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.
Dec 30, 2015
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.
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
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
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
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
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
Good medical wikisGood medical wikis
AskDrWiki.com FluWikie.com Ganfyd.org Just The Facts PubDrug Wikisurgery.com
Web 2.0 & medicine, Giustini – April 2007
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
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
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
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
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
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
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
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.