1
00:00:00,000 --> 00:00:06,880
[MUSIC]

2
00:00:06,880 --> 00:00:10,640
This is EM Pulse with your hosts, Sarah Medeiros and

3
00:00:10,640 --> 00:00:14,560
Julia Magaña, social media, wonderful and terrifying.

4
00:00:14,560 --> 00:00:20,080
[MUSIC]

5
00:00:20,080 --> 00:00:21,960
>> Welcome back to EM Pulse.

6
00:00:21,960 --> 00:00:25,960
>> We're gonna talk about social media's role in medicine.

7
00:00:25,960 --> 00:00:29,160
>> Right, and we've been wanting to talk about this for a while.

8
00:00:29,160 --> 00:00:32,000
The last time was with Dr. Megan Ranney,

9
00:00:32,000 --> 00:00:33,320
and that was in our episode,

10
00:00:33,320 --> 00:00:35,760
"With Great Power Comes Great Responsibility"

11
00:00:35,760 --> 00:00:37,700
in April of 2019.

12
00:00:37,700 --> 00:00:39,680
But this is such an evolving topic,

13
00:00:39,680 --> 00:00:41,220
and so much has changed.

14
00:00:41,220 --> 00:00:42,960
- I totally agree,

15
00:00:42,960 --> 00:00:45,920
and I would argue things continue to evolve.

16
00:00:45,920 --> 00:00:47,960
So, okay, we are recording this,

17
00:00:47,960 --> 00:00:50,660
what, today is September 8th, 2023.

18
00:00:50,660 --> 00:00:53,400
So this is our best take on social media

19
00:00:53,400 --> 00:00:54,500
at this moment in time,

20
00:00:54,500 --> 00:00:57,060
but hey guys, it may change by the time

21
00:00:57,060 --> 00:00:58,840
this is even published.

22
00:00:58,840 --> 00:01:02,360
Yeah, and so to get into this, we've invited Lauren Suedkamp.

23
00:01:02,360 --> 00:01:05,360
Now, I know Lauren back from when she was the social media

24
00:01:05,360 --> 00:01:09,260
director at UC Davis Health, but she is now the vice president

25
00:01:09,260 --> 00:01:12,120
at a digital health public affairs agency.

26
00:01:12,120 --> 00:01:13,480
Welcome, Lauren.

27
00:01:13,480 --> 00:01:14,160
Thanks, guys.

28
00:01:14,160 --> 00:01:15,240
Happy to be here.

29
00:01:15,240 --> 00:01:17,240
Yeah, this is exciting because Lauren

30
00:01:17,240 --> 00:01:20,000
was here at the inception of EM Pulse.

31
00:01:20,000 --> 00:01:23,200
And now here she is as our expert on this podcast.

32
00:01:23,200 --> 00:01:24,040
So it's pretty cool.

33
00:01:24,040 --> 00:01:24,560
Absolutely.

34
00:01:24,560 --> 00:01:26,040
She helped us so much along the way, too.

35
00:01:26,040 --> 00:01:27,600
So thank you for all of that, Lauren.

36
00:01:27,600 --> 00:01:30,740
I know what a full circle moment, so exciting.

37
00:01:30,740 --> 00:01:32,180
- Okay, Lauren, we need to start off

38
00:01:32,180 --> 00:01:35,020
by defining social media for this conversation.

39
00:01:35,020 --> 00:01:36,440
I know there's lots of definitions,

40
00:01:36,440 --> 00:01:40,140
but what are we talking about when we say social media today?

41
00:01:40,140 --> 00:01:42,380
- So I think when we talk about social media today,

42
00:01:42,380 --> 00:01:45,220
we're really talking about platforms

43
00:01:45,220 --> 00:01:49,720
that allow you to be interactive with other people.

44
00:01:49,720 --> 00:01:51,220
And so it's kind of where you see

45
00:01:51,220 --> 00:01:53,420
those two-way conversations happening.

46
00:01:53,420 --> 00:01:55,740
You think about your traditional, like Facebook,

47
00:01:55,740 --> 00:01:59,500
Instagram, Twitter, X, whatever it's called today.

48
00:01:59,500 --> 00:02:00,540
(laughing)

49
00:02:00,540 --> 00:02:03,260
On September 8th, it's called X, formerly known as Twitter.

50
00:02:03,260 --> 00:02:05,440
It could be something completely different tomorrow,

51
00:02:05,440 --> 00:02:08,140
but today you'll hear me probably go back and forth

52
00:02:08,140 --> 00:02:11,240
between calling it X and Twitter, old habits die hard.

53
00:02:11,240 --> 00:02:14,860
We also think about it in terms of TikTok.

54
00:02:14,860 --> 00:02:16,620
Can't have a conversation about social media

55
00:02:16,620 --> 00:02:17,880
without TikTok.

56
00:02:17,880 --> 00:02:20,340
And I'd also say that there's some others

57
00:02:20,340 --> 00:02:23,620
that have really emerged as kind of contenders,

58
00:02:23,620 --> 00:02:25,380
quote unquote, that we may not have traditionally

59
00:02:25,380 --> 00:02:30,540
a lot of us contenders. So YouTube is one, especially with the release of YouTube Shorts.

60
00:02:30,540 --> 00:02:34,940
And then the other place that you're kind of seeing this like intersection of is it

61
00:02:34,940 --> 00:02:41,340
social media or is it the internet is Reddit. Okay, so let's talk about some of those platforms.

62
00:02:41,340 --> 00:02:46,140
What are the top platforms that healthcare providers use? Yeah, so I think there's kind

63
00:02:46,140 --> 00:02:50,260
of two categories that that would fall in. I think one is the category of a healthcare

64
00:02:50,260 --> 00:02:56,260
provider who's looking to maybe build their business quote unquote. And if they're doing

65
00:02:56,260 --> 00:03:00,900
that, they're probably looking more on a platform like Facebook, where you can create like a page

66
00:03:00,900 --> 00:03:08,020
about their organization or, you know, even which might be like taboo, but their own profile of like

67
00:03:08,020 --> 00:03:13,380
where they work and to get reviews and all that jazz. I think the other bucket here is the physician

68
00:03:13,380 --> 00:03:20,480
who wants to promote themselves, either as like a thought leader or an educator or someone

69
00:03:20,480 --> 00:03:25,200
with something to say on a topic, on multiple topics.

70
00:03:25,200 --> 00:03:29,620
And so when we look at that second category, I think the big places that you see people

71
00:03:29,620 --> 00:03:34,700
at least today are on Instagram and on TikTok.

72
00:03:34,700 --> 00:03:40,200
Now you might see them other places, but if they're showing up other places, I think about

73
00:03:40,200 --> 00:03:44,520
like Reddit doing an AMA, they're likely either promoted by the institution that they're working

74
00:03:44,520 --> 00:03:50,280
for, or they're tied to some organization that's part of like a bigger push for a topic.

75
00:03:50,280 --> 00:03:53,560
But in terms of them being an individual, I'd say it's really Instagram and TikTok,

76
00:03:53,560 --> 00:04:01,240
which is a huge change from even like a year ago when it would have been X slash Twitter.

77
00:04:01,240 --> 00:04:06,480
Why do you think those particular platforms are so popular?

78
00:04:06,480 --> 00:04:09,860
I think they're so popular because they're so engaging.

79
00:04:09,860 --> 00:04:11,900
And I think for a lot of people,

80
00:04:11,900 --> 00:04:14,520
and at least the physicians that I know,

81
00:04:14,520 --> 00:04:17,920
I have a really good friend who is a physician

82
00:04:17,920 --> 00:04:21,280
in Wisconsin, watched her go through residency

83
00:04:21,280 --> 00:04:23,320
and was along for the whole journey.

84
00:04:23,320 --> 00:04:24,880
And knowing you two as well,

85
00:04:24,880 --> 00:04:27,800
I think a lot of physicians go into medicine

86
00:04:27,800 --> 00:04:29,920
and they go through such strict schooling

87
00:04:29,920 --> 00:04:33,000
and their life is about becoming a doctor

88
00:04:33,000 --> 00:04:35,640
and whatever that looks like for them.

89
00:04:35,640 --> 00:04:38,500
And along the way, a lot of them might lose

90
00:04:38,500 --> 00:04:41,480
that kind of creative outlet because they don't have time.

91
00:04:41,480 --> 00:04:43,120
Your life is about saving people

92
00:04:43,120 --> 00:04:44,760
and that's like the most important.

