The position paper from the American College of Physicians and the Federation of State Medical Boards, is a humbling reminder of the challenges that today's physicians face when entering the online space. Their recommendations for online medical professionalism, written by ethics committees for the two organizations, "provides recommendations about the influence of social media on the patient–physician relationship, the role of these media in public perception of physician behaviors, and strategies for physician–physician ...

Read more...

How should doctors behave online? This is a funny question, isn’t it? Medical establishment loves rules and hierarchy. Social media does not. Social media levels the playing field of who gets to talk; it gives real caregivers a voice. That’s very cool. This is just a guess, but I suspect there are many more acts left to play out in the healthcare social media play. The American College of Physicians and the Federation ...

Read more...

I love social media so much that I give seminars on how academics should use it to advance their careers and fields of study.  Today I’m writing about what I hate about it to answer a question often posed to me by social media skeptics: what are the downsides to participating in social media?  At the risk of completely undermining my mission to encourage greater academic presence on social media, ...

Read more...

This month I hit a milestone on my Sina Weibo microblog; I finally reached 10,000 fans. It took more than two years, and I suppose I could have sped it up by paying for fake zombie fans. However, I preferred to earn this honor with good old fashioned hard work. Ten thousand fans is a tiny amount compared to many Chinese microblogs, including several at my own hospital like our ...

Read more...

Since 1992, I have advocated for all of us to have the information, support and guidance we need to act to improve our health and get the most from our health care. I believe – and there is considerable evidence to back me up – that we do better when we participate in our care to the extent we are able. As someone who has been diagnosed with several different types ...

Read more...

In late fall of 2011, I was tired of medicine. While seeing patients was still enjoyable, I felt underappreciated in my employment and frustrated by the endless BS that I dealt with -- new laws undermining the trust my patients place in me, increasing requirements from insurance companies for ordering tests or medications, more forms to sign, less time with patients, a cumbersome EHR to learn, more non-CME education requirements ...

Read more...

It all started with my sending a tweet. Actually, that's not quite true. The way it really started was with my frail elderly patient calling me in mid-January, to tell me he thought he had a UTI. But that part of the story is not new and novel; I've often had patients contact me with similar concerns. I did what I usually do: ordered a urinalysis (UA)  and urine culture (UCx). (I ...

Read more...

Why doctors should use their real name on Twitter The General Medical Council (UK) published new guidelines that state, “If you identify yourself as a doctor in publicly accessible social media, you should also identify yourself by name. Any material written by authors who represent themselves as doctors is likely to be taken on trust and may reasonably be taken to represent the views of the profession more widely.”  This has ...

Read more...

The KevinMD toolkit: Speaking Part of the KevinMD toolkit series. A lot of people ask me, “What tools do you use for blogging, speaking, when you’re on the road, seeing patients etc. ...” So I decided to start a series that describe what tools I use, and why. First in this series are tools I use for my social media keynote presentations. ...

Read more...

I sincerely thank those who have reviewed or mentioned Establishing, Managing, and Protecting Your Online Reputation. 1. Doctors and Their Online Reputation. The New York Times' Well. "The book is an excellent and helpful resource. But what elevates it beyond the category of valuable how-to manual is the passionate call to arms that resonates from all those well-enumerated directions and clearly labeled diagrams. Like it or not, the ...

Read more...