Imaging Pearls ❯ Practice Management ❯ Social Media
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- “As a web-based technology, social media imposes no geographic barriers. Radiologists can use it to reach peers worldwide and seek collaborators, mentors, ideas, and jobs. Medical students use it to match residency positions, and radiology practices and research groups use it to recruit physicians and scientists. For example, two authors of this article initially met and befriended one another on social media. Because of this underlying professional relationship that was established virtually, one was matched to the residency program at the institution where the other is a professor.”
Social Media Platforms for Radiologists: Perks and Perils
Eduardo Moreno Júdice de Mattos Farina et al.
Radiology 2023; 000:e220974 - “Because of its large reach to many different sectors of the public, social media is a powerful tool for business outreach. It enables a radiologist to connect with referring physicians and build consultancy relationships, similar to the more conventional interactions in clinical rounds, the reading room, or multidisciplinary conferences. It offers excellent tools for radiologists to increase their professional visibility, display their expertise, and share their clinical knowledge. Radiology practices can also promote their patient care services. For example, patients can self refer to radiologists for cancer screening or find interventional radiologists who offer novel or less widely available minimally invasive procedures.”
Social Media Platforms for Radiologists: Perks and Perils
Eduardo Moreno Júdice de Mattos Farina et al.
Radiology 2023; 000:e220974 
Social Media Platforms for Radiologists: Perks and Perils
Eduardo Moreno Júdice de Mattos Farina et al.
Radiology 2023; 000:e220974- Some authors advocate the use of “humble-bragging,” that is, advertising one’s accomplishments or accolades in a context that indicates that one is “grateful” to be the recipient. However, the line between bragging, humble-bragging, and acceptable self-promotion is subtle, and whether it would be considered acceptable usually depends on the context and the culture of the reader. Asking a friend to judge the content before posting may be helpful. It is human to become oblivious when one is enthusiastic about a subject.
Social Media Platforms for Radiologists: Perks and Perils
Eduardo Moreno Júdice de Mattos Farina et al.
Radiology 2023; 000:e220974 - “Social media can be a powerful tool to establish relationships, expand connections, and foster a radiologist’s career. Many radiologists have successfully increased their professional profile in clinical practice, research, and education through social media platforms. Although the potential for social media misuse cannot be overlooked, radiologists of the future will be routinely engaging in social media as an integral aspect of their profession.”
Social Media Platforms for Radiologists: Perks and Perils
Eduardo Moreno Júdice de Mattos Farina et al.
Radiology 2023; 000:e220974
- What is Social Media?
- social media per Merriam-Webster 2023
- forms of electronic communication (such as websites for social networking and microblogging) through which users create online communities to share information, ideas, personal messages, and other content (such as videos) - Social Media Sites 2023 and Monthly Active Users (MAUs).
- Facebook — 2.9 billion MAUs. ...
- YouTube — 2.2 billion MAUs. ...
- WhatsApp — 2 billion MAUs. ...
- Instagram — 2 billion MAUs. ...
- WeChat — 1.26 billion MAUs. ...
- TikTok — 1 billion MAUs. ... - Social Media is Worldwide
- Social media allows you to do at least four important things:
- Discover new ideas and trends.
- Connect with existing and new audiences in deeper ways
- Bring attention and traffic to your work.
- Build, craft and enhance your brand. - Social media are interactive technologies that facilitate the creation and sharing of information, ideas, interests, and other forms of expression through virtual communities and networks.
Wikipedia - Users usually access social media services through web-based apps on desktops or download services that offer social media functionality to their mobile devices (e.g., smartphones and tablets). As users engage with these electronic services, they create highly interactive platforms in which individuals, communities, and organizations can share, co-create, discuss, participate, and modify user-generated or self-curated content posted online.
Wikipedia - Observers have noted a wide range of positive and negative impacts when it comes to the use of social media. Social media can help to improve an individual's sense of connectedness with real or online communities and can be an effective communication (or marketing) tool for corporations, entrepreneurs, non-profit organizations, advocacy groups, political parties, and governments. Observers have also seen that there has been a rise in social movements using social media as a tool for communicating and organizing in times of political unrest.
- “The definition of medicine as a public trust was summarized by Schroeder et al in 1989: “[M]edicine is entrusted by society to improve the health of the public through education, patient care and research. In return, medicine receives significant public funding, respect, and autonomy”. Medicine’s role as a public trust has a past, present, and a speculative future. Key institutions in the 19th century functioned as a “Silicon Valley” of medicine, bringing forth important contributions and defining the role of medicine as a public trust.”
Renegades, Rebels, and Revolutionaries: Making Medicine a Better Public Trust.
Hellmann DB, Fishman EK, Lugo-Fagundo E, Chu LC, Rowe SP.
J Am Coll Radiol. 2023 Feb;20(2):285-287 - “What are the most important medical challenges in 2022? I believe they were aging, disparities in health, and the high cost of medical care. No one could have predicted coronavirus disease 2019 (COVID-19). In the last year, I have come to believe the most important challenge is humanizing medicine. I am reminded of William Osler, who said, “The good doctor treats the disease, the great doctor treats the person with the disease.” Francis Peabody said, “One of the essential qualities of the clinician is interest in humanity, for the secret of the care of the patient is caring for the patient”
Renegades, Rebels, and Revolutionaries: Making Medicine a Better Public Trust.
Hellmann DB, Fishman EK, Lugo-Fagundo E, Chu LC, Rowe SP.
J Am Coll Radiol. 2023 Feb;20(2):285-287 - “COVID-19 demonstrated how acute has been the need for humanizing medicine. Science alone cannot deliver the promise of medicine (the soul of medicine is healing, profession, and trust). More than 100,000 who have died did so despite safe and effective vaccines. There is high burnout among medical professionals. The new focus of CIM is to transform the delivery of medical care such that every patient is known as a person and treated with dignity, compassion, and respect. Major medical centers should be as well known for their caring as for their science.”
Renegades, Rebels, and Revolutionaries: Making Medicine a Better Public Trust.
Hellmann DB, Fishman EK, Lugo-Fagundo E, Chu LC, Rowe SP.
J Am Coll Radiol. 2023 Feb;20(2):285-287 - “A revolution in medicine began in the late 19th century, in which medicine became viewed as a public trust whose DNA is triple stranded: caring, science, and justice. Delivering the promise of medicine in the 21st century requires a commitment to humanizing medicine that is as strong as the commitment to scientific excellence.”
Renegades, Rebels, and Revolutionaries: Making Medicine a Better Public Trust.
Hellmann DB, Fishman EK, Lugo-Fagundo E, Chu LC, Rowe SP.
J Am Coll Radiol. 2023 Feb;20(2):285-287 - “Academic medicine and academic radiology must continue to think in revolutionary and creative ways. People who are attracted to academic medicine want to be a part of important ideas and initiatives. Although, at first glance, we think of discovery as the measure of success, caring for patients in a humanizing manner is the true measure of success. Radiology will inevitably continue to evolve into a more patient-facing specialty. Increasing emphasis on interventional radiology, radionuclide therapy, and interactions between diagnostic imagers and patients indicate the need for our specialty to know our patients as people.”
Renegades, Rebels, and Revolutionaries: Making Medicine a Better Public Trust.
Hellmann DB, Fishman EK, Lugo-Fagundo E, Chu LC, Rowe SP.
J Am Coll Radiol. 2023 Feb;20(2):285-287 - “As a combined group, 80.71% said they use social media “every day” or “a few times a week” (n = 205). YouTube was the most popular social media platform for radiology education (n = 180), followed by Instagram (n = 156) and Facebook (n = 110). In terms of goals for radiology education on social media, most answered “to learn more in radiology” (n = 217), with “to keep myself updated on current events in radiology” (n = 162), and “to participate in radiology discussions with colleagues” (n = 67) also well represented. Almost 3 quarters of respondents felt that social media was “extremely useful” or “very useful” for radiology education (n = 187). Approximately half of respondents said they “learn much more from social media” or “learn a bit more from social media” over traditional resources such as textbooks and medical journals (n = 126).”
Social Media Usage for Radiology Education: A One-Month 2022 Global Survey.
Kauffman L, Weisberg EM, Fishman EK.
Curr Probl Diagn Radiol. 2023 Feb 1:S0363-0188(23)00004-X. 
Social Media Usage for Radiology Education: A One-Month 2022 Global Survey.
Kauffman L, Weisberg EM, Fishman EK.
Curr Probl Diagn Radiol. 2023 Feb 1:S0363-0188(23)00004-X.- “In this digital age, in which such technology is relied on more heavily because of the global COVID-19 pandemic, we find it important for educators to understand how people are using online social media resources for education. With the large number of social media platforms, educators can be intimidated by where to start or which platforms to use. Our goal is to add social media statistics to the radiology literature so that educators can better understand how to find the online radiology community in order to make the most appropriate informed decisions as to how to best provide their educational material. We anticipate returning to this survey approximately every 2 years to examine how the landscape of social media continues to change in the world of radiology education.”
Social Media Usage for Radiology Education: A One-Month 2022 Global Survey.
Kauffman L, Weisberg EM, Fishman EK.
Curr Probl Diagn Radiol. 2023 Feb 1:S0363-0188(23)00004-X. (in press) - “According to Dr John Dunloskey, a Professor of Psychology, the most effective learning strategies are practice testing and distributed practice. Practice testing involves participating in multiple assessment activities to reinforce learning, and distributed practice involves studying in multiple short sessions instead of one long session. These have been shown to be highly effective in improving comprehension, memory, and boosting students’ achievements. Combining the most effective learning strategies of practice testing and distributed practice with the most influential social media platforms can be a game changer in medical education and learning.”
Leveraging Social Media to Learn: A New Era for Medical Education
Zeba M, Awan OA.
Acad Radiol. 2023 Mar;30(3):565-566 - “Many social media platforms, such as Twitter (San Francisco, CA) and Instagram (Menlo Park, CA), allow for practice testing through online interactive quizzes. Participating in social media-based quizzes and accessing instant feedback of high yield questions can make this type of learning highly productive. The element of play or gamification in these activities can have benefits beyond competition. Gaming increases engagement and interaction during learning. The instant feedback from questions plays a crucial role in learning, allowing learners to quickly understand concepts that have been mastered and those that need to be improved.”
Leveraging Social Media to Learn: A New Era for Medical Education
Zeba M, Awan OA.
Acad Radiol. 2023 Mar;30(3):565-566 - “A learner can leverage social media to watch a YouTube (San Bruno, CA) video on a certain topic, and then view and learn a different topic by reviewing a case presentation on Twitter, all within a short period of time. This learning style also taps into the different methods of learning; namely auditory, visual, and kinesthetic. This learning strategy of distributed and interleaved practice provides real-world context to learning based on the needs and choices of the learner, as the student is picking what content to view or learn from.”
Leveraging Social Media to Learn: A New Era for Medical Education
Zeba M, Awan OA.
Acad Radiol. 2023 Mar;30(3):565-566 - “The most common social media platforms being used for digital learning in medical education include Facebook (Menlo Park, CA), YouTube, Instagram, and Twitter. These platforms not only help create and share informative and engaging videos, quizzes, posters infographics, and illustrations; but also provide an opportunity to connect with the educators and peers in an informal and highly convenient way.”
Leveraging Social Media to Learn: A New Era for Medical Education
Zeba M, Awan OA.
Acad Radiol. 2023 Mar;30(3):565-566 - “In recent years, medical educators and learners are showing a positive trend toward the use of social media for educational purposes. For example, educators are supporting their own YouTube channels to share lectures and cases. Medical education social media influencers often share their day-to-day cases and educational pearls on Twitter, some of whom conduct quizzes and interact with the learners in the comment sections. International medical journals are also starting to share cases, quizzes, and podcasts on their social media platforms.”
Leveraging Social Media to Learn: A New Era for Medical Education
Zeba M, Awan OA.
Acad Radiol. 2023 Mar;30(3):565-566 - “The power of social media really lies in cultivating a sense of excitement in learning, which can inspire learners to engage in lifelong learning in a fun, interactive manner. Social media platforms provide students the opportunity to think critically about educational topics and enjoy learning, with the added value of collaborative engagement.”
Leveraging Social Media to Learn: A New Era for Medical Education
Zeba M, Awan OA.
Acad Radiol. 2023 Mar;30(3):565-566 - "Instagram is an image-based platform used to share photographs among users. It is best suited for medical education. For instance, the Department of Radiology at Cincinnati Children’s Hospital (@CincyKidsRad) has successfully used Instagram to teach pediatric radiology to other medical professionals (9). It allows users to post images with a caption and to include searchable hashtags. Posts are viewable by anyone who follows the posting user and anyone searching the specific hashtag. Instagram allows users to post multiple pictures and videos and has a 2200-character limit, making it well suited for educational content. Users can interact with a given post by posting comments and questions. Most users post daily to multiple times every week. A good use of Instagram is posting a case of the day for medical students and radiology residents.”
Social Media Tools for Department and Practice Communication and Branding in the Digital Age
Kohli MD et al.
RadioGraphics 2018; 38:1773–1785 - “Engagements track the deepest level of interaction with social media and occur when a user opens a post, comments, clicks on a link, views an image, likes, shares, or retweets. Engagements are the most powerful metric, one not available with print media. While some forms of engagement are readily visible to all users (likes, retweets, comments), other engagements like clicking on a link or viewing an image are assessable only through analytics tools.”
Social Media Tools for Department and Practice Communication and Branding in the Digital Age
Kohli MD et al.
RadioGraphics 2018; 38:1773–1785 - “The realm of medicine has been quick to welcome social media, especially in radiology where 85% of radiologists disclosed social media participation through one or more platform(s). The benefits of embracing social media in radiology have been well documented, such as increased reach of publications, elevated engagement at conferences, development of professional networks , facilitation of radiological teaching, and improved public awareness of the radiology specialty. This has only been possible because of platforms like Twitter, Facebook, Instagram, YouTube, and TikTok. However, not all age demographics have adjusted to the social media boom equally, with a notable gap in usage existing between the younger and older generations.”
American Society of Emergency Radiology (ASER) social media committee workgroup: best practices for the use of social media in emergency radiology
Waleed Abdellatif et al.
Emergency Radiology (2022) 29:1033–1042 - “A good practice to avoid such common mistake is to delay posting educational or interesting cases and images for at least a few weeks after initial presentation or scan acquisition and avoid precise age and sex labeling of posted cases unless necessary for the educational message. For example, “a middle-aged patient” or “a patient in the 30 to 40-year-old group” can often correctly replace “a 32-year old man (or) woman.”
American Society of Emergency Radiology (ASER) social media committee workgroup: best practices for the use of social media in emergency radiology
Waleed Abdellatif et al.
Emergency Radiology (2022) 29:1033–1042 - “Social media has become integrated within the profession of medicine, and emergency radiology has inevitably felt the impact of its presence. While there are reasonable reservations one may have towards social media, emergency radiologists are encouraged to consider the advantages of embracing the digital era and the benefits it may bring to our careers. Table 1 presents the summary best practice guidelines for emergency radiologists and radiology departments. Social media is a powerful tool that, if employed responsibly and tactfully, can provide its users with leverage that was thought to be wholly inaccessible in the decades prior. Emergency radiology is a rapidly developing subspecialty; therefore, it is in a prime position to embrace this new technology. We look forward to seeing emergency radiologists and radiology departments leading the trek into this digital age with effective and ethical use of social media.”
American Society of Emergency Radiology (ASER) social media committee workgroup: best practices for the use of social media in emergency radiology
Waleed Abdellatif et al.
Emergency Radiology (2022) 29:1033–1042 - “Social media should not be oversold as a requirement for academic advancement. Individual use of social media varies. The narrative that social media activity is a meaningful measure of the importance of one’s work and thus a relevant criterion for academic advancement can be harmful. Until the harms can be sufficiently addressed, this narrative must end.”
Harms in Encouraging Social Media Use for Individual Academic Advancement
Rama S. Ayyala
AJR 2023;220:606-607 - “Academic medicine carries expectations to generate new knowledge and to disseminate information through publications and lectures. There are long-standing guidelines for using such deliverables for advancement. Nontraditional promotion criteria, such as altmetrics, are being discussed in the literature and have been applied in at least one major academic medical institution. Clearly delineated frameworks are needed, including comparison with traditional measures. The use of social media for academic advancement must be approached with caution until data supporting it are available. This message of caution is especially important for early-career faculty and trainees.”
Harms in Encouraging Social Media Use for Individual Academic Advancement
Rama S. Ayyala
AJR 2023;220:606-607 - “The rise of medical education on Twitter can be traced to the emergence of the concept of free open-access medical education (FOAMed), championed by many physicians on Twitter as a vehicle to globalize medical knowledge. Due to Twitter’s signature utilization of hashtags to filter content, the #radFOAMed and #radres hashtags have been widely accepted to categorize radiological education tweets. Moreover, major radiology conferences have added Twitter coverage of their educational events. Hawkins et al. reported a 30% increase in Twitter activity at the 2012 RadiologicalSociety of NorthAmerica (RSNA) conference by comparison with 2011.”
The growing role of social media for research and education in radiology,
A. Pozdnyakov, M. Alabousi and M.N. Patlas,
Diagnostic and Interventional Imaging (2023), https://doi.org/10.1016/j.diii.2023.01.007 - “The experiences with the above-mentioned educational CTisus project, curated by the Radiology Department at Johns Hopkins Hospital, Baltimore, have been also described in literature. In addition to Instagram, this educational initiative also has a presence on Youtube and Facebook, which Kauffman et al. report in their study. The findings of their analysis demonstrate that viewership on Youtube was significantly increased with 10−15 min Facebook Live videos in comparison to other video formats, indicating the utility of Youtube as a complementary social media tool.”
The growing role of social media for research and education in radiology,
A. Pozdnyakov, M. Alabousi and M.N. Patlas,
Diagnostic and Interventional Imaging (2023), https://doi.org/10.1016/j.diii.2023.01.007 - “One of the most pertinent issues in using social media as a tool of radiology education is the issue of patient information confidentiality. Other than exceedingly rare explicit violations of patient privacy, such as exposure of patient’s identity on images without their informed consent, there is a wide spectrum of other potential identifications that accompanies a large portion of educational cases posted online. Effort should be made to minimize all ancillary clinical information that might potentially result in identification of patients, particularly if it does not provide educational value.”
The growing role of social media for research and education in radiology,
A. Pozdnyakov, M. Alabousi and M.N. Patlas,
Diagnostic and Interventional Imaging (2023), https://doi.org/10.1016/j.diii.2023.01.007 - “The ascent of social media culture poses a new opportunity for thenworld of radiology to new networking, education, promotional and advocacy opportunities. Global accessibility of social media creates a favourable environment for professional cohesion and collegiality among radiologists from different parts of the world. While this review summarizes the body of published literature on social media usage in radiology, there are still a lot of new creative ways to utilize social media in the interests of radiology that need to be researched. There is persistent paucity of scholarly work that describes the phenomenology of social media in radiology, yet given the rapid technological progress, it is expected that radiologists’ interest in social media will only grow.”
The growing role of social media for research and education in radiology,
A. Pozdnyakov, M. Alabousi and M.N. Patlas,
Diagnostic and Interventional Imaging (2023), https://doi.org/10.1016/j.diii.2023.01.007 - “Viewers were most engaged with longer videos, with interaction and watch time indicating greater interest than simple clicks/ views. YouTube is an easy-to-use and valuable platform for hosting video content. It reaches a global audience and provides what many radiology trainees and professionals are looking for: video instruction.”
YouTube and Radiology: The Viability, Pitfalls, and Untapped Potential of the Premier Social Media Video Platform for Image-Based Education
Lilly Kauffman, Edmund M. Weisberg, John Eng, Elliot K. Fishman
Acad Radiol 2022; 29:S1–S8 - “A key advantage to YouTube for video creators is its interface capabilities. It provides flexibility and caters to some of the video creators’ most crucial needs. If a user wants to upload to You-Tube, they must create a YouTube channel. This process is free and requires a Google account to sign up. It is worth noting that a YouTube channel is different from a regular YouTube account, though the signup process is similar. Individuals with YouTube accounts can then “subscribe” to YouTube channels, which allows them to receive notifications about new uploads.”
YouTube and Radiology: The Viability, Pitfalls, and Untapped Potential of the Premier Social Media Video Platform for Image-Based Education
Lilly Kauffman, Edmund M. Weisberg, John Eng, Elliot K. Fishman
Acad Radiol 2022; 29:S1–S8 - “The major pitfall of YouTube is that it lacks peer review and the responsibility of verifying credibility rests solely on the viewer. According to YouTube, their search engine algorithm is generated by various factors, including the appropriateness and previous user engagement for videos and a specific query. However, credibility does not seem to influence the most popular search results for a query.”