93
00:04:44,760 --> 00:04:46,840
And then when you get on the other end of that,

94
00:04:46,840 --> 00:04:47,680
they're suddenly like,

95
00:04:47,680 --> 00:04:49,520
oh, I'm really passionate about this thing.

96
00:04:49,520 --> 00:04:53,000
Or I really want to show people how to do this.

97
00:04:53,000 --> 00:04:54,960
Or I have something to say about this topic.

98
00:04:54,960 --> 00:04:57,400
We saw a lot of that with COVID and vaccines.

99
00:04:57,400 --> 00:05:00,400
And so I think that people like Instagram and TikTok

100
00:05:00,400 --> 00:05:03,000
because they're quick, they're easy,

101
00:05:03,000 --> 00:05:05,740
especially I'm gonna be really like general here,

102
00:05:05,740 --> 00:05:09,040
but if you're like under 30, it's really easy to go on

103
00:05:09,040 --> 00:05:13,360
and like edit videos, you've grown up doing it.

104
00:05:13,360 --> 00:05:16,120
And so those platforms are just so accessible

105
00:05:16,120 --> 00:05:19,560
to be what I like to call quick and dirty and get out there.

106
00:05:19,560 --> 00:05:23,240
And so you can get on, it takes nothing more than a phone

107
00:05:23,240 --> 00:05:26,680
and a point of view and boom, you're out there.

108
00:05:26,680 --> 00:05:28,280
And I think that it's a really great way

109
00:05:28,280 --> 00:05:29,880
that people have seen to kind of A,

110
00:05:29,880 --> 00:05:31,640
release some of that creative energy

111
00:05:31,640 --> 00:05:35,800
And B, be able to talk about something they're passionate about without feelings,

112
00:05:35,800 --> 00:05:39,160
maybe some of the constraints that they've felt throughout their schooling.

113
00:05:39,160 --> 00:05:41,200
>> That's a really great summary.

114
00:05:41,200 --> 00:05:48,000
Can I ask you to summarize that dumpster fire of Elon Musk and

115
00:05:48,000 --> 00:05:50,520
Twitter and evolution into X?

116
00:05:50,520 --> 00:05:53,240
For those that may not have followed it in the news,

117
00:05:53,240 --> 00:05:55,600
can you just summarize what happened?

118
00:05:55,600 --> 00:05:59,720
>> Basically, what he did is he just dropped a bomb and destroyed a great platform.

119
00:05:59,720 --> 00:06:07,160
That would be my general summary. But I would say in general what happened is when he bought Twitter,

120
00:06:07,160 --> 00:06:12,360
so he basically took over the majority ownership, he kind of started to make sweeping changes.

121
00:06:12,360 --> 00:06:17,160
A lot of people talk about it in terms of he was trying to create it into a profitable business,

122
00:06:17,160 --> 00:06:21,800
because I don't think a lot of people knew that up to that point, like Twitter

123
00:06:21,800 --> 00:06:28,360
wasn't as profitable as some of the other places. That's not to say it was posting, you know,

124
00:06:28,360 --> 00:06:34,680
gigantic losses and was always on the brink of collapse, but it also wasn't the big places where

125
00:06:34,680 --> 00:06:40,680
you saw a lot of ad spends like on meta or even on TikTok. And so when he bought it, I think he

126
00:06:40,680 --> 00:06:45,000
came in and I'm giving him way too much credit, but he came in with the idea of turning it more

127
00:06:45,000 --> 00:06:51,720
into a business. But along the way, he destroyed everything that made it what it was. In terms of

128
00:06:51,720 --> 00:06:57,320
the verification processes, having to buy your blue checks, what is that? That means that like

129
00:06:57,320 --> 00:07:01,960
person off the street could do it versus a big corporation. The fact that you could impersonate

130
00:07:01,960 --> 00:07:09,080
other accounts, the whole Eli Lilly Insolins issue, popped up. And in those moments, it destroyed any

131
00:07:09,080 --> 00:07:15,160
of the brand and kind of personal safety that had existed on Twitter before that really allowed it

132
00:07:15,160 --> 00:07:21,240
to still be a free speech kind of platform. But you were limited in terms of some of the hate speech

133
00:07:21,240 --> 00:07:25,640
that was out there. And when he came in, it blew the whole thing up and it left people really

134
00:07:25,640 --> 00:07:29,880
vulnerable to things that they weren't vulnerable to before.

135
00:07:29,880 --> 00:07:34,600
Tell us about the Eli Lilly insulin incident.

136
00:07:34,600 --> 00:07:39,120
So what happened with Eli Lilly, which was really terrifying, not necessarily for physicians,

137
00:07:39,120 --> 00:07:45,440
but I think it's an example of the dangers that could exist on Twitter, is that when

138
00:07:45,440 --> 00:07:49,840
some of the verification processes were removed and some of the checks that were in place

139
00:07:49,840 --> 00:07:55,360
to ensure that, you know, accounts and people were who they said they were to the best of

140
00:07:55,360 --> 00:08:00,280
the ability obviously. Someone created a fake Eli Lilly account and if you don't

141
00:08:00,280 --> 00:08:05,220
know Eli Lilly is one of the biggest producers of insulin and they posted

142
00:08:05,220 --> 00:08:11,800
that insulin was now free for everybody and it was horrific is the best way to

143
00:08:11,800 --> 00:08:19,240
put it. Like it's played with Eli Lilly's stock immediately it was a very like

144
00:08:19,240 --> 00:08:23,800
major like crisis there but what I think is the most important thing at least

145
00:08:23,800 --> 00:08:29,720
from the work that I do is it pulled back the curtain that you were like no longer safe on Twitter.

146
00:08:29,720 --> 00:08:35,800
That there was always kind of this feeling, especially if you were verified, that it meant

147
00:08:35,800 --> 00:08:41,640
something to be verified. And it meant that it was really clear who was who, especially if you were

148
00:08:41,640 --> 00:08:50,120
such a public person, persona, company, whatever. And when that happened, it, I like shattered it.

149
00:08:50,680 --> 00:08:56,360
And it made it so like what is real because a bunch of news outlets picked it up because it looked

150
00:08:56,360 --> 00:09:04,040
real. And that I think just underscores kind of how if you're looking to be on social media and if

151
00:09:04,040 --> 00:09:09,240
you're looking to kind of start to try to be what we can call like a public persona, always

152
00:09:09,240 --> 00:09:14,040
understanding the risks that you're taking along the lines and knowing like what you're getting

153
00:09:14,040 --> 00:09:20,120
into. So if you're getting into a platform like Twitter that it's kind of the wild, wild west still

154
00:09:20,120 --> 00:09:22,200
And it wasn't for a long time.

155
00:09:22,200 --> 00:09:24,920
And then these things happened and Elan's take over.

156
00:09:24,920 --> 00:09:27,280
And again, it inherently changed the platform

157
00:09:27,280 --> 00:09:29,440
from what it was where I think it was originally

158
00:09:29,440 --> 00:09:32,960
one of the most heavily like HCP platform out there.

159
00:09:32,960 --> 00:09:35,160
And now it still is still being used

160
00:09:35,160 --> 00:09:38,440
by like medical conferences and a lot of kind of that

161
00:09:38,440 --> 00:09:41,440
in the moment conversation is happening.

162
00:09:41,440 --> 00:09:44,480
But even then it's not happening as much as it was.

163
00:09:44,480 --> 00:09:45,600
- Yeah, and that's one of the things

164
00:09:45,600 --> 00:09:47,440
that I really loved about Twitter

165
00:09:47,440 --> 00:09:49,760
was that conversation with other physicians

166
00:09:49,760 --> 00:09:51,940
and especially the emergency medicine community

167
00:09:51,940 --> 00:09:53,820
was huge on Twitter.

168
00:09:53,820 --> 00:09:56,800
So it feels to me like a lot of the physician community

169
00:09:56,800 --> 00:09:58,440
has left Twitter.

170
00:09:58,440 --> 00:09:59,880
Is that true by the numbers?

171
00:09:59,880 --> 00:10:02,060
Do we have data that says that?

172
00:10:02,060 --> 00:10:05,620
- I haven't seen really clear numbers of data around that

173
00:10:05,620 --> 00:10:08,720
just because sometimes people don't identify

174
00:10:08,720 --> 00:10:11,120
as who they are when they jump to other platforms.

