Better Health: Smart Health Commentary Better Health (TM): smart health commentary

Article Comments

Doctors And Social Media: To Interact With Colleagues Or Influence Patient Care?

“Live the questions now. Perhaps then, without hardly noticing, you will live along some distant day into the answers.”   – Rainer Maria Rilke

With the tectonic shifts underway in America’s healthcare delivery model, doctors influence in shaping the forces ahead seems to be dwindling.

It started with the entire healthcare bill drafted by a team of some undisclosed, very influential academics, lawyers and policy wonks adept at social security and tax laws and was morphed by corporate and hospital interests with huge political and financial influence. Before the legislation was even read, the American Medical Association had stamped their seal of approval, worried that “they’d be eaten if they weren’t at the table.” As a result, a significant number, no, I’ll stick my neck out here and say a majority of doctors, had little to do with shaping healthcare in America as we will come to know it.

But I would also bet that most of Americans want doctors with their best interests at heart to be integral participants in shaping our new healthcare system.

So now, as doctors align themselves with a single health system employer so they can beg for a portion of the government’s soon-to-be-implemented “bundled” (bungled?) payment scheme to healthcare systems for episodes of care, how will doctors have any meaningful voice at improving healthcare for our patients and ourselves? Enter social media.

I do not think social media, especially healthcare social media, is the best avenue to interact with patients. It’s simply too risky on too many levels. But when interacting with colleagues on a professional level, it might be perfect. It’s fast. It’s instantaneous. And most important: It can influence.

But doctors must get used to creating influence not based on the scientific method as we know it. Doctors must get used to the influence imparted by lightning strikes.

As a simple analogy, Susan Boyle was a lightning strike (though not for medicine, per se). Her plain appearance meant little when it was contrasted with her powerful voice and its influence on the music scene at the time.

To administrators and regulators, doctors have a very plain employee-like appearance but carry powerful ties to their patients and are therefore uniquely situated to create their own lightning strikes in health care.

But doctors do not have time to sit in lengthy meetings planning strategies. Doctors (except a very few of us) have no interest in creating their own blogs. Doctors do not have time to endlessly perseverate on administrative and insurance issues as they try to repair a ruptured spleen.

But doctor are online. Doctors do have cellphones. Increasingly, those cellphones are smartphones. And doctors can use social media to influence.

Of course, tons of websites are popping up all over promising to do just that for doctors. The New England Journal of Medicine, Sermo, iMedExchange, LinkedIn and a whole host of others — each with their registration process and promise of becoming the perfect Electronic Doctor’s Lounge to interact (aka, waste time) with your peers. But these probably aren’t going to influence healthcare policy and procedures in a meaningful way because there’s just too many of them out there.

But I DO think doctors understand the need to know what’s going on, but want a simple way to do it. Doctors want a simple way to connect and aire their concerns — irrespective of their employer. Doctors should participate in improving their care of patients.

And yes — right now this minute, none of us has all the answers.

But here’s the thought: We can all ask the questions. We can pose the problems we see today that influences our patients’ care. We can collaborate and sign up for Twitter to follow our colleagues and maybe, just maybe, “without hardly noticing, we will live along some distant day into the answers.”

Lightning strikes and all.

-WesMusings of a cardiologist and cardiac electrophysiologist.

*This blog post was originally published at Dr. Wes*

You may also like these posts

    None Found

Read comments »

Comments are closed.

Return to article »

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

Read more »

How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

Read more »

See all interviews »

Latest Cartoon

See all cartoons »

Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

Read more »

The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

Read more »

Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

Read more »

See all book reviews »