or Not Here it Comes

Joel Topf, MDAssistant Clinical Professor Oakland University William Beaumont School of Medicine

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Social Media and Healthcare Ready or Not Here it Comes

Joel Topf, MDAssistant Clinical Professor Oakland University William Beaumont School of MedicinePBFluids.com@kidney_boyhttps://www.facebook.com/StClairSpecialty

http://bit.ly/SJHMCsmhc

#SJHMCsmhc2

Social media are web and mobile based technologies which support

user generated content, engagement, and collaboration among individuals,

companies and organizations.

http://en.wikipedia.org/wiki/Social_media3

Web 1.0

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a few content creators a whole bunch of consumers

Web 1.0

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Web 1.0


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Web 1.0

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Getting everyone online

Web 1.0

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Web 2.0

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a few professional content creators

Consumers that comment, edit, tag, share, retweet, forward and like content.

Web 2.0

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~6,000 editors with > 1 edits/month

~2,000 editors with > 5 edits/month

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How does Web 2.0 change healthcare

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February 11, 2011: FDA approves Makena by KV Pharmaceutical

Makena is 17-hydroxyprogesterone caproate (17OHPC) for the prevention of premature birth in women with a single fetus of less than 37 weeks gestation who had at least one previous preterm birth.

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Generic colchicine to FDA approved Colcrys

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17-OHPC had been used off-label for years at roughly $15 per dose.

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KV Pharmaceutical chose to charge $1,500 per dose

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Why a Facebook page? Let's harness the power of social media. Maybe if we stand together and make a statement that this self-serving greed is exploiting families in their darkest moments, perhaps someone will notice. Perhaps someone will care.

Christine Hess O'Connell

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Christine Hess O'Connellfounder of Shame on you KV Pharmaceutical and CEO Gregg Divis

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FebFDA Approval

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Feb Mar

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Feb MarMarch of Dimes withdraws support

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Feb Mar Apr

FDA states no regulatory action for compounding

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Feb Mar Apr MayPrice reduced $690/dose

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Feb Mar Apr May Jun Jul Aug SepPrice reduced $690/dose

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Feb Mar Apr May Jun Jul Aug Sep Oct

Stock at $0.86 from $12 at the time of approval

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Feb Mar Apr May Jun Jul Aug Sep Oct NovKV Pharma sued by investors

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Feb Mar Apr May Jun Jul Aug Sep Oct Nov DecJan Feb Mar Apr May Jun Jul

KV Pharma sued by investors

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Feb Mar Apr May Jun Jul Aug Sep Oct Nov DecJan Feb Mar Apr May Jun Jul Aug

KV Pharma seeks bankruptcy protection

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http://www.webicina.com/blog/?postID=243

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Facebook Users

Use

rs (

mill

ions

)

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Patient friend requestsPatient privacyPatient community

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I log on to Facebook and find the friend request...

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I log on to Facebook and find the friend request... ...from one of my patients.

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Has this ever happened to you?

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c. If they interact with patients on the Internet, physicians must maintain appropriate boundaries of the patient-physician relationship in accordance with professional ethical guidelines just, as they would in any other context.

d.To maintain appropriate professional boundaries physicians should consider separating personal and professional content online.

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What do you do?

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The rejection seems like a perfect solution until that awkward moment when the patient comes in for his next visit.

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Prior to rejecting the request use Facebook to send the patient a message

Sorry Mr. Peterson, I reserve my Facebook for personal friends and do not "friend" any patients or co-workers. I do have a number of social media personas that welcome patients. You can find and interact with me at:

@kidney_boy on twitterhttp://pbfluids.com on bloggerhttp://facebook.com/scsp on facebook

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Prior to rejecting the request use Facebook to send the patient a message

Sorry Mr. Peterson, I reserve my Facebook for personal friends and do not "friend" any patients or co-workers. I do have a number of social media personas that welcome patients. You can find and interact with me at:

@kidney_boy on twitterhttp://pbfluids.com on bloggerhttp://facebook.com/scsp on facebook

Instead of reject, redirect

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Nursing assistant Nai Mai Chao spent eight days in jail, was banned from Facebook and other social networks, lost her job and nursing license.

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posting a photo of a dying patient's buttocks



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Alexandra Thran, hospital employed emergency doctor in Rhode Island,inadvertently violated confidentiality by revealing details of an injury that could reveal personally identifiable information on Facebook.

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Alexandra Thran, hospital employed emergency doctor in Rhode Island,inadvertently violated confidentiality by revealing details of an injury that could reveal personally identifiable information on Facebook. She never revealed the patient’s name.

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Alexandra Thran, hospital employed emergency doctor in Rhode Island,inadvertently violated confidentiality by revealing details of an injury that could reveal personally identifiable information on Facebook. She never revealed the patient’s name.Fired

Fined $500Sent for re-education

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Gitelman’s syndrome

•Hypokalemia

•Hypomagnesemia

•Metabolic alkalosis

•Normal to low blood pressure

• Intense salt cravings

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Gitelman’s syndrome

•Hypokalemia

•Hypomagnesemia

•Metabolic alkalosis

•Normal to low blood pressure

• Intense salt cravings

Incidence is 1 in 40,000, most are undiagnosed

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"I haven't seen this before, but I have read about it."34

"The last time I saw this was during my fellowship"34

Should I get a port-a-cath? Should I get a picc line?

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The pharmacy changed forms of potassium. How can I get the old one?

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Is liquid potassium better than pills?

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I get more muscle pain after IV potassium. Is that normal?

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Is magnesium taurate okay?

I get more muscle pain after IV potassium. Is that normal?

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174 members36

...helped me realize I wasn’t crazy and was not a hypochondriac or just a drama queen.

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...helped me feel part of the human race again.

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So having people here who understand and relate has really allowed me to believe I can do this.

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Citing many cases in the US finally helped me persuade clinicians in the UK to allow me to try

this which has transformed my symptoms.

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...you don’t have to explain yourself or try to make people understand because they already “get it.”

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174 members43


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...the other blue social network46

few words, incalculable value46

Twitter is the second largest social network after Facebook

this is not a Coke vs Pepsi pairing, they are different animals

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Twitter is not Facebook

• Facebook, friends are a mutual decision

• everyone you are friends with is simultaneously your friend

• Twitter is asymmetric

• People you follow, do not necessarily follow you back

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Facebook allows you to connect with people you already know.Twitter allows you to meet people you want to know.

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Facebook allows you to connect with people you already know.Twitter allows you to meet people you want to know.

Facebook is where you lie to people you know. Twitter is where you're honest with strangers.

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Best tutorial on how twitter works:

http://www.momthisishowtwitterworks.com

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Three fundamental things to know about Twitter

• Who to follow

• What to do

• What to say

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who to follow

• be vicious with your follow list

• people who tweet their lunch

• people who suggest “earn great income, work at home”

• Anything by Zoey Deschanel

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who to follow

• be vicious with your follow list

• people who tweet their lunch

• people who suggest “earn great income, work at home”

• Anything by Zoey Deschanel

not

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who to follow: https://twitter.com/MGKatz036

Pt: "I'm just here for a second opinion... Already got my first one online."

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who to follow: https://twitter.com/precordialthump

4 medication classes linked to 67% of drug-related hospitalizations http://t.co/ZR9CUszI

Get these right: sugars and bleeding

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who to follow: https://twitter.com/drves

What do people die of? Mortality rates and data for every cause of death in

2011 visualized http://bit.ly/RDXkVz

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who to follow: https://twitter.com/MedPedsDoctor

The biggest challenge in MedEd is to demonstrate improved pt outcomes

from any education intervention, not just learner satisfaction

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who to follow: https://twitter.com/daniellenjones

If you haven't found a Twitter friend/colleague you want to chat with over coffee, you're advertising too much &

interacting too little.

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who to follow: https://twitter.com/medicalaxioms

The job of the ER physician admitting a medicine patient is to tell you why the patient can't go home, not to tell you

the diagnosis.

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who to follow: https://twitter.com/zdoggmd

I shocked the sheriff...but they claim it was asystole. #MedicalMarley

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http://zdoggmd.com/zdogg/http://www.youtube.com/watch?v=WNfFQI18ABI&feature=player_embedded

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who to follow: https://twitter.com/Skepticscalpel

Correlation & causation went into a bar The bartender asks "Are you two

related?" Correlation answers "Hey, what are you implying?"

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The anonymous tweeterPhysicians who write anonymously online say it affords them the opportunity to vent their frustrations with patients, colleagues, administrators and health plans with less fear of crossing legal and ethical lines.

Kevin O’Reilly reporting for AMA News

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The anonymous tweeter"Doctors do need to vent," said Dr. Vartabedian, who blogs and tweets under his own name. "I limit that venting of frustration to my immediate working staff and to my immediate colleagues. I don't feel it's appropriate for me to relate my frustrations with patients in a public place where everybody can see them."

Dr. Vartabedian, @Doctor_V

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The mask will come off and sometimes, not at

the time of your choosing

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Robert P. Lindeman, an Ivy League-educated pediatrician sat on the stand in Suffolk Superior Court, defending himself in a malpractice suit involving the death of a 12-year-old patient.

The opposing counsel startled him with a question.

“Are you Flea?”

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Flea, was the screen name for a blogger who had written about a trial remarkably similar to the one happening at Suffolk Superior Court.

Flea had ridiculed the plaintiff's case and the plaintiff's lawyer. He had revealed the defense strategy. He had accused members of the jury of dozing.

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Lindeman admitted that he was, in fact, Flea.

The next morning, he settled for what is described as a substantial settlement.

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•Tweet under your own name.

• It will remind you that you aren't scrawling graffiti behind the high school.

•Sign your name and you will be more careful with what you say.

•You never are as anonymous as you think you are.

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• Who to follow

• What to do

• What to say

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What to do: Spread your own wisdom

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What to do: Anatomy of a tweet

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Author: DebScreen name: @pingDebPicture

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Tweet text

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Hash Tag

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Retweeter

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Expand

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Expand

Replies

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Expand

Replies

your reply

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Reply: real interaction

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Reply: real interactionRetweet: amplification

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Reply: real interactionRetweet: amplificationFavorite: honor and collect

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All of these are public

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The blood of Jesus against Obama history made 4 Nov 2008 a

Taliban Muslim illegally elected president

USA:Hussein.

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• Who to follow

• What to do

• What to say

: Twitter Chats

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Twitter Chats

• Twitter Journal Club

• MedEd Chat

• HealthCare Social Media Chat

• Symplur keeps a database of regular healthcare twitter chats at:

• http://www.symplur.com/healthcare-hashtags/tweet-chats/

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#MedEd TweetChat Nov. 15: Academic Integrity

• 3 questions for discussion

• Topic 1: How comfortable would you be with reporting someone for academic dishonesty? What if it were a close colleague?

• Topic 2: What are the gray areas of academic dishonesty? What about overlooking a "minor" or 1st time occurrence?

• Topic 3: How comfortable would you feel working with someone who had cheated in medical school? Should academic dishonesty be a career ender?

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• 30 participants

• 274 Tweets

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• 30 participants

• 274 Tweets

#meded transcript

Healthcare Social Media Transcript

From: Thu Nov 15 18:00:00 PST 2012To: Thu Nov 15 19:15:00 PST 2012

change time period

Who were the influencers during this time period? #meded analytics

Connecting the dots in healthcare social media: Healthcare Conference - Tweet Chats - Healthcare Analytics

What is #meded?

MedEdChat Welcome to the Medical Education chat (US) I am your moderator for the next hour,@RyanMadanickMD #mededThu Nov 15 18:00:05 PST 2012

MedEdChat The questions will be announced in a moment…for now, please introduce yourselves#mededThu Nov 15 18:00:12 PST 2012

MedEdChat If you are tuning in to the #meded chat, remember to use the #meded hashtag and try toanswer with the Topic numbers (T1, T2, T3)Thu Nov 15 18:00:17 PST 2012

MedEdChat We will assume that all of your tweets are your own during this hour unless otherwisestated #mededThu Nov 15 18:00:28 PST 2012

MedPedsDoctor I've been quiet on Twitter for the past few days. Excited to be here for the chat in #mededThu Nov 15 18:02:41 PST 2012

RyanMadanickMD @MedPedsDoctor so THAT'S why I was so bored the last few days... :-) #mededThu Nov 15 18:03:04 PST 2012

ChrisCarrollMD @RyanMadanickMD @MedPedsDoctor Looking forward to a nice hour! #mededThu Nov 15 18:04:02 PST 2012

RyanMadanickMD @ChrisCarrollMD Welcome back, Chris #mededThu Nov 15 18:04:21 PST 2012

pbjpaulito Hello #meded folks, my name is Paul Jones, PGY2 in Family Medicine at McMaster U inCanada. *waves to crowd*Thu Nov 15 18:04:27 PST 2012

MGKatz036 Mike Katz, cardiology fellow. Sorry I missed #meded chat last week. My first child wasbeing born. :-)Thu Nov 15 18:04:29 PST 2012

RyanMadanickMD Mazel tov! RT @MGKatz036: Mike Katz, cardiology fellow. Sorry I missed #meded chatlast week. My first child was being born. :-)Thu Nov 15 18:04:39 PST 2012

RyanMadanickMD @pbjpaulito Hello Paul *waving back* #mededThu Nov 15 18:04:54 PST 2012

pbjpaulito @MedPedsDoctor welcome back Alex. #mededThu Nov 15 18:04:58 PST 2012

ChrisCarrollMD @MGKatz036 Congrats! Great news! #mededThu Nov 15 18:05:09 PST 2012

MedEdChat T1 about to come up in a few moments #mededThu Nov 15 18:05:10 PST 2012

thinkalot Madhu Singh Internist at UCSD VA inpatient doc,care a lot abt medicaleducation,bioethics,decision making #mededThu Nov 15 18:05:17 PST 2012

pbjpaulito @MGKatz036 congrats Mike, but do you think that is a legitimate excuse? :p #mededThu Nov 15 18:05:25 PST 2012