175
00:10:11,120 --> 00:10:14,300
But what I can say is that especially when it has come

176
00:10:14,300 --> 00:10:16,640
to doing things like ad targeting

177
00:10:16,640 --> 00:10:19,160
and putting content out there for people to see,

178
00:10:19,160 --> 00:10:21,840
especially around conferences where HCPs will be attending,

179
00:10:21,840 --> 00:10:24,720
there's been a major shift to LinkedIn.

180
00:10:24,720 --> 00:10:25,940
And the reason that is,

181
00:10:25,940 --> 00:10:28,760
is because while there are physician-specific platforms

182
00:10:28,760 --> 00:10:31,120
out there, like Doximity and Sermo,

183
00:10:31,120 --> 00:10:32,640
those are closed platforms

184
00:10:32,640 --> 00:10:34,840
that only physicians have access to,

185
00:10:34,840 --> 00:10:38,400
like outside people and companies can place advertisements,

186
00:10:38,400 --> 00:10:41,360
but only physicians are part of those.

187
00:10:41,360 --> 00:10:43,460
LinkedIn has now become the natural place

188
00:10:43,460 --> 00:10:46,320
for kind of that professional, quote unquote,

189
00:10:46,320 --> 00:10:53,760
interactions that you saw a lot on Twitter. And so you saw a lot more kind of physicians putting

190
00:10:53,760 --> 00:10:58,160
themselves out there writing thought leadership. So of course, it had to now be longer than 280

191
00:10:58,160 --> 00:11:02,080
characters. But from what I know, a lot of physicians have something to say about things

192
00:11:02,080 --> 00:11:07,600
and need more than 280 characters to really make a strong point. And I say that in like the nicest

193
00:11:07,600 --> 00:11:12,720
way possible because you have research and data and like all this backup. And I think LinkedIn has

194
00:11:12,720 --> 00:11:15,560
really become that place where physicians are engaging more.

195
00:11:15,560 --> 00:11:17,880
And it's less in the traditional sense that we think about

196
00:11:17,880 --> 00:11:20,580
LinkedIn for the lay person. They're not necessarily on

197
00:11:20,580 --> 00:11:24,220
there looking for jobs. They're on there to kind of have those

198
00:11:24,220 --> 00:11:29,160
professional connections with each other with organizations

199
00:11:29,160 --> 00:11:31,760
and with others that leaders in the spaces that they care about.

200
00:11:31,760 --> 00:11:36,520
Interesting. Are there any other platforms that have shown

201
00:11:36,520 --> 00:11:41,360
themselves to be a meaningful competitor to x like threads or

202
00:11:41,360 --> 00:11:45,680
you know, you mentioned Doximetry and Sermo. Is there anything else that has kind of

203
00:11:45,680 --> 00:11:50,320
filled that space about micro blogging and sharing and having that conversation?

204
00:11:50,320 --> 00:11:57,440
Well, that's a great question. So I think that Doximetry and Sermo to the outside person are

205
00:11:57,440 --> 00:12:03,120
always going to be a mystery, just because unless you can talk to directly physicians who use it,

206
00:12:03,120 --> 00:12:07,120
it's hard to know from an outside perspective, like what's going on there, what kind of

207
00:12:07,120 --> 00:12:14,080
conversations are happening as it is such a closed platform. Now, when you use the word meaningful,

208
00:12:14,080 --> 00:12:19,280
that's not necessarily how I would describe threads at this exact moment. I think it's

209
00:12:19,280 --> 00:12:27,680
an attempt at a competitor, but I think it's hard when it's tied to Instagram and it's like

210
00:12:27,680 --> 00:12:34,560
cross promoting. And there just isn't from what I've seen like the same level of buy-in. There was

211
00:12:34,560 --> 00:12:36,100
There was a ton of buy-in when it launched.

212
00:12:36,100 --> 00:12:37,500
When it launched, everybody was like,

213
00:12:37,500 --> 00:12:39,500
"Look at threads, I'm gonna join."

214
00:12:39,500 --> 00:12:42,380
And then you saw within the first two weeks

215
00:12:42,380 --> 00:12:46,060
a massive drop-off of engaged users.

216
00:12:46,060 --> 00:12:47,740
And so what that means is that a bunch of people

217
00:12:47,740 --> 00:12:50,380
went in, activated their profiles,

218
00:12:50,380 --> 00:12:52,340
and maybe did that first, like,

219
00:12:52,340 --> 00:12:53,940
"Hey, I'm here," kind of post,

220
00:12:53,940 --> 00:12:55,800
and then never did anything else.

221
00:12:55,800 --> 00:12:57,300
And there's limitations there.

222
00:12:57,300 --> 00:12:59,380
The big difference, at least from the last time

223
00:12:59,380 --> 00:13:01,800
I looked at threads, is that it was really hard

224
00:13:01,800 --> 00:13:03,460
to be searchable by topic.

225
00:13:03,460 --> 00:13:05,500
So you could use a hashtag, but like,

226
00:13:05,500 --> 00:13:09,500
didn't take you anywhere, nor could you click on it.

227
00:13:09,500 --> 00:13:12,980
And so that's, I think the biggest downside to threads

228
00:13:12,980 --> 00:13:14,820
could change again in a month

229
00:13:14,820 --> 00:13:16,700
that that functionality is there.

230
00:13:16,700 --> 00:13:18,860
And the other one that you have heard people talk about

231
00:13:18,860 --> 00:13:21,460
a little bit is a platform called Mastodon.

232
00:13:21,460 --> 00:13:25,740
Funny name, of course, but Mastodon is kind of,

233
00:13:25,740 --> 00:13:30,740
I like to describe it as like the IT solution to Twitter.

234
00:13:30,740 --> 00:13:33,100
And the reason I say that is because

235
00:13:33,100 --> 00:13:36,340
it's an open source social media platform,

236
00:13:36,340 --> 00:13:40,540
which means that people can kind of create their own areas

237
00:13:40,540 --> 00:13:43,000
and groups within the source code.

238
00:13:43,000 --> 00:13:47,640
And there are layers to accessibility to the platform.

239
00:13:47,640 --> 00:13:50,140
So you have to apply to kind of the branch

240
00:13:50,140 --> 00:13:52,020
that you want to join.

241
00:13:52,020 --> 00:13:54,880
And like once you're in, you're in,

242
00:13:54,880 --> 00:13:56,980
but then you still have to like apply

243
00:13:56,980 --> 00:13:59,620
to be part of other Mastodon communities.

244
00:13:59,620 --> 00:14:02,940
So I don't think it's been adopted as much.

245
00:14:02,940 --> 00:14:04,660
I also don't think a lot of people know about it.

246
00:14:04,660 --> 00:14:07,900
And if you do know about it, you've known about it for kind of specific reasons,

247
00:14:07,900 --> 00:14:11,060
not necessarily because Twitter disappeared or changed.

248
00:14:11,060 --> 00:14:13,060
And like you were looking for something else.

249
00:14:13,060 --> 00:14:17,020
Tell me a little bit more about how people are using Reddit.

250
00:14:17,020 --> 00:14:18,780
Oh, great question.

251
00:14:18,780 --> 00:14:20,860
So Reddit has been around for a long time.

252
00:14:20,860 --> 00:14:24,820
It's the quintessential front page of the Internet, as they like to call themselves.

253
00:14:24,820 --> 00:14:27,940
But people are using Reddit to have.

254
00:14:27,940 --> 00:14:31,260
I think a lot of these micro conversations.

255
00:14:31,500 --> 00:14:33,940
And so they're having them in subreddits,

256
00:14:33,940 --> 00:14:37,060
and subreddits exist amongst bigger Reddit channels.

257
00:14:37,060 --> 00:14:38,860
And so if you don't know how Reddit works,

258
00:14:38,860 --> 00:14:40,780
Reddit has pages.

259
00:14:40,780 --> 00:14:43,220
And in those pages, they can be broken down

260
00:14:43,220 --> 00:14:44,460
into smaller subreddits.

261
00:14:44,460 --> 00:14:47,100
So you can think about it as emergency medicine

262
00:14:47,100 --> 00:14:49,460
is a Reddit page.

263
00:14:49,460 --> 00:14:51,660
And on emergency medicine, you could then

264
00:14:51,660 --> 00:14:56,940
create subreddits to be like pediatrics, or ultrasound,

265
00:14:56,940 --> 00:15:01,940
or radiology or even like critical care.

266
00:15:01,940 --> 00:15:04,700
So like first response, that kind of thing.

