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EP Fellows Curriculum: #EPeeps & Social Media - Is ...
EP Fellows Curriculum: #EPeeps & Social Media
EP Fellows Curriculum: #EPeeps & Social Media
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Great. Thanks. Thanks for having me, everybody. So I am going to just jump right in because we have a few slides to go through. So I'm going to Here and hide that. Okay, great. So my title of my talk is EP social media is the juice worth the squeeze. So it's always sort of, I think, an important topic to talk about because social media is so prevalent these days. So I always talk about how I got started in this medium. So I joined about a decade ago, a little bit scary to think about. And I really spent about two years just sort of watching and sort of lurking on the website, a little bit, just sort of trying to figure out What it was all about and whether or not I was brave enough to actually send out my first tweet ever. And so really one of my first tweets ever was sent out at HRS And I thought, you know what I'm going to do is I'm going to try to be sort of a science, science communicator. And so I thought it was pretty safe to do that just to sort of, you know, send out facts and not have to sort of be controversial in any sort of way. And so I sort of just did that just during HRS and then You know, I kind of dropped it in between meetings and I pick it up again at HRS and then I finally went to like my first tweet up on in 2014 at HRS and You know, met some people that you probably know these days, one of whom is john mandrola and you know I really talked to these guys and said, you know, I don't, I don't really know about this medium, a little nervous about it. But they said, you know, you have a voice and it's a great way to sort of use your voice on this platform. So they really encouraged me to sort of do it, but You know, I still was not really sure about the whole thing because I thought, you know, is this just like some horrible time sink that I'm just going to doom scroll all day. And is it just going to sort of waste my time and it's just sort of like fluff right that I'm just gonna be watching like these cute dog videos or whatever. But what I ended up learning, you know, I'll share with you over the past decade, what I have learned. And there's, you know, I sort of look at it the way that one of my old attendings would Ask me this question is the juice worth the squeeze. Right. So is it really worth the are the good parts worth the risk of the bad part. So we'll go through a little bit of this today. So Here's my first slide of that talking about, you know, we'll go through the benefits of EP social media. So we'll take sort of a bird's eye view and then we'll sort of drill down a little bit to sort of an everyday applicability view and then we'll sort of like Go rise back up again to look at sort of future viewpoints first. Okay. So in order to sort of look at that. We you never can sort of think about social media in EP without thinking of using it at conferences, right, because that's probably the most prevalent way that we had used at the very beginning. And so the people who really used it at the beginning in in conferences were actually the family medicine people. And so they had their, you know, teaching family medicine conference and 2013 and it was a five day conference. So that's really long. We never have five day conferences anymore. And there were only 181 users and there were only about 2000 tweets, which seems really a tiny number. Now, but what was interesting that they found was when they looked at it. About 70% of those tweets were really session related and there really were not that many social tweets. So When they really went down and analyzed it and talked to the people who were doing the tweeting to say, hey, why did you even want to do this in the first place. There are three main themes that it sort of centered around and that was networking information sharing and advocacy and what the user said was that they said it Tweeting made the sessions more interactive it facilitated networking. It made them actually want to come in person more so the next year. So you would think, you know, using All this virtual stuff would make people not want to come in person, but it actually drove them to want to come meet more people. And then it also they felt that They were able to sort of share ideas and learn from people, even for those people that weren't attending live The other thing that they thought is that, you know, it was a nice way to sort of come closer to a new generation that was maybe using these more mobile devices more regularly. So then we did it ourselves. We did our own study, looking at this a couple years ago and we looked at ACC, HRS, and TCT Over three years just looking at the Twitter use during those conferences and we actually came out with 80,000 tweets that we analyzed And so what we found was that we found that it grew almost doubled every single year, year over year. The number of users number of tweets and the number of impressions as well. And what was interesting. If you see in this sort of, let me see if I can turn on my highlighter. If you see in this sort of top corner here that conference attendees in person didn't really drop. So again, this sort of fear that using social media or using virtual Ways would cause a decrease in in person meetings really was unfounded. We found that it also held true across all three years. So, you know, there's a lot of Conferences. So you can see here ACC, HRS, and TCT all sort of doubled or tripled Throughout the years as far as use went. And what was interesting, again, is that we confirmed that the majority of the tweets that were sent out were really scientific or Or educational in some way and that really physicians were driving the conversation. So that was really interesting on in this study that we did. So who else is sort of in this space. So not just sort of conferencing people but medical journals have been in the space for a little while as well. So this is a paper from 2016 from the Brigham And what they found was, you know, they wrote