YouTube and Radiology: The Viability, Pitfalls, and Untapped Potential of the Premier Social Media Video Platform for Image-Based Education
Lilly Kauffman, Edmund M. Weisberg, John Eng, Elliot K. Fishman
Acad Radiol 2022; 29:S1–S8 - “YouTube also has no shortage of videos with incorrect information and inaccurate materials. A study of psoriasis videos showed that only 7.1% were created by medical physicians or institutions while 11.5% promoted miracle-like remedies. A study of 560 Italian YouTube videos on vaccines and autism found 70% of the presentations expressed a negative attitude toward vaccines, and that anti-vaccination content was three times as popular as pro-vaccination content . Within the pool of content that is not blatantly incorrect, there remain instructional videos that are not helpful. One study found that only 6.6% of femoral artery access videos clearly showed the femoral artery access technique. In a review of laparoscopic cholecystectomy videos, only 15.1% were rated as “good” . These are very low percentages.”
YouTube and Radiology: The Viability, Pitfalls, and Untapped Potential of the Premier Social Media Video Platform for Image-Based Education
Lilly Kauffman, Edmund M. Weisberg, John Eng, Elliot K. Fishman
Acad Radiol 2022; 29:S1–S8 - “The prevalence of dubious information can also be interpreted as a golden opportunity: more trustworthy content is called for on YouTube. Educators who produce video content, or can do so, should consider uploading their presentations to YouTube. As radiology professionals migrate to video, their attention will turn to the video giant. YouTube is the second most popular website and one of the most popular social media sites amongst radiology students. Radiology educators would be doing a service to their trainees and other students by addressing this audience. The radiology community should not ignore YouTube because of its pitfalls but must work to enhance the role it can for radiology education because of its popularity. In response, educators can benefit from having an increased presence in the radiology community, receiving a free copyright tool, and earning money from their work.”
YouTube and Radiology: The Viability, Pitfalls, and Untapped Potential of the Premier Social Media Video Platform for Image-Based Education
Lilly Kauffman, Edmund M. Weisberg, John Eng, Elliot K. Fishman
Acad Radiol 2022; 29:S1–S8 - “YouTube is an easy-to-use and valuable platform for hosting video content. It reaches a global audience and provides what many radiology trainees and professionals are looking for: video instruction. As radiology and medicine evolve, the ways in which the two are taught should further change with the times, as well, and embrace the use of social media, meeting more students where they choose to spend time. Video instruction may be the future of radiology education and YouTube can be a powerful way to promote such content.”
YouTube and Radiology: The Viability, Pitfalls, and Untapped Potential of the Premier Social Media Video Platform for Image-Based Education
Lilly Kauffman, Edmund M. Weisberg, John Eng, Elliot K. Fishman
Acad Radiol 2022; 29:S1–S8 - Social Media: Lectures and Discussions
- Facebook Live
- YouTube Live
- Zoom (including webinars)
- Microsoft Teams - Social Media: Lectures and Discussions
- Facebook Live
- YouTube Live
--- Weekly lectures (Thursday 12 EST)
--- Monthly quizzes
--- Typically one directional lecture with real time comments/questions
--- Free for everyone - Social Media: Lectures and Discussions
- Zoom (including webinars)
- Microsoft Teams
--- Easy to send invites and control the audience
--- Easy to have panel discussions as well as live Q and A
--- Low cost (extra for webinar format)
--- Excellent for panel discussions with visiting speakers - Social Media and Radiology: Common Sites
- Twitter
- YouTube
- Instagram
- Facebook
- Linked In
- Tik Tok
- Pinterest - Social Media in Radiology
- Education (professional and patient)
- Promotion (self serving announcements)
- Business (increase market share)
- Mentoring
- Networking - Social Media in Radiology: Potential Issues
- Non peered reviewed material
- No check of accuracy of information
- Unclear agendas (think COVID 19) - “The digital landscape altered significantly in 1997 with the advent of SixDegrees.com, a unique website that we know today as the beginning of “social media.” Users were able to send private messages, add connections, and make public posts for the first time in internet history. Though the platform is now defunct, other companies followed suit within a few short years and sites such as Facebook, Twitter, LinkedIn, and Instagram, among many others, made their debuts on the World Wide Web. Today, there are approximately 4.65 billion social media users globally and 72% of U.S. adults use at least 1 social media platform.”
Social Media Usage for Radiology Education: A One-Month 2022 Global Survey
Lilly Kauffman, Edmund M. Weisberg, Elliot K. Fishman
Current Problems in Diagnostic Radiology 52 (2023) 153 163 - “YouTube was found to be the most popular social media platform for radiology education (n = 180), followed by Instagram (n = 156) and Facebook (n = 110). When asked to select a single preferred platform, respondents most often chose YouTube (n = 90), Instagram (n = 84), and Facebook (n = 42).”
Social Media Usage for Radiology Education: A One-Month 2022 Global Survey
Lilly Kauffman, Edmund M. Weisberg, Elliot K. Fishman
Current Problems in Diagnostic Radiology 52 (2023) 153-163 - “Our results corresponded with similar studies. In a 2021 survey of social media usage among neurosurgical trainees, Facebook, You- Tube, and Instagram were the most common social media platforms used for all purposes.A 2018 survey of radiologists and radiology trainees at a school in Indiana found the same. A 2021 survey of European oncologists reported that over 90% of respondents thought that social media was a useful tool for both communicating and distributing scientific and medical information, education, and training.”
Social Media Usage for Radiology Education: A One-Month 2022 Global Survey
Lilly Kauffman, Edmund M. Weisberg, Elliot K. Fishman
Current Problems in Diagnostic Radiology 52 (2023) 153-163 - “In this digital age, in which such technology is relied on more heavily because of the global COVID-19 pandemic, we find it important for educators to understand how people are using online social media resources for education. With the large number of social media platforms, educators can be intimidated by where to start or which platforms to use. Our goal is to add social media statistics to the radiology literature so that educators can better understand how to find the online radiology community in order to make the most appropriateinformed decisions as to how to best provide their educational material. We anticipate returning to this survey approximately every 2 years to examine how the landscape of social media continues to change in the world of radiology education.”
Social Media Usage for Radiology Education: A One-Month 2022 Global Survey
Lilly Kauffman, Edmund M. Weisberg, Elliot K. Fishman
Current Problems in Diagnostic Radiology 52 (2023) 153-163 - “Facebook Live is one of Facebook’s most successful modes for transmitting audio and video content. For almost five years, we have used Facebook Live to reach our followers to discuss miscellaneous radiology topics on our Facebook page, CTisus. The videos show us, and sometimes others, discussing a range of topics related to radiology. Topics include “Adrenal Masses,” “Preventing Misdiagnosis,” and “The Use of CT in Cancer Screening.” Unrelatedly, we started hosting remote case conference meetings for the faculty in our radiology department soon after the onset of the COVID-19 pandemic, with an aim to help faculty learn while maintaining a sense of community during this new era of heavy remote work after having held these conferences in person for nearly 15 years. During the case conferences, we show approximately 3 6 slide pairs for each case and quiz the faculty on the diagnosis. In December 2020, we decided to merge the two practices and host additional case conferences each month on Facebook Live via Zoom. We theorized that this would give our followers a better sense of community while teaching and reviewing diagnostic cases. Our goal was to increase engagement with our users.”
Facebook Live: One Year of Traditional Discussions vs. Case Conferences
Lilly Kauffman, Edmund M. Weisberg, Elliot K. Fishman
Current Problems in Diagnostic Radiology 51 (2022) 431 433 - “Based on our findings, we propose a more image-based approach to video education on social media. Though hundreds, and sometimes thousands, of users have joined us over the years for Facebook Live discussions, we can see our case conferences are the preferred format amongst viewers. The case conferences require more effort and time to create. While our regular discussions don’t need much preparation, cases and relevant images for each case need to be collected and combined for each case conference. However, we feel the effort is worth the increased number of viewers and engagements. We will discontinue our practice of sharing case images ahead of time as this effort appears not to have been sufficient to encourage users to join us for our discussions. We also plan to re-evaluate our methods of quizzing to increase user engagement.”
Facebook Live: One Year of Traditional Discussions vs. Case Conferences
Lilly Kauffman, Edmund M. Weisberg, Elliot K. Fishman
Current Problems in Diagnostic Radiology 51 (2022) 431 433 - Objective: To examine our website and social media audience data to define the number of African users and review the effects of COVID-19 on our viewership from Africa, and look ahead to potential opportunities.
Conclusion: We have been successful in achieving a 27% increase in website traffic from Africa to our radiology social media offerings. This increase since the onset of the COVID-19 pandemic is encouraging, especially when noting that we do not have any paid advertising. We look forward to reaching a larger African audience to deliver radiology education in the future.
Radiology Without Borders: Identifying Global Reach of Radiology Social Media in Africa
Elias Lugo-Fagundo, Edmund M. Weisberg, Lilly Kauffman, Elliot K. Fishman
Current Problems in Diagnostic Radiology 51 (2022) 852-857 - “To date, over 20,000 users visit our website each month, and we have amassed more than 386,000 followers across our six primary socialmmedia accounts: Facebook (Menlo Park, CA), Twitter (San Francisco, CA), Instagram (Menlo Park, CA), YouTube (San Mateo, CA), LinkedInm(Mountain View, CA), and Pinterest (San Francisco, CA). Our analytics reveal that approximately 63% of our website audience and 88% of our social media audience reside outside the United States, representing nearly all the world’s countries ranging from populousnations like Brazil and India to microstates, such as Nauru and SanMarino.”
Radiology Without Borders: Identifying Global Reach of Radiology Social Media in Africa
Elias Lugo-Fagundo, Edmund M. Weisberg, Lilly Kauffman, Elliot K. Fishman
Current Problems in Diagnostic Radiology 51 (2022) 852-857 - “The continent of Africa is home to 17.51% of the world’s population, second only to Asia’s 59.33%. As of the end of March 2020 Africa accounted for 11.5% of the world’s internet penetration, however, with only 39.3% of its population accessing the internet compared to the world average of 58.8%. While the African audience represents a smaller percentage of our social media following and overall website traffic, and lags behind the global increase in internet usage during the coronavirus disease 2019 (COVID-19) pandemic, the African audience has become an integral part of the CTisus online community and exceeds expected participation when considering resource limitations that may hamper communication.”
Radiology Without Borders: Identifying Global Reach of Radiology Social Media in Africa
Elias Lugo-Fagundo, Edmund M. Weisberg, Lilly Kauffman, Elliot K. Fishman
Current Problems in Diagnostic Radiology 51 (2022) 852-857 - “African countries face numerous disadvantages in the educational and service sectors of medicine, many of which could contribute to lower-than-average visitation rates to radiology websites and social media. One significant challenge is physician shortages. While enduring more than 51,000 disability-adjusted life years (DALYs) per 100,000, the highest rate of disease burden across any global region as of 2017, Sub-Saharan countries, which lose 22% of medical school graduates to migration outside of Africa within 5 years of graduating, experience the worst shortages in the world, reporting 21 physicians per 100,000 people. Northern Africa only surpasses Sub- Saharan Africa and South-Central and South-Eastern Asia, with approximately 90 physicians per 100,000, compared to the worldwide average of 175 physicians per 100,000. Furthermore, the scarcity of radiologists and CT scanners in the continent highlights the reach of the CTisus website and social media platforms when looking at the proportion of radiological personnel and equipment to viewership, rather than the raw data.”
Radiology Without Borders: Identifying Global Reach of Radiology Social Media in Africa
Elias Lugo-Fagundo, Edmund M. Weisberg, Lilly Kauffman, Elliot K. Fishman
Current Problems in Diagnostic Radiology 51 (2022) 852-857 - “While reaching a larger African audience to deliver radiology education remains a goal for our team, broadening internet access in Africa for larger purposes, such as increasing awareness of urgent public healthcare issues (including the promotion of COVID-19 vaccination as, it is hoped, becomes more available), remains of greater importance. As it is, though, we are encouraged by the increasing interest from Africa in our radiology social media offerings and look forward to continued growth in the future. Further, we hope that our work helps to provide valuable information for education and improved patient care.”
Radiology Without Borders: Identifying Global Reach of Radiology Social Media in Africa
Elias Lugo-Fagundo, Edmund M. Weisberg, Lilly Kauffman, Elliot K. Fishman
Current Problems in Diagnostic Radiology 51 (2022) 852-857 - “Based on our collected data, we can conclude that static images, both in the form of case studies and medical illustrations, are choices more popular within the radiology community on Instagram. Videos fall behind in popularity. We believe that the videos did not attract as many likes for several reasons. While videos may last up to a minute long, it can take the user much less time to glance at an illustration or a selection of static images. Additionally, it would be more difficult for users to watch a video with the audio on in a public space. If they are in an elevator or at work, it may be inappropriate to turn the sound on to listen to videos.”
Is a Picture Really Worth More than a Thousand Words? Which Instagram Post Types Elicit the Best Response for Radiology Education
Lilly Kauffman, Edmund M. Weisberg, John Eng, Elliot K. Fishman
Journal of Digital Imaging (2020) 33:1053–1057 - “It is also important to note that our followers come from all over the world. In fact, 88% of our followers live outside of the USA, with a quarter of our followers hailing from India, Brazi l , Russia, and Turkey (Instagram provides only the top five regions). This means that a significant proportion of our following presumably does not speak English as a first language. Since the audio is not translated, it may be difficult for our followers to understand what is being said. The majorityof responses to our posts were positive emojis.”
Is a Picture Really Worth More than a Thousand Words? Which Instagram Post Types Elicit the Best Response for Radiology Education
Lilly Kauffman, Edmund M. Weisberg, John Eng, Elliot K. Fishman
Journal of Digital Imaging (2020) 33:1053–1057 - “Our goal is to provide all types of posts ifwe find themto be of educational benefit. Videos continue to garner positive reactions, though not as many as static images. We have an archive of over 260,000 images from which to choose, and we will rely on this more heavily, particularly focusing on replacing videos with images in our quiz. We have a limited number of medical illustrations and post these infrequently. The aim of this experiment was to assist others toward more efficient use of Instagram. Our results can aid radiology educators who use social media, particularly Instagram, in producing popular content. A medical illustration can take hours to produce. Likewise, videos require sound equipment, recording software, and additional time to create. While it is easy to procure a selection of CT scans, it is also, apparently, what users want to see. It may not be necessary to create videos and medical illustrations specifically for Instagram, as the greater effort does not appear to improve results.”
Is a Picture Really Worth More than a Thousand Words? Which Instagram Post Types Elicit the Best Response for Radiology Education
Lilly Kauffman, Edmund M. Weisberg, John Eng, Elliot K. Fishman
Journal of Digital Imaging (2020) 33:1053–1057 - “Instagram appears to be ideally suited for radiology given its image-based nature. In addition, Instagram can also be used as a tool to help radiologists share and discuss radiological images, improve communication with clinicians and patients, advertise themselves and their specialty, and humanize their profession. Nevertheless, legal matters and privacy issues should always be taken into account when using these tools. In this overview, we describe the development of social networks and communication tools in our own radiology department, focusing especially on our Instagram account, as it has had a wide impact on our hospital and radiology residents around the country.”
Instagram’s Influence on Radiology Today: Reviewing the Evolving Educational Journey from a Hospital to National Societies
Javier Azcona Saenz et al.
Journal of Digital Imaging (2021) 34:1316–1327 - “Radiology as a specialty can oftentimes be obscured by other fields which have more direct patient contact. Instagram can be used to showcase the work that the radiology team performs behind the scenes, humanizing the figure of the radiologist behind the imaging machine. By fully utilizing the features offered by the application, Instagram can help a small radiology department gain international recognition while also promoting teamwork within the department. At the University Hospital Marqu.s de Valdecilla, we have seen both benefits with our Instagram radiology account and plan to develop it further moving forward.”
Instagram’s Influence on Radiology Today: Reviewing the Evolving Educational Journey from a Hospital to National Societies
Javier Azcona Saenz et al.
Journal of Digital Imaging (2021) 34:1316–1327 - “Currently, the largest obstacles deterring physicians from posting on social media are legal and ethical concerns. Laws regarding the protection of patient privacy differ in every country, and international laws have yet to be developed. Importantly, it is not only the publication of images that require attention in this area, but rather the storage of patient information on personal devices that is at equal risk of exposure. In the future, the development of guidelines and encrypted software to protect patient information is a necessary step in expanding the use of social media for medical education.”
Instagram’s Influence on Radiology Today: Reviewing the Evolving Educational Journey from a Hospital to National Societies
Javier Azcona Saenz et al.
Journal of Digital Imaging (2021) 34:1316–1327 - Social Media and Your Radiology Practice
- Who you are
- What you do
- A face to your practice
- What people want and expect
- While the adoption of social media platforms has become commonplace for personal life use, its practice has tremendously grown for professional usage in medicine, and particularly in the field of radiology. The use of alternative metrics, or altmetrics, scores have developed in an effort to quantify the impact of research beyond traditional metrics, such as citation rate and journal impact factor, particularly to recognize the impact of social media on dissemination and promotion of research. Social media usage in the realm of radiology has expectedly been adopted for the purposes of medical education, research, networking, and advocacy. However, some platforms have been used as a medium to discuss and share the day-to-day nature in the field of radiology, burnout in radiology, as well as radiology-themed humor. The purpose of this review article was discuss the role of altmetrics, as well as the specific uses of social media platforms including Twitter, Instagram, Facebook, Youtube, and more. The role of ethics in social media practice related to radiology are discussed.
The growing role of social media for research and education in radiology
Alex Pozdnyakova, Mostafa Alabousib, Michael N. Patlasa
Diagnostic and Interventional Imaging 000 (2023) 1−4 (in press) - “The rise of medical education on Twitter can be traced to the emergence of the concept of free open-access medical education (FOAMed), championed by many physicians on Twitter as a vehicle to globalize medical knowledge. Due to Twitter’s signature utilization of hashtags to filter content, the #radFOAMed and #radres hashtags have been widely accepted to categorize radiological education tweets . Moreover, major radiology conferences have added Twitter coverage of their educational events. Hawkins et al. reported a 30% increase in Twitter activity at the 2012 Radiological Society of North America (RSNA) conference by comparison with 2011.”
The growing role of social media for research and education in radiology
Alex Pozdnyakova, Mostafa Alabousib, Michael N. Patlasa
Diagnostic and Interventional Imaging 000 (2023) 1−4 (in press) - “The current landscape of radiology content on Instagram is represented by radiology departments, radiological societies and individual physicians, who post interesting cases and other educational content. The latter represents the majority of existing radiology related Instagram accounts. As an example, a journal article by Wadhwa et al. describes a detailed experience of an academic radiology department posting their teaching files as case studies. Similarly, an article by Yu and Sharma highlights the perspective of a radiologist educator and outlines recommendations for curating a personalized radiology medical education account.”
The growing role of social media for research and education in radiology
Alex Pozdnyakova, Mostafa Alabousib, Michael N. Patlasa
Diagnostic and Interventional Imaging 000 (2023) 1−4 (in press) - “The experiences with the above-mentioned educational CTisus project, curated by the Radiology Department at Johns Hopkins Hospital, Baltimore, have been also described in literature. In addition to Instagram, this educational initiative also has a presence on Youtube and Facebook, which Kauffman et al. report in their study viewership on Youtube was significantly increased with 10−15 min Facebook Livevideos in comparison to other video formats, indicating the utility of Youtube as a complementary social media tool.”
The growing role of social media for research and education in radiology
Alex Pozdnyakova, Mostafa Alabousib, Michael N. Patlasa
Diagnostic and Interventional Imaging 000 (2023) 1−4 (in press) - “One of the most pertinent issues in using social media as a tool of radiology education is the issue of patient information confidentiality . Other than exceedingly rare explicit violations of patient privacy, such as exposure of patient’s identity on images without their informed consent, there is a wide spectrum of other potential identifications that accompanies a large portion of educational cases posted online. Effort should be made to minimize all ancillary clinical information that might potentially result in identification of patients, particularly if it does not provide educational value.”