267
00:15:04,700 --> 00:15:06,580
And so all of these kinds of conversations

268
00:15:06,580 --> 00:15:09,060
can happen on these pages.

269
00:15:09,060 --> 00:15:12,780
And I think people are really using them to ask questions,

270
00:15:12,780 --> 00:15:15,780
to talk through situations.

271
00:15:15,780 --> 00:15:17,820
I've seen a lot of people good on there and be like,

272
00:15:17,820 --> 00:15:20,020
I had this thing happen, like this is what I did,

273
00:15:20,020 --> 00:15:22,020
what would you have done?

274
00:15:22,020 --> 00:15:23,860
And you see people having those conversations

275
00:15:23,860 --> 00:15:26,620
or you see the general person asking,

276
00:15:26,620 --> 00:15:29,220
my kid has been spiking a fever of 104

277
00:15:29,220 --> 00:15:32,540
for the last three days, do I go to the doctor?

278
00:15:32,540 --> 00:15:34,320
And it's interesting in the responses

279
00:15:34,320 --> 00:15:37,380
because you might see a fellow parent who's just like,

280
00:15:37,380 --> 00:15:40,200
no, I gave my kid Tylenol and they were great.

281
00:15:40,200 --> 00:15:42,380
And then you see an NP pop on there who's like,

282
00:15:42,380 --> 00:15:44,620
you should probably call the nurse advice line.

283
00:15:44,620 --> 00:15:46,780
Or you see those people pop up,

284
00:15:46,780 --> 00:15:48,640
but they're self-identifying.

285
00:15:48,640 --> 00:15:50,740
And I think that's the difference with Reddit

286
00:15:50,740 --> 00:15:55,220
is you're about as anonymous as you can get on Reddit

287
00:15:55,220 --> 00:15:56,780
in terms of like your username

288
00:15:56,780 --> 00:15:58,120
can be whatever you want it to be.

289
00:15:58,120 --> 00:16:00,420
It has nothing to do with you.

290
00:16:00,420 --> 00:16:02,660
And even when you sign up for an account,

291
00:16:02,660 --> 00:16:04,260
it's not like on the other platforms

292
00:16:04,260 --> 00:16:06,380
where you choose like your job or things like that.

293
00:16:06,380 --> 00:16:07,300
You don't have to have any of that.

294
00:16:07,300 --> 00:16:08,780
I think the basics that you have to have

295
00:16:08,780 --> 00:16:10,860
is a username and your location.

296
00:16:10,860 --> 00:16:12,740
So people are self identifying

297
00:16:12,740 --> 00:16:14,860
and I think that's the interesting part.

298
00:16:14,860 --> 00:16:16,660
- I think that's the scary part to me,

299
00:16:16,660 --> 00:16:19,500
even more so like we talked about with the verification

300
00:16:19,500 --> 00:16:28,240
on Twitter that feels like even more so licensed to post false information and not sure who

301
00:16:28,240 --> 00:16:30,460
to actually rely upon there.

302
00:16:30,460 --> 00:16:34,860
I'd say just to that point, though, real fast, that one of the things with Reddit that I

303
00:16:34,860 --> 00:16:41,120
think is really interesting is that there is an inherent level of trust.

304
00:16:41,120 --> 00:16:46,420
So when people put things out there and they ask a question, I think from what I've seen

305
00:16:46,420 --> 00:16:51,860
as a user and then also from doing some research on there into certain type topics.

306
00:16:51,860 --> 00:16:56,240
I think there's this inherent level of like when you ask a question or bring up a topic,

307
00:16:56,240 --> 00:17:02,200
you know that you're going to get the spectrum of things, but you also believe that by someone

308
00:17:02,200 --> 00:17:07,660
taking the time to get in there and write a real comment, that they're who they say

309
00:17:07,660 --> 00:17:08,800
they're going to be.

310
00:17:08,800 --> 00:17:11,720
I like to think about engagements in tiers.

311
00:17:11,720 --> 00:17:17,840
And so like a tier one engagement, in my opinion, is a like or a click to like open up the rest

312
00:17:17,840 --> 00:17:21,680
of something that's written that's maybe not above the like read more.

313
00:17:21,680 --> 00:17:26,320
A tier two is when you kind of get into the I'm going to share this with someone.

314
00:17:26,320 --> 00:17:29,740
It might be a comment of like, this is great, like a small comment.

315
00:17:29,740 --> 00:17:34,660
But a tier three, to me, is when someone leaves a real comment, when they actually go in there

316
00:17:34,660 --> 00:17:37,360
and they say something more than a few words.

317
00:17:37,360 --> 00:17:41,360
That's, I think, the tier that you see a lot more on Reddit,

318
00:17:41,360 --> 00:17:42,360
and that's where I think people

319
00:17:42,360 --> 00:17:43,960
kind of believe in the credibility.

320
00:17:43,960 --> 00:17:45,560
So while it still is anonymous,

321
00:17:45,560 --> 00:17:47,780
it's really the fact that someone's taking the time

322
00:17:47,780 --> 00:17:51,120
to take more than two seconds to do an action

323
00:17:51,120 --> 00:17:54,200
that underscores some credibility.

324
00:17:54,200 --> 00:17:55,360
I mean, that's my opinion,

325
00:17:55,360 --> 00:17:57,040
but I think that that's,

326
00:17:57,040 --> 00:17:59,440
from what I've seen, held pretty true.

327
00:17:59,440 --> 00:18:01,640
- Hmm, interesting way to think about it.

328
00:18:01,640 --> 00:18:03,600
What about some of the visual platforms?

329
00:18:03,600 --> 00:18:06,480
You mentioned Instagram and TikTok.

330
00:18:06,480 --> 00:18:11,160
What are some successful ways that healthcare workers leverage these visual platforms?

331
00:18:11,160 --> 00:18:13,920
So I think there's a few ways.

332
00:18:13,920 --> 00:18:19,040
I think one is having a point of view and your point of view can be as simple as I'm a

333
00:18:19,040 --> 00:18:21,320
pediatric physician here.

334
00:18:21,320 --> 00:18:25,440
Or I'm an emergency medicine doctor here.

335
00:18:25,440 --> 00:18:28,680
And I think the here part is really important.

336
00:18:28,680 --> 00:18:33,760
And I bring that up because with the recent hurricane that happened in Florida, there is

337
00:18:33,760 --> 00:18:42,080
a physician whose name is escaping me. But she has been on there on Instagram and I think she's on

338
00:18:42,080 --> 00:18:45,280
TikTok too. A lot of people are now doing this thing where they're like on both platforms and

339
00:18:45,280 --> 00:18:50,320
reposting both content just without like the little TikTok logo. So but anyway she's on there,

340
00:18:50,320 --> 00:18:55,040
she lives in Florida, she's right on the path of the hurricane and she's already established herself

341
00:18:55,040 --> 00:19:01,600
as a pediatric physician and oftentimes she comes on there and does kind of like myths and facts.

342
00:19:01,600 --> 00:19:05,680
so she'll do the splicing where like she's talking in front of a video of someone else sharing

343
00:19:05,680 --> 00:19:10,880
something and saying whether it's true or not. She does a lot of general kind of pediatric things,

344
00:19:10,880 --> 00:19:15,120
but when the hurricane was coming she started showing glimpses inside her hospital.

345
00:19:15,120 --> 00:19:19,680
So it was, "This is how we're prepping for the hurricane. This is where I'm staying.

346
00:19:19,680 --> 00:19:25,200
This is what my family's doing since I'm here." But I thought that was really interesting because

347
00:19:25,200 --> 00:19:31,040
I was like, "Oh, so they have this place for their their doctors and this is how they're prepping

348
00:19:31,040 --> 00:19:34,280
and it really just underscored her

349
00:19:34,280 --> 00:19:37,820
as a continuing authority of care.

350
00:19:37,820 --> 00:19:41,220
'Cause she's giving you that behind the scenes.

351
00:19:41,220 --> 00:19:43,260
She's showing you that like,

352
00:19:43,260 --> 00:19:45,100
her family's being taken care of,

353
00:19:45,100 --> 00:19:47,500
but she's here to take care of people

354
00:19:47,500 --> 00:19:48,780
and like this is her commitment

355
00:19:48,780 --> 00:19:49,980
and she knew as part of her commitment

356
00:19:49,980 --> 00:19:51,300
like this is what she's doing.

357
00:19:51,300 --> 00:19:52,700
And I thought that was really interesting

358
00:19:52,700 --> 00:19:53,900
because I thought that was a little different

359
00:19:53,900 --> 00:19:56,420
than what some of her other content had been.

