Medicine 2.0

Medicine 2.0

The beginning of a new era with
web 2.0 and medicine

Bertalan Meskó
University of Debrecen, Hungary
Faculty of Medicine
May 3, 2007

Why me?
My English medical blog (http://scienceroll.com) had
220,000 visitors in 5 months. More than 150 medical
blogs link to me. I've been a host of Grand rounds, the
weekly blog carnival of the best of the medical
blogosphere.
My Hungarian medical blog (http://mediq.blog.hu) had
65,000 viewers in 2 months, more than 350 blogs link to
me.
In Medgadget’s Weblog Awards, Scienceroll got special
mention in the best new medical blog category.
In the English Wikipedia, I'm the maintainer of the
medicine portal, medicine wikiproject, medical
collaboration of the week and I'm the creator and
maintainer of the medical genetics wikiproject.

Why me?

↓
Brandon Keim, a well-known, freelance science and
culture writer and news intern at Nature Medicine asked
me to give him an interview about my experiences in
Wikipedia and to talk about the future of online
encyclopedias.
(News@Nature 13, 231 - 233 or Wikimedia; Nature
Medicine; March of 2007 )

An interview with Nicholas Genes was published
on Medscape journal. (Med Student Helping Shape
Medicine on the 'Net)

Why have all of these things happened
to me?

Because the topic is new, mostly uncovered
and the importance of this field is exponentially
growing:

In 2006, Time's Person of the Year was You,
the user of World Wide Web .

So what is that Web 2.0?

Web 2.0 is a collection of second generation services
which are based on communities and collaboration.

It doesn't differ physically from the web itself, but has
many advantages.

What are these advantages?

Saves time (RSS, Podcast, Videocast)

Makes it possible to share knowledge and experience
(Community sites; Wikipedia, Medical wikis)

Makes it easier to follow the changes of our field of
interest (PubMed RSS, Blogs)

Web 1.0  Web 2.0

Surfing on the net The content follows
(following the content)  us (Feed, Podcast)
Static homepages  Updated blogs
Printed journals and Online journals and
encyclopedias  Wikipedia

Microsoft Word  Google Docs
Google, Yahoo  Medical metasearch
Databases  Medical wikis

What kind of web tools and sites could ease
the work of physicians, researchers and users
seeking medical information?

Medical blog

RSS

Podcast, Videocast

Wikis

Medical search

Content sharing sites

Virtual World

Online communities

Companies, E-book

Online writing

Medical blogosphere

A blog is a user-generated website where entries are made in
journal style and displayed in a reverse chronological order.

According to Technorati, there more than 75 million blogs in the
world.

Subgroups: blogs of physicians, hospitals, nurses, medical students,
health care lawyers (blawgers)

There are hundreds of medical blogs, and the number is still
growing.

Why to deal with blogs?

Articles of blogs are not referenced in medical papers yet,
but medical blogs have more and more readers:

Why to deal with blogs?
The number of blogs is duplicated every 5-6 months, so in
September of 2007, every 50th person in the world will have a blog.

According to the surveys of HealthCare Vox and iHealthBeat:
93% of medical bloggers have been blogging less than 3 years,
52% have been blogging less than a year
8.9 million US adults reported reading health blogs on-line

British Medical Journal and Medscape have featured medical
bloggers many times.

Famous blogs by subject and profession

Medical Technology: Physician:
Medgadget Kevin, MD
Doc in the Machine Health Care Lawyer:
Genetics: Health Care Law Blog
Eye on DNA Medical Student:
Sandwalk Vitum Medicinus
Neurology: Nurse:
Neurophilosophy Emergiblog
Medical Imaging: Medical Librarian:
Street Anatomy David Rothman's Blog

Blog carnivals

But you can't run through all the best blogs day by day,
so medical bloggers collect the best posts, articles for
you:

Grand rounds: the weekly rotating carnival of the best
of the medical blogosphere
Gene Genie: a blog carnival of genes, clinical genetics
and the news of genomics
Mendel's Garden: a blog carnival devoted to genetics

What is RSS?

RSS = Really Simple Syndication

RSS is a family of web feed formats used to publish
frequently updated digital content, such as blogs,
news feeds or podcasts.
Programs known as feed readers or aggregators
can check a list of feeds on behalf of a user and
display any updated articles that they find.

