Web 2.0 Tools in Clinical Web 2.0 Tools in Clinical Practice and PT Education: Practice and PT Education: Keeping Current, Sharing Keeping Current, Sharing

Information, and MarketingInformation, and Marketing

Dennis W. Fell, MD, PT

Andrea Wright, MLIS

University of South Alabama

What is Web 1.0What is Web 1.0

Began in 1993Small number of writers created Web

pages for a large number of readersStatic HTML web pagesWeb 1.0 users follow links to content Web 1.0 is “Read Only Web”

What is Web 2.0What is Web 2.0

Phrase coined by O'Reilly Media in 2004 Second-generation of Web-based services Content created by the user for the user Interactive - users comment, edit and

create content Web 2.0 is “Read/Write Web”

Web 1.0 Web 2.0

Portal, like Yahoo Search, like Google

Publishing (websites) Participation (blogs, comments)

Stickiness, stay on the website

Syndication, RSS, Podcast, website follows you

Britannica Online Wikipedia

Directories, Favorites Tags - De.licio.us

MS Word Google Docs & Spreadsheets

Ads, like DoubleClick Google AdSense

Source: What Is Web 2.0 - Tim O'Reilly, modified – clinicalcases.googlepages.com/Web2.0inMedicine-2006-2007.ppt

Web 1.0 Web 2.0Reading Writing

Companies Communities

HTML XML

Home pages Blogs

Portals RSS

Taxonomy Tags

Wires Wireless

Owning Sharing

Netscape Google

Web forms Web applications

Dial-up Broadband

Hardware costs Bandwidth costswal

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Web 1.0(1993-2003)

Pretty much HTML pages viewed through a browser

Web 2.0(2003- beyond)

Web pages, plus a lot of other “content” shared over the web, with more interactivity; more like an

application than a “page”

“Read” Mode “Write” & Contribute

“Page” Primary Unit of content “Post / record”

“static” State “dynamic”

Web browser Viewed through… Browsers, RSS Readers, anything

“Client Server” Architecture “Web Services”

Web Coders Content Created by… Everyone

“geeks” Domain of… “mass amatuerization”

cuene.typepad.com/MiMA.1.ppt

Top 25 list is based on web statistics Top 25 list is based on web statistics gathered by Ranking.comgathered by Ranking.com

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Popular Social Media WebsitesPopular Social Media Websites

Social Networking

Start Pages

Social Bookmarking

Peer Production News

Media Sharing

File Hosting

Web 2.0 ToolsWeb 2.0 Tools

RSS Blogs Podcasts Wikis Photosharing Social Bookmarking Social Networking Synchronous

Collaboration Messaging / Chat

Mash-ups Screencasting Course Management

Software Planning & Time Mgt Polls/Surveys Databases File Hosting Web Conferencing

Is Social Media a Fad?

What is What is RSSRSS??

Collects information you need at a single point

RSS = Really Simple Syndication

RSS In Plain EnglishRSS In Plain English

RSSRSS to Master the Information to Master the Information OverflowOverflow

"It's like having a personal assistant who goes through every publication and blog that could possibly interest you and picks out stories to bring to your attention"

-- PC Magazine

RSSRSSGet the news you wantGet journal table of contents from the

journals’ websitesSubscribe to specific searches on

PubMed (e.g. lupus therapy or journal title) or any search engine and collect them in one place

Aggregator /Feed ReaderAggregator /Feed Reader

Software program that manages your RSS feeds

Automatically checks for new content and displays to the user

Web based – Google Reader, Bloglines, Yahoo

Desktop based – NewsGatorPlug-ins – Firefox Live Bookmarks

ExerciseExercise

Set up Google account

http://google.com/readerAdd RSS for Physical Therapy to

Google Reader

Web LogBlogs first emerged in 1997A blog created every two secondsComment modes enable interactionRSS feeds for automatic retrievalBlog readers for organization

BlogBlog

Blogging for ProfessionalsBlogging for Professionals

MLA 2009 Call For Bloggers

Are you going to Honolulu for MLA’s 2009 Annual Meeting? If so then consider becoming an Official Blogger for the 2009 meeting. While we can’t offer an “Official Blogger” t-shirt you will receive 3 AHIP points for officially blogging on the annual meeting.

