First slideshow:

• Why do we need a second life?
• community + online games + simulation
• One example is secondlife.com

A shorter version of the original slideshow:

• More than 20 million users, 30,000,000 online hours
• What does SL mean for people?
• It used to mean gambling (but not now)
• Game? work? (The number of Second Life residents generating more than $5,000 in monthly income has more than quadrupled to 116 in the past year, according to San Francisco’s Linden Lab, owner of Second Life.); place?; tool?; entertainment?; sport?; opportunity?; appearance?
• register, download, install, open, log in
• You can fly, walk, teleport, buy, sell, build.
• Communication (chat, IM, e-mail, voice)
• advantages (3D, media content, fast communication – SL fitness)
• disadvantages (reliability, serious hardware requirement)
• why do we need a SL?

Source

• VR in therapies

Take-home message: great opportunities for patients and medical professionals as well.

Second slideshow:

• Summary of how Second Life can be used in medicine and healthcare

• How do medical students and physicians use it?
• AMMC
• Imperial College of London
• NHS London
• Scifoo Lives On
• Genome Island and many more
• Patients?
• Healthinfo Island
• Virtual Ability
• SLStroke and many more
• Where to follow health events?

Take-home message: Second Life provides useful tools to organize meetings, educate and learn without borders.

First slideshow: The world of e-patients

• Who is a good patient? (referring to I am a good patient, believe it or not; Alejandro R Jadad, Carlos A Rizo, Murray W Enkin; BMJ  2003;326:1293-1295 (14 June), doi:10.1136/bmj.326.7402.1293 )
• Types of patients: the powerful other; external controller, internal controller or google patient or brainsucker or googlers
• An e-patient is equipped, enabled, empowered, engaged, equal and expert.
• Examples (5 stories) including maartensjourney.com and youtube.com/user/geriatric1927
• What do e-patients use? Websites (Web MD), blogs (fightpompe.com, sixuntilme.com); Second Life (Healthinfo Island), services (sugarstats.com or traineo.com)
• Community sites:
• Patientslikeme.com: Featuring the research they’re doing
• imedix.com: real-time chat
• dlife.com: biggest diabetic community
• butyoudontlooksick.com, iancommunity.org, mycarecommunity.org
• What to do with medical charts and papers? Introduction to the world of personal health records (Google Health, Microsoft Healthvault).
• How does a community work? I posted a message on Twitter, Kerri replied to it and made a video message for the students.

• Statistics about how patients use the web (source is Pew Internet Project Survey)
• Describing apomediation
• How to help e-patients as doctors (don’t use jargons, be patient, show credible sites focusing on medically reliable information)

Take-home message:

Physicians of the 21st century must be qualified to meet the expectations of e-patients. They’re the new generation of patients.

Second slideshow: Doctors in social media

• What is social media?
• Traditional vs social media (pros and cons)
• I have an opinion and post it online
• But others have their own opinions as well
• It becomes hard to find information and we need places/sites where information is collected and selected by other experts and collegues.
• How to find a collegue or get answer for a medical question? By using telephone, Google or Facebook? Certainly not…
• We need medical community sites
• Examples: Tiromed.com, Sermo.com, Nature Network and many more.
• Microblogging (Twitter and Friendfeed)
• Advantages of medical communities, disadvantages

Take-home message:

Without properly designed strategy, don’t even think about using social media in your practice.

To be honest, this is my favourite topic in the field of medicine 2.0 as I’ve been a Wikipedia administrator for 2 years now.