The growing role of social media for research and education in radiology
Alex Pozdnyakova, Mostafa Alabousib, Michael N. Patlasa
Diagnostic and Interventional Imaging 000 (2023) 1−4 (in press) - “The ascent of social media culture poses a new opportunity for theworld of radiology to new networking, education, promotional and advocacy opportunities. Global accessibility of social media creates a favourable environment for professional cohesion and collegiality among radiologists from different parts of the world. While this review summarizes the body of published literature on social media usage in radiology, there are still a lot of new creative ways to utilize social media in the interests of radiology that need to be researched. There is persistent paucity of scholarly work that describes the phenomenology of social media in radiology, yet given the rapid technological progress, it is expected that radiologists’ interest in social media will only grow.”
The growing role of social media for research and education in radiology
Alex Pozdnyakova, Mostafa Alabousib, Michael N. Patlasa
Diagnostic and Interventional Imaging 000 (2023) 1−4 (in press) - “Interleaved practice is specifically helpful in conceptual learning and building higher order learning for complex topics. Social media is perfectly set up for embracing distributed practice. A learner can leverage social media to watch a YouTube (San Bruno, CA) video on a certain topic, and then view and learn a different topic by reviewing a case presentation on Twitter, all within a short period of time. This learning style also taps into the different methods of learning; namely auditory, visual, and kinesthetic. This learning strategy of distributed and interleaved practice provides real-world context to learning based on the needs and choices of the learner, as the student is picking what content to view or learn from.”
Leveraging Social Media to Learn: A New Era for Medical Education
Maryam Zeba, MBBS, Omer A. Awan, MD, MPH, CIIP
Acad Radiol 2023; 30:565–566 - “The most widespread social media platforms also allow learners and instructors to connect outside the formal learning environment, share ideas, and create peer groups to share their opinions regarding the learning experience. The most common social media platforms being used for digital learning in medical education include Facebook (Menlo Park, CA), YouTube, Instagram, and Twitter. These platforms not only help create and share informative and engaging videos, quizzes, posters, infographics, and illustrations; but also provide an opportunity to connect with the educators and peers in an informal and highly convenient way. Telegram (Tortola, British Virgin Islands) is another such platform where professionals from all over the world create their own unique learning groups to network, learn, and share highly valuable information. Learning and staying updated with rapidly evolving scientific knowledge has never been as convenient and accessible as it is today.”
Leveraging Social Media to Learn: A New Era for Medical Education
Maryam Zeba, MBBS, Omer A. Awan, MD, MPH, CIIP
Acad Radiol 2023; 30:565–566 - “In recent years, medical educators and learners are showing a positive trend toward the use of social media for educational purposes. For example, educators are supporting their own YouTube channels to share lectures and cases. Medical education social media influencers often share their day-to-day cases and educational pearls on Twitter, some of whom conduct quizzes and interact with the learners in the comment sections. International medical journals are also starting to share cases, quizzes, and podcasts on their social media platforms. This constantly updating, highly effective platform with an over expanding worldwide audience has immense potential for eLearning including the ability to influence the educational pedagogy of future physicians.”
Leveraging Social Media to Learn: A New Era for Medical Education
Maryam Zeba, MBBS, Omer A. Awan, MD, MPH, CIIP
Acad Radiol 2023; 30:565–566 - “The power of social media really lies in cultivating a sense of excitement in learning, which can inspire learners to engage in lifelong learning in a fun, interactive manner. Social media platforms provide students the opportunity to think critically about educational topics and enjoy learning, with the added value of collaborative engagement. Next time you find yourself on Twitter; take that quiz, click the possible correct poll option below it, watch a short 5 minute video, and have faith that you are engaging in and applying an educational strategy that will undoubtedly enhance your learning.”
Leveraging Social Media to Learn: A New Era for Medical Education
Maryam Zeba, MBBS, Omer A. Awan, MD, MPH, CIIP
Acad Radiol 2023; 30:565–566
- “Medical misinformation contributes toa substantial health toll in the US and around the world, and both the harms it causes and the challenge of confronting it have been exacerbated by social media. Mitigating the effects of misinformation requires a multifaceted approach that includes partnerships among clinicians, public health officials, technologists, patient groups, and community leaders. Moving forward will require sustained attention and considerable effort, but the rewards of progress are a shared understanding of what is true and what is not, strengthening the foundation of healthy people and a healthy society.”
SocialMedia and Medical Misinformation Confronting New Variants of an Old Problem
Khulliar D
JAMA Published online September 23, 2022 - “The spread of false and misleading health information has increased substantially in recent years. During theCOVID-19 pandemic, for example, misinformation contributed to the use of unproven treatments, nonadherence to mitigation measures, and high levels of vaccine hesitancy. A study based on counterfactual simulation modeling suggested that higher immunization rates could have prevented nearly half of COVID-19–related deathsin the US between January 1, 2021, and April 30, 2022.”
Social Media and Medical Misinformation Confronting New Variants of an Old Problem
Khulliar D
JAMA Published online September 23, 2022
- “The concept of black swan events was popularized by finance professor Nassim Nicholas Taleb. Briefly, a black swan event is an exceptionally rare occurrence with catastrophic consequences that is impossible to predict but is described in hindsight as though it was inevitable and should have been predicted. It is hard to imagine an event that more clearly fits the definition of a black swan than the ongoing coronavirus pandemic.”
Surviving and Thriving in a Black Swan Event.
Grossman KA, Fishman EK, Chu LC, Rowe SP.
J Am Coll Radiol. 2021 Apr 13:S1546-1440(21)00236-2. - “Lastly, we could see that many careers were going to be permanently changed by the pandemic and associated events. Whole industries have been disrupted. We wanted to provide tools for people to upgrade their skills for their current career or retrain for a new career. We partnered with Columbia Business School to offer certificates for $200. This allowed people, who may have been laid off or furloughed, to obtain Ivy League business school skills for a relatively affordable sum.”
Surviving and Thriving in a Black Swan Event.
Grossman KA, Fishman EK, Chu LC, Rowe SP.
J Am Coll Radiol. 2021 Apr 13:S1546-1440(21)00236-2. - “The coronavirus pandemic and the associated societal changes “punched us in the mouth.” We had already diversified the ways in which we engaged with many of our consumers, but the pandemic accelerated that and made us re-examine many of our plans. The nature of a black swan event is that it cannot be predicted— but you can develop appropriate responses when it occurs and, with the right decision making, you can thrive despite the catastrophic circumstances..”
Surviving and Thriving in a Black Swan Event.
Grossman KA, Fishman EK, Chu LC, Rowe SP.
J Am Coll Radiol. 2021 Apr 13:S1546-1440(21)00236-2. - “Black swan events may be rare and impossible to predict, but when they occur there are still opportunities for organizations to successfully navigate the downstream consequences. The coronavirus pandemic has obviously radically altered how medicine is practiced, but those hospitals and departments that quickly found robust ways to work around their previous models of doing business are primed for long-term success. Many health care systems, hospitals, and practices are trusted content producers that people go to for information; ensuring that health care consumers have access to trustworthy information across multiple possible platforms is more important now than ever.”
Surviving and Thriving in a Black Swan Event.
Grossman KA, Fishman EK, Chu LC, Rowe SP.
J Am Coll Radiol. 2021 Apr 13:S1546-1440(21)00236-2. - “Our educational models for medical students, residents, fellows, and radiologists in practice (ie, continuing medical education) has been evolving in recent years. The pandemic forced more changes to be instituted rapidly to maintain our educational missions. Like Time, Inc, we had to be nimble and to rethink how we could provide training despite lectures and conferences no longer being in-person events. Some of the changes that have been made may evolve again if the pandemic finally passes, but many of the changes will remain longer term.”
Surviving and Thriving in a Black Swan Event.
Grossman KA, Fishman EK, Chu LC, Rowe SP.
J Am Coll Radiol. 2021 Apr 13:S1546-1440(21)00236-2. - “Despite these obstacles, women of color are winning every day across a wide range of fields. By working with allies of all ages, genders, and races, we can spread “Black brilliance” widely and generate an economic revolution globally. Women of color are projected to represent the majority of the US population by 2060. The American Express “2019 State of Women-Owned Businesses Report” showed that, although the number of women-owned businesses grew 21% from 2014 to 2019, firms owned by women of color grew at double that rate, at 43%. The 6.4 million businesses owned by women of color generated $422.5 billion of revenue in 2019. More women of color on both sides of the political aisle are running for office, and many of them have won.”
Empowering Women of Color to Lead and Succeed.
Stewart BC, Adams J, Fishman EK, Rowe SP, Chu LC.
J Am Coll Radiol. 2021 Mar 12:S1546-1440(21)00143-5. - “By 2027, people of color ages 18 to 29 (Generation Z and young Millennials) will be in the majority. This demographic tipping point will shape the future of the United States as well as the global economy. That is why we have embraced the term generational diversity to describe the need for innovation in the “race for talent”: new ways not only to find and hire these young people but to retain them. To that end, we will need both inclusive leaders and deeper “allyship” across the races, genders, generations, and industry sectors. Our focus is business, given our experiences and educational backgrounds, but the rules of the game, and the race for talent, exist in every arena, including academics and medicine.”
Empowering Women of Color to Lead and Succeed.
Stewart BC, Adams J, Fishman EK, Rowe SP, Chu LC.
J Am Coll Radiol. 2021 Mar 12:S1546-1440(21)00143-5. - We endorse Deloitte’s six signature traits of an inclusive leader:
1. Commitment: Inclusive leaders are committed to diversity and inclusivity based on their intrinsic values and deep-seated sense of fairness, rather than some extrinsic reward.
2. Courage: These leaders have the courage to challenge entrenched organizational attitudes, display humility, and acknowledge personal limitations and to seek contributions from others to overcome them.
3. Cognizance of bias: They have checks and balances to prevent organizational bias.
Empowering Women of Color to Lead and Succeed.
Stewart BC, Adams J, Fishman EK, Rowe SP, Chu LC.
J Am Coll Radiol. 2021 Mar 12:S1546-1440(21)00143-5. - We endorse Deloitte’s six signature traits of an inclusive leader:
4. Curiosity: They ask respectful questions and engage with active listening. They make people feel valued, respected, and represented.
5. Cultural intelligence: They value modesty and different cultural backgrounds.
6. Collaboration: They ensure all individuals feel empowered to express their opinions. Diversity of thinking is critical to effective collaboration.
Empowering Women of Color to Lead and Succeed.
Stewart BC, Adams J, Fishman EK, Rowe SP, Chu LC.
J Am Coll Radiol. 2021 Mar 12:S1546-1440(21)00143-5. - “Our message is that we should team up, rather than pursue solo journeys. Once we team up, we are an unstoppable force. Teaming up is a scalable proposition to advancement and to increasing the camaraderie among women of color. We call it “SaaS”: sisters as a service. Career growth comes from referring others. We must also embrace the change that comes from moving beyond “an only” ourselves. By supporting referrals, we can assist organizations as they enhance their succession planning for every role leading to the C-suite and a pipeline for venture funding. As women of color, we can create a joyous sense of belonging through career sisterhood, and hiring more of us in multiples is a fundamental place to start. As the African proverb says, “If you want to go quickly, go alone. If you want to go far, go together!”.”
Empowering Women of Color to Lead and Succeed.
Stewart BC, Adams J, Fishman EK, Rowe SP, Chu LC.
J Am Coll Radiol. 2021 Mar 12:S1546-1440(21)00143-5. - “Underrepresented minorities are traditionally defined as Black, Hispanic, Native American, Alaskan Native, Native Hawaiian, and Pacific Islander. They are underrepresented as practicing radiologists (6.5%) and diagnostic radiology residents (8.3%) compared with the US population (30%). Our departments need inclusive leaders who are committed to promoting racial diversity and will go beyond the tokenism of hiring a few underrepresented minorities for the department. We hope that our leadership landscape will one day become as diverse as the population we serve. Our leaders, most of whom are White men, need to commit to racial diversity and inclusion and open the glass door for our minority colleagues to welcome them in. They can act as effective sponsors of opportunities for career advancement and talent retention, which in turn will attract other minorities to join the department. Although it is important for faculty members from minority backgrounds to serve on diversity and inclusion committees, they should not be pigeonholed into that role to the exclusion of other leadership opportunities.”
Empowering Women of Color to Lead and Succeed.
Stewart BC, Adams J, Fishman EK, Rowe SP, Chu LC.
J Am Coll Radiol. 2021 Mar 12:S1546-1440(21)00143-5. - “We need to attract more underrepresented minorities into our specialty at the residency training level. Often, we passively wait for applicants to apply to our residencies and then put on a superficial display of diversity and inclusion on the interview day. We need deeper and sustained investment to groom our future pipeline. Programs can partner with historically Black medical schools, the Student National Medical Association, and the Latino Medical Student Association to maximize their reach to underrepresented minorities [8]. They can develop longitudinal mentorship programs in the form of student interest groups, electives, and summer fellowships to engage minority medical students who may otherwise have limited exposure to our specialty.”
Empowering Women of Color to Lead and Succeed.
Stewart BC, Adams J, Fishman EK, Rowe SP, Chu LC.
J Am Coll Radiol. 2021 Mar 12:S1546-1440(21)00143-5. - “Men and women of color should team up in this uphill climb toward racial diversity, equity, and inclusion. They can seek out partners from inside and outside the department, share their common struggles, and remember that they are not alone. This partnership may empower them to be bold and speak up against injustices and smooth the path for the next generation.”
Empowering Women of Color to Lead and Succeed.
Stewart BC, Adams J, Fishman EK, Rowe SP, Chu LC.
J Am Coll Radiol. 2021 Mar 12:S1546-1440(21)00143-5.
- “Nearly 1 in 4 cancer investigators in the Southwest Oncology Group reported that they used social media to recruit patients for trials. Although most investigators were optimistic about social media use for this purpose, many barriers to use remain. This exploratory study was limited to investigators of a single National Cancer Institute network group. With more than 2.9 billion individuals worldwide using social media platforms regularly, their use has created an ability to disseminate health information with unprecedented speed, reach, and penetration. Use of such platforms has become increasingly important amid the coronavirus disease 2019 pandemic, prompting discussions in the scientific literature and popular press about the potential application of these widely used platforms to improve patient recruitment fort rials. If investigator resistance is overcome, social media may emerge as an essential tool for promoting accrual to clinical trials.”
Investigator Use of Social Media for Recruitment of Patients for Cancer Clinical Trials
Mina S. Sedrak et al.
JAMA Network Open. 2020;3(12):e2031202. doi:10.1001/jama network open 
Investigator Use of Social Media for Recruitment of Patients for Cancer Clinical Trials
Mina S. Sedrak et al.
JAMA Network Open. 2020;3(12):e2031202. doi:10.1001/jama network open
- “In summary, we advocate creativity, vision, boldness, and interdependence in mapping out a career in radiology. Although there is no one way to go from alpha (medical school graduation) to omega (retirement), forge your own path and embrace working with many great people along the way. Seek mentorships. You likely know and may already work with a cadre of talented people. Learn from them. Collaboration and interdependence are hallmarks of most successful careers. Strive to enjoy your work. Focus on the journey, and relish creatively mapping out your career.”
Mapping Your Career in the Era of Artificial Intelligence: It's Up to You, Not Google.
Fishman EK, Weisberg EM, Chu LC, Rowe SP.
J Am Coll Radiol. 2020 Nov;17(11):1537-1538. - "You are the captain of your ship as you steer your way through your career. However, no one truly gets anywhere alone. We all need a first mate, a steward, someone to help guide us. Mentorship can be critical at various stops along the way, particularly in the earliest stages of one’s career. Bredella et al [6] recently discussed the numerous rewards of mentorship in academic radiology, citing enhanced career opportunities, more publications and grants, and even greater career satisfaction among the benefits. Previously, an anonymous, voluntary survey of radiology program directors, with 70 of 156 responding, found that the majority (85%) believed that it is important for radiology residents to have mentors.”
Mapping Your Career in the Era of Artificial Intelligence: It's Up to You, Not Google.
Fishman EK, Weisberg EM, Chu LC, Rowe SP.
J Am Coll Radiol. 2020 Nov;17(11):1537-1538. - "Similarly, there is no one answer as to how AI will affect the field of radiology. Students have expressed some concern about such prospects in recent years. In a 2018 anonymous survey at a single radiology residency training program among trainees and attending radiologists, to which 69 of 104 who received the survey responded, trainees were more likely to share doubts as to whether they would have chosen a career in diagnostic radiology had they been aware of the influence AI is expected to have in the field. Such perceptions and implied anxiety about the field are not universal, of course.”
Mapping Your Career in the Era of Artificial Intelligence: It's Up to You, Not Google.
Fishman EK, Weisberg EM, Chu LC, Rowe SP.
J Am Coll Radiol. 2020 Nov;17(11):1537-1538.
- “Now, more than 100 trillion messages (includes text messages, comments, and shares) are sent each year, with more than 3.8 trillion of those having emojis, stickers, or GIFs attached. Messages are the most common digital activity, dwarfing the number of Google searches each year.”
The Future of Digital Communication:Improved Messaging Context, Artificial Intelligence, and Your Privacy
Travis Montaque, Elliot K. Fishman,Steven P. Rowe
JACR 2020 (in press) - "In live conversation, 7% of content is transmitted by words, 38% by tone of voice, and 55% by body language. The advent of text messaging took away 93% of conversational content. The emoticon helped bring back some of that context, and was then replaced by the much more versatile and information-rich emoji.”
The Future of Digital Communication:Improved Messaging Context, Artificial Intelligence, and Your Privacy
Travis Montaque, Elliot K. Fishman,Steven P. Rowe
JACR 2020 (in press) - “A smiling- face emoji with eyes directed down may be interpreted by many people in Western countries as an indication of happiness in a message. But that same emoji may be interpreted as a sarcastic put-down in some Eastern cultures. Furthermore, the emojis people use can evolve over time; older individuals often convey happiness with a “thumbs-up” emoji, whereas younger people will use smiling and laughing face. The more recently a given emoji has been released, the more common its use among younger individuals will be.”
The Future of Digital Communication:Improved Messaging Context, Artificial Intelligence, and Your Privacy
Travis Montaque, Elliot K. Fishman,Steven P. Rowe
JACR 2020 (in press) - “When properly deployed, the combination of conversational understanding, participant understanding, and appropriately recommended content allows AI to understand the nuance of context and leads to genuine conversational intelligence. Our approach at Holler has been to apply anonymized conversational intelligence to brands, which has allowed brands to reach consumers and improve their conversations without being intrusive.”
The Future of Digital Communication:Improved Messaging Context, Artificial Intelligence, and Your Privacy
Travis Montaque, Elliot K. Fishman,Steven P. Rowe
JACR 2020 (in press) - “Altogether, the manner in which we carry out conversations using messaging on digital platforms will continue to rapidly change and evolve. Our ability to reflect subtle feelings and emotions through context will expand, and AI will have a large role to play in that. Although allowing people to have great conversations is an important goal for all messaging platforms, we must not lose sight of the need to protect privacy.”
The Future of Digital Communication:Improved Messaging Context, Artificial Intelligence, and Your Privacy
Travis Montaque, Elliot K. Fishman,Steven P. Rowe
JACR 2020 (in press) - “Communication in medicine is evolving parallel to communication in our culture more broadly. Staying in contact with our patients and our colleagues is increasingly done through digital platforms and messaging. Developing improved digital communication methods that incorporate added context to more completely convey our feelings and ideas can be an important aspect of future communication in the medical field.”
The Future of Digital Communication:Improved Messaging Context, Artificial Intelligence, and Your Privacy
Travis Montaque, Elliot K. Fishman,Steven P. Rowe
JACR 2020 (in press) - “As the field of medicine inevitably incorporates more messaging into our daily work flow and processes, we will have to confront important considerations, as outlined in Mr. Montaque’s talk. For example, given the highly sensitive nature of protected health information, maintaining privacy will be of utmost importance. Furthermore, with the ability to incorporate brands into messaging in an unobtrusive way, hospitals and practices may be able to subtly insert reminders regarding important health maintenance procedures, such as mammograms or colonoscopies, into everyday conversation.”
The Future of Digital Communication:Improved Messaging Context, Artificial Intelligence, and Your Privacy
Travis Montaque, Elliot K. Fishman,Steven P. Rowe
JACR 2020 (in press) 
The Future of Digital Communication: Improved Messaging Context, Artificial Intelligence, and Your Privacy
Travis Montaque, Elliot K. Fishman,Steven P. Rowe
JACR 2020 (in press)
The Future of Digital Communication: Improved Messaging Context, Artificial Intelligence, and Your Privacy
Travis Montaque, Elliot K. Fishman,Steven P. Rowe
JACR 2020 (in press)
- “In April 2016, Facebook launched a live broadcast tool, which CTisus started using in March 2017 as a new way to engage users. Once a week at the same time, CTisus hosts a brief live discussion on a topic related to radiology. Users have the ability to post questions in the live interface, and CTisus can answer in real time via text or voice. Based on positive engagement and user feedback from Facebook users, CTisus began broadcasting the same live discussion on Instagram in October 2017.”