this editorial to sort of talk about the fact that they saw that many of the top medical journals started to Enter the social media space a little bit because they thought that it would be important to sort of Provide reach that went beyond just their print subscription and they thought it might be a nice way to sort of rapidly disseminate new findings that might Change clinical practice. And so they really found that that did happen in 2015 when they looked at the numbers on their social media use in regards to the CPR guidelines, they had 1.5 million views on Facebook and more than 100,000 click throughs within a week of the publication just on social media itself. And so if you really look at the medical journals today. If you look at the big medical journals. If I go back to that one side and you look in this box here, you can see that Cirque at that time in 2016 had about 10,000 followers or so. Today, when you look at circulation and New England and all the big journals, they have hundreds of thousands of followers virtually for all of these major medical journals and You know, it really ties in well with what that paper in 2016 sort of said, which is they felt that if journals really And clinicians really started to use social media, a little bit more. Maybe it would be a nice way for healthcare providers to communicate with their patients to try to improve health and wellness. So as we know, with the medical journals that are on there. They're not just on there for show. Obviously, They actually push out the latest articles and guidelines to their platform pretty immediately and they embed links right as we well know As well that you can sort of click through immediately and be brought to the journal article. So it's kind of a nice way to sort of readily access these, you know, manuscripts, even in between cases or on the fly. And you can even bookmark them within the app yourself itself. So that you can read these articles at will. So, you know, no longer do we have to have those giant stacks of journals. That I know I've had in the corner of my office that you, you know, have them sitting there waiting to be read. You can sort of, you know, click through and bookmark and read them as you want. And we know also now that there's lots of Twitter journal clubs. Right. So the most famous one are actually the first ever Twitter journal club. Is actually Neff JC or the nephrology journal club that's been around for several years now and they actually have grown so big that they hold this Twitter journal club. In three different time zones so that they can actually cater to like a truly global audience. And so they have a huge reach when they discuss their journal articles. And in this one, you can see they had over 161 participants. When was the last time you ever saw Anyone come to a journal club with 161 participants. Right. And they had over 5 million impressions or 5 million, you know, potential views of their content. And so we've done it in EP as well. There is a jack EP Journal club, not too long ago. And what's nice is that if you have ever participated in a Twitter journal club. It's, it's almost like, you know, doing a proper journal club, but from the comfort of your own home. Right. So you have nice participation of really key opinion leaders, you can get authors in there to participate as well. And pretty much anyone literally who's interested in the manuscript can sort of dive in and converse With any of these key opinion leaders. And again, you have like about an hour to discuss The manuscript, as you would in a real life journal club and then really this reaches again a much, much wider audience. So this journal club that we held with Jackie P Was with 40 participants, but really about 3 million impressions. So it's pretty impressive there. So what's interesting. Now it's evolved so much that Twitter journal clubs are now offering CME and some of them are even offering MOC. So the people that have done this the best are actually the American Society of echocardiography, they tend to offer the most CME for participating in their Twitter journal clubs. Excuse me. And this is really quite important now right because during these sort of COVID times, we're not really able to attend in person conferences at all. And so to be able to obtain CME and MOC in this method is probably pretty good. So we also have tweet chats that I'm sure many people are aware of. This is another educational platform that's held on Twitter. We schedule them. I know I have done a few with HRS where we schedule about an hour, maybe once a quarter or a couple times a year where we choose a topic to discuss and we, you know, invite again key opinion leaders to discuss For instance, in this one that we did the apple heart study. We take about an hour. There's questions that are sent out there pre prepared and then again, anyone can participate, including the public. So it's really kind of a nice forum to be able to Discuss different topics, including EP topics. And what's interesting is there's this push now to maybe even offer some CME for, you know, joining into these tweet chats or even tutorials. So it'll be interesting to see how that space sort of evolves as well. But I think one of the most valued aspects of having, you know, the ability to participate in social media in electrophysiology is that we really can continue to sort of connect with our colleagues. And it's really not limited by time or space, right. It's almost like having this virtual lounge that you can sort of pop into and out of That you can discuss cases and or chat with each other and even, you know, continue to network again during these COVID times where we cannot, again, go to the national meetings to do so. So what is it about these communities practice. I'm sure that all of us have seen on social media. If you're on there, the different ways that we can connect with each other. And I'm sure that a lot of us have seen on social media. If you're on there, the different types of communities of practice that currently exist. There's communities of practice that involve obviously not just medical Twitter and ER Twitter and like