Lecture given to SLMC IM Postgrad on Technology and HealthCare -- resources, platforms, ethics

1. Medicine in the
Technological
Age Twitter: @gdyagra
IG: @gwen.mom.md

2. Objectives
• 1/To discuss the advantages and disadvantages of modern
technology in the proper delivery of appropriate healthcare
• 2/To discuss proper social media etiquette for patients and
doctors and its use in and outside the hospital.

3. Milestones inTechnology

4. Top 5 HealthcareTechnologyTrends and
Innovations
• Availability of Information and Big Data
• Improved Communication
• Electronic Health Records
• Telemedicine/Telehealth
• Mobility and Mobile Apps/ ActivityTrackers

5. Can you relate?
1990s
• Radiographic Films
• Harass lab personnel to look at logbook
• Retrieve old chart
• Fax? Email?
• Pager
• Landline
• Look for Journals – Library, Index Medicus
• Transparencies, Ektachrome slides
2017
• PACS
• Online Retrieval of Labs
• Access Previous Records: MDPORTAL
• Phone Camera
• Viber/WhatsApp/Telegram/Messenger
• SMS/Cellphone
• UptoDate/Pubmed
• Powerpoint, Keynote, Other Apps

9. Disadvantages of Health Informatics
#1 Expensive #2 Requires time to
adapt
#3 Overdependency #4 Susceptible to
network hackers
Sidak, et al. Health Informatics

11. Disadvantages
• Fitness Apps/Trackers – lack of
regulation
• Websites – provides general info
but not as reliable as clinicians
• A 2015 study from Harvard Medical
School and the RAND Corporation
found that of the top 23 online
symptom checkers, correct diagnoses
were listed first in only 34% of
standardized patient evaluations.
• Privacy issues
• Dependency

13. Definitions: Social Media
• Social Media are the platforms that enable the interactive web by engaging users to
participate in, comment on and create content as means of communicating with their
social graph, other users and the public. Social media has the following characteristics:
• Encompasses wide variety of content formats including text, video, photographs, audio,
PDF and PowerPoint.
• Allows interactions to cross one or more platforms through social sharing, email and feeds.
• Involves different levels of engagement by participants who can create, comment or lurk on
social media networks.

14. Definitions: Social Media
• Facilitates enhanced speed and breadth of information dissemination.
• Provides for one-to-one, one-to-many, and many-to-many
communications.
• Enables communication to take place in real time or asynchronously over
time.

15. Definitions: Social Media
• Is device indifferent. It can take place via a computer (including laptops and
netbooks), tablets, and mobile phones
• Extends engagement by creating real-time online events, extending online
interactions offline, or augmenting live events online.
Heidi Cohen – Riverside Marketing Strategies

19. Beware of
FAKE NEWS!

27. • Free social networking
website
• Registered users create
profiles, upload photos, and
videos, send messages
• Keep in touch with friends,
family and colleagues
• Marketplace
• Groups
• Events
• Pages
• Presence technology

32. What is Instagram?
Instagram is a fun and quirky way to share your life with
friends through a series of pictures. Snap a photo with
your mobile phone, then choose a filter to transform the
image into a memory to keep around forever.
We imagine a world more connected through photos.

35. Tweet (n.)
ATweet may contain photos, videos, links and up to 140 characters of text.
Tweet (v.)
The act of sending aTweet.Tweets get shown inTwitter timelines or are
embedded in websites and blogs.
Twitter
An information network made up of 140-character
messages (including photos, videos and links)
from all over the world.
https://support.twitter.com/articles/215585

45. Hashtag: a #hashtag is a way to bring together
disparate users on the same topic, without the tweets
needing to know each other already.
Hashtags can also be a way to archive conversations on
a theme, and discuss events or conferences.
You can click on any #hashtag (for example
#altmetrics) and find all recent tweets which have
included it. This is the best way to tweet around a
specific module (or academic topic).

46. #csmcIM2017

50. KristinAppenbrink, REAL SIMPLE
STATUS UPDATES – what to avoid
• Intentionally vague posts
• Chronic complaining
• Meaningless call to action
• Oversharing
• Posting too frequently

52. Key points
•Patient Confidentiality
•Defamation
•Doctor-Patient Boundaries
•Other Boundaries : Colleague’sOnline Conduct

55. Connect.
Share.
Reach.
Teach.
Respect.
Encourage.
Repeat.