Social Media for Global Education: Pearls and Pitfalls of Using Facebook, Twitter, and Instagram.
Thomas RB, Johnson PT, Fishman EK.
J Am Coll Radiol. 2018 Oct;15(10):1513-1516 - "Facebook also enables scheduling of posts, which is extremely helpful to manage CTisus’ high post volume strategy. CTisus posts about 15 to 20 times a day to Facebook with a wide range of content: CT case studies, medical illustrations, pearls relevant to radiology, management tips, and current articles relating to health and medicine. In addition to the medical posts, CTisus also posts nonmedical content: music, pop culture, business, and politics, to name a few."
Social Media for Global Education: Pearls and Pitfalls of Using Facebook, Twitter, and Instagram.
Thomas RB, Johnson PT, Fishman EK.
J Am Coll Radiol. 2018 Oct;15(10):1513-1516 - “In 2016, CTisus joined Insta- gram because of its popularity in the social media space, particularly among medical students. In just under a year, the CTisus Instagram account outperformed Twitter with over 2,100 followers. The Instagram app is an infinite scroll of images with a small text caption beneath; this model works well with the image-heavy field of radi- ology. Instagram posts are limited to square images, 2,200 characters, video lengths of less than 1 min, and no links, and you can only post from a mobile device.”
Social Media for Global Education: Pearls and Pitfalls of Using Facebook, Twitter, and Instagram.
Thomas RB, Johnson PT, Fishman EK.
J Am Coll Radiol. 2018 Oct;15(10):1513-1516 - "For CTisus, social media has proven invaluable in expanding outreach to achieve our mission of worldwide content distribution. Regular review of use patterns through analytics is important to understand what users want and to drive quality improvement. Students and trainees, who represent the future of the medical profession, are heavily dependent on these platforms. Medical educators interested in global outreach should master these tools to easily provide free medical education dissemination on an international scale."
Social Media for Global Education: Pearls and Pitfalls of Using Facebook, Twitter, and Instagram.
Thomas RB, Johnson PT, Fishman EK.
J Am Coll Radiol. 2018 Oct;15(10):1513-1516 
Social Media for Global Education: Pearls and Pitfalls of Using Facebook, Twitter, and Instagram.
Thomas RB, Johnson PT, Fishman EK.
J Am Coll Radiol. 2018 Oct;15(10):1513-1516
- OBJECTIVE: To examine physician attitudes toward and perceptions of social media use for therapeutic trial recruitment of patients with cancer.
DESIGN, SETTING,AND PARTICIPANTS: This qualitative study engaged 44 physicians(24 academic based and 20 community based) at the main academic and 6 affiliated community sites of City of Hope in Duarte, California. Semistructured interviews were conducted in person or by telephone from March to June 2018. An interview guide was developed to explore perceptions of social media use for accrual of cancer therapeutic trials. Responses were recorded digitally and transcribed. Data were analyzed using qualitative content analysis.
MAIN OUTCOMES AND MEASURES: Physicians’ perceptions of the advantages and disadvantages of using social media for clinical trial recruitment, strategies to improve uptake of social media in clinical trials, and the barriers and facilitators to social media use for professional purposes in general.
Physician Perceptions of the Use of Social Media for Recruitment of Patients in Cancer Clinical Trials
Mina S. Sedrak et al.
JAMA Network Open. 2019;2(9):e1911528. doi:10.1001/jamanetworkopen.2019.11528 - RESULTS Of the 44 participants,16(36%)were women,30(68%) had more than10 years of practice experience, 24 (55%) practiced in academia, and 20 (45%) practiced in the community. Physicians most commonly cited increased trial awareness and visibility as an advantage of using social media for trial recruitment. Cited disadvantages were increased administrative burden and risk of misinformation. Physicians also reported a need for institutional-level interventions (eg, restructuring of clinical trial offices to include personnel with social media expertise), increased evidence-based approaches to social media use, and more physician training on the use of social media. Perceived facilitators to professional social media use were networking and education; barriers included lack of time and lack of evidence of benefit.
CONCLUSIONS AND RELEVANCE In this qualitative study,physicians recognized the benefits of using social media for clinical trial recruitment but noted that barriers, including increased administrative burden, increased time, and the risk of misinformation, remain. Future interventions to address these concerns are a required first step in increasing digital engagement for clinical trial accrual purposes.
Physician Perceptions of the Use of Social Media for Recruitment of Patients in Cancer Clinical Trials
Mina S. Sedrak et al.
JAMA Network Open. 2019;2(9):e1911528. doi:10.1001/jamanetworkopen.2019.11528 - CONCLUSIONS AND RELEVANCE In this qualitative study,physicians recognized the benefits of using social media for clinical trial recruitment but noted that barriers, including increased administrative burden, increased time, and the risk of misinformation, remain. Future interventions to address these concerns are a required first step in increasing digital engagement for clinical trial accrual purposes.
Physician Perceptions of the Use of Social Media for Recruitment of Patients in Cancer Clinical Trials
Mina S. Sedrak et al.
JAMA Network Open. 2019;2(9):e1911528. doi:10.1001/jamanetworkopen.2019.11528 - Key Points
Question What are physicians’ attitudes toward and perceptions of using social media to recruit participants for cancer clinical trials?
Findings In this qualitative study of 44 physicians from academic and community practices, physicians cited increased trial awareness and visibility as advantages of social media. Commonly cited disadvantages were increased administrative burden and risk of misinformation.
Meaning This study’s findings suggest that physicians are aware of the benefits of social media as it relates to clinical trial recruitment, but key barriers remain; tailored interventions to address these concerns would be a required first step in increasing digital engagement among physicians.
Physician Perceptions of the Use of Social Media for Recruitment of Patients in Cancer Clinical Trials
Mina S. Sedrak et al.
JAMA Network Open. 2019;2(9):e1911528. doi:10.1001/jamanetworkopen.2019.11528
- OBJECTIVE: To examine physician attitudes toward and perceptions of social media use for therapeutic trial recruitment of patients with cancer.
DESIGN, SETTING,AND PARTICIPANTS: This qualitative study engaged 44 physicians(24 academic based and 20 community based) at the main academic and 6 affiliated community sites of City of Hope in Duarte, California. Semistructured interviews were conducted in person or by telephone from March to June 2018. An interview guide was developed to explore perceptions of social media use for accrual of cancer therapeutic trials. Responses were recorded digitally and transcribed. Data were analyzed using qualitative content analysis.
MAIN OUTCOMES AND MEASURES: Physicians’ perceptions of the advantages and disadvantages of using social media for clinical trial recruitment, strategies to improve uptake of social media in clinical trials, and the barriers and facilitators to social media use for professional purposes in general.
Physician Perceptions of the Use of Social Media for Recruitment of Patients in Cancer Clinical Trials
Mina S. Sedrak et al.
JAMA Network Open. 2019;2(9):e1911528. doi:10.1001/jamanetworkopen.2019.11528 - RESULTS Of the 44 participants,16(36%)were women,30(68%) had more than10 years of practice experience, 24 (55%) practiced in academia, and 20 (45%) practiced in the community. Physicians most commonly cited increased trial awareness and visibility as an advantage of using social media for trial recruitment. Cited disadvantages were increased administrative burden and risk of misinformation. Physicians also reported a need for institutional-level interventions (eg, restructuring of clinical trial offices to include personnel with social media expertise), increased evidence-based approaches to social media use, and more physician training on the use of social media. Perceived facilitators to professional social media use were networking and education; barriers included lack of time and lack of evidence of benefit.
CONCLUSIONS AND RELEVANCE In this qualitative study,physicians recognized the benefits of using social media for clinical trial recruitment but noted that barriers, including increased administrative burden, increased time, and the risk of misinformation, remain. Future interventions to address these concerns are a required first step in increasing digital engagement for clinical trial accrual purposes.
Physician Perceptions of the Use of Social Media for Recruitment of Patients in Cancer Clinical Trials
Mina S. Sedrak et al.
JAMA Network Open. 2019;2(9):e1911528. doi:10.1001/jamanetworkopen.2019.11528 - CONCLUSIONS AND RELEVANCE In this qualitative study,physicians recognized the benefits of using social media for clinical trial recruitment but noted that barriers, including increased administrative burden, increased time, and the risk of misinformation, remain. Future interventions to address these concerns are a required first step in increasing digital engagement for clinical trial accrual purposes.
Physician Perceptions of the Use of Social Media for Recruitment of Patients in Cancer Clinical Trials
Mina S. Sedrak et al.
JAMA Network Open. 2019;2(9):e1911528. doi:10.1001/jamanetworkopen.2019.11528 - Key Points
Question What are physicians’ attitudes toward and perceptions of using social media to recruit participants for cancer clinical trials?
Findings In this qualitative study of 44 physicians from academic and community practices, physicians cited increased trial awareness and visibility as advantages of social media. Commonly cited disadvantages were increased administrative burden and risk of misinformation.
Meaning This study’s findings suggest that physicians are aware of the benefits of social media as it relates to clinical trial recruitment, but key barriers remain; tailored interventions to address these concerns would be a required first step in increasing digital engagement among physicians.
Physician Perceptions of the Use of Social Media for Recruitment of Patients in Cancer Clinical Trials
Mina S. Sedrak et al.
JAMA Network Open. 2019;2(9):e1911528. doi:10.1001/jamanetworkopen.2019.11528
- “A study of YouTube as a source of information on the risks and benefits of CT radiation found that the majority of videos related to this topic were uploaded by non-radiologists. Although there was no difference in the number of views, those uploaded by radiologists were more likely to be accurate and have a favorable or neutral position toward CT radiation. With so much misinformation available, we believe that health care institutions have a responsibility to provide reliable health information online.”
The Strategic Imperative for the Use of Social Media in Health Care
Journal of the American College of Radiology, Volume 15, Issue 1, Part B, 2018, pp. 155-161
Amy L. Kotsenas et al. - TAKE-HOME POINTS
- In addition to typical media relations and marketing goals, social media can be successfully used as part of an organization’s overall strategy to improve patient care, expand medical education, and advance medical research.
- Social media efforts have been valuable to Mayo Clinic through expanding brand reach, generating demand, accelerating the translation from scientific discovery to practice adoption, and increasing event attendance and revenue.
- The social media benefits for patients and the institution can be applied to and evidenced in radiology. - “Social media represent a rapidly maturing channel of communication that can be used to disseminate health policy decisions and evidence that supports those decisions. Effective dissemination strategies, particularly for health coverage, should include a social media strategy informed by the patient perspective. Evidence-based guidance on how to effectively do this needs to be derived.”
Social Media, Health Policy, and Knowledge Translation
Journal of the American College of Radiology, Volume 15, Issue 1, Part B, 2018, pp. 149-152
Damian Roland - TAKE-HOME POINTS
- Social media is associated with the generation of communities of practice that promote the transfer of information at scale
- How social media definitively affects health policy is not clear, and evidence is scant
- It will be necessary to generate scholarship and academic interest, specifically in relation to the role of social media in health policy
Social Media, Health Policy, and Knowledge Translation
Journal of the American College of Radiology, Volume 15, Issue 1, Part B, 2018, pp. 149-152
Damian Roland
- App Development for our Patients
- How to prepare for a Radiology exam (i.e. virtual colonoscopy or angiography)
- What to do after a Radiology exam is finished? (i.e. can I go back to work)
- Disease specific information
- Treatment specific information (i.e. surgery vs chemotherapy vs radiation therapy) - “Most women felt that the app was both helpful and user-friendly. The app increased their participation in decision making, helped them obtain more accurate risk perceptions, and clarified their values. It also helped the women make decisions regarding breast reconstruction more confidently.”
Development and Usability Testing of a Decision Support App for Women Considering Breast Reconstruction Surgery
Pin-Jun Li et al.
Journal of Cancer Education (in press) - “Women with breast cancer have difficulty deciding whether to undergo breast reconstruction when mastectomy is necessary. A computer-based decision aid that can be individualized to provide both surgery information and value clarification may be helpful for women considering breast reconstruction surgery. The objectives of this study are to program a prototype of an application (app) with a value clarification exercise and to evaluate the pilot usability, feasibility, and efficacy of the app.”
Development and Usability Testing of a Decision Support App for Women Considering Breast Reconstruction Surgery
Pin-Jun Li et al.
Journal of Cancer Education (in press) - ”The women appreciated the app. As a decision aid, the app is an acceptable and feasible tool that increased the women’s participation in decision making, helped them attain more accurate risk perceptions and facilitated value clarification.”
Development and Usability Testing of a Decision Support App for Women Considering Breast Reconstruction Surgery
Pin-Jun Li et al.
Journal of Cancer Education (in press) - Apple as a Healthcare Company
- iPhone
- iPad
- iWATCH - Cycle Log
- Step Counting
- Blood Pressure
- Health Categories
- Your Medical Info
- Your Health Records
- Apps are in Development
- App Development for our Patients
- How to prepare for a Radiology exam (i.e. virtual colonoscopy or angiography)
- What to do after a Radiology exam is finished? (i.e. can I go back to work)
- Disease specific information
- Treatment specific information (i.e. surgery vs chemotherapy vs radiation therapy) - “Most women felt that the app was both helpful and user-friendly. The app increased their participation in decision making, helped them obtain more accurate risk perceptions, and clarified their values. It also helped the women make decisions regarding breast reconstruction more confidently.”
Development and Usability Testing of a Decision Support App for Women Considering Breast Reconstruction Surgery
Pin-Jun Li et al.
Journal of Cancer Education (in press) - “Women with breast cancer have difficulty deciding whether to undergo breast reconstruction when mastectomy is necessary. A computer-based decision aid that can be individualized to provide both surgery information and value clarification may be helpful for women considering breast reconstruction surgery. The objectives of this study are to program a prototype of an application (app) with a value clarification exercise and to evaluate the pilot usability, feasibility, and efficacy of the app.”
Development and Usability Testing of a Decision Support App for Women Considering Breast Reconstruction Surgery
Pin-Jun Li et al.
Journal of Cancer Education (in press) - ”The women appreciated the app. As a decision aid, the app is an acceptable and feasible tool that increased the women’s participation in decision making, helped them attain more accurate risk perceptions and facilitated value clarification.”
Development and Usability Testing of a Decision Support App for Women Considering Breast Reconstruction Surgery
Pin-Jun Li et al.
Journal of Cancer Education (in press) - Apple as a Healthcare Company
- iPhone
- iPad
- iWATCH - Cycle Log
- Step Counting
- Blood Pressure
- Health Categories
- Your Medical Info
- Your Health Records
- Apps are in Development
- “The name “Alexa” was derived from the Library of Alexandria because the device is able to place all knowledge at the fingertips of the user. Alexa is a virtual assistant that can function through multiple smart devices and be programmed with a wide variety of skills and functions (more than 50,000 as of the end of 2018).”
Learning to Talk Again in a Voice-First World
David Isbitski, Elliot K. Fishman, Karen M. Horton, Steven P. Rowe
JACR (in press) https://doi.org/10.1016/j.jacr.2019.01.034 - “The success of Alexa has depended upon advancement in speech understanding. Conversation is complex. There are myriad challenges to artificial intelligence comprehending conversation: the free-form nature of conversation, understanding the meaning of utterances, tracking and learning real-world context, determining the best response and deciding how to phrase it, adapting to individual users, and making in- ferences.”
Learning to Talk Again in a Voice-First World
David Isbitski, Elliot K. Fishman, Karen M. Horton, Steven P. Rowe
JACR (in press) https://doi.org/10.1016/j.jacr.2019.01.034 - “In the hospital context, Alexa could become an integral feature of patient rooms because it would allow patients to change the channel on the television, listen to prerecorded physician instructions, find out when their next dose of medication is due, receive daily briefs on what to expect, and actively engage or respond to other aspects of their hospital stay. After discharge, Alexa can aid communication between the patient and the medical team (eg, “Ask my doctor when I should change my dressing”). Through machine learning, it may be possible for Alexa to figure out what patients want to know but are reluctant to ask and can then provide that information up front.”
Learning to Talk Again in a Voice-First World
David Isbitski, Elliot K. Fishman, Karen M. Horton, Steven P. Rowe
JACR (in press) https://doi.org/10.1016/j.jacr.2019.01.034 - “This potentially makes Alexa a powerful tool for health care. Patients with significant physical disabilities, such as those associated with a stroke, may be able to inter- face with Alexa through voice and regain a measure of independence. Accessibility to an Alexa microwave could be radically superior to a standard microwave for the elderly and physically disabled individuals. Countless mundane tasks can be facilitated by Alexa, including ordering or re-ordering medical supplies.”
Learning to Talk Again in a Voice-First World
David Isbitski, Elliot K. Fishman, Karen M. Horton, Steven P. Rowe
JACR (in press) https://doi.org/10.1016/j.jacr.2019.01.034 - “Artificial intelligence is an inescapable part of the future of radiology and medicine in general. As voice interactions with artificial intelligence become commonplace throughout society, we should expect that the future radiology workstation will incorporate this technology as well. Integrating Alexa, or similar platforms, into everyday workflow may free the radiologist from many otherwise time-consuming tasks. For example, integrating artificial intelligence with voice technology into the phone network of the hospital would greatly speed the process of contact- ing ordering clinicians to report critical findings.”
Learning to Talk Again in a Voice-First World
David Isbitski, Elliot K. Fishman, Karen M. Horton, Steven P. Rowe
JACR (in press) https://doi.org/10.1016/j.jacr.2019.01.034
- “For 2018, one can look at the top trends through the lens of a small generation of people with the potential to have a disproportionate impact on the world—Generation Z. Generation Z is composed of people who are currently 18 to 22 years old and in many ways they have more similar- ities with Generation X than with Millennials. Generation Z tends to be practical and driven, and this is reflected in the top 10 trends for 2018 that I will discuss.”
Meet Generation Z: Top 10 Trends of 2018 Tina Wells, Elliot K. Fishman, Karen M. Horton, Steven P. Rowe Publication stage: In Press Corrected Proof Journal of the American College of Radiology - “Seeking Purpose, with Purpose. Companies appealing to con- sumer’s emotions and doing good is nothing new. However, it is now a virtual expectation that companies engage in purposes beyond purely making money. This phenomenon has put the responsibility on com- panies to adopt and promote purposes. Indeed, many com- panies now use marketing, particularly online and social media-based marketing, to define what they stand for instead of only focusing on their products. In addition to consumers choosing companies with purposes, many members of Generation Z who are entering the workforce are looking for companies that align with their values and passions. Beyond loving their jobs, Generation Z workers also want to love the companies they are working for. The health care industry should naturally be able to appeal to consumers and prospective employees on this basis given the centrality of patient well- being to the health care enterprise.”
Meet Generation Z: Top 10 Trends of 2018 Tina Wells, Elliot K. Fishman, Karen M. Horton, Steven P. Rowe Publication stage: In Press Corrected Proof Journal of the American College of Radiology - “Social Shopping. This is perhaps the biggest trend of 2018. Social media companies are seamlessly incorporating ads into their platforms allowing users to click and purchase items while browsing. These ads may have the appearance of other users’ posts. From the sign-up information and posting habits of users, companies can determine ages, interests, locations, de- mographics, and behaviors. Taken together, this informa- tion allows ads that are specifically tailored to individual users, providing a driving force for improved return on investment for those taking out the ads. This may represent an opportunity for radiology to reach out to the members of Generation Z and provide important information on subjects such as screening tests.”
Meet Generation Z: Top 10 Trends of 2018 Tina Wells, Elliot K. Fishman, Karen M. Horton, Steven P. Rowe Publication stage: In Press Corrected Proof Journal of the American College of Radiology - “However, some women are concerned that they will not have access to mentoring by men and that men will not be willing to be alone with them. In health care, in which mentorship is profoundly important and the majority of many graduating medical school classes are women, we must ensure that women continue to have access to mentorship from men in the #MeToo era.”