BernieMD31 Kevin Bernstein, GME2 Navy Family Medicine Resident, Pensacola, FL checking in from#aafp world headquarters #mededThu Nov 15 18:05:28 PST 2012

jvrbntz Hi #mededThu Nov 15 18:05:29 PST 2012

surgicalcaps RT @RyanMadanickMD: @MedPedsDoctor so THAT'S why I was so bored the last fewdays... :-) #mededThu Nov 15 18:05:32 PST 2012

RyanMadanickMD @BernieMD31 @jvrbntz welcome back both of u #mededThu Nov 15 18:05:52 PST 2012

ChrisCarrollMD @RyanMadanickMD Thanks, Ryan! Recorded a nice podcast on #hcsm with@Caduceusblogger tonight. Should be up @accpchest next week #mededThu Nov 15 18:06:16 PST 2012

MedEdChat Tonight we're going to talk about academic integrity. Part of academic integrity is self-policing. #mededThu Nov 15 18:06:19 PST 2012

MedEdChat TOPIC 1: How comfortable would you be with reporting someone for academicdishonesty? What if It were a close colleague? #mededThu Nov 15 18:06:42 PST 2012

MedPedsDoctor Love this topic: academic integrity. T1. Different folks have varying opinions on reportingcolleague for dishonesty. #mededThu Nov 15 18:07:47 PST 2012

RyanMadanickMD T1 now live at #meded: How comfortable would you be reporting a colleague for academicdishonesty? #medsm #hcsmThu Nov 15 18:08:01 PST 2012

jvrbntz T1 #meded can this be resolved first by addressing the person before reporting it tosomeone else? That would be my first go to optionThu Nov 15 18:08:11 PST 2012

MedPedsDoctor T1. There is a range of beliefs about what constitutes "dishonesty". Some things areobvious: others are in grey zone #mededThu Nov 15 18:08:24 PST 2012

pbjpaulito @MedEdChat looking forward to the discussion. #meded Talking integrity tonight.Thu Nov 15 18:08:25 PST 2012

RyanMadanickMD @MedPedsDoctor @jvrbntz T1 But most places I think *require* reporting as part of thehonor code #mededThu Nov 15 18:08:45 PST 2012

pbjpaulito RT @jvrbntz: T1 #meded can this be resolved first by addressing the person beforereporting it to someone else? That would be my first g ...Thu Nov 15 18:08:51 PST 2012

FutureDocs joining #meded chat for a moment: interesting topic: how to report someone for academicdishonesty?Thu Nov 15 18:09:03 PST 2012

RyanMadanickMD #meded RT @ChrisCarrollMD: @MedPedsDoctor @MedEdChat T1: Great question.Personally very uncomfortable, but crucial. How would u even know?Thu Nov 15 18:09:30 PST 2012

pbjpaulito @jvrbntz it depends on the type of academic dishonesty. If it is plagiarism or falsification ofdata or results, needs swift action. #mededThu Nov 15 18:10:02 PST 2012

RyanMadanickMD @MedPedsDoctor T1 I was going to ask the "gray zones" for T2! #mededThu Nov 15 18:10:06 PST 2012

jvrbntz T1 #meded I would feel very uncomfortable but if needed I would familiarize myself withthe whole process. Very fragile situationThu Nov 15 18:10:33 PST 2012

pbjpaulito @RyanMadanickMD @MedPedsDoctor @jvrbntz what is in the honour (Cdn/UK spelling)code? #mededThu Nov 15 18:10:48 PST 2012

thinkalot T1depends on what the failing is-if it impacts patient care,I would rat.often dishonesty isnebulous #mededThu Nov 15 18:11:11 PST 2012

ChrisCarrollMD @pbjpaulito @jvrbntz T1: absolutely, but again how would you know? Love that BMJ isrequiring patient level data, but even that is ? #mededThu Nov 15 18:11:49 PST 2012

RyanMadanickMD @pbjpaulito Here is @UNC_Health_Care SOM's Honor Code: http://t.co/pbLCjjHT@MedPedsDoctor @jvrbntz #mededThu Nov 15 18:11:51 PST 2012

BernieMD31 Our Honor Code: A Naval Medical Officer does not lie, cheat, steal, or tolerate those whodo. Applies to our residency #mededThu Nov 15 18:11:57 PST 2012

MGKatz036 @thinkalot I this is a key point. Pt safety is of primary importance. #mededThu Nov 15 18:12:10 PST 2012

pbjpaulito @jvrbntz yes confronting colleagues about this would be uncomfortable but similar whenconcerns about patient safety. Necessary. #mededThu Nov 15 18:12:16 PST 2012

jordangrumet Cool. @MGKatz036: Mike Katz, cardiology fellow. Sorry I missed #meded chat last week.My first child was being born. :-)"Thu Nov 15 18:12:42 PST 2012

MGKatz036 Every licensing/credentialing test I've ever taken has had a question regarding the need toreport an "impaired" physician… #mededThu Nov 15 18:13:35 PST 2012

pbjpaulito @RyanMadanickMD I sometimes wonder about authorship and attribution in Academia.#mededThu Nov 15 18:13:46 PST 2012

MedEdChat T1a If ur school/program required self-policing as part of honor code, would you confrontthe indiv or go straight to honor court? #mededThu Nov 15 18:13:50 PST 2012

pbjpaulito RT @MGKatz036: @thinkalot I this is a key point. Pt safety is of primary importance.#mededThu Nov 15 18:14:02 PST 2012

MGKatz036 The answer to all of these questions is to repot the other physician, immediately, with zerotolerance as to not put pts in danger. #mededThu Nov 15 18:14:10 PST 2012

Kind4Kids Hello, #meded chat, joining in late, but will aim to tweet with integrity.Thu Nov 15 18:14:14 PST 2012

MedPedsDoctor .@iumedschool Honor Code: http://t.co/tLHCSaCN #mededThu Nov 15 18:14:16 PST 2012

EMIMDoc @pbjpaulito @ryanmadanickmd And on Twitter/SoMe... #mededThu Nov 15 18:14:31 PST 2012

RyanMadanickMD @pbjpaulito Authorship is being address more aggressively now by the journals I believe#mededThu Nov 15 18:14:32 PST 2012

RyanMadanickMD @Kind4Kids Hey there Terry #mededThu Nov 15 18:14:47 PST 2012

ChrisCarrollMD @MGKatz036 T1: Connecticut has a great program for "impaired" physicians to get helpand not lose their licenses #mededThu Nov 15 18:15:10 PST 2012

RyanMadanickMD @MGKatz036 That's the intent of the rules...but what if it's your boss or closest colleague?How would you deal w it? #mededThu Nov 15 18:15:28 PST 2012

EMIMDoc @MedEdChat Rhe 'right' answer for exams is to approach the individual first. Seems thecollegial thing to do. #mededThu Nov 15 18:15:53 PST 2012

pbjpaulito @RyanMadanickMD yes I see that PLoS has criteria which must be met to be consider anauthor. #mededThu Nov 15 18:16:09 PST 2012

FutureDocs T1 we have guiding principles of professionalism developed by our studentshttp://t.co/PHTvJTqJ #mededThu Nov 15 18:16:13 PST 2012

ChrisCarrollMD @RyanMadanickMD @pbjpaulito And also cracking down on journals who try to boost theirImpact Factors for self-citations #mededThu Nov 15 18:16:22 PST 2012

MedPedsDoctor I think it is very difficult to report others with whom one has a relationship (professional orotherwise). #mededThu Nov 15 18:16:22 PST 2012

MedPedsDoctor On the flip side, dont' we all have a duty to the profession? After all, medicine is aprofession, not just a "job". #mededThu Nov 15 18:16:55 PST 2012

RyanMadanickMD @ChrisCarrollMD @pbjpaulito Journals have also decreased amount of case reportspublished b/c of Impact Factor... #mededThu Nov 15 18:17:04 PST 2012

pbjpaulito I think one key to integrity in academic medicine is to ensure that students and faculty havesame honor codes and expectations. #mededThu Nov 15 18:17:33 PST 2012

MGKatz036 @RyanMadanickMD Once you're aware of the dishonesty, unless you report it, you're thenan accomplice. See this: http://t.co/eXl4N2CK #mededThu Nov 15 18:17:38 PST 2012

ChrisCarrollMD @EMIMDoc @MedEdChat What if they deny it? Or have an explanation? Nothing is everas simple as it is on Grey's Anatomy/ER #mededThu Nov 15 18:17:45 PST 2012

Kind4Kids Just led a #meded student session on patient safety & medical errors today, when you seesomething say something, & how http://t.co/nrMRsXQZThu Nov 15 18:18:17 PST 2012

pbjpaulito @ChrisCarrollMD @RyanMadanickMD yes some interesting research about self-citationand impact factors has been published as of late. #mededThu Nov 15 18:18:25 PST 2012

EMIMDoc @ChrisCarrollMD @mededchat If no good explanation, then you escalate. #mededThu Nov 15 18:18:38 PST 2012

pbjpaulito @ChrisCarrollMD @RyanMadanickMD fascinating how it can be tracked with pubmed andother online databases. #mededThu Nov 15 18:18:48 PST 2012

FutureDocs RT @Kind4Kids: Just led a #meded student session on patient safety & medical errorstoday, when you see something say something, &am ...Thu Nov 15 18:19:03 PST 2012

DrPediatricID depends on my relationship with the individual and the nature of the "lapse inproffesionalism" #mededThu Nov 15 18:19:07 PST 2012

Kind4Kids Great if each incoming #medschool class can establish and/or refine their academicintegrity principles (with faculty guidance). #mededThu Nov 15 18:19:42 PST 2012

RyanMadanickMD Some gray areas? RT @DrPediatricID: depends on my relationship with the individual andthe nature of the "lapse in proffesionalism" #mededThu Nov 15 18:19:45 PST 2012

pbjpaulito @MedPedsDoctor a vocation some would say. #mededThu Nov 15 18:19:51 PST 2012

ChrisCarrollMD @Kind4Kids Read through a bunch of cases as part of a class. Students are frequently theones who turn the offenders in! #mededThu Nov 15 18:20:04 PST 2012

ChrisCarrollMD @pbjpaulito @RyanMadanickMD I think we'll see a lot less of "year in review" issues in thefuture! #mededThu Nov 15 18:20:51 PST 2012

MedPedsDoctor .@pbjpaulito a vocation, a profession, a "calling". Not just a job. #mededThu Nov 15 18:21:02 PST 2012

jvrbntz T1 agree depends on the circumstances pt sfty 1st RT @EMIMDoc: @ChrisCarrollMD@mededchat If no good explanation, then you escalate. #mededThu Nov 15 18:21:07 PST 2012

RyanMadanickMD @DrPediatricID And I think Roberto is our first participant from #AAMC12!! #meded cc@Kind4Kids @MedPedsDoctorThu Nov 15 18:21:12 PST 2012

FutureDocs @Kind4Kids would be great but does take a lot of time though and some of the principlesare the same #mededThu Nov 15 18:21:43 PST 2012

MedEdChat T2 will lead nicely from T1, as the discussion has already led that way... #mededThu Nov 15 18:22:08 PST 2012

brookmanknight “@petermbenglish: RT @drkimholt The 5 Phases Of Whistleblowing http://t.co/0k7cdCAavia @TheGlobalMail” #meded A good article.Thu Nov 15 18:22:11 PST 2012

MedPedsDoctor I think a great way to find "academic dishonesty" info which undermines safety &professionalism is to do reflective exercises. #mededThu Nov 15 18:22:15 PST 2012

pbjpaulito RT @Kind4Kids: Hello, #meded chat, joining in late, but will aim to tweet with integrity.Thu Nov 15 18:22:26 PST 2012

BernieMD31 DoD uses Patient Safety Reporting (PSR) - keeping the patient central to this process haschanged culture http://t.co/Gf3w0lOR #mededThu Nov 15 18:22:44 PST 2012

MedEdChat TOPIC 2 #meded: What are the gray areas of academic dishonesty? What aboutoverlooking a "minor" or 1st time occurrence?Thu Nov 15 18:22:49 PST 2012

RyanMadanickMD RT @MedEdChat: TOPIC 2 #meded: What are the gray areas of academic dishonesty?What about overlooking a "minor" or 1st time occurrence?Thu Nov 15 18:22:57 PST 2012

Kind4Kids @FutureDocs Can be a bonding experience for the class, too, I imagine. #mededThu Nov 15 18:22:59 PST 2012

pbjpaulito @Kind4Kids interesting video. Thanks for tweeting. #mededThu Nov 15 18:23:02 PST 2012

MedPedsDoctor .@kind4kids is to integrity as peanut butter is to jelly. Both go hand in hand. #mededThu Nov 15 18:23:29 PST 2012

RyanMadanickMD T2 now live at #meded: What are the gray aras of academic dishonesty? Would u everoverlook a minor infraction? #hcsm #medschool #medstudentThu Nov 15 18:23:40 PST 2012

FutureDocs @Kind4Kids that is very true and bonding is a plus #mededThu Nov 15 18:23:45 PST 2012

RyanMadanickMD RT @brookmanknight: “@petermbenglish: RT @drkimholt The 5 Phases OfWhistleblowing http://t.co/0k7cdCAa via @TheGlobalMail” #meded A g ...Thu Nov 15 18:24:05 PST 2012

FutureDocs T2 #meded identifying a trend vs a one time occurrence is definitely a priority indetermining what to do with lapses in integrityThu Nov 15 18:24:38 PST 2012

EMIMDoc @RyanMadanickMD T2: I would venture to say that we all have. #mededThu Nov 15 18:24:43 PST 2012

LKincaid RT @Kind4Kids: Just led a #meded student session on patient safety & medical errorstoday, when you see something say something, &am ...Thu Nov 15 18:25:09 PST 2012

FutureDocs T2 #meded one way is to monitor lapses using a professionalism concern form - if you getover 3 that identifies a trend.Thu Nov 15 18:25:16 PST 2012

Kind4Kids @pbjpaulito Yes, great @HHSGov Partnering to Heal videos show different perspectives(student, nurse, attending, family, etc). #mededThu Nov 15 18:25:59 PST 2012

ChrisCarrollMD @RyanMadanickMD Starts for the very beginning of training. What was that lab? "Normal"Did you check it?....umm... #mededThu Nov 15 18:26:03 PST 2012

