Presentation delivered by Greg Matthews to the Millenial Medicine Symposium on April 26, 2013. #MMed13

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Contents are proprietary and confidential.
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Medical Education in Online Conversation
Greg Matthews
April 26, 2013

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Contents are proprietary and confidential.
0
10
20
30
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90
100
MDigital Life MedEd Tweet Volume

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How do doctors talk about
Medical Education online?
Contents are proprietary and confidential.

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Key Medical Education Conversations - #MedEd
Contents are proprietary and confidential.
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0
100
200
300
400
500
600
700
800
900
1000
MedEd

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Key Medical Education Conversations - #FOAMed
Contents are proprietary and confidential.
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0
100
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300
400
500
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700
800
900
1000
MedEd FOAMed

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Key Medical Education Conversations - #TwitJC
Contents are proprietary and confidential.
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0
100
200
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400
500
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800
900
1000
MedEd FOAMed TwitJC

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Key Medical Education Conversations – MedEd2
Contents are proprietary and confidential.
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0
100
200
300
400
500
600
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800
900
1000
MedEd FOAMed TwitJC MedEd2

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#MedStudents
Contents are proprietary and confidential.

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Sharing the experience of studying medicine
Contents are proprietary and confidential.
9

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Sharing the experience of studying medicine
Contents are proprietary and confidential.
10

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Contents are proprietary and confidential.
0
50
100
150
200
250
#MedStudents Tweet Volume

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Match Day!
Contents are proprietary and confidential.
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US Medical Schools with >4 tweets
Contents are proprietary and confidential.
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Head and shoulders …
Contents are proprietary and confidential.
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Contents are proprietary and confidential.
Brazil
7%
Canada
6%
China
4%
other
9%
UK
3%
USA
71%
#MedStudents Geographic Distribution

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#MedEd
Contents are proprietary and confidential.

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MDigitalLife – Top Overall Hashtags
TOP HASHTAGS
#health(8,215)
#meded (4,547)
#hcsm (4,532)
#mhealth (3,412)
#fmrevolution (2,721)
Family
Medicine
Residents
Most used by
Most used by
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Contents are proprietary and confidential.
0
100
200
300
400
500
600
700
800
900
1000
#MedEd Tweet Volume
Tweet Volume Linear (Tweet Volume)
Ryan Madanick
@RyanMadanickMD

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Contents are proprietary and confidential.
Australia
9%
Canada
6%
other
10%
UK
9%
USA
66%
#MedEd Geographic Distribution

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Top Hashtags in MedEd tweets
“Confidential: The strategies and tactics
described herein are subject to legal and
regulatory approval prior to
Hashtag Percent of MedEd Tweets
HCSM
8.3%
medschool
3.8%
premed
2.6%
cmechat
2.4%
FOAMed
2.1%
medstudents
3.6%
healthcare
1.9%
medicine
1.8%
mdchat
1.5%
Health
1.5%

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What are the top information sources?
Contents are proprietary and confidential.
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Most linked by All Most linked by MDs
nih.gov www.geripal.org
kevinmd.com www.nytimes.com
well.blogs.nytimes.com nih.gov
webicina.com www.kevinmd.com
blogs.einstein.yu.edu well.blogs.nytimes.com
nytimes.com neuroednerd.blogspot.com
imedicalapps.com www.nejm.org
thehappymd.com journals.lww.com
TheAtlantic.com www.theatlantic.com
NEJM.org futureoffamilymedicine.blogspot.com

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Top Tweeters in #MedEd
Contents are proprietary and confidential.
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Top Tweeters
RyanMadanickMD
BrianSMcGowan
ARJalali
MedPedsDoctor
FutureDocs
amcunningham
whole_patients
MedEdChat
Kind4Kids
College_Experts

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Contents are proprietary and confidential.
0 500 1000 1500 2000 2500 3000 3500 4000 4500
Before May 2010
May 2010 - April 2011
May 2011 - April 2012
May 2012 - April 2013
Mdigital Life MedEd Tweet Volume

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Top Specialties
Contents are proprietary and confidential.
Specialty Percent of MedEdTweets
Internal Medicine 42.8%
Resident 14.7%
Psychiatry & Neurology 14.6%
Cardiology 9.0%
Pediatrics 8.4%
Family Medicine 5.3%
Emergency Medicine 2.1%
Surgery 0.8%
Orthopaedic Surgery 0.7%
Anesthesiology 0.5%

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#FOAMed
Contents are proprietary and confidential.

