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Christian Veillette M.D., M.Sc., FRCSC Assistant Professor, University of Toronto Shoulder & Elbow Reconstructive Surgery Toronto Western Hospital University.

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Presentation on theme: "Christian Veillette M.D., M.Sc., FRCSC Assistant Professor, University of Toronto Shoulder & Elbow Reconstructive Surgery Toronto Western Hospital University."— Presentation transcript:

1 Christian Veillette M.D., M.Sc., FRCSC Assistant Professor, University of Toronto Shoulder & Elbow Reconstructive Surgery Toronto Western Hospital University Health Network Email: orthonet@gmail.com How Web 2.0 is Changing Orthopaedics

2 Objectives Understand the difference between Web 1.0, 2.0 and 3.0 Understand the difference between Web 1.0, 2.0 and 3.0 Understand the factors that Web 2.0 technologies enable between patients, professionals and researchers Understand the factors that Web 2.0 technologies enable between patients, professionals and researchers Define Health 2.0 Define Health 2.0 Understand the 4 Cs of knowledge creation Understand the 4 Cs of knowledge creation Describe the benefits of wiki collaboration Describe the benefits of wiki collaboration Describe the 3 components of the open access advantage Describe the 3 components of the open access advantage

3 Quick Poll Blog Blog Tagging/Social bookmarking Tagging/Social bookmarking Wiki Wiki RSS RSS Podcasts Podcasts Video sharing Video sharing Social networking Social networking

4 Web Evolution

5 Web 1.0 - World Wide Web information is communicated from company to individuals (i.e. your basic website). The web becomes one big encyclopedia of sorts. information is communicated from company to individuals (i.e. your basic website). The web becomes one big encyclopedia of sorts. Hyperlinked information, Static content

6 Web 2.0 – Read/Write Web information is communicated between company and individuals AND between individuals. This is the Post a Comment/Start a Blog/Skype/YouTube web. If web 1.0 is a book, web 2.0 is a live discussion information is communicated between company and individuals AND between individuals. This is the Post a Comment/Start a Blog/Skype/YouTube web. If web 1.0 is a book, web 2.0 is a live discussion Dynamic information, Social content Dynamic information, Social content

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8 Defining Web 2.0 – Core Principles The Web as Platform The Web as Platform You control your own data You control your own data Services, not package software Services, not package software Architecture of participation Architecture of participation Cost-effective scalability Cost-effective scalability Remixable data source and data transformation Remixable data source and data transformation Software above the level of a single device Software above the level of a single device Harnessing collective intelligence Harnessing collective intelligence What is Web 2.0. http://oreilly.com/web2/archive/what-is-web-20.html

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10 Web 3.0 – Semantic Web it's not information anymore, it's intelligence, artificial intelligence. You'd interact with it almost like another person. The web won't just blindly do what we tell it to do, it'll think for you. it's not information anymore, it's intelligence, artificial intelligence. You'd interact with it almost like another person. The web won't just blindly do what we tell it to do, it'll think for you. Organized information, Content + meaning

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12 Medicine 2.0 Eysenbach, http://health20.org/wiki/Health_2.0_Definition Medicine 2.0 applications, services and tools are Web-based services for health care consumers, caregivers, patients, health professionals, and biomedical researchers, that use Web 2.0 technologies as well as semantic web and virtual reality tools, to enable and facilitate specifically social networking, participation, apomediation, collaboration, and openness within and between these user groups.

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14 Health 2.0 Health 2.0 is participatory healthcare. Enabled by information, software, and community that we collect or create, we the patients can be effective partners in our own healthcare, and we the people can participate in reshaping the health system itself. Eytan, http://www.tedeytan.com/2008/06/13/1089

15 So what? How does health 2.0 align with the Obama administration's larger health reform goals? How does health 2.0 align with the Obama administration's larger health reform goals? Health 2.0 is a key pillar of where we believe innovation will take place in the nation's health care system. As we look to shape the market conditions -- the incentives to reward wellness and prevention -- I have great confidence that the health 2.0 community will rise up to the challenge and engineer game- changing ideas to deliver the results our policymakers in Washington are keen to deliver. Aneesh Chopra, Chief Technology Officer of the United States, @ Health 2.0, October 2009

16 Embrace health 2.0 technologies What would you say to health care providers who are reluctant to embrace these health 2.0 technologies? What would you say to health care providers who are reluctant to embrace these health 2.0 technologies? I understand and can sympathize with their lot in the current environment that does not reward them for the adoption of these capabilities, but I hope as we proceed with health reform that the stakeholders -- mainly the hospitals and physician groups -- will be very active participants in delivering health 2.0 only because it's in the best interest of the patient. Aneesh Chopra, Chief Technology Officer of the United States, @ Health 2.0, October 2009

17 Doctors are social and the practice of medicine is inherently social Web 2.0 creates conversations Web 2.0 creates conversations Tools facilitate socialization (social-software) Tools facilitate socialization (social-software) Blogs Blogs RSS feeds RSS feeds Wikis Wikis Podcasts Podcasts Video sharing Video sharing Social networking Social networking New generation of tools in the medical knowledge economy New generation of tools in the medical knowledge economy