Meet Generation Z: Top 10 Trends of 2018 Tina Wells, Elliot K. Fishman, Karen M. Horton, Steven P. Rowe Publication stage: In Press Corrected Proof Journal of the American College of Radiology - “Artificial Intelligence (AI) Adoption. Machine learning algorithms and computer programs are becoming progressively smarter, and we are increasingly relying on them to make our lives easier. Big companies are investing heavily in AI. Chatbots are playing an increasing role in customer service, and we are making many of our purchases through social media. Elon Musk has gone as far as to start a company focused on the creation of ultra-high bandwidth interfaces that can connect the human brain to computers. We seem to have reached the tipping point where consumers undestand AI and are increasingly accepting of the ways in which it might improve their lives. The AI revolution in health care is just beginning, but eventually every facet of the health care in- dustry will be impacted by machine learning algorithms that can make sense of immense data sets and generate predictive analytics based on that data. Radiology and pathology are likely to be the two specialties most impacted early in the AI transition.”
Meet Generation Z: Top 10 Trends of 2018 Tina Wells, Elliot K. Fishman, Karen M. Horton, Steven P. Rowe Publication stage: In Press Corrected Proof Journal of the American College of Radiology - “Total Transparency. Consumers highly value transparency—and when companies try to hide something, it invariably comes to light anyway. Earning trust from customers is a way to sustain long-lasting relationships. Con- sumers want to know why things cost what they do and for com- panies to show them what efforts they are making to remove extraneous things from products to make them cheaper. Outside of a company’s customer base, shareholders and employees also value transparency (for example, companies can choose to publish the salaries of all of their employees and the formulae used to calculate those salaries). Of course, these same attitudes are relevant to the health care industry, in which many con- sumers want complete trans- parency from their health care providers so that they can participate as active stewards of their own health. In addition, consumers are interested in health care costs and will demand increasing transparency regarding how those costs are derived.”
Meet Generation Z: Top 10 Trends of 2018 Tina Wells, Elliot K. Fishman, Karen M. Horton, Steven P. Rowe Publication stage: In Press Corrected Proof Journal of the American College of Radiology - “Broadly, Generation Z seems to be following in the footsteps of Gener- ation X in being practical and job-driven. In addition to those characteristics, Generation Z also tends to follow the trends of seeking purpose, early adoption of AI, and placing an emphasis on self-care. The health care industry should be interested in having Generation Z employees on board to help “steer the ship” in new directions. Large hospital systems often have huge amounts of important content, but knowing how to get that content to the people who need it is an evolving process. Nimbly responding to changing trends is difficult for any large entity such as a health care system, but strategically placing members of Generation Z in the right positions may be helpful.”
Meet Generation Z: Top 10 Trends of 2018 Tina Wells, Elliot K. Fishman, Karen M. Horton, Steven P. Rowe Publication stage: In Press Corrected Proof Journal of the American College of Radiology - “Radiology must become more proactive in meeting the needs of Generation Z. Not only are the members of Generation Z going to be responsible for their own health care, but they will inevitably be involved in the health care of elderly relatives, even to the extent that they may become the focal point for ensuring proper health care for their families.”
Meet Generation Z: Top 10 Trends of 2018 Tina Wells, Elliot K. Fishman, Karen M. Horton, Steven P. Rowe Publication stage: In Press Corrected Proof Journal of the American College of Radiology
- “Nearly 60% of radiologist respondents use social networking for professional purposes. Radiology is likely to see growth in the role of social networking in the coming years as nearly half of professional users are radiology trainees. Twitter use for professional purposes among radiologists was disproportionately male. It is important to be cognizant of gender imbalance and to improve visibility of female leaders on social networking.”
Professional Social Networking in Radiology: Who Is There and What Are They Doing? Patel SS, Hawkins CM, Rawson JV, Hoang JK Acad Radiol. 2017 May;24(5):574-579 - “RadiologyInfo provides a tangible demonstration of how radiologists can engage directly with the global public to educate them on the value of radiology in their health care and to allay concerns and dispel misconceptions. Regular self-assessment and responsive planning will ensure its continued growth and relevance.”
Enhancing Public Access to Relevant and Valued Medical Information: Fresh Directions for RadiologyInfo.org. Rubin GD, Krishnaraj A ,Mahesh M, Rajendran RR, Fishman EK J Am Coll Radiol. 2017 May;14(5):697-702. - “RadiologyInfo.org is a public information portal designed to support patient care and broaden public awareness of the essential role radiology plays in overall patient health care. Over the past 14 years, RadiologyInfo.org has evolved considerably to provide access to more than 220 mixed-media descriptions of tests, treatments, and diseases through a spectrum of mobile and desktop platforms, social media, and downloadable documents in both English and Spanish..”
Enhancing Public Access to Relevant and Valued Medical Information: Fresh Directions for RadiologyInfo.org. Rubin GD, Krishnaraj A ,Mahesh M, Rajendran RR, Fishman EK J Am Coll Radiol. 2017 May;14(5):697-702. - “As patients continue to turn to online resources for health care information to guide their care decisions, it is becoming increasingly important for radiologists to engage with patients online via social media platforms. There are many ways physicians can use social media to provide patients with valuable information and improve the overall patient experience. By optimizing online discoverability, curating radiology content, engaging with patient communities, and producing mineable social media content, radiologists can emerge as thought leaders in this new form of patient-centered communication and information exchange.”
Social Media and the Patient Experience. Hawkins CM1, DeLaO AJ2, Hung C3 J Am Coll Radiol. 2016 Dec;13:1615-1621 - PURPOSE: To assess the content of currently available YouTube videos seeking to educate patients regarding commonly performed imaging examinations.
CONCLUSIONS: Educational patient videos on YouTube regarding common imaging examinations received high public interest and may provide a valuable patient resource. Videos most consistently provided information detailing the examination experience and less consistently provided safety information or described the presence and role of the radiologist.
Assessing the Content of YouTube Videos in Educating Patients Regarding Common Imaging Examinations. Rosenkrantz AB1, Won E2, Doshi AM2 J Am Coll Radiol. 2016 Dec;13(12 Pt A):1509-1513 - “Developing a consistent brand and presence in the work setting, on social media accounts, and in professional organizations at the local, national, and international levels is the ultimate goal. At present, very little, if any, formal training is provided on personal branding skills such as these in current residency curricula, and it is critical for radiologists to fill their gaps in knowledge through additional means.”
Personal Branding: A Primer for Radiology Trainees and Radiologists. Kalia V1, Patel AK2, Moriarity AK3, Canon CL4. J Am Coll Radiol. 2017 Jul;14(7):971-975 - Social Media in Medicine
- Social Media in Radiology
- Facebook Live
- Instagram
- “As the organ shortage continues to grow, the creation of social media communities by transplant centers and the public is rapidly expanding to increase the number of living donors. Social media communities are arranged in myriad ways, and without standardization, raising concerns about potential recipients' and potential donors' autonomy and quality of care. Social media communities magnify and modify extant ethical issues in deceased and living donation related to privacy, confidentiality, professionalism, and informed consent, and increase the potential for undue influence and coercion for potential living donors and transplant candidates. Currently, no national ethical guidelines have been developed in the U.S. regarding the use of social media to foster organ transplantation. We provide an ethical framework to guide transplant stakeholders in using social media for public and patient communication about transplantation and living donation, and offer recommendations for transplant clinical practice and future research.”
Social Media and Organ Donation: Ethically Navigating the Next Frontier. Henderson ML et al. Am J Transplant. 2017 Jul 25. doi: 10.1111/ajt.14444. [Epub ahead of print] - “As the organ shortage continues to grow, the creation of social media communities by transplant centers and the public is rapidly expanding to increase the number of living donors. Social media communities are arranged in myriad ways, and without standardization, raising concerns about potential recipients' and potential donors' autonomy and quality of care. Social media communities magnify and modify extant ethical issues in deceased and living donation related to privacy, confidentiality, professionalism, and informed consent, and increase the potential for undue influence and coercion for potential living donors and transplant candidates. Currently, no national ethical guidelines have been developed in the U.S. regarding the use of social media to foster organ transplantation.”
Social Media and Organ Donation: Ethically Navigating the Next Frontier. Henderson ML et al. Am J Transplant. 2017 Jul 25. doi: 10.1111/ajt.14444. [Epub ahead of print] - “Cancer patients and their caregivers are increasingly using social media as a platform to share cancer experiences, connect with support, and exchange cancer-related information. Yet, little is known about the nature and scientific accuracy of cancer-related information exchanged on social media. We conducted a content analysis of 12 months of data from 18 publically available Facebook Pages hosted by parents of children with acute lymphoblastic leukemia (N = 15,852 posts) and extracted all exchanges of medically-oriented cancer information. We systematically coded for themes in the nature of cancer-related information exchanged on personal Facebook Pages and two oncology experts independently evaluated the scientific accuracy of each post.”
Is Cancer Information Exchanged on Social Media Scientifically Accurate? Gage-Bouchard EA et al. J Cancer Educ. 2017 Jul 19. doi: 10.1007/s13187-017-1254-z. [Epub ahead of print - “Of the 15,852 total posts, 171 posts contained medically-oriented cancer information. The most frequent type of cancer information exchanged was information related to treatment protocols and health services use (35%) followed by information related to side effects and late effects (26%), medication (16%), medical caregiving strategies (13%), alternative and complementary therapies (8%), and other (2%). Overall, 67% of all cancer information exchanged was deemed medically/scientifically accurate, 19% was not medically/scientifically accurate, and 14% described unproven treatment modalities. These findings highlight the potential utility of social media as a cancer-related resource, but also indicate that providers should focus on recommending reliable, evidence-based sources to patients and caregivers.”
Is Cancer Information Exchanged on Social Media Scientifically Accurate? Gage-Bouchard EA et al. J Cancer Educ. 2017 Jul 19. doi: 10.1007/s13187-017-1254-z. [Epub ahead of print
- ”RadiologyInfo.org is a public information portal designed to support patient care and broaden public awareness of the essential role radiology plays in overall patient health care. Over the past 14 years, RadiologyInfo.org has evolved considerably to provide access to more than 220 mixed-media descriptions of tests, treatments, and diseases through a spectrum of mobile and desktop platforms, social media, and downloadable documents in both English and Spanish. In 2014, the RSNA-ACR Public Information Website Committee, which stewards RadiologyInfo.org, developed 3- to 5-year strategic and implementation plans for the website. The process was informed by RadiologyInfo.org user surveys, formal stakeholder interviews, focus groups, and usability testing.”
Enhancing Public Access to Relevant and Valued Medical Information: Fresh Directions for RadiologyInfo.org Geoffrey D. Rubin, Arun Krishnaraj, Mahadevappa Mahesh, Ramji R. Rajendran, Elliot K. Fishman J Am Coll Radiol 2017 (in press) -
“Over the past year, visits to RadiologyInfo.org have increased by 60.27% to 1,424,523 in August 2016 from 235 countries and territories. Twenty-two organizations have affiliated with RadiologyInfo.org with new organizations being added on a monthly basis. RadiologyInfo provides a tangible demonstration of how radiologists can engage directly with the global public to educate them on the value of radiology in their health care and to allay concerns and dispel misconceptions. Regular self-assessment and responsive planning will ensure its continued growth and relevance.”
Enhancing Public Access to Relevant and Valued Medical Information: Fresh Directions for RadiologyInfo.org Geoffrey D. Rubin, Arun Krishnaraj, Mahadevappa Mahesh, Ramji R. Rajendran, Elliot K. Fishman J Am Coll Radiol 2017 (in press) -
“However, participants expressed concerns that the language and images were too “doctor-centric” and expected a more “patient-centric” focus and reassuring tone. They expressed concerns about navigating and remaining oriented within the site and had difficulty interpreting some of the information categories. Participants requested
that the site have a warmer look and feel, prioritization of topics of greatest interest to patients, more efficient access to content relevant to their queries, and integration of patient-friendly images and videos. Finally, they noted that RadiologyInfo.org did not always appear at the top of search results when participants generated their own search terms.”
Enhancing Public Access to Relevant and Valued Medical Information: Fresh Directions for RadiologyInfo.org Geoffrey D. Rubin, Arun Krishnaraj, Mahadevappa Mahesh, Ramji R. Rajendran, Elliot K. Fishman J Am Coll Radiol 2017 (in press) - “To evolve the site further and improve its outreach, the committee has pursued an active social media campaign. Our efforts on social media are primarily through the two leading platforms, Facebook and Twitter. To date the site has garnered more than 240,000 likes on its Facebook page and more than 3,000 followers on Twitter. Social media platforms allow direct and real-time connections with patients, something a website cannot accomplish. As this aspect of RadiologyInfo evolves, care must be taken to ensure that responses are quick and vetted for appropriateness.” Enhancing Public Access to Relevant and Valued Medical Information: Fresh Directions for RadiologyInfo.org Geoffrey D. Rubin, Arun Krishnaraj, Mahadevappa Mahesh, Ramji R. Rajendran, Elliot K. Fishman J Am Coll Radiol 2017 (in press)
- “TAKE-HOME POINTS
RadiologyInfo.org is an authoritative and trusted portal designed to support public care and public awareness of the essential role radiology in health care. - Recent enhancements to the site have aimed to improve its usefulness for patients and their families. - With more than 1.4 million visitors in August 2016 from 235 countries and territories worldwide, monthly engagement has grown by more than 60% from the prior year. - Diversification of access through social media channels as well as mobile platforms has expanded the reach of RadiologyInfo.org.” Enhancing Public Access to Relevant and Valued Medical Information: Fresh Directions for RadiologyInfo.org Geoffrey D. Rubin, Arun Krishnaraj, Mahadevappa Mahesh, Ramji R. Rajendran, Elliot K. Fishman J Am Coll Radiol 2017 (in press)
- What is your profile on Google?
- “More than 85% of physicians in the United States use smart phones and 53% use tablets daily in their practice areas. There are four major app stores (iTunes, Google Play, Windows, and BlackBerry), but the majority of apps are offered through the iTunes and Google Play stores. In February 2015, the iTunes App Store contained approximately 32,000 medical mobile apps, whereas Google Play’s app store had about 23,000 medical apps. Medical apps fall under many different categories, including reference apps, such as the Physician’s Desk Reference app, medical calculators, and apps designed to access electronic health records or personal health information.”
Exploring the Usability of Mobile Apps Supporting Radiologists’ Training in Diagnostic Decision Making Kim, Min Soon et al. Journal of the American College of Radiology , Volume 13 , Issue 3 , 335 - 343 - “ Social media is defined as a ‘set of interactive technology tools designed to encourage social networking and dialogic communication in virtual communities and networks’. Social media platforms include online forums, networking sites, online professional networks, content posting sites and research forums . A recently published comprehensive analysis of social media encourages health care staff to embrace the ‘e-society’ and social media revolution as it has shown to provide improved outcomes for healthcare staff and patients.”
Social media in clinical radiology: have you updated your status? Kassamali RH, Palkhi EYA, Hoey ET Quant Imaging Med Surg. 2015 Aug; 5(4): 491–493. - “The revolution in social media enables radiologists to showcase their roles and responsibilities in the healthcare setting, and provides an interface to engage with patients and other healthcare members. Social media can therefore be a tool to improve patient education; this can be in the form of twitter feeds or health blogs tailored to discuss essential or topical issues in the media or local community .”
Social media in clinical radiology: have you updated your status? Kassamali RH, Palkhi EYA, Hoey ET Quant Imaging Med Surg. 2015 Aug; 5(4): 491–493. - “From a patient perspective, the increased self-education through social media risks the possibility of becoming unnecessarily or inadequately concerned, due to lack of sufficient knowledge or contradicting information on social media; this can jeopardize patient safety especially if some patients use the social media as a replacement for traditional forms of consultation.”
Social media in clinical radiology: have you updated your status? Kassamali RH, Palkhi EYA, Hoey ET Quant Imaging Med Surg. 2015 Aug; 5(4): 491–493. - “The results show that 85 % of all survey participants are using social media, mostly for a mixture of private and professional reasons. Facebook is the most popular platform for general purposes, whereas LinkedIn and Twitter are more popular for professional usage. The most important reason for not using social media is an unwillingness to mix private and professional matters. Eighty-two percent of all participants are aware of the educational opportunities offered by social media.”
Radiologists' Usage of Social Media: Results of the RANSOM Survey. Ranschaert ER et al. J Digit Imaging. 2016 Feb 3. [Epub ahead of print] - “An increasing number of hospitals and health systems utilize social media to allow users to provide feedback and ratings. The correlation between ratings on social media and more conventional hospital quality metrics remains largely unclear, raising concern that healthcare consumers may make decisions on inaccurate or inappropriate information regarding quality.”
Hospital Evaluations by Social Media: A Comparative Analysis of Facebook Ratings among Performance Outliers. Glover M et al. J Gen Intern Med. 2015 Oct;30(10):1440-6 - “Hospitals performing better than the national average on 30-day readmissions were more likely to use Facebook than lower-performing hospitals (93.3 % vs. 83.5 %; p < 0.01). The average rating for hospitals with low readmission rates (4.15 ± 0.31) was higher than that for hospitals with higher readmission rates (4.05 ± 0.41, p < 0.01). Major teaching hospitals were 14.3 times more likely to be in the high readmission rate group. A one-star increase in Facebook rating was associated with increased odds of the hospital belonging to the low readmission rate group by a factor of 5.0 (CI: 2.6-10.3, p < 0.01), when controlling for hospital characteristics and Facebook-related variables.”
Hospital Evaluations by Social Media: A Comparative Analysis of Facebook Ratings among Performance Outliers. Glover M et al. J Gen Intern Med. 2015 Oct;30(10):1440-6 - “The most important reason for not using social media is an unwillingness to mix private and professional matters. Eighty-two percent of all participants are aware of the educational opportunities offered by social media. The survey results underline the need to increase radiologists' skills in using social media efficiently and safely. There is also a need to create clear guidelines regarding the online and social media presence of radiologists to maximize the potential benefits of engaging with social media.”
Radiologists' Usage of Social Media: Results of the RANSOM Survey. Ranschaert ER et al. J Digit Imaging. 2016 Feb 3. [Epub ahead of print] - “ Hospitals with lower rates of 30-day hospital-wide unplanned readmissions have higher ratings on Facebook than hospitals with higher readmission rates. These findings add strength to the concept that aggregate measures of patient satisfaction on social media correlate with more traditionally accepted measures of hospital quality.”
Radiologists' Usage of Social Media: Results of the RANSOM Survey. Ranschaert ER et al. J Digit Imaging. 2016 Feb 3. [Epub ahead of print] - “Online social media provides a platform for women to share their experiences and reactions in undergoing mammography, including humor, positive reflections, and encouragement of others to undergo the examination. Social media thus warrants further evaluation as a potential tool to help foster greater adherence to screening guidelines.”
What Do Patients Tweet About Their Mammography Experience? Rosenkrantz AB et al. Acad Radiol. 2016 Nov;23(11):1367-1371. - “Identified themes included breast compression (24.4%), advising other patients to undergo screening (23.9%), recognition of the health importance of the examination (18.8%), the act of waiting (10.1%), relief regarding results (9.7%), reflection that the examination was not that bad (9.1%), generalized apprehension regarding the examination (8.2%), interactions with staff (8.0%), the gown (5.0%), examination costs or access (3.4%), offering or reaching out for online support from other patients (3.2%), perception of screening as a sign of aging (2.4%), and the waiting room or waiting room amenities (1.3%).”
What Do Patients Tweet About Their Mammography Experience? Rosenkrantz AB et al. Acad Radiol. 2016 Nov;23(11):1367-1371. - “Patients are increasingly seeking online information regarding their health and their health care providers. Concurrently, more patients are accessing their electronic medical records, including their radiology reports, via online portals. Thus, this study aims to characterize what patients find when they search for radiologists online.”
JOURNAL CLUB: Radiologists' Online Identities: What Patients Find When They Search Radiologists by Name. Vijayasarathi A et al. AJR Am J Roentgenol. 2016 Nov;207(5):952-958. - “Of all U.S. health care providers recognized by CMS, 30,601 self-identified as radiologists. There was at least one search result for 30,600 radiologists (99.997%), for a total of 305,795 websites. Of all the domains, 69.8% were third party-controlled physician information systems, 17.7% were physician or institution controlled, 1.0% were social media platforms, 2.1% were other, and 9.5% were not classified. Nine of the top 10 most commonly encountered domains were commercially controlled third-party physician information systems.”
JOURNAL CLUB: Radiologists' Online Identities: What Patients Find When They Search Radiologists by Name. Vijayasarathi A et al. AJR Am J Roentgenol. 2016 Nov;207(5):952-958. - “Most U.S. radiologists lack self-controlled online content within the first page of Google search results. Opportunities exist for individual radiologists, radiology groups, academic departments, and professional societies to amend their online presence, control the content patients discover, and improve the visibility of the field at large.”
