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LE SPÉCIALISTE
Le magazine de la Fédération des médecins spécialistes du Québec
Vol. 13 no. 4 | December 2011
Web 2.0
THE WAVE
TWIN
CERTAINTIES...
p. 40
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1
Les Services bancaires mobiles RBC sont offerts par la Banque Royale du Canada. VPS66393 (11/2011)
PUBLIREPORTAGE
Summary
LE SPÉCIALISTE IS PUBLISHED 4 TIMES PER YEAR BY
THE FÉDÉRATION DES MÉDECINS SPÉCIALISTES DU QUÉBEC 7 WORD FROM THE PRESIDENT
EDITORIAL Committee PRINTING Ends, Our Predictions For 2012...
2011
Dr. Bernard Bissonnette Impart Litho
Dr. Raynald Ferland
Dr. Paul Perrotte CIRCULATION 8 IN THE NEWS
Maître Sylvain Bellavance 13 500 copies
Nicole Pelletier, APR, director
Patricia Kéroack, TO JOIN US 11 DID YOU KNOW...
communications consultant EDITION
Telephone: 514 350-5021
DELEGATED PUBLISHER Fax: 514 350-5175
15
Nicole Pelletier, APR E-Mail: communications@fmsq.org
ADVERTISING
DOSSIER
RESPONSIBLE FOR Telephone: 514 350-5274
PUBLICATIONS WEB 2.0
SPÉCIALISTE
Fax: 514 350-5175
Patricia Kéroack E-Mail: fcadieux@fmsq.org
www.magazinelespecialiste.com THE WAVE LE
Le magazine de La Fédération des médecins spéciaListes du Québec
REVISION Vol. 13 no4 | Décembre 2011
• Web 2.0 and Healthcare
Angèle L’Heureux Fédération des médecins
spécialistes du Québec 16
• Medical Specialists are
PRODUCTION ASSISTANT 2, Complexe Desjardins, porte 3000
C.P. 216, succ. Desjardins, Web 2.0
Geneviève Roberge LA VAGUE
GRAPHIC DESIGNER
Montréal QC H5B 1G8
Telephone: 514-350-5000
Surfing… So is the FMSQ 22
Dominic Armand
PUBLICATIONS MAIL • Have You Met
Mailing Indicia 40063082 @DrBarretteFMSQ?24
DEUX
TRANSLATION CERTITUDES...
Voir texte p. 40
Anne Trindall
LEGAL DEPOSIT
Annette Grimaïla
4th quarter 2011 • The Physician and
Advertising Bibliothèque nationale du Québec Social Networks 27
ISSN 1206-2081
• Integrating Social Media
France Cadieux
into Your Medical Practice 30
All pharmaceutical product advertisement’s have been approved by the
Pharmaceutical Advertising Advisory Board (PAAB). • Discovering Mobile
CCAB audits the medical specialists and residents database Medical Applications 32
(11,115 copies audited for June 2011) The FMSQ also
distributes around 1,000 copies to Researchers and
Professors of the 4 Medical Faculties in Quebec, as well as managers and leaders
of the Québec healthcare system. 35 REAT NAMES IN QUEBEC MEDICINE
G
The authors of signed articles are sole responsible for the opinions expressed
therein. No reproduction without previous authorization from the publisher. r. François A. Auger, Microbiologist and Infectious
D
The mission of the Fédération des médecins spécialistes du Québec is to defend Disease Specialist
and promote the economic, professional, scientific and social interests of the
medical specialists who are members of its affiliated associations.
36 CONTINUING PROFESSIONAL
EDUCATION
38 SERVICES AUX MEMBRES
THIS EDITION’S ADVERTISERS:
A vantages commerciaux
• Desjardins 2
• Telus mobilité 3 39
FINANCIÈRE DES
• RBC Banque Royale 4
• Financière des professionnels 6
PROFESSIONNELS
• Sogemec Assurances 8
40 SOGEMEC ASSURANCES
• ASSS du Bas-Saint-Laurent 12
• Club Voyages Berri 13
• IMS Brogan 14 42 LE MOT DU PRÉSIDENT
• La Personnelle 34 Réalisations et prédictions...
• Services aux médecins MD 43
• Groupe Conseil Multi-D 44
LE SPÉCIALISTE | VOL. 13 No. 4 | DECEMBER 2011 | 5
Tournée
de conférences
En tant qu’investisseur, il semble de plus en
plus difficile de conserver vos repères dans la
turbulence actuelle des marchés financiers. Pour
assurer l’atteinte de vos objectifs futurs, vous devez
d’abord savoir où vous vous situez maintenant!
