Saturday, April 18, 2015

How can social media help Family Medicine?

This post originally appeared on the AFP Community Blog.

I was thumbing through an issue of Family Medicine (the Society of Teachers of Family Medicine's journal) when I came across "Twitter Use at a Family Medicine Conference: analyzing #STFM13." I knew that this article was on its way; its lead author, Dr. Ranit Mishori, had contacted me to ask for some of my thoughts about using Twitter at conferences several months ago.

The study authors examined every tweet with the #STFM13 hashtag related to the 2013 Annual STFM conference from 3 days prior to the conference, during the conference, and for 3 days after the conference. They found that nearly 70% of the tweets were directly related to session content, about 14% were more social, and the remainder related to logistics and advertising. They also grouped the top reasons attendees gave for tweeting into four categories: information sharing, networking and connectedness, advocacy, and note taking.

Several of my comments made their way into the article about why I tweet at conferences. Tweeting allows me to simultaneously take notes and share interesting facts with the Twitter-verse. It's easy to read through my tweets when I get home and review what I learned along with the action steps I need to take. I also enjoy the dialogue and camaraderie that happens during the conference on Twitter; it's great to respond to other people's comments and factoids as well as see their responses to mine. By enabling supportive, meaningful dialogue among conference attendees, Twitter helps us to engage more deeply with the conference content.

Upon reading the article, I saw my Twitter handle (@SingingPenDrJen) named as the top tweeter for the conference. I was both a little proud and a little dismayed; it's nice to be an "influencer," but maybe I'm tweeting too much? Outside of what the article terms "social" tweets (which are not the majority of my tweets), I try to only tweet session content that is new, insightful, and/or practice changing. I'll definitely be more mindful of what I tweet at the next conference I attend.

Only a small percentage of STFM 2013 conference attendees were on Twitter; just 13% of conference attendees tweeted at least once, and over half of the total number of tweets were sent by 10 people. Many of the people sitting next to me in conference sessions asked me about tweeting and why I do it. When I offered to assist them with getting on Twitter, most politely declined, usually with comments about "I don't have the time" and the how intimidating new technology is ("I can't even figure out my EHR!" one person said).

I'd love to see more family docs on Twitter and other social media sites, but I'm not sure how realistic that is. From 2012 to 2013, the number of tweeters at the STFM conference didn't budge much. The diffusion of innovations theory postulates that a critical mass of early adopters have to embrace a change before the majority will follow suit; are we still waiting for that critical mass, or will this particular theory end up not applying to family docs and Twitter, with a significant number of docs not ever using it?

Spreading the word about the positives of an online presence may be a step in the right direction. A recent article in Family Practice Management reviews several social media platforms and discusses benefits of having a robust online presence. The article describes using social media to provide office updates and patient education. Perhaps equally valuable is proactively managing your online presence, so that patients see more than just third-party website patient reviews of you when they put your name into a search engine. At the end of the article is a list of simple, practical starting points for getting online in ways that benefit both patients and docs.

I hope to see more articles exploring how we as family docs connect and communicate online. Keep the replies, retweets, and Facebook posts coming!

Thursday, April 16, 2015

Not like other doctors

I've now been in my new position for about 8 months. (When does "new" no longer apply?) The toughest part of moving for me is having to build new relationships with patients, and over the past few weeks I'm finally looking at my daily schedules and recognizing some names.

I think my patients are starting to feel that sense of comfort as well, and several of them have made a similar comment to me. The context always seems complimentary:

"You're not like any doctor I've ever known!"

One patient followed this comment by saying, "If you weren't wearing a white coat, I'd never guess you were a doctor."

I graduated from medical school in 2003, yet I've never heard these comments before, not until this most recent move. Is there something different about the physicians in this area whom I'm being compared to? Have I changed, somehow, in ways I haven't recognized?

I have gotten a lot more comfortable in my own skin as a doc. I still rely on my doctor-patient communication training to make sure the visit stays focused on the patient's needs, but I worry less about "sounding like a doctor." I feel free to inject some of myself into these interactions, which feels much more comfortable than earlier in my career; I was guilty of imitating how I felt a "good" doctor would act instead of being genuine with patients.

While I appreciate the implied compliments, part of me worries about these "not like other doctors" statements. Perhaps I don't look professional enough, or act professionally enough. Maybe I'm putting too much of my personality into these encounters. Maybe my patient interactions cross that invisible doctor-patient boundary line of appropriateness. Is there some inherent "doctor"quality that I am lacking?

And, if so, how do I figure out what it is?






Monday, February 23, 2015

0.7 + 0.1 = 1.0

I've been looking carefully at my weekly schedule to make sure I'm not committing to projects that I don't have time for. There just don't seem to be enough hours in the day to get things done, and while I know that's a common sentiment, as a part-time worker I'm not sure anyone will empathize with me.

I currently have two employed positions; I work 0.7 FTE with a residency program and 0.1 FTE with a medical journal. I intentionally left 1 day a week open for my writing and volunteer projects; it also definitely de-stresses my marriage for one of us to have a little wiggle room in the week to take care of all of those sniggly domestic tasks that always crop up.

While examining how I've been spending my time, though, I discovered the phenomenon of "schedule creep." 0.7 FTE should leave 1.5 days a week free; 0.1 FTE should only take up 0.5 of one of those days. But I've been working 32-40 hours a week at my 0.7 FTE position; the 0.1 FTE is pretty close to 4-5 hours a week. That adds up to 36-44 hours per week of work, or 0.9-1.1 FTE. Add to that the sniggly domestic tasks that fall to me, and no wonder I'm not writing or volunteering nearly as much as I would like.

Of course, few full-time physicians work 40-hour weeks, and 32-36 hours is close to 70% of the average physician workweek. My husband is a 1.0 FTE physician, and he is regularly clocking 50-60 hour workweeks (which is why I don't begrudge doing my fair share of those sniggly domestic tasks). But seeing just how much time I am spending makes me feel a little better about the non-work activities that haven't been getting done as much as I would like.

That said, I have no regrets about being part-time. Although our dream to have a family hasn't panned out, it still works well for us as a two-physician household to have a release valve in our weekly schedule. I am certainly not getting 8 hours a week (my supposedly leftover 0.2 FTE) to spend on writing and volunteering, but at least I don't feel guilty about the time I do spend on non-work activities.

For right now, it works, and that's good enough for me.