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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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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 BESOINS D’ASSURANCES SERVICE PRÉFÉRENCE SOGEMEC ASSURANCES ÉVOLUE AVEC VOUS Avec le SERVICE PRÉFÉRENCE de Sogemec Assurances, toutes vos assurances sont pensées en fonction de votre style de vie et de vos besoins. POUR EN SAVOIR PLUS : 1 800 361-5303 / 514 350-5070 / 418 990-3946 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 2011
DID 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 | 11
DID 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. Je décide où je pratique Au Bas Saint-Laurent Je prends soin des autres, de mes proches, de moi... Choisissez une qualité de vie exceptionnelle Majoration de la rémunération de 25 à 30 % Kamouraska | Témiscouata | Rivière-du-Loup | Les Basques Rimouski - Neigette | La Mitis | La Matapédia | Matane www.agencesssbsl.gouv.qc.ca alexandra.dube-loubert.asss01@ssss.gouv.qc.ca 12 | LE SPÉCIALISTE | VOL. 13 No. 4 | DECEMBER 2011
DID 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 avec un adolescent mentalement souffrant” world that surrounds us. The author emphasizes (Living with an adolescent who has mental the importance of an emotional balance in our problems). This book answers the questions hectic lives. of people who are living or supporting adolescents with psychiatric problems. It will help parents and educators understand the L S nuances and fine points of these disorders, as well as their impact on the lives of the young people afflicted. Abrégé d’anesthésie et de réanimation ublished by Presses de l’Université de Montréal, P this digest repeats several chapters of the 4th edition of the Précis d’anesthésie et de réanimation, which sets out the fundamental Les Secrets du Pérou principles of anesthesiology and, in particular, Départ garanti du 6 au 19 mai allogeneic blood products and blood-sparing Max 12 pers. - 14 jours / 11 nuits / 19 repas techniques, preoperative evaluation and À partir de 4049$* preparation, airway control, treatment of acute Côte Adriatique pain, local anesthetic and curarizing agents, etc. Départ garanti du 18 mai au 2 juin Max 30 pers. - 16 jours / 14 nuits / 31 repas Alzheimer’s disease À partir de 4360$* Dr. Serge Gauthier, a neurologist and Director Trésors de Russie of the Alzheimer Research Unit at the McGill Départs garantis du 20 mai au 2 juin et Centre for Studies in Aging, has published with du 6 au 19 juillet - Max 30 pers. Judes Poirier, Ph.D., Director of the Molecular 14 jours / 12 nuits / 34 repas - À partir de 4660$* Neurobiology Unit, Douglas Mental Health University Institute, a complete guide to help Autres destinations et autres dates de départs disponibles, Consultez les spécialistes informez-vous ! en voyages de votre agence partenaire. people who know or live with an affected person to better understand this illness. The Contactez-nous pour tous les détails ! BERRI-UQAM authors clarify the various stages and give details of recent research, new approved therapies, as well as clinical trials and 920, boul. de Maisonneuve E. new prevention strategies. 1 888 732-8688 *Prix par personne, en occupation double, incluant toutes les taxes et réductions selon les conditions des brochures Horizons lointains et Préliminaire Europe et Méditerranée 2012. Les prix de cette publicité peuvent être modifiés advenant une augmentation de nos coûts. Voir à ce sujet les conditions générales des brochures Horizons lointains et Préliminaire Europe et Méditerranée 2012, rubrique « Prix et garantie de prix ». La TPS et la TVQ sont incluses lorsqu’applicables. Titulaire du permis du Québec.. Club Voyages est une division de Transat Distribution Canada Inc. Permis No 753141 au Québec. Prix excluant le 3,50$/1000$ de services touristiques achetés qui représente la contribu- tion des clients au Fonds d’indemnisation des clients des agents de voyages. LE SPÉCIALISTE | VOL. 13 No. 4 | DECEMBER 2011 | 13
Concours 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) au cours de l’année civile (de janvier à décembre 2011) ▪ 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 ▪ à chacune des quatre facultés de médecine, un prix sera remis à l’auteur principal. de 2 000 $ à un étudiant pour la meilleure note en pharmacologie; ▪ aux facultés de pharmacie (Université de Montréal et SÉLECTION DES ARTICLES Université Laval), deux prix de 2 000 $ aux étudiants Les articles seront soumis par leurs auteurs qui devront les 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 spécialistes (ou deux groupes de médecins) s’étant distingués pied par l’Office et composé d’un représentant de chacune par l’excellence de leur article sur l’utilisation efficiente de des quatre facultés de médecine du Québec. 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 | 15
By 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 2011
Web 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 | 17
Most 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 2011
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