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Hospitalist, Cleveland Clinic Web 2.0 in Medicine Author: Ves Dimov, MD Clinical Assistant Professor of Medicine, Cleveland Clinic Lerner College of Medicine Hospitalist, Cleveland Clinic December 27, 2006

This presentation was featured in BMJ 4 days ago: How Web 2.0 is changing medicine. Dean Giustini. BMJ 2006;333:1283-1284 (23 December). It feels strange to read a journal for years and then to see you name mentioned there…

Any reputable website has an “About Us” section About Us (me) Any reputable website has an “About Us” section

Who are you to talk to me about Web 2.0 and websites? I have made 9 websites They have been featured multiple times BMJ and Medscape Abstracts presented at ACC, ASN and Cleveland Clinic Perioperative Summit

How many people visit your website? One million page views since 2005. Just imagine, you have written a book and somebody reads 3,000 pages of it… every day 350,000 visitors from all over the world This is probably a larger readership than many journals Google loves content

If I can do it, you can do it too The question is: Why would you want to do it? Let me show you why with this presentation

Web 2.0 in Medicine

The web world is changing before our eyes What is Web 2.0? The web world is changing before our eyes

What is Web 2.0? Web 2.0 is a collection of (mostly) free web services You can’t buy Web 2.0 at the store but you can use it today

Web 1.0 vs. Web 2.0 Web 1.0 users follow links to content Web 2.0 users comment, edit and create content It is user-created content. For the user, by the user

Web 2.0 = Web as a Platform just like Windows (and better)

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Web 1.0  Web 2.0 Web 1.0  Web 2.0 Portal, like Yahoo  Search, like Google Publishing (websites)  Participation (blogs, comments) Stickiness, stay on the website  Syndication, RSS, Podcast, website follows you Britannica Online  Wikipedia Directories, Favorites  Tags - De.licio.us MS Word G Docs & Spreadsheets Ads, like DoubleClick  Google AdSense

Why should I care about Web 2.0?

Where is my place in all that? Everybody is busy Web 2.0 saves time by helping you get exactly the information you are interested in Blogs let you create content and share it others – this is content created FOR the user BY the user

How can I use Web 2.0?

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RSS

What is RSS? RSS = Really Simple Syndication A hybrid between a personal assistant and your “inbox for the web”

RSS to Master the Information Overflow Get only the news you want  River of news concept, e.g. Medscape "It's like having a personal assistant who goes through every publication and blog that could possibly interest you and picks out stories to bring to your attention" -- PC Magazine Instead of visiting 20 websites per day, let them send information to you  Bloglines or Google Reader

RSS Subscribe to specific searches on Pubmed (e.g. cardiac resynchronization therapy) or any search engine and collect them in one place Subscribe to the major medical journals RSS feeds

RSS = Inbox for the Web RSS is like you email “inbox for the web” Collects all the information you need in one place I rarely visit websites anymore despite reading more than 200 sites a day RSS reader is the central point

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Podcast

What is a podcast? Podcast = portable broadcast (audio file) iPod file It’s portable, you can take it with you whenever you go

Podcast Podcast is a downloadable audio file. You can subscribe via RSS Most major journals feature weekly audio summary of contents You can listen when you commute to work or exercise Make CME portable by using text-to-speech

Videocast Video Podcasts on Health Edge by the Cleveland Clinic JAMA

Top 5 Podcasts ACC Conversations with Experts - link Johns Hopkins Medicine JAMA Audio Commentary NEJM This Week Lancet

How to listen to podcasts? P ortable audio P C P od  iPod/iTunes

Persistent Search Set up a search query Get updated any time something new is published about your search term Cleveland Clinic uses the concept on its front page

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Write/Collaborate Online

Google Docs&Spreadsheets is for Writing and Collaboration Online MS Word and Excel alternatives Several users can revise a document at the same time, compare the revisions No more emailing back and forth different versions of a Word document Export to MS Word, Excel or PDF

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Blog

What is a blog? Blog = Web log Easy-to-make website

Web 2.0 = Give the power back to the user It’s not difficult at all Creating a website is as easy as opening an email account Maintaining a website is even easier

How easy? Google’s Blogger claims that it takes 5 minutes to start a website. The NY Times gave it a try and it took them 4 minutes

How can I make a website? Google Blogger.com or WordPress.com And many others - all for free

What about those bloggers? Blogging can’t be serious, right? Right They may not be serious but they get millions of visitors

Compare CCF CME website gets 1.3 million visitors per YEAR I have 200,000-350,000 visitors per year DailyKos has 5.4 million per WEEK, 700,000 per day. In other words, they make the CCF CME yearly count in 2 days

Blogosphere Collection of blogs on the Internet is called blogosphere and is doubling in size every 5 months A new blog is created every second

More and more people see the world through “Google eyeglasses”

An Example of Web 2.0

Search Search for: Clinical Cases Clinical Cases Cardiology Clinical Cases Nephrology Procedure Note Admission Note Central Line

Clinical Cases and Images A website based on the Google blog platform It is NOT a blog This is a small example of Web 2.0 See the visitors statistics

Using Blogging Software to Create a "Regular" Website You don’t have to be a blogger to use blogging software You can create a regular website (NOT a blog) for free, host it for free and even make money off of it with Google AdSense

Why do I need a website? Collect interesting articles Write down research ideas Collect interesting cases Make your own educational portfolio and share it with the world Post your resume/CV Make a website for your practice

How about HIPAA and patient cases? There are 18 identifiers that must not be present in the case description

How not to blog and get fired? Always check with your boss Comply with the institutional blogging guidelines (if available) Your patients may be blogging about you Do not blog about them in any HIPAA-identifiable way

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Web 2.0 is here to stay Nobody can stop the world

It’s all about user-created content You (the user) create content Share it with other users

Take Home Message Web 2.0 offers a great opportunity. We should use it to: Benefit our patients Stay updated Share knowledge with medical professional all over the world Take research collaboration to the next level Career advancement

Questions?

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Web 2.0 Services I Use Daily Google GMail Bloglines Google Docs & Spreadsheets Blogger Google Calendar iTunes