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Understanding Physicians Online
Greg Matthews
October 18, 2012




    Contents are proprietary and confidential.
1                                                #MayoRagan | @chimoose
Fundamentally, Twitter allows for medical content curation in
                        easily consumable bites with rapid visual access. Truly the
                        popcorn version of medical news (and yes, with movie butter!).



                                                                           Farris Timimi
                                                                           Medical Director, Mayo Clinic
                                                                           Center for Social Media

                                                                               twitter.com/farristimimi



    Contents are proprietary and confidential.

2                                                 #MayoRagan | @chimoose
With over 18,000 followers from medical communities, with
                             the right strategy and communication, I can leverage the real
                             power of my networks by using crowdsourcing very difficult
                             questions and issues. Twitter is the fastest and most
                             interactive social media channels in my work.”


                                                                         Dr. Bertalan Mesko

                                                                             twitter.com/berci
                                                                             linkedin.com/in/bertalanmesko
                                                                             Scienceroll.com




    Contents are proprietary and confidential.

3                                                   #MayoRagan | @chimoose
They’re here…




#MayoRagan | @chimoose
A benchmark
              In 2010, Dr. Katherine
              Chretien of the VA Medical
              Center in Washington led a
              team in producing the first
              known scholarly study of
              physicians’ use of twitter




5
          [              New, automated tools have enabled
                         us to broaden the scope of our study
    Contents are proprietary and confidential.
                                                 #MayoRagan | @chimoose
                                                                          [
Standing
        on the
         shoulders …
                                                 The Chretien Study

                        260                                 5,156                                Data Collected and
                                                             tweets                           Analyzed between May 1st
                 US Physicians                                                                  and May 31st, 2010.
                                                    from 260 physicans – the most
                                                         recent 20 from each


                                                  The power of automation

                                                                                      Study
                      1,397                              403,553                          Data Collected and Analyzed
                  US Physicians                              tweets                       between October 3 and
          validated against CMS’ National                  generated between                   October 15, 2012
            Provider Identifier database          May 1, 2012 and September 30, 2012


6   Contents are proprietary and confidential.               #MayoRagan | @chimoose
Study Demographics




7   Contents are proprietary and confidential.   #MayoRagan | @chimoose
Connection promotes health, and twitter proves the model
                        that simple digital tools can vastly increase connection.




                                                                   Aaron Stupple
                                                                   Resident, Beth Israel Deaconness
                                                                   Medical Center

                                                                           twitter.com/astupple

                                                                           http://adjacentpossiblemed.blogspot.com/
    Contents are proprietary and confidential.

8                                                 #MayoRagan | @chimoose
Reflecting the Population                                                          Plastic
                                                                                       Surgery


                                                                                       3%



                                                                          … indexed within


1,397                                                                     +/- 3      %
                                                                          of the total count
          US Physicians*
                                                    99.5             %
                                                       Of Specialties…

                                                                                      Residents



                                                                                      -6 %

9   Contents are proprietary and confidential.   #MayoRagan | @chimoose
Reflecting geographic distribution




     49 states
     indexed within          +/- 4%
             of the total count




                                                  overindexes

                                                  underindexes




10   Contents are proprietary and confidential.       #MayoRagan | @chimoose
Reflecting gender distribution




                                                  Overindex
                                                  on twitter
                                                     by

                                                    8%
                                                                  Underindex
                                                                   on twitter
                                                                      by

                                                                      8%



11   Contents are proprietary and confidential.       #MayoRagan | @chimoose
Accounts Created per Year



                                                                      532




                                                                                          301


                                                                                    216

                                                         165                                     154




                                           1      28
                                                  28
                                    2006          2007   2008         2009         2010   2011   2012



12   Contents are proprietary and confidential.                 #MayoRagan | @chimoose
Early Adopters ’06 -‘08



                                                      Emergency Medicine




                                                      Pathology




                                                      Preventive Medicine




13   Contents are proprietary and confidential.   #MayoRagan | @chimoose
Rate of Adoption by Specialty



                                                                       Internal Medicine

            Neurological
                Surgery                                                            All MD


            Dermatology                                                     Anethesiology

                                                                              Psychiatry &
      Orthopedic surgery
                                                                                Neurology

          Ophthalmology                                                            Urology


          Plastic Surgery                                                  Family Medicine

             Obstetrics &                                              Org. Health Care
             Gynecology                                              Ed/Training Student

                 Surgery                                                        Pediatrics

                                                                                Preventive
               Radiology
                                                                                 Medicine

          Otolaryngology                                                        Pathology

               Allergy &                                                       Emergency
             Immunology                                                         Medicine




14   Contents are proprietary and confidential.   #MayoRagan | @chimoose
Physician Profiles

               78            %

              identify
         themselves
           clearly as
        such in their
           twitter bio

                                                                                         32      %

                                                                           link to a personal blog
                                                                                        or website


             80            %

         contain a
       URL in their
                bio




15   Contents are proprietary and confidential.   #MayoRagan | @chimoose
How are MDs using their accounts?
                                                  Bio URL Distribution


                                                           6.90%
                                                                      1.90%



                                                                                                       93          %
                                                                                                   of all Plastic Surgery
                      37.70%
                                                                                                  URLs are links to their
                                                                                                           practice
                                                                                31.90%




                  Business             Medical Resource    Personal Blog/Website       Practice



16   Contents are proprietary and confidential.                    #MayoRagan | @chimoose
Twitter Activity – Time and Frequency




17   Contents are proprietary and confidential.   #MayoRagan | @chimoose
I use Twitter not to apologize but as an apoligist. I introduce
                            the view from the other side of the stethoscope.




                                                                Jordan Grumet,
                                                                Internal Medicine
                                                                      twitter.com/ordangrumet

                                                                      http://jordan-inmyhumbleopinion.blogspot.com/




     Contents are proprietary and confidential.

18                                                   #MayoRagan | @chimoose
Tweets Over Time
      Trending steadily upward
 4500


 4000


 3500


 3000


 2500


 2000


 1500


 1000


     500


       0
           1         11          21          31    41   51   61     71      81         91   101   111   121   131   141   151




19    Contents are proprietary and confidential.              #MayoRagan | @chimoose
Tweets per day over
                 Account Lifetime



                                                                       Pediatrics




                                                                   Ophthalmology




                                                                       Radiology




                                                                   Otolaryngology




                                                                      Emergency
                                                                       Medicine



                                                                  All MD Average




20   Contents are proprietary and confidential.   #MayoRagan | @chimoose
Tweets per day over
                          5 months
                                            May’12 Jun’12 Jul’12 Aug’12 Sep’12




                                                                                       Anesthesiology




                                                                                            Radiology




                                                                                       Ophthalmology




                                                                                              Family
                                                                                             Medicine




                                                                                            Pediatrics




                                                                                               All MD




21   Contents are proprietary and confidential.                       #MayoRagan | @chimoose
Tweets per day over
                          5 months
                                            May’12 Jun’12 Jul’12 Aug’12 Sep’12
                                                                                               42
                                                                                               are
                                                                                                     %

                                                                                               increasing
                                                                                               frequency




      34
                                                                                                                     are
                                     %
                                                    tweet at least 1 time
                                                    per day
                                                                                                               9   % maintaining
                                                                                                                     frequency



                                                                                               50
                                                                                               are
                                                                                                     %

                                                                                               decreasing in
                                                                                               frequency




22   Contents are proprietary and confidential.                       #MayoRagan | @chimoose
Tweets per day over
                          5 months
                                            May’12 Jun’12 Jul’12 Aug’12 Sep’12




                                                   MOST ACTIVE                                 Anesthesiology




                                                  LEAST ACTIVE                                 Neurological Surgery




23   Contents are proprietary and confidential.                       #MayoRagan | @chimoose
When can I find MDs on Twitter?