RyanMadanickMD @FutureDocs T2 Apart fr true dishonesty, I look at character lapses this way: 1 time:occurrence, 2nd time: trend, 3rd time: problem #mededThu Nov 15 18:26:17 PST 2012

DrPediatricID issues should never be overlooked, but a minor issue might require just a briefconversation, should be a teaching moment #mededThu Nov 15 18:26:30 PST 2012

FutureDocs T2 #meded another grey area acad integrity is when 'teamwork' is OK vs individualcontribution needs to be countedThu Nov 15 18:26:40 PST 2012

MedPedsDoctor We have a process similar to @futuredocs . A "concern card". On the flipside, we alsohave a "praise card" #mededThu Nov 15 18:26:43 PST 2012

EMIMDoc @FutureDocs I'd agree that a trend is much more concerning than isolated incidents. Butwho's doing the reporting? #mededThu Nov 15 18:26:47 PST 2012

RyanMadanickMD @ChrisCarrollMD T2 When does "fudging the truth" become academic dishonesty?#mededThu Nov 15 18:27:28 PST 2012

ChrisCarrollMD @RyanMadanickMD @FutureDocs Nice way of looking at it! #mededThu Nov 15 18:27:29 PST 2012

Kind4Kids When does a #medstudent consider him/herself a professional? When do others considerthem professionals. That's when it starts. #mededThu Nov 15 18:27:43 PST 2012

FutureDocs @RyanMadanickMD yes that's def the idea - i like trend vs problem distinction! #meded T2Thu Nov 15 18:27:45 PST 2012

RyanMadanickMD @DrPediatricID How true. #mededThu Nov 15 18:27:58 PST 2012

jvrbntz T2 #meded the problem is that you may not see the trend and only that "one incident".Thu Nov 15 18:28:12 PST 2012

BernieMD31 T2: No errors go overlooked, starts w/ informal convo, then formal counseling sessionswhich can have military career implications #mededThu Nov 15 18:28:29 PST 2012

MedPedsDoctor Professionalism starts in kindergarten. #playniceinthesandbox #mededThu Nov 15 18:28:43 PST 2012

jclau_ca Illustrations from the Atlas of Skull Base Surgery and Neurotology available for non-profit#meded use: http://t.co/yU8jV2yq #neurosurgeryThu Nov 15 18:29:05 PST 2012

ChrisCarrollMD @RyanMadanickMD T2: I try to teach that "little things kill patients". Small mistakes are notalways small. Details matter. #mededThu Nov 15 18:29:09 PST 2012

RyanMadanickMD Indeed; the iceberg theory RT @jvrbntz: T2 #meded the problem is that you may not seethe trend and only that "one incident".Thu Nov 15 18:29:16 PST 2012

FutureDocs @MedPedsDoctor that's great. celebrating the positive is very important. we have PeerRole Model Awards for students and faculty #mededThu Nov 15 18:29:19 PST 2012

pbjpaulito @Kind4Kids @HHSGov yes, I just bookmarked it for future reference. Effectively makesthe point. #mededThu Nov 15 18:29:32 PST 2012

brookmanknight RT @MedPedsDoctor: Professionalism starts in kindergarten. #playniceinthesandbox#mededThu Nov 15 18:29:51 PST 2012

EMIMDoc @RyanMadanickMD @jvrbntz True. Every incident may need to be explored. Triggerscloser supervision? #mededThu Nov 15 18:30:32 PST 2012

MedPedsDoctor Truly understanding one's role as a professional, however, starts later than kindergarten.#mededThu Nov 15 18:30:44 PST 2012

MGKatz036 @ChrisCarrollMD @RyanMadanickMD Sweat the small stuff. And a lot of it is small stuff. :-) #mededThu Nov 15 18:30:48 PST 2012

DrAnneEllis #meded The real problem arises when the unprofessional conduct is overlooked due tofear of repercussions if one gives negative feedbackThu Nov 15 18:31:07 PST 2012

pbjpaulito @jvrbntz I agree, if each incident is considered one time and three different people see itbut isn't reported, no apparent trend. #mededThu Nov 15 18:31:11 PST 2012

RyanMadanickMD @EMIMDoc @jvrbntz Yes. I keep my ears open once I hear the first issue #mededThu Nov 15 18:31:19 PST 2012

JediPD @RyanMadanickMD One doesn't overlook, but confront at a personal level to fix theproblem before inquisition. #meded (my 2 ¥ens)Thu Nov 15 18:31:19 PST 2012

pbjpaulito RT @MedPedsDoctor: Professionalism starts in kindergarten. #playniceinthesandbox#mededThu Nov 15 18:31:31 PST 2012

DrPediatricID should be from day 1, but i guess is kind of like becoming an adult; it doesn't happenmagically when you turn 18 #mededThu Nov 15 18:31:44 PST 2012

pbjpaulito RT @MedPedsDoctor: Truly understanding one's role as a professional, however, startslater than kindergarten. #mededThu Nov 15 18:31:45 PST 2012

FutureDocs For practicing docs (outliers in patient complaints), Dr. Hickson at Vandy has had successwith trusted peer "coffee" convo #mededThu Nov 15 18:31:59 PST 2012

ChrisCarrollMD @EMIMDoc @RyanMadanickMD @jvrbntz T2: But not everything is a federal case. Needto be corrected in real time that "fudging" matters #mededThu Nov 15 18:32:14 PST 2012

brookmanknight @RyanMadanickMD @emimdoc @jvrbntz is there a place for corporate style performancereviews. ? The good the bad & the ugly? #mededThu Nov 15 18:32:55 PST 2012

FutureDocs @EMIMDoc reporting is usu done by faculty course directors #mededThu Nov 15 18:32:59 PST 2012

Kind4Kids @MedPedsDoctor aww, thanks Alex, honored to have you say/tweet that. Likewise.#wouldsharemysandboxwithyou #mededThu Nov 15 18:33:02 PST 2012

DrAnneEllis Well said: RT @MedPedsDoctor: Professionalism starts in kindergarten.#playniceinthesandbox #mededThu Nov 15 18:33:03 PST 2012

ChrisCarrollMD @DrAnneEllis T2: This is a great point! Lots are afraid to give negative feedback.Especially to RNs, APRNs, PAs. #mededThu Nov 15 18:33:23 PST 2012

FutureDocs RT @RyanMadanickMD: Indeed; the iceberg theory RT @jvrbntz: T2 #meded the problemis that you may not see the trend and only that "one i ...Thu Nov 15 18:33:24 PST 2012

pbjpaulito @MedPedsDoctor "A professional; is someone who can do his best work when he doesn'tfeel like it." Cooke, Alistair #integrity #mededThu Nov 15 18:33:24 PST 2012

RyanMadanickMD @brookmanknight @emimdoc @jvrbntz Yes. the 360 review (corporate style) is becomingthe norm #mededThu Nov 15 18:33:26 PST 2012

applam1 RT @RyanMadanickMD: Indeed; the iceberg theory RT @jvrbntz: T2 #meded the problemis that you may not see the trend and only that "one i ...Thu Nov 15 18:33:50 PST 2012

EMIMDoc @brookmanknight @ryanmadanickmd @jvrbntz There should be. With the goal of self-improvement. #mededThu Nov 15 18:33:56 PST 2012

MedPedsDoctor culture around bullying. http://t.co/GCHCRcW8 #mededThu Nov 15 18:34:11 PST 2012

DrAnneEllis @brookmanknight @RyanMadanickMD @emimdoc @jvrbntz #meded Would be goodpractice for "physician as manager role" later in life #CANMEDsThu Nov 15 18:34:21 PST 2012

EMIMDoc @FutureDocs But peers are the only ones really exposed to all the infractions. #mededThu Nov 15 18:34:31 PST 2012

BernieMD31 @RyanMadanickMD ACGME loves the 360: Level 1 for measuring most corecompetencies. Lots of good feedback from all staff #mededThu Nov 15 18:34:53 PST 2012

MedPedsDoctor Gr8 discussion of academic integrity, which comes to light given the culture of bullying(50% of students): http://t.co/GCHCRcW8 #mededThu Nov 15 18:35:10 PST 2012

ChrisCarrollMD @RyanMadanickMD @brookmanknight @EMIMDoc @jvrbntz Just went thru a 360.Painful, but very helpful! #mededThu Nov 15 18:35:13 PST 2012

pbjpaulito Enjoyed the conversation but under the weather so going to tuck in early tonight. #mededThu Nov 15 18:35:14 PST 2012

jvrbntz I love this article. Sad when it happens in a highly skilled profsn RT @MedPedsDoctor:culture around bullying. http://t.co/oQTPVBqH #mededThu Nov 15 18:35:28 PST 2012

Jim_Rawson_MD @DrAnneEllis cost of unprof behavior is high in patient safety, $, and lost education time.Working on a model to calculate cost #mededThu Nov 15 18:35:32 PST 2012

RyanMadanickMD @BernieMD31 I've gotten some of the best feedback on my fellows from the RNs, secy's,etc #mededThu Nov 15 18:35:39 PST 2012

DrAnneEllis @ChrisCarrollMD Also when said individual has "cried wolf" for unfair performanceappraisal or even harrassment in the past #mededThu Nov 15 18:35:41 PST 2012

FutureDocs @EMIMDoc true. reluctant to report though so its a start #mededThu Nov 15 18:35:51 PST 2012

RyanMadanickMD @Jim_Rawson_MD Good luck with that. Would love to see it when published #mededThu Nov 15 18:36:05 PST 2012

Kind4Kids @pbjpaulito @MedPedsDoctor And when no one else is looking. (or tweeting) #meded#professionalismThu Nov 15 18:36:22 PST 2012

MedPedsDoctor I've gotten some of the best feedback on myself from nurses, assistants, and other non-physician HCPs #mededThu Nov 15 18:36:40 PST 2012

BernieMD31 @RyanMadanickMD Absolutely! Received a lot of great feedback for my performance onmany rotations - better than attending docs! #mededThu Nov 15 18:36:44 PST 2012

jvrbntz RT @MedPedsDoctor: I've gotten some of the best feedback on myself from nurses,assistants, and other non-physician HCPs #mededThu Nov 15 18:36:55 PST 2012

brookmanknight @RyanMadanickMD @berniemd31 #meded Yes the nursing staff always "know" LOL.Thu Nov 15 18:37:25 PST 2012

vivimbmd #meded 360s are helpful only if then debriefing occurs, utilize feedback in meaningful way,apply it to personal and group growthThu Nov 15 18:37:31 PST 2012

ChrisCarrollMD @DrAnneEllis Good point! Rock & hard place there. But we're not making lattes! Goodtraining is crucial #mededThu Nov 15 18:37:37 PST 2012

JediPD @RyanMadanickMD @berniemd31 Always the Best Source #mededThu Nov 15 18:37:44 PST 2012

nashria_rusdhy @MedPedsDoctor "A professional; is someone who can do his best work when he doesn'tfeel like it." Cooke, Alistair #integrity #mededThu Nov 15 18:37:47 PST 2012

MedEdChat Another great discussion here at #meded tonight, this time about academic integrity. Onemore question coming up in a minuteThu Nov 15 18:38:09 PST 2012

MGKatz036 Just curious… is the best feedback regarding professional behavior anonymous or face-to-face? #mededThu Nov 15 18:38:33 PST 2012

jvrbntz @vivimbmd T2 #meded agree completely, a report is useless without appropriatedebriefing and change in behaviorThu Nov 15 18:38:44 PST 2012

MedEdChat TOPIC 3 #meded: How comfortable would u feel working w someone who had cheated in#medschool? Should academic dishonesty be a career ender?Thu Nov 15 18:39:01 PST 2012

brookmanknight @vivimbmd #meded Yes performance review has to be done well. Good role forpsychologist involvement if req. positive growth outcome.Thu Nov 15 18:39:04 PST 2012

RyanMadanickMD RT @MedEdChat: TOPIC 3 #meded: How comfortable would u feel working w someonewho had cheated in #medschool? Should academic dishonesty ...Thu Nov 15 18:39:10 PST 2012

jvrbntz I prefer face to face :) RT @MGKatz036: Just curious… is the best feedback regardingprofessional behavior anonymous or face-to-face? #mededThu Nov 15 18:39:26 PST 2012

MedPedsDoctor .@nashria_rusdhy Agree ... only add "she" to the phrase as well. #mededThu Nov 15 18:39:29 PST 2012

BernieMD31 @brookmanknight Absolutely! US Navy Nurse Corps rocks! #mededThu Nov 15 18:40:01 PST 2012

MGKatz036 @jvrbntz How many 360 evals are conducted face-to-face? #mededThu Nov 15 18:40:02 PST 2012

RyanMadanickMD T3 now live at #meded: How would you feel working w someone who had cheated in#medschool? Should there be no tolerance? #hcsm #medstudentThu Nov 15 18:40:09 PST 2012

EMIMDoc @MGKatz036 @jvrbntz #inquisition in #meded ?Thu Nov 15 18:40:50 PST 2012

jvrbntz sorry, I was referring after the 360 evals were submitted RT @MGKatz036: @jvrbntz Howmany 360 evals are conducted face-to-face? #mededThu Nov 15 18:40:52 PST 2012

themedicalway 6 days left for the boards! Wish me luck. #tuffTIME #mededThu Nov 15 18:40:56 PST 2012

vivimbmd @MGKatz036 I think it depends of ability of who is giving the feedback. What the issues,etc. #mededThu Nov 15 18:40:56 PST 2012

ChrisCarrollMD @RyanMadanickMD T3: Totally depends on the response & incident. Not necessarily acareer ender, but could be. #mededThu Nov 15 18:41:47 PST 2012

RyanMadanickMD @vivimbmd Welcome to #meded chat, neighbor... (I'm in Chapel Hill)Thu Nov 15 18:41:49 PST 2012

MGKatz036 the consequences for the -charge- of unprofessional behavior are enormous. do theaccused have the right to know their accusers? #mededThu Nov 15 18:42:26 PST 2012

jvrbntz T3 #meded I don't think it should be career ender and feel comfortable if the behavior hasbeen correctedThu Nov 15 18:42:44 PST 2012

