Warning: The purpose of this article is to inspire you to use Twitter, not to scare you. There are plenty of other blog posts and newspaper articles about doctors posting pictures of body parts on Facebook and getting fired. This is not it. Social media is amazingly useful for doctors and patients if you use the tools responsibly, have common sense, and never share the 18 HIPAA identifiers online or offline with unauthorized parties. The advice below is derived from extensive personal experience. I have used social media for professional purposes, as a physician, for more than 7 years, while working at some of the leading institutions in the U.S. such as the Cleveland Clinic and the University of Chicago. My account @DrVes has just been ranked #6 on the list of the Most Influential People from Chicago on Twitter (selected by Chicago Tribune and Klout.com). My blog websites have had more than 7 million page views. Just as an example, every time I hit the "publish" button of the sites, the message reaches more than 25,000 people every single day: 15,700 RSS and email subscribers, 7,000 Twitter followers, 2,200 daily visitors, and 1,000 Facebook fans (statistics for the sites ClinicalCases.org and CasesBlog, AllergyCases.org and AllergyNotes, and the Twitter accounts @DrVes and @Allergy).
The basics of Twitter use for busy doctors
Most doctors are really busy. Several questions always come up when doctors consider the use of social media for professional purposes: Who has time for Twitter? What am I going to say there? To whom? And why Twitter, to begin with? What about Facebook or YouTube? My office is a mess and I always say "ehhh" when recorded -- I don't want to do video. Do I need a blog too?
The circle of online information (full version) (click to enlarge).
1. Who has time for Twitter?
You do. Twitter should take no more 30 minutes per day and it will be beneficial for you, your colleagues and your patients. You will learn more and will feel better about it. Make it part of your normal routine - just like checking the news. In fact, Twitter is just that - checking the news - and then sharing the ones that you find most interesting with your followers. This takes a single click, and 2 seconds. Ten tweets per day, 2 seconds each. This is 20 seconds. You can do it.
2. Why Twitter?
Start on Twitter because it is quick and relatively easy. Twitter has the lowest barrier to entry among all social media services. "Being on Twitter" requires just 10 short sentences per day, with approximately 7 words each. You can reach thousands of people with a single sentence. Would you like to share the latest guidelines for food allergy? Just click and all your Twitter followers will know about them instantly. You will also get feedback to your tweets via replies and re-tweets.
3. What am I going to say on Twitter?
The answer is simple. You are an expert. There is a flood of medical news that hits the wires every day. I want to know what YOU think is important. Share the 3-10 news items per day that you find interesting. I will subscribe to read them. Many will do the same.
4. Who is going to read my tweets?
As a physician, you are an expert in your field. You provide valuable insight - just be selecting what you think it’s important from the news of the day. Embed this little personal news stream in your practice page. Your patients will appreciate the helpful updates, hand-picked by their doctor. Your colleagues may find it interesting too.
5. What about Facebook or YouTube?
Those are nice but I would start on Twitter first, and then expand if you see the need to do so. It may be a good idea to start a like/fan page on Facebook for your practice and re-post some of the tweets there. This is simple and not time-consuming. It can be done automatically.
6. Do I need a blog too?
Only you can tell if you need a blog. If you feel that you need to expand beyond 7-8 words on Twitter, by all means, start a free blog on Blogger.com by Google or WordPress.com and see how that works for you. Start on Twitter and expand to a blog as a natural extension if you need to write longer or provide some background. Post your blog items in your Twitter feed.
How to be a Twitter "star" in two easy steps
This is easy. It’s a two-step process for beginners and it takes about 30 minutes per day. The best time is just after your kids go to sleep.
1. Review the news of the day from Google Reader. I have ready-made subscription RSS bundles for you below. Alternatively, you can check a service such as Webicina.com for RSS feeds in your specialty.
2. Post the news items that you like best on Twitter. Don’t post all 10 tweets at once. Schedule them evenly throughout the next day. The first tweet goes on at 7:30 am EST and the last one at 8:30 pm EST. You can use Seesmic Web to schedule tweets - it is simple, free, and just works. The alternatives include HootSuite and any number of scheduling services (some of them have a limitation of up to 10 tweets per day).
This summary did no address the other Twitter activities such as listening, engaging, search, chat, HIPAA compliance, etc. They will be discussed in future articles.