Health Related BlogsHealth Related Blogs

Estimated >120,000 health related blogs

About 50% - aspects of the health care system

About 42% - individual patients

Journal of General Internal Medicine, 2008

Health Related BlogsHealth Related Blogs

Blogs are written on almost every topic

Aggregate important news and conversations around topics of interests

Great for long-form articles and up-to-the-minute scholarly discussion

Top Health Blogs (Forbes)Top Health Blogs (Forbes)

Family Medicine Notes Corante In The Pipeline Medicine and Man A Chance to Cut Is A Chance To Cure Code Blog: Tales of a Nurse Straight From the Doc

Other Top Healthcare BlogsOther Top Healthcare Blogs

WebMD The Health Care Blog DB’s Medical Rants The Health Business Blog Pharma Marketing Blog KevinMD Healthcare IT Guy Healthcare Law Blog Blogborygmi

www.idi.net/what-we-do/files/bcbs_may_2006_v2.ppt

http://www.physiospot.com/

How about HIPAA and blogging How about HIPAA and blogging patient cases?patient cases?

18 identifiers that must not be present in the case description

Do not blog about patient in any HIPAA-identifiable way

Healthcare Blogger Code of EthicsHealthcare Blogger Code of Ethics

Helps readers recognize ethically sound medical blogs

Includes medical blogs and patient blogs

Only 25-30% submissions are approved

http://medbloggercode.com/

Blog Search EnginesBlog Search Engines

TechnoratiGoogle Blog SearchBlog search engine Blogwisemedlogs.org

Patient BlogsPatient Blogs

Patient blogs and online communities are extremely common

CarepagesHospitals linking to patient blogs

from hospital blogs http://www.highpointregional.com/blogs/

ExerciseExercise

Find PT blog of interest to you using Google

Add RSS feed to Google Reader

Homework ExerciseHomework Exercise

Using http://www.blogger.com/ or similar blogging software to create a blog

PodcastPodcast

Podcast = portable (downloadable) broadcast (audio file)

Portable - you can take it with you Can subscribe via RSS Can listen on computer, PDA, iPod Most major journals feature weekly audio

summary of contents Listen when commuting to work or

exercising Text to speech programs available - Make

CME portable by using text-to-speech

Podcast ToolsPodcast Tools

iPods, MP3 Players, Smart Phones, RSS– First iPod released Oct 23, 2001

iTunes, and others like Podcast Alley, aggregate podcasts using RSS. Some auto-transfer them to iPod or similar devices.

iTunesU provides schools and university a place to post lecture and educational content podcasts.

Source: Meng P. Podcasting and Vodcasting: A White Paper. University of Missouri, 2005http://edmarketing.apple.com/adcinstitute/wp-content/Missouri_Podcasting_White_Paper.pdfhttp://edmarketing.apple.com/adcinstitute/wp-content/Missouri_Podcasting_White_Paper.pdf

Top Podcast SitesTop Podcast Sites

ACC Conversations with Experts

JAMA Audio Commentary

NEJM This Week

Lancet

Videocasts / VodcastsVideocasts / Vodcasts

Health Edge by the Cleveland Clinic

Medpeek

Homework ExerciseHomework Exercise

Set up an iTunes accountFind a PT related podcast and add to

your playlist on iTunes

Wiki – Hawaiian for “quick, hurry, swift”

Wiki Many people may contribute to and edit a single document using only a web browser.

Pros Easy to use

– Web based– Simple syntax

Anyone can make changes

Free and open source options

Flexible and extensible

Cons Disorganized Too open Anyone can make

changes Not enough control Vandalism and spam Requires monitoring

Evaluation of Sites - AVOCADOEvaluation of Sites - AVOCADO

Accuracy Value Organization Coverage Authority Date Objectivity

Uses of WikisUses of Wikis

Conference planning Collaborative editing of documents Meetings (agendas, etc.) Project management In place of structured courseware Presentation medium Web-based notebook to organize your

thoughts Source of obtaining information Resource guides

Uses of WikisUses of Wikis

“used a wiki to perform electronic information sharing both during the workshop, as well as providing a mechanism for clinical faculty to reference tools and information developed during the workshop after the fact.”