• Facebook + Google + Flickr (=) Wikipedia
• How to build an encyclopedia? Pay professionals? Certainly not.
• I believe in the power of masses…
• Wikipedia statistics, history (Larry Sanger, Jimmy Wales)
• 10 most visited websites in the world: Wikipedia is the 6th one.
• Why is Wikipedia great? (Free, fast, comprehensive, discussions, easy to edit, objective, etc)
• Why it isn’t great. (Almost the same reasons)
• Vandalism and how we fight it: Huggle
• Basics of editing an article; page history, talk pages
• A Wikipedia article minute by minute:

• Basic guidelines: Be bold, objective, no hoax, don’t copy and notability issues
• A few controversies (Seigenthaler in 2005; Congress in 2006; Essjay in 2007)
• Encyclopaedia Britannica vs Wikipedia; my analysis
• Medical Wikiproject, Medicine Portal, article assessment
• Editing process: from a Good Article to a Featured Article
• Sister projects
• Uncyclopedia

Take-home message:

Wikipedia is a great place to start your research, but should never be the last source you finish your research with.

Second slideshow was dedicated to medical wikis.

• We need wikis.
• Definition of wiki
• Wikis in plain English:

• Medical wikis, featuring two examples: Askdrwiki and Radiopaedia
• How to launch a wiki on Wetpaint
• Semantic Wikis? Wikiproteins
• Classification of diseases, WHO project
• 3D Wiki = Second Life?

Take-home message:

If you want to share and create content online, a wiki is a great tool to use.

In the second weekm we focused on RSS, trend trackers and tools you can follow the medical literature easily with.

• Before, we had to surf on the web. Now we let the content and information come to us automatically.
• Definition and story of RSS.
• Advantages of RSS (easy to use, free, comprehensive).
• A little bit of statistics (medical bloggers tend to read RSS).
• RSS icons.

• How to read RSS (browser; Bloglines; desktop-based readers).
• An example, a real tutorial about how to follow the latest articles published on NEJM. Step by step.
• Best friend of docs? Of course, Pubmed. How to follow Pubmed updates easily.
• What to do when a site doesn’t have RSS feed.
• Biowizard.com and other 3rd party Pubmed tools

• Suggestions about how to use Google Alerts efficiently.
• Video: RSS in Plain English

Take-home message:

Let the information come to you and follow your field of interest easily.

Second slideshow focused on microblogging:

• Definition of Twitter, post, reply, direct message, tweeple, twitterview, etc.
• Good examples in medicine
• How to search on Friendfeed
• How to search on Twitter: tweetscan.com

Take-home message:

Twitter is the fastest channel of communication these days, but only use it if you have a well designed strategy.

The second week was dedicated to the medical blogosphere. Key points:

• Definition of blog, post, trackback, pingback, comment, tag.
• First blog: Jorn Barger, 1997
• Technorati statistics about the state of the entire blogosphere
• Blogs in plain English:

• Types of blogs and bloggers
• Major medical blogs as examples: Kevin, MD; Medgadget; Sixuntilme; Doctor Anonymous; Street Anatomy.
• Analyzing the results of the study of Ivor Kovic et al. (Examining the Medical Blogosphere: An Online Survey of Medical Bloggers)
• Blog carnivals and microcarnivals
• How to educate with blogs (e.g. Alan J Cann)
• Some examples such as the recent post from Sergey Brin about his genes and the posts it led to (Gene Sherpa, Scienceroll, Discovering Biology in a Digital World)
• Why to blog? Ricardo Vidal’s example.
• Dangers and how to fight them: Honcode, privacy issues, HIPAA, etc.
• The lesson of Dr. Flea
• Microblogging: Twitter, Friendfeed
• Future? yongfook.com

In the second slideshow, I described how to start a new blog step-by-step.

• You need to answer 3 questions first before starting a blog:
• What kind of blogger will I be?
• Where should I blog?
• How should I blog?
• My “3 blogging rule” described what you need to become a good blogger: commitment, consistency and openness
• Shared many examples about how to build a successful medical blog.

Take-home message:

A medical blog can be a perfect channel to make new contacts, find new opportunities and share your ideas with the world.

Now I will sum my presentations up and feature the key points. In the first lecture, I talked about web 2.0 and its potential impact on medicine and healthcare through a Prezi.com slideshow.