Le temps d’une conférence, nous vous proposons
de partager notre réflexion sur les événements les
plus porteurs de 2011, les voies qui s’ouvrent à vous
en 2012 ainsi que les éléments qui s’annoncent
déterminants pour l’avenir de vos placements.
Venez planifier votre itinéraire financier avec les
experts de la Financière des professionnels!
.
Accueil : 18 h - Conférence : 18 h 30 Un repas sera servi.
Inscrivez-vous en ligne au www.fprofessionnels.com
ou téléphonez-nous aux numéros suivants :
Vous êtes ici Montréal
Montréal (ACDQ dentistes)
Claire Morin
Nancy Sauvageau
514 350-5050 ou 1 888 377-7337
514 282-1425 ou 1 800 361-3794
Québec Nancy Tremblay 418 658-4244 ou 1 800 720-4244
Sherbrooke Lyne Petit 819 564-0909 ou 1 866 564-0909
Actionnaire de la Financière des professionnels depuis 1978
WORD FROM THE PRESIDENT
Dr. Gaétan Barrette
2011 Ends,
Our Predictions For 2012...
The year 2011 has been a very hectic one, and everybody at the Federation has put their
shoulder, in fact both their shoulders to the wheel! At this point in the year, we normally
say it is ending. The operative word here is “normally”, because things are a bit different
at the FMSQ. After months of negotiations with the government, we managed to reach
a satisfactory new Agreement, without conflict on either side. Since then, we have been
concentrating on the future allocation of the gains we have made. We have therefore started
out on a round of visits to the medical associations and, during the remaining few weeks of
2011, we will be maintaining the rhythm in order to finalize our meetings and move forward
with work on the allocation planned for 2012.
O
ther issues have been brought to a satisfactory conclusion And, to close the year, I am particularly glad about the
in 2011, not only with regard to the Federation and its realization of an undertaking that has taken a certain time – or
members but also for patients in Quebec. One particular some would say “has certainly taken time” – to achieve. But
example is the agreement reached with the MSSS on the treatment time arranges all things, we are told. We have managed to
costs imposed on patients with macular degeneration. We had reach agreement on implementing a parental leave program,
to present the Minister of Health with a 48-hour ultimatum to pay as you will have read in the recent INFOnégo newsletter.
these costs, but the effort was well worth the while. I believe that this accomplishment should be underlined twice,
rather than just once. The Federation had already reduced
We also saw the launching of the construction of the future membership fees for new parents, and this program will be
CHUM. Even though the FMSQ was forgotten as far as an further improved to take other parental situations into account.
invitation to attend the official event was concerned, with all the I want to underline the determination of Dr. Josée Parent who,
bigwigs present, we are well aware that the project now finally as Vice President of the Federation (2009-2011), took up
under way would never have been on this scale if it had not been the challenge and kept a close watch on it at all times. I am
for the FMSQ’s intervention during the summer and fall of 2008. sure that medical specialists who are parents are thanking
Dr. Parent (how fitting!) for making this promise come true!
I would also remind you that, during the round of negotiations
conducted by the government with its employees, the Federation The coming year is sure to bring its quota of health issues,
was the first medical group to support the claims made by the because there is a great deal to be done to enable our public
Fédération interprofessionnelle de la santé du Québec (FIQ). system to function better. We already know what will not happen
The same comment applies to Crown prosecutors and Quebec in 2012: electronic patient records will not see the light of day,
lawyers. The FMSQ emphasized the essential role played by nurse‑practitioners will still be left aside, intermediate resources
these groups in the public health and judicial systems and the will be insufficient to free up beds, operating room productivity
importance of negotiating an agreement that respected their will not be able to be increased, macular degeneration treatments
professional contribution. There was good reason for our campaign and in vitro fertilization will not be available in all establishments,
“Expertise has a price”! etc. I am not going to go any further. This list could be used as
a basis for decision-makers’ resolutions but, as we all know,
Finally, our Federation supported adding new professional activities resolutions are made to be broken.
to those reserved to Quebec pharmacists. To keep up with the
Web 2.0 site introduced in this issue, our support was on Twitter This year, the coming holidays will be particularly well-deserved
(see page 24). at the Federation! I hope that you, too, will be able to enjoy the
festive season with your family and friends. On behalf of all my
team, I wish you Season’s Greetings!
Yours in solidarity!
LS
LE SPÉCIALISTE | VOL. 13 No. 4 | DECEMBER 2011 | 7
IN THE NEWS
New Collaboration
While both were working at the Hôtel-Dieu de Lévis hospital, STAT’s first volume was published earlier this
Dr. François Paquet, an emergency medicine specialist, and Yves year by Éditions Moelle Graphique (www.