JOURNAL CLUB: Radiologists' Online Identities: What Patients Find When They Search Radiologists by Name. Vijayasarathi A et al. AJR Am J Roentgenol. 2016 Nov;207(5):952-958.
- " Social media, including Facebook, Twitter, Blogger, Naver, and Reddit serves as a potential platform through which physicians can expand research efforts, promote health awareness, facilitate patient education, and communicate new research findings and best-practice guidelines. Because social media have become integrated into the lives of the millennial generation, medical educational materials need to be adapted to reach this generation of physicians, who are using it for information distribution and interaction."
New Frontiers in Education: Facebook as a Vehicle for Medical Information Delivery
Carolina Lugo-Fagundo, Madison B. Johnson, Rachel Black Thomas, Pamela T. Johnson, Elliot K. Fishman
Journal American College of Radiology , Volume 13 , Issue 3 , 316 - 319 - "Facebook is a potentially valuable educational tool for the generation that uses social media because it delivers information directly to users in a way to which they have become accustomed. When a user connects to a Facebook page, that page's posts are delivered to the user's personal page in real time, so that information is communicated directly to the user in a timely fashion, rather than the user having to search for new information."
New Frontiers in Education: Facebook as a Vehicle for Medical Information Delivery
Carolina Lugo-Fagundo, Madison B. Johnson, Rachel Black Thomas, Pamela T. Johnson, Elliot K. Fishman
Journal American College of Radiology , Volume 13 , Issue 3 , 316 - 319 - "Facebook has been embraced by medical professionals and medical institutions to promote health awareness, develop research projects, facilitate patient and student education, improve consultation and collaboration, increase disease awareness, and describe best-practice guidelines."
New Frontiers in Education: Facebook as a Vehicle for Medical Information Delivery
Carolina Lugo-Fagundo, Madison B. Johnson, Rachel Black Thomas, Pamela T. Johnson, Elliot K. Fishman
Journal American College of Radiology , Volume 13 , Issue 3 , 316 - 319 - "The millennial generation favors more technologically oriented teaching methods, and web-based
delivery of information and educational materials will only grow as future physicians are exposed to technology at a young age. The information provided in this article could be valuable to medical educators and those who are in the process of or are considering developing an educational Facebook page."
New Frontiers in Education: Facebook as a Vehicle for Medical Information Delivery
Carolina Lugo-Fagundo, Madison B. Johnson, Rachel Black Thomas, Pamela T. Johnson, Elliot K. Fishman
Journal American College of Radiology , Volume 13 , Issue 3 , 316 - 319 
- “Social media is defined as a ‘set of interactive technology tools designed to encourage social networking and dialogic communication in virtual communities and networks’. Social media platforms include online forums, networking sites, online professional networks, content posting sites and research forums . A recently published comprehensive analysis of social media encourages health care staff to embrace the ‘e-society’ and social media revolution as it has shown to provide improved outcomes for healthcare staff and patients.”
Social media in clinical radiology: have you updated your status? Kassamali RH, Palkhi EYA, Hoey ET Quant Imaging Med Surg. 2015 Aug; 5(4): 491–493. - “The revolution in social media enables radiologists to showcase their roles and responsibilities in the healthcare setting, and provides an interface to engage with patients and other healthcare members. Social media can therefore be a tool to improve patient education; this can be in the form of twitter feeds or health blogs tailored to discuss essential or topical issues in the media or local community .”
Social media in clinical radiology: have you updated your status? Kassamali RH, Palkhi EYA, Hoey ET Quant Imaging Med Surg. 2015 Aug; 5(4): 491–493. - “From a patient perspective, the increased self-education through social media risks the possibility of becoming unnecessarily or inadequately concerned, due to lack of sufficient knowledge or contradicting information on social media; this can jeopardize patient safety especially if some patients use the social media as a replacement for traditional forms of consultation.”
Social media in clinical radiology: have you updated your status? Kassamali RH, Palkhi EYA, Hoey ET Quant Imaging Med Surg. 2015 Aug; 5(4): 491–493. - “The results show that 85 % of all survey participants are using social media, mostly for a mixture of private and professional reasons. Facebook is the most popular platform for general purposes, whereas LinkedIn and Twitter are more popular for professional usage. The most important reason for not using social media is an unwillingness to mix private and professional matters. Eighty-two percent of all participants are aware of the educational opportunities offered by social media.”
Radiologists' Usage of Social Media: Results of the RANSOM Survey. Ranschaert ER et al. J Digit Imaging. 2016 Feb 3. [Epub ahead of print] - “An increasing number of hospitals and health systems utilize social media to allow users to provide feedback and ratings. The correlation between ratings on social media and more conventional hospital quality metrics remains largely unclear, raising concern that healthcare consumers may make decisions on inaccurate or inappropriate information regarding quality.”
Hospital Evaluations by Social Media: A Comparative Analysis of Facebook Ratings among Performance Outliers. Glover M et al. J Gen Intern Med. 2015 Oct;30(10):1440-6 - “Hospitals performing better than the national average on 30-day readmissions were more likely to use Facebook than lower-performing hospitals (93.3 % vs. 83.5 %; p < 0.01). The average rating for hospitals with low readmission rates (4.15 ± 0.31) was higher than that for hospitals with higher readmission rates (4.05 ± 0.41, p < 0.01). Major teaching hospitals were 14.3 times more likely to be in the high readmission rate group. A one-star increase in Facebook rating was associated with increased odds of the hospital belonging to the low readmission rate group by a factor of 5.0 (CI: 2.6-10.3, p < 0.01), when controlling for hospital characteristics and Facebook-related variables.”
Hospital Evaluations by Social Media: A Comparative Analysis of Facebook Ratings among Performance Outliers. Glover M et al. J Gen Intern Med. 2015 Oct;30(10):1440-6 - “The most important reason for not using social media is an unwillingness to mix private and professional matters. Eighty-two percent of all participants are aware of the educational opportunities offered by social media. The survey results underline the need to increase radiologists' skills in using social media efficiently and safely. There is also a need to create clear guidelines regarding the online and social media presence of radiologists to maximize the potential benefits of engaging with social media.”
Radiologists' Usage of Social Media: Results of the RANSOM Survey. Ranschaert ER et al. J Digit Imaging. 2016 Feb 3. [Epub ahead of print] - “Hospitals with lower rates of 30-day hospital-wide unplanned readmissions have higher ratings on Facebook than hospitals with higher readmission rates. These findings add strength to the concept that aggregate measures of patient satisfaction on social media correlate with more traditionally accepted measures of hospital quality.”
Radiologists' Usage of Social Media: Results of the RANSOM Survey. Ranschaert ER et al. J Digit Imaging. 2016 Feb 3. [Epub ahead of print]
- Potential benefits and opportunities of social media for Radiologists
• Improvement of radiologists’ visibility among clinicians and patients
• Increased interaction with clinicians regionally, nationally, and globally
• Exchange and availability of relevant information and knowledge
• Distribution and discussion of information and cases for education and research - Potential benefits and opportunities of social media for Radiologists
• Sharing and discussion of radiological images with peers and clinicians
• Increased impact and influence in the radiological community
• More active engagement during scientific meetings (Tweetups, Tweet Chats)
• Augmentation of the reach of scientific publications by promotion on SoMe - Potential benefits and opportunities of social media for Radiologists
• Improvement of radiologists’ visibility among clinicians and patients
Social media for radiologists: an introduction
Erik R. Ranschaert et al.
Insights Imaging (2015) 6:741–752 - Potential benefits and opportunities of social media for Radiologists
• Improvement of radiologists’ visibility among clinicians and patients
Social media for radiologists: an introduction
Erik R. Ranschaert et al.
Insights Imaging (2015) 6:741–752 - “Although many radiologists are already using social media, a large number of our colleagues are still unaware of the wide spectrum of useful information and interaction available via social media and of the added value these platforms can bring to daily practice.”
Social media for radiologists: an introduction Erik R. Ranschaert et al. Insights Imaging (2015) 6:741–752 - Purpose: “The goal of this study was to use patient reviews posted on Yelp.com, an online ratings website, to identify factors most commonly associated with positive versus negative patient perceptions of radiology imaging centers across the United States.”
Factors Influencing Patients’ Perspectives of Radiology Imaging Centers: Evaluation Using an Online Social Media Ratings Doshi AM et al. J Am Coll Radiol 2015 (in press) - Methods: A total of 126 outpatient radiology centers from the 46 largest US cities were identified using Yelp.com; 1,009 patient reviews comprising 2,582 individual comments were evaluated. Comments were coded as pertaining to either the radiologist or other service items, and as expressing either a positive or negative opinion.
Factors Influencing Patients’ Perspectives of Radiology Imaging Centers: Evaluation Using an Online Social Media Ratings Doshi AM et al. J Am Coll Radiol 2015 (in press) - “Conclusions: Patients’ perception of radiology imaging centers is largely shaped by aspects of service quality. Schedulers, receptionists, technologists, and billers heavily influence patient satisfaction in radiology. Thus, radiologists must promote a service-oriented culture throughout their practice.”
Factors Influencing Patients’ Perspectives of Radiology Imaging Centers: Evaluation Using an Online Social Media Ratings Doshi AM et al. J Am Coll Radiol 2015 (in press) - YELP 12-2-2015
- 5 Stars
- 5 Stars
- “Over the past 5 years, social media have had a profound impact on the way doctors, patients, organizations, and even governments interact. Social media are interfaces through which individuals can create and share real-time news and information with others. They can flatten hierarchies, break down geographical boundaries, and provide access to a global network of healthcare professionals. A recently published comprehensive analysis of social media in the NHS encourages healthcare workers to fully embrace the social media revolution and realize the benefits for staff, patients, and their families.”
Social media: the next frontier in Radiology Patgiraja F et al. Clinical Radiology 70(2015) 585-587 - Web Site Ratings
- www.cancercommons.org
- Patient Driven Questions
- Who are are users?
- Use of Social Media in Medicine/Radiology
- Education
- Professional networking
- Specialty awareness
- Become a key person of influence
- Assessing performance
Social media in clinical radiology: have you updated your status? Kassamali RH, Palkhi EY, Hoey ET. Quant Imaging Med Surg 2015;5(4):491-493 - “Social media has erased international and hierarchical boundaries thus raising awareness of important international education and research meetings. International radiology societies such as Radiology Society for North America (RSNA), British Institute of Radiology (BIR), Royal College of radiologists (RCR) and the ACR are increasingly embracing usage of social media tools such as Twitter to engage delegates, trainees and international collaborators; this has been shown to improve involvement, cohesion and collaboration amongst delegates. In addition at the international conferences discussions on the lectures and learning points are encouraged on twitter so that delegates and people who were not able to attend can benefit from the ongoing discussions.”
Social media in clinical radiology: have you updated your status? Kassamali RH, Palkhi EY, Hoey ET. Quant Imaging Med Surg 2015;5(4):491-493 - “Social media has allowed people with specific interests in certain topics to become key people of influence on this topic by regular postings and involvement in online discussions in this topic area. This provides the environment where newspapers, magazines and TV researchers search for people who can meet journalists to discuss their work. Even an introverted person who finds it difficult in environments with lots of people can exert their knowledge and opinions and can start to direct a specific area within a speciality. It is strongly recommended to promote your research and ongoing learning on your social media so that people interested in your work connect with you and take interest in your work. It is no longer a requirement to be a professor to hold an important role amongst your peers in a certain topic area.”
Social media in clinical radiology: have you updated your status? Kassamali RH, Palkhi EY, Hoey ET. Quant Imaging Med Surg 2015;5(4):491-493 - “The RCR in UK endeavors in its 2014-2016 strategy to increase awareness of the radiology awareness as a specialty. These ambitions are similar in other radiology organizations worldwide. The revolution in social media enables radiologists to showcase their roles and responsibilities in the healthcare setting, and provides an interface to engage with patients and other healthcare members. Social media can therefore be a tool to improve patient education; this can be in the form of twitter feeds or health blogs tailored to discuss essential or topical issues in the media or local community. This may increasingly provide valuable self-management insight and disease prevention for patients. In the context of radiology it could give them a better insight into the implications of radiation and how important imaging is to their diagnoses and ongoing management.”
Social media in clinical radiology: have you updated your status? Kassamali RH, Palkhi EY, Hoey ET. Quant Imaging Med Surg 2015;5(4):491-493 - “Patients may find reassurance in social media by providing a knowledge library consistent with up to date evidence; a feature of social media, which is extremely beneficial in the management of chronic conditions. Social media also enables the opportunity to provide instant feedback serving as a tool to identify areas of improvement for the future. For patients, social media provides an environment for people with common problems to discuss these making the overall patient journey better with a reduction in the use of vital healthcare resources.”
Social media in clinical radiology: have you updated your status? Kassamali RH, Palkhi EY, Hoey ET. Quant Imaging Med Surg 2015;5(4):491-493 - “In Europe the largest professional social networks are Linkedin and Xing. These create a borderless environment enabling interactions between global healthcare leaders, academics and clinicians. Groups are formed and global discussions on key issues in radiology can take place in real time. Social media also promotes exciting opportunities for innovation through collaboration with other specialties thus improving interdisciplinary relations. Radiologists are able to exchange ideas on an international scale enhancing the understanding of practice and challenges facing the field globally. These professional networks also allow radiologists to search for new training and working opportunities around the world. Furthermore, the social media tool research gate has improved access to open source research and has significantly improved the ease at which collaborations can be formed. In addition clinicians and scientists working on similar projects can share papers, data and ideas without being physically present at conferences.”
Social media in clinical radiology: have you updated your status? Kassamali RH, Palkhi EY, Hoey ET. Quant Imaging Med Surg 2015;5(4):491-493
- “As more and more people use social media platforms for other forms of information, adopting social media as tools for personal health is only natural. Social media can play a critical role in patients’ taking charge of their own health because of its informational, emotional, and communicative value.”
How Social Media Can Impact Medicine and Radiology
Zember WF, Fishman EK, Horton KM, Raman SP
JACR (in press) http://dx.doi.org/10.1016/j.jacr.2014.07.030 - “Rather than allowing other physician specialties or random websites to set the terms of debate about the appropriateness of different imaging tests or the importance of radiologists’ role in patient care, social media may allow us to thrust ourselves back into the conversation.”
How Social Media Can Impact Medicine and Radiology
Zember WF, Fishman EK, Horton KM, Raman SP
JACR (in press) http://dx.doi.org/10.1016/j.jacr.2014.07.030 - “Using social media does carry with it the need for some caution: misuse can have major implications for both patient care and even your career. Inappropriate online behavior can potentially damage your personal integrity, the patient-doctor relationship, a doctor-colleague relationship, or opportunities for future employment.”
How Social Media Can Impact Medicine and Radiology
Zember WF, Fishman EK, Horton KM, Raman SP
JACR (in press) http://dx.doi.org/10.1016/j.jacr.2014.07.030 - “In addition, health care trends in general have shown a movement toward patient-centric models, as patients increasingly seek ways to take charge of their own health. As a result, patients are making increasing efforts to develop “trusted” networks they can rely on. The idea of “trusted” networks has evolved and no longer simply encompasses people whom they know in the real world but, increasingly, people and communities online whom they are confident turning to in times of need. It is imperative that hospitals and physicians work to be included in patients’ trusted networks both online and offline.”
How Social Media Can Impact Medicine and Radiology
Zember WF, Fishman EK, Horton KM, Raman SP
JACR (in press) http://dx.doi.org/10.1016/j.jacr.2014.07.030
- “Although the precision medicine initiative will probably yield its greatest benefits years down the road, there should be some notable near-term successes. In addition to the results of the cancer studies described above, studies of a large research cohort exposed to many kinds of therapies may provide early insights into pharmacogenomics — enabling the provision of the right drug at the right dose to the right patient. Opportunities to identify persons with rare loss of function mutations that protect against common diseases may point to attractive drug targets for broad patient populations. And observations of beneficial use of mobile health technologies may improve strategies for preventing and managing chronic diseases.”
A New Initiative on Precision Medicine
Francis S. Collins, M.D., Ph.D., and Harold Varmus
N Engl J Med 372;9 - “Although cancers are largely a consequence of accumulating genomic damage during life, inherited genetic variations contribute to cancer risk, sometimes profoundly. This new understanding of oncogenic mechanisms has begun to influence risk assessment, diagnostic categories, and therapeutic strategies, with increasing use of drugs and antibodies designed to counter the influence of specific molecular drivers. Many targeted therapies have been (and are being) developed, and several have been shown to confer benefits, some of them spectacular. In addition, novel immunologic approaches have recently produced some profound responses, with signs that molecular signatures may be strong predictors of benefit.”
A New Initiative on Precision Medicine
Francis S. Collins, M.D., Ph.D., and Harold Varmus
N Engl J Med 372;9
- “Social media is a broad term that describes the use of mobile and web- based devices to transform what was traditionally a one-way online conver- sation conducted via e-mail, older online forums, and instant messaging services into an open, two-way interactive dialogue.”
How Social Media Can Impact Medicine and Radiology.
Zember WF, Fishman EK, Horton KM, Raman SP
J Am Coll Radiol. 2015 Jan 28. [Epub ahead of print] - “As more and more people use social media platforms for other forms of information, adopting social media as tools for personal health is only natural. Social media can play a critical role in patients’ taking charge of their own health because of its informational, emotional, and communicative value.”
How Social Media Can Impact Medicine and Radiology.
Zember WF, Fishman EK, Horton KM, Raman SP
J Am Coll Radiol. 2015 Jan 28. [Epub ahead of print] - “In addition, health care trends in general have shown a movement toward patient-centric models, as patients increasingly seek ways to take charge of their own health. As a result, patients are making increasing efforts to develop “trusted” networks they can rely on.”
How Social Media Can Impact Medicine and Radiology.
Zember WF, Fishman EK, Horton KM, Raman SP
J Am Coll Radiol. 2015 Jan 28. [Epub ahead of print] - “So, putting this all together, what do your patients want from social media with regard to physicians and hospitals? They want more meaningful conversations with their physicians and caregivers, the ability to quickly and proactively share and receive information with their health care providers, and the chance to strengthen their personal ownership in their health.”
How Social Media Can Impact Medicine and Radiology.
Zember WF, Fishman EK, Horton KM, Raman SP
J Am Coll Radiol. 2015 Jan 28. [Epub ahead of print] - “Ultimately, you need to care about social media because your patients and other health care providers care about social media. Patients want, and often expect, medical resources and providers to be available via social media. Building a positive online relationship with patients can help build a positive offline relationship and can potentially offset a negative one, thanks to the ability to respond to patients’ comments in a timely manner.”
How Social Media Can Impact Medicine and Radiology.
Zember WF, Fishman EK, Horton KM, Raman SP
J Am Coll Radiol. 2015 Jan 28. [Epub ahead of print] - “Using social media does carry with it the need for some caution: misuse can have major implications for both patient care and even your career. Inappropriate online behavior can potentially damage your personal integrity, the patient-doctor relation- ship, a doctor-colleague relationship, or opportunities for future employment.”
How Social Media Can Impact Medicine and Radiology.
Zember WF, Fishman EK, Horton KM, Raman SP
J Am Coll Radiol. 2015 Jan 28. [Epub ahead of print] - "Rather than allowing other physician specialties or random websites to set the terms of debate about the appropriateness of different imaging tests or the importance of radiologists’ role in patient care, social media may allow us to thrust ourselves back into the conversation. Social media might allow us to convey the importance of our specialty to patients in a direct way that we were never able to do when relying solely on face-to-face contact.”
How Social Media Can Impact Medicine and Radiology.
Zember WF, Fishman EK, Horton KM, Raman SP
J Am Coll Radiol. 2015 Jan 28. [Epub ahead of print]
- “The large majority of content on Twitter was either unfavorable or concerned regarding CT radiation risk. Most articles were not peer-reviewed and were posted by no physicians; posts by physicians were largely by nonradiologists. More active engagement on Twitter by radiologists and physicists and increased dissemination of peer-reviewed articles may achieve a more balanced representation and alleviate concerns regarding CT radiation risk on social networks.”
Imbalance of Opinions Expressed on Twitter Relating to CT Radiation Risk: An Opportunity for Increased Radiologist Representation.
