1.How web 2.0 is changing medicine* Dean Giustini UBC Biomedical Branch Librarian Vancouver General Hospital April 12 th , 2007 *A presentation at the 2007 Emerging Trends in Scholarly Publishing seminar, National Press Club, Washington, D.C.

2. Outline

Discuss types of social software use in medicine

How do doctors communicate?

Evidence-based medicine

Trends to watch

Open access (OA)

Medical publishing 2.0

Web 2.0 & medicine, Giustini April 2007 3. Talkingmedicine

How do physicians communicate?

Formally

• Journal articles, print and e-books, conferences

Informally

• Conversation, on the wards, online, with residents

Community of practice (Lave & Wenger)

Web 2.0 & medicine, Giustini April 2007 4. Doctors aresocial

Web 2.0 creates conversations

Tools, social-software

• • Blogs, wikis, podcasts, video, RSS feeds

Socialization

• • Conversation, on the wards, online, rounds with residents

Knowledge begins with conversations*

* Kenneth Megill.Thinking for a living: the Coming Age of Knowledge Work . 2004

Web 2.0 & medicine, Giustini April 2007 5. Keytools in theknowledge economy

Blogs, wikis

• • Is a medical wikipedia the next step?

Podcasts & vodcasts

• • Do physicians listen and/ or watch?

• • RSS feeds push content

Other

• • tagging, photo & slide sharing

Web 2.0 & medicine, Giustini April 2007 6. Blogdiscourse in medicine

Blogs stimulate discussion, self-directed learning &reflective practice

Useful educational tools

• • Clinical Cases & Images, Ves Dimov, M.D.

• • Kidney Notes blog, Joshua Schwimmer, M.D.

• • Over!My!Med!Body!,

• • • Graham Walker, Stanford medical student

Medical librarian search blogs

• • To help find medical information,rapidly

Web 2.0 & medicine, Giustini April 2007 7. Clinical Cases & Images blog Web 2.0 & medicine, Giustini April 2007 8. Good medical wikis

AskDrWiki.com

FluWikie.com

Ganfyd.org

Just The Facts

PubDrug

Wikisurgery.com

Web 2.0 & medicine, Giustini April 2007 9. Ganfyd wiki

AskDrWiki

Web 2.0 & medicine, Giustini April 2007 10. Doctor-moderated -

AskDrWiki

Web 2.0 & medicine, Giustini April 2007 11. Content development @ AskDrWiki

Credentials needed to become an editor or contributor

• Transparent editorial policy with contributors and credentials listed (Name, degree, location)

• RSS feeds to notify editors of content changes/ additions.

New clinical domains:

• • General Surgery, ENT, Vascular Surgery, Hospital Administration, Bio Informatics, Dermatology, Emergency Medicine, Orthopaedics and Basic Science Editors.

Lock downof some content pertaining to medical/ drug dosing.

• Additions can be made, but not until approved by editors.

Web 2.0 & medicine, Giustini April 2007 12. Post-textual web

Podcasts, vodcasts

New England Journal of Medicine

MEDLINE/PubMed indexing

Trend is toward integration; mash ups

Web 2.0 & medicine, Giustini April 2007 13. Post-textual web

Podcasts, vodcasts

New England Journal of Medicine

MEDLINE/PubMed indexing

Trend is toward integration; mash ups

Web 2.0 & medicine, Giustini April 2007 14. Post-textual web

Podcasts, vodcasts

New England Journal of Medicine

MEDLINE/PubMed indexing

Trend is toward integration; mash ups

Web 2.0 & medicine, Giustini April 2007 15. Virtual, social reality

Immersive, gamingenvironments

Tools forfacilitatedconversation?

MMORPGs

• Role-playing games,Second Life

Simulated medical services

Medical librarians 2.0 avatars

Web 2.0 & medicine, Giustini April 2007 Second Life secondlife.com Goodwillstaceymedical librarian in Second Life 16. In summary: Web 2.0 & medicine, Giustini April 2007 Open access, data liberation Proprietary,closedaccess Integrated, virtual, mashed Disparate pieces Social taggingie.Connotea, del.icio.us Medical directories, bookmarks, favorite sitesBlog posts, RSS readers E-mail alerts, listservs Syndication, RSS push Information comes to you Sticky sites Pull information Theopenweb as platformStandalone, firewallsParticipative, non-hierarchicalwisdom of crowds Static websites; hierarchies Social search ie. Google health Yahoo, Google, MSN Web 2.0 Web 1.0 17. A new medical journal Web 2.0 & medicine, Giustini April 2007

Open Medicine

www.openmedicine.ca

*a new peer-reviewed, independent,open-access journal

launch is imminent (next few weeks)

physician-created, many former CMAJ editors

editorial independence, scientific integrity ascore values

Open Medicine blog

18. In conclusion Web 2.0 & medicine, Giustini April 2007

Physicians should learn about the vast ecosystem of the web

Web 2.0is not a fad, but is changing the way patients and physicians interact

Wikis and blogs help doctors to communicate, collaborate and participatemore

Software tools help physicians to formdigitalcommunities of practice

In the future, physicians will publish in the absence of associations or affiliations.