Lessard, a nurse, had the bright idea of combining their talents moellegraphique.com) and the authors are
to create an original project: a cartoon strip on the subject of the actively preparing the second volume. In
healthcare system in Quebec. addition, the authors regularly post a new
strip on their web site (www.statcomics.com).
As each of them admits to more than 20 years experience in the
healthcare network, they have accumulated many anecdotes
from which they freely draw their inspiration. They also collect From now on, Le Spécialiste will be including a strip from this series
suggestions from their peers (should you be interested). in each issue of the magazine.
POUR TOUS VOS Grâce au
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Par courriel ou Internet :
information@sogemec.qc.ca / www.sogemec.qc.ca
SOGEMEC ASSURANCES
filiale de la
8 | LE SPÉCIALISTE | VOL. 13 No. 4 | DECEMBER 2011
IN THE NEWS (SUITE)
The 2011 Education Day - A Great Success!
The 4th Interdisciplinary Education Day organized by During lunch, the Quebec Council on Physicians’
the Fédération des médecins spécialistes du Québec’s Continuing Professional Development awarded
Professional Development Office was a great success. a Special Mention in the framework of the Prix
From 240 participants at the first Education Day in de l’innovation pédagogique en développement
2008, attendance at the 24 sessions presented during professionnel continu (DPC) 2011 to Doctors
the day reached near to 650 persons. Renée-Claude Duval, Simon Pierre Proulx, Line
Archambault, Richard Goulet, Leila Ben Amor
Speakers, moderators and panellists addressed participants on and Annick Vincent. The title of their project was Trousse d’outils
subjects as varied as fibromyalgia, a critical reading of randomized d’évaluation TDAH enfants-adolescents (Evaluation Toolkit for
studies, planning for retirement and how surgery and radiology Childhood and Adolescent ADHD).
complement one another in the case management of common
surgical pathologies. The President’s Cocktail marked the end of the day’s activities
and provided physicians the opportunity to network. Earlier,
The objective of Interdisciplinary Education Days is to bring the Federation’s President, Dr. Gaétan Barrette, had issued
physicians of various specialties to speak with one another in order an important message on the role of physicians in the case
to improve patient case management. Presentation subjects are management of patients and in healthcare services as a whole.
mainly proposed by medical associations and scientific committees
while the final program is put together by a planning committee.
RESERVE THE DATE
OF NOVEMBER 9,
2012 RIGHT NOW
FOR THE 5TH
EDITION OF THE
INTERDISCIPLINARY
EDUCATION DAY.
From left to right: Madame Céline Monette, from the CQDPCM,
Dr. Renée-Claude Duval, pediatrician, Dr. Simon-Pierre Proulx, general
practitioner, Dr. Line Archambault, psychiatrist and Dr. Richard Goulet,
pediatrician. Missing from the picture: Dr. Leila Ben Amor and Dr. Annick
Vincent, both psychiatrists.
LS
LE SPÉCIALISTE | VOL. 13 No. 4 | DECEMBER 2011 | 9
IN THE NEWS
Building the new UHCs of Montreal
Since September 2010, we have been reporting photographically on how construction work is
advancing on the new university hospital centres being built in Quebec. As a picture is worth a
thousand words, what better way to keep track of these projects!
The new McGill University Health Centre will open its doors in the fall of 2014, while the CHUM is
expected to open in 2018.
Picture taken on November 11, 2011
CHUM
Research Center Construction Work
Picture taken on November 11, 2011
MUHC
LS
10 | LE SPÉCIALISTE | VOL. 13 No. 4 | DECEMBER 2011DID YOU KNOW...
Prizes and Awards
Armand Frappier Prize 2011 Prix d’excellence – Centre hospitalier universitaire
de Sherbrooke
Dr. Jean-Claude Tardif, a cardiologist
and Director of the Montreal Heart Institute The CHUS Board of Directors gave out its
Research Centre, received the Armand- prizes for excellence during its 11th Gala.
Frappier Prize for 2011 when the Prix du They underline the commitment, leadership
Québec recipients were announced. This and professionalism of people in the field.
prize is the highest distinction awarded by
the Quebec government to a scientist who The Grand Prix d’excellence was awarded to
has contributed to the development of a Dr. Gaétan Langlois, an orthopedist, Chief
research institute. of Surgery and Medical Head of the Patient
Surgical Care Program.