        Eastern time

         Morning                             Workday            Work PM                   Evening                 Overnight
         (0500 – 0800)                       (0801 - 1200)      (1201 - 1800)             (1801-2300)              (2301-0459)


                     18 %                         22 %                  32 %                        12 %                    17 %

                                                                      32%

                                                       22%
                              18%                                                                                17%
                                                                                            12%

                     Morning (0500 - 0800 Workday (0801 - 1200) Work PM (1201 - 1800) Evening (1801-2300) Overnight (2301-0459)

                             0500-0800              0801-1200      1201-1800              1801-2300            2301-0459




24   Contents are proprietary and confidential.                  #MayoRagan | @chimoose
Twitter and the MD Workflow

        Localized time

         Morning                             Workday          Work PM                   Evening        Overnight
         (0500 – 0800)                       (0801 - 1200)    (1201 - 1800)             (1801-2300)    (2301-0459)


                     18 %                         21 %                31 %                        8%           22 %


                                                                   31%

                                                   21%                                                    22%
                     18%

                                                                                             8%

                   0500-0800                      0801-1200       1201-1800               1801-2300     2301-0459




25   Contents are proprietary and confidential.                #MayoRagan | @chimoose
The Connected Physician




26   Contents are proprietary and confidential.   #MayoRagan | @chimoose
I think using Twitter and other social media outlets has
                         benefited me by letting me know where the patients are. I
                         learn from their stories and I have a chance to truly hear
                         them. In addition, I find social media beneficial as a learning
                         source to interact with other physicians and med students I
                         never would have met if I were confined by the walls of my
                         own hospital.
                                                                        Danielle Jones,
                                                                        Medical Student

                                                                            twitter.com/daniellenjones

                                                                            Mindonmed.com




     Contents are proprietary and confidential.

27                                                 #MayoRagan | @chimoose
My use of twitter allows me to expand the diversity of my
                         network, and therefore my knowledge in my areas of interest :
                         prevention, diversity/equity, integrated care, and Washington,
                         DC (the #epicenter!).
                         It also allows me to model open leadership as a physician,
                         and promote this approach among my medical and nursing
                         colleagues.


                                                                           Ted Eytan
                                                                           Family Medicine, Kaiser Permanente
                                                                               twitter.com/tedeytan
                                                                               linkedin.com/in/tedeytan

                                                                               tedeytan.com
     Contents are proprietary and confidential.

28                                                #MayoRagan | @chimoose
How Many People do MDs Follow?




                                                                         23.9%
                                                                                            21.3%

                                                                                                          15%
                                            13.4%      13.5%
                     8.2%
                                                                                                                      4.8%

                     0 to 10                11 to 50   51 to 100       101 to 300        301 to 1000   1001 to 3000   3000+


                                                                   Number of Following




29   Contents are proprietary and confidential.                    #MayoRagan | @chimoose
How Many People Follow MDs?




                                                                         30.8%



                                                         16%                                16.7%
                                             14.4%                                                         14%

                       6%                                                                                               3.9%

                     0 to 10                11 to 60   61 to 150       151 to 700        701 to 2000   2001 to 10000   10001 +


                                                                   Number of Followers




30   Contents are proprietary and confidential.                    #MayoRagan | @chimoose
Ratio of following to followers


                                                   Ratio of Following to Followers
                                                             32.40%


                                                                                                               Median
                                                  21.50%                                                        Ratio
                                                                                                               1.1 : 1
                                                                            16.20%
                                                                                          14%


                                                                                                       6.70%
                                      4.90%
                2.80%
                                                                                                                         1.60%


               0.- .1:1              .11-.2:1     .31-.7:1   .71-1.5:1     1.51-3.0:1   3.1-11.0:1   11.1-100.0:1   100.1-2808:1




31   Contents are proprietary and confidential.                #MayoRagan | @chimoose
MDs Most likely to be followed by peers*


                                              25%


                                                                                        53%



                                                                                                     Personal Blog/Website
                           27%                                                                       Business/ Organization
                                                                                                     All_Doctors
                                                                                                     No Bio URL
                                                                                                     practice




                                           34%
                                                                                  40%




                                                    *Percentages measure MDs followed by at least 20 others in the data set

32   Contents are proprietary and confidential.                #MayoRagan | @chimoose
How connected are online physicians?


                                                                   %
                                                      34              of all MDs are followed
                                                                      by at least 20   MDs


                                                                     Pediatrics



     Specialties who                                                  Emergency
     are followed by                                                  Medicine
          other MDs


                                                                      Family
                                                                      Medicine


33    Contents are proprietary and confidential.   #MayoRagan | @chimoose
Who are MDs talking to?

                                                  TOP @ MENTIONS
                                                      @kevinmd
                                                      @drdubrow
                                                        @hrana
                                                  @ryanmadanickmd
                                                    @drmikesevilla
                                                      @drghaheri
                                                   @healthcarewen
                                                     @kentbottles
                                                     @drjengunter
                                                       @hjluks




34   Contents are proprietary and confidential.   #MayoRagan | @chimoose
Connected MDs – Nearly half follow Kevin Pho
                                                  Most followed by other MDs in the database




          43%                                        25%                      22%              21%               20%

            kevinmd                               Atul_Gawande                MtnMD            Doctor_V      SeattleMamaDoc



                                                  Follow the most other MDs in the database




          41%                                       37%                      27%              27%              26%

             KreinMD                              DrScottPearlman           docpreneur       medicalaxioms     DrJenGunter


35   Contents are proprietary and confidential.                     #MayoRagan | @chimoose
Topics




36   Contents are proprietary and confidential.   #MayoRagan | @chimoose
The biggest advantage to tweeting for me has been learning
                         what people I admire are reading, using, watching, listening
                         to, both within social media and outside of it. Even better have
                         been the IRL connections, and the DM possibilities: it's great
                         to be able to meet someone at a conference whose thought
                         processes, links or research I admire and have discovered
                         thru a tweeted link. I don't think I've had any new patients
                         because of a tweet, but my relationships with existing patients
                         are probably better because I'm better informed about what
                         they're reading and watching.


