Posted in Doctors 2.0, HCSM

Doctors 2.0™ & You Speakers

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I am delighted to be included in the line up of speakers at the forthcoming Doctors 2.0 & You Conference, which will be held at Cité Internationale Universitaire de Paris, June 6-7 2013.

Speakers at the conference come from the 5 continents and from all walks of healthcare: patients, professionals, associations, public sector, payors, industry, tech innovators…. They share a common interest in improving life for patients, and in particular, thanks to the use of collaborative New Technologies….healthcare social media, web 2.0 tools, mobile apps… They will provide informed and personal analysis…and engage with us.

Now in its third year, Doctors 2.0™ & You, is the first international conference of its kind to examine how doctors and patients are using social media, applications and web 2.0 tools to work with peers, governments, industry and payers. The conference draws on the expertise of physicians, patient communities, online and mobile tool providers, hospitals, insurers, pharmaceutical companies and governments to help address the role of new technology in healthcare from both the doctor and patient perspective.

Find out more at http://www.doctors20.com

Posted in HCSM, Professionalism

Online Medical Professionalism: Patient and Public Relationships

User-created content and communications on Web-based applications, such as networking sites, media sharing sites, or blog platforms, have dramatically increased in popularity over the past several years, but there has been little policy or guidance on the best practices to inform standards for the professional conduct of physicians in the digital environment. Areas of specific concern include the use of such media for nonclinical purposes, implications for confidentiality, the use of social media in patient education, and how all of this affects the public’s trust in physicians as patient–physician interactions extend into the digital environment. Opportunities afforded by online applications represent a new frontier in medicine as physicians and patients become more connected. This position paper from the American College of Physicians and the Federation of State Medical Boards examines and provides recommendations about the influence of social media on the patient–physician relationship, the role of these media in public perception of physician behaviors, and strategies for physician–physician communication that preserve confidentiality while best using these technologies.

See on annals.org

Posted in HCSM

Can social media be used to influence healthy behaviours and track diseases?

Colleen Young's avatarColleen Young

By Fanny Gillet and edited by Colleen Young

On Wednesday May 1st, Nicole Ghanie-Opondo (@todayisbanana) moderated our tweetchat and asked the community how social media can serve behaviour change messages and help track diseases. As an introduction to the discussion she wrote an article in her blog – Behaviour Change, Disease Tracking & Social Media?

T1: People have tuned out of some behaviour messaging – can SM help?

Generally speaking, when it comes to behavior changes there is no miracle and most hcsmca-ers agreed that social media can’t be “the solution”. However, according to some chat participants, social media can provide useful peer support. By sharing real stories people may feel less alone and be influenced by the positive behaviour changes of others in their networks – “if you/they can do it, so can I”.

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Posted in HCSM

Physicians With High Productivity And Satisfaction Scores Employ Strong Patient-Centered Communication Skills

Stephen Wilkins's avatarMind The Gap

People are forever telling me that I am wasting my time talking to providers about the need to improve their patient communication skills.  Naysayers typically cite one of the following reasons for why things will never change:

Reason 1 – Every physician thinks they already have good patient communication skills.

Reason 2 – Physicians don’t get paid to talk to patients

Reason 3 – Physicians don’t have time to talk to patients

Reason 1 is relatively easy to debunk. After all, if all physicians were really such good communicators:

  • poor communications skills wouldn’t consistently top the list of patient complaints about physicians
  • patient non-adherence wouldn’t be so high since physician and patients would always agree on what is wrong and what needs to be done
  • patients would not be walking out of their doctor’s office not understanding what they were told
  • patients would not experience so many communication-related medical errors

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Posted in HCSM

Doctors Telling Their Stories Online – A Bridge Too Far?

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Anne Marie Cunningham has an excellent post on her blog today on physician burnout and it raises an interesting question.While we encourage patients to tell their stories through blogs and other social media sites, is it appropriate for doctors and other healthcare professionals to follow suit?

Cole and Carlin (2009) write in the Lancet, that burnout is “also a euphemism for what many physicians experience as a crisis of meaning and identity”. One of the solutions is for doctors to be able to tell their stories and to be compassionately and non-judgementally listened to. Can social media have a role in this?

It’s an interesting question and while Anne Marie cites Jonny Tomlinson’s blog and his latest post on the impact that loneliness can have on patients as a positive example, she also points to the satirical The Moderate Doctor as one that raises questions about the appropriateness of doctors using social media.

The Moderate Doctor is a new website based on The Rules:

The Rules have come together to try to identify some of the difficulties we face as doctors during the consultation. They have helped me identify some of the blocks and frustrations that we may all face when consulting-whilst at the same time trying to acknowledge the patient’s agenda. The difficult bit is recognising that and still providing good, effective medical care.

This all seems quite laudable but the problem as identified by Anne Marie is that the site appears to be aimed at ” bonding with other doctors through joking about their patients”.  However, Anne Marie writes that it wasn’t clear that the focus of the joke was the doctor and that made some people feel uncomfortable.

Screenshot Wishful Thinking In Medical Education
Screenshot Wishful Thinking In Medical Education

Perception Is Reality

In online social networks, the lines between public and private, personal and professional are blurred. The issue here is one of perception and while we encourage doctors to share their human side and their personality, those who do so also risk exposing themselves to accusations of arrogance and lack of empathy. While Dr Moderate’s blog may have been tongue in cheek and intended for an audience of like-minded doctors,  what you publish online is widely accessible and also open to patients to read, comment and form their own opinions on.

I was struck by a comment on Anne Marie’s blog which summed up what many patients will have thought reading The Moderate Doctor blog:

I noticed on Twitter that many doctors think that writing The Rules is an acceptable way to behave, using the usual bully’s tropes “It’s only a joke” and anyone who has a problem with The Rules “lacks a sense of humour”. One day these doctors too will be sick, vulnerable and in need. Let’s hope for their sake that they don’t encounter a Dr Moderate in their time of need.

In the recently published RCGP social media guidelines it is noted that one of the risks associated with social media participation by doctors  is the risk of engaging in behaviour which could be perceived as “unprofessional, inappropriate or offensive by others” .  While Anne Marie writes that Dr Moderate doesn’t breach any  guidelines with respect to breaking patient confidentiality, I wonder does it breach a more intangible code of professional ethics? I would love to hear your thoughts on this discussion. For me it highlights that we still have a way to go when it comes to defining professional use of social media.

photo credit: caricaturas via photopin cc