Thursday, March 28, 2013

A peek behind the stethoscope with Mike Sevilla and Jordan Grumet

I had a lot of driving to do last weekend, and it gave me an opportunity to catch up on a few podcasts (still, by the way, one of my favoriate ways to consume media).  One of my new favorites is Dr. Mike Sevilla's "Family Medicine Rocks" podcast. There are a few reasons that I've enjoyed listening to the show.

First, Mike is one of those docs who's at the "nuclear core" of the Family Medicine Revolution (#FMRevolution - see my #MDigitalLife post on another revolutionary, Jay W. Lee, for background). These family docs have used the internet as a way to reshape the way that we think about family medicine - and more broadly, to reinforce the role of primary care in our health system. Second, Mike has great guests ... I've loved hearing from people like Natasha Burgert, Ben Miller, Jennifer Dyer and many more.  These are people I've been reading (and reading about) for a long time, but to get to hear them on the air is really cool. Lastly, because Mike is entertaining as hell. He runs the podcast like a late-night talk show, and it is a lot of fun to listen to.

But the thing that pushed me over the edge in terms of writing about the show was the last episode I listened to - the episode in which Mike interviewed Jordan Grumet - an internal medicine doc in northern Illinois.  Jordan is incredibly passionate about being a doctor - particularly about being a primary care doctor.  In fact, he's so passionate about it that he wrote a book of short stories and poems called Primary Care. [I keep a copy proudly on my desk] ANYWAY, the conversation that Mike and Jordan had in this podcast provided what was perhaps the best overview of what it's like to be a doctor in today's changing health system of any that I've heard.

I don't want to give any spoilers, but it's fair to note that Jordan has elected recently to leave his traditional medical practice and to do something different.  My favorite segment from the show is Jordan describing his relationship with the current healthcare system (primarily those responsible for paying for  the care he provides:

I value who I am and I value what I bring to this world. You've decided that what I am is not valuable to you.  That's your decision, but then I have the option of not giving you those services [that you don't value]. So I'm stepping out of the relationship.
...
I could go to Washington and try to become a lobbyist or work for the AMA, and try work to change the system, but that's not really me ... I can only change what I do ... so I'll step out of the system and do what I believe is right, and it'll be my own little statement about what's happening to healthcare.
...
I won't agree to it. I won't sign on the dotted line. And maybe [in so doing] I'll have some small effect on the world around me.

If you're interested in hearing the perspectives of a couple of people who combine a passion for health and medicine combined with an almost unbelievable ability to articulate their stories, please do give this a listen ... and think seriously about supporting our primary care docs.

You can keep up with Dr. Sevilla on his blog, "Family Medicine Rocks" as well as on his twitter account, @DrMikeSevilla.  And you can keep up with Dr. Grumet on his blog, "In My Humble Opinion" and on his twitter account, @JordanGrumet.

Tuesday, March 26, 2013

What makes a "must-follow" twitter account?

Time's 140 Best Twitter Feeds of 2013
Time magazine published the 2013 edition of their annual 140 Best Twitter Feeds article this week. I love this idea ... it's a very clever way for Time to be relevant, engage influential online audiences, and use their editorial power to curate information that can be truly useful to their readers.  [I also love the idea that it's a top 140* rather than a top 100; that's just a very nice pice of promotion.]

The reason I knew about it is because one of my friends (I hope that it's not presumptuous to call her that!) actually made the list this year.  And it wasn't one of my famous friends like Aaron Strout or Chuck Hemann (social media tip: this is called link-baiting - a trick used for shameless self promotion by people like me, but never by people like Spike Jones or Brian Reid**) - it was a pediatrician of all people!  Wendy Sue Swanson, known to the world as @SeattleMamaDoc, is one of the most passionate, enthusiastic, generous and humble people I know.  You can feel her genuineness and credibility in every piece she writes (here's a good example), and she uses twitter very much the way that I do ... as a vehicle for sharing information and engaging with people who share her passions and interests.