DrAnneEllis @brookmanknight @RyanMadanickMD @berniemd31 #meded Agree- trainees are morelikely to be "themselves" around support staffThu Nov 15 18:43:17 PST 2012

Kind4Kids @MedEdChat I would not feel comfortable with that. I'm open to the idea of remediationthough, if substantial and sincerely done. #mededThu Nov 15 18:43:53 PST 2012

vivimbmd @MedEdChat Probably depends of the level of "cheating". Are we talking exams?Changing data? Manipulating research results? #mededThu Nov 15 18:44:24 PST 2012

MedPedsDoctor We had this discussion in GMEC mtg yesterday, in regards to physicians w drug problem.Anesthesia program: zero tolerance policy #mededThu Nov 15 18:44:33 PST 2012

FutureDocs T3 i'll admit i would worry about pattern of dishonesty in clinical practice - cheating-->falsifying records #mededThu Nov 15 18:44:38 PST 2012

BernieMD31 @RyanMadanickMD @vivimbmd is a #FMRevolution rockstar! Doing great things atDuke's program #mededThu Nov 15 18:44:39 PST 2012

RyanMadanickMD @vivimbmd Your choice :-) #mededThu Nov 15 18:45:04 PST 2012

MGKatz036 RT @FutureDocs: T3 i'll admit i would worry about pattern of dishonesty in clinical practice- cheating-->falsifying records #mededThu Nov 15 18:45:13 PST 2012

MedPedsDoctor Indiana State Med Assoc: physician assistance program: http://t.co/D2wOLSd4 #mededThu Nov 15 18:45:44 PST 2012

DrAnneEllis @RyanMadanickMD #meded Would imagine that must be increasingly uncommon-cheating is so unnecessary in these times of formative assessmentThu Nov 15 18:45:46 PST 2012

EMIMDoc @vivimbmd @mededchat Yeah, there's a huge range here - signing in for a colleague?Collaborating on home tests? #mededThu Nov 15 18:45:48 PST 2012

BernieMD31 Not sure as a resident if I would know if another resident had hx of cheating in medschool... ? #mededThu Nov 15 18:45:57 PST 2012

RyanMadanickMD Even though it's DUKE ;-) RT @BernieMD31: @RyanMadanickMD @vivimbmd is a#FMRevolution rockstar! Doing great things at Duke's program #mededThu Nov 15 18:46:14 PST 2012

DrAnneEllis @MGKatz036 Often invariably, in my limited experience with the same #mededThu Nov 15 18:46:32 PST 2012

jvrbntz #meded I know it's not part of the discussion, but how about the people who protect theones who have committed dishonesty? would u trust?Thu Nov 15 18:47:20 PST 2012

RyanMadanickMD RT @jvrbntz: #meded I know it's not part of the discussion, but how about the people whoprotect the ones who have committed dishonesty? would u trust?Thu Nov 15 18:47:26 PST 2012

MedPedsDoctor how about this example: coming 40 minutes late to a conference, then signing in (& takinglunch). What degree of unprofessionalism? #mededThu Nov 15 18:47:49 PST 2012

mdTalk Just curious… http://t.co/bJCMXeIm is the best feedback regarding professional behavioranonymous or face-to-face? #mededThu Nov 15 18:47:59 PST 2012

MGKatz036 @MedPedsDoctor Almost as unprofessional as making people eat during the didactics thatare required to be provided. :-) #mededThu Nov 15 18:48:44 PST 2012

Kind4Kids Is there such a thing as being a little bit unprofessional? #mededThu Nov 15 18:49:05 PST 2012

RyanMadanickMD @MedPedsDoctor A former superior used to brag about how he would give fake numericevals at a CME conf to get the credit w/o going #mededThu Nov 15 18:49:09 PST 2012

BernieMD31 @MedPedsDoctor It depends: 40 minutes late after doing a 2 hour admission vs 40minutes late just to be 40 minutes late #mededThu Nov 15 18:49:11 PST 2012

vivimbmd @MedPedsDoctor Your example is not uncommon, Can become the norm in some placesunless professionalism is held as high standard #mededThu Nov 15 18:49:19 PST 2012

ChrisCarrollMD @MedPedsDoctor When we treat residents like children, they tend to act accordingly.Required lectures are silly IMHO #mededThu Nov 15 18:49:35 PST 2012

Kind4Kids @mdTalk Would suggest in person, for a dialogue. See where each other is coming from.Gain insight. Plan for next steps. #mededThu Nov 15 18:50:20 PST 2012

BernieMD31 @ChrisCarrollMD Amen. Learned through PBL in med school, can't stand lectures, don'tmake them required. Thanks #mededThu Nov 15 18:50:23 PST 2012

EMIMDoc @vivimbmd @medpedsdoctor Takes strong leadership, and a culture of professionalism.Rare. #mededThu Nov 15 18:50:24 PST 2012

MedPedsDoctor .@BernieMD31 I would venture to say that most are late not because they are "slacking",but because they are busy w real pt care #mededThu Nov 15 18:50:38 PST 2012

MedPedsDoctor good points, everyone. change example to "required" PBL session. 40 minutes late, thensign in. Is that unprofessional? #mededThu Nov 15 18:51:51 PST 2012

MGKatz036 @MedPedsDoctor yes. #mededThu Nov 15 18:52:36 PST 2012

BernieMD31 @MedPedsDoctor If peers notice some1 is late often, not w/ pt care, initial dialogue w/colleague to id other social issues/stressors #mededThu Nov 15 18:52:48 PST 2012

EMIMDoc @vivimbmd @medpedsdoctor Yes. Esp "behavior of superiors". #mededThu Nov 15 18:53:46 PST 2012

MGKatz036 How about faculty that don't attend teaching conferences? Professional? #mededThu Nov 15 18:53:48 PST 2012

neva9257 RT @MedPedsDoctor: Professionalism starts in kindergarten. #playniceinthesandbox#mededThu Nov 15 18:53:51 PST 2012

DrAnneEllis MT @ChrisCarrollMD: When we treat residents (or med students) like children, they tendto act accordingly. Would have to agree #mededThu Nov 15 18:54:04 PST 2012

Jim_Rawson_MD @BernieMD31 #meded I am a big PBL fan as well. Using PBL to teach my #radiologyresidents leadership and professionalism.Thu Nov 15 18:54:10 PST 2012

BernieMD31 @MedPedsDoctor 40 minutes late to PBL session on regular basis, absolutely, especiallyw/o identifying legit factors #mededThu Nov 15 18:54:10 PST 2012

EMIMDoc This is key ---> “@MGKatz036: How about faculty that don't attend teaching conferences?Professional? #meded”Thu Nov 15 18:54:36 PST 2012

ChrisCarrollMD @MGKatz036 How about leadership that schedules sessions that are a waste of time? Isthat professional? #mededThu Nov 15 18:55:07 PST 2012

FutureDocs @MGKatz036 question is what other obligations they have- ie more unprofessional toleave clinic if unstable pt #mededThu Nov 15 18:55:10 PST 2012

BernieMD31 @Jim_Rawson_MD What an awesome concept! #mededThu Nov 15 18:55:12 PST 2012

MedEdChat Well, this hour flew by. We have about 5 more minutes left in our discussion. Please feelfree to give some final thoughts #mededThu Nov 15 18:55:18 PST 2012

jvrbntz "do as I say not as I do"? MT @EMIMDoc: is key “@MGKatz036: How about faculty thatdon't attend teaching conferences? Professional? #meded”Thu Nov 15 18:55:34 PST 2012

MedEdChat And by the way, we will not have #meded chat next week to allow our US friends tocelebrate Thanksgiving (and football)Thu Nov 15 18:56:14 PST 2012

MGKatz036 @FutureDocs "Sure, I'm attending in the ICU and doing several procedures that day… butI'll precept your journal club." #mededThu Nov 15 18:56:19 PST 2012

FutureDocs @Kind4Kids @jeannemfarnan @MedPedsDoctor tx! our #meded fellows answer Q of Yras part of their #aamc12 trip so we have it on our mindThu Nov 15 18:56:30 PST 2012

BernieMD31 @MGKatz036 Witnessing faculty not attending teaching conferences shows lack ofrespect/support for residents. What a shame #mededThu Nov 15 18:56:39 PST 2012

MedPedsDoctor "let s/he who is without fault cast the first stone." We all constantly learn aboutprofessionalism, on a daily basis #mededThu Nov 15 18:56:42 PST 2012

EMIMDoc #meded For trainees to respect the system, the system must respect the trainees.Thu Nov 15 18:56:48 PST 2012

vivimbmd @MGKatz036 Are faculty required to attend the conferences? #mededThu Nov 15 18:57:16 PST 2012

jvrbntz Amen!!! RT @EMIMDoc: #meded For trainees to respect the system, the system mustrespect the trainees.Thu Nov 15 18:57:17 PST 2012

FutureDocs @MGKatz036 saying no is an art form that needs to be learned early in one's acad medcareer #mededThu Nov 15 18:57:26 PST 2012

ChrisCarrollMD @MGKatz036 @FutureDocs Have you been eavesdropping on my life? I think I said thistoday... #mededThu Nov 15 18:57:53 PST 2012

RyanMadanickMD @FutureDocs The hardest word of an academic's life @MGKatz036 #mededThu Nov 15 18:57:58 PST 2012

MGKatz036 @vivimbmd Depending on the specialty, training programs are required to provideprecepted conferences. #mededThu Nov 15 18:58:03 PST 2012

BernieMD31 In order to demand respect, you must give respect. Doesn't need to be friendly but collegial#mededThu Nov 15 18:58:08 PST 2012

FutureDocs RT @MedEdChat: And by the way, we will not have #meded chat next week to allow ourUS friends to celebrate Thanksgiving (and football)Thu Nov 15 18:58:09 PST 2012

Jim_Rawson_MD #meded is a great concept. I discussed in my faculty meeting yesterday. Hope to get moreparticipants from @ghsunews Have a good nightThu Nov 15 18:58:15 PST 2012

ChrisCarrollMD RT @EMIMDoc: #meded For trainees to respect the system, the system must respect thetrainees.Thu Nov 15 18:58:19 PST 2012

BernieMD31 @vivimbmd I thought ACGME requires faculty attendance at teaching conferences...#mededThu Nov 15 18:58:45 PST 2012

Kind4Kids RT @EMIMDoc: #meded For trainees to respect the system, the system must respect thetrainees.Thu Nov 15 18:58:50 PST 2012

RyanMadanickMD @MGKatz036 @vivimbmd This is changing. The outcome (education) will soon takeprecedence over the process (conference) #mededThu Nov 15 18:58:53 PST 2012

RyanMadanickMD @Jim_Rawson_MD Thanks for joining in! #mededThu Nov 15 18:59:20 PST 2012

vivimbmd @ChrisCarrollMD Another pervasive problem. Death by meeting and committee. Time toup-coach and give feedback if change #mededThu Nov 15 18:59:22 PST 2012

ChrisCarrollMD RT @BernieMD31: In order to demand respect, you must give respect. Doesn't need to befriendly but collegial #mededThu Nov 15 18:59:22 PST 2012

FutureDocs Professionalism is hard to teach. Role modeling is key to promoting. #mededThu Nov 15 18:59:29 PST 2012

MedEdChat Join us again in 2 weeks at 9 pm Thursday 11/29/12. Don't forget to suggest topics by DMor email #mededThu Nov 15 19:00:06 PST 2012

FutureDocs @ChrisCarrollMD @MGKatz036 good for you! its a liberating feeling #mededThu Nov 15 19:00:08 PST 2012

RyanMadanickMD @BernieMD31 @vivimbmd I think they require "faculty attendance" (not *all* facultythough) #mededThu Nov 15 19:00:32 PST 2012

Kind4Kids Giving thanks for these #meded discussions. Makes me want to be and do better. Thanksy'all.Thu Nov 15 19:00:34 PST 2012

Jim_Rawson_MD Agree. We lead by the example we set. @FutureDocs: Professionalism is hard to teach.Role modeling is key to promoting. #mededThu Nov 15 19:00:45 PST 2012

DarianiSmith LOL! familiar? @blueapatosaurus RT @futuredocs Professionalism is hard to teach. Rolemodeling is key to promoting. #mededThu Nov 15 19:00:48 PST 2012

MedPedsDoctor thanks to all for this vibrant, healthy discussion on academic integrity and professionalismin #mededThu Nov 15 19:01:03 PST 2012

MGKatz036 @RyanMadanickMD @BernieMD31 @vivimbmd It's definitely pretty lame when someonecomplains that X% of trainees came to conference… #mededThu Nov 15 19:01:23 PST 2012

BernieMD31 @RyanMadanickMD @vivimbmd Well that's a shame! We "require" all specialties to attendour family med morning report. It's amazing #mededThu Nov 15 19:01:42 PST 2012

MGKatz036 @RyanMadanickMD @BernieMD31 @vivimbmd … when less than X% of faculty in thatspecialty were at the same conference. #mededThu Nov 15 19:01:45 PST 2012

vivimbmd @BernieMD31 One faculty required. Not all. My take is that if conferences are valuablemore attend them. #mededThu Nov 15 19:01:51 PST 2012

ChrisCarrollMD @MedEdChat Thanks, everyone! Interesting discussion tonight! #mededThu Nov 15 19:02:11 PST 2012

BernieMD31 @MGKatz036 @RyanMadanickMD @vivibmd They always recognize the % of traineesnot there, complain to chiefs. But faculty?? #mededThu Nov 15 19:02:22 PST 2012

MGKatz036 Thanks for the great #meded chat everyone!Thu Nov 15 19:02:57 PST 2012

MedEdChat That's a wrap...I will be posting the archive shortly. Thanks everyone for participating!#mededThu Nov 15 19:03:01 PST 2012

ChrisCarrollMD @BernieMD31 @RyanMadanickMD @vivimbmd But then you need to protect your facultyso that they can go! #mededThu Nov 15 19:03:08 PST 2012

MedEdChat The #meded chat (US/NAm) archive is now available on the Facebook MedEdChat Group:http://t.co/qJLpmQbQThu Nov 15 19:03:19 PST 2012

EMIMDoc @vivimbmd @berniemd31 True. If even the residents don't find value in the conference,how should experienced faculty feel??? #mededThu Nov 15 19:03:26 PST 2012

BernieMD31 @vivimbmd Faculty have learning opportunities as well! Especially in Family Med w/ somuch info #mededThu Nov 15 19:03:35 PST 2012

BernieMD31 @ChrisCarrollMD Fortunately we do! Clinic does not start until the end of our daily morningconference #mededThu Nov 15 19:03:58 PST 2012

RyanMadanickMD I hope everyone has a Happy (and safe) Thanksgiving next week! #mededThu Nov 15 19:04:03 PST 2012

EMIMDoc RT @MedEdChat: The #meded chat (US/NAm) archive is now available on the FacebookMedEdChat Group: http://t.co/qJLpmQbQThu Nov 15 19:04:33 PST 2012

vivimbmd @MGKatz036 @RyanMadanickMD @BernieMD31 speakers prepare invest time to getconference ready, then lame attendance, does not feel fair #mededThu Nov 15 19:04:55 PST 2012

EMIMDoc @BernieMD31 @vivimbmd Optimally: protected time for all + high quality conference =increased faculty and trainee attendance. #mededThu Nov 15 19:07:17 PST 2012

PhyDig RT @MedEdChat: Join us again in 2 weeks at 9 pm Thursday 11/29/12. Don't forget tosuggest topics by DM or email #mededThu Nov 15 19:07:56 PST 2012

mumbaiprepared RT @jvrbntz: Amen!!! RT @EMIMDoc: #meded For trainees to respect the system, thesystem must respect the trainees.Thu Nov 15 19:13:20 PST 2012

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#KidneyWk12 The American Society of Nephrology Annual Meeting

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• 281 participants

• 1,362 Tweets

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• 281 participants

• 1,362 Tweets

#kidneywk12 transcriptHealthcare Social Media TranscriptFrom: Mon Oct 29 0:00:00 PDT 2012To: Mon Nov 05 0:00:00 PST 2012

change time period

Who were the influencers during this time period? #kidneywk12 analytics

Connecting the dots in healthcare social media: Healthcare Conference - Tweet Chats - Healthcare Analytics

What is #kidneywk12?