                                                                            John La Puma
                                                                            Internal Medicine; Author

                                                                                twitter.com/johnlapuma
     Contents are proprietary and confidential.                                 linkedin.com/in/johnlapuma
37                                                 #MayoRagan | @chimoose
Top Hashtag used by MDs

                   health                                teamfollowback                       ncsc12
meded                                                                                                       hitsm    mhealth
parenting ff                 healthcare phm2012 gopfail p2                        socialmedia
                                                                                                  30s4health amee2012
tcot  hcsm abcdrbchat telemedicine digitalhealth dnc2012
                                                                hcsmny tedx medx
mhealth medicine meded      aafpalf hcmktg ehr      fmrevolution
                                                                     futuremed
breastcancer med2 gop orthopedics h20chi topprog    healthtap eyes
                                                                    leadership ipad
ipodteletrauma bcsm melanoma womenshealth hcsm myeloma
                                                                ags12 obamacare dr4a
fb medsm scotus healthdata science diabetes olympics
                                                         flavorwire aafp cdom
fmrevolution asco12 hrs2012 cancer diet obesity
                                                         mccsm       quote s4pm            nutrition      hiv   palliative
               homebased healthit
pediatrics jobs                    cnn aafpncsc hpm                music vision              ilovebreasts testosterone aafpnc
                                                                               plasticsurgery          meditation    primarycare
             hcr                    aca            medicare   familydoc




 38   Contents are proprietary and confidential.                  #MayoRagan | @chimoose
What are MDs Talking About?

                                                                  TOP HASHTAGS

                         Family
                         Medicine                 Most used by   #health(8,215)

                                                                 #meded (4,547)             Most used by   Residents
                                                                 #hcsm (4,532)

                                                                 #mhealth (3,412)

                                                                 #fmrevolution (2,721)




39   Contents are proprietary and confidential.                    #MayoRagan | @chimoose
#hcsm


                                                             63%                        73%               13%
                                                                                       of #hcsm          Of all #hcsm
                                                               of all
                                                  #hcsm                              mentions were       hashtags are
                                                          classifications
                                                                                    from MDs with a          from
                                                             mention
  Health Care                                                                       personal blog or   Anesthesiologists
                                                              #hcsm
Social Media –                                                                          website                 .
       Socially
   Savvy MDs




40   Contents are proprietary and confidential.                #MayoRagan | @chimoose
A closer look at conversations…



                Top Hashtags for                       Top Hashtags for               Top Hashtags for
                Family Medicine                        MDs with Business URLs         Pediatrics

     #health (3,349)                              #jobs (12,634)                  #meded (1,307)
     #fmrevolution (2,223)                        #homebased (1,562)              #hcsm (596)
     #hcsm (728)                                  #mhealth (816)                  #med2 (521)
     #aca (621)                                   #healthIT (815)                 #pediatrics (450)
     #30s4health (597)                            #ff (490)                       #health (437)




41   Contents are proprietary and confidential.          #MayoRagan | @chimoose
Mining the Data
     A sample
     • Breast Cancer: (breast AND (cancer OR carcinoma)) OR (inflammatory AND
       breast) OR (inflammation AND breast) OR (breast AND (metastasis OR metastic))
       OR (duct AND (carcinoma OR cancer)) OR (lobe AND (carcinoma OR cancer))
       OR "DCIS" OR "LCIS" OR (estrogen AND receptor AND positive) OR "HER2" OR
       (breast AND MRI) OR (breast AND biopsy) OR (breast AND ultrasound) OR
       "mammogram" OR "mammography" OR "tamoxifen" OR (aromatase AND
       inhibitor) OR "exemestane" OR "trastuzumab" OR "Herceptin" OR "lumpectomy"
       OR "mastectomy" OR "komen" OR "BRCA1" OR "BRCA2”
     • Diabetes: "Diabetes" OR "Mellitus" OR "Insipidus" OR "Diabetic" OR "Gestational"
       OR "blood glucose" OR "Blood Sugar" OR "NIDDM" OR "IDDM" OR "LADA" OR
       ("Antiduretic Hormone" OR "ADH") OR ("Arginine Vasopressin" OR "AVP") OR
       "oral glucose tolerance" OR "fasting plasma glucose" OR "glycated hemoglobin
       OR HbA1c OR A1c" OR "insulin" OR "SMBG" OR "hyperglycemia OR
       hyperglycemic" OR "biguanides" OR "Sulfonylureas" OR "Meglitinides" OR
       "thiazolidinediones" OR "alpha glucosidase inhibitor" OR "GLP-1 agonist" OR
       "DPP-IV inhibitors" OR "DKA" OR "HHS"




     Contents are proprietary and confidential.
42                                                #MayoRagan | @chimoose
Diabetes & Breast Cancer – Sample Search




     Contents are proprietary and confidential.
43                                                #MayoRagan | @chimoose
Disease Conversation Volume Over Time

        100

          90

          80

          70

          60

          50

          40

          30

          20

          10

           0




                                          Diabetes   Breast Cancer             Prostate Cancer




44   Contents are proprietary and confidential.       #MayoRagan | @chimoose
Disease Conversation Volume Over Time
     (Minus 1 “Zealous” Physician)
        100

          90

          80

          70

          60

          50

          40

          30

          20

          10

           0




                                                  Diabetes   Breast Cancer            Prostate Cancer




45   Contents are proprietary and confidential.                  #MayoRagan | @chimoose
The PSA Controversy


                                                                                    36


                                                                                                          117
      Doctors who state an opinion are

                     more than                3:1
                  against the USPSTF’s
                   ruling on PSA Tests
                                                                             182




                                                                                   Negative   Neutral   Positive




46   Contents are proprietary and confidential.     #MayoRagan | @chimoose
Top Diabetes Tweeters
                                Talking About                               • Internal Medicine
                                                                            • Family Medicine
                                   DIABETES                                 • Pediatrics




                              83 %
                      of all
                classifications
                     mention
              diabetes keywords
                 at least 1 time
                in their tweets.



47   Contents are proprietary and confidential.   #MayoRagan | @chimoose
Top Breast Cancer Tweeters
                 Talking About                                               • Internal Medicine
                                                                             • Surgery
              BREAST CANCER                                                  • Radiology




                              77 %
                of all
           classifications
              mention
      breast cancer 1 or more
        times in their tweets




48   Contents are proprietary and confidential.   #MayoRagan | @chimoose
Top Prostate Cancer Tweeters
      Talking About                                                         • Urology
                                                                            • Internal Medicine
 PROSTATE CANCER                                                            • Family Medicine




                              70 %
                of all
           classifications
              mention
     prostate cancer keywords
      1 or more times in their
               tweets.



49   Contents are proprietary and confidential.   #MayoRagan | @chimoose
Top Links



                               OVERALL TOP HOSTS                      TOP HOSTS WITH CROSS-
                                                                      CLASSIFICATION LINKS

                      yourhealthchoice.net
                                                                            online.wsj.com
                      www.handsontelehealth.com
                                                                            www.usatoday.com
                      hchlitss.blogspot.com
                                                                            www.nytimes.com
                      www.drken.us
                                                                            www.nhlbi.nih.gov
                      online.wsj.com
                                                                            www.cnn.com




50   Contents are proprietary and confidential.    #MayoRagan | @chimoose
Twitter primarily helps me remain amazingly current in topics
                           of my interest. I also reciprocate and share much of this with
                           my followers.