18 What is a blog? Web publishing tool Web publishing tool Typically a single owner Typically a single owner Utilized to convey information & express opinions Utilized to convey information & express opinions Content published in chronological fashion Content published in chronological fashion Readers can leave comments Readers can leave comments Content is syndicated via RSS feeds Content is syndicated via RSS feeds Blogrolls and trackbacks Blogrolls and trackbacks

19 Growth of Blogs

20 Impact of blogs http://technorati.com/blogging/article/day-5-twitter-global-impact-and/page-2/# Academics #9 #6 Health #12 #7 Academics #9 #6 Health #12 #7

21 Blogs in Healthcare/Orthopaedics Clinical Education Clinical Education Residency Residency Hospital Hospital Physician Experience Physician Experience Patient Experience Patient Experience

22 Clinical Blog http://orthopaedicsmadeeasy.blogspot.com

23 Clinical Blog http://orthopeadicsurgery.blogspot.com

24 Orthopaedic Residency Blog http://Orthopaedic-residency.blogspot.com

25 Physician Blogs

26 Hospital Microblogs http://twitter.com/SunnybrookHSC

27 Patient Blogs http://blog.estellahom.com/

28 RSS Really Simple Syndication Really Simple Syndication RSS is a standard for publishing regular updates to web-based content RSS is a standard for publishing regular updates to web-based content RSS Readers allow you to: RSS Readers allow you to: Stay up to date Stay up to date Share items Share items Comment on items Comment on items

29 RSS Reader – Google Reader Google Reader – http://www.google.com/reader

30 Social Networking Collection of people tied together by their relationships Collection of people tied together by their relationships Ideas, friendships, kinship, authorship, mentorship, alumni Ideas, friendships, kinship, authorship, mentorship, alumni Social map Social map visual representation of a social network, depicting nodes and ties visual representation of a social network, depicting nodes and ties

31 Social networking for Patients

32 Social Networking for Physicians

33 Asklepios.ca

34 Social Networking in Orthopaedics

35 Wikis in Medicine/Orthopaedics Collaborative contributions Collaborative contributions List of Medical Wikis List of Medical Wikis Over 50 cataloged Over 50 cataloged http://davidrothman.net/list-of-medical-wikis/

36 Orthopaedic Resources

37 What are they missing? Social Technologies Social Technologies Collaboration & Community Collaboration & Community Who are your people? Who are your people? Who do you want to tell what? Who do you want to tell what? Who do you want information from? Who do you want information from? Web 2.0 WikisSharingOpenness User Generated Content Social Networks

38 Personal Knowledge Management Knowledge is created by people … through … Comparisons Consequences Connections Conversations

39 Power & Opportunity of Wiki Technology

40 What is a Wiki?

41 Web site + Word document

42 Epit

43 Edit

44 Edpit

45 Whats so great about wikis anyway? Collaboration Collaboration Create, edit, discuss, share in one place Create, edit, discuss, share in one place Before Wiki Using Wiki

46 Whats so great about wikis anyway? Knowledge Management Knowledge Management Single, searchable, structured repository Single, searchable, structured repository Before Wiki Using Wiki

47 Power of Wiki Collaboration http://www.wikipatterns.com/display/wikipatterns/Email+to+Wiki US National Geospatial Intelligence Agency

48 Using Wiki in Education The one-to-many model of knowledge transfer can be transformed into a collaborative, many- to-many network where every voice contributes to the knowledge of the group; the sum becomes greater than its parts. -Mike Cannon-Brookes Atlassian Software Systems The one-to-many model of knowledge transfer can be transformed into a collaborative, many- to-many network where every voice contributes to the knowledge of the group; the sum becomes greater than its parts. -Mike Cannon-Brookes Atlassian Software Systems

49 What is Orthopaedia?

50 Orthopaedia.com

51 Power & Opportunity of Open Access

52 What is Open Access? "copy, use, distribute, transmit and display the work publicly and to make and distribute derivative works, in any digital medium for any responsible purpose, subject to proper attribution of authorship.... Bethesda Statement on Open Access Publishing. June 20, 2003. http://www.earlham.edu/~peters/fos/bethesda.htm

53 The Open Access Advantage 1. Citation count 2. End user uptake 3. Cross discipline fertilization Eysenbach G. The Open Access Advantage. J Med Internet Res 2006;8(2):e8 http://www.jmir.org/2006/2/e8/

54 What About Copyright? http://creativecommons.org

55 Creative Commons

56 Web 2.0 – Hype vs Reality Overly enthusiastic acceptance Overly enthusiastic acceptance Overpriced purchases Overpriced purchases Google purchase of Youtube Google purchase of Youtube Quick shifts in popularity Quick shifts in popularity MySpace Facebook Twitter MySpace Facebook Twitter Market not yet consolidating Market not yet consolidating

57 A revolutionary, new practice

58 Web 2.0 as a disruptive technology Health Care ValuesWeb 2.0 Values Risk adverseRisk taking Information comes from authoritative sources Information judged based on social networking/community acceptance Privacy and security are regulatedAnyone can create an account Long lead times for deploymentQuick deployment (Beta release) Controlling dataInformation contributed by and distributed to all Intellectual property closely guardedFollow existing standards, use licenses with as few restrictions as possible

59 Thank You


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