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What’s #FOAMed?
Contents are proprietary and confidential.
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FOAMed is the movement that has spontaneously emerged from the exploding collection of constantly evolving,
collaborative and interactive open access medical education resources being distributed on the web with one
objective — to make the world a better place. FOAM is independent of platform or media — it
includes blogs, podcasts, tweets, Google hangouts, online videos, text documents, photographs, facebook groups, and a whole lot
more.
FREE OPEN ACCESS MEDUCATION

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What’s FOAMed?
Contents are proprietary and confidential.
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If you want to know how we practiced medicine 5 years ago,
read a textbook
If you want to know how we practiced medicine 2 years ago,
read a journal
If you want to know how we practice medicine now,
go to a (good) conference
If you want to know how we will practice medicine in the future,
listen in the hallways and use FOAM.
- Joe Lex, MD

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Contents are proprietary and confidential.
0
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#FOAMed Tweet Volume

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“Confidential: The strategies and tactics
described herein are subject to legal and
regulatory approval prior to
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MDigital Life FOAMed Tweet Volume
AAEM13

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Contents are proprietary and confidential.
Australia
28%
Brazil
5%
Canada
7%
Egypt
5%other
5%
UK
3%
USA
47%
#FOAMed Geographic Distribution

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Top Specialties
Contents are proprietary and confidential.
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Specialty Percent of FOAMed Tweets
Emergency Medicine 78.7%
Surgery 7.9%
Resident 6.8%
Internal Medicine 2.5%
Family Medicine 0.9%

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Top MDigitalLife Tweeters in FOAMed
Contents are proprietary and confidential.
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Top Physician Tweeters
mastinmd
JoeLex5
bedsidesono
SonoSpot
drsamko
embasic
TheTechDoc
meganranney
grahamwalker
nyjsm

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Top Overall Tweeters in #FOAMed
Contents are proprietary and confidential.
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Top Tweeters
precordialthump
sandnsurf
EMS12Lead
JoeLex5
RogerDJones1
rfdsdoc
CriticalCareNow
smacc2013
umanamd
IVLINE

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“Confidential: The strategies and tactics
described herein are subject to legal and
regulatory approval prior to
Top #Hashtags used in FOAMed Tweets
Hashtag Percent of MedEd Tweets
aaem13 37.9%
ultrasound 4.2%
hanoitrauma13 3.0%
harvardultrasound 2.2%
villareal 1.9%
pemc12 1.7%
meded 1.4%
smacc2013 1.1%
joelex 1.0%
williams 0.8%

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Top Domains linked-to by Physicians
Contents are proprietary and confidential.
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Top Domains
lifeinthefastlane.com
sonospot.wordpress.com
www.ultrasoundpodcast.com
embasic.org
gmep.org
academiclifeinem.blogspot.com
nih.gov
www.essr.org
www.pbfluids.com
journals.lww.com

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What FOAM looks like
Contents are proprietary and confidential.
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What FOAM looks like
Contents are proprietary and confidential.
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What FOAM looks like
Contents are proprietary and confidential.
38

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#TwitJC
Contents are proprietary and confidential.

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Contents are proprietary and confidential.
0
50
100
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350
#TwitJC Tweet Volume
Natalie Silvey
@silv24
Fiona Douglas
@FiDouglas

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TwitJC Language

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Top Hashtags in #TwitJC Tweets
Contents are proprietary and confidential.
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Hashtags Percent of FOAMed Tweets
meded 2.6%
foamed 1.3%
gasclass 1.0%
ecgclass 0.7%
sciteachjc 0.6%
edcases 0.6%
evidencelive 0.6%
microtwjc 0.6%
hcsm 0.6%
phtwitjc 0.6%

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Top #TwitJC Links
Contents are proprietary and confidential.
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Top Domains
www.twitjc.com
www.nejm.org
onlinelibrary.wiley.com
jamanetwork.com
wishfulthinkinginmedicaleducation.blogspot.co.uk
www.bmj.com
blogs.nejm.org
nih.gov
alltrials.net
www.consort-statement.org

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Top Tweeters in #TwitJC
Contents are proprietary and confidential.
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Top Tweeters
silv24
Twitjournalclub
PaedsSHO
Taggiemonster
_elljay_
Christiplady
Northern_doctor
Dr_dyb
Jonjhilton
amcunningham

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Who cares about a journal club?
Contents are proprietary and confidential.
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http://storify.com/amcunningham/what-happens-when-you-ask-atul-gawande-to-join-in-?