free online medical education Twitter, but there's also communities of practice for cardiologists, right. So there's cardio Twitter that I'm sure many are aware of. There's the hashtag. There's imaging people, the interventional people have their radio first hashtag. Cardio Onk has also grown quite a bit as well as heart failure. They have developed again their own hashtags as Cardio Onk and hashtag GDMT works and EP, of course, is also in the mix. And we've been in this mix for quite some time as well. The EP hashtag was created several years ago. And I'm sure everyone's familiar with the don't diss the hash tag as well as the up late VT hashtag. And as you can see from these examples, you know, there are a multitude of EP physicians that participate in this really international where we sit and, you know, discuss different topics. We have real time opinions and polls and offer different standards of care. And then what's really important is that, you know, we also have been able to learn different tips and tricks as well. And in this next slide, you can see one of the examples that was out maybe a couple years ago was the three way stopcock hemostasis technique. I don't know if anyone's aware that that actually originated from Sam Asnarov when he was in Denver, and he just happened to share this one day on a thread that we were on talking about how does, how do people obtain hemostasis after their afib ablations. And it went on and on. And then he finally posted a video and, you know, we're like, you know, really should publish this. And so he ended up actually doing a series of cases with Sandeep Gautam from Missouri and they published a series of I think about 100 cases in JCE. The other interesting example is, as we know, Don't Diss the Hiss. This is probably one of the first tweets that ever came out in 2015 about his bundle pacing. His bundle pacing is actually old, right. It's been around for a long time. But then there was a sort of resurgence of his bundle pacing after Gopi Dhanamudi and Pugal Vicharaman sort of put a couple cases on Twitter. And they really credit this Don't Diss the Hiss hashtag and the Twitter platform for really, you know, encouraging this sort of rebirth, if you will, of physiologic pacing and they ended up actually publishing this really nice editorial, and I think it was Europace, talking about how this use of the hashtag, as well as the number of users and tweets really paralleled the sales of the Medtronic 3830 or Hiss lead. So it's very interesting to see that happen. But, you know, when you think about it, does all of this sort of free education that happens with the Twitter journal clubs and the tweet chats and, you know, the tutorials and, you know, this sort of tips and tricks doesn't really mean anything as far as academic value. And so I think one of my slides is missing, but we'll get back to that in a minute. The other thing that we kind of see also, or we have seen is we have had some cases where patient safety issues have been actually caught on social media. So this is one really interesting case that happened, I think it was a couple years ago, yeah, 23 years ago, 2017, where Gopi Dhanamudi, you know, just posted this really nice tracing of just some noise, right, with some inhibition on a pacemaker tracing and just wrote thoughts and tagged a bunch of people. And if you look at the time, the time says 5.51am. And so in the next thing, the thread pretty much starts immediately, right, and I don't have all the timestamps on here, but pretty much within 45 minutes, someone from Penn says, you know, it looks like it's abnormal minute ventilation sensing or the impedance is normal, right, so that's 45 minutes, right, and then it's across the pond here in the next about six hours, right, so that's just about six hours from the time of the original post, and this person who is a cardiac physiologist from England says, hey, look, I know what it is, I saw it recently, we turned off the minute ventilation, and we're doing it in all dependent patients until a fix comes through. So they actually found a problem and they gave you or gave us a fix to it until we could sort of talk to the company. And so what's interesting is within the month, so Gopi went and sort of called Boston and there were talks and within a month, there was actually an FDA advisory that came out that talked about this intermittent over sensing minute ventilation. So I don't know if everyone is super aware of this, but that actually originated on social media. That, you know, Gopi found this, sent it out, and within six hours, we had an international sort of quorum that said, hey, look, we know what it is, talk to Boston, and then the FDA became involved. And so there was a nice sort of, you know, example of just a patient safety issue that was caught and dealt with pretty immediately. So this was a slide that was a little bit out of order. So does all of this, you know, free education really mean anything academically? Because really, that's what matters, right, is that at some point, there has to be some academic currency to this. So it's possible that it may come to some fruition. So in 2016, the Mayo Clinic actually made this announcement that they were going to incorporate digital scholarship into their evaluations for academic promotions and tenure, believe it or not. And why was that? Because they thought that they should really strongly encourage their physicians to sort of participate in public debate. Because they did not want to create what they said knowledge obscura that's trapped in ivory towers and only accessible to like the enlightened. But they really wanted their physicians to be able to sort of translate whatever knowledge they gained to the public to sort of influence health outcomes. So they went on to publish several guidance papers thereafter in the past couple of years about not only how we as users of social media could potentially develop social media profiles and packages, but they also talked about how academic institutions may be a list of sort of best practices for institutions of how to sort of implement this sort of framework to evaluate these portfolios. So