Canadian Paediatric Chairs Award Dr. Muriel Mury, a psy
Dr. Robert Thivierge has received the chiatrist and professor at
2011 Pediatric Academic Leadership Sherbrooke University,
Prize awarded by the Paediatrics Chairs of together with Dr. Patrice
Canada. This marks Dr. Thivierge’s more Perron, an endocrinologist,
than 30 years’ support of medical education Chief of Medicine and Head
in pediatric emergencies. of the Patient Special
ized Care Program, both
received Personality
Prizes in recognition of their investment in teaching and their
outstanding personalities.
Women’s Y Foundation Community Service Award
Dr. Éric Turcotte, a nuclear scientist and
Dre. Joanne Liu, a pediatrician at Sainte
Clinical Director of the Molecular Imaging
Justine University Hospital Centre has been
Centre in Sherbrooke, received a Recognition
honoured for her community service with
Award underlining his input during the medical
Doctors Without Borders (Médecins sans
isotopes crisis where he played a major role
frontières). Over the last 15 years, she has
in developing alternative tracers, such as
taken part in more than 20 humanitarian
sodium fluoride.
missions to disaster zones.
Médecins francophones du Canada Annual Prizes Prix Léo-Pariseau
Médecins francophones du Canada handed The Association francophone pour le savoir
the Award of Merit to Dr. Martin Juneau, a (ACFAS) has awarded the prestigious Prix
cardiologist at Montreal Heart Institute. The Léo-Pariseau to Dr. Claude Perreault, a
award honours a physician’s community hematologist at Hôpital Maisonneuve-
commitment and involvement. La Presse Rosemont and Head of Research at the
newspaper also named him Personality of Université de Montréal Immunology and
the Week on October 31. Cancerology Research Institute. This prize
honours the work of a person working in the
field of biological or health sciences.
Dr. Perreault is the first Quebec medical specialist to have
Michel-Sarrazin Prize successfully carried out a bone marrow graft.
he Club de recherches cliniques du Québec
T
bestowed the Michel-Sarrazin Prize for 2011 Grand Prix de Québec-Transplant
on Dr. Stanley Nattel, a clinical cardiologist
Dr. Denis Marleau, a gastroenterologist and
and director of the Electrophysiology
founder of the liver transplant program of
Research Program at the Montreal Heart
CHUM-Hôpital Saint-Luc, has been awarded
Institute. This prize is awarded each year to
the Grand Prix of Québec-Transplant in
a seasoned Quebec scientists whose energy
recognition of leadership shown by a
and productivity have made an important
professional in the advancement of organ
contribution to the advancement of
donations in Quebec.
biomedical research.
LE SPÉCIALISTE | VOL. 13 No. 4 | DECEMBER 2011 | 11DID YOU KNOW... (SUITE)
Transœsophageal Echocardiography Multimedia
Manual: One of the five best Are you working with trans patients?
As part of its Medical Book Awards 2011, the British Action Santé Travesti(e)s et Transsexuel(le)s du Québec (ASTT(e)Q
(Quebec Action for the Health of Transvestites and Trans-sexuals)
Medical Association has praised the second edition of the
has just launched Je m’engage, a guide intended for Quebec
Transœsophageal Echocardiography Multimedia Manual, health care and social service providers working with this clientele.
designating it as one of the best books on cardiology published Around 60 pages long, the guide deals with hormone replacement
in 2010. therapy, the defence of transgender patients/clients, and much
more. Health-related circumstances and issues experienced
This work, coauthored by by trans people are not generally taught in a classroom. Most
Drs. Pierre Couture, André Denault professionals acquire their expertise through experience, and this
and Jean-Claude Tardif of the guide has been devised to promote the development of services
appropriate to this atypical population. To order a copy of the
Montreal Heart Institute (MHI)
guide, please send an email to jackson.astteq@gmail.com.
among others, covers the new
developments and challenges
awaiting anesthesiologists,
cardiologists, heart surgeons, The Holidays are here
intensive care specialists and
After a year filled and enriched with positive
others interested in perioperative developments, the Fédération des médecins
transesophageal echocardiography spécialistes du Québec wishes you a wonderful
not only before, during and after Holiday period and an excellent year in 2012.
heart surgery, but also for its
On this same occasion, the Federation invites you
applications in hemodynamics, to be generous towards the disadvantaged in our society. In
electrophysiology and major non-cardiac surgery, such as liver Quebec, one person in eight lives in poverty. Please support
and kidney grafts. The Manual also deals with the treatment of the efforts which have been undertaken since 1939 by the
critical patients by intensive care medical specialists. organizations that are now grouped under the Centraide banner
(www.givetocentraide.ca). In Quebec, there are 18 Centraides
that support more than 1,700 community organizations
throughout the regions and, together, they come to the aid of
1,300,000 disadvantaged individuals.