Prabhu V, Rosenkrantz AB
AJR Am J Roentgenol. 2015 Jan;204(1):W48-51 - “Two hundred twenty-seven tweets included user commentary regarding CT's benefit-to-risk ratio, of which 134 (59%) were unfavorable or concerned, 65 (29%) were neutral, 22 (10%) were informative regarding CT dose reduction strategies, and only 6 (3%) were favorable. Four hundred seventy-two tweets (76%) included links to a total of 99 unique articles, of which 25 (25%) were unfavorable or concerned, 10 (10%) were favorable, 25 (25%) were neutral, and 39 (39%) were informative regarding CT dose reduction. Article types were non-peer-reviewed medical sources (n = 50), lay press (n = 15), peer-reviewed medical journals (n = 13), blogs (n = 12), advertisements (n = 5), and informational websites (n = 4).”
Imbalance of Opinions Expressed on Twitter Relating to CT Radiation Risk: An Opportunity for Increased Radiologist Representation.
Prabhu V, Rosenkrantz AB
AJR Am J Roentgenol. 2015 Jan;204(1):W48-51
- What are the potential negatives in the use of social media in the hospital or medical center?
“Most of the residents in radiation oncology use their smartphone to work in their department for a wide variety of tasks. However, the residents do not consistently check the validity of the apps that they use. Residents also use social networks, with only a limited impact on their relationship with their patients. Overall, this study highlights the irruption and the risks of new technologies in the clinical practice and raises the question of a possible regulation of their use in the hospital.”
Mobile technology and social media in the clinical practice of young radiation oncologists: results of a comprehensive nationwide cross-sectional study
Int J Radiat Oncol Biol Phys. 2014 Sep 1;90(1):231-7
Bibault JE et al. - PURPOSE: Social media and mobile technology are transforming the way in which young physicians are learning and practicing medicine. The true impact of such technologies has yet to be evaluated
RESULTS: In all, 131 of 140 (93.6%) French young radiation oncologists answered the survey. Of these individuals, 93% owned a smartphone and 32.8% owned a tablet. The majority (78.6%) of the residents owning a smartphone used it to work in their department. A total of 33.5% had more than 5 medical applications installed. Only 60.3% of the residents verified the validity of the apps that they used. In all, 82.9% of the residents had a social network account
Mobile technology and social media in the clinical practice of young radiation oncologists: results of a comprehensive nationwide cross-sectional study
Int J Radiat Oncol Biol Phys. 2014 Sep 1;90(1):231-7
Bibault JE et al. - RESULTS: The use of Twitter microblogging increased by at least 30% by all identifiable meaningful metrics between the 2011 and 2012 RSNA annual meetings, including total tweets, tweets per day, activity of the most active microbloggers, and total number of microbloggers. Similar increases were observed in numbers of North American and international microbloggers.
CONCLUSION: Markedly increased use of the Twitter microblogging platform at recent RSNA annual meetings demonstrates the potential to leverage this technology to engage meeting attendees, improve scientific sessions, and promote improved collaboration at national radiology meetings.
Social media in radiology: early trends in Twitter microblogging at radiology's largest international meeting.
J Am Coll Radiol. 2014 Apr;11(4):387-90.
Hawkins CM et al. - “Communication campaigns are an accepted method for altering societal attitudes, increasing knowledge, and achieving social and behavioral change particularly within public health and the social sciences. The Image Gently(SM) campaign is a national education and awareness campaign in radiology designed to promote the need for and opportunities to decrease radiation to children when CT scans are indicated.”
Image Gently(SM): a national education and communication campaign in radiology using the science of social marketing.
Goske MJ et al.
J Am Coll Radiol. 2008 Dec;5(12):1200-5. - “In this article, the relatively new science of social marketing is reviewed and the theoretical basis for an effective communication campaign in radiology is discussed. Communication strategies are considered and the type of outcomes that should be measured are reviewed. This methodology has demonstrated that simple, straightforward safety messages on radiation protection targeted to medical professionals throughout the radiology community, utilizing multiple media, can affect awareness potentially leading to change in practice.”
Image Gently(SM): a national education and communication campaign in radiology using the science of social marketing.
Goske MJ et al.
J Am Coll Radiol. 2008 Dec;5(12):1200-5. - “The increased prominence of electronic health records, email, mobile devices, and social media has transformed the health care environment by providing both physicians and patients with opportunities for rapid communication and knowledge exchange. However, these technological advances require increased attention to patient privacy under the Health Insurance Portability and Accountability Act (HIPAA).”
HIPAA for physicians in the information age
Kavoussi SC et al.
Conn Med. 2014 Aug;78(7):425-7. - “Instant access to large amounts of electronic protected health information (PHI) merits the highest standard of network security and HIPAA training for all staff members. Physicians are responsible for protecting PHI stored on portable devices. Personal, residential, and public wireless connections are not certified with HIPAA-compliant Business Associate Agreements and are unsuitablefor PHI.”
HIPAA for physicians in the information age
Kavoussi SC et al.
Conn Med. 2014 Aug;78(7):425-7. - “A professional and privacy-oriented approach to electronic communication, online activity, and social media is imperative to maintaining public trust in physician integrity. As new technologies are integrated into health care practice, the assurance of privacy will encourage patients to continue to seek medical care.”
HIPAA for physicians in the information age
Kavoussi SC et al.
Conn Med. 2014 Aug;78(7):425-7. - “Serious consequences can result from lapses in best practice relating to social media behavior. Dedicated reflective learning modules need to be incorporated into undergraduate and postgraduate training programs as a matter of urgency.”
Social media and tomorrow's medical students--how do they fit?
Foley NM et al.
J Surg Educ. 2014 May-Jun;71(3):385-90. - Social Media in Healthcare: Articles in 2014
- Physical therapy
- Dentistry
- Radiology - “ Social media brings a new dimension to health care as it offers a medium to be used by the public, patients, and health professionals to communicate about health issues with the possibility of potentially improving health outcomes. Social media is a powerful tool, which offers collaboration between users and is a social interaction mechanism for a range of individuals.”
A New Dimension of Health Care: Systematic Review of the Uses, Benefits, and Limitations of Social Media for Health Communication
Moorhead SA et al
J Med Internet Res. Apr 2013; 15(4): e85. - “The six key overarching benefits were identified as (1) increased interactions with others, (2) more available, shared, and tailored information, (3) increased accessibility and widening access to health information, (4) peer/social/emotional support, (5) public health surveillance, and (6) potential to influence health policy.”
A New Dimension of Health Care: Systematic Review of the Uses, Benefits, and Limitations of Social Media for Health Communication
Moorhead SA et al
J Med Internet Res. Apr 2013; 15(4): e85. - “ Social media is changing the nature and speed of health care interaction between individuals and health organizations. The general public, patients, and health professionals are using social media to communicate about health issues. In the United States, 61% of adults search online and 39% use social media such as Facebook for health information .”
A New Dimension of Health Care: Systematic Review of the Uses, Benefits, and Limitations of Social Media for Health Communication
Moorhead SA et al
J Med Internet Res. Apr 2013; 15(4): e85. - “The main recurring limitations of social media are quality concerns and the lack of reliability of the health information. The authors of websites are often unidentifiable, or there can be numerous authors, or the line between producer and audience is blurred. Thus it is more difficult for individuals to discern the reliability of information found online .”
A New Dimension of Health Care: Systematic Review of the Uses, Benefits, and Limitations of Social Media for Health Communication
Moorhead SA et al
J Med Internet Res. Apr 2013; 15(4): e85. - “ Social media brings a new dimension to health care, offering a platform used by the public, patients, and health professionals to communicate about health issues with the possibility of potentially improving health outcomes. Although there are benefits to using social media for health communication, the information needs to be monitored for quality and reliability, and the users’ confidentiality and privacy need to be maintained.”
A New Dimension of Health Care: Systematic Review of the Uses, Benefits, and Limitations of Social Media for Health Communication
Moorhead SA et al
J Med Internet Res. Apr 2013; 15(4): e85. - “According to a database of health care organizations actively using social media, over 1500 US hospitals now have a social media presence. In California alone, 105 hospitals sponsor 444 social media accounts that include 53 YouTube accounts, 89 Facebook accounts, 69 Twitter accounts, 39 LinkedIn accounts, 78 Four- square accounts, and 11 blogs.”
Social Media and Public Outreach: A Physician Primer
A. Radmanesh, R. Duszak, and R.T. Fitzgerald
Am J Neuroradiol
(in press) - “The responsible use of social media provides golden opportunities for marketing physician services, as well as for contributing to public health by providing high quality on-line content that is both accurate and understandable to laypeople. Radiologists, for example, can leverage social media to help correct widespread and frequently publicized fear-generating myths regarding the risks of ionizing radiation from diagnostic imaging.”
Social Media and Public Outreach: A Physician Primer
A. Radmanesh, R. Duszak, and R.T. Fitzgerald
Am J Neuroradiol
(in press) - “Social media are new to many currently practicing physicians and that may generate anxiety. The avoidance of social media, however, does not protect us as professionals from our public. On the contrary, it constrains our on-line identity and cedes its control to nameless and often uninformed sources. We believe it is far better to be in control to the degree we can of what our patients, colleagues, and others find about us using search engines and other on-line tools. At the end of the day, as our on-line and real identities increasingly converge, they together define who we are in the eyes of others.”
Social Media and Public Outreach: A Physician Primer
A. Radmanesh, R. Duszak, and R.T. Fitzgerald
Am J Neuroradiol
(in press) 
- According to a 2011 survey, 94% of medical students and 79.4% of residents in the United States are active on-line social media users.1 Social media represent a relatively simple technique to provide educational material in a format that is adapted to the learning styles preferred by the “millennial” generation.
Social Media in Medical Education
R.T. Fitzgerald et al.
Am J Neuroradiol - “According to a 2011 survey, 94% of medical students and 79.4% of residents in the United States are active on-line social media users.1 Social media represent a relatively simple technique to provide educational material in a format that is adapted to the learning styles preferred by the “millennial” generation. “ Social Media in Medical Education
R.T. Fitzgerald et al.
Am J Neuroradiol (in press) - “According to a 2011 survey, 94% of medical students and 79.4% of residents in the United States are active on-line social media users.Social media represent a relatively simple technique to provide educational material in a format that is adapted to the learning styles preferred by the “millennial” generation.”
Social Media in Medical Education
R.T. Fitzgerald et al.
Am J Neuroradiol (in press) - “In the coming years with the anticipated continuing shift of student preferences toward on-line content, increased interconnectivity, and peer-to-peer knowledge sharing, social media have the potential to substantially impact and disupt medical education.The radiology community would be well served by leading this charge.
Social Media in Medical Education
R.T. Fitzgerald et al.
Am J Neuroradiol (in press) - “Despite evidence supporting the potential benefits of social media engagement for researchers, adoption of social media in academia has been slow. It is estimated that fewer than 3% of scientists are active Twitter users.A study to assess the prevalence of social media mentions in 1.4 million scholarly articles published between 2010 and 2012, fewer than 10% were tweeted at least once; however, the rate of tweets increased substantially over the 3-year study period from 2.4% in 2010 to 20.4% in 2012.”
Social Media and Research Visibility
Fitzgerald RT, Radmanesh A
AJNR Am J Neuroradiol (in press) - “The adoption of social media technologies appears to enhance clinical outcomes through improved communications. The ability of providers to more effectively, directly, and rapidly communicate among themselves as well as with patients should strengthen collaboration and treatment.“
Clinical Social Networking—A New Revolution in Provider Communication and Delivery of Clinical Information across Providers of Care?
Kolowitz BJ et al.
J Digit Imaging (2014) 27:192–199 - “ Unnecessary or extra communications oftentimes occur because current systems are designed to send information in one direction. This leaves the user wondering if the request were received and if the request is being acted on in a timely manner.”
Clinical Social Networking—A New Revolution in Provider Communication and Delivery of Clinical Information Across Providers of Care?
Kolowitz BJ et al.
J Digit Imaging (2014) 27:192–199 - “ The exponential growth, variety, and sophistication of the information communication technologies (ICTs) plus their growing accessibility are transforming how clinical practitioners, patients, and their families can work together. Social technologies are the ICTs tools that augment the ability of people to communicate and collaborate despite obstacles of geography and time.”
Is there a role for social technologies in collaborative healthcare?
Bacigalupe G.
Fam Syst Health. 2011 Mar;29(1):1-14 - “A note of caution is required: the phenomenon is complex and hard to describe in writing (a medium very different from the technologies themselves). Hardware and software are in continuous development and the iterative adaptation of the emergent social technologies for new forms of virtual communication.”
Is there a role for social technologies in collaborative healthcare?
Bacigalupe G.
Fam Syst Health. 2011 Mar;29(1):1-14 - “Technological innovations are rising rapidly and are inevitably becoming part of the health care environment. Patients frequently access Social media as a forum for discussion of personal health issues; and healthcare providers are now considering ways of harnessing social media as a source of learning and teaching. This review highlights some of the complex issues of using social media as an opportunity for interaction between public- patient-healthcare staff; considers the impact of self- education and self-management for patients with diabetes, and explores some recent advances in delivering education for staff. When using any information technology, the emphasis should rely on being assessed rigorously to show it promotes health education safely, can be recognized as delivering up-to- date health information effectively, and should ensure there is no bias in selective communication, or disadvantage to isolated patient groups.”
Social media for diabetes health education - inclusive or exclusive?
Pal BR.
Curr Diabetes Rev. 2014;10(5):284-90 - “Technological innovations are rising rapidly and are inevitably becoming part of the health care environment. Patients frequently access Social media as a forum for discussion of personal health issues; and healthcare providers are now considering ways of harnessing social media as a source of learning and teaching. This review highlights some of the complex issues of using social media as an opportunity for interaction between public- patient-healthcare staff; considers the impact of self- education and self-management for patients with diabetes, and explores some recent advances in delivering education for staff.”
Social media for diabetes health education - inclusive or exclusive?
Pal BR.
Curr Diabetes Rev. 2014;10(5):284-90 - “ When using any information technology, the emphasis should rely on being assessed rigorously to show it promotes health education safely, can be recognized as delivering up-to- date health information effectively, and should ensure there is no bias in selective communication, or disadvantage to isolated patient groups.”
Social media for diabetes health education - inclusive or exclusive?
Pal BR.
Curr Diabetes Rev. 2014;10(5):284-90 
- Social Media and Patient Care: Thinking Differently
- Can social media be used to recruit patients with rare diseases for a clinical trial or for follow up-
- Can social media be used to recruit patients to be study participants- - “ Overall, social media outlets referred 84% of all responses, making it the dominant modality for recruiting the largest reported contemporary cohort of Fontan patients and patients who have PLE and PB. The methodology and response patterns from this study can be used to design research applications for other rare diseases.”
Social Media Methods for Studying Rare Diseases
Schumacher KR et al.
Pediatrics 2014 Apr14 (Epub ahead of print) - “A total of 671 respondents with a Fontan palliation completed a valid survey, including 76 who had PLE and 46 who had PB. Responses over time demonstrated periodic, marked increases as new online populations of Fontan patients were reached. Of the responses, 574 (86%) were from the United States and 97 (14%) were international. The leading referral sources were Facebook, internet forums, and traditional websites.”
Social Media Methods for Studying Rare Diseases
Schumacher KR et al.
Pediatrics 2014 Apr14 (Epub ahead of print) - “For pediatric rare diseases, the number of patients available to support traditional research methods is often inadequate. However, patients who have similar diseases cluster "virtually" online via social media. This study aimed to (1) determine whether patients who have the rare diseases Fontan-associated protein losing enteropathy (PLE) and plastic bronchitis (PB) would participate in online research, and (2) explore response patterns to examine social media's role in participation compared with other referral modalities.”
Social Media Methods for Studying Rare Diseases
Schumacher KR et al.
Pediatrics 2014 Apr14 (Epub ahead of print) - “The bulk of the observed contributions were not based on scientific results, but on various social media sources. These sources seem to contain mostly opinions and personal experience. A small group of people with distinct behavioral patterns played a core role in fuelling the discussion about CCSVI.”
Sources of information and behavioral patterns in online health forums: qualitative study
Sudau F et al.
J Med Internet Res. 2014 Jan 14;16(1) - “Increasing numbers of patients are raising their voice in online forums. This shift is welcome as an act of patient autonomy, reflected in the term "expert patient". At the same time, there is considerable concern that patients can be easily misguided by pseudoscientific research and debate. Little is known about the sources of information used in health-related online forums, how users apply this information, and how they behave in such forums.”
Sources of information and behavioral patterns in online health forums: qualitative study
Sudau F et al.
J Med Internet Res. 2014 Jan 14;16(1) - “This observational study used the largest German multiple sclerosis (MS) online forum as a database, analyzing the user debate about the recently proposed and controversial Chronic Cerebrospinal Venous Insufficiency (CCSVI) hypothesis. After extracting all posts and then filtering relevant CCSVI posts between 01 January 2008 and 17 August 2012, we first identified hyperlinks to scientific publications and other information sources used or referenced in the posts. Employing k-means clustering, we then analyzed the users' preference for sources of information and their general posting habits.”
Sources of information and behavioral patterns in online health forums: qualitative study
Sudau F et al.
J Med Internet Res. 2014 Jan 14;16(1) - “Of 139,912 posts from 11,997 threads, 8628 posts discussed or at least mentioned CCSVI. We detected hyperlinks pointing to CCSVI-related scientific publications in 31 posts. In contrast, 2829 different URLs were posted to the forum, most frequently referring to social media, such as YouTube or Facebook. We identified a total of 6 different roles of hyperlink posters including Social Media Fans, Organization Followers, and Balanced Source Users. Apart from the large and nonspecific residual category of the "average user", several specific behavior patterns were identified, such as the small but relevant groups of CCSVI-Focused Responders or CCSVI Activators.”
Sources of information and behavioral patterns in online health forums: qualitative study
Sudau F et al.
J Med Internet Res. 2014 Jan 14;16(1) - “ Social media applications such as Twitter, YouTube and Facebook have attained huge popularity, with more than three billion people and organizations predicted to have a social networking account by 2015. Social media offers a rapid avenue of communication with the public and has potential benefits for communicable disease control and surveillance. However, its application in everyday public health practice raises a number of important issues around confidentiality and autonomy. We report here a case from local level health protection where the friend of an individual with meningococcal septicaemia used a social networking site to notify potential contacts.”
Using Social Networking Sites for Communicable Disease Control: Innovative Contact Tracing or Breach of Confidentiality-
Mandeville KL et al.
Public Health Ethics. Apr 2014; 7(1): 47–50. - “There is a growing interest by public health organizations in the use of social media in the dissemination of health information, emergency preparedness and communicable disease control, particularly after the H1N1 influenza pandemic. For example, the World Health Organisation, Centers for Disease Control and Prevention and Health Protection Agency (HPA) all have Twitter accounts, Facebook pages and videos on YouTube. The number of people following the Centers for Disease Control and Prevention’s ‘emergency profile’ on Twitter increased from 65,000 to 1.2 million within a year, and the WHO used its Twitter account to issue advice in the wake of the 2011 Japanese earthquake.”
Using Social Networking Sites for Communicable Disease Control: Innovative Contact Tracing or Breach of Confidentiality-
Mandeville KL et al.
Public Health Ethics. Apr 2014; 7(1): 47–50. - “ CDC has uploaded 243 videos to video-sharing site YouTube, and Shelly Diaz, a social media expert at the CDC, says social media are a key means of getting the agency’s message across to online visitors. For example, one CDC Facebook page is targeted at parents of teen drivers. “We spend a lot of time and we have a whole team of people working on social media. It's not investment free”, she says. “We need a message that can be nimble. Social media allow us to upload messages quickly.”
Mixed uptake of social media among public health specialists
Jones B
Bull World Health Organ. Nov 1, 2011; 89(11): 784–785. - “Clearly, social media are changing the way people communicate not only in their day-to-day lives, but also during disasters that threaten public health. Engaging with and using emerging social media may well place the emergency-management community, including medical and public health professionals, in a better position to respond to disasters. The effectiveness of our public health emergency system relies on routine attention to preparedness, agility in responding to daily stresses and catastrophes, and the resilience that promotes rapid recovery. Social media can enhance each of these component efforts.”
Integrating Social Media into Emergency-Preparedness Efforts
Merchant RM et al.