DynaMed_POC DynaMed is getting ready for #Kidneywk12 @ASNKidney. Visit booth 2214 to discusspeer review, mobile access and free trial infoMon Oct 29 6:36:05 PDT 2012

ArborResHealth Our ASN #kidneywk12 newsletter special issue http://t.co/Q5pSIhOqMon Oct 29 8:59:43 PDT 2012

pearsonjeffrey RT @ArborResHealth: Our ASN #kidneywk12 newsletter special issuehttp://t.co/Q5pSIhOqMon Oct 29 9:01:17 PDT 2012

NextGenClinical We’ll be at ASN Kidney Week! Find us in booth 922. #kidneywk12Mon Oct 29 10:41:39 PDT 2012

NextGenClinical @DaVita Thanks for the follow! We'll see you at #kidneywk12!Mon Oct 29 10:57:15 PDT 2012

ASNKidney ASN Kidney Week: What to Do in San Diego http://t.co/xVg6wuo1 #kidneywk12Mon Oct 29 17:55:05 PDT 2012

ASNKidney Enhance your Kidney Week experience: download the ASN Kidney Week mobile apphttp://t.co/dd1ScJfr #kidneywk12Mon Oct 29 20:05:04 PDT 2012

ALCER_Navarra Movil app de Sociedad Americana de Nefrología ASN para seguir la semana renal(30/10 a 4/11) http://t.co/MY9Fwe7b #kidneywk12 vía @ASNKidneyMon Oct 29 23:42:44 PDT 2012

yomixmito RT @ASNKidney: Enhance your Kidney Week experience: download the ASN KidneyWeek mobile app http://t.co/dd1ScJfr #kidneywk12Tue Oct 30 0:17:35 PDT 2012

ScottSibbel Prepping for #kidneywk12 - looking forward to San Diego.Tue Oct 30 4:26:03 PDT 2012

NextGenClinical RT @ASNKidney: Enhance your Kidney Week experience: download the ASN KidneyWeek mobile app http://t.co/dd1ScJfr #kidneywk12Tue Oct 30 5:34:54 PDT 2012

healthhashtags Today's Healthcare Conferences: #ptsafetyforum #CanadianPatientSafetyWeek#NNNG12 #ot24vx12 #kidneywk12 #SSHHC http://t.co/3QdtCu8G #hcsmTue Oct 30 6:00:49 PDT 2012

NextGenClinical Travel permitting... We’ll be at ASN Kidney Week! Find us in booth 922. #kidneywk12Tue Oct 30 7:08:58 PDT 2012

NextGenClinical RT @ASNKidney: Enhance your Kidney Week experience: download the ASN KidneyWeek mobile app http://t.co/dd1ScJfr #kidneywk12Tue Oct 30 7:10:03 PDT 2012

NextGenClinical We'll be live tweeting meeting activities and sessions from #kidneywk12. See us inperson Booth #922!Tue Oct 30 8:53:38 PDT 2012

DrNissenson At #kidneywk12? Join me in room 6A right now--presenting on Dialysis FacilityMedical Directorships.Tue Oct 30 8:57:14 PDT 2012

DaVita At ASN Kidney Week? RT @drnissenson: At #kidneywk12? Join me in room 6A rightnow--presenting on Dialysis Facility Medical Directorships.Tue Oct 30 8:58:03 PDT 2012

gpelz @kidney_boy Can we crash #kidneywk12 blogger meetup? Will bring @DrNissensonand @DrBobPro if available (social media for @DaVita)Tue Oct 30 9:20:14 PDT 2012

DaVita Curious who will be at #kidneywk12? We started a Twitter list--if not included, tweetusing the hashtag & we'll add! http://t.co/Le9fCMc1Tue Oct 30 9:27:43 PDT 2012

Preslaura My colleague Deanna has interesting poster comparing Phosphate Binders- 3Nov-Poster Board#SA-PO1128 #kidneywk12Tue Oct 30 9:34:06 PDT 2012

ASNKidney You still have time to organize your ASN Kidney Week itinerary: Program Builder herehttp://t.co/F2SDuEXU #kidneywk12Tue Oct 30 10:06:00 PDT 2012

gpelz @kidney_boy Done and done. See you at #kidneywk12Tue Oct 30 10:40:24 PDT 2012

DCRDenver @scottsibbel Be sure to stop by and say hi to us at #kidneywk12.Tue Oct 30 10:49:41 PDT 2012

DCRDenver RT @asnkidney: ASN Kidney Week: What to Do in San Diego http://t.co/GeHoAwdt#kidneywk12Tue Oct 30 11:50:55 PDT 2012

jeroendebaaij Looking forward to #kidneywk12. Now packing my bags to leave for this promisingevent!Tue Oct 30 12:14:09 PDT 2012

jeroendebaaij RT @ASNKidney: You still have time to organize your ASN Kidney Week itinerary:Program Builder here http://t.co/F2SDuEXU #kidneywk12Tue Oct 30 12:14:41 PDT 2012

ArborResHealth Interested in the #ESRD #QIP? Stop by poster TH-PO784 on Thursday morning atASN #kidneywk12 http://t.co/j86VeajnTue Oct 30 13:11:06 PDT 2012

DaVita @jeroendebaaij Safe travels! We'll see you at #kidneywk12.Tue Oct 30 13:16:29 PDT 2012

EBSCO_Nursing Looking forward to meeting people at #Kidneywk12. Stop by booth 2214.Tue Oct 30 15:04:28 PDT 2012

DynaMed_POC Looking forward to meeting people at #Kidneywk12. Stop by booth 2214.Tue Oct 30 15:04:29 PDT 2012

NextGenClinical We'll be headed to San Diego tomorrow! See you there! #kidneywk12Tue Oct 30 15:57:49 PDT 2012

medpagetoday #KidneyWk12: Change in #Kidney Markers Not Just Function of Age. #nephrologyhttp://t.co/vM1e7HR5Tue Oct 30 16:00:07 PDT 2012

Naindrya RT @medpagetoday: #KidneyWk12: Change in #Kidney Markers Not Just Function ofAge. #nephrology http://t.co/vM1e7HR5Tue Oct 30 16:04:47 PDT 2012

AcidosisTubular You still have time to organize your ASN Kidney Week itinerary: Program Builder herehttp://t.co/BTO2HygW #kidneywk12 Via @ASNKidneyTue Oct 30 16:11:00 PDT 2012

niche My sister is in San Diego for #KidneyWk12. Any nephrologists that are big on Twitter?Tue Oct 30 17:19:39 PDT 2012

ASNKidney It's time - download the ASN Kidney Week app http://t.co/8G0n7Rab #kidneywk12Tue Oct 30 17:45:09 PDT 2012

PHLane “@ASNKidney: It's time - download the ASN Kidney Week app http://t.co/OXLj8ghp#kidneywk12” it's Kidney Week Eve!Tue Oct 30 18:26:20 PDT 2012

Nephro_Sparks Join the kidney blogging community @ #kidneywk12 @ the Annual Bloggers Night!11/2/12 8:30pm Barleymash San DiegoTue Oct 30 18:26:27 PDT 2012

DaVita @niche Check out @kidney_boy @DrNissenson @DrBobPro for #nephrologists onTwitter and at #kidneywk12.Tue Oct 30 18:28:32 PDT 2012

DaVitaDoc RT @Nephro_Sparks: Join the kidney blogging community @ #kidneywk12 @ theAnnual Bloggers Night! 11/2/12 8:30pm Barleymash San DiegoTue Oct 30 18:30:25 PDT 2012

RenalFellowNtwk RT @Nephro_Sparks: Join the kidney blogging community @ #kidneywk12 @ theAnnual Bloggers Night! 11/2/12 8:30pm Barleymash San DiegoTue Oct 30 18:40:15 PDT 2012

ScartissiTweets Looking forward to seeing folks at #kidneywk12 in San Diego! Come visit theFresenius Medical Services booth - #1403.Tue Oct 30 18:53:50 PDT 2012

AcidosisTubular RT @ASNKidney: It's time - download the ASN Kidney Week apphttp://t.co/8G0n7Rab #kidneywk12Tue Oct 30 19:52:52 PDT 2012

kidneyexpert RT @niche: My sister is in San Diego for #KidneyWk12. Any nephrologists that arebig on Twitter?Tue Oct 30 19:56:30 PDT 2012

kidney_boy Happy Halloween. On my way #KidneyWk12 http://t.co/7ssaP9SZWed Oct 31 3:39:05 PDT 2012

howardcollens Dentists give out toothbrushes. What are you giving out? RT @kidney_boy: HappyHalloween. On my way #KidneyWk12 http://t.co/7wu54PhTWed Oct 31 3:41:35 PDT 2012

PUautomne RT @kidney_boy: Happy Halloween. On my way #KidneyWk12 http://t.co/7ssaP9SZWed Oct 31 3:43:07 PDT 2012

Nephro_Sparks Nice RT @kidney_boy: Happy Halloween. On my way #KidneyWk12http://t.co/BhtAEinCWed Oct 31 3:49:06 PDT 2012

dannymcg RT @kidney_boy: Happy Halloween. On my way #KidneyWk12 http://t.co/7ssaP9SZWed Oct 31 3:50:38 PDT 2012

ASNKidney ASN Kidney Week plenary session Thursday. ASN President Falk will open themeeting with a challenge to all kidney professionals. #kidneywk12Wed Oct 31 4:05:16 PDT 2012

NaseerKhan43 RT @kidney_boy: Happy Halloween. On my way #KidneyWk12 http://t.co/7ssaP9SZWed Oct 31 5:27:56 PDT 2012

NaseerKhan43 #KidneyWk12 http://t.co/DdEGejRZ"Wed Oct 31 5:28:13 PDT 2012

ScottSibbel RT @NaseerKhan43: #KidneyWk12 http://t.co/DdEGejRZ"Wed Oct 31 5:29:34 PDT 2012

niche Thanks :-) @DaVita #kidneywk12Wed Oct 31 5:40:44 PDT 2012

AcidosisTubular ASN Kidney Week plenary session Thursday. ASN President Falk will open themeeting with a challenge to all kidney professionals. #kidneywk12Wed Oct 31 5:50:07 PDT 2012

JAMA_current #Kidney Measures and Mortality and #ESRD by Age http://t.co/gpsM3vFU#kidneydisease #kidneywk12Wed Oct 31 6:00:02 PDT 2012

healthhashtags Today's Healthcare Conferences: #ptsafetyforum #HSRsymposium #kidneywk12#ACOcongress #HEAC364 http://t.co/3QdtCu8G #hcsmWed Oct 31 6:01:17 PDT 2012

ASNKidney Interviews with ASN Kidney Week authors at http://t.co/FEJMElsp http://t.co/eJ8quvv3#kidneywk12Wed Oct 31 6:10:23 PDT 2012

yassergego RT @JAMA_current: #Kidney Measures and Mortality and #ESRD by Agehttp://t.co/gpsM3vFU #kidneydisease #kidneywk12Wed Oct 31 6:13:55 PDT 2012

bkwebber RT @JAMA_current: #Kidney Measures and Mortality and #ESRD by Agehttp://t.co/gpsM3vFU #kidneydisease #kidneywk12Wed Oct 31 6:20:52 PDT 2012

NextGenClinical San Diego here we come! Booth #922 #kidneywk12Wed Oct 31 6:26:10 PDT 2012

MGKatz036 RT @kidney_boy: Happy Halloween. On my way #KidneyWk12 http://t.co/7ssaP9SZWed Oct 31 6:42:51 PDT 2012

nephondemand Stick with NOD for coverage of #kidneywk12 #kidney #mdchat #rnchat #medstudent#meded #hcsm #medicine #ecuimres #renal #dialysis #transplantWed Oct 31 6:49:29 PDT 2012

DCRDenver RT @medpagetoday: #KidneyWk12: Change in #Kidney Markers Not Just Function ofAge. #nephrology http://t.co/JblDvOJ0Wed Oct 31 7:01:19 PDT 2012

JacoboMendioroz RT @JAMA_current: #Kidney Measures and Mortality and #ESRD by Agehttp://t.co/gpsM3vFU #kidneydisease #kidneywk12Wed Oct 31 7:03:40 PDT 2012