What is RSS or web feed good for?

To follow the search results of PubMed
To follow medical journals, medical blogs without
visiting dozens of blogs and journals a day

How to read it?
Via Bloglines.com, Netvibes.com or Google reader, web
browsers
Via program: feedreader.com

An easy and comfortable method to follow the changes of
our field of interest.

Create PubMed RSS feed to follow search
results automatically

How to subscribe to a blog's RSS feed?
Click on the Feed icon!

Insert it into your feedreader program,
browser or online feedreader

Click OK!

And you're ready...
Let the information come to you!

What if the site doesn't contain feed?

For feedless sites and blogs, the solution is Feed43.

Feed43 is an online service that allows you to create your
own news feeds in RSS format for any web site, that is
to monitor any web site from within news reader.

Podcast
PodCast: Portable broadcast
A portable audio file (or video file: videocast) that you
can listen to while working, doing exercises
Most of the medical journals maintain podcasts (and
now more and more medical blogs do)

Medical Podcats
Podcast Directory of Medicine

Top Podcasts
ACC Conversations with Experts
Journal of the American Medical Association
New England Journal of Medicine
Lancet
John Hopkins Medicine
iCritical Care Podcast

Videocast
Videocast is the online delivery of video on demand video
clip content via RSS. It's the same as podcast but in
video format.
National Institute of Health VideoCasting
Cleveland Clinic Videocast

Wikipedia

Wikipedia is the free encyclopedia that anyone can
edit.

Why is it important?
4 million users
1.7 million articles
More than 200 languages
For many searches, the Wikipedia article is among the first
results (Google loves content)

Reliability of Wikipedia

Here, I listed 6 articles of the List of causes of death by rate and counted the
number of references and external links in them. What I wanted to show is
that Wikipedia is improving on the field of reliability (and never forget that
Wikipedia is a work in progress):

Wikipedia Article Number of references Number of external links
2006 2007 2006 2007

Cardiovascular diseases 2 10 0 10
Cancer 6 26 13 31
Stroke 10 26 4 8
Respiratory system article 1 5 2 3
HIV/AIDS 61 144 19 42
COPD 5 39 2 7

What is a wiki?

A wiki is a website that allows visitors to add, remove,
edit and change content, typically without the need for
registration. It also allows for linking among any number
of pages. This ease of interaction and operation makes a
wiki an effective tool for mass collaborative authoring.

Other Medical Wikis
Ask Dr Wiki
Radiopaedia
Wikisurgery
Ganfyd
AIDS Wiki
Wiki MD
WikiKidney
Medical Images Wiki
Nursing Wiki
WikiCancer

Medical search engines

Search engines (like Google, Yahoo) don't select
among sources, that's why many of the medical search
results can't be relevant.

But medical search engines use peer-reviewed sources
and sites selected by experts providing the most
relevant and reliable medical information of the best
quality.

Medical search engines

Healthline
Mammahealth
Medhunt
Google Health
OmniMedicalsearch: a metasearch engine for the
medical search engines
Genetic Search Toolbox

Google Scholar

Google Scholar: provides a simple way to broadly search for
scholarly literature. From one place, you can search across
many disciplines and sources: peer-reviewed papers,
theses, books, abstracts and articles, from academic
publishers, professional societies, preprint repositories,
universities and other scholarly organizations.

Features of Google Scholar
Search diverse sources from one convenient place
Find papers, abstracts and citations
Locate the complete paper through your library or on the
web
Learn about key papers in any area of research

Content sharing sites

Freely usable medical sources on the web:
Youtube: medical video collection
Flickr: medical image collections
Clinical Cases: collection of cases

Second Life, the virtual world

Second Life (at secondlife.com) is a 3-D virtual world entirely built and owned
by its residents. Today it is inhabited by a total of about 6 million people
from around the globe.

