The ABC’s of Social Media

Tyler Cymet, DO, FACP, FACOFP

Twitter Handle: @tcymet

What is social media?

Websites/apps Electronic Tools that enable users to create and share content and to participate in social networking.

What is social media?

Social Networking Websites

• Facebook, LinkedIN

Media Sharing Websites

• YouTube, Vimeo, Pinterest, Instagram

Blogs & Micro‐blogs

• Wordpress, Twitter

Participate at any

level

What is a blog?

A regularly updated website

consisting of entries (called blog posts)

that appear in reverse chronological order.

m1 ed p agem oAY"'s

•

A physician gets a bad online review.. What next?

0 COMMENTS AARON BRAUN , MD I SOCIAL MEDIA I MAY 4 , 2 015

In this,age of In ernet-eveiythi11g, online reviews have become the par for the com se

for business, and this iincludes medi:cine. Indeed, one recent survey found that 88

peroent of consumers trust online revi,ews as much as personal! recommendations. So

online reviews count. And overallll, this is a good thing. Data shows that more reviews

tran, s ate iinto sfgnmcanUy more ap pointments, and this hol'ds trne even if ...

Readu1ore...

The,re's hope for pre,te rm births: Why aren't more

patie,n ts ,ge ,t tin ,g th e , m e ,ssage ?

1 COMMENT ELENA ROSSI , MD I CONDITIONS I MAY 4 , 2 015

I wallk into the neonatal! intensive care unit (NICU) each morning and see as many as

15 tiny patients. Some born Just a few we.elks prematme, but others born so earl Uley

courd m into the palm of my hand, weighing as lirl1Je as a pm.m et And I can't help but think

that there shourd be better communtcation about how to reduce the rirsk of

preterm 11abor. Even if we ...

Readu1ore...

Vinny are you still updating Future Docs? If not, where are you blogging? Could you include a screenshot?

Tips for writing blog

posts • Understand your audience

• Think about a headline

• Start with a story or statistic

• Use active voice

• Make an outline using headers, then write content

• Use bullets or numbered lists

• End with a call to action

Fina nc ia l Resp onsib ility of Hosp ita lized Pa tients Who Left

Against Medic al Advic e: Medic al Urban Legend ?

Gabrielle R. Sc haefer, BA1, Heidi Matus, MD2, John H. Sc humann, MD3, Keith Sa uter, BA4,

Benja min Vekhter, PhD5, David O. Meltzer, MD, PhD5, and Vineet M. Arora , MD, MAPP2,5

Percentage of Physicians Who Believe Patients are Held Finanically

Responsible When They Leave AMA

0

10

20

30

40

50

Strongly Disagree

Disagree

Neither Agree

or Disagree

Agree Strongly Agree

Pe

rce

nt

of

Re

sp

on

se

s

Attendings n=41 (56%)

Residents n=50 (74%)

p<0.004*

Only 4% of patients who had insurance and left AMA had payment denied

GllassHospital Demystifying Medicine One Week at a Time

HOME ABOUT CONTACT DISCLAIMER

Debunking Medical Urban Legend

Tweets

Like Mikey. the Life cereal kid who died from

mixing Pop Rocks and Coke, or the spider eggs

in Bubble Yum that help make it so soft and

chewy, Medicine has its share of urban

legends.

D id you know, for example, that if you're

hospitalized and decide that you want to leave

"Against Medical Advice" [AMA], that your

insurer won't pay for the hospitali zation ?

FUN STUFF

He likes it.II

Subscribe to GlassHospital by Email

'!I Fallaw OG!assHoapltal

John Schumann, M.D.

@GlassHospltal

Fraud. Breath taking Fraud. [Alleged]

ls.gd/dQ OON1

• 1Sh John Schumann, M.D.

@GlassHospltal

The Choice ls.gd/t nlr 4t

• John Schumann, M.D.

@GlassHospltal

Social Docs ls.gdlytLSSg

Bun k.

3h

4Mar

medpageTODAYS

Kevin MD .com Social media's leading physician voice

ALL KEV I N'S TAKE PHYS I CI AN PAT IENT POLI CY TECH SOCI AL M ED I A cc

I Vlsit us in San Francisco, Maren 9-1 R Ran 1

. , , ,. -

a n Exa· Fm J.'1H1111{. E) i ':;

exa u U

i boot

h, #S1133, Mosc one Center, Expo S0

and receive Braunwald s Pocket Reference

.,

Does leaving against medical advice stick patients with a bill? JOHN SCHUMANN, MD I PHYSICIAN I MARCH 8, 2012

,(All names and identifying features of characters in fhis story have been changed.)