N Engl J Med 2011; 365:289-291 - “Social media are also becoming vital to recovery efforts after crises, when infrastructure must be rebuilt and stress management is critical. The extensive reach of social networks allows people who are recovering from disasters to rapidly connect with needed resources. Tweets and photographs linked to timelines and interactive maps can tell a cohesive story about a recovering community's capabilities and vulnerabilities in real time. Organizations such as Ushahidi have helped with recovery in Haiti by matching volunteer health care providers with distressed areas. Social media have been used in new ways to connect responders and people directly affected by such disasters as the Deepwater Horizon oil spill, flash floods in Australia, and the earthquake in New Zealand with medical and mental health services.”
Integrating Social Media into Emergency-Preparedness Efforts
Merchant RM et al.
N Engl J Med 2011; 365:289-291 - “ Furthermore, it is not always possible to know whether social media users are who they claim to be or whether the information they share is accurate. Although false messages that are broadcast widely are often rapidly corrected by other users, it is often difficult to separate real signals of a health crisis or a material need from background noise and opportunistic scams. Careful consideration must also be given to issues of privacy and the question of who should monitor data from social media (and for what).”
Integrating Social Media into Emergency-Preparedness Efforts
Merchant RM et al.
N Engl J Med 2011; 365:289-291 - “ We now live, learn, teach and practice medicine in the digital era. Social networking sites are used by at least half of all adults. Engagement with social media can be personal, professional, or both, for health-related and educational purposes. Use is often public. Lapses in professionalism can have devastating consequences, but when used well social media can enhance the lives of and learning by health professionals and trainees, ultimately for public good. Both risks and opportunities abound for individuals who participate, and health professionals need tips to enhance use and avoid pitfalls in their use of social media and to uphold their professional values.”
Twelve tips for using social media as a medical educator
Kind T et al.
Medical Teacher 2014; 36:284-290 
- Twelve tips for using social media as a medical educator
- Identify and then reflect upon your digital identity and goals for using social media
- Select a tool based upon goals and the strength of platforms available to support educational activities
- Observe and establish comfort first. Think, then contribute
- Make some initial connections and tap into the power of a community - Twelve tips for using social media as a medical educator
- Know and apply existing social media guidelines for the responsible use of social media
- Develop individual guiding principles with which you are comfortable
- Keep all patient information private
- Handling ‘‘friend’’ requests from trainees: Know your options and their consequences - Twelve tips for using social media as a medical educator
- Share credible information: disseminate evidence based health information, enhancing public health
- Engage, learn, reflect, and teach
- Research: Advance your academic productivity by expanding your professional network
- Mentor and be mentored: demonstrate responsible social media use - The downside of Social Media: Errors are Magnified and Last Forever
- OBJECTIVE:
To investigate potential violations of patient confidentiality or other breaches of medical ethics committed by physicians and medical students active on the social networking site Twitter.
RESULTS:
In all, 237 Twitter accounts were established as held by physicians and medical students and a total of 13 780 tweets were analysed by content. In all, 276 (1.9%) tweets were labelled as 'unprofessional'. Among these, 26 (0.2%) tweets written by 15 (6.3%) physicians and medical students included information that could violate patient privacy. No information on the personal ID number or names was disclosed, but parts of the patient documentation or otherwise specific indicatory information on patients were found. Unprofessional tweets were more common among users writing under a pseudonym and among medical students.
“ In this study of physicians and medical students on Twitter, we observed potential violations of patient privacy and other breaches of medical ethics. Our findings underline that every physician and medical student has to consider his or her presence on social networking sites. It remains to be investigated if the introduction of social networking site guidelines for medical professionals will improve awareness.”
Virtual colleagues, virtually colleagues—physicians’ use of Twitter: a population-based observational study
Brynolf A et al.
BMJ Open. 2013; 3(7): e002988. - “Although it is clear that some clinicians use social networks in their professional activities and respect for privacy is of concern to everyone, whether social media will become a critical part of healthcare or remain an ‘adjunct’ technology is still unclear. There are several examples in which technology that would seem to be justifiably needed (eg, personal health records) has not yet become fully adopted. Social media in the clinical context may fall into this category. It will take several years to understand the effects of social media in clinician behavior and on patient outcomes.”
Reviewing social media use by clinicians
von Muhlen M, Ohno-Machado L
J Am Med Inform Assoc. 2012 Sep-Oct; 19(5): 777–781. - “Social media use by clinicians is widespread, especially by younger clinicians for personal and reference purposes. Awareness and interest is evident across multiple disciplines, as are concerns regarding the potential for misuse. Efforts to quantify the impact of social media are in their infancy, as demonstrated by the lack of widely used terminology and research methods. Further studies are necessary to characterize use better, define training requirements, and discover what, if any, uses for social media will be appropriate in clinical training.”
Reviewing social media use by clinicians
von Muhlen M, Ohno-Machado L
J Am Med Inform Assoc. 2012 Sep-Oct; 19(5): 777–781. - “ The advent of social networking as a major platform for human interaction has introduced a new dimension into the physician-patient relationship, known as Health 2.0. The concept of Health 2.0 is young and evolving; so far, it has meant the use of social media by health professionals and patients to personalize health care and promote health education. Social networking sites like Facebook and Twitter offer promising platforms for health care providers to engage patients. Despite the vast potential of Health 2.0, usage by health providers remains relatively low.”
Health 2.0--Lessons Learned: Social Networking With Patients for Health Promotion.
Sharma S et al.
J Prim Care Community Health. 2014 Feb 11. [Epub ahead of print] - “ In a changing healthcare environment, patient loyalty has never been more important. However, creating patient loyalty can mean more than providing quality health services within the four walls of the medical office. With patients turning to online sources and social media in search of advice and a better patient experience, we must now ensure that patients have meaningful engagements with us across the continuum of care, from the phone, to the office, to social media tools like Facebook and YouTube as we look to build loyalty and grow our referral volumes.”
Patient loyalty and the social media effect.
Verkamp J
J Med Pract Manage. 2013 Sep-Oct;29(2):96-8. - “ As the Internet has matured, social media has developed and become a part of our everyday life. Whether it is Facebook, YouTube, or LinkedIn, we now communicate with each other and the world in a very different manner. As physicians, and specifically colon and rectal surgeons, it is important that we understand this new technology, learn its limitations, and utilize it to foster growth of our practice, trade, and potentially result in better patient care.”
Social Media and the Surgeon
Margolin DA
Clin Colon Rectal Surg. 2013 Mar;26(1):36-38. - “Twitter has over 600 million registered users, and results in over 300 million “Tweets” each day.LinkedIn, a social media site geared toward professionals, has over 77 million users.Doximity, a physician-only social network started in 2011 where physicians can use their real name, contact others, and verify credentials has over 50,000 active physicians and is now used by 9% of all doctors in the United States.On YouTube, there are 48 hours of video uploaded every minute–this equals nearly 8 years of content uploaded every day.For many of the “holdouts” on the social media stage, the numbers left behind seem to be rapidly waning.”
Social Media and the Surgeon
Margolin DA
Clin Colon Rectal Surg. 2013 Mar;26(1):36-38. - “Health care organizations have recognized the importance of social media with the goal of improving outcomes, reducing costs, and improving coordination of care. In 2011, U.S. hospitals had 1,068 Facebook pages, 8,154 Twitter accounts, 566 LinkedIn accounts, 575 YouTube Channels, and 149 Blogs.Hospitals have long recognized that patients will turn to the Internet and social media sites to research their conditions, doctors, and hospitals.”
Social Media and the Surgeon
Margolin DA
Clin Colon Rectal Surg. 2013 Mar;26(1):36-38. - “Other examples of hospitals using social media to improve patient experience are as follows: The Cleveland Clinic monitors Facebook and Twitter and uses these to address patient complaints in a timely fashion; Seattle Children's Hospital shared it condolences and apologies for an error that the led to a child's death and publicized the steps taken to prevent future errors on their Facebook page; and the Ochsner Clinic in New Orleans contacts patients via Smartphone apps with the up-to-date wait times at the various emergency rooms.”
Social Media and the Surgeon
Margolin DA
Clin Colon Rectal Surg. 2013 Mar;26(1):36-38. - “The adoption of social media technologies appears to enhance clinical outcomes through improvedcommunications as reported by Bacigalupe (Fam Syst Heal 29(1):1-14, 2011). The ability of providers to more effectively, directly, and rapidly communicate among themselves as well as with patients should strengthen collaboration and treatment as reported by Bacigalupe.”
Clinical Social Networking—A New Revolution in Provider
Communication and Delivery of Clinical Information
across Providers of Care-
Kolowitz BJ et al.
J Digit Imaging (2014) 27:192-199 - “Despite a proliferation of apps that let people monitor every movement and morsel they eat, information technology has yet to revolutionize health care the way it has upended, say, shopping. What the upstarts lack in scale (for now), they more than make up for in utility. Imagine joining an online global community of people with the same rare disorder, or finding a doctor on the basis of detailed patient reviews. Facebook may provide its fans with tools they love, but this new wave of social networks offers tools that its users can't live without -- in some cases literally.”
Social media comes to health care.
Fortune. 2013 Apr 29;167(6):52, 54.
Bradley R
- “Twitter is a social media microblogging platform that allows rapid exchange of information between individuals. Despite its widespread acceptance and use at various other medical specialty meetings, there are no published data evaluating its use at radiology meetings. The purpose of this study is to quantitatively and qualitatively evaluate the use of Twitter as a microblogging platform at recent RSNA annual meetings.”
Social Media in Radiology: Early Trends in Twitter Microblogging at Radiology's Largest International Meeting
Hawkins CM et al.
J Am Coll Radiol 2014 Apr 11(4)387-390 - “The use of Twitter microblogging increased by at least 30% by all identifiable meaningful metrics between the 2011 and 2012 RSNA annual meetings, including total tweets, tweets per day, activity of the most active microbloggers, and total number of microbloggers. Similar increases were observed in numbers of North American and international microbloggers.”
Social Media in Radiology: Early Trends in Twitter Microblogging at Radiology's Largest International Meeting
Hawkins CM et al.
J Am Coll Radiol 2014 Apr 11(4)387-390 - “Markedly increased use of the Twitter microblogging platform at recent RSNA annual meetings demonstrates the potential to leverage this technology to engage meeting attendees, improve scientific sessions, and promote improved collaboration at national radiology meetings.”
Social Media in Radiology: Early Trends in Twitter Microblogging at Radiology's Largest International Meeting
Hawkins CM et al.
J Am Coll Radiol 2014 Apr 11(4)387-390 - “ PURPOSE: Social media have become established as tools for rapid information dissemination to a broad audience. A major use has been the compilation of conference-specific messaging, known as 'tweets', via pre-selected 'hashtags' on Twitter. We analyzed Twitter use between consecutive years at the annual meetings of the American (AUA) and Canadian Urological Association (CUA) annual meetings.”
The Dramatic Rise of Social Media in Urology: Trends in Twitter Use at the American and Canadian Urological Association Annual Meetings in 2012 and 2013.
Matta R et al.
J Urol 2014 Feb 24 (epub ahead of press) - “There was a large increase in Twitter use at the 2013 annual meetings (4591 tweets from 540 accounts) over the 2012 meetings (811 tweets from 134 accounts). Biotechnology analysts published the highest volume of tweets (226; 28%) in 2012; this majority shifted to urologists in 2013 (2765 tweets; 60%). In 2012, 29% were categorized as informative; this proportion increased to 41% at the 2013 meetings.”
The Dramatic Rise of Social Media in Urology: Trends in Twitter Use at the American and Canadian Urological Association Annual Meetings in 2012 and 2013.
Matta R et al.
J Urol 2014 Feb 24 (epub ahead of press) - “Twitter has emerged as a significant communication platform at urological meetings, and its use increased dramatically between 2012 and 2013. Urologists have increasingly led this discussion with an increased focus on data arising from meeting proceedings. This adjunct to traditional meeting activity merits the attention of urologists and of the professional associations that host such meetings.”
The Dramatic Rise of Social Media in Urology: Trends in Twitter Use at the American and Canadian Urological Association Annual Meetings in 2012 and 2013.
Matta R et al.
J Urol 2014 Feb 24 (epub ahead of press)
“Health care lags behind other industries in engaging with customers via social networking. In part, this reflects concerns regarding health information privacy concerns, organizational fears regarding employee time mismanagement, and the real challenge that health care providers face with multiple and competing demands on time. Despite these fears and concerns, our patients are spending more and more of their time online seeking health care information, more often in social networks. Our greatest capacity for health care change management at present may well center on our strategic capacity to meet our patients where they spend the majority of their time online.”
The shape of digital engagement: health care and social media.
Timimi FK
J Ambul Care Manage. 2013 Jul-Sep;36(3):187-92.- “The majority of Internet reviews of primary care physicians are positive in nature. Our findings reaffirm that the care encounter extends beyond the patient-physician dyad; staff, access, and convenience all affect patient's reviews of physicians. In addition, negative interpersonal reviews underscore the importance of well-perceived bedside manner for a successful patient-physician interaction.”
What patients say about their doctors online: a qualitative content analysis
Lopez A et al.
J Gen Intern Med. 2012 Jun;27(6):685-92. - “Social media includes many different forms of technology including online forums, blogs, microblogs (i.e. Twitter), wikipedias, video blogs, social networks and podcasting. The use of social media has grown exponentially and time spent on social media sites now represents one in five minutes spent online. Concomitant with this online growth, there has been an inverse trajectory in direct face-to-face patient-provider moments, which continue to become scarcer across the spectrum of health care.”
Medicine, morality and health care social media.
Timimi FK
BMC Med. 2012 Aug 2;10:83 - “In contrast to standard forms of engagement and education, social media has advantages to include profound reach, immediate availability, an archived presence and broad accessibility. Our opportunity as health care providers to partner with our patients has never been greater, yet all too often we allow risk averse fears to limit our ability to truly leverage our good content effectively to the online community. This risk averse behavior truly limits our capacity to effectively engage our patients where they are online.”
Medicine, morality and health care social media.
Timimi FK
BMC Med. 2012 Aug 2;10:83 
- “ Our opportunity as health care providers to partner with our patients has never been greater, yet all too often we allow risk averse fears to limit our ability to truly leverage our good content effectively to the online community. This risk averse behavior truly limits our capacity to effectively engage our patients where they are online.”
Medicine, morality and health care social media.
Timimi FK
BMC Med. 2012 Aug 2;10:83 - RadiologyInfo.org
- Mission Statement
- RadiologyInfo™ is the public information website developed and funded by the American College of Radiology (ACR) and the Radiological Society of North America (RSNA). It was established to inform and educate the public about radiologic procedures and the role of radiologists in healthcare, and to improve communications between physicians and their patients. 
- Top 10 Facebook Friends
- “ Markedly increased use of the Twitter microblogging platform at recent RSNA annual meetings demonstrates the potential to leverage this technology to engage meeting attendees, improve scientific sessions, and promote improved collaboration at national meetings.”
Social Media in Radiology: Early Trends in Twitter Microblogging at Radiology’s Largest International Meeting
Hawkins CM et al.
J Am Coll Radiol 2013 (in press) - “ The use of Twitter microblogging increased by at least 30% by all identifiable meaningful metric between the 2011 and 2012 RSNA annual meetings, including total tweets, tweets per day, activity of the most active microbloggers and total number of microbloggers.”
Social Media in Radiology: Early Trends in Twitter Microblogging at Radiology’s Largest International Meeting
Hawkins CM et al.
J Am Coll Radiol 2013 (in press) - Twitter
- Microblogging platform
- Posts are 140 characters of less
- Allows user to share short messages, information and links
- You need to follow the “blogger” to see the posts and they may then be sent from user to user (and when successful the term is “going viral”
- Hashtags (#RSNA2013) can keep all info on a topic/event in one place - What this means for patients
- Healthcare trends show a movement to a patient-centric mod
- Patients want, and in some cases expect, physicians to be available on social media
- At the same time, physicians are being cautioned by medical organizations about how to use social media -- if you dare to use it, that is
- Patients expect physicians using social media with patients to be professional and respect both their privacy and your own - What this means for hospitals/physicians
- You need a plan of what, when, and how social media will be used by your hospital/practice
- Once you open accounts and start your campaigns you must keep them active with current and relevant information
- Do not expect immediate results, be prepared for a commitment
- Review and edit your hospital/practice policies to reflect the use of social media
- Remember: You can’t always take back what has been posted and seen
- Always keep in mind privacy and HIPAA compliance - The top social networks for medical professionals: What are they-
- Twitter: Online social networking and microblogging service that enables users to send and read "tweets", which are text messages limited to 140 characters
- Great For: Quick, focused chats with people you know, don’t know, or may hardly know. It’s great for making new contacts, developing new business relationships, and generally creating a first stage of contact.
- Facebook: A popular free social networking website that allows registered users to create profiles, upload photos and video, send messages and keep in touch with friends, family and colleagues
- Great For: Staying in touch with friends and family and sharing content such as photos or updates on your life.
- LinkedIn: A social networking site designed specifically for professional networking, connecting with your peers, people you'd like to work with (including clients/ suppliers for those in business themselves) community
- Great For: Connecting to people key to your business, as well as giving potential clients the opportunity to find and learn more about you
- Blog: (short for weblog) is a personal online journal that is frequently updated and intended for general public
- Great For: Showcasing your business and expertise; This is your platform, you provide the content, you control the platform, you moderate the comments, you create the traffic - Mobile Devices are the Common Thread
- What is Facebook-
- Facebook is a popular free social networking website that allows registered users to create profiles, upload photos and video, send messages and keep in touch with friends, family and colleagues. The site, which is available in 37 different languages, includes public features such as:
- Marketplace - allows members to post, read and respond to classified ads.
- Groups - allows members who have common interests to find each other and interact.
- Events - allows members to publicize an event, invite guests and track who plans to attend.
- Pages - allows members to create and promote a public page built around a specific topic.
- Presence technology - allows members to see which contacts are online and chat. - What is Facebook-
- The name of a social networking site (SNS) that connects people with friends and others who work, study and live around them. People use Facebook to keep in touch with friends, post photos, share links and exchange other information. Facebook users can see only the profiles of confirmed friends and the people in their networks.
- Webopedia Computer Dictionary
“Facebook's mission is to give people the power to share and make the world more open and connected.” - Facebook’s home page
- Facebook User Numbers
- “ Despite the potential drawbacks, social media have become ubiquitous, such that individuals, practices and departments should develop strategies for developing and maintaining a social media presence.”
Social Media for Professional Purposes: Introduction to the JACR “How to” Video Guide
Naeger DM, Webb EM
JACR 2013;10:736-737 - Why have radiologists been slow to embrace “Social Media” to extend their practices-
- Concerns about professionalism
- Concerns about privacy for our patients (HIPPA violations)
- Concern over control (or lack of control) of the message
- Concern for who will be responsible internally for developing and managing the website including how to pay for it
- Facebook and 1.1 Billion Users Can’t Be Wrong
- 1 million — End of 2004.
- 5.5 million — End of 2005.
- 12 million — End of 2006.
- 20 million — April 2007.
- 50 million — October 2007.
- 100 million — August 2008.
- 150 million — January 2009.
- 175 million — February 2009.
- 200 million — April 2009.
- 250 million — July 2009.
- 300 million — September 2009.
- 350 million — End of 2009.
- 400 million — February 2010.
- 500 million — July 2010.
- 608 million — End of 2010.
- 750 million — July 2011.
- 800 million — September 2011.
- 845 million — End of 2011.
- 901 million — March 2012.
- 955 million — June 2012.
- 1.01 billion — September 2012.
- 1.06 billion — December 2012.
- 1.11 billion — March 2013.
- Source: Facebook Inc. - Facebook and 1.1 Billion Users Can’t Be Wrong
- 250 million — July 2009.
- 300 million — September 2009.
- 350 million — End of 2009.
- 400 million — February 2010.
- 500 million — July 2010.
- 608 million — End of 2010.
- 750 million — July 2011.
- 800 million — September 2011.
- 845 million — End of 2011. - Facebook and 1.1 Billion Users Can’t Be Wrong
- 750 million — July 2011.
- 800 million — September 2011.
- 845 million — End of 2011.
- 901 million — March 2012.
- 955 million — June 2012.
- 1.01 billion — September 2012.
- 1.06 billion — December 2012.
- 1.11 billion — March 2013.
- Source: Facebook Inc. - Facebook and 1.1 Billion Users Can’t Be Wrong
- 1 million — End of 2004.
- 5.5 million — End of 2005.
- 12 million — End of 2006.
- 50 million — October 2007.
- 100 million — August 2008.
- 150 million — January 2009.
- 350 million — End of 2009.
- 608 million — End of 2010.
- 845 million — End of 2011.
- 1.06 billion — December 2012. 