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12 | LE SPÉCIALISTE | VOL. 13 No. 4 | DECEMBER 2011DID YOU KNOW... (SUITE)
New Publications Ce que le sida a changé
On the 30th anniversary of the discovery of
In the collection Vivre avec…
CE QUE LE SIDA A CHANGÉ
J E A N - P I E R R E
AIDS, Dr. Jean-Pierre Routy, a hematologist at
CE QUE LE R O U T Y
S I DA
A CHANGÉ
McGill’s Royal Victoria Hospital has published
« Depuis maintenant presque trente ans, je participe
Dr. Arthur Amyot, a gerontopsychiatrist at
aux soins des personnes atteintes par le VIH-sida.
J’ai vécu la sombre époque où ce mal d’origine incon-
nue n’avait même pas de nom, j’ai vu des patients
aussi jeunes que je l’étais mourir dans des conditions
terribles et le plus souvent rejetés par leur famille.
CE QUE LE
S I DA Ce que le sida a changé, a book that gives the
J’ai aussi été le témoin de moments extraordinaires
Hôpital du Sacré-Coeur de Montréal, in
d’entraide et de solidarité.
Avoir croisé le chemin de personnes souffrant du sida
m’a profondément marqué. Les leçons qu’elles m’ont
données et la confiance qu’elles m’ont accordée
broad outline and small details of the history
pendant ces trente années m’ont permis de tenir le cap.
collaboration with René Des Groseillers, a
Ce livre en forme d’abécédaire est né du point
A CHANGÉ
d’équilibre entre la période sombre du début de
l’épidémie et ce printemps de l’espérance, où un
premier patient a pu être officiellement déclaré guéri
JEAN-PIERRE ROUTY
of this unique disease. The author, who has
du sida grâce à une greffe de cellules souches. Nous
psychologist, has published “Vivre avec un
vivons un moment unique : le plateau de la balance
semble désormais pouvoir pencher du côté de la vie. »
J E A N - P I E R R E R O U T Y est médecin dans le
decided to devote his life to AIDS, relates three
Service d’hématologie et d’immunodéficience de
proche qui vieillit” (Living with an aging family
l’Hôpital Royal Victoria de Montréal.
ISBN 978-2-923511-34-4
member) with Éditions Bayard. This book
9 782923 511344
decades that have radically changed sexual and
gives a general outline of this stage in life interpersonal relations. Dr. Routy paints a vibrant picture of the
when both the body and mind are subject beginnings of this epidemic and the parade of deaths, while
to multiple changes. It includes motricity, still maintaining his faith in the future at a time when advances
cognitive problems, autonomy, dependence in medicine help him keep his patients alive.
and institutionalization. Dr. Amyot believes that coping with
aging is greatly facilitated by the support of someone close to Le pouvoir anticancer des émotions
the person. This role, however, has limitations which must be
learnt and accepted. Dr. Christian Boukaram, a radio-oncologist
at Hôpital Maisonneuve-Rosemont, has
In the same collection, Dr. Nagy Charles published Le pouvoir anticancer des émotions
Bedwani, a children’s psychiatrist at Hôpital du (the anticancer power of emotions). The book
Sacré-Coeur de Montréal, has published “Vivre takes a new look both at this disease and the
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LE SPÉCIALISTE | VOL. 13 No. 4 | DECEMBER 2011 | 13Concours Prix IMS Brogan 13e édition
Deux bourses
de 3 000 $ à gagner
DESCRIPTION DU CONCOURS RÈGLEMENTS
Le Conseil consultatif d’information sur la santé d’IMS L’auteur principal (premier auteur) de l’article doit être un
Brogan a créé les Prix IMS Brogan pour souligner les travaux médecin spécialiste membre d’une association affiliée à la
de médecins et pharmaciens concernant l’utilisation clinique Fédération des médecins spécialistes du Québec. Tout article
efficiente des médicaments. Ces prix représentent une valeur original paru dans une revue pharmaceutique ou médicale
totale de 30 000 $ qui est répartie de la façon suivante : spécialisée (excluant les entrevues et articles de journaux)
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▪ à la Fédération des médecins omnipraticiens du Québec
peut être soumis à condition qu’il appartienne à l’une des
(FMOQ) et à la Fédération des médecins spécialistes
catégories précisées ci-dessus. De plus,
du Québec (FMSQ) deux prix de 3 000 $ à chaque
fédération pour un article sur l’utilisation appropriée ▪ les traductions, adaptations ou reproductions d’articles
des médicaments; ne sont pas admissibles;
▪ aux pharmaciens, par l’entremise de l’Association ▪ les articles acceptés pour publication mais non encore
québécoise des pharmaciens propriétaires (AQPP), deux publiés ne sont pas admissibles;
prix de 3 000 $ chacun pour un article sur l’utilisation
▪ les articles en deux parties comptent pour un seul texte;
appropriée des médicaments;
▪ si un article a été rédigé par plus d’un auteur, le prix
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méritants pour un stage à l’extérieur. faire parvenir, avant le 31 janvier 2012, au directeur de
l’Office de développement professionnel de la Fédération
des médecins spécialistes du Québec, 2 Complexe
DESCRIPTION DES PRIX DÉCERNÉS Desjardins, porte 3000, Montréal (Québec) H5B 1G8. Ils
Deux bourses de 3 000 $ seront décernées à deux médecins seront ensuite évalués par un comité de sélection mis sur
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médicaments, à titre d’exemple :
Le directeur de l’Office communiquera à IMS Brogan le
▪ importance de l’observance du traitement médicamenteux; nom des auteurs des deux articles retenus comme étant les
meilleurs. IMS Brogan remettra officiellement le prix lors
▪ meilleur traitement dans le cas d’une maladie donnée;
d’une conférence de presse.
