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Using Social Media to Promote Evidence-Based Practice:
A Primer on Blogs, Wikis & Twitter
Dean GiustiniFrancisco J Grajales IIIDaniel Hooker
Cochrane Canada Symposium Workshop | 16 February 2011, Vancouver BC
Workshop by:
Dean GiustiniUBC Biomedical Branch LibrarianUBC Library
Francisco J Grajales IIITrainee, Western Regional Training Centre for Health Services Research UBC Graduate Student ResearcherUBC eHealth Strategy Office
Daniel HookerResearcherUBC eHealth Strategy Office
2Giustini, Grajales III, Hooker | Cochrane Canada Symposium Workshop 2011
We received no financial contributions for the planning, development or presentation of this workshop
Outline
• Introduction
• Learning materials• e.g., powerpoints, wiki, manual
• Outline of activities
• Group discussion
• Q & A
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Evidence-based medicine
"EBM is the conscientious, explicit and judicious use of current best evidence in making clinical decisions about the care of individual patients." (David Sackett)
A Pyramid of Evidence
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Evidence-based practice
… a documented, reproducible process of systematically locating reviewing, appraising & using clinical information (e.g. research) to aid in decision-making and optimum delivery of care
Blogs
Microblogs
Wikis
Collaborative Writing
Social Bookmarking
Social/Professional Networking
Photo/Video Sharing
Rating services
Virtual Worlds
The Power of “10”
Location-basedmedia
Power of “10” Categories Social media resources at the Cochrane Collaboration website
http://www.cochrane.org/about-us/evidence-based-health-care/webliography/social-media-web-20
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What is social media?
“…social media refers to tools that enable collaboration, two-way interaction and sharing – also known as web 2.0 services that contain text, images, audio and video… some popular tools are blogs, wikis, Twitter and …?”
How can we work towards an evidence-informed use of social media?
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Image: http://bit.ly/c2Hbi0
Ways social media is used in health
• recruitment for clinical trials
• inter-professional communication / collaboration
• medical education / virtual training
• illness support groups – health advocacy • to promote funding opportunities – fundraising
• public health alerts• infectious disease monitoring – e.g., flu tracking, H1N1
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e.g., CDC Social Media ToolkitImage: http://bit.ly/9YxYtV
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…blog is short for “weblog” – a free, easy-to-publish website where bloggers post information & essays in sequential order
A recent (peer-reviewed) article surveying medical bloggers noted that:
What is a blog?
Blogs stimulate discussion, open enquiry and lifelong learning “Medical bloggers are highly educated and devoted writers,
faithful to their sources and readers. Sharing practical knowledge and skills as well as influencing how people think are major motivators for bloggers. [They] frequently pick up stories from the mainstream media… [and] influence medical and health policy”
Kovic, JMIR 2008
Image: Blogs
http://blogs.nature.com/nm/spoonful/
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…blog is short for “weblog” – a free, easy-to-publish website where bloggers post information & essays in sequential order
Nature.com blog
Better Health is an aggregator of other blogs…
http://www.getbetterhealth.com/
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Better Health Blog
RSS feedshttp://hlwiki.slais.ubc.ca/index.php/RSS
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Two examples of aggregators are Google Reader and Bloglines…
Google Reader
http://bloglines.com
http://reader.google.com
http://casesblog.blogspot.comhttp://twitter.com/drves
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• An early medical blog• Dr. Ves Dimov, author
• Cited by the Cochrane Collaboration, BMJ, Medscape, Nature & other sites
Clinical Cases and Images blog
Embed information in blogposts
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Ethical & authority issues for bloggers
http://www.hon.ch/HONcode/Conduct.html
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A Wiki is…
…a communal website where content can be quickly & easily edited. Wikis support collaboration & information-sharing; feature multimedia such as video, slides, photographs & allow anyone to edit whereas others are password-protected….
WikiDoc The Living Textbook of MedicineThe Original Medical Wiki / Encyclopedia
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http://medpedia.com
Wiki features• Open • Collaborative • Simple to use• A set of ‘living documents’• Evolving record of evidence
Types of wiki software
Locally-hosted:• Mediawiki • Twiki
• Cloud-based:• Wikispaces • PBworks
Editing … in Wikipedia
http://www.wikimatrix.org/
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Some Popular Medical Wikis
Medical encyclopedias
• AskDrWiki http://askdr.wiki.com/• Ganfyd http://www.ganfyd.org
Medical education
• Medpedia http://medpedia.com• MedSkills wiki project http://www.medskills.eu
Communities of practice
• WikiProject Medicine http://en.wikipedia.org/wiki/Wikipedia:WikiProject_Medicine • Wikisurgery http://wikisurgery.com
http://hlwiki.ca
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• A “microblogging” (“tiny” blog) service that allows networks of users to send short updates to each other in less than 140 characters.
• A platform for information dissemination, social networking and real-time communication.
Twitter is…
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•Tweets
•Retweets
•Mentions
•Lists
•Hashtags
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Twitter is…
Twitter uses
•Links (e.g. blog posts, reviews, research)
•Connection to other users
•Sharing of expertise
•Current and important events in real-time
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Example of physician tweet
Twitter challenges
•Detail, debate, nuance, sarcasm
•Twitter ‘spam’
•Value comes from being public
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JAMA published a study in 2011 of physicians with 500 or more Twitter followers… while 38 of 5156 tweets represented
potential privacy violations, the authors concluded that the occurrence was rare
Giustini, Grajales, Hooker - Cochrane Canada Symposium Workshop 2011 22
Viewing (Passive)
Contributing (Active)
ContentFocus
People Focus
Wikis
Blogs
SocialNetworking
e.g., Twitter & Facebook
Donald H Taylor 2009
Mapping social media
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Map social media to your needs
• Why use a blog, wiki or Twitter?
• For networking … and to monitor information
• Connect with people you trust
• To have conversations with peers about evidence in real time
• To engage in new scholarly practices
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YouTube Video
…evidence-based medicine (EBM) does not always answer all the questions we have…. Dr. Scott Strayer
http://www.youtube.com/watch?v=T0w9yIc76zo
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The Importance of Social Media in Medicine
Discuss – Record – Report back
• What is your opinion of the video? • And, Dr. Stryer’s views of social media?
• Can social media be used to boost productivity? • How might it support learning / build communities of practice?
• What are the benefits and harms of social media use?• What concerns you most about using social media?
See manual pg 13 for discussion questions
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POST Method
A four-step approach to devising a social media strategy
P People …with whom do you want to communicate?
O Objectives…what do you want to accomplish?
S Strategy…how will you ensure your strategy will be successful?
T Technology…which tool (or tools) will you try?
POST is taken from “Groundswell: Winning in a World Transformed by Social Technologies” by Charlene Li and Josh Bernoff http://forrester.typepad.com/groundswell/2007/12/the-post-method.html
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Questions?
All materials in this workshop come under the
Creative Commons Attribution 2.5 Canada Licence
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Contact Information
Dean Giustini• [email protected]
Francisco Grajales• www.franciscograjales.com/contact/
Daniel Hooker• [email protected]
Updates to materials used in this workshop can be found on our wiki:http://hlwiki.slais.ubc.ca/index.php/Using_Social_Media_to_Promote_Evidence-Based_Practice
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