If knowledge is power, then content (in proper context) is king. Why am I online blogging, pushing content through my website and even interacting on Facebook, Twitter, Google+, Pinterest and many other sites?  Because my patients are there. Increasingly, they are utilizing the Internet to self-diagnose; to look for “second opinions” from peers and friends; to research a physician, recommended treatment, or hospital; or to find the latest information on their ...

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I come across many people using the terms social and digital interchangeably. Some doctors are digitally savvy. Yet that does not mean that they are practiced communications experts, or that they have the skills to make the most of today’s digital social tools. I thought this might be a good opportunity to open up this discussion. As physicians, we were among the first professionals to adopt smartphones and iPads into our workflow ...

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Trust: A firm belief in the reliability, truth, ability, or strength of someone or something.
Technology, technology, technology. It is all we hear. Ugh. Let’s change the focus from “technology” to the useful and meaningful processes that technology enables:
  • knowledge
  • sharing
  • communication
  • trust
Technology is only an enabler, much like the social graph. They are tools, they are platforms, and if properly utilized, they may enable “disruption” or transformation. It is the few individuals, and I do mean a few, ...

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The pressures mounting on most institutions as the years trudge by are mounting. They are mired in mountains of regulations, the need to implement millions of dollars of IT "improvements," streamline their most productive service lines, strip down their front-line staff to dangerous levels … and all this while their reimbursements are being crushed. Consider that a profitable hospital currently operates on a 1% margin. Consider that the hospital is considered the most costly ...

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Most of you are quite familiar with the rather astounding facts regarding medical errors.   There are many reasons why medical errors occur in healthcare. There are errors in omission, there are errors because of poor communication, there is the ever present risk of human error and perhaps the ever increasing stress on physicians to see more and more patients in less and less time. ...

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The world of healthcare is inherently siloed,  tethered,  fragmented and prone to poor communication and collaboration.  Today, healthcare workers solve their problems via traditional methods that are often costly, inefficient, nor timely.  Increasingly, more savvy healthcare workers are looking outside the system to digital media and communities for answers, but are challenged with uncertainty over concepts of usefulness, practicality, bandwidth issues, "ROI" and privacy concerns. Establishing a digital presence is rapidly ...

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We are all guilty of confirmation bias from time to time. Confirmation is something that resident physicians in particular are guilty of more so than experienced, qualified physicians.   Resident physcians and attending physicians alike may quickly form a diagnosis in their mind during a brief discussion with a patient.  Now they will try to convince themselves (sub-consciously) that the other complaints and physical exam fit that diagnosis.   They force ...

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I lived in Japan in 1991. When I was having a conversation with someone, they would always nod their head as if they completely understood the message I was trying to convey. It turns out that was not the case. The nodding was a sign of respect. When I began to inquire if they understood what I was trying to say — it became clear that the answer was usually no. Many ...

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This is a message that should resonate loud and clear with providers, institutions or members of the healthcare enterprise world  who are ruminating over the upsides -- and potential downsides -- of a wide reaching, multiple digital property: social media presence. As Ted Eytan found out when he questioned the (anonymous) physicians on Sermo, many physicians are simply not interested in establishing an online presence. "Risk” is the overwhelming variable they’re ...

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This has been a very busy week already.  I have seen many second opinons and I am always very interested in the reason why the patient initiated the second opinion. In many situations it was simply to see if I would perform the surgery.   After I spent a while listening to the patient, examining them and coming up with an appropriate ...

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