Ohio Free Clinic Presentation

I'm honored to be the Opening Keynote Speaker at the Ohio Association of Free Clinics Annual Meeting that starts today in Columbus. The title of my talk is "Using Social Media For Public Relations & Building Awareness For Your Free Clinic." Thanks to the meeting organizers for opportunity to speak to the group.

As I do when I speak to other organizations, I'm going to say that social media is not a "Magic Potion To Success" and should not be something that should be delegated to just anyone. The only thing worse than no social media is bad social media.

Also when I talk to groups who are new to social media, there is a lot of fear that they have to overcome when they are trying to get into social. I will tell the group that, yes, there is some risk, but there is also tremendous opportunity when using social tools. The most powerful way to use social media in health care is the sharing of stories - especially patient centered stories.

My slidedeck is below for today's presentation to the free clinic association. I also invite you to check out my slideshare account for previous presentations to other groups. I hope to video record today's presentation to share with all of you as well. Happy Columbus Day Monday!

Escape Fire Movie

You probably have never heard of this movie. But, if you're in Primary Care Medicine, this may be the most important film you'll see this year. Escape Fire opens today, but only in a few theaters across the country. The great thing about the internet and social media is that you don't need to go to a theater to see this film as it is also available in the iTunes store (except for me, since I've been having problems with download this morning - Ugh)

What is this movie about? It is an examination of our broken United States health care system. You can see the trailer for the film below. Even in the brief trailer for the film, they outline the problem of increased payment for procedural medicine as opposed to primary care medicine. Of note, may of these points were brought out by Family Physician author Dr. Ted Epperly in talking about his book "Fractured." Dr. Epperly was interviewed on the Family Medicine Rocks Podcast a few weeks ago.

Reviews for the film have been positive including Roger Ebert, The Washington Post, Los Angeles Times, Variety, and Rotten Tomatoes. Critics of the film state that this is just an informercial for "Obamacare." Who's right? Well you should check this out for yourself and make your own decision - especially if you work anywhere in the US health care system. And, if anyone sees a film made by the supporters of a different point of view, please let me know and I may talk about there film on the blog as well.

For me, the more that people try to educate the United States public about how our healthcare system works - I think that it adds to the discussion. The only way that we can change the status quo is for more and more people to better understand the problems and potential solutions to US Healthcare. I think this is a great kick off to next week's National Primary Care Week. 

National Primary Care Week

October 8-12, 2012 is designated National Primary Care Week which is a celebration of Primary Care medicine and an opportunity to