what's interesting is that while Mayo really, you know, started this movement, I really am not truly aware of any other institution at this point that has done anything similar. So sort of remains to be seen a little bit about where this sort of goes. So that sort of was the aspect of the positive for what we do as sort of physicians and, you know, healthcare providers to educate ourselves on the platform. I think the other part that we have to remember is that we're really in this business for our patients, right. So can we possibly use social media to affect our patients arrhythmia management. So to sort of better understand that, we really have to sort of look at the national, international landscape of how social media is used, right. So right now, what we know is that there's about 4 billion users of social media globally with over 60% or nearly 3 billion monthly active users on Facebook, right, right here. And then there's also another 30 million or so global users of Twitter. Okay, so how does that look in the US? It pretty much parallels it. The highest users are probably still on Facebook with the smattering of the users on other social media platforms as well. And what's really interesting, though, is that it's not just all the young people that are using the social media platforms, the fastest growing probably is the age group between 50 and 64. They make up about 69% of users of social media and then actually 65 and plus make up about 40%. So it's not a small population. So it's pretty interesting. So what do we really feel that we can use social media to help with health management? I think that we could because the patients are already there and already using it, right. So 80% of internet users are specifically on there to look for health information and 74% of internet users are on social media, right. And then what's interesting is 43% of those patients are greater than 55 years old are using social media for health information. And then 61% trust the information that's posted on social media by their clinicians. That's a little scary, right. So they're actually there and watching us. The other thing is that 91% of people who are on social media say that online communities play a role in their health care decisions. So these are forums, etc. So So is there precedent for really using social media in disease management? The answer is probably yes. I mean, when you look at these studies, there's, you know, from diabetes and smoking cessation to sort of pediatric and adolescent care and even the cancer care community. Who have really been the leaders in this space. There have been many studies that actually have shown That using social media makes health information more accessible. It engages patients. It really provides valuable peer, social and emotional support and it might even aid in behavior change and be a nice platform for mass health communication. So what about social media and arrhythmia management. Well, there's some studies currently that sort of cardiology is sort of tiptoeing into the space a little bit. In the realm of heart failure and cardiovascular disease, as well as in emergency cardiovascular care. But what's interesting is that For arrhythmia care, there really hasn't been haven't been many studies at all, looking at the use of social media and arrhythmia management. But again, arrhythmia patients already there. So it's not just any patients, the arrhythmia patients are already there. And how are they there. They're already there and have been there for many, many years. In sort of private and public patient forum and groups on Facebook and Reddit and various websites where they go and they sort of share their experiences and offer each other sort of advice and support and you can see from this example. These are pulled directly from Facebook. This little thread talks about, you know, has a patient asking about cardioversion and sort of asking what are people's experiences post cardioversion. How do you recuperate The other website that I've seen patients post on also is this myafibexperience.org forum. That's an AHA website that's sponsored also by stopafib.org
Video Summary
In this video transcript, the speaker discusses the use of social media in the field of electrophysiology (EP) and its potential benefits. The speaker shares their own experience of joining social media a decade ago and being hesitant to participate at first. However, they soon realized the value of using social media as a science communicator and connecting with others in their field.<br /><br />The speaker discusses how social media is commonly used at conferences, allowing for real-time engagement, networking, and information sharing. They also highlight the use of social media by medical journals to disseminate new findings and reach a wider audience. Twitter journal clubs and tweet chats are also mentioned as educational platforms where experts and participants discuss various topics and share knowledge.<br /><br />The speaker mentions the importance of social media in creating communities of practice and connecting healthcare professionals globally. They give examples of hashtags and discussions related to electrophysiology, showcasing how social media has facilitated learning, sharing of ideas, and even the discovery of patient safety issues.<br /><br />The speaker also explores the potential impact of using social media to engage patients and manage arrhythmia care. They cite studies in other fields of medicine that have shown the benefits of social media in providing health information, engaging patients, and offering social and emotional support.<br /><br />Finally, the speaker acknowledges that there is still a lack of research on the use of social media in arrhythmia management specifically. However, they highlight the existing presence of arrhythmia patients in online forums and communities, indicating the potential for social media to be utilized in this context.
Keywords
social media
electrophysiology
benefits
conferences
medical journals
educational platforms
patient safety issues
arrhythmia care
online forums
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