• First I described what web 2.0 means.
• Shared some positive examples outside medicine such as

And negative ones as well:

• Also shared statistics and numbers.
• The rest of the slideshow was based on what I have recently presented in The Netherlands.

This is the third semester of my university credit course, Web 2.0 in Medicine, that I launched at the Medical School and Health Science Center, University of Debrecen. We are at week 4 out of the 10 and I’m very happy to announce that we just passed the 100 milestone which means now more than a hundred students attend the course. The course has recently become an obligatory one at the Public Health Institute of Debrecen.

I really enjoy the lectures because students are very responsive and have questions. They also have to fill a survey before and after the course so I can see whether their attitude changes during the course.

Next Thursday, I will talk about e-patients and doctor communities.

To be honest, I’m very proud of this university course (this is the first of its kind that is launched at a medical school) and now I’m ready to launch the 3rd semester. The new semester will be centered around a new structure (see below) and a new form of slideshows (Prezi.com). And I’m happy to announce that the whole course will get a brand new website in January where I will publish the content and other details as well.

Here is the new structure:

1st week:

• Web 2.0: An introduction into a world of possibilities
• Web 2.0 in medicine: Practical examples, an overview of the whole course

2nd week:

• The medical blogosphere (why to blog; success stories, advantages; examples)
• From the first comment to blog carnivals: Step by step (how to start and maintain a medical blog)

3rd week:

• How to be up-to-date in your field of interest? (RSS, Google Alerts, online journals and clinical cases)
• Microblogging: The realm of Twitter and the medical implications

4th week:

• Everything you have to know about Wikipedia (how and why students and doctors should use it)
• The world of medical wikis (how wikis work and how many wikis we know)

5th week:

• Physicians in Social Media (Tiromed, Biowizard, ResearchGate, Facebook…)
• The world of e-patients (Patientslikeme, D-Life, iMedix and many more)

6th week:

• Second Life: Virtual medicine I. (the advantages and dangers of the virtual world)
• Second Life: Virtual medicine II. (medical exercises and education)

7th week:

• Managing a medical practice online (hospitals in social media, Jay Parkinson; American Well and many more)
• A new way of collaboration: Google Docs (how to write a document online)

8th week:

• Podcasts and medical videos (how and why medical professionals should use these; some examples)
• Education 2.0: medical resources (Youtube, QuizMD, Clinical Cases and Images, Twitter, Flickr and more)

9th week:

• Medical search engines (personalized searches, Scienceroll Search, how to use Pubmed)
• The Google phenomenon (Google Docs, Health, Calendar, Alerts, etc.)

10th week:

• The dangers of web 2.0 (reputation, HIPAA, Honcode, anonymous bloggers and credibility issues)
• Future: is there a web 3.0? (Semantic searches and the role of web in the future of medicine)

I’m really exhausted as the 2nd semester is over and I have a lot to do before launching the 3rd semester in September. For example, the Department of Public Health will ask all of their students to attend the course next year, so the feedback is quite positive. Students had to fill a survey on Surveymonkey.com before and after the course, and I will publish the results soon.

Here are the summaries of the topics I covered in 20 slideshows on 10 occasions.

• Week 1: What are medicine and health 2.0 about?
• Week 2: The Medical Blogosphere
• Week 3: RSS
• Week 4: Wikipedia and Medical Wikis
• Week 5: The world of e-patients and medical communities
• Week 6: Medicine in Second Life
• Week 7: Collaboration Online
• Week 8: Education 2.0
• Week 9: Medical Search
• Week 10: Towards web 3.0

Next semester, I will add a few more topics and change the structure a bit. Your suggestions are always welcome!

As far as I know, this course is still the only course that focuses on web 2.0 and medicine for medical students globally. I hope I can improve it even more so then students can get a clear picture about how they could use web 2.0 tools in their future practices.

Here is the slideshow I presented at the AcuteZorg.nl Health 2.0 event in Nijmegen, The Netherlands on the 24th of March, 2009. It is the synergy of what I talk about in the first part of the Medicine 2.0 Course.