Nora, a third year medical student, came to me in moral distress.

Ms. DiFazio, one of the hospitalized patients on her internal medicine rotation, was

frightened to undergo an invasive (and expens ive) medical procedure: cardiac

c atheter ization.

The first year doctor with whom Nora was paired, Dr. White, vented to her:

"These patients come to us seekin,g our help and then refuse what we have to offer

them," Dr. White steamed.

At the bed side, the intern demanded to know why Ms. Dif azio refused the procedure.

When no reason beyond "I don't want to" was offered, Dr. White told Ms. Difazio that

TRENDING

PAS T WEEK

Doctors who work part

time: I'm sorry that I'm

ruining medicine

FIZZY , MD I PHYSICIAN

Sending you.r child to the

chiropractor: Be very

,car,e ful

ROY BENAROCH , MD I

PHYSICIAN

Providers who want the

authority of doctors: Let

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I ntranet la hn ps: // webapp s.uc O The University ol C l Ii Bookmark 111.. htt p:// padllet.com / • 1. Type note h

+You Search Images

UChicago Directory '# Twitter

Maps Play YouTube News Grnall Drive Calendar Mor11 -

G g _e I leaving against medical advice

Mme...- Search tools Web Images Maps Shopping

About 3,380,000 results (0.14 second.. .

Against medical advice - Wikipedia., the free encyclopedia en.wikipedia.org/wiki/Agalnst_medlcal_advlce

Against Medical Advioe, or AMA, sometimes known as DAMA, Discharge Against

Medical Advic,e, is a term used with a patient who checks himself or herse lf out ...

Does leaving against medical advice stick patients with a bill? www.kevinmd.com/.../leavlng- medlcal-advlce-stick-patients-b ill. html

Mar 8, 2012 - Don't let us doctors coeroe you into stay ing by threaten,ing you with the

bill.

Do patients pay when they l,ea ve, against medical advice? - The ... www.ucllospitals.edu > About Us> Newsmom > 2012 Press Releases

Feb 3, 2012 - ,f ebru.ary 3, 2012: There are ways in which patients who leave the

hospital against medical advic ,e wind up pay,ing for that, decision.

Patients leaving hospital against medical advice fare worse I IIf.ox ... www.foxnews.com/.../patients-leavlng- llospita1..agalnst-medlcal-advlc...

May 3, 2012 - Hospital patients who leave against medical advi,c e may have an increased risk of be,in g eadm itted or ,dy,ing within a month, a study at one ...

When a Patient Leaves Against M,edical Advice www.aaos.org/news/aaosnow/nov12/managing5.asp

Surpris,ingly, the e is a paucity of literatu e available d,escrib,ing the oon.sequ,enoes of

patients who lea,v e against medical advice (AMA). Altho,u gh log ically ...

"l'l m Going Home : Dischar,ges Against M,e dlcal Advice www.ncbi.nlm.nih.gov > ••• > Mayo Clin Pmc > v.84(3); Mar 2009

by DJ Alfandre - 2009 - Cited by 29 - Related articles

FIND &FOLlOW US ON:

Search .

Y n .. + ,.

About Us Program s Research & Resources Gold Honor Societ y Patient-Practitioner Relationship Blo g Home

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Distracted digital doctors: The need to rehumanize medi,cin e Posted Ju ly 24 th. 2014 in Gold Suppo rted Act iv,tes . Technology and Hu mamsm Go ld Humanism Scholars, Harvard Macy Institute

Blog Categories byW ei W ei loo, MD MPH

" Sh e madeze:ro eye con act . Sh e st ar ed at t he computer the en t ire visie Th i s

w as my friend Pa 's last ing impr ession of her visit to her new physi ci an. Sh e

felt likeshe was dis ract i ng th e docto r from her primary focus, th e computer,

al l t he while tr ying to answer perso n al ques ions about her rep ro ductive

hist ory.