– Community College of Rhode Island, Rehabilitative Health Department 

ExerciseExercise

Add to the Medical Matters wiki – http://usabiomedmatters.wikidot.com/physical-therapy

OR Edit the Wikipedia entry for Physical Therapy or

some other topic -- http://en.wikipedia.org/wiki/Physical_therapy

OR Add to the wiki for this course –

http://aptaweb20.wikispaces.com

Photo SharingPhoto Sharing

Flickr

Picasa (Google)

Sharing photos with colleagues

ExerciseExercise

Find a picture on flickr.com related to your interests.

Video SharingVideo Sharing

YouTube

Vimeo

Share videos with colleagues/students

ExerciseExercise

Using YouTube or SlideShare, find a video or slide show that you could use professionally.

Social BookmarkingSocial Bookmarking

Social bookmarking - find ‘stuff’ again

Tagging - assigning keywords to blogs, wikis, sites

Web-based “favorites”/bookmarks that can be accessed from any computer with web access

Web-Based Citation Web-Based Citation Management SoftwareManagement Software

CiteulikeConnotea – especially for

researchers, clinicians and scientistsZotero

Manage your bibliography using the software on the Internet

ConnoteaConnotea

ExerciseExercise

Go to delicious.com and find bookmarks on a topic of professional interest.

OrUse citeulike.org find a listing of

articles on a topic of professional interest

Online CommunitiesOnline Communities

APTA Message BoardsFacebookTwitterSermo: Online Community for

Physicians

Social NetworkingSocial Networking

Connect with colleagues– Network– Stay up to date on news and research

Connect with studentsConnect with Patients

Personal vs ProfessionalPersonal vs Professional

Social Network Use By AdultsSocial Network Use By Adults

http://chronicle.com/free/v55/i22/22a00104.htm?utm_source=at&utm_medium=en - How Not to Lose Face on Facebook, for Professors Feb 6 2009 Chronicle

GoogleGoogle

Google ScholarGoogle Scholar

Rank by # or links, not quality or dateBias toward older literatureIncludes # of links - citation trackerOnly includes 50% of Medline

citationsSupplemental, at best

Google ToolsGoogle Tools

Google readerCalendarSpreadsheetWord ProcessorPresentation

ExerciseExercise

Using your iGoogle account, create a document in GoogleDocs and share it with judy.burnham@gmail.com

ChatChat

SkypeOovoo.comMSN Messenger LiveInstant Messenger

Using chat to chat, talk, send files, and have audio and video conference

Office HoursOffice Hours

MashupMashup

A mashup is a website or application that combines content from more than one source into an integrated experience. http://en.wikipedia.org/wiki/Mashup_(web_application_hybrid)

Customizing an application with other information

Remix of two or more resources Example - Google Maps Specialized maps

The functionality on individual outbreaks remains the same; just mouse over the point to get location details, and double-click to call up ancillary data as a description panel.

ScreencastingScreencasting

Collaborate on a design projectComment verbally on a student’s

workSave screenshotRecord video of onscreen action

Course Management SoftwareCourse Management Software

Similar to WebCT / BlackboardCan be used to develop CE coursesCan be used to develop online

modules for on campus courses

Planning and Time ManagementPlanning and Time Management

CalendarSchedulingProject ManagementTo do lists

Project Management

Polls / SurveysPolls / Surveys

Conduct surveysAnalyze results

DatabasesDatabases

Create online databasesImport data from spreadsheetsDevelop charts

File HostingFile Hosting

Store documents and media for others to access

Web ConferencingWeb Conferencing

Conduct online meetings

Reasons to adopt Social MediaReasons to adopt Social Media

Fill a perceived needMeet a goalAdd value to activities with relative

ease

Tools adopted that don’t fill these rules rarely stick, and become a waste of time.

The FutureThe Future

Location Based ServicesAugmented RealityInternet of Things

All rely on mobile web or network everywhere

http://aptaweb20.wikispaces.com/