The document summarizes the evolution of Medicine 2.0 conferences from 2008-2013. Key themes discussed include: - The emergence of social media and mobile health apps in medicine over this period, as reflected in increasing references to these topics in PubMed. - Consistent conference themes around online health communities, social media for communication/education, and engaged patients. Emergent themes included Twitter and mobile health. - Increasing support for patient participation, sharing of experiences, and access to personal data, as well as professional knowledge sharing, but challenges remain in defining value. - Surveys show growth in physician social media use but lack of guidelines in 2006 versus numerous guidelines and focus on engagement by 2013.

1. What were once vices …………..are
now habits
Med 2.0: 2008-2013

2. 2
▸ Introduction
and disclosure
▸ Pat Rich
▸ Director, cma.ca
▸ @cmaer
▸ Delegate and
speaker at all Med 2.0
conferences

3. 3
“From my point of view,
the emergence of
mobile and ubiquitous
computing becoming
mainstream is perhaps
the biggest thing …”
Gunther Eysenbach

4. 4
“E-health research and
social media research are
… becoming almost
mainstream, and are
present in many other
conferences where they
were absent a few years
ago. This is probably a
general reflection of
changing real-world
practice.”
Peter Murray

5. 5
“Great variation at each
meeting as well as over
time. The growing
attention to use of
research methodologies
adapted to the specific
challenges in e-health is
promising.”
Dr. Sam Nordfeldt

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The evolution of Medicine 2.0
Predecessor:
Brighton, 1996 – The European Congress of the Internet in
Medicine (MedNet 96)
“The last few years have seen an unprecedented increase in the
number of individuals and institutions using the Internet particularly
with the developments of the World-Wide-Web (WWW) which the
medical community and healthcare industries have not been
excluded from.”

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The Evolution of Medicine 2.0
 2008 - MedNet 2008 – St. Petersburg, Russia (last MedNet conference)
 2008 - Medicine 2.0 - World Congress on Social Networking and Web
2.0 Applications in Medicine, Health, Health Care, and Biomedical
Research – Toronto
 2009, Toronto; 2010, Maastricht
 2011 – Medicine 2.0 – World Congress on Social Media, Mobile Apps,
Internet/Web 2.0 – Stanford
 2012, Boston; 2013 - London

8. 8
Medicine 2.0
Consistent themes
 The Internet for health communications/education
 Online communities/engaged patients
 Social media for communications, research, education and
community-building
Emergent themes
 Twitter
 Mobile health and mobile health applications

9. 9
2008 – Providing the framework
“Medicine 2.0: Social Networking, Collaboration, Participation,
Apomediation and Openness” JMIR Editorial and opening address
Social uses of personal health information within PatientsLikeMe
Study of the ePatient as a provider of health content in the Internet

10. 10
2009 - Toronto
E-patient Dave and
patient advocacy
CMA/CPD 2.0 Are We
Close?
Pandemics in the Age
of Twitter – Twitter ER
Hospital Adoption of
Med 2.0 – a Culture
Shift

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2010 – Maastricht
“Porting a Clinical Mobile Device Application from iPhone to Android Using
Online Collaboration: a Case Study Using Neuromind”
“The Proof of the Pudding: First Results of a Primary Care Consultation
Service on Twitter”

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• The Stanford ePatient
Forum
• The Meaningful Use of
Social Media By
Physicians
• Closing address:
Susannah Fox, Pew
Internet

13. 13
2012 – Boston
A View of Online
Communities Across
Stages of Life: Current
Research and Future
Trends
Two top Tweeters
both physicians

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Medicine 2.0 – 2008-2013
Pub Med – Title + Abstract
 Mobile Health and health care/medicine
 2008 – 13 references
 2013 (8 months) – 75 references
 Mobile health apps and health care/medicine
 2008 – 1
 2010 – 2
 2013 (8 months) – 14
 Twitter and health/care medicine
 2008 – 1
 2010 - 17
 2013 (8 months) – 35

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Twitter use at
Medicine 2.0
“Medicine 2.0'09 provided extra screens
to broadcast the twitter stream live to the
conference audience. Did you like the
idea”
2011 - Stanford (3 days)
8,560 Tweets - 880 Tweeters
80 Tweets/hr.
2012 – Harvard (2 days)
7,236 Tweets - 842 Tweeters
101 Tweets/hr.
Source: Symplur.com

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Increasing support for
 Patient participation
 Patients sharing personal experiences
 Patient access to information and personal data
 Professionals’ sharing of knowledge and experiences
 Professionals’ growing interest in patients as a great resource
 Platform and application enhanced trends related to rapid tech development e g
smartphones – Sam Nordfeldt

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The use of social media has
become much more
widespread among (some
sectors of) health/care
professionals and
organizations - as one would
have expected. However, I
think many are still struggling
to find a real value for using
social media.
Peter Murray

18. 18
2006
* Few or no
guidelines for social
media use by MDs
* Little awareness of
e-patient advocacy
*Few surveys of SM
use in health care
* Little published
research

19. 19
2013
* Numerous guidelines for
physicians on SM use
* Three major conferences
on SM and medicine (Med
2.0, Doctors 2.0, StanfordX)
* National survey of Cdn MD
–SM use in 2014
* US meaningful use
legislation re: pt engagement

20. 20
Conclusion
Medicine 2.0 has become the norm for some in terms of
working environment and beliefs but not the majority.
Thank you