May 6th, 2011 by Peggy Polaneczky, M.D. in Opinion
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A Rhode Island emergency room doc has been fired for posting about a trauma patient on her facebook page. While the post did not reveal patient name or personal identifiers, it had enough clinical info that a third party was able to recognize the patient.
I say if you’re going to write online about a patient, you had better disguise them so well they don’t even recognize themselves, and never post anywhere near the time of the event’s occurrence. Some bloggers I know change age, sex and other details, and post events long after they’ve happened, so no one one could ever know for sure who they’re talking about. Some doc bloggers go so far as to disguise themselves – preferring to remain anonymous both to protect themselves and their patients.
Some medical blogsites are rich with teaching cases, including x-rays and clinical information that, if disguised, would alter the diagnostic possibilities. As online venues begin to replace the time honored medical journal or local grand rounds, how do we keep our ability to teach one another with clinical cases and still respect patient privacy? In the past, the limited circulation of medical journals kept these cases amongst the medical community, but now with the internet (and the lay public’s interest in medicine), the audience for such case histories is limitless. Read more »
*This blog post was originally published at The Blog That Ate Manhattan*
May 5th, 2011 by FredericLlordachsMD in Health Policy, Opinion
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The Spanish Twitter chapter of #hcsmeu (hashtag #hcsmeuES) held its first unconference on April 1st in Barcelona. For many it sounds like a convention of freakish fans of some cult science-fiction TV show (a group I’m also part of, by the way). But its actually a group of about 200 healthcare professionals from all over Spain who share their interest in social networks and their influence in this particular industry.
Many of those present were meeting face to face for the first time but all of them had previously been gathering weekly on Twitter for a one-hour discussion about the relationship between physicians, pharma, patients and ICT, just as other groups across Europe.
Nowadays even the most reactionary guy admits that both new technological advances and social networking are changing our world, and healthcare won’t be an exception. But these people saw it coming, they are ahead of their time.
In 2010, top searches in Google –in Spain– were for terms Facebook, YouTube, Tuenti(*) and Twitter, all social networks. An average Internet user typically spends 22% of his online time in social networks. Advertising expenditure declines on every media except the Web, where it keeps growing month after month. In fact, big brands have already detected a switch from direct influence –they get less visits to their websites– to mentions in social media: 63% of Spain’s Twitter users do use it to recommend products. 61% express their opinion about products and services. 84% don’t mind getting messages from brands, and many say that companies that make use of social media are outdoing their competition’s revenue and profit. Read more »
*This blog post was originally published at Diario Médico*
May 4th, 2011 by Bryan Vartabedian, M.D. in Opinion
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Should physician social networks include chiropractors? I don’t think so.
My human signal likely wouldn’t benefit from a chiropractor’s input. Similarly, I’m not sure that a chiropractor would benefit tremendously from the input of allopaths and osteopaths. This isn’t a judgment about any chiropractor’s value, it’s just that our worlds are too divergent. To suggest that ‘we all just need to get along‘ is missing the point. Complementary physical care has its place. But a great community is about people who have the capacity to make one another stronger through cooperative relationships.
I suspect that the chiropractors have the numbers to support a tidy little vertical of their own. There’s a big opportunity for someone so inclined.
Would I willingly participate in a network that connects MDs and chiropractors? I would if the network proved valuable. And that can be a challenge independent of who you invite. Sermo, for the record, excludes chiropractors from membership.
Nicholas Christakis in Connected suggests that all of this should evolve on its own, independent of what any of us individually believe.
We do not cooperate with one another because a state or a central authority forces us to. Instead, our ability to get along emerges spontaneously from the decentralized actions of people who form groups with connected fates and a common purpose.
What do you think?
*This blog post was originally published at 33 Charts*
May 3rd, 2011 by DavidHarlow in News, True Stories
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In recent years many health care providers and managers have told me, time and again, that the health care world is accustomed to managing confidential patient information, and therefore doesn’t need much in the way of social media training and policy development. This week brings news that should make those folks sit up and take notice. A physician in Rhode Island, who was fired for a Facebook faux pas, has now been fined by the state medical board as well. The physician posted a little too much information on Facebook — information about a patient that, combined with other publicly available information, allowed third parties to identify the patient. The details of the story are available here and here.
The key takeaway from this story — and the Johnny-come-lately approach to health care social media taken by the Rhode Island hospital in question and the Boston teaching hospital that the Boston Globe turned to for comment — is that prevention is the best medicine. Read more »
*This blog post was originally published at HealthBlawg :: David Harlow's Health Care Law Blog*
May 1st, 2011 by Berci in News, Opinion
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Healthcare IT News recently asked its readers about their thoughts on doctors using social media.
The interesting part here is when 13% of participants think that doctors should not be using social media at all. I wonder why they ignore social media that much. Maybe because they have never heard about the limitations, dangers and potential tools to fight these dangers. Maybe we should talk more about these issues.
*This blog post was originally published at ScienceRoll*