                                                                 Steven Tucker
                                                                 Medical Oncology

                                                                       twitter.com/drsteventucker
                                                                       linkedin.com/pub/steven-tucker/13/6b/235




     Contents are proprietary and confidential.

51                                                  #MayoRagan | @chimoose
Twitter has been very helpful in helping me crowd source
                       information from my community of practice of 7200 twitter
                       followers. For example, when I was asked to give a presentation
                       to a medical school about how social media could be used in
                       undergraduate medical education, I posted on
                       twitter: "Help, need best practices examples of how to use social
                       media in med school education" I received dozens of response
                       with concrete examples I was able to use in my presentation.


                                                                           Kent Bottles

                                                                               twitter.com/kentbottles

                                                                               http://www.kentbottles.blogspot.com//



     Contents are proprietary and confidential.

52                                                #MayoRagan | @chimoose
Thank you




            #MayoRagan | @chimoose
Acknowledgements


Physician Advisor – Bryan Vartabedian (@doctor_v)


R&D Lead – Matthew Hager (@iSmashew)


Research Analyst – Kayla Rodriguez
                  (@Kaylarodrigue11)

Visualizations – Ryan Ebanks (@ebanksre)


Designer – Nidhi Raina (@NidhiRaina)

                        #MayoRagan | @chimoose
#MayoRagan | @chimoose
Appendix




           #MayoRagan | @chimoose
Appendix – Classification Count
        Row Labels                                               Count of classification
        Internal Medicine                                                           314
        Family Medicine                                                             168
        Pediatrics                                                                  116
        Psychiatry & Neurology                                                      100
        Student in an Organized Health Care Education/Training
        Program                                                                      83
        Obstetrics & Gynecology                                                      76
        Surgery                                                                      74
        Orthopaedic Surgery                                                          74
        Dermatology                                                                  55
        Emergency Medicine                                                           53
        Plastic Surgery                                                              46
        Otolaryngology                                                               42
        Anesthesiology                                                               28
        Radiology                                                                    27
        Opthalmology                                                                 26
        Urology                                                                      24
        Allergy & Immunology                                                         16
        Pathology                                                                    14
        Neurological Surgery                                                         10
        Preventive Medicine                                                          10




                                       #MayoRagan | @chimoose
Appendix – Classification Count



        Thoracic Surgery (Cardiothoracic Vascular Surgery)        9
        Physical Medicine & Rehabilitation                        9
        General Practice                                          8
        Pain Medicine                                             4
        Colon & Rectal Surgery                                    3
        Hospitalist                                               2
        Nuclear Medicine                                          2
        Neuromusculoskeletal Medicine & OMM                       2
        Medical Genetics                                          1
        Phlebology                                                1
        (blank)
        Grand Total                                             1397




                                       #MayoRagan | @chimoose
Appendix – Specialty count
           Allergy & Immunology                                  16
            Allergy                                               7
            Allergy & Immunology                                  8
            Clinical & Laboratory Immunology                      1
           Anesthesiology                                        28
            Anesthesiology                                       21
            Pain Medicine                                         6
            Pediatric Anesthesiology                              1
           Colon & Rectal Surgery                                 3
            Colon & Rectal Surgery                                3
           Dermatology                                           55
            Clinical & Laboratory Dermatological Immunology       1
            Dermatology                                          36
            Dermatopathology                                      2
            MOHS-Micrographic Surgery                             5
            Procedural Dermatology                               11
           Emergency Medicine                                    53
            Emergency Medical Services                            2
            Emergency Medicine                                   51
           Family Medicine                                      168
            Addiction Medicine                                    3
            Adolescent Medicine                                   1
            Adult Medicine                                        5
            Family Medicine                                     151
            Geriatric Medicine                                    2
            Sports Medicine                                       6
           General Practice                                       8
            General Practice                                      8
           Hospitalist                                            2
            Hospitalist                                           2




                                       #MayoRagan | @chimoose
Appendix – Specialty Count
          Internal Medicine                                    314
           Adolescent Medicine                                   1
           Allergy & Immunology                                  2
           Bariatric Medicine                                    1
           Cardiovascular Disease                               39
           Clinical Cardiac Electrophysiology                    5
           Critical Care Medicine                                2
           Endocrinology, Diabetes & Metabolism                 10
           Gastroenterology                                     18
           Geriatric Medicine                                   19
           Hematology                                            2
           Hematology & Oncology                                17
           Hospice and Palliative Medicine                       5
           Hospice Care & Palliative Medicine                    2
           Hospitalist                                           1
           Infectious Disease                                    9
           Internal Medicine                                   135
           Interventional Cardiology                             7
           Medical Oncology                                      9
           Nephrology                                           14
           Nuclear Cardiology                                    1
           Nutrition                                             1
           Pulminary disease                                     1
           Pulmonary Disease                                     3
           Rheumatology                                          7
           Sleep Medicine                                        3
          Medical Genetics                                       1
           Clinical Genetics (M.D.)                              1
          Neurological Surgery                                  10
           Neurological Surgery                                 10




                                      #MayoRagan | @chimoose
Appendix – Specialty Count
          Neuromusculoskeletal Medicine & OMM                     2
           Neuromusculoskeletal Medicine & OMM                    2
          Nuclear Medicine                                        2
           Nuclear Cardiology                                     1
           Nuclear Medicine                                       1
          Obstetrics & Gynecology                                76
           Gynecologic Oncology                                   5
           Gynecology                                             6
           Maternal & Fetal Medicine                              2
           Obstetrics                                             1
           Obstetrics & Gynecology                               57
           Reproductive Endocrinology                             5
          Opthalmology                                           26
           Opthalmology                                          26
          Orthopaedic Surgery                                    74
           Foot and Ankle Surgery                                 5
           Hand Surgery                                           6
           Orthopaedic Surgery                                   48
           Orthopaedic Surgery of the Spine                       5
           Orthopaedic Trauma                                     2
           Orthopedic Surgery                                     1
           Sports Medicine                                        7
          Otolaryngology                                         42
           Facial Plastic Surgery                                 9
           Otolaryngology                                        23
           Otolaryngology/Facial Plastic Surgery                  6
           Pediatric Otolaryngology                               2
           Plastic Surgery within the Head & Neck                 1
           Sleep Medicine                                         1




                                        #MayoRagan | @chimoose
Appendix – Specialty count
          Pain Medicine                                             4
           Interventional Pain Medicine                             3
           Pain Medicine                                            1
          Pathology                                                14
           Anatomic Pathology & Clinical Pathology                 13
           Blood Banking & Transfusion Medicine                     1
          Pediatrics                                              116
           Adolescent Medicine                                      4
           Developmental Behavioral Pediatrics                      1
           Neonatal-Perinatal Medicine                              1
           Pediatric Allergy/Immunology                             3
           Pediatric Cardiology                                     3
           Pediatric Critical Care Medicine                         1
           Pediatric Emergency Medicine                             2
           Pediatric Endocrinology                                  4
           Pediatric Gastroenterology                               2
           Pediatric Hematology-Oncology                            3
           Pediatric Infectious Diseases                            3
           Pediatrics                                              89
          Phlebology                                                1
           Phlebology                                               1
          Physical Medicine & Rehabilitation                        9
           Pain Medicine                                            4
           Physical Medicine & Rehabilitation                       5
          Plastic Surgery                                          46
           Plastic Surgery                                         42
           Plastic Surgery Within the Head and Neck                 2
           Surgery of the Hand                                      2