Medicine in the virtual world

Virtual physician: Jude Lundquist
Virtual hospitals
Virtual equipments
Virtual libraries

A wonderful project: Ann Myers Medical
Center
AMMC was created to test the possibilities of virtual training for
First Life medical and nursing students. The goals of the AMMC
are:
A student will right click on an ECG machine and be taken to a
URL, where they will have to accurately diagnose the medical
issue through analysis of telemetric outputs.
They will be assisting students to become more proficient in the
analysis of MRIs, CTs and X-rays.
AMMC will also be training psychology students in various
methodologies and treatment protocols.

New opportunities

You can arrange meetings, classes, conferences in
Second Life, you can give slideshows to your students
or collegues.

Online community sites

User driven social content websites. You can submit articles and others will
read and rate your submission. So the community works as a screening
system to feature the most important or most interesting medical articles.
Digg.com/Health and Science.reddit.com


Can laypeople determine properly a scientific article's
scientific value? Probably not... What to do?

BioWizard: A Digg-like site created for physicians and
researchers.

BioWizard users submit relevant, timely research articles they have
found to be useful and interesting to the BioWizard site. Just perform
your usual PubMed search on BioWizard and submit your favorite
research. The articles you submit are then read by the rest of the
community who promote articles they feel are deserving of recognition.
The best articles in a research field are brought to the top page for all
to read and discuss.


Tiromed.com: free social networking, resource portal for
physicians and students of medicine. You can:
Find and share medical information
Build network with colleagues, physicians, peers


Sermo: physicians aggregate observations from their
daily practice and then - rapidly and in large numbers -
challenge or corroborate each others opinions,
accelerating the emergence of trends and new insights
on medications, devices and treatments.

Companies

Organized Wisdom is a health-focused, social-networking site that
enables consumers, physicians, healthcare professionals, and
health organizations to collaborate on more than 6,500 health
topics.
Social MD: is a new way to network with other physicians.
Whether you are a medical student, resident, fellow or physician
you will find that SocialMD helps you to meet and network with
other medical professionals.
Revolution Health: a free, comprehensive health and medical
information site, specifically designed with the Family’s Chief
Medical Officer - women and other caregivers - in mind. It offers
health information, treatment advice and more than 125 online
tools.

E-book

Electronically available, freely usable textbooks.

medicalstudent.com
avaxhome.ru
ebooksclub.org: 4000 medical books
gigapedia.org

Online collaboration

Google Docs és Spreadsheets is a free web-based word processing
and spreadsheet program that keeps documents current and lets the
people you choose update files from their own computers.

You can, for example, coordinate your student group's homework
assignments or collaborate with remote colleagues on a new article.

Just like you could use your Word or Excel online.
You can save the results in Word, Excel or in pdf extensions.
International collaborations use it regularly.

A few words about open access

All works published in PLoS journals are open access, licensed
under the Creative Commons Attribution License. Everything is
immediately available online without cost to anyone, anywhere -to
read, download, redistribute, include in databases, and otherwise
use- subject only to the condition that the original authorship is
properly attributed. Copyright is retained by the author.

PloS Journals

What about the future? Web X?

Web 3.0: Humans are capable of using the Web to carry out
tasks such as finding the Finnish word for “car”, to reserve a
library book, or to search for the cheapest DVD and buy it.
However, a computer cannot accomplish the same tasks
without human direction because web pages are designed to
be read by people, not machines.

The semantic web is a vision of information that is understandable
by computers, so that they can perform more of the tedium
involved in finding, sharing and combining information on the
web.

Web 3.0

WikiProteins: it's going to be a universal protein database with
clearly trackable content.

Barend Mons, “a bioinformatician
at the Erasmus Medical Centre
in Rotterdam,” seeks to “meld
some of the most important
biomedical databases into a
single information resource.”
(Nature News, 15, Feb)

References
Ves Dimov's presentation (special thanks)
Bob Coffield's presentation (special thanks)
Judy Burnham's presentation (University of South
Alabama, Biomedical Library)
Bared Mons' presentation on web 3.0
BMJ: How Web 2.0 is changing medicine
Wikipedia articles:
RSS
Blog
Wiki
Semantic Web

Thank you for your attention!

If you have questions or suggestions:

berci.mesko@gmail.com

For further reading:
Scienceroll
Clinical Cases Blog
Web 2.0 and Medicine Blog
Medicine 2.0: the beginning of a new era

Medicine 2.0

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