"The online version is the official journal of record, not the print edition". Start a blog in 2012

"The online version is the official journal of record", wrote the Editor-in-Chief and the editorial staff of Pediatrics, the official journal of the the American Academy of Pediatrics:

"As we start 2012, and welcome the more than 6 million annual visitors to our journal's Web site, we remind our readers that the online version, not the shorter print edition, is the official journal of record. Is it time to do away with the print version? Probably not just yet, but it may not be long until we are heading in that direction.

If you are thinking, “there are so many options to peruse and so little time!” you will find some highlights of each issue in our blog - First Read - which contains previews of articles of interest selected by members of our executive editorial board. We are even running some of our most interesting “fillers” from the print journal in the blog so they are not missed by our online readers"

This is the URL of the blog which is hosted for free on Blogger.com by Google: http://pediatricsblog.blogspot.com

All physicians should consider starting a blog in 2012

I would encourage all physicians to start a blog in 2012 - here is why (quotes from an interview with Seth Godin and Tom Peters):

"Blogging is free. It doesn’t matter if anyone reads it. What matters is the humility that comes from writing it. What matters is the metacognition of thinking about what you’re going to say.

No single thing in the last 15 years professionally has been more important to my life than blogging. It has changed my life, it has changed my perspective, it has changed my intellectual outlook, it’s changed my emotional outlook. And it’s free."



Don't limit yourself to your blog - use Facebook, Twitter and Google Plus

Blogging can be great for personal growth but there is a lot more interaction on Twitter, Facebook and Google Plus nowadays as compared to blogs. If you have a blog, you must also have a Facebook "like" page (previously called "fan" page), a Twitter account, and probably a Google Plus page. These serve the dual purpose of distribution and commenting channels ("two-way street").

For example, Facebook pages get a lot more interaction than blogs for some medical journals - you can compare the number of comments on the NEJM Facebook updates (the range is 9-180) vs. their blog (0). The blog has comments enabled, of course.

Facebook is the clear "winner" in terms of commenting activity, it is not even close:

NEJM Facebook page vs. NEJM blog

This is a suggested simple project for all doctors in 2012:

1. Start on Twitter (microblog).
2. Continue on Blogger/WordPress.
3. Make an impact. Improve the quality of online health information and tell the public your side of the story.

How to Create a Blog on Blogger in 5 minutes (Google video):



Help your patients and your practice

I developed the concept of Two Interlocking Cycles:

- Cycle of Patient Education
- Cycle of Online Information and Physician Education

The two cycles work together as two interlocking cogwheels (TIC):



References:

Taking the Pulse of Pediatrics. PEDIATRICS Vol. 129 No. 1 January 1, 2012, pp. 168 -169 (doi: 10.1542/peds.2011-3288).

Social media in medicine: How to be a Twitter superstar and help your patients and your practice

Patients directed to online tools don't necessarily use them: 25% checked website vs. 42% read same material on paper. Am Medical News, 2012.

Mayo Clinic now offers Patient App: access to personal medical record, appointment schedule and more

The Mayo Clinic Patient app allows access to the latest news, publications, and health information from Mayo Clinic. Mayo Clinic patients also have access to their personal medical record, appointment schedule and other services using their Patient Online Services account.

The Mayo Clinic Patient app provides local community information, including directions to local restaurants, entertainment, and more. http://youtu.be/UAymmf5ZUNo

Taking charge of your toddler's vaccination record is the best way to ensure they don't miss any shots

From Reuters:

"In our country, we think the doctor should have all the medical records," said Dr. James McElligott, a pediatrician at the Medical University of South Carolina who worked on the study. "I like the idea of putting the ownership back in Mom's hands and empowering her a little bit."

When parents kept a so-called shot card, their child's odds of being up-to-date on vaccinations rose by more than half.

40 percent of the toddlers had a shot card, and 84 percent of these had up-to-date vaccinations. By contrast, only 79 percent of the children without a card had all their shots.

Use the card: it doesn't have a downside and it's cheap."

References:

Want kids' vaccinations up to date? Keep the record | Reuters, 2010.
http://www.reuters.com/article/idUSTRE61E37I20100215

Electronic medical record (EMR) - review of pros and cons in Cleveland Clinic medical journal

Some negatives regarding the use of EMR:

- So far, electronic systems are not interconnectable
- Do electronic records improve or worsen the quality of care?
- Accuracy vs copying and pasting
- A third party in the examination room
- Devoid of real medical thought

A contrasting view:

- Connectivity will improve
- Staying focused on the patient, even with a computer in the room
- Doctor-doctor communication is enhanced

References:
The electronic medical record: Diving into a shallow pool? CCJM.
The electronic medical record: Learning to swim. CCJM.
"The iPatient is getting wonderful care across America. The real patient wonders, "Where is everybody?" NYTimes, 2011.