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#MedEd2
Contents are proprietary and confidential.

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Contents are proprietary and confidential.
0
10
20
30
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MedEd2 Tweet Volume

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Top Tweeters in #MedEd2
Contents are proprietary and confidential.
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Top Tweeters
westr
Pfanderson
Conciergedoc
MedObserver
Drbachinsky
Giasison
JohnNosta
Aftjae
dopaminergic13
Faisal_hoque

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Top #MedEd2 Links
Contents are proprietary and confidential.
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Top Domains
www.kevinmd.com
www.genomeweb.com
www.forbes.com
33charts.com
www.nejm.org
www.medicineandtechnology.com
www.incrowdnow.com
www.fastcompany.com
www.ihealthbeat.org
www.nytimes.com

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MedEd2 can look like this …
Contents are proprietary and confidential.
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MedEd2 can look like this …
Contents are proprietary and confidential.
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MedEd2 can look like this …
Contents are proprietary and confidential.
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Special
Thanks
Brian
McGowan
of
Archemedx
@BrianSMcGowan
Kayla
Rodriguez
of
WCG
@kaylarodrigue11
Natalie
Silvey
–
Junior
Doctor
in
the
UK
@silv24
MaLhew
Hager
of
W2O
Digital
@ismashew

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Appendix

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What’s MDigitalLife?
Contents are proprietary and confidential.
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Understanding Doctors’ Online Behavior
56 Contents are proprietary and confidential.
18%
21%
31%
8%
22%
(0500 – 0800) (0801 - 1200) (1201 - 1800) (1801-2300) (2301-0459)
Morning Workday Work PM Evening Overnight
of all MDs are followed
by at least 20 MDs
34
%
of all MDs are mentioned by
other MDs in the data set
36
%
When Doctors Tweet

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search.mdigitallife.com
Contents are proprietary and confidential.
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What do doctors talk about online?
Contents are proprietary and confidential.
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At the highest level …
Contents are proprietary and confidential.
Health Education
Business of Health
Politics of Health
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At the highest level …
Contents are proprietary and confidential.
Health Education
Business of Health
Politics of Health
60

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Strongest Focus Areas
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Doctors
Media
Congress
6%
33%
2%
14%
11%
64%
27%
22%
15%
6%
10%
5%47%
23% 15%
PercentageofHealthcareConversation
Healthcare Conversation Topics
Treatment
Research
Prevention
Policy
Business
61

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Where education makes a difference
62

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The PSA Controversy
35%
54%
11%
Negative Neutral Positive
Doctors who state an opinion are
more than 3:1
against the USPSTF’s
ruling on PSA Tests
63 Contents are proprietary and confidential.

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Pediatricians often provide advice on low-effort, high-impact activities
that can improve family health
What Pediatricians Are Talking About on Twitter*
Clinical Lifestyle
Behavior
Management
Vaccinations
Nutrition
Organic Food/
Clothing (.2%)
Household Safety
Childhood
Diabetes(.4%)
Benefits of Bacteria
(.6%)
Psychopathology
Childhood Obesity
Breast Feeding
Allergies
Study/News
Sharing
Parenting
Tips
Sun Exposure (.4%)
Infant Mortality (.
8%)

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Pediatricians focus on high-probability dangers, like head injuries,
drowning, poisons, firearms; Little mention of non-organic ingredients
Pediatrician Conversations About Safety*
Themes in Safety Conversations
• Pediatricians 3 most common pieces of safety advice
were : a) teach your kids how to swim; b) install your car
seat correctly; and c) know whether guns are stored at
your child’s friends’ houses.
• Household safety tips included stories on the dangers of
curtains and detergent gel packs.
Types of Content Shared
News/Studies:
• Drowning is the leading cause of child deaths in the U.S.
• Colorful gel detergent packs are a potential danger to
young children, although no deaths have been reported
Tips:
• Importance of swimming lessons
• Car seat safety tips
• Gun safety
• Child-proofing curtains and kitchens
0.07%
0.07%
0.08%
0.12%
0.12%
0.18%
0.23%
0.36%
0.41%
0.00% 0.20% 0.40%
Sleep Safety
Strollers
Detergent Packs
Elements
Poisons
Child-Proofing
Guns
Transportation
Drowning
Percentage of All Posts
Tips
62%
News/
Studies
38%