360
00:19:56,420 --> 00:19:57,420
So I share that example

361
00:19:57,420 --> 00:20:00,060
because I do think that's where the there is important.

362
00:20:00,060 --> 00:20:02,600
And I think it's especially important to show

363
00:20:02,600 --> 00:20:06,060
if you feel comfortable enough to share

364
00:20:06,060 --> 00:20:08,620
not necessarily the hospital that you work at

365
00:20:08,620 --> 00:20:09,980
or the clinic that you work at,

366
00:20:09,980 --> 00:20:11,900
but at least the state that you're in

367
00:20:11,900 --> 00:20:14,260
because that might help give people some context

368
00:20:14,260 --> 00:20:15,780
to what you're talking about,

369
00:20:15,780 --> 00:20:17,540
especially in a day and age when healthcare

370
00:20:17,540 --> 00:20:21,620
is being decided a lot of times in politics

371
00:20:21,620 --> 00:20:23,620
and not in one-on-one conversations

372
00:20:23,620 --> 00:20:25,260
between a patient and their doctor.

373
00:20:25,260 --> 00:20:29,240
- So we've talked about a lot of these sort of success stories

374
00:20:29,240 --> 00:20:31,920
of how we can successfully use social media.

375
00:20:31,920 --> 00:20:34,860
But what are some of the concerns or pitfalls

376
00:20:34,860 --> 00:20:37,280
that emergency physicians should be aware of

377
00:20:37,280 --> 00:20:40,040
when they're utilizing these platforms professionally?

378
00:20:40,040 --> 00:20:42,620
- So the first and biggest one

379
00:20:42,620 --> 00:20:47,560
that I feel like is common sense, but is also not, is HIPAA.

380
00:20:47,560 --> 00:20:51,860
And HIPAA consists not only of patient and patient details

381
00:20:51,860 --> 00:20:54,000
and anything that's identifying factors

382
00:20:54,000 --> 00:20:57,440
when you're speaking, but it's also what's behind you.

383
00:20:57,440 --> 00:20:59,720
what's on your table, what's something

384
00:20:59,720 --> 00:21:01,600
that someone can zoom in.

385
00:21:01,600 --> 00:21:05,060
And I think that that was always the number one thing.

386
00:21:05,060 --> 00:21:07,240
Whenever I talk to anybody in the medical field

387
00:21:07,240 --> 00:21:08,720
about wanting to be on social media,

388
00:21:08,720 --> 00:21:13,540
it's to be very, very aware and up to date on HIPAA.

389
00:21:13,540 --> 00:21:17,040
And to always think before you click publish.

390
00:21:17,040 --> 00:21:20,520
So you might think that the story that you have told

391
00:21:20,520 --> 00:21:23,840
about this case that you had was really interesting

392
00:21:23,840 --> 00:21:26,320
and such a great learnable experience.

393
00:21:26,320 --> 00:21:28,240
And oh my gosh, I can't wait to share it.

394
00:21:28,240 --> 00:21:32,120
But you accidentally mentioned that the patient had red hair

395
00:21:32,120 --> 00:21:36,000
and therefore they needed a higher dose of pain medicine.

396
00:21:36,000 --> 00:21:37,720
I know that's like a may or may not be a myth,

397
00:21:37,720 --> 00:21:38,960
but I'm just going with it.

398
00:21:38,960 --> 00:21:40,680
(laughing)

399
00:21:40,680 --> 00:21:43,600
You had to give them a higher dose of pain medicine

400
00:21:43,600 --> 00:21:45,920
in order to treat, I don't know,

401
00:21:45,920 --> 00:21:47,840
the dislocated shoulder that they had.

402
00:21:47,840 --> 00:21:49,160
Again, I'm not a medical professional,

403
00:21:49,160 --> 00:21:51,160
this is just where I'm going.

404
00:21:51,160 --> 00:21:53,880
And you're like, what was really cool about this is XYZ.

405
00:21:53,880 --> 00:21:55,160
And you're like, I'm gonna click publish

406
00:21:55,160 --> 00:21:58,400
because I think other people might need to learn about this.

407
00:21:58,400 --> 00:22:01,520
Well, you just identified that this person had red hair,

408
00:22:01,520 --> 00:22:04,120
that this was the condition that they came in on.

409
00:22:04,120 --> 00:22:06,560
And are you publishing it the same day

410
00:22:06,560 --> 00:22:07,800
that you did this treatment

411
00:22:07,800 --> 00:22:10,420
or are you publishing it like three months after?

412
00:22:10,420 --> 00:22:12,560
Now, they're still gray there.

413
00:22:12,560 --> 00:22:13,880
I'm not saying to do that,

414
00:22:13,880 --> 00:22:16,200
but it's like those small things,

415
00:22:16,200 --> 00:22:17,880
I think are what people sometimes forget

416
00:22:17,880 --> 00:22:18,800
when they're in the moment

417
00:22:18,800 --> 00:22:19,920
and they're wanting to just get out

418
00:22:19,920 --> 00:22:22,160
what this really cool thing was.

419
00:22:22,160 --> 00:22:26,240
I think that that's always a big pitfall for people

420
00:22:26,240 --> 00:22:29,980
because I would hate to have had something happen to me

421
00:22:29,980 --> 00:22:32,980
and the doctor who treated me without my permission,

422
00:22:32,980 --> 00:22:36,620
I found on social media, like I have found other doctors

423
00:22:36,620 --> 00:22:38,380
and suddenly I'm hearing them tell my story

424
00:22:38,380 --> 00:22:40,320
and they never like talk to me about it.

425
00:22:40,320 --> 00:22:42,500
And I knew it was me.

426
00:22:42,500 --> 00:22:44,860
And if I know it's me, someone else might know it's me

427
00:22:44,860 --> 00:22:46,820
if they're close to me.

428
00:22:46,820 --> 00:22:48,580
- Yeah, that's a good principle,

429
00:22:48,580 --> 00:22:50,100
like making sure that the patient

430
00:22:50,100 --> 00:22:55,500
couldn't even identify themselves with inside of the information that you're sharing would

431
00:22:55,500 --> 00:23:02,300
be a good general rule. But HIPAA definitely scares me. Also, you know, misinformation

432
00:23:02,300 --> 00:23:08,620
on social media scares me and I want to be as precise as I can. That's really important

433
00:23:08,620 --> 00:23:16,340
to me. How can I ensure that I'm not inadvertently spreading false or misleading content on social

434
00:23:16,340 --> 00:23:17,340
media?

435
00:23:17,340 --> 00:23:20,380
This feels like a conversation back in late 2020

436
00:23:20,380 --> 00:23:22,820
and 2021 related to COVID,

437
00:23:22,820 --> 00:23:25,220
which was just such a fascinating case study

438
00:23:25,220 --> 00:23:27,700
and misinformation for the general public,

439
00:23:27,700 --> 00:23:29,520
but also in terms of medicine.

440
00:23:29,520 --> 00:23:32,420
I think what happens with misinformation

441
00:23:32,420 --> 00:23:37,420
is always knowing what you're talking about

442
00:23:37,420 --> 00:23:39,500
in terms of where it's coming from.

443
00:23:39,500 --> 00:23:41,340
So identifying off the bat,

444
00:23:41,340 --> 00:23:43,020
is this your personal opinion

445
00:23:43,020 --> 00:23:45,420
or is this your educated opinion?

446
00:23:45,420 --> 00:23:47,260
Now the lines could be gray there,

447
00:23:47,260 --> 00:23:50,060
but that's where it comes up with data and facts

448
00:23:50,060 --> 00:23:54,760
and being able to speak to things that are reputable.

449
00:23:54,760 --> 00:23:56,800
And it's okay to not always have that backup

450
00:23:56,800 --> 00:23:58,720
if you have an opinion on something.

451
00:23:58,720 --> 00:24:00,860
But if you have that opinion, you also have to know

452
00:24:00,860 --> 00:24:04,820
that if you're sharing something that is misinformation

453
00:24:04,820 --> 00:24:09,820
or is your own personal opinion not based

454
00:24:09,820 --> 00:24:14,500
in facts and studies, that you'll lead with that.