ADPKDdatabase Even now, the PKD Database poster is winging its way to sunny San Diego for#kidneywk12Wed Oct 31 7:12:12 PDT 2012

ASNKidney New this year at Kidney Week: Innovators Place. http://t.co/jSA3uZc5 #kidneywk12Wed Oct 31 7:15:13 PDT 2012

Nephro_Sparks At RDU heading to #kidneywk12Wed Oct 31 7:58:57 PDT 2012

mayocliniclabs Catch Mayo Clinic pathologist Dr. Sanjeev Sethi's presentations at #kidneywk12 onNov. 1 & 2 in San Diego. http://t.co/H44j2QMzWed Oct 31 8:30:39 PDT 2012

ashartwit #kidneywk12 excited about Asn. Hope everyone on the east coast makes it to the confWed Oct 31 8:38:10 PDT 2012

gpelz DEN>SAN. #kidneywk12 here I come. (@ Denver International Airport (DEN) w/ 104others) http://t.co/NDLjWDWuWed Oct 31 8:55:27 PDT 2012

LSHTMpress RT @JAMA_current: #Kidney Measures and Mortality and #ESRD by Agehttp://t.co/gpsM3vFU #kidneydisease #kidneywk12Wed Oct 31 8:55:47 PDT 2012

DaVita We obviously love this pumpkin. RT @kidney_boy: Happy Halloween. On my way#KidneyWk12 http://t.co/gFvWrw4XWed Oct 31 8:58:09 PDT 2012

PatientCitizen Fabulous! RT @DaVita: We obviously love this pumpkin. RT @kidney_boy: HappyHalloween. On my way #KidneyWk12 http://t.co/zZL8v6LuWed Oct 31 8:58:55 PDT 2012

renal_business #DaVita to Present Posters, Oral Presentation at #ASN #Kidney Week #kidneywk12http://t.co/MuIH3SQWWed Oct 31 9:08:40 PDT 2012

RSNhope RT @DaVita: We obviously love this pumpkin. RT @kidney_boy: Happy Halloween.On my way #KidneyWk12 http://t.co/gFvWrw4XWed Oct 31 9:10:13 PDT 2012

DynaMed_POC Visit Dynamed at #Kidneywk12 in Booth 2214 to discuss peer review, mobile accessand free trial info @ASN KidneyWed Oct 31 9:22:38 PDT 2012

DCRDenver RT @renal_business: #DaVita to Present Posters, Oral Presentation at #ASN #KidneyWeek #kidneywk12 http://t.co/yWbuhgky cc/ @davitaWed Oct 31 9:22:42 PDT 2012

ASNKidney ASN Kidney Week participants - don't forget to download the Kidney Week apphttp://t.co/dd1ScJfr #kidneywk12Wed Oct 31 9:26:11 PDT 2012

DaVita Want to know what DaVita and @DCRDenver are up to at #kidneywk12? Here's just apiece of it: http://t.co/MxXVEs1bWed Oct 31 9:26:21 PDT 2012

DaVitaDoc Want to know what @DaVita and @DCRDenver are up to at #kidneywk12? Here'sjust a piece of it: http://t.co/n540XQqrWed Oct 31 9:26:34 PDT 2012

childrensbones @ASNKidney #kidneywk12 Boney session on Sat with @ASBMR - Vascularcalcification and osteoporosis in kidney disease http://t.co/ngioQz9iWed Oct 31 9:31:41 PDT 2012

DCRDenver San Diego, we will be there soon. #kidneywk12 goers, come say hi. We'll be at booth#1913.Wed Oct 31 9:34:55 PDT 2012

DrNissenson Hoping everyone arrives safely in San Diego at #kidneywk12. Lots of good things instore for all of us this week.Wed Oct 31 9:35:36 PDT 2012

DaVita Twitter friends - we are heading to Kidney Week & will be posting updates from theevent. Please feel free to follow along #kidneywk12Wed Oct 31 9:41:16 PDT 2012

DaVitaDoc RT @ASNKidney: ASN Kidney Week participants - don't forget to download theKidney Week app http://t.co/dd1ScJfr #kidneywk12Wed Oct 31 9:42:47 PDT 2012

DCRDenver How can you not? RT @davita: We obviously love this pumpkin. RT @kidney_boy:Happy Halloween. On my way #KidneyWk12 http://t.co/TPJKylogWed Oct 31 9:46:06 PDT 2012

RSNhope RT @kidney_boy: Happy Halloween. On my way #KidneyWk12 http://t.co/7ssaP9SZWed Oct 31 9:59:25 PDT 2012

kidney_boy I’m on the ground in San Diego for #KidneyWk12 Is it true that some of the sessionsare being held in Tijuana? http://t.co/JwFPKaRpWed Oct 31 10:16:34 PDT 2012

SDConventionCtr Welcome @ASNKidney! Haev any questions? Tweet us! #kidneywk12Wed Oct 31 10:17:50 PDT 2012

ArborResHealth Safe travels to everyone heading to #kidneywk12 While you're there stop by our booth920Wed Oct 31 11:33:21 PDT 2012

DaVita Come see us at booth #1903 at #kidneywk12 - we have some great stuff lined up forASN attendees!Wed Oct 31 11:35:48 PDT 2012

healthhashtags Top Influencers of #kidneywk12: @kidney_boy @asnkidney @davita @jama_current@healthhashtags Real-time Analytics: http://t.co/dp90ciqoWed Oct 31 12:04:13 PDT 2012

Nephro_Sparks In DFW admirals club. Next stop #kidneywk12Wed Oct 31 12:22:18 PDT 2012

DaVita Welcome to ASN Kidney Week! Find DaVita at booth #1903 and tweet along with ususing @ASNKidney's official hashtag #kidneywk12Wed Oct 31 13:40:32 PDT 2012

NextGenClinical We're live at #kidneywk12. So many nephrologists in one place! http://t.co/E7Owl2zsWed Oct 31 13:54:35 PDT 2012

DaVita Come by our booth all week to see when "The Doctor is in." Top DaVita docs hostingbooth meet 'n greets Thurs-Sat. #kidneywk12Wed Oct 31 14:20:09 PDT 2012

DaVitaDoc Top DaVita docs stopping by the DaVita booth to host meet 'n greets Thurs-Sat.Come by to see the schedule! #kidneywk12Wed Oct 31 14:25:38 PDT 2012

nephondemand We r here!! #kidneywk12 #renal #nephrology #mdchat #rnchat #dialysis #kidney#meded #medstudent #hcsm let the blogging begin!Wed Oct 31 14:36:08 PDT 2012

DaVita Tomorrow at 10AM, come see Dr. Moran lead a discussion about PD urgent starts atour booth #1903 #kidneywk12Wed Oct 31 14:55:29 PDT 2012

JAMA_current Meet JAMA editors Drummond Rennie and Wolfgang Winkelmeyer at The JAMANetwork booth 1018, 11/1, 9:30-10:30 AM #kidneywk12Wed Oct 31 15:00:23 PDT 2012

DrBobPro Come meet Dr. John Moran at DaVita's booth tomorrow at 10 - discussing PD urgentstarts. #kidneywk12Wed Oct 31 15:10:29 PDT 2012

DCRDenver @nephondemand Welcome. We hope to see you during #kidneywk12.Wed Oct 31 15:14:09 PDT 2012

NarvaNKDEP RT @JAMA_current #Kidney Measures and Mortality and #ESRD by Agehttp://t.co/eeNCwEAE #kidneydisease #kidneywk12Wed Oct 31 15:25:03 PDT 2012

DCRDenver Join the PD urgent starts discussion with Dr. Moran @DaVita's booth #1903 tomorrowat 10am. #kidneywk12Wed Oct 31 15:40:28 PDT 2012

nephondemand Pick up registration materials at Hall D until 7 PM today. No lines! #renal #kidneywk12#nephrology #mdchat #kidneyWed Oct 31 16:04:10 PDT 2012

DrNissenson DVA hosting docs in our booth - tomorrow see Dr. Moran at 10 and @DrBobPro at1:30. #kidneywk12Wed Oct 31 16:05:52 PDT 2012

DaVitaDoc Booth #1903 RT @DrNissenson: DVA hosting docs in our booth - tomorrow see Dr.Moran at 10 and @DrBobPro at 1:30 #kidneywk12Wed Oct 31 16:25:31 PDT 2012

Nephro_Sparks In San Diego! Ready for #kidneywk12Wed Oct 31 17:27:37 PDT 2012

Nephro_Sparks Now at Hard Rock now #kidneywk12Wed Oct 31 17:48:30 PDT 2012

latenitepho American Society of Nephrology's annual meeting is going on now. follow#kidneywk12 tweets or @ASNKidney #mededWed Oct 31 17:49:05 PDT 2012

kasiamichalik7 Arrived in san diego for #kidneywk12. Let the craziness beginWed Oct 31 18:26:56 PDT 2012

ASNKidney Trainees: ASN provides suggestions for negotiating Kidney Week http://t.co/Ix65upjk#medstudents #kidneywk12Wed Oct 31 19:50:11 PDT 2012

NatRevNeph We're in San Diego for #kidneywk12Wed Oct 31 22:04:34 PDT 2012

tiffanytuetken RT @DrNissenson: DVA hosting docs in our booth - tomorrow see Dr. Moran at 10and @DrBobPro at 1:30. #kidneywk12Thu Nov 1 3:53:25 PDT 2012

tiffanytuetken It's early but I am up and getting ready to head out for #kidneywk12Thu Nov 1 3:55:11 PDT 2012

renalandurology Bolus Iron Dosing Hikes Risk of Serious Infection. http://t.co/zFIbq4Dj #KidneyWk12#Anemia #HCsmThu Nov 1 5:14:28 PDT 2012

renalandurology CES Better for Predicting Early Allograft Function. http://t.co/qMMUICmc#KidneyWk12 #HCsm #TransplantThu Nov 1 5:26:20 PDT 2012

ScottSibbel Excited for #KidneyWk12 . Poster session tomorrow. Always lots to learn.Thu Nov 1 5:26:31 PDT 2012

AcidosisTubular Inicia #kidneywk12 con la ponencia del Dr. Falk 8:00 am PDT Hall D.Thu Nov 1 5:26:35 PDT 2012

ASNKidney Trainees welcome to ASN Kidney Week. Trainees Track p 82a of your program bookand available online here. http://t.co/Ix65upjk #kidneywk12Thu Nov 1 5:35:12 PDT 2012

ArborResHealth We are presenting 7 posters this morning at #kidneywk12 stop by to view our researchon #dialysis #QIP and more http://t.co/dJOUg2lUThu Nov 1 6:03:10 PDT 2012

healthhashtags Today's Healthcare Conferences: #ptsafetyforum #CanadianPatientSafetyWeek#ACOcongress #HSRsymposium #kidneywk12 http://t.co/3QdtCu8G #hcsmThu Nov 1 6:04:16 PDT 2012

ArborResHealth Have questions about Arbor Research or #DOPPS? Stop by our booth 920 at#kidneywk12Thu Nov 1 6:05:26 PDT 2012

ASNKidney This mornings state-of-the-art: Tolerance & Kidney Transplantation Dr. David Sachs8:50 am PDT Hall D http://t.co/LpZZusFi #kidneywk12Thu Nov 1 6:15:26 PDT 2012

DiaDelRinon Listos para #kidneywk12 en San Diego?Thu Nov 1 6:23:39 PDT 2012

pearsonjeffrey RT @ArborResHealth: We are presenting 7 posters this morning at #kidneywk12 stopby to view our research on #dialysis #QIP and more http ...Thu Nov 1 6:27:25 PDT 2012

renalandurology IV Iron Dosing Has Modest Effects at Higher TSAT. http://t.co/LMrLoXnr #KidneyWk12#AnemiaThu Nov 1 7:01:21 PDT 2012

DaVita @Shahaan_S Hi Shahaan! Be sure to come by our booth to see schedule of our whenour top docs will be available for discussions #kidneywk12Thu Nov 1 7:04:09 PDT 2012

DCRDenver @scottsibbel We have several DaVita/DaVita Clinical Research teammatespresenting posters. Be sure to drop by. #kidneywk12Thu Nov 1 7:25:15 PDT 2012

DCRDenver We have DaVita Clinical Research authors presenting 5 posters from 10am - 12pmtoday. Come learn about our research. #kidneywk12Thu Nov 1 7:35:02 PDT 2012

kasiamichalik7 Let #kidneywk12 begin http://t.co/PB1uyiSxThu Nov 1 7:37:27 PDT 2012

DaVita Reminder - come see Dr. John Moran (modalities) speak on PD Urgent Starts atDaVita's booth #1903 at 10AM - see you there! #kidneywk12Thu Nov 1 7:50:11 PDT 2012

JAMA_current Meet JAMA editors Drummond Rennie and Wolfgang Winkelmeyer at The JAMANetwork booth 1018, today, 9:30-10:30 AM #kidneywk12Thu Nov 1 8:00:15 PDT 2012

nephondemand #kidneywk12 11/1: State of the art lecture: Tolerance & #kidney #transplantation byDavid Sachs #ecuimresThu Nov 1 8:01:27 PDT 2012

nephondemand #kidneywk12 11/1: Opening Plenary session by Ron Falk of UNCThu Nov 1 8:02:12 PDT 2012

nephondemand #kidneywk12 11/1: @ASNKidney has 3 successful pubs: JASN, CJASN,@KidneyNews.Thu Nov 1 8:03:54 PDT 2012

nephondemand #kidneywk12 11/1: Falk reviewing all the committees & key personnelThu Nov 1 8:04:54 PDT 2012

nephondemand #kidneywk12 11/1: now Falk turns his attention to the Time 2 Cure Kidney DiseaseThu Nov 1 8:06:22 PDT 2012

kasiamichalik7 #ASN president Roanld Falk, MD speaks at #kidneywk12 http://t.co/5tIzFHKRThu Nov 1 8:09:21 PDT 2012

