Educating Physicians About Social Media

Great insight and advice from Bryan Vartabedian, M.D., the author of 33 Charts on "How to Speak to Physicians About Social Media."

Dr. V was responding to a request from Susannah Fox, Associate Director - Digital Strategy at Pew Internet & American Life Project, who will be speaking on a panel at the American College of Surgeons 96th Annual Clinical Congress next month. The session title is To Tweet or Become Extinct?: Why Surgeons Need to Understand Social Networking.

As someone who regularly speaks to groups of physicians I enjoy the opportunity every time (as long as I start off by saying I'm a health care defense attorney). As a group they are always engaging and inquisitive which leads to great discussions. As Dr. V points out the legal aspects and concerns over privacy and liability will be a topic not far below the surface. Like lawyers surgeons are trained to be skeptical technicians. I see that there is a lawyer, Rebekah A. Z. Monson, who is on the panel to cover the dos and don'ts. However, I hope you (Susannah) will weave into the legal discussion the consumer health and e-patient issues that often clash with the legal implications. Don't let the legal issues stand alone.

Dr. V's advice of ". . . discussion of patient-specific issues in public forums is off limits; discussion of patient non-specific issues is encouraged. Any attempt at patient-initiated discussion of specific medical issues immediately goes offline and onto the EMR for issues of record, liability and safety . . ." is excellent. I also like Dr. V's ethical dilemma recommendation for a possible case study approach during the discussion. One example you may want to explore using to address the clash between physician as authoritarian (transparency issue that Dr. V discusses) vs. patient as engaged consumer (e-patient) is the story of Johathan Zittrain's crowdsourcing his diagnosis. His story presents many great angles on social media's use in the health care environment by e-patients.

As for the legal implications of social media if you want to bone up on the topic take a look at the article I co-authored for AHLA earlier this year on the legal implications of health care social media, Risky Business: Treating Tweeting the Symptoms of Social Media.

Good luck Susannah and break a leg (no worries - there will be plenty of docs around to take care of you)!

Pew Internet and American Life Survey On Technology Use

The AP reports on the findings of a new Pew Internet and American Life Project survey, "A Typology of Information and Communication Technology Users." The report doesn't really surprise me (like it does the AP writer) because the findings reflect what I see on a daily basis in our law firm.

As an "omnivore lawyer" (see my quiz results below) who serves as back up to our IT staff on "user problems" I think the survey is pretty accurate. I like the categories/classifications used in the survey -- especially the "lackluster veterans".

Take the Pew/Internet Quiz and see where you fit. I would be interested to give the quiz to various groups that I interact with and see where they fit. For example - lawyers in my firm? hospital CEOs? physicians? health information management professionals?

Check out the full survey results here. Here is a portion of the AP story:

A broad survey about the technology people have, how they use it, and what they think about it shatters assumptions and reveals where companies might be able to expand their audiences.

The Pew Internet and American Life Project found that adult Americans are broadly divided into three groups: 31 percent are elite technology users, 20 percent are moderate users and the remainder have little or no usage of the Internet or cell phones.

But Americans are divided within each group, according to a Pew analysis of 2006 data released Sunday.

The high-tech elites, for instance, are almost evenly split into:

• "Omnivores," who fully embrace technology and express themselves creatively through blogs and personal Web pages.

• "Connectors," who see the Internet and cell phones as communications tools.

• "Productivity enhancers," who consider technology as largely ways to better keep up with their jobs and daily lives.

• "Lackluster veterans," those who use technology frequently but aren't thrilled by it.

Here are my results from the quiz:

Based on your answers to the questionnaire, you most closely resemble survey respondents within the Omnivores typology group. This does not mean that you necessarily fit every group characteristic.

Omnivores make up 8% of the American public.

Basic Description
Members of this group use their extensive suite of technology tools to do an enormous range of things online, on the go, and with their cell phones. Omnivores are highly engaged with video online and digital content. Between blogging, maintaining their Web pages, remixing digital content, or posting their creations to their websites, they are creative participants in cyberspace.

Defining Characteristics
You might see them watching video on an iPod. They might talk about their video games or their participation in virtual worlds the way their parents talked about their favorite TV episode a generation ago. Much of this chatter will take place via instant messages, texting on a cell phone, or on personal blogs. Omnivores are particularly active in dealing with video content. Most have video or digital cameras, and most have tried watching TV on a non-television device, such as a laptop or a cell phone.

Omnivores embrace all this connectivity, feeling confident in how they manage information and their many devices. This puts information technology at the center of how they express themselves, do their jobs, and connect to their friends.

Who They Are
They are young, ethnically diverse, and mostly male (70%). The median age is 28; just more than half of them are under age 30, versus one in five in the general population. Over half are white (64%) and 11% are black (compared to 12% in the general population). English-speaking Hispanics make up 18% of this group. Perhaps unsurprisingly, many (42% versus the 13% average) of Omnivores are students.