RSS bundles of medical news
You can use the following RSS bundles to subscribe to medical news items. The bundles are exported from my personal Google Reader page. They update automatically several times per day. When in Google Reader, just select the ones that you find interesting and share them on Twitter. Feel free to add your own comments to some of the tweets.
This is a list of the Top Twitter Doctors arranged by specialty in alphabetical order - feel free to add your own suggestions. The list is open to anybody to edit:
Posted at Clinical Cases and Images. Stay updated and subscribe, follow us on Twitter and connect on Facebook.
- Serotonin Blocker May Build New Bone in Osteoporotic Mice by Decreasing GI Serotonin Levels [Last Updated On: August 17th, 2024] [Originally Added On: April 5th, 2010]
- The two current heavyweight world boxing champions both have PhDs, believe or not [Last Updated On: August 17th, 2024] [Originally Added On: April 6th, 2010]
- Video: Why submit your research to the BMJ? [Last Updated On: August 17th, 2024] [Originally Added On: April 6th, 2010]
- How does clinical evidence work? [Last Updated On: August 17th, 2024] [Originally Added On: April 7th, 2010]
- How To: Getting Smart During Your Daily Commute [Last Updated On: August 17th, 2024] [Originally Added On: April 7th, 2010]
- Scaring physicians aways from using social media [Last Updated On: August 17th, 2024] [Originally Added On: April 12th, 2010]
- Eradication of nasal colonization with S. aureus associated with a decrease in postoperative surgical-site infections [Last Updated On: August 17th, 2024] [Originally Added On: April 12th, 2010]
- Martina Navratilova Fighting Breast Cancer - ABC Video [Last Updated On: August 17th, 2024] [Originally Added On: April 12th, 2010]
- Are doctors ready for virtual visits? Telemedicine may not be accurate enough. [Last Updated On: August 17th, 2024] [Originally Added On: April 12th, 2010]
- Jamie Oliver at TED: Teach every child about food [Last Updated On: August 17th, 2024] [Originally Added On: April 12th, 2010]
- "Europeans Work to Live and Americans Live to Work" But Who is Happier? [Last Updated On: August 17th, 2024] [Originally Added On: April 12th, 2010]
- 29 Debates About the "Right Way" to Blog [Last Updated On: August 17th, 2024] [Originally Added On: April 12th, 2010]
- Johns Hopkins Medicine podcast now has a blog [Last Updated On: August 17th, 2024] [Originally Added On: April 13th, 2010]
- Health experts' tips for safe international travel [Last Updated On: August 17th, 2024] [Originally Added On: April 13th, 2010]
- How to use Google Docs Drawings for medical mind maps [Last Updated On: August 17th, 2024] [Originally Added On: April 14th, 2010]
- Australian grandmother beats off attacking shark - BBC [Last Updated On: August 17th, 2024] [Originally Added On: April 14th, 2010]
- Nonsurgical Weight Loss with a Liquid Meal Program - Mayo Clinic Video [Last Updated On: August 17th, 2024] [Originally Added On: April 15th, 2010]
- Vitamin D deficiency occurs frequently in COPD and correlates with severity [Last Updated On: August 17th, 2024] [Originally Added On: April 16th, 2010]
- Taking charge of your toddler's vaccination record is the best way to ensure they don't miss any shots [Last Updated On: August 17th, 2024] [Originally Added On: April 16th, 2010]
- The College of American Pathologists unveils a new patient website MyBiopsy.org [Last Updated On: August 17th, 2024] [Originally Added On: April 17th, 2010]
- Better Sleep, Better Learning? Obstructive sleep apnea can reduce a child’s IQ by 10 points [Last Updated On: August 17th, 2024] [Originally Added On: April 18th, 2010]
- Mobile Medicine via iPod/iPhone/iPad Apps [Last Updated On: August 17th, 2024] [Originally Added On: April 19th, 2010]
- AskaPatient.com - Medication Ratings and Health Care Opinions [Last Updated On: August 17th, 2024] [Originally Added On: April 21st, 2010]
- Standardized patient: Over the course of three days, I had 23 head-to-toe physicals from 23 medical students [Last Updated On: August 17th, 2024] [Originally Added On: April 22nd, 2010]
