Alejandro (alex) R. Jadad, Md Dphil Frcpc Fcahs: Twitter: Ajadad Linkedin: Alexjadad Cell Phone: +1 416 358 5631

Changing our practices in the age of online social media Alejandro (Alex) R. Jadad, MD DPhil

FRCPC FCAHS

[email protected] [email protected] Twitter: ajadad LinkedIn: alexjadad

How could we transform this?

What could we learn from them?

Lesson #1: Nobody is an expert today

More We than must1.2 display billion humility hits! and generosity!

We are losing mindshare… rapidly! The Web’s Top 10 (September 2009) 1. Google 2. Facebook 3. Yahoo 4. YouTube 5. Windows Live 6. Wikipedia 7. Blogger 8. MSN 9. Baidu 10.Yahoo.co.jp

We are in trouble! Web rankings (May 2009) • WebMD • Mayo Clinic • CDC • World Health Organization • MEDLINE Plus

597 1,472 1,485 2,432 68,295

Lesson #2: We gain by playing together

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What would it take for us to join in?

What incentives are needed?

Will this survive?

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Patients are leading the way!

Reverse mentorship opportunity?

Lesson#3: We now live ‘glocal’ lives!

We can trigger global efforts, for free!

Tackling complex global problems together

One platform, over 300 innovators, 9 communities

Lesson #4: Pa(ma)ternalism is passé

The power of many!

Meet a modern patient

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A huge untapped resource!

Lesson #5: We must pursue the same goal

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I am now a cyber-companion!

“I promise to share the kindness and wisdom you What justifies shared with me. Having traveled this path, the effort… blessed with your help, I will do my best to reciprocate to those around me. You responded to my e-mails in minutes, not even really knowing me, and I cannot describe the warmth and hope your response brought. A dedicated and genuine response. A gift.”

Lesson #6: It is helpful to express our feelings

Not to e: What we say! Confidentiality Reduction in quality of care Absence of evidence of effectiveness Poor legal protection

What do we really mean? Control loss? Reduction in quality of life? Accountable to Big Brother? Payment?

Let’s share ideas and pursue them!

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Lesson #7: Sandboxes are good meeting points

The Maimonides Project Accelerating the transformation of the health system, worldwide Ben Shahn (1898-1969) in 1954

Accelerating change, together Complex issue High stakes Multiple options

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Bright minds Best evidence

Plausible scenarios Living Laboratories Stakeholder input Feasible options Business models Risk mitigation plan

Accelerating change, together Difficult issue High stakes Multiple options

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Bright minds Best evidence

Plausible scenarios Living Laboratories Stakeholder input Feasible options Business models Risk mitigation plan

Accelerating change, together Difficult issue High stakes Multiple options

+

Bright minds Best evidence

Plausible scenarios Living Laboratories Stakeholder input Feasible options Business models Risk mitigation plan

We must meet their expectations!