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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.
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How Web 2.0 Is Changing Medicine

Nov 16, 2014

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Technology

Uri Levanon

Covers interesting evolving trends and practices in the medicine sector.
By Dean Giustini.
A presentation at the 2007 Emerging Trends in Scholarly Publishing seminar.
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Page 1: How Web 2.0 Is Changing Medicine

How web 2.0 is changing medicine*How web 2.0 is changing medicine*

Dean GiustiniUBC Biomedical Branch Librarian

Vancouver General HospitalApril 12th, 2007

Dean GiustiniUBC Biomedical Branch Librarian

Vancouver General HospitalApril 12th, 2007

*A presentation at the 2007 Emerging Trends in Scholarly Publishing seminar, National Press Club, Washington, D.C.

*A presentation at the 2007 Emerging Trends in Scholarly Publishing seminar, National Press Club, Washington, D.C.

Page 2: How Web 2.0 Is Changing Medicine

OutlineOutline

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

Page 3: How Web 2.0 Is Changing Medicine

Talking medicineTalking medicine

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

Page 4: How Web 2.0 Is Changing Medicine

Doctors are socialDoctors are social

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

Page 5: How Web 2.0 Is Changing Medicine

Key tools in the knowledge economy

Key tools in the knowledge 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

Page 6: How Web 2.0 Is Changing Medicine

Blog discourse in medicine

Blog discourse 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

Page 7: How Web 2.0 Is Changing Medicine

Clinical Cases & Images blogClinical Cases & Images blog

Web 2.0 & medicine, Giustini – April 2007

Page 8: How Web 2.0 Is Changing Medicine

Good medical wikisGood medical wikis

AskDrWiki.com FluWikie.com Ganfyd.org Just The Facts PubDrug Wikisurgery.com

Web 2.0 & medicine, Giustini – April 2007

Page 9: How Web 2.0 Is Changing Medicine

Ganfyd wikiGanfyd wiki

AskDrWiki

Web 2.0 & medicine, Giustini – April 2007

Page 10: How Web 2.0 Is Changing Medicine

Doctor-moderated -Doctor-moderated -

AskDrWiki

Web 2.0 & medicine, Giustini – April 2007

Page 11: How Web 2.0 Is Changing Medicine

Content development@ AskDrWiki

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 down’ of some content pertaining to medical/ drug dosing. Additions can be made, but not until approved by editors.

Web 2.0 & medicine, Giustini – April 2007

Page 12: How Web 2.0 Is Changing Medicine

Post-textual web 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

Page 13: How Web 2.0 Is Changing Medicine

Post-textual web 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

Page 14: How Web 2.0 Is Changing Medicine

Post-textual web 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

Page 15: How Web 2.0 Is Changing Medicine

Virtual, social reality Virtual, social reality

Immersive, gaming environments

Tools for facilitated conversation?

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

‘Goodwillstacey’ medical librarian

in Second Life

Page 16: How Web 2.0 Is Changing Medicine

In summary: In summary: Web 1.0 Web 2.0

Proprietary, closed access Open access, data liberation

Yahoo, Google, MSN Social search ie. Google health

Static websites; hierarchies Participative, non-hierarchical “wisdom of crowds”

Standalone, firewalls “The open web as platform”

Sticky sites

“Pull” information

Syndication, RSS “push”

Information comes to you

E-mail alerts, listservs Blog posts, RSS readers

Medical directories, bookmarks, favorite sites

Social tagging

ie. Connotea, del.icio.us

Disparate pieces Integrated, virtual, mashedWeb 2.0 & medicine, Giustini – April 2007

Page 17: How Web 2.0 Is Changing Medicine

Web 2.0 & medicine, Giustini – April 2007

Open Medicinewww.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 as core values Open Medicine blog

A new medical journal A new medical journal

Page 18: How Web 2.0 Is Changing Medicine

Web 2.0 & medicine, Giustini – April 2007

In conclusion In conclusion

Physicians should learn about the vast ecosystem of the web

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

Wikis and blogs help doctors to communicate, collaborate and participate more

Software tools help physicians to form digital communities of practice

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