Lecture: Social Media and Health Care

Social Media and Healthcare (Keynote)
  • Huge slide deck that can be mixed and matched for use with different audiences
  • 639 MB for the Keynote file and 62.6 mb for the PDF
  • Find references, links and meta information here.
  • Alternate form of the lecture for a transplant audience (Keynote | PDF)
    • This was an audience of social workers, nurses, transplant recipients, and policy experts.
    • Lecture is cut down to 30 minutes

Clay Shirky on publishing

Saw this on Twitter (thanks Brian):

I retweeted it, but sometimes a retweet is not enough.


Publishing is not evolving. Publishing is going away. Because the word “publishing” means a cadre of professionals who are taking on the incredible difficulty and complexity and expense of making something public. That’s not a job anymore. That’s a button. There’s a button that says “publish,” and when you press it, it’s done.

–Clay Shirky

It’s so good I think I will publish it, and by that I mean press a button:

Mistakes in medical education social media

I am in page proof hell.

The two year slog from from gleefully saying “Wow, that sounds like fun” to a published book is wrapping up. I am working with Edgar Lerma and Matt Sparks on Nephrology Secrets fourth edition. It is an amazing amount of work.

Yesterday I was proofing a chapter and found a pretty profound error.

Not a typo.

Not a misspelling.

Not an awkward turn of phrase.

This was a hardcore, error-of-fact that would have confused readers that didn’t know better and cause significant loss of authority for the book by the readers that did.

This error had travelled a long and perilous editing river to finally arrive intact at the final page proof.

I don’t know how the authors proofed their own chapter, but I assume it went through multiple drafts and rewrites. Then the chapter was sent to the editors and for Secrets, each editor read and commented on each chapter. After each editor the chapter was sent back to the authors for revision. This rinse, wash, and repeat went through three cycles. One with each editor. Then the text was turned over to Elsevier and they converted it into a book. The publisher returned proofs to the authors with specific questions that came up during the page layout. Another independent set of eyes. And then the authors signed off on the proofs.

And after all of that I found the error. A significant error.

This error came within one-step of being a permanent, written-in-ink error in the book. That chain of revisions and proofs is what makes books as good as they are. What type of checks are there in social media delivered medical education? How do we assure that the lectures and pearls we push through our blogs and tweets do not contain subtle (or not so subtle) errors. Very little social media has anywhere close to the editorial infrastructure that an Elsevier textbook enjoys.

In my post about Kidney Week I received three different DMs and @s notifying me of 3 different typos and misspelling. Fix and move on.

Typos are easy. There is more embarrassment than ego in those mistakes. Mistakes of content are harder to accept. The instinct is to defend our work, push back against the unsolicited peer reviewer. But we need to keep our ears to the crowd and our minds open so that…

If we are wrong

It is not for long.

Because the strength of social media is using Linus’s Law to uncover mistakes and then it is up to us to put away our egos and make it right.

given enough eyeballs, all bugs are shallow

I really feel the success of FOAMed depends on the crowd notifying authors of mistakes and then the authors fixing those mistakes. A failure on either side of that equation (either side means that if you are reading FOAMed and see a mistake you have an obligation to point it out. Noticing a mistake in medical education material and moving on without notifying the author is like seeing a discarded pistol by the playground and not telling the authorities. That dead seven-year-old is on you) and FOAMed becomes a joke as it morphs into a minefield of crappy, error filled resources.

The Nephrology Social Media Collective internship is accepting applications

The NSMC internship was created a few years ago to assure that nephrology had a surplus of dedicated people creating varied, compelling, and creative FOAMed resources. In the early years of Social Medicine, I believed that digital natives would join #NephTwitter and quickly and effortlessly create original content without guidance.

The medical school class of 2016 began high school the same year Facebook was launched. They literally have been using social media for their entire adult life.

However after a few years I became impatient with how fast young doctors were joining #NephTwitter and wanted a way to incubate these digital natives so that they could become contributors quicker.

The Digital Native Myth is the belief that young people will intuitively understand how to contribute to FOAMed.

The 90, 9, 1 rule is that for any social media experience 90% of people just consume, 9% will comment on other people’s content, and only 1% will contribute content. The idea behind the NSMC Internship is to move as many people as possible to the right. We want to move doctors from the 90% to the 1%.

A few weeks ago in New Orleans we graduated our third class of interns.

This class was our largest yet and some of the graduates are already standouts on #NephTwitter.

The interns provide us with detailed feedback to further develop our internship. Based on that feedback we are going to be adding a new module to the curriculum to teach interns how to build a website as part of a complete social media presence. One of the roles that our graduates have repeatedly been asked to fill, is to develop a social media presence for various projects. This may be for a large study, or an institution like a division or fellowship program. Our feeling is that many programs created twitter handle and that is where they stop. In order to have a real social media presence, Twitter needs to be backed up by by a website and a blog. We are now going to teach our interns how to do that in either WordPress or SquareSpace. Additionally we will teach them how and when to use Medium.

So drop an application and join us. It will be great.

Tricks of the trade: How to insert a tweetstream into a Keynote presentation

If you are doing a talk on social media there will be moment when you want to show a Twitter chat or Storify on a slide. This can be tricky to do quickly. Here is one technique that I use.

Inserting a Storify (or Tweet Stream) into a Keynote presentation from joel topf on Vimeo.

  1. Make sure Storify is using the Storify Template rather than the slideshow template.
  2. Enter the “Print” dialog box
  3. Set the magnification to 10%
  4. Save as a PDF 
  5. Insert the resulting PDF into Keynote
  6. Use Mask to remove the large whate space covering 90% of the page.
  7. Increase the width by ten-fold to bring the tweets back to actual size
  8. Drag the image so it is completely above the slide
  9. In animation set the picture to build in by “Move in”
  10. Edit the Build so it builds from bottom to top.
  11. Change the build in time to as long as you want 8-12 seconds depending on how much detail you want people to read.