▪ revue de l’utilisation de médicaments dans un contexte
clinique;
▪ utilisation efficiente de médicaments les uns par rapport
aux autres dans un contexte clinique.DOSSIER
Web 2.0
THE WAVE
With the arrival of personal computers and the democratization of computer science, the new information and
communication technologies have literally revolutionized how we work... and live.
Today, whether it’s at work, at home or at play, with the help of a single click, a panoply of services or tools
aimed at making life easier is opened to us on devices of all types (telephones, tablet computers, personal
digital assistants, netbooks, personal computers, etc.). Telephones have become smartphones. With the help of
various applications, we have access to a multitude of tools (restaurant guides, calculator, GPS, Facebook page,
dictionaries, encyclopedias and translation tools, transportation schedules, games and more). Interesting, no?
Yes, but even if people are surfing more and more often, a large number are still afraid to get their feet wet.
In this dossier, Le Spécialiste has looked over the technologies and tools that can be useful to medical specialists
in their professional practice as well as in their personal lives. Insofar as Web 2.0 is concerned, the Federation
is not being left behind. In addition to being present on social networks, the FMSQ will shortly be inaugurating
its new portal.
Rather than being totally swept up by the wave, this dossier will help you keep your head out of the water.
Keep this issue at hand in your technological first-aid kit.
We like receiving your comments. Please don’t hesitate to swamp us with e-mails: communications@fmsq.org.
Enjoy the reading and the surfing!
LE SPÉCIALISTE | VOL. 13 No. 4 | DECEMBER 2011 | 15By Véronique Clément
INTERACTIVE MEDIAS, FMSQ
Web 2.0 and Healthcare
Since its inception, the Internet had already revolutionized how we access information. The arrival
of the ‘social’ Internet and Web 2.0 have also permanently changed our attitude with regards
to information. With the multiplication of collaboration platforms and intelligent mobile devices,
people are no longer satisfied with passively receiving information; instead, they ask questions,
provide comments, and create their own information.
The popularity of Web 2.0 is constantly increasing, within all Quebec adults who use social networks
age groups and in all areas, including that of medicine. While at least once per month according to age
physicians take part in communities of practice, communicate 92%
86%
their knowledge or learn about advances in the world of medicine,
69%
patients search the Web, have conversations, ask questions 59% 63%
within discussion groups. Web 2.0 has definitely modified how
40%
we work and play. It also carries its load of changes to be faced
by physicians and their patients. 17%
A Portrait of Web 2.0 Quebec adults
as a whole
18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 and over
Base: Quebec adults (n = 1006)
Web 2.0 started up in 1995, but really took off in the middle of
Source: NetTend@nces 2011 • CEFRIO (Centre to promote research and
the last decade with the arrival of major players like MySpace innovation in organizations)
(2003), Facebook (2004), YouTube (2005) and Twitter (2006).