Technology integration in healt h car e is an unstoppable t rend. The federal

government has invested bBlions o.f doUars to incent ivize electronic medical

records (EM R) ad option. and utilizat ion rates in he United St ates are or.tile

rfse. 0 11et lhe l e ss. as Pat d i scovered at her appointment. st udies show that EMR use can pr event pro vider s fr o mfocusin g

0 11 p at i ent s and nega ively impac t he pat ien t -pro vider rela t ionshi p (s-ee papers by ToU, Frankel and Ventress).

As a primar y care physician, I know fir st- hand that 1ntegratingcomputer s, EM Rs, t able s, smart phones and other devices

in to the clinica l env iro nment changes t he dynamic of the patien t- pro vider r elat ionship. " Di st r acted doctoring· refers to

providers who are more forn se d0 11 t heir devicest han th eir pat ien ts. Th i s phenom enon has sp urred discussion at medica l

sch ools and hospi als across the country. That being said, mos provider s recei ve lit le to no rainingon how to use t he

What is Twitter?

Organized and open text messaging An online social networking service that enables users to send and read short 140‐character messages called "tweets".

Anatomy of a Tweet

Hashtag: keyword or subject heading

Handle: Someone’s screen name

Followers

People who have chosen to

see your tweets in their stream

Retweets (RT)

sharing someone else’s

message with your followers

.@ reply

message to specific tweeter

that is public

Direct message (DM)

private messages within twitter

Tweet often with

variety

Why use Twitter?

Social media exploits strength

of weak ties

What do scholars do on twitter?

Activity Example

Learn Following a conference hashtag #GoldMtg, follow a journal

Connect Join a Twitter chat (#meded chat at 9pm ET on Thursdays)

Advocate Tell a story, join a movement (#NursesTakeDC)

Research Use for dissemination of materials (NIH loves this!)

Educate/Engage Patients / trainees

'!I Home f Moments Search Twitter Q. Have an account? Log 1n T

J Hospital Medicine @JHospMed1cme

I[)

Premier peer-reviewed publication ior

Hospital Medicine & the official journal

·for Socie ty of Hospital Medicine. Like us

on Facebook!

face book.com /JHospMedicine

Q U n ited States

c9 Joumalofhosprt.almedic1ne.com

Joined November 2011

TWEETS

2,026

0 30 Photos and videos

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Tweets

FOLLOWING

563 F OLLOW ERS

2,061

Tweets & replies

LIKES

112 i • Follow

Media

D Pinned Tweet

J Hospital Medicine '.'.)JHospMed1c 1n e Apr 4

before you go, please use this link to tell

us how #JHMChat went and how we can

make it better! goo.gl/forms/Mia8AWD h...

THANK YOU!

on Provide your feedback #J MChat

How d>d you ec:cen tJHMCI\I ? (

(J lir f IMt tCU

t.'l J •

...

Provide your feedback on #JHMChat

Please submit feedba ck regard ing the tweetcha t you either participated in

or revie wed

docs.google .com

J Hospital Medicine @JHospM edic 1ne 2h

Failina to che ck INR OD in hosoital increases bleedina risk #otsafetv

New to Twitter?

Sign ur nov. o get your own

personallzed trmelme!

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Im Soc. of Hospit al Med

""SHMl.Jve

Vinny Arora MD FutureDocs

ACP Hos pitali st

acph ospi1allst

Bo b Wacht er

Bob_Wachter

Keck Medici ne of USC

:'.'.'KeckM edUSC

Trends

#I Sh aredTheVamps

281K Tweets

#LetMeCheerYouUpBy

21 1K Tweets

Rams

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18.5K Tweets

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22

Neuroscience of Social Media

• Human brain is capable of adapting to new technologies in less than a week, irrelevant of age or intellect

• Multi‐tasking and impact on:

• Stress

• Productivity

• Inter‐personal communication skills

Overcoming the time

barrier • Tie it closely to what you are doing anyway

• Use dead space in your day

• NO GUILT if you miss anything!

• OK to lurk at first

• Get a Twitter mentor (“Twentor”)

40% of tweets are “pointless babble”

Break through the babble

• Select who you follow carefully

• Create or follow Twitter list

• Use another program to aggregate tweets

• Flipboard, Pulse, Zite, etc.

• Save a “#” hashtag search

• “#meded or #ptsafety”

• “#primarycare”

• Participate in a tweet–chat

BREAKOUT #1

Basic

Twitter account

Advanced

Select hashtags to follow

• • • SYM PLUR SIGNALS T HE ALTHCARE H ASH TAGS T BLOG CONTACT

symplur

Healthcare Hashtag s Tweet Chats Conferences Diseases Ontolog ies Regular

Why t he Healthca re Hashtag Project?