455
00:24:16,200 --> 00:24:18,840
I think what happened a lot is a lot of doctors

456
00:24:18,840 --> 00:24:21,560
were either quoting things, and again,

457
00:24:21,560 --> 00:24:23,980
I'm talking about around COVID and vaccines,

458
00:24:23,980 --> 00:24:26,440
but they were quoting things that were coming out

459
00:24:26,440 --> 00:24:29,560
as it was happening, not necessarily after

460
00:24:29,560 --> 00:24:31,560
the long-term studies that are really effective.

461
00:24:31,560 --> 00:24:33,540
And I know that during that time period,

462
00:24:33,540 --> 00:24:35,540
we didn't have the luxury of time,

463
00:24:35,540 --> 00:24:39,580
and a lot of it then came down to physicians

464
00:24:39,580 --> 00:24:42,920
putting their own personal stance on what was happening

465
00:24:42,920 --> 00:24:45,800
and not realizing, to your point at the beginning,

466
00:24:45,800 --> 00:24:48,040
Sarah, you have power.

467
00:24:48,040 --> 00:24:51,360
People are looking to you as an expert.

468
00:24:51,360 --> 00:24:53,640
They come to you for care.

469
00:24:53,640 --> 00:24:56,660
And so regardless of whether they're your patient or not,

470
00:24:56,660 --> 00:24:58,980
your words hold weight.

471
00:24:58,980 --> 00:25:02,500
And so there is this responsibility,

472
00:25:02,500 --> 00:25:04,280
whether you like it or not,

473
00:25:04,280 --> 00:25:06,160
that people are gonna take what you say

474
00:25:06,160 --> 00:25:09,160
and really consider it more highly

475
00:25:09,160 --> 00:25:11,340
or better than their friend,

476
00:25:11,340 --> 00:25:14,120
or maybe even a family member or someone they trust

477
00:25:14,120 --> 00:25:15,680
because they trust you.

478
00:25:15,680 --> 00:25:17,080
and they trust that you're supposed to have

479
00:25:17,080 --> 00:25:19,820
their best interest at hand.

480
00:25:19,820 --> 00:25:23,960
And so misinformation is like a poison,

481
00:25:23,960 --> 00:25:26,680
but what's challenging with it

482
00:25:26,680 --> 00:25:29,940
is so much of it is rooted in the personal.

483
00:25:29,940 --> 00:25:32,760
And so that's where I think it really behooves people

484
00:25:32,760 --> 00:25:35,760
to identify like, this is my personal opinion,

485
00:25:35,760 --> 00:25:38,520
based on what I've read, this is what I think,

486
00:25:38,520 --> 00:25:41,080
and not doing a lot of generalizations,

487
00:25:41,080 --> 00:25:42,640
which is a lot of, I think, what we saw

488
00:25:42,640 --> 00:25:44,000
in that heavy time period.

489
00:25:45,240 --> 00:25:50,700
I think another thing that really scares me on social media or maybe not scares me but

490
00:25:50,700 --> 00:25:54,800
like stresses me out is the concept of trolls.

491
00:25:54,800 --> 00:25:58,920
Somebody coming on and trolling what I'm saying.

492
00:25:58,920 --> 00:26:02,760
What is your best tip for dealing with trolls?

493
00:26:02,760 --> 00:26:04,220
Blocking and reporting.

494
00:26:04,220 --> 00:26:09,340
So I'm a firm believer that social media can be both the best and the worst thing for mental

495
00:26:09,340 --> 00:26:10,340
health.

496
00:26:10,340 --> 00:26:14,400
It can be the best thing because it ties you to this wealth of information that we never

497
00:26:14,400 --> 00:26:21,640
had before in such a beautiful community of people across the world with diverse perspectives

498
00:26:21,640 --> 00:26:27,120
and thoughts and ways of life that you may never be exposed to, regardless of where you

499
00:26:27,120 --> 00:26:33,200
live. And that knowledge sharing and exposure is, I think, one of the most powerful things

500
00:26:33,200 --> 00:26:37,140
to really underscore the fact that, like, we're all in this together and we're all one

501
00:26:37,140 --> 00:26:42,940
big giant community. On the flip side of that, I think social media can also bring out the

502
00:26:42,940 --> 00:26:45,860
the worst of what we like to call keyboard warriors.

503
00:26:45,860 --> 00:26:47,880
So people who sit behind their keyboard

504
00:26:47,880 --> 00:26:50,900
and, you know, tear people down

505
00:26:50,900 --> 00:26:55,460
and say things that you would literally never say

506
00:26:55,460 --> 00:26:58,220
to someone's face, sitting across from them.

507
00:26:58,220 --> 00:27:01,160
And if you were, chances are that person would want nothing

508
00:27:01,160 --> 00:27:02,580
to do with you in the future.

509
00:27:02,580 --> 00:27:07,420
So I always just remind people that protecting your space

510
00:27:07,420 --> 00:27:10,820
and protecting your energy is the best thing you can do

511
00:27:10,820 --> 00:27:13,220
in those types of situations.

512
00:27:13,220 --> 00:27:17,000
It's the block button, it's reporting,

513
00:27:17,000 --> 00:27:18,300
it's limiting your comments.

514
00:27:18,300 --> 00:27:19,900
I've seen people do that on Instagram

515
00:27:19,900 --> 00:27:21,380
when they're talking about certain things

516
00:27:21,380 --> 00:27:24,100
because they just don't wanna deal with people

517
00:27:24,100 --> 00:27:25,980
who are searching hashtags

518
00:27:25,980 --> 00:27:29,300
just to leave negativity all over the place.

519
00:27:29,300 --> 00:27:33,300
And so I think while that is a huge concern,

520
00:27:33,300 --> 00:27:35,860
there are now things in place to one,

521
00:27:35,860 --> 00:27:38,620
help you physically protect your energy and your space.

522
00:27:38,620 --> 00:27:41,500
And to just have a good reminder to yourself

523
00:27:41,500 --> 00:27:43,280
that you're choosing to do this.

524
00:27:43,280 --> 00:27:46,620
And if this choice is no longer serving you

525
00:27:46,620 --> 00:27:47,460
to be out there,

526
00:27:47,460 --> 00:27:50,860
if you feel like all you're getting is not what you want back,

527
00:27:50,860 --> 00:27:53,100
take a break, take a moment,

528
00:27:53,100 --> 00:27:54,680
maybe rethink what you're saying.

529
00:27:54,680 --> 00:27:55,940
And that's not to say what you're doing

530
00:27:55,940 --> 00:27:58,540
isn't valuable or important,

531
00:27:58,540 --> 00:28:00,060
but maybe that's your moment to step back

532
00:28:00,060 --> 00:28:03,260
and think about, is this really how I wanna do this?

533
00:28:03,260 --> 00:28:04,940
Is there other avenues that I could take

534
00:28:04,940 --> 00:28:07,100
or going to a trusted colleague or friend

535
00:28:07,100 --> 00:28:11,580
being like, "Okay, this is all that I'm getting. It seems to be these people coming at me saying

536
00:28:11,580 --> 00:28:17,500
this rhetoric over and over again. I think they're crazy. What do you think?" Because sometimes we

537
00:28:17,500 --> 00:28:24,140
get in our own mind too that what we have to say and what we have to share is 100% correct,

538
00:28:24,140 --> 00:28:27,340
and all the right things and the way that we're delivering it is so great.

539
00:28:27,340 --> 00:28:31,740
Sometimes it could just be in the delivery that people are missing the point.

540
00:28:33,340 --> 00:28:34,700
So let's shift a little bit.

541
00:28:34,700 --> 00:28:39,700
Let's say that I want to establish myself on social media

542
00:28:39,700 --> 00:28:41,300
and I haven't done that much

543
00:28:41,300 --> 00:28:43,060
or maybe I've pulled back for a while.

544
00:28:43,060 --> 00:28:47,020
What advice do you have for somebody to kind of get started

545
00:28:47,020 --> 00:28:48,340
and get themselves out there

546
00:28:48,340 --> 00:28:50,580
with a professional presence on social media?

547
00:28:50,580 --> 00:28:53,100
- Yeah, I love this question

548
00:28:53,100 --> 00:28:56,060
because I'm all about empowering people to like take the leap

549
00:28:56,060 --> 00:28:58,220
and you know, be themselves.

550
00:28:58,220 --> 00:29:00,420
And that would be my number one piece of advice.

551
00:29:00,420 --> 00:29:02,380
Be yourself.

552
00:29:02,380 --> 00:29:04,900
People want to see people.

553
00:29:04,900 --> 00:29:09,900
They want to see you after a shift, before a shift.