More recently, smartphones and tablet computers joined the party
and increased the speed at which social networks are emerging. The field of healthcare does not escape this phenomenon and
the number of physicians connected to the Web is constantly
on the rise. The most popular social networks meet the needs
g One Word or Another, but Which is the Right of physicians’ general interests in great part, but there are sites
One? specifically created for physicians and their patients. Each social
Web, Net, Internet: is there a difference between medium was developed more or less in response to its target
these terms? public and aimed to satisfy its various needs: social contacts,
According to the Office québécois de la langue française’s Grand developing professional networks, partnerships, etc.
dictionnaire terminologique (terminological database), the Internet
is a global computer network made up of groups of national, Even if most people do not start off by analyzing how they are
regional and private networks linked together through the TCP-IP going to use social networks, for physicians such a reflection
communications protocol. The Web, for its part, is a system based before the fact can make a real difference. What do you need?
on the use of hypertext which permits searching for information Do you want to be connected on a personal or a professional
on the Internet, access to this information and its viewing. level, or both? Who would you want to talk with or, to the
Nowadays, these terms all refer to the same concept and are used contrary, is there anyone you don’t want to meet online? How
as such in this text. much free time do you have each day or week to devote to
it and what device will you use to connect to your accounts?
Generation Y individuals (from 18 to 34) are still the most
connected today, but there is a clear majority of people regularly Some sites require a more regular presence or more sophisticated
using social networks. According to the CEFRIO’s survey equipment. A good understanding of one’s needs and of existing
NetTend@nces 2011, in Quebec, 73% of Internet users, online sites will avoid a lot of problems!
representing 59% of adults, are regular users (at least once a
month) of these online media. “Although the level of activity on
social networks goes down with age, it is also true that two This article aims at providing an overview of Web 2.0 and its possibilities. If
converting to 2.0 interests you, you can get a professional to guide you, a
out of three Internet users in Quebec between the ages of 45 person who has extensive knowledge of social networks and their uses and
and 54 (69%), a bit more than half of those between the ages who also understands the reality of being a physician as well as the stakes
of 55 and 64 (55%) and more than a third of those over 65 involved for your practice. These people are often known as interactive media
specialists or social media and Web 2.0 strategists.
(39%) do take part in at least one activity on social networks.”
16 | LE SPÉCIALISTE | VOL. 13 No. 4 | DECEMBER 2011Web 2.0
LA VAGUE
Average number of hours per week To Be or Not to Be…
spent on social networks
Social networks do not interest everyone, but whether you
8.6
know it or not, you may already be on them. These media
accept input 24 hours per day, 7 days per week. You have
friends, family, colleagues and, in the area of healthcare, patients
who use them, not always cautiously, alas! Physicians should
0.6 0.6 0.5 0.2 0.5 0.6 test this assertion by googling their own names. If they aren’t
Quebec adults 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 and over
already in circulation, we’d be very surprised. Patients discuss
as a whole their physicians, evaluate them, formulate complaints as well
as congratulations. The essence of an online presence is that,
Base: Internet users in Quebec who have participated at least once on social
networks (n = 591)
if you are not there, you cannot take part in the conversation
Source: NetTend@ances 2011 • CEFRIO going on about you.
Even if identity theft is not all that current on social networks, it
Twitter? 140 Characters and 2 Codes to can happen. Whether you intend to make regular use of these
sites or not, it is strongly recommended that you “reserve”
Start with… your name on them (i.e. Facebook, Twitter, LinkedIn) in
Although Twitter is not easy to use for the neophyte, it does order to avoid having someone else usurp your identity. As
open the door to a significant number of discoveries and makes a physician, you can check doctor evaluation sites like www.
it possible to talk with people in the field of healthcare wherever rateyourdoctor.com and www.rateMds.com to see if someone
they are in the world. Twitter has two main symbols that allow has in fact used your name. If such is the case, you must make
one to navigate through its continuous flow of information: the sure you ask for your profile (generally by sending your request
@ sign (identifying the person to whom the message is to the site’s webmaster) and, at the very least, add a short
addressed) and the # symbol (hashtag) that identifies the biography of yourself as well as accurate contact information!
subject of a conversation and thus allows one to follow a
thread in particular.
:-(
Warning!
Gathering around Hashtags
When you launch a search for your name on the Web, you can
Several communities, sharing an interest in common, set up be surprised by what is being said about you. Your first reaction
weekly virtual meetings with the help of hashtags. This is the is often to want to delete any and all public comments.
case with #HCSMCA (Health Care Social Media Canada) where To start with, you have to realize it is difficult to completely
various people with an interest for social networks in healthcare delete information circulating on the Internet. Even if it is erased
(physicians, patients, IT consultants, communications specialists, from one site, it may already have propagated itself over the
healthcare administrators, nurses, etc.) share their thoughts on Web and there’s no way of knowing it. You have to take into
the subjects suggested by members of the community. The account that once published online, information is both public
province of Quebec has a very visible presence there! These and permanent. A strong reaction to comments can sometimes
shine the spotlight on them whereas ignoring them can make
meetings allow sharing knowledge, exploring new avenues, and them pass unnoticed.
discussing stakes, always in a spirit of collaboration. Transcripts
of conversations and more information on the #HCSMCA
community are available online: http://bit.ly/o4Knxb.
