1. Opportunities and Threats of Web 2.0 in Medical Education Katherine Neely, MD Richard Neill, MD John B. Waits, MD

3. Goals / Objectives / Overview History Overview Lit Review Demonstrate Dangers Plan Wrap-up

4. What is Web 2.0?... from Publication to Participation... Web 2.0 is the one-millionth English language word and the only word with two numerals in it. http://news.bbc.co.uk/2/hi/americas/8092549. stm

7. Web 1.0 --> Web 2.0

9. Web 2.0 Participation o vs. Publication o Social Networking o Collaboration Apomediation o Intermediation o Disintermediation Openness

10. Web 2.0 what?? Social networking sites Web applications Image and Video sharing sites Wikis and blogs Folksonomies Mashups

11. Social networking sites Facebook o networking networking o recruitment recruitment MySpace Ning Patient and Disease sites o patientslikeme patientslikeme o dailystrength dailystrength cChange in Health Care Twitter

12. Web based Applications Google Docs Survey Monkey Doodle Challenger Library for Residencies Med-U (fmCASES, CLIPP)Med-U Evernote

13. Image and Video sharing sites Flickr YouTube Vimeo SlideShare

14. Blogs Dr. Ves Dimov’s Clinical Cases and ImagesClinical Cases and Images The Health Care Blog DocNotes Tuscaloosa Family Medicine Residency o Clinic Pearls (public clinical issues) Clinic Pearls o Communique (password-protected residency newsletter) Communique

15. Wikis Wikipedia o Medpedia Medpedia o Clinfowiki Clinfowiki o ganfyd ganfyd Corporate / Proprietary o Partners HealthCare eRooms o Epic - Community Library PBwiki.com o Residency Curriculum wiki Residency Curriculum wiki

16. Folksonomies aka social bookmarking, collaborative tagging, clouds collaborative emergent knowledge structures Del.icio.us swickis Wikipedia MedPedia Project

17. Mashups creative mixing of web 2.0 features to create new functionality Family Medicine Digital Resource Library o wiki o web app o social networking

18. Brief Literature Review (bibliography available)

19. Types of Medical Literature on Web 2.0 Descriptive "How Web 2.0 is changing medicine" - BMJ 2006 "12 Tips for Using Blogs and Wikis" - Medical Teacher 2006 "What is a Blog?" - FPM 2007 Planning What can / should we do? How can / should we evaluate it? Research scant at present

20. Web 2.0 for information seeking and medical education Survey of young physicians... seeking medical information 80% use Google 70% use Wikipedia Hughes B, Joshib I, Lemondec H, Warehama J. Junior physician’s use of Web 2.0 for information seeking and medical education: A qualitative study. International Journal of Medical Informatics 2009;78:645–55.

21. Moturu ST, Liu H, Johnson WG. Trust evaluation in health information on the World Wide Web. Conf Proc IEEE Eng Med Biol Soc 2008;2008:1525-8. How can we evaluate the trustworthiness of Web 2.0 sites? (Evaluating Web 1.0 was hard enough....)

22. McGee JB, Begg M. What medical educators need to know about "Web 2.0". Med Teach 2008;30:164-9. Bias / manipulation "What's on the test?" Referencing changing content Legally responsible for student-generated content? Copyright and privacy issues

23. Pitfalls?

24. Policies? FROM: Dean for GME DATE: 1/28/2010 With the proliferation of social networking sites like Facebook, Twitter and MySpace, it has become increasingly common for individuals to post information about their work environment. As healthcare workers, we have access to very personal and sensitive information about our patients and the care we deliver. It is important to recognize that information posted on these sites is owned by the sites and may be disseminated beyond the intended audiences. Merely stripping a patient's name does not render that information de- identified. Inappropriate use and/or disclosure of our patients’ information is a violation of our policies and is illegal carrying with it both civil and criminal penalties. Accordingly, do not post any patient/hospital descriptive information on any public website.

25. Patients?

26. Interactive Discussion What are you doing now? How can you make it better? What do you want to start doing? How can we evaluate these projects?

27. Wrap-up

28. Q&A "I'm overwhelmed... where do I start?" Consider some of the following: Go to Google Reader and start following a few Blogs: o Clinic Pearls - John B. Waits, MD Clinic Pearls o Clinical Cases and Images - Ves Dimov Clinical Cases and Images o Click HERE for a video of how to follow a Blog Use Google Docs for your next collaborative project o lecture in Powerpoint (for a lecture) o article or other document in Word o project tracking in Excel If you spend a significant time writing email newsletters or updates, or asking secretaries or IT to update websites... start a Blog o Blogger, WordPress, TypePad Use Doodle the next time you need to schedule a meeting Use Evernote Join facebook and don't be skeptical... just join the conversation

29. Other Medical Resource Links PeRSSonalized Medicine Clinical Cases and Images Running a Hospital- Paul Levy KevinMD Highlight Health Webicina- Practicing Medicine in the Web 2.0 eraWebicina eHealth- John SharpeHealth Medlogs- Jacob ReiderMedlogs