- 500 repetitions of 4 cardiac murmurs improved auscultatory proficiency of medical students [Last Updated On: August 17th, 2024] [Originally Added On: April 23rd, 2010]
- Rock legend Ronnie James Dio is fighting stomach cancer [Last Updated On: August 17th, 2024] [Originally Added On: April 23rd, 2010]
- Hockey-puck-on-a-rod test checks for concussion after head trauma [Last Updated On: August 17th, 2024] [Originally Added On: April 24th, 2010]
- Occupation may be a key factor in lung cancer [Last Updated On: August 17th, 2024] [Originally Added On: April 25th, 2010]
- FDA: High-dose simvastatin increases risk of muscle injury - caution with lower doses plus Amiodarone, Verapamil, Diltiazem [Last Updated On: August 17th, 2024] [Originally Added On: April 26th, 2010]
- Fish out of pills - Pharmaceuticals in drinking water [Last Updated On: August 17th, 2024] [Originally Added On: April 27th, 2010]
- 3-gram reduction in daily salt intake would decrease coronary heart disease, stroke, and death [Last Updated On: August 17th, 2024] [Originally Added On: April 27th, 2010]
- The men behind famous eponymous diseases [Last Updated On: August 17th, 2024] [Originally Added On: April 28th, 2010]
- Medical school letters of recommendation have formally been replaced by tweets [Last Updated On: August 17th, 2024] [Originally Added On: April 29th, 2010]
- "The doctor in literature: Private life" by Solomon Posen at Google Books [Last Updated On: August 17th, 2024] [Originally Added On: April 29th, 2010]
- High deductible health insurance can be bad for your health [Last Updated On: August 17th, 2024] [Originally Added On: April 30th, 2010]
- Should Doctors ‘Prescribe’ a Drink a Day? No. [Last Updated On: August 17th, 2024] [Originally Added On: May 1st, 2010]
- Turning medical residents away from copy-and-paste culture facilitated by EMR [Last Updated On: August 17th, 2024] [Originally Added On: May 2nd, 2010]
- Some nurses paid more than family doctors - CNN [Last Updated On: August 17th, 2024] [Originally Added On: May 2nd, 2010]
- Tiotropium for COPD: A good foundation therapy for most patients [Last Updated On: August 17th, 2024] [Originally Added On: May 2nd, 2010]
- Approach to evaluation and management of syncope in adults - BMJ Review [Last Updated On: August 17th, 2024] [Originally Added On: May 4th, 2010]
- U.S. Hospital Social Media List Includes More Than 600 Hospitals [Last Updated On: August 17th, 2024] [Originally Added On: May 4th, 2010]
- Can You Tell Your Life Story In 6 Words? [Last Updated On: August 17th, 2024] [Originally Added On: May 5th, 2010]
- How do you keep up with health news? [Last Updated On: August 17th, 2024] [Originally Added On: May 6th, 2010]
- Diet: For every 1% increase in omega-3 intake, HDL levels rose by 2.5 mg/dL [Last Updated On: August 17th, 2024] [Originally Added On: May 6th, 2010]
- Benefits and Dangers as Doctors Start to Use Social Media [Last Updated On: August 17th, 2024] [Originally Added On: May 7th, 2010]
- How to Subscribe to "What's New" Specialty Page of UpToDate? No Feed, No Problem for Google Reader [Last Updated On: August 17th, 2024] [Originally Added On: May 8th, 2010]
- High-risk profession: Suicide rate of U.S. doctors is one per day [Last Updated On: August 17th, 2024] [Originally Added On: May 8th, 2010]
- Video: A life cycle in 90 seconds [Last Updated On: August 17th, 2024] [Originally Added On: May 9th, 2010]
- Eating chocolate with high flavanol levels can protect the skin from UV light [Last Updated On: August 17th, 2024] [Originally Added On: May 10th, 2010]
- Barbara Walters, US TV Anchor, to Undergo Heart Surgery to Replace a "Faulty Valve" - Sounds Like Aortic Stenosis [Last Updated On: August 17th, 2024] [Originally Added On: May 11th, 2010]
- Can a Midday Nap Make You Smarter? Adults Who Nap for 90-minutes at 2 PM Learn and Perform Better at Tests [Last Updated On: August 17th, 2024] [Originally Added On: May 11th, 2010]
- 17% of food-related asphyxiations were caused by hot dogs - "the perfect plug for a child's airway" [Last Updated On: August 17th, 2024] [Originally Added On: May 12th, 2010]