554
00:29:09,900 --> 00:29:13,340
I would say in the middle of your shift,

555
00:29:13,340 --> 00:29:15,980
but you know, caveats with that,

556
00:29:15,980 --> 00:29:17,900
as we all probably know if we're listening to this,

557
00:29:17,900 --> 00:29:19,340
if you're in the medical field,

558
00:29:19,340 --> 00:29:21,020
and have a point of view.

559
00:29:21,020 --> 00:29:23,700
And like I kind of mentioned or alluded to earlier,

560
00:29:23,700 --> 00:29:25,860
your point of view can be as simple as,

561
00:29:25,860 --> 00:29:30,020
I'm a pediatric emergency medicine physician.

562
00:29:30,020 --> 00:29:31,780
And what you're doing is you're setting yourself up

563
00:29:31,780 --> 00:29:33,620
for people to come find you and be like, okay, cool.

564
00:29:33,620 --> 00:29:35,320
So if I come to this person's page,

565
00:29:35,320 --> 00:29:37,060
I'm probably gonna see them talking about

566
00:29:37,060 --> 00:29:39,300
caring for children, caring for children

567
00:29:39,300 --> 00:29:42,780
in trauma situations, having advice on things

568
00:29:42,780 --> 00:29:45,540
that they might be seeing coming up in the emergency room.

569
00:29:45,540 --> 00:29:49,500
So like, do I go to the emergency room for a fever or not?

570
00:29:49,500 --> 00:29:53,580
Or when's the best time to call 911 for your kid

571
00:29:53,580 --> 00:29:55,060
versus like showing up and waiting?

572
00:29:55,060 --> 00:29:57,300
You know, they might look for topics like that.

573
00:29:57,300 --> 00:29:59,440
And if you're not wanting to delve into some of those

574
00:29:59,440 --> 00:30:01,380
types of things, they might also then be looking for you

575
00:30:01,380 --> 00:30:04,860
like, how do you take care of yourself outside of your shifts?

576
00:30:04,860 --> 00:30:08,860
What self-care and showing like, get ready with me routines

577
00:30:08,860 --> 00:30:11,700
is like the trend right now.

578
00:30:11,700 --> 00:30:13,900
And so I'm not saying that's necessarily

579
00:30:13,900 --> 00:30:16,540
what I think is the best use of someone's time

580
00:30:16,540 --> 00:30:18,900
to do all the time, but they might see that from you

581
00:30:18,900 --> 00:30:20,420
if you're just identifying yourself as that.

582
00:30:20,420 --> 00:30:22,980
Like, what do you do to get ready for a 12-hour shift?

583
00:30:22,980 --> 00:30:25,780
What do you look like after a 12-hour shift?

584
00:30:25,780 --> 00:30:30,300
Because to me, from the doctors that I've interacted with,

585
00:30:30,300 --> 00:30:32,680
that is the moment that I'd rather see

586
00:30:32,680 --> 00:30:34,000
than they get ready with me.

587
00:30:34,000 --> 00:30:36,200
'Cause that's like the real,

588
00:30:36,200 --> 00:30:40,000
that's like you've just been face to face with humanity

589
00:30:40,000 --> 00:30:42,040
for 12 hours.

590
00:30:42,040 --> 00:30:46,080
And I think that that human aspect

591
00:30:46,080 --> 00:30:49,040
from my own personal opinion is something that

592
00:30:49,040 --> 00:30:51,120
I think is still an untapped field.

593
00:30:51,120 --> 00:30:54,160
And that's not to say it's all doom and gloom

594
00:30:54,160 --> 00:30:54,980
'cause it's not.

595
00:30:54,980 --> 00:30:57,440
There's some beautiful, wonderful, miraculous things

596
00:30:57,440 --> 00:30:58,520
that happen.

597
00:30:58,520 --> 00:31:00,360
but I think that a lot of people just view it

598
00:31:00,360 --> 00:31:04,140
as like advice giving and not what it actually looks like

599
00:31:04,140 --> 00:31:05,360
to do the job.

600
00:31:05,360 --> 00:31:07,200
So that all circles back to my second thing

601
00:31:07,200 --> 00:31:08,460
about like have a point of view.

602
00:31:08,460 --> 00:31:10,560
So establish who you are and do your best

603
00:31:10,560 --> 00:31:12,680
to stay true to that as specific or as broad

604
00:31:12,680 --> 00:31:13,520
as you wanna be.

605
00:31:13,520 --> 00:31:15,560
- And you've talked about this a little bit

606
00:31:15,560 --> 00:31:18,760
but what would be your key platforms to start with?

607
00:31:18,760 --> 00:31:21,920
- What you're comfortable with is the first.

608
00:31:21,920 --> 00:31:26,000
So if you are like, I take photos and I'm great at photos

609
00:31:26,000 --> 00:31:27,560
and like that's my jam

610
00:31:27,560 --> 00:31:28,920
and I write these beautiful captions,

611
00:31:28,920 --> 00:31:31,200
Instagram is your best friend.

612
00:31:31,200 --> 00:31:33,360
If you wanna dabble in video,

613
00:31:33,360 --> 00:31:35,320
I'd say TikTok or Instagram.

614
00:31:35,320 --> 00:31:38,480
Now, both take a little bit of a learning curve

615
00:31:38,480 --> 00:31:40,960
and that shouldn't be a reason not to do it.

616
00:31:40,960 --> 00:31:42,640
There's so many people now who have like

617
00:31:42,640 --> 00:31:45,200
thousands of followers who if you scroll back

618
00:31:45,200 --> 00:31:47,240
through their page, their first videos

619
00:31:47,240 --> 00:31:50,160
are literally like terrible transitions

620
00:31:50,160 --> 00:31:54,160
and weird looking text on screen,

621
00:31:54,160 --> 00:31:56,260
you know, all that jazz.

622
00:31:56,260 --> 00:31:58,900
You can sometimes not hear them or the music's weird.

623
00:31:58,900 --> 00:32:01,380
And that's the thing, like it's meant to be fun.

624
00:32:01,380 --> 00:32:03,560
It's meant to be something that you try.

625
00:32:03,560 --> 00:32:05,740
And so that's where I think you kind of choose

626
00:32:05,740 --> 00:32:09,020
what medium speaks to you and know that you can evolve

627
00:32:09,020 --> 00:32:10,860
just like social media has evolved.

628
00:32:10,860 --> 00:32:13,940
- And I think that takes us to the next question

629
00:32:13,940 --> 00:32:16,220
is for those who are already established

630
00:32:16,220 --> 00:32:21,020
on one or two platforms, what is your advice to them

631
00:32:21,020 --> 00:32:23,900
for expanding their online presence?

632
00:32:25,060 --> 00:32:27,540
Research, do your research.

633
00:32:27,540 --> 00:32:28,860
What are you hashtagging?

634
00:32:28,860 --> 00:32:30,420
How are people finding you?

635
00:32:30,420 --> 00:32:32,200
Where are they finding you?

636
00:32:32,200 --> 00:32:35,520
Depending on your level of engagement on these platforms.

637
00:32:35,520 --> 00:32:38,460
And by that, I mean like if you do any like paid promotions

638
00:32:38,460 --> 00:32:42,000
or I think TikTok might give a little bit better metrics

639
00:32:42,000 --> 00:32:44,300
than Instagram might give in that aspect,

640
00:32:44,300 --> 00:32:45,940
but look at who's following you.

641
00:32:45,940 --> 00:32:47,020
Look at where they come from.

642
00:32:47,020 --> 00:32:49,200
Look at what they look like.

643
00:32:49,200 --> 00:32:53,000
And target that audience.

644
00:32:53,000 --> 00:32:56,440
It takes some time and care and cultivation.

645
00:32:56,440 --> 00:32:58,560
It's one thing when people always talk about like,

646
00:32:58,560 --> 00:33:01,680
"Oh, I went viral and that's how I got all these followers."

647
00:33:01,680 --> 00:33:03,180
Well, did you?

648
00:33:03,180 --> 00:33:05,280
Or did you go viral for like one post

649
00:33:05,280 --> 00:33:06,440
and when people went to your page,

650
00:33:06,440 --> 00:33:08,580
they saw that you had a point of view

651
00:33:08,580 --> 00:33:10,400
that they wanted to keep following.

652
00:33:10,400 --> 00:33:14,020
And that I think is huge.