DrNissenson A comparative analysis of vascular access and immunization - poster I co-authored isbeing presented this morning at 10AM. #kidneywk12Thu Nov 1 8:10:44 PDT 2012

nephondemand #kidneywk12 11/1: Gottschalk's 1967 report to Nixon was filled with the theme of"cure". #nephrology MDs hardly talk about "cure"Thu Nov 1 8:13:45 PDT 2012

nephondemand #kidneywk12 11/1: but #nephrology MDs ought 2 realize that we restore health, & thiswe do CURE patientsThu Nov 1 8:14:45 PDT 2012

DCRDenver RT @kasiamichalik7: #ASN president Roanld Falk, MD speaks at #kidneywk12http://t.co/x8SwySosThu Nov 1 8:15:58 PDT 2012

SuetoniaPalmer #kidneywk12 When a disease holds a man's name, shows we don't know much aboutthe cause...Thu Nov 1 8:19:37 PDT 2012

eAJKD Kidney health initiative KHI- collaborative effort with the FDA #kidneywk12Thu Nov 1 8:23:46 PDT 2012

nephondemand #kidneywk12 11/1: Kidney Health Initiative is a collab w/the FDA 2 promote newtreatments & better prevention #ecuimresThu Nov 1 8:24:14 PDT 2012

eAJKD Increase public awareness of kidney disease #kidneywk12Thu Nov 1 8:24:23 PDT 2012

eAJKD We should have a proactive approach to prevent kidney injury in the hospital setting#kidneywk12 Ron FalkThu Nov 1 8:25:43 PDT 2012

eAJKD Train the next generation of professionals and researchers. Increase NIH fundingfunding for kidney research #kidneywk12Thu Nov 1 8:27:17 PDT 2012

eAJKD ASN funding grants to fellows this year #kidneywk12Thu Nov 1 8:28:30 PDT 2012

eAJKD Listen to the patients own definition of cure- Ron Falk #kidneywk12Thu Nov 1 8:30:50 PDT 2012

eAJKD It is time to cure kidney disease- it will take all of us to do this #kidneywk12Thu Nov 1 8:32:12 PDT 2012

nephondemand #kidneywk12 11/1: Falk urges all #nephrology providers 2 begin thinking abt CUREeven though we don't know how 2 do that today #ecuimresThu Nov 1 8:34:22 PDT 2012

eAJKD ASN Foundation for Kidney Research- has raised 14 Million Dollars for research#kidneywk12Thu Nov 1 8:35:40 PDT 2012

nephondemand #kidneywk12 11/1: ASN now has raised $14m 4 research grants 2 younginvestigators; $10m from @Fresenius #ecuimresThu Nov 1 8:36:05 PDT 2012

eAJKD Ben J. Lipps- Research Fellowship Program. #kidneywk12Thu Nov 1 8:36:52 PDT 2012

kasiamichalik7 Ben Lipps, PhD receives award from ASN President at #kidneywk12http://t.co/oUTsjmasThu Nov 1 8:40:31 PDT 2012

DaVitaDoc Welcome to ASN Kidney Week! Find DaVita at booth #1903 and tweet along with ususing @ASNKidney's official hashtag #kidneywk12Thu Nov 1 8:40:50 PDT 2012

eAJKD Dr Lipps- chief medical officer of Fresenius http://t.co/i3wQbUN2 #kidneywk12Thu Nov 1 8:41:13 PDT 2012

nephondemand #kidneywk12 11/1: $10m gift by @fresenius is named after Ben Lipps MD, who statesby 2020 projected 2 b 4 mil pts on #dialysis #ecuimresThu Nov 1 8:41:44 PDT 2012

nephondemand #kidneywk12 11/1: Sharon Anderson research grant 4 young investigators nowestablished; the 1st female president of @ASNKidney #ecuimresThu Nov 1 8:42:46 PDT 2012

eAJKD ASN Sharon Anderson Research Fellowship- #kidneywk12Thu Nov 1 8:43:23 PDT 2012

nephondemand #kidneywk12 11/1: D Oreopoulos grant by @Baxter also established by the@ASNKidney Foundation 4 #Kidney Research #ecuimresThu Nov 1 8:45:37 PDT 2012

eAJKD Dimitrios Oreopoulos Research Fellowship- continue his work #kidneywk12Thu Nov 1 8:45:38 PDT 2012

nephondemand #kidneywk12 11/1: G Rathmann grant funded by @Amgen; was the founder of Amgenw/only 4 employees #ecuimresThu Nov 1 8:47:01 PDT 2012

NeilRosenbaum Kicking off #kidneywk12 (@ San Diego Convention Center) http://t.co/pAf1S0VCThu Nov 1 8:49:43 PDT 2012

eAJKD State of the art lecture- Tolerance and kidney transplantation- Dr. David Sachs#kidneywk12Thu Nov 1 8:51:34 PDT 2012

ASNKidney For journalists: Dr. Falk opens press briefing at 9:45 am PT, Rm 12. For those not onsite, ASN will provide a transcript. #kidneywk12Thu Nov 1 8:52:10 PDT 2012

kasiamichalik7 David Sachs, MD speaks at #kidneywk12 on tolerance and #kidney transplantationThu Nov 1 8:52:59 PDT 2012

Nephronline #ASN President: The only definition of restoration of health that really counts is thatannunciated by the patient. #Kidneywk12 #DialysisThu Nov 1 8:54:26 PDT 2012

eAJKD Tolerance- 2 mechs. Clinal deletion (central), regulation (peripheral) #kidneywk12Thu Nov 1 8:55:41 PDT 2012

DrBobPro DaVita's booth-Dr. Moran at 10 a.m. followed by me leading discussion on practiceprosperity at 1:30. Are you ready? #kidneywk12Thu Nov 1 8:55:48 PDT 2012

eAJKD Tolerance- 2 mechs. Clonal deletion (central), regulation (peripheral) #kidneywk12Thu Nov 1 8:56:45 PDT 2012

eAJKD Method to induce tolerance without lethal irradiation. mAbs against T cells and thymicirradiation #kidneywk12Thu Nov 1 9:00:54 PDT 2012

eAJKD Ooops Dr Sachs cell phone went off #kidneywk12Thu Nov 1 9:03:46 PDT 2012

nephondemand #kidneywk12 11/1: Tolerance & #kidney Transplantation: mixed chimerism seems 2work 2 induce tolerance in primates #ecuimresThu Nov 1 9:05:04 PDT 2012

nephondemand #kidneywk12 11/1: Tolerance & #kidney Transplantation: in the ITN NKD01protocol, 6 of 6 pts developed tolerance w/chimerism #ecuimresThu Nov 1 9:08:16 PDT 2012

nephondemand #kidneywk12 11/1: Tolerance & #kidney Transplantation: latest chimerism trialhere Transplantation 2011 p672 #ecuimresThu Nov 1 9:08:41 PDT 2012

eAJKD Change to antiCD2 antibody to deplete T cells - no graft vs. host disease.#kidneywk12Thu Nov 1 9:11:15 PDT 2012

nephondemand #kidneywk12 11/1: Tolerance & #kidney Transplant: these 6 pts all had multiple#myeloma & thus required a BM transplant anyway #ecuimresThu Nov 1 9:11:23 PDT 2012

kidney_boy Walkin in to #KidneyWk12 ! Heeled to be here http://t.co/yRqQteiMThu Nov 1 9:13:25 PDT 2012

nephondemand #kidneywk12 11/1: Tolerance and #kidney Transplantation: in NEJM 2008 p353, newtrial looked @ pts who didn't have a malignancy #ecuimresThu Nov 1 9:13:56 PDT 2012

nephondemand #kidneywk12 11/1: Tolerance and #kidney Transplantation: chimerism lost in 1-2wks &engraftment syndrome developed #ecuimresThu Nov 1 9:14:35 PDT 2012

eAJKD 5 pts w no HLA donor underwent Tolerence induction with antiCD2 had engraftmentsyndrome - B cells still around- addrituximab. #kidneywk12Thu Nov 1 9:14:46 PDT 2012

eAJKD Patient video- inspirational #kidneywk12Thu Nov 1 9:18:19 PDT 2012

DCRDenver If you're wondering which posters we're presenting today, visit TH-PO769, 267, 702,822, & 733. See you soon. #kidneywk12Thu Nov 1 9:20:11 PDT 2012

DaVitaDoc DaVita's booth (1903) at 10am - Dr. John Moran leads discussion about dialysismodalities including PD urgent starts. #kidneywk12Thu Nov 1 9:20:56 PDT 2012

SuetoniaPalmer #kidneywk12 Cure is restoring health, not just removing disease.Thu Nov 1 9:22:33 PDT 2012

nephondemand #kidneywk12 11/1: Tolerance and #kidney Transplantation: ITN NKD03 looked @ 5more cancer-free pts: 3 r off of IS x2-3y; 1 w/ACR #ecuimresThu Nov 1 9:22:59 PDT 2012

nephondemand #kidneywk12 11/1: Tolerance & #kidney Transplantation: Sachs experiencew/chimerism, 70% become tolerant, 20% w/3y graft failure #ecuimresThu Nov 1 9:25:22 PDT 2012

eAJKD Dr Sachs wants to expand tolerance induction to other organs and larger trials#kidneywk12Thu Nov 1 9:25:35 PDT 2012

DrNissenson Dr. John Moran leads discussion on modalities at 10AM at DaVita's booth - don't wantto miss this. #kidneywk12Thu Nov 1 9:25:42 PDT 2012

ASNKidney Today Dr. Falk discussed the new ASN Foundation & the need to fund research &propel change http://t.co/1HBaqtQf #kidneywk12Thu Nov 1 9:40:23 PDT 2012

ASNKidney Dr. Delphine Tuot presenting to media on blood pressure control among CKD patientsin a public health system. #kidneywk12Thu Nov 1 10:04:44 PDT 2012

ASNKidney Dr.Tuot talks w/ reporters about the role of the public health system in providingequitable care to patients w kidney disease. #kidneywk12Thu Nov 1 10:10:35 PDT 2012

ASNKidney Dr. Tuot to reporters: public health system does a good job w/ early CKD .Communityneeds to achieve any better care w/ ESRD #kidneywk12Thu Nov 1 10:14:34 PDT 2012

ASNKidney From Dr. .Tuot: public health systems can provide not only equitable care but high-quality equitable care.#kidneywk12Thu Nov 1 10:15:31 PDT 2012

Hemodialysis_co #Hemodialysis.com Dietary Patterns & Kidney Disease #kidneywk12http://t.co/uFb7RqXrThu Nov 1 10:16:02 PDT 2012

Hemodialysis_co #Hemodialysis.com Dietary Patterns & Kidney Disease #kidneywk12http://t.co/uFb7RqXr http://t.co/5rc4lnaZThu Nov 1 10:16:04 PDT 2012

NVandenAbeele Studenten MMA #Howest #medical #terminology in English: #kidneywk12 is dehashtag i.v.m. een belangrijk congres over nieraandoeningen. #NYPsThu Nov 1 10:21:35 PDT 2012

PHLane Cool exhibits and posters in the Innovators area (Aisle 700) #Kidneywk12Thu Nov 1 10:31:37 PDT 2012

NextGenClinical Questcor has cool proteinuria game! #kidneywk12 http://t.co/9ko6YphLThu Nov 1 10:34:06 PDT 2012

ASNKidney ASN Kidney Week: big crowd at Clinically Relevant Radiology CNC. #kidneywk12Thu Nov 1 10:35:29 PDT 2012

AcidosisTubular App de la ASN para seguir la semana renal http://t.co/xGqkq5PV #kidneywk12Thu Nov 1 10:39:14 PDT 2012

ASNKidney Fr today's Kidney Week posters Awareness of Chronic Kidney Disease May BeUnderestimated by Random Albuminuria Measurement #kidneywk12Thu Nov 1 10:49:08 PDT 2012

DCRDenver Our DCR teammates at our labs booth #1913. #kidneywk12 http://t.co/ivtAyUY2Thu Nov 1 10:51:26 PDT 2012

ADPKDdatabase Make sure to check out the PKD mutation database informational poster at#kidneywk12 !Thu Nov 1 10:58:44 PDT 2012

nephondemand #kidneywk12 11/1: #Ultrasonography: 4 things u can assess: parenchyma, urinaryspace, masses, & vasculature #ecuimresThu Nov 1 10:58:54 PDT 2012

nephondemand #kidneywk12 11/1: #Ultrasonography: cortical thickness is a great measurement toassess for CKD #ecuimresThu Nov 1 10:59:32 PDT 2012

nephondemand #kidneywk12 11/1: #Ultrasonography: Normal cortical thickness ~5-9 mm; normalkidney size 10-12 cm but dependent on pt height #ecuimresThu Nov 1 11:00:44 PDT 2012

nephondemand #kidneywk12 11/1: #Ultrasonography: resistive index can b measured reliably b/cdoes not depend on sound angle #ecuimresThu Nov 1 11:01:32 PDT 2012

nephondemand #kidneywk12 11/1: #Ultrasonography: PSV of renal artery very irreproducible b/c ofimproper sound angle #ecuimresThu Nov 1 11:02:17 PDT 2012

kidney_doctor #kidneywk12 Conventional HD and Brain Injury recomendations: Na 145, HCO3 < 30and use of Mannitol.Thu Nov 1 11:03:17 PDT 2012

ashartwit #kidneywk12 trauma an important cause of Aki. Less known. Bagshaw et. al.@ASNKidney @nephondemandThu Nov 1 11:16:41 PDT 2012

ashartwit #kidneywk12 risk for aki from trauma- poor resuscitation, massive transfusion, rhabdo,abdominal compart syndrome @ASNKidney @nephondemandThu Nov 1 11:19:16 PDT 2012

kidney_doctor #kidneywk12 Factores de riesgo para Lesión Renal Aguda (AKI) en Trauma: (1)pobres marcadores de resuscitacion, (2) rabdomiolisis...Thu Nov 1 11:19:46 PDT 2012

kidney_doctor #kidneywk12 AKI y Trauma ... (3) transfusiones masivas y (4) síndromecompartimental abdominal.Thu Nov 1 11:20:31 PDT 2012

ashartwit #kidneywk12 abdominal compart synd - blunt injury to abdomen. IAP>12 concerningThu Nov 1 11:21:51 PDT 2012