                                         #MayoRagan | @chimoose
Appendix – Specialty Count
       Preventive Medicine                                               10
        Occupational Medicine                                             2
        Preventive Medicine/Occupational Environmental Medicine           3
        Public Health & General Preventive Medicine                       5
       Psychiatry & Neurology                                           100
        Addiction Psychiatry                                              1
        Child & Adolescent Psychiatry                                    10
        Clinical Neurophysiology                                          3
        Forensic Psychiatry                                               2
        Geriatric Psychiatry                                              1
        Neurodevelopmental Disabilities                                   1
        Neurology                                                        25
        Psychiatry                                                       56
        Psychosomatic Medicine                                            1
       Radiology                                                         27
        Body Imaging                                                      1
        Diagnostic Radiology                                             17
        Diagnostic Ultrasound                                             1
        Radiation Oncology                                                6
        Vascular & Interventional Radiology                               2
       Student in an Organized Health Care Education/Training Program    83
        Resident                                                         83




                                       #MayoRagan | @chimoose
Appendix – Specialty Count


       Surgery                                                   74
        Pediatric Surgery                                         7
        Plastic and Reconstructive Surgery                       22
        Surgery                                                  32
        Surgery of the Hand                                       1
        Surgical Critical Care                                    2
        Surgical Oncology                                         4
        Trauma Surgery                                            4
        Vascular Surgery                                          2
       Thoracic Surgery (Cardiothoracic Vascular Surgery)         9
        Cardiothoracic Vascular Surgery                           8
        Surgery                                                   1
       Urology                                                   24
        Urology                                                  24
       (blank)
        (blank)
       Grand Total                                              1397




                                       #MayoRagan | @chimoose

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MDigitalLife: Understanding Physicians Online