653
00:33:14,020 --> 00:33:15,360
And that's not again to say like,

654
00:33:15,360 --> 00:33:17,520
I think back to the days when Instagram first launched

655
00:33:17,520 --> 00:33:18,760
and like you looked at people's pages

656
00:33:18,760 --> 00:33:22,540
that were perfectly curated and like aesthetically pleasing.

657
00:33:22,540 --> 00:33:25,060
Like I think that matters a little more now

658
00:33:25,060 --> 00:33:27,420
just in terms of like wanting people to know

659
00:33:27,420 --> 00:33:29,740
like what you're talking about to click on a video.

660
00:33:29,740 --> 00:33:31,780
But I think it's less about that and more about like

661
00:33:31,780 --> 00:33:33,580
if this is something that's popping up in there

662
00:33:33,580 --> 00:33:38,620
like for you page, what's gonna keep them on your page?

663
00:33:38,620 --> 00:33:41,480
And then what's gonna encourage them to click follow.

664
00:33:41,480 --> 00:33:44,780
And if you're not seeing those click throughs to follows,

665
00:33:44,780 --> 00:33:45,780
start to think about why,

666
00:33:45,780 --> 00:33:48,220
are there different hashtags you could be using?

667
00:33:48,220 --> 00:33:51,180
Are there promotions that you could do

668
00:33:51,180 --> 00:33:52,720
in terms of like what you talk about.

669
00:33:52,720 --> 00:33:55,000
I'm not saying giveaways, don't do giveaway loops,

670
00:33:55,000 --> 00:33:56,760
please, please, please.

671
00:33:56,760 --> 00:33:58,960
But are there things that you could promote

672
00:33:58,960 --> 00:34:00,680
that connect to someone else?

673
00:34:00,680 --> 00:34:02,600
Work with your organization.

674
00:34:02,600 --> 00:34:03,760
If you really have a point of view

675
00:34:03,760 --> 00:34:05,000
and you think you're great on camera,

676
00:34:05,000 --> 00:34:07,360
which you probably are if you have a following,

677
00:34:07,360 --> 00:34:10,120
how can you then tap into someone else

678
00:34:10,120 --> 00:34:11,880
who has a following as well

679
00:34:11,880 --> 00:34:15,400
that might be the type of people you want to follow you?

680
00:34:15,400 --> 00:34:17,040
- I like that tip.

681
00:34:17,040 --> 00:34:19,720
- So Lauren, what do you think the future holds

682
00:34:19,720 --> 00:34:22,280
in terms of social media in the healthcare space?

683
00:34:22,280 --> 00:34:25,760
- That is a big question.

684
00:34:25,760 --> 00:34:28,880
On the one hand, change.

685
00:34:28,880 --> 00:34:31,360
I think it's going to constantly be changing.

686
00:34:31,360 --> 00:34:36,360
I think with AI and I think with these things that are,

687
00:34:36,360 --> 00:34:39,880
I think I keep saying this, but like wonderful

688
00:34:39,880 --> 00:34:41,440
and terrifying all at the same time,

689
00:34:41,440 --> 00:34:43,200
that's how I think of AI right now,

690
00:34:43,200 --> 00:34:45,640
it's gonna constantly be changing.

691
00:34:45,640 --> 00:34:48,040
But I think the one thing in the future

692
00:34:48,040 --> 00:34:51,280
that holds true to today is no matter how much things change,

693
00:34:51,280 --> 00:34:52,880
people want to see people.

694
00:34:52,880 --> 00:34:57,160
And so I think the future still is building that connection.

695
00:34:57,160 --> 00:34:59,560
I think you're going to see some platforms come and go.

696
00:34:59,560 --> 00:35:01,480
I think you're going to see platforms change.

697
00:35:01,480 --> 00:35:06,920
Like I don't think meta will be what it is today, a year from now,

698
00:35:06,920 --> 00:35:08,720
five years from now.

699
00:35:08,720 --> 00:35:10,880
But I think that it's not going away.

700
00:35:10,880 --> 00:35:12,600
And so I think the other piece of that

701
00:35:12,600 --> 00:35:15,560
is that for physicians as they're

702
00:35:15,560 --> 00:35:19,120
moving through their career and thinking about social media and whether they want to use

703
00:35:19,120 --> 00:35:22,200
it or not, I think it's always going to be there.

704
00:35:22,200 --> 00:35:27,500
And I think that it's just going to be determining your level of comfort, your level of engagement,

705
00:35:27,500 --> 00:35:32,680
and your buy-in to participate and what that looks like.

706
00:35:32,680 --> 00:35:38,720
Because I think that there's levels of that, and I think that those are always something

707
00:35:38,720 --> 00:35:43,320
that's going to be there, and so you can't pretend that it doesn't exist.

708
00:35:43,320 --> 00:35:47,140
But the more that you can embrace it in the way that you feel the most empowered by it,

709
00:35:47,140 --> 00:35:49,080
the better you're going to be in the long run.

710
00:35:49,080 --> 00:35:50,080
All right.

711
00:35:50,080 --> 00:35:54,320
So if there was one takeaway, one key point that you would like everybody to know here

712
00:35:54,320 --> 00:35:56,920
about social media, what would that be?

713
00:35:56,920 --> 00:36:01,840
I'm going to throw it back to the original podcast that you did and reiterate the with

714
00:36:01,840 --> 00:36:04,860
a great power comes great responsibility.

715
00:36:04,860 --> 00:36:11,880
And I think that that is the perfect summation of this, because as we know, people are looking

716
00:36:11,880 --> 00:36:15,440
to social media platforms more than they're looking to Google now.

717
00:36:15,440 --> 00:36:20,900
People are looking to people as experts, whether they're supported as that or not, in other

718
00:36:20,900 --> 00:36:24,440
realms that we have traditionally thought news media, for example, like if someone's

719
00:36:24,440 --> 00:36:28,120
quoted in the newspaper, they've typically been viewed as an expert.

720
00:36:28,120 --> 00:36:30,040
I think that that has changed.

721
00:36:30,040 --> 00:36:35,920
And so I just think that you should know that as a physician, as that person, or as a medical

722
00:36:35,920 --> 00:36:40,400
professional with those extra letters at the end of your name, people look to you with

723
00:36:40,400 --> 00:36:47,280
certain authority. And that is so wonderful. And I think it's so well deserved and so well earned.

724
00:36:47,280 --> 00:36:53,920
But know that your words have power and your words carry weight. And so when you opt into a

725
00:36:53,920 --> 00:37:00,240
more public or putting yourself out there type of persona, know that you have the power to influence.

726
00:37:00,240 --> 00:37:07,840
And that's huge. Thank you, Lauren. This has been eye opening. And it's so nice to talk with you

727
00:37:07,840 --> 00:37:11,920
again because I miss our chats where I would learn things from you all the time.

728
00:37:11,920 --> 00:37:14,260
So I love doing this again.

729
00:37:14,260 --> 00:37:19,220
And I have now learned that I need to get on Reddit because I don't think I use that

730
00:37:19,220 --> 00:37:20,520
as much as I should.

731
00:37:20,520 --> 00:37:24,360
So I'm going to get on there and start looking for some emergency medicine threads.

732
00:37:24,360 --> 00:37:26,440
That's an interesting takeaway.

733
00:37:26,440 --> 00:37:31,240
I also can't wait to see what happens next or maybe I can.

734
00:37:31,240 --> 00:37:35,280
Whatever it is, it's going to be interesting.

735
00:37:35,280 --> 00:37:39,040
And so guys, this is it for social media and emergency medicine. Thanks, Lauren, for your

736
00:37:39,040 --> 00:37:40,040
time.

737
00:37:40,040 --> 00:37:42,320
Of course, thanks for having me.

738
00:37:42,320 --> 00:37:48,000
And speaking of social media, you can find us on social media @EMPulsePodcast. And it

739
00:37:48,000 --> 00:37:52,200
helps us so much if you subscribe and rate the podcast on Apple Podcasts. And if you

740
00:37:52,200 --> 00:37:55,520
have time, we would love it if you left us a review.

741
00:37:55,520 --> 00:38:00,700
And thanks to the UC Davis Emergency Department for using social media to educate.

742
00:38:00,700 --> 00:38:05,460
And thanks to OM Productions for helping us with our own social media accounts.

743
00:38:05,460 --> 00:38:06,260
See y'all next time.

744
00:38:06,260 --> 00:38:08,840
(upbeat music)

745
00:38:08,840 --> 00:38:11,420
(upbeat music)

746
00:38:11,420 --> 00:38:17,820
[Music]