EBSCOPublishing Are you at #Kidneywk12? Visit DynaMed in booth 2214 to discuss peer review, mobileaccess, and free trial infoThu Nov 1 11:22:29 PDT 2012

nephondemand #kidneywk12 11/1: CT v MR: ~50% of middle aged adults will have an incidental renalmass (solid benign or cystic) #ecuimresThu Nov 1 11:23:02 PDT 2012

nephondemand #kidneywk12 11/1: CT v MR: cysts still evaluated by ultrasound using the Bosniakscore (0-4); higher score is worse #ecuimresThu Nov 1 11:24:13 PDT 2012

nephondemand #kidneywk12 11/1: CT v MR: both imaging studies identify mass lesions byenhancement; #ecuimresThu Nov 1 11:24:49 PDT 2012

DaVita Come by our booth all week to see when "The Doctor is in." Top DaVita docs hostingbooth meet 'n greets Thurs-Sat. #kidneywk12Thu Nov 1 11:25:15 PDT 2012

ashartwit #kidneywk12 abd compart syndrome when IAP >20Thu Nov 1 11:25:25 PDT 2012

nephondemand #kidneywk12 11/1: CT v MR: 80% of solid masses r malignant, but if <1cm, only 40%;size helps in determining if we can just follow #ecuimresThu Nov 1 11:25:38 PDT 2012

nephondemand #kidneywk12 11/1: CT v MR: CT uses Hounsefield units 2 quantify enhancement;simple cysts HU usually 0-5, just like water #ecuimresThu Nov 1 11:26:45 PDT 2012

nephondemand #kidneywk12 11/1: CT v MR: MR uses T1, T2 & diffusion weight imaging todifferentiate enhancing lesions #ecuimresThu Nov 1 11:27:33 PDT 2012

doc_parry RT @ASNKidney: From Dr. .Tuot: public health systems can provide not onlyequitable care but high-quality equitable care.#kidneywk12Thu Nov 1 11:30:00 PDT 2012

ashartwit #kidneywk12 elevated intra abd pressure- compression of renal art> reduced cardoutput> further renal ischemiaThu Nov 1 11:30:17 PDT 2012

nephondemand #kidneywk12 11/1: CT v MR: diffusion weighted imaging looks @ ease w/which H2Oflows into tissue. In a cyst, should b easy #ecuimresThu Nov 1 11:32:23 PDT 2012

ashartwit #kidneywk12 bladder pressure good surrogate for intra abd pressure- check fluidcolumn via foley- most accessible and accurateThu Nov 1 11:32:41 PDT 2012

nephondemand #kidneywk12 11/1: CT v MR: DWI in a tumor--difficult to diffuse water --> blackimaging on MR #ecuimresThu Nov 1 11:32:53 PDT 2012

nephondemand #kidneywk12 11/1: CTA v MRA: both equivalent in imaging renal artery; latter limitedby pt motion; former by radiation & contrast #ecuimresThu Nov 1 11:33:41 PDT 2012

ashartwit #kidneywk12 oliguria and increased peak flow amost always present in Abd compsyndThu Nov 1 11:33:43 PDT 2012

ashartwit #kidneywk12 watch Peep. Uop, bladder pressure for abd compart synThu Nov 1 11:35:19 PDT 2012

ashartwit #kidneywk12 UOP increases after abd decompression!!!Thu Nov 1 11:37:24 PDT 2012

ashartwit #kidneywk12 abd compar synd untecognised and reversible cause of AKIThu Nov 1 11:38:58 PDT 2012

DaVita We just launched NephLink - a kidney physician-focused social network - this week.Register at our booth #1903 #kidneywk12Thu Nov 1 11:40:19 PDT 2012

ashartwit #kidneywk12 grades of AKI in stem cell transplant. Doubling of cr- grade 3Thu Nov 1 11:47:59 PDT 2012

ashartwit #kidneywk12 risk for aki in stem cell trans- htn, gvh disease, adm to icu, lung toxicity,low sr alb, females, sinusoid obstruction synThu Nov 1 11:52:45 PDT 2012

DaVita Come see us at booth #1903! #kidneywk12 http://t.co/yMs1tlGIThu Nov 1 11:53:40 PDT 2012

ggjajj RT @DaVita: Come see us at booth #1903! #kidneywk12 http://t.co/yMs1tlGIThu Nov 1 11:56:09 PDT 2012

ashartwit Parikh et al. KI. 2005. Mortality and aki. #kidneywk12Thu Nov 1 11:58:32 PDT 2012

ashartwit #kidneywk12 look for protienuria on UA. Dont forget drug level in aki in stem celltransplant.Thu Nov 1 12:01:23 PDT 2012

nephondemand #kidneywk12 11/1: Nuclear Imaging: DTPA used for glomerular fxn b/c 100% filtered;MAG3 used 4 tubular fxn (97% secreted) #ecuimresThu Nov 1 12:03:02 PDT 2012

nephondemand #kidneywk12 11/1: Nuclear Imaging: PET has very limited role in renal imaging.#ecuimresThu Nov 1 12:03:23 PDT 2012

nephondemand #kidneywk12 11/1: Nuclear Imaging: images r taken posteriorly so R kidney is on Rside of image #ecuimresThu Nov 1 12:03:59 PDT 2012

jtm21 When Transplants Go Viral - most puntastic session of #kidneywk12Thu Nov 1 12:04:23 PDT 2012

healthhashtags Top Influencers of #kidneywk12: @asnkidney @kidney_boy @davita @jama_current@drnissenson @niche Real-time Analytics: http://t.co/dp90ciqoThu Nov 1 12:04:27 PDT 2012

nephondemand #kidneywk12 11/1: Nuclear Imaging: lasix is added to avoid pooling of radiolabel; ifthere is pooling, there is an abnormality #ecuimresThu Nov 1 12:04:40 PDT 2012

PHLane Next up: Gadolinium and its alternatives. #Kidneywk12Thu Nov 1 12:05:43 PDT 2012

AcidosisTubular #kidneywk12 Factores de riesgo para Lesión Renal Aguda en Trauma: (1) pobresmarcadores de resusitación, (2) rabdomiolisis... @kidney_doctorThu Nov 1 12:07:11 PDT 2012

AcidosisTubular #kidneywk12 AKI y Trauma ... (3) transfusiones masivas y (4) síndromecompartimental abdominal. Vía @kidney_doctorThu Nov 1 12:07:34 PDT 2012

AcidosisTubular #KDIGO suggest using CRRT in patients with Brain Injury / Cerebral Edema. Via@kidney_doctor #kidneywk12Thu Nov 1 12:08:26 PDT 2012

bylasixonline #kidneywk12 11/1: Nuclear Imaging: lasix is added to avoid pooling of radiolabel; ifthere is... Buy Lasix Online -> http://t.co/VQ4wAcYpThu Nov 1 12:09:04 PDT 2012

PHLane Nephrogenic Systemic Fibrosis (NSF) has virtually disappeared after recognition ofgadolinium as cause. #Kidneywk12Thu Nov 1 12:09:04 PDT 2012

AcidosisTubular Conventional HD and Brain Injury recomendations: Na 145, HCO3 < 30 and use ofMannitol. Via @kidney_doctor #kidneywk12Thu Nov 1 12:09:33 PDT 2012

MCAnierziekten Patiënten met cystenieren #adpkd; extra aandacht voor veel drinken (>3 l/dag) en(daar is die weer) weinig zout. #kidneywk12Thu Nov 1 12:11:20 PDT 2012

AcidosisTubular Nuclear Imaging: DTPA used for glomerular fxn b/c 100% filtered; MAG3 used 4tubular fxn (97% secreted). Via @nephondemand #kidneywk12Thu Nov 1 12:12:10 PDT 2012

AcidosisTubular Nuclear Imaging: PET has very limited role in renal imaging. Via @nephondemand#kidneywk12Thu Nov 1 12:12:39 PDT 2012

MCAnierziekten Aanstaande zaterdag resultaten van langdurende studie over gebruik tolvaptan inpatiënten met cystenieren. #Adpkd #kidneywk12 #spannendThu Nov 1 12:15:28 PDT 2012

VenaCava20 RT @kidney_boy: Happy Halloween. On my way #KidneyWk12 http://t.co/7ssaP9SZThu Nov 1 12:27:03 PDT 2012

DCRDenver Drop by booth #1903 to participate in a Practice Prosperity discussion led by@DrBobPro at 1:30pm. #kidneywk12Thu Nov 1 12:31:00 PDT 2012

DrBobPro Join me in a discussion about how to make your nephrology practice prosper. AtDaVita's exhibit booth at 1:30pm. #kidneywk12Thu Nov 1 12:45:28 PDT 2012

DaVita An opportunity to have a discussion with @DrBobPro about practice prosperity. Comeby our booth at 1:30pm to participate! #kidneywk12Thu Nov 1 12:50:15 PDT 2012

niche Kidney Week 12 http://t.co/kahYSdIF #storify #kidneywk12 #dialysisThu Nov 1 12:58:09 PDT 2012

DaVitaDoc RT @DrBobPro Join me in a discussion about how to make your nephrology practiceprosper. At DaVita's exhibit booth at 1:30pm. #kidneywk12Thu Nov 1 13:01:32 PDT 2012

DrNissenson I'll be joining @DrBobPro for the DaVita booth meet 'n greet regarding practiceprosperity at 1:30. #kidneywk12Thu Nov 1 13:05:23 PDT 2012

GESGlobal Hope things are going great 4 #ASTRO12, #eLGuild, #ASCP12 & #kidneywk12. Replyif u need us! CC: @ASTRO_org, @ASCP_Chicago & @eLearningGuildThu Nov 1 13:17:30 PDT 2012

ArborResHealth Dr. Ramirez rcved a distinguished faculty invit to present Disease Management in#ESRD Pts at 6 pm, Rm 5 #kidneywk12 http://t.co/98a7gdklThu Nov 1 13:31:36 PDT 2012

79

TweetChat.com for chats or follow HashTags

81


• Who to follow

• What to do

• What to say

82

•Find your own voice.

•Everything you say is written in pen.

•Staying quiet and watching is a good way to get started.

•Find people you respect and see how they interact on Twitter.

83

Mayo Clinic has a twelve word social media policy:

Don’t Lie, Don’t Pry, Don’t Cheat, Can’t Delete, Don’t Steal, Don’t Reveal

84

523 physicians found

314 with ≥ 500 followers

260 included in analysis

20 most recent tweets

analyzed 5,156 tweets

209 with < 500 followers

54 excluded for other reasons• 9 non-English tweets

• 8 not individuals

• 7 no tweets in last 6 months

• 7 private accounts

• 5 deleted accounts

range: 500 to 1,910,700 followers (17,217)

5 users did not have 20 tweets

Chretien KC, Azar J, Kind T.JAMA. 2011 Feb 9;305(6):566-8.

85

5,156 tweetsanalyzed and categorized

each circle represents 4 tweets

86

144 of 5156 tweets were considered unprofessional

86

38 potential privacy violations

87

38 potential privacy violations 33 profanity

87

38 potential privacy violations 33 profanity14 sexually explicit

87

38 potential privacy violations 33 profanity14 sexually explicit4 discriminatory

87

38 potential privacy violations 33 profanity14 sexually explicit4 discriminatory55 other unprofessional

87

Ethical breaches and unprofessional content were rare but observed. Particularly concerning was the presence of potential patient privacy violations and conflicts of interest. The study was limited to established, self-identified physician users of Twitter with the most followers, a sample who may represent heavier users.

88



88

Representative?

http://www.beevolve.com/twitter-statistics/#b1

89

Representative?


Average user has 208 followers6 of 10 users has no followers

89

Representative?


Average user has 208 followers6 of 10 users has no followersOnly 3.6% have >500

89

Representative?


Average user has 208 followers6 of 10 users has no followers

Nope.

Only 3.6% have >500

89

Either you define yourself online, or someone will define you

91

b.Thus, physicians should routinely monitor their own Internet presence to ensure that the personal and professional information on their own sites and, to the extent possible, content posted about them by others, is accurate and appropriate.

92

Doctor 1 2 3 4 5 6 7

Dr. Saravolatz

Dr. Grady

Dr. LaLonde

Dr. Edhayan

Dr. Topf

94

Implications of a lack of social media presence

95

Following a bad experience people want to complain, share and be made whole. If you have a venue for this they can direct it at you. Without a venue the feedback will likely be anonymous, public and out of your control.

96

• Maritz Research surveyed an online panel of 1,298 US Consumers

• Twitter users who frequently tweet

• Have used Twitter to complain about a specific product, service, brand, or company

• At least 18 years of age

No921

Yes376

Has anyone from the company contacted yo about your complaint?

No661

Yes636

When you tweeted your complaint, did you expect the company to read it?

97

Very Satisfied

Somewhat satisfied

Neutral

Somewhat dissatisfied

Very dissatisfied

0% 15% 30% 45% 60%

5.6%

10.1%

9.9%

39.7%

34.7%

How satisfied were you with the company’s response?

98

I loved it

I liked it

Neutral

I didn’t like it

I hated it

0% 15% 30% 45% 60%

0.8%

3.2%

12.5%

51.5%

32%

How did you feel when the company contacted you regarding your complaint?

Very Satisfied

Somewhat satisfied

Neutral

Somewhat dissatisfied

Very dissatisfied

0% 15% 30% 45% 60%

5.6%

10.1%

9.9%

39.7%

34.7%

How satisfied were you with the company’s response?

98

Summary

• With everybody connected, social media is an unprecedented revolution in communication

• Numerous platforms but the two biggest are

• Facebook

• Twitter

99

Summary: Facebook

• When patient friend requests you, redirect, don’t just reject

• Privacy

• Facebook is the new elevator conversation

• Patient communities

• Facebook has forever eliminated the friction keeping patients apart.

100

Summary: Twitter

• Asymmetric. People you follow may not be following you. Vice-versa

•http://www.MomThisIsHowTwitterworks.com

• Ruthlessly prune your follower list

• Use TweetChat.com to follow chats and conferences

101

Summary: Why

• Define yourself or else

• Provide a place for complaints

102

social media in health care

Health & Medicine