  • 1. Understanding Physicians Online Greg Matthews October 18, 2012 Contents are proprietary and confidential. 1 #MayoRagan | @chimoose
  • 2. Fundamentally, Twitter allows for medical content curation in easily consumable bites with rapid visual access. Truly the popcorn version of medical news (and yes, with movie butter!). Farris Timimi Medical Director, Mayo Clinic Center for Social Media twitter.com/farristimimi Contents are proprietary and confidential. 2 #MayoRagan | @chimoose
  • 3. With over 18,000 followers from medical communities, with the right strategy and communication, I can leverage the real power of my networks by using crowdsourcing very difficult questions and issues. Twitter is the fastest and most interactive social media channels in my work.” Dr. Bertalan Mesko twitter.com/berci linkedin.com/in/bertalanmesko Scienceroll.com Contents are proprietary and confidential. 3 #MayoRagan | @chimoose
  • 5. A benchmark In 2010, Dr. Katherine Chretien of the VA Medical Center in Washington led a team in producing the first known scholarly study of physicians’ use of twitter 5 [ New, automated tools have enabled us to broaden the scope of our study Contents are proprietary and confidential. #MayoRagan | @chimoose [
  • 6. Standing on the shoulders … The Chretien Study 260 5,156 Data Collected and tweets Analyzed between May 1st US Physicians and May 31st, 2010. from 260 physicans – the most recent 20 from each The power of automation Study 1,397 403,553 Data Collected and Analyzed US Physicians tweets between October 3 and validated against CMS’ National generated between October 15, 2012 Provider Identifier database May 1, 2012 and September 30, 2012 6 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 7. Study Demographics 7 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 8. Connection promotes health, and twitter proves the model that simple digital tools can vastly increase connection. Aaron Stupple Resident, Beth Israel Deaconness Medical Center twitter.com/astupple http://adjacentpossiblemed.blogspot.com/ Contents are proprietary and confidential. 8 #MayoRagan | @chimoose
  • 9. Reflecting the Population Plastic Surgery 3% … indexed within 1,397 +/- 3 % of the total count US Physicians* 99.5 % Of Specialties… Residents -6 % 9 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 10. Reflecting geographic distribution 49 states indexed within +/- 4% of the total count overindexes underindexes 10 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 11. Reflecting gender distribution Overindex on twitter by 8% Underindex on twitter by 8% 11 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 12. Accounts Created per Year 532 301 216 165 154 1 28 28 2006 2007 2008 2009 2010 2011 2012 12 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 13. Early Adopters ’06 -‘08 Emergency Medicine Pathology Preventive Medicine 13 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 14. Rate of Adoption by Specialty Internal Medicine Neurological Surgery All MD Dermatology Anethesiology Psychiatry & Orthopedic surgery Neurology Ophthalmology Urology Plastic Surgery Family Medicine Obstetrics & Org. Health Care Gynecology Ed/Training Student Surgery Pediatrics Preventive Radiology Medicine Otolaryngology Pathology Allergy & Emergency Immunology Medicine 14 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 15. Physician Profiles 78 % identify themselves clearly as such in their twitter bio 32 % link to a personal blog or website 80 % contain a URL in their bio 15 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 16. How are MDs using their accounts? Bio URL Distribution 6.90% 1.90% 93 % of all Plastic Surgery 37.70% URLs are links to their practice 31.90% Business Medical Resource Personal Blog/Website Practice 16 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 17. Twitter Activity – Time and Frequency 17 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 18. I use Twitter not to apologize but as an apoligist. I introduce the view from the other side of the stethoscope. Jordan Grumet, Internal Medicine twitter.com/ordangrumet http://jordan-inmyhumbleopinion.blogspot.com/ Contents are proprietary and confidential. 18 #MayoRagan | @chimoose
  • 19. Tweets Over Time Trending steadily upward 4500 4000 3500 3000 2500 2000 1500 1000 500 0 1 11 21 31 41 51 61 71 81 91 101 111 121 131 141 151 19 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 20. Tweets per day over Account Lifetime Pediatrics Ophthalmology Radiology Otolaryngology Emergency Medicine All MD Average 20 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 21. Tweets per day over 5 months May’12 Jun’12 Jul’12 Aug’12 Sep’12 Anesthesiology Radiology Ophthalmology Family Medicine Pediatrics All MD 21 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 22. Tweets per day over 5 months May’12 Jun’12 Jul’12 Aug’12 Sep’12 42 are % increasing frequency 34 are % tweet at least 1 time per day 9 % maintaining frequency 50 are % decreasing in frequency 22 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 23. Tweets per day over 5 months May’12 Jun’12 Jul’12 Aug’12 Sep’12 MOST ACTIVE Anesthesiology LEAST ACTIVE Neurological Surgery 23 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 24. When can I find MDs on Twitter? Eastern time Morning Workday Work PM Evening Overnight (0500 – 0800) (0801 - 1200) (1201 - 1800) (1801-2300) (2301-0459) 18 % 22 % 32 % 12 % 17 % 32% 22% 18% 17% 12% Morning (0500 - 0800 Workday (0801 - 1200) Work PM (1201 - 1800) Evening (1801-2300) Overnight (2301-0459) 0500-0800 0801-1200 1201-1800 1801-2300 2301-0459 24 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 25. Twitter and the MD Workflow Localized time Morning Workday Work PM Evening Overnight (0500 – 0800) (0801 - 1200) (1201 - 1800) (1801-2300) (2301-0459) 18 % 21 % 31 % 8% 22 % 31% 21% 22% 18% 8% 0500-0800 0801-1200 1201-1800 1801-2300 2301-0459 25 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 26. The Connected Physician 26 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 27. I think using Twitter and other social media outlets has benefited me by letting me know where the patients are. I learn from their stories and I have a chance to truly hear them. In addition, I find social media beneficial as a learning source to interact with other physicians and med students I never would have met if I were confined by the walls of my own hospital. Danielle Jones, Medical Student twitter.com/daniellenjones Mindonmed.com Contents are proprietary and confidential. 27 #MayoRagan | @chimoose
  • 28. My use of twitter allows me to expand the diversity of my network, and therefore my knowledge in my areas of interest : prevention, diversity/equity, integrated care, and Washington, DC (the #epicenter!). It also allows me to model open leadership as a physician, and promote this approach among my medical and nursing colleagues. Ted Eytan Family Medicine, Kaiser Permanente twitter.com/tedeytan linkedin.com/in/tedeytan tedeytan.com Contents are proprietary and confidential. 28 #MayoRagan | @chimoose
  • 29. How Many People do MDs Follow? 23.9% 21.3% 15% 13.4% 13.5% 8.2% 4.8% 0 to 10 11 to 50 51 to 100 101 to 300 301 to 1000 1001 to 3000 3000+ Number of Following 29 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 30. How Many People Follow MDs? 30.8% 16% 16.7% 14.4% 14% 6% 3.9% 0 to 10 11 to 60 61 to 150 151 to 700 701 to 2000 2001 to 10000 10001 + Number of Followers 30 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 31. Ratio of following to followers Ratio of Following to Followers 32.40% Median 21.50% Ratio 1.1 : 1 16.20% 14% 6.70% 4.90% 2.80% 1.60% 0.- .1:1 .11-.2:1 .31-.7:1 .71-1.5:1 1.51-3.0:1 3.1-11.0:1 11.1-100.0:1 100.1-2808:1 31 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 32. MDs Most likely to be followed by peers* 25% 53% Personal Blog/Website 27% Business/ Organization All_Doctors No Bio URL practice 34% 40% *Percentages measure MDs followed by at least 20 others in the data set 32 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 33. How connected are online physicians? % 34 of all MDs are followed by at least 20 MDs Pediatrics Specialties who Emergency are followed by Medicine other MDs Family Medicine 33 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 34. Who are MDs talking to? TOP @ MENTIONS @kevinmd @drdubrow @hrana @ryanmadanickmd @drmikesevilla @drghaheri @healthcarewen @kentbottles @drjengunter @hjluks 34 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 35. Connected MDs – Nearly half follow Kevin Pho Most followed by other MDs in the database 43% 25% 22% 21% 20% kevinmd Atul_Gawande MtnMD Doctor_V SeattleMamaDoc Follow the most other MDs in the database 41% 37% 27% 27% 26% KreinMD DrScottPearlman docpreneur medicalaxioms DrJenGunter 35 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 36. Topics 36 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 37. The biggest advantage to tweeting for me has been learning what people I admire are reading, using, watching, listening to, both within social media and outside of it. Even better have been the IRL connections, and the DM possibilities: it's great to be able to meet someone at a conference whose thought processes, links or research I admire and have discovered thru a tweeted link. I don't think I've had any new patients because of a tweet, but my relationships with existing patients are probably better because I'm better informed about what they're reading and watching. John La Puma Internal Medicine; Author twitter.com/johnlapuma Contents are proprietary and confidential. linkedin.com/in/johnlapuma 37 #MayoRagan | @chimoose