- Bloggers, too much sitting can offset the benefits of regular exercise [Last Updated On: August 17th, 2024] [Originally Added On: May 13th, 2010]
- Farm-raised salmon has 16 times the polychlorinated biphenyls (PCBs) as wild-caught salmon [Last Updated On: August 17th, 2024] [Originally Added On: May 13th, 2010]
- Back and forth: Study fails to show link previously found between virus and chronic fatigue syndrome [Last Updated On: August 17th, 2024] [Originally Added On: May 14th, 2010]
- Warfarin Sensitivity Genotype Test - Mayo Clinic Video [Last Updated On: August 17th, 2024] [Originally Added On: May 14th, 2010]
- Childhood diabetes associated with increasing birth weight - 7% increase in risk for every 1000 g in weight [Last Updated On: August 17th, 2024] [Originally Added On: May 15th, 2010]
- The Barefoot Professor says barefoot running could minimize injuries [Last Updated On: August 17th, 2024] [Originally Added On: May 15th, 2010]
- Açaí, a Global "Super Fruit", Is Regular Dinner Meal in Brazil [Last Updated On: August 17th, 2024] [Originally Added On: May 16th, 2010]
- A NYTimes skeptic doubts that decreasing salt intake would have any benefits (it may even hurt) [Last Updated On: August 17th, 2024] [Originally Added On: May 17th, 2010]
- TED video: CIO of Cleveland Clinic talks about electronic medical records (EMR) [Last Updated On: August 17th, 2024] [Originally Added On: May 18th, 2010]
- Hospitalist evolution? "Extensivist" = hospitalist who prevents readmissions by seeing patients after discharge [Last Updated On: August 17th, 2024] [Originally Added On: May 18th, 2010]
- Video: Cleveland Clinic Model of Medicine [Last Updated On: August 17th, 2024] [Originally Added On: May 19th, 2010]
- What is the oldest medical blog? [Last Updated On: August 17th, 2024] [Originally Added On: May 19th, 2010]
- 7.2% Decrease in Work Hours of U.S. Physicians Between 1996 and 2008 [Last Updated On: August 17th, 2024] [Originally Added On: May 20th, 2010]
- Osteoporosis Drug Lasofoxifene May "Fight" Several Diseases But Increases Risk of Blood Clots [Last Updated On: August 17th, 2024] [Originally Added On: May 21st, 2010]
- Sign of the times [Last Updated On: August 17th, 2024] [Originally Added On: May 21st, 2010]
- Antibiotic use for respiratory infections could be reduced by 40% by procalcitonin (PCT) test [Last Updated On: August 17th, 2024] [Originally Added On: May 22nd, 2010]
- "Blogging fame does not pay the bills" [Last Updated On: August 17th, 2024] [Originally Added On: May 22nd, 2010]
- Health benefits of chocolate [Last Updated On: August 17th, 2024] [Originally Added On: May 23rd, 2010]
- Metabolic pathway plays a role in susceptibility to stuttering [Last Updated On: August 17th, 2024] [Originally Added On: May 23rd, 2010]
- Physically fit students score higher on tests than their less fit peers [Last Updated On: August 17th, 2024] [Originally Added On: May 24th, 2010]
- Room-temperature plasma gases may replace hand disinfectants [Last Updated On: August 17th, 2024] [Originally Added On: May 25th, 2010]
- New Treatment Effective in Killing Head Lice - benzyl alcohol lotion 5% (Ulesfia) [Last Updated On: August 17th, 2024] [Originally Added On: May 25th, 2010]
- Doctors use Facebook pages to connect with patients [Last Updated On: August 17th, 2024] [Originally Added On: May 26th, 2010]
- TED Talks: A new strategy in the war on cancer [Last Updated On: August 17th, 2024] [Originally Added On: May 26th, 2010]
- Oral Tolvaptan (Samsca) Is Safe and Effective in Chronic Hyponatremia [Last Updated On: August 17th, 2024] [Originally Added On: May 26th, 2010]
- Medical blog content and relationship with blogger credentials and blog host [Last Updated On: August 17th, 2024] [Originally Added On: May 27th, 2010]
- Doctors should blog with their real name - agree or disagree? [Last Updated On: August 17th, 2024] [Originally Added On: May 29th, 2010]
- "I'm a Medicare doctor. Here's what I make" [Last Updated On: August 17th, 2024] [Originally Added On: May 29th, 2010]