:-)
It can also happen that hashtags are created on the spot to
Tip!
follow developments in relation to a specific event. For example, Whether you are active or not on social networks, it is always
you can look up #JASP2011 for the 2011 Annual Public Health interesting to know what is being said about you and to maintain
Days which took place at the end of November; or #RSNA2011 a minimum of control on such information. A useful tip is to take
advantage of Google’s alerts (http://www.google.com/alerts)
for the Radiology Society of North America Scientific Meeting to keep up to date. You should set up separate alerts to make
and Annual Assembly (from November 27 to December 2, 2011). sure you cover all possible forms of your identity, for example
Dr. Samuel Gariépy, Dr. Gariépy, Samuel Gariépy, Samuel
Gariépy M.D.
LE SPÉCIALISTE | VOL. 13 No. 4 | DECEMBER 2011 | 17Most Popular
Name and Description Examples of Use for a Physician
• Read and share information considered
Facebook is a social networking site between groups pertinent by the user;
of Internet “friends” who can use it to provide personal • Set up exchanges with students within a private
information (age, marital status, profession, etc.); publish discussion group;
information on each individual profile’s “wall”; share
• Subscribe to pages belonging to organizations
photographs, videos and hyperlinks; take part in public
that interest us in order to be kept abreast of the
discussion groups; organize events; create pages that increase public
latest news (for example, the FMSQ has its page
awareness of specific organizations, etc.
on Facebook on which it posts its latest news:
Facebook allows its users to interact by publishing comments or even https://www.facebook.com/laFMSQ).
making their preferences known by using the “Like” button. Several
other functionalities exist on Facebook that can be added to pages via *W
arning: Content published on a Facebook page may
seem private, but, in the vast majority of cases, they
various external applications, with a resulting increase in the possibility are public. When you write on this site, it is like writing
of interaction between users. for a newspaper. Make sure your comments have been
validated before putting them online.
Twitter is a social networking and microbblogging
service that enables users to send out, at no charge,
• Take part in group chats (TweetChat)
text-based posts (tweets) to a list of subscribers
(e.g. #HCSMCA) with other people on subjects
(followers) via a personal information thread. It also allows
of interest;
users to subscribe to other persons or organizations and
follow what they publish, react to it and repost it through the RT • Follow discussion threads of influential people
function (retweet). or organizations in one’s field in order to keep
up to date on the latest news
The short messages (maximum of 140 characters) gave rise to
(e.g. @DrBarretteFMSQ, @FMSQ, etc.);
a shorthand unique to Twitter that can sometimes be difficult to
understand for a new user. • Publish important information on one’s own blog
in order to circulate it on the Web.
Used principally like a newswire, Twitter also allows publishing links, in
particular to photos and videos.
LinkedIn is a business-related social networking service
that can be used for everything related to one’s
professional life: to find or offer a job, to obtain
recommendations, for market development, etc. In • Take part in multidisciplinary discussions;
particular, it allows one to build a professional • Publicize one’s professional achievements.
community: to discuss, ask questions or answer those from other
people by taking part in groups, publish information on one’s
professional experience, studies, interests, etc.
Google+ is Google’s social networking site. It is a hybrid
site with some of the functionalities found on Facebook,
Twitter and LinkedIn. It allows users to publish personal Google+ provides social networking very similar
or professional information to various groups of contacts to Facebook’s offering. Its advantage resides in
(circles), to share photos, videos and links, to follow their simpler management when it comes to publishing
interactions by subscribing to their profiles, etc. It is also possible to content, through circles of friends, thus allowing
comment on what is published and to make one’s preferences known a physician to avoid communicating personal
by using the “+1” button. information to a patient or to colleagues who have
signed up to follow him or her.
Like Facebook, Google+ offers a lot of functionalities that can be
added to a page through the use of applications and that allow one to It is still, however, a young network (launched in
interact in various ways with other users. The advantage of Google+, June 2011) and less used than Facebook. It is still
when compared to other social networks, is that managing groups with difficult to forecast its future.
whom one shares information is relatively simpler and its conditions of
use, for the moment, are more transparent.
18 | LE SPÉCIALISTE | VOL. 13 No. 4 | DECEMBER 2011Vous pouvez aussi lire