  • 38. Top Hashtag used by MDs health teamfollowback ncsc12 meded hitsm mhealth parenting ff healthcare phm2012 gopfail p2 socialmedia 30s4health amee2012 tcot hcsm abcdrbchat telemedicine digitalhealth dnc2012 hcsmny tedx medx mhealth medicine meded aafpalf hcmktg ehr fmrevolution futuremed breastcancer med2 gop orthopedics h20chi topprog healthtap eyes leadership ipad ipodteletrauma bcsm melanoma womenshealth hcsm myeloma ags12 obamacare dr4a fb medsm scotus healthdata science diabetes olympics flavorwire aafp cdom fmrevolution asco12 hrs2012 cancer diet obesity mccsm quote s4pm nutrition hiv palliative homebased healthit pediatrics jobs cnn aafpncsc hpm music vision ilovebreasts testosterone aafpnc plasticsurgery meditation primarycare hcr aca medicare familydoc 38 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 39. What are MDs Talking About? TOP HASHTAGS Family Medicine Most used by #health(8,215) #meded (4,547) Most used by Residents #hcsm (4,532) #mhealth (3,412) #fmrevolution (2,721) 39 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 40. #hcsm 63% 73% 13% of #hcsm Of all #hcsm of all #hcsm mentions were hashtags are classifications from MDs with a from mention Health Care personal blog or Anesthesiologists #hcsm Social Media – website . Socially Savvy MDs 40 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 41. A closer look at conversations… Top Hashtags for Top Hashtags for Top Hashtags for Family Medicine MDs with Business URLs Pediatrics #health (3,349) #jobs (12,634) #meded (1,307) #fmrevolution (2,223) #homebased (1,562) #hcsm (596) #hcsm (728) #mhealth (816) #med2 (521) #aca (621) #healthIT (815) #pediatrics (450) #30s4health (597) #ff (490) #health (437) 41 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 42. Mining the Data A sample • Breast Cancer: (breast AND (cancer OR carcinoma)) OR (inflammatory AND breast) OR (inflammation AND breast) OR (breast AND (metastasis OR metastic)) OR (duct AND (carcinoma OR cancer)) OR (lobe AND (carcinoma OR cancer)) OR "DCIS" OR "LCIS" OR (estrogen AND receptor AND positive) OR "HER2" OR (breast AND MRI) OR (breast AND biopsy) OR (breast AND ultrasound) OR "mammogram" OR "mammography" OR "tamoxifen" OR (aromatase AND inhibitor) OR "exemestane" OR "trastuzumab" OR "Herceptin" OR "lumpectomy" OR "mastectomy" OR "komen" OR "BRCA1" OR "BRCA2” • Diabetes: "Diabetes" OR "Mellitus" OR "Insipidus" OR "Diabetic" OR "Gestational" OR "blood glucose" OR "Blood Sugar" OR "NIDDM" OR "IDDM" OR "LADA" OR ("Antiduretic Hormone" OR "ADH") OR ("Arginine Vasopressin" OR "AVP") OR "oral glucose tolerance" OR "fasting plasma glucose" OR "glycated hemoglobin OR HbA1c OR A1c" OR "insulin" OR "SMBG" OR "hyperglycemia OR hyperglycemic" OR "biguanides" OR "Sulfonylureas" OR "Meglitinides" OR "thiazolidinediones" OR "alpha glucosidase inhibitor" OR "GLP-1 agonist" OR "DPP-IV inhibitors" OR "DKA" OR "HHS" Contents are proprietary and confidential. 42 #MayoRagan | @chimoose
  • 43. Diabetes & Breast Cancer – Sample Search Contents are proprietary and confidential. 43 #MayoRagan | @chimoose
  • 44. Disease Conversation Volume Over Time 100 90 80 70 60 50 40 30 20 10 0 Diabetes Breast Cancer Prostate Cancer 44 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 45. Disease Conversation Volume Over Time (Minus 1 “Zealous” Physician) 100 90 80 70 60 50 40 30 20 10 0 Diabetes Breast Cancer Prostate Cancer 45 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 46. The PSA Controversy 36 117 Doctors who state an opinion are more than 3:1 against the USPSTF’s ruling on PSA Tests 182 Negative Neutral Positive 46 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 47. Top Diabetes Tweeters Talking About • Internal Medicine • Family Medicine DIABETES • Pediatrics 83 % of all classifications mention diabetes keywords at least 1 time in their tweets. 47 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 48. Top Breast Cancer Tweeters Talking About • Internal Medicine • Surgery BREAST CANCER • Radiology 77 % of all classifications mention breast cancer 1 or more times in their tweets 48 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 49. Top Prostate Cancer Tweeters Talking About • Urology • Internal Medicine PROSTATE CANCER • Family Medicine 70 % of all classifications mention prostate cancer keywords 1 or more times in their tweets. 49 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 50. Top Links OVERALL TOP HOSTS TOP HOSTS WITH CROSS- CLASSIFICATION LINKS yourhealthchoice.net online.wsj.com www.handsontelehealth.com www.usatoday.com hchlitss.blogspot.com www.nytimes.com www.drken.us www.nhlbi.nih.gov online.wsj.com www.cnn.com 50 Contents are proprietary and confidential. #MayoRagan | @chimoose
  • 51. Twitter primarily helps me remain amazingly current in topics of my interest. I also reciprocate and share much of this with my followers. Steven Tucker Medical Oncology twitter.com/drsteventucker linkedin.com/pub/steven-tucker/13/6b/235 Contents are proprietary and confidential. 51 #MayoRagan | @chimoose
  • 52. Twitter has been very helpful in helping me crowd source information from my community of practice of 7200 twitter followers. For example, when I was asked to give a presentation to a medical school about how social media could be used in undergraduate medical education, I posted on twitter: "Help, need best practices examples of how to use social media in med school education" I received dozens of response with concrete examples I was able to use in my presentation. Kent Bottles twitter.com/kentbottles http://www.kentbottles.blogspot.com// Contents are proprietary and confidential. 52 #MayoRagan | @chimoose
  • 53. Thank you #MayoRagan | @chimoose
  • 54. Acknowledgements Physician Advisor – Bryan Vartabedian (@doctor_v) R&D Lead – Matthew Hager (@iSmashew) Research Analyst – Kayla Rodriguez (@Kaylarodrigue11) Visualizations – Ryan Ebanks (@ebanksre) Designer – Nidhi Raina (@NidhiRaina) #MayoRagan | @chimoose
  • 56. Appendix #MayoRagan | @chimoose
  • 57. Appendix – Classification Count Row Labels Count of classification Internal Medicine 314 Family Medicine 168 Pediatrics 116 Psychiatry & Neurology 100 Student in an Organized Health Care Education/Training Program 83 Obstetrics & Gynecology 76 Surgery 74 Orthopaedic Surgery 74 Dermatology 55 Emergency Medicine 53 Plastic Surgery 46 Otolaryngology 42 Anesthesiology 28 Radiology 27 Opthalmology 26 Urology 24 Allergy & Immunology 16 Pathology 14 Neurological Surgery 10 Preventive Medicine 10 #MayoRagan | @chimoose
  • 58. Appendix – Classification Count Thoracic Surgery (Cardiothoracic Vascular Surgery) 9 Physical Medicine & Rehabilitation 9 General Practice 8 Pain Medicine 4 Colon & Rectal Surgery 3 Hospitalist 2 Nuclear Medicine 2 Neuromusculoskeletal Medicine & OMM 2 Medical Genetics 1 Phlebology 1 (blank) Grand Total 1397 #MayoRagan | @chimoose
  • 59. Appendix – Specialty count Allergy & Immunology 16 Allergy 7 Allergy & Immunology 8 Clinical & Laboratory Immunology 1 Anesthesiology 28 Anesthesiology 21 Pain Medicine 6 Pediatric Anesthesiology 1 Colon & Rectal Surgery 3 Colon & Rectal Surgery 3 Dermatology 55 Clinical & Laboratory Dermatological Immunology 1 Dermatology 36 Dermatopathology 2 MOHS-Micrographic Surgery 5 Procedural Dermatology 11 Emergency Medicine 53 Emergency Medical Services 2 Emergency Medicine 51 Family Medicine 168 Addiction Medicine 3 Adolescent Medicine 1 Adult Medicine 5 Family Medicine 151 Geriatric Medicine 2 Sports Medicine 6 General Practice 8 General Practice 8 Hospitalist 2 Hospitalist 2 #MayoRagan | @chimoose
  • 60. Appendix – Specialty Count Internal Medicine 314 Adolescent Medicine 1 Allergy & Immunology 2 Bariatric Medicine 1 Cardiovascular Disease 39 Clinical Cardiac Electrophysiology 5 Critical Care Medicine 2 Endocrinology, Diabetes & Metabolism 10 Gastroenterology 18 Geriatric Medicine 19 Hematology 2 Hematology & Oncology 17 Hospice and Palliative Medicine 5 Hospice Care & Palliative Medicine 2 Hospitalist 1 Infectious Disease 9 Internal Medicine 135 Interventional Cardiology 7 Medical Oncology 9 Nephrology 14 Nuclear Cardiology 1 Nutrition 1 Pulminary disease 1 Pulmonary Disease 3 Rheumatology 7 Sleep Medicine 3 Medical Genetics 1 Clinical Genetics (M.D.) 1 Neurological Surgery 10 Neurological Surgery 10 #MayoRagan | @chimoose
  • 61. Appendix – Specialty Count Neuromusculoskeletal Medicine & OMM 2 Neuromusculoskeletal Medicine & OMM 2 Nuclear Medicine 2 Nuclear Cardiology 1 Nuclear Medicine 1 Obstetrics & Gynecology 76 Gynecologic Oncology 5 Gynecology 6 Maternal & Fetal Medicine 2 Obstetrics 1 Obstetrics & Gynecology 57 Reproductive Endocrinology 5 Opthalmology 26 Opthalmology 26 Orthopaedic Surgery 74 Foot and Ankle Surgery 5 Hand Surgery 6 Orthopaedic Surgery 48 Orthopaedic Surgery of the Spine 5 Orthopaedic Trauma 2 Orthopedic Surgery 1 Sports Medicine 7 Otolaryngology 42 Facial Plastic Surgery 9 Otolaryngology 23 Otolaryngology/Facial Plastic Surgery 6 Pediatric Otolaryngology 2 Plastic Surgery within the Head & Neck 1 Sleep Medicine 1 #MayoRagan | @chimoose
  • 62. Appendix – Specialty count Pain Medicine 4 Interventional Pain Medicine 3 Pain Medicine 1 Pathology 14 Anatomic Pathology & Clinical Pathology 13 Blood Banking & Transfusion Medicine 1 Pediatrics 116 Adolescent Medicine 4 Developmental Behavioral Pediatrics 1 Neonatal-Perinatal Medicine 1 Pediatric Allergy/Immunology 3 Pediatric Cardiology 3 Pediatric Critical Care Medicine 1 Pediatric Emergency Medicine 2 Pediatric Endocrinology 4 Pediatric Gastroenterology 2 Pediatric Hematology-Oncology 3 Pediatric Infectious Diseases 3 Pediatrics 89 Phlebology 1 Phlebology 1 Physical Medicine & Rehabilitation 9 Pain Medicine 4 Physical Medicine & Rehabilitation 5 Plastic Surgery 46 Plastic Surgery 42 Plastic Surgery Within the Head and Neck 2 Surgery of the Hand 2 #MayoRagan | @chimoose
  • 63. Appendix – Specialty Count Preventive Medicine 10 Occupational Medicine 2 Preventive Medicine/Occupational Environmental Medicine 3 Public Health & General Preventive Medicine 5 Psychiatry & Neurology 100 Addiction Psychiatry 1 Child & Adolescent Psychiatry 10 Clinical Neurophysiology 3 Forensic Psychiatry 2 Geriatric Psychiatry 1 Neurodevelopmental Disabilities 1 Neurology 25 Psychiatry 56 Psychosomatic Medicine 1 Radiology 27 Body Imaging 1 Diagnostic Radiology 17 Diagnostic Ultrasound 1 Radiation Oncology 6 Vascular & Interventional Radiology 2 Student in an Organized Health Care Education/Training Program 83 Resident 83 #MayoRagan | @chimoose
  • 64. Appendix – Specialty Count Surgery 74 Pediatric Surgery 7 Plastic and Reconstructive Surgery 22 Surgery 32 Surgery of the Hand 1 Surgical Critical Care 2 Surgical Oncology 4 Trauma Surgery 4 Vascular Surgery 2 Thoracic Surgery (Cardiothoracic Vascular Surgery) 9 Cardiothoracic Vascular Surgery 8 Surgery 1 Urology 24 Urology 24 (blank) (blank) Grand Total 1397 #MayoRagan | @chimoose