So as I thumbed through the rest of the "Health" accounts that Time deemed "best," I was a little nonplussed. Especially when I came upon Dr. Frank Lipman.

[DISCLAIMER: I don't know Dr. Lipman, or anything about him except what I can see from his twitter account and the web site it links to. I have no doubt that he's a brilliant doctor and is probably a wonderful man as well. What you're about to read isn't an attack on Dr. Lipman; he's simply a poster child for an axe I have to grind.]

Dr. Frank Lipman, according to his bio, is a "Practicing physician, author & educator, helping thousands reclaim their vitality & zest for life." His twitter account links to a web site that sells nutritional supplements (presumably of his own creation). That all sounds great - nothing wrong with that. But here's what I can't figure out: What is it that makes him literally one of the best 8 healthcare twitter accounts to follow? Dr. Lipman is followed by over 14,000 people - and only follows 24 in return.  With a ratio like that, he clearly fails the "using twitter to engage with other passionate people" test. In fact, in order to pull that off, your content must be pretty damned compelling, right?  Here, the plot thickens even more.

A few of Dr. Lipman's posts are re-tweets of other prominent healthcare accounts, and he occasionally @mentions someone, usually to thank them for a compliment he's received.  A few more pertain to health news with a link back to the source of that news. But most of them - more than 50% by my eyeball calculation, are simply random health facts with no link, no source, and no discernable applicability.  Example:

1. No, I did not know that.
2. I also do not know what the pineal gland is or does, or why I should care about melatonin.
3. I am interested in learning the answers to these questions, but I have no source to check or link to click that would help me to understand.
4. This is not, for me, a terribly useful post***

A couple of his well-meaning followers pinged him for more information about the post, but he didn't reply (at least publicly - he may very well have done so privately).  

All of that got me thinking: What DOES make for a must-follow twitter account?  Here's what I think:
  • Relevance - I want to follow people who are interested in things that I'm interested in (obviously those are different for every person).
  • Discernment - I want that account to share things that are meaningful from a content perspective, or that help me to get to know them as a person. In the best of circumstances, they'll do both.
  • Credibility - I want to follow accounts that have a certain amount of objectivity, and aren't just promoting one thing over and over.
  • Thoughtfulness - Tweets are short. The best ones will help me link to more information as well as the twitter handle of the author of that information - so I can read more, and follow the author if I agree that the subject is an interesting one.
  • Engagement - My number one test of a must-follow account is whether that person listens to others, and responds to others meaningfully (not all the time; just when it's appropriate).  And whether that account, from time to time, promotes the work of others with no expectation of personal gain. 
I'm curious what Time Magazine's criteria were ... because they're clearly different from mine! I know that everybody's reasons and methods for using twitter are different, and that there's no single "right" answer.  For some people (read: me), Wendy Sue Swanson is absolutely one of the 140 Best Twitter Accounts. For others (read: Time Magazine and 14,000 other people), Dr. Lipman is one of the best.  

What about you?  What makes for a must-follow account?

* For those of you who are non-twitter users, but for some reason are still reading this post (hi, mom!), twitter is well-known as a microblog that limits each post to 140 characters in length)
** See what I did there?
*** There may well be scads of people who know EXACTLY what is implied here, and had a wonderful "a-ha moment" as a result of this post.  I'm just not sure who those people might be.

Monday, March 4, 2013

American Voices Data - The Slidecast (#AA4H)

For those of you who weren't able to make it through the webcast (looking at me for a full 30 minutes can be pretty rough), I've married the audio with the powerpoint presentation on WCG's slideshare channel ... so now you can get all the detailed commentary without the scary, wildly gesticulating bald guy on the screen.

Did you know that twice as many people in the US died of lung cancer than breast cancer, but that physicians talk about breast cancer 4x more online?  Learn why here ... And of course, there's more to come. Ask your questions in the comments - and I'll answer 'em all!