D iscove r Where T h e Hea l t hca re Co nve rs a tio ns A re Ta k i ng P lace

D i s cove r Who To Fo llow W i t h i n Yo u r Spec ia lty O r D i se ase

D i s cove r Wh a t He a lt h ca re To p ics Are Tre nd i ng I n Re a l-T i me

Search Symplur

The Co mmunity by the Numb, e ·s

l ,460,700 ,851 1m

17,378 ma

9,950 i:ftMM 3,785 ififfi@M

Tweet Chats Conferences Diseases Regular

TRENDING TRENDING TRENDING TRENDING

1. #iris hme d 1. #ECCMID2016 1. #M i g rai ne 1. #NursesTake DC

2. #BCS M 2. #AOTA 1 6 2. #BCS M 2. #Pat hBoa rds

3. # ho meo pat hyhou r 3. #lLC 2016 3. # BTSM 3. #digi t alhea lt h

4. 1/ BTSM 4. #ehea lt h2016 4. # Pa rkinsons 4. #FOAMed

5. # hcs m 5. #CADTHs ym p 5. #Childhood Cance r 5. #MyNursing Day

6. # hpm 6. #CCTMC16 6. #Rhe um 6. #pharma

7. # pat i e nt pref 7. #qua li t y2016 7. #GynCS M 7. #Plast i cS u rgery

8. 1/R he um 8. #AACOM2016 8. # Lyphom a 8. #Pedi Pat h

9. #DCDE 9. #ACC16 9. # Breas tCa nce r 9. #Ne ph Mad ness

10. 1/GynCS M 1 0. #PX2016 10. /ILCSM 1 0. #Peds lCU

1 1. # bioet hx 11. #SIMPAR1 6 11. #Ca rd io Onc 11. #HIT99

12. #e lde rca recha t 12. #resea rch2016 12. #b lcsm 12. #Ca rdio Ed

13. #hcb iz 13. #NERCDC16 13. #Bra i nTumo rThu rsday 13. #gecb

14. #LCSM 1 4. #WakeGPSWorld2 14. # ProstateCancer 1 4. #echoca rd i o gra phy

15. # me d it at io nchat 15. #thecgea 15. # mpnsm 15. #Hea lt hEle ct io nl 6

NEW NEW NEW NEW

Breakout 2 (if time)

1) Live tweet next few minutes

QUESTIONS AND FEEDBACK

GOOD TWEET

BAD TWEET

Professionalism

POSITION PAPER Annals of Internal Medicine

Online Medical Professionalism: Patient and Public Relationships: Policy Statement From the American College of Physicians and the Federation of State Medical Boards Jeanne M. Farnan, MD, MHPE; Lois Snyder Sulmasy, JD; Brooke K. Worster, MD; Humayun J. Chaudhry, DO, MS, SM;

Janelle A. Rhyne, MD, MA; and Vineet M. Arora, MD, MAPP, for the American College of Physicians Ethics, Professionalism and Human Rights

Committee; the American College of Physicians Council of Associates; and the Federation of State Medical Boards Special Committee on Ethics

and Professionalism*

Use of social media sites to

gather information about

patients

Use of online educational

resources and related

information with patients

Physician-produced biogs,

microblogs, and physician

posting of comments by

others

Physician posting of physician

personal information on

public social media sites

Observe and counsel patients on

risk-taking or health-averse behaviors

Intervene in an emergency

Encourage patient empowerment

through self-education

Supplement resource-poor environments

Advocacy and public health

enhancement

Introduction of physician "voice" into

such conversations

Networking and communications

Sensitivity to source of information

Threaten trust in patient-physician

relationship

Non-peer-reviewed materials may provide

inaccurate information

Scam "patient" sites that misrepresent

therapies and outcomes

Negative online content, such as "venting"

or ranting, that disparages patients and

colleagues

Blurring of professional and personal

boundaries

Impact on representation of the individual

and the profession

Consider intent of search and

application of findings

Consider implications for ongoing care

Vet information to ensure accuracy of

content

Refer patients only to reputable sites

and sources

"Pause before posting"

Consider the content and the message

it sends about a physician as an

individual and the profession

Maintain separate personas, personal

and professional, for online social

behavior

Scrutinize material available for public

consumption