Notas do Editor

  1. Chretian focused on professionalism while we’re looking more at behavior.
  2. The male/female breakdown in the full MD population in the US is 65.% male and 34.2% female. In our dataset it is 73.7% male and 26.4% female. The actual variance represented in the data is 7.9%
  3. Our data shows 13.9% early adoptions (2006-2008), 53.5% middle adoption (2009-2010), and 32.6 late adoption (2011-2012).
  4. Emergency medicine saw early adoption at 28.3%, Pathology at 21.4%, and Preventive Medicine at 20%.
  5. 32% MDs link to a personal blog or website, 38% link to a practice website, 9% link to a business and 2% link to a medical resource.
  6. After plastic surgeons, orthopedic surgeons were the second highest of any % at 78.5% of practice links, followed by Dermatology at 77% of practice links. The specialty with the highest % of personal blog/website links is pathology at 66.7%. The specialty with the highest % of business links was is Anesthesiology at 22.7%. The specialty with the highest % of Medical Resource links is also Pathology at 22.2%.
  7. The all MD average (found by doing analysis on the individual level is 2.3x/day. The numbers per specialty are Pediatrics: 3.9/day, Opthalmology: 3.2/day, Radiology: 3.1/day, Otolaryngology: 3.0/day and Emergency Medicine: 2.7/day.
  8. The all MD average (calculated at the individual level is 1.9/day. The numbers per specialty are Anesthesiology: 4.4/day, General Practice 3.8/day, Radiology 3.8/day, Opthalmology 3.0/day, and Family Medicine 2.8.
  9. (Calculated at individual level) Median tweets/day is .5. 22% tweet between 1.5 and 2.5 times/day.
  10. Anesthesiologists tweet 4.4/day. Hospitalists tweet .1/day.Neurological surgeons tweet .7/day
  11. Nearly 2/3 of physicians follow at least 100 people
  12. The average ratio for all twitter users is 1:1. http://thenextweb.com/socialmedia/2010/09/30/twitter-statistics-82-of-twitter-users-have-less-than-350-followers/The average ratio for our MDs in 1.1 : 1.
  13. Percentages represent the percent of MDs within that category that have at least 20 MDs from database following them.What are the implications for different uses of twitter?  Engagement vs. Filtering vs. Newsgathering vs. Spamming
  14. % of MDs followed by at least 20 other MDs by specialty: Pain Medicine 50%, Family Medicine 49%, Pediatrics 45%508 of 1397 36% were mentioned at least once by another physician in the data set
  15. The top set of percentages represent the percentages of MDs in the database who follow that individualThe bottom set of percentages represent the percentage of MDs in the database that that individual follows.
  16. Family Medicine MDs use #health 3349x. Residents use #meded 754x.
  17. For the anesthesioogy stat: The percent is the percent of anesthesiogist tags relatives to all hcsm tags. They had 570 total #hcsm tags. Anesthesiologists were chosen based on the per capita mention - the total tags relative to the number of MDs in classification. Comes to about 20 hashtags per person within the specialty. The second highest is pediatrics at 5.1 hashtags per person with a total of 596 #hcsmhashtags.
  18. Top Linksnpr.org16medpagetoday.com15latimes.com9alvinblin.blogspot.com7annals.org7jwatch.org7medscape.com7usatoday.com7wsj.com7penispowerbook.com6aafp.org5ascopost.com5youtube.com5
  19. EndoGoddess = Pediatric EndocrinologyAnn Childers = Child and Adolescent PsychiatryAlvin B Lin = Family MedicineTop links in diabetesthehill.com (10)www.govhealthit.com (8)www.hhs.gov (7)www.health2con.com (5)www.ihealthbeat.org (5)
  20. Teamoncology = OncologyDrAttai = SurgeryDrSchattner= Oncology
  21. Prostatediaries – UrologyJediPD – Internal MedicineDrNordquist – Internal Medicine
  22. This slide should be available in print out version but not in presentation.These are the classifications with more than 10 doctors.
  23. This slide should be available in print out version but not in presentation. These are classifications with fewer than 10 doctors.
  24. Should be available in printout version but not in presentation.
  25. Should be available in printout version but not in presentation.
  26. Should be available in printout version but not in presentation.
  27. Should be available in printout version but not in presentation.
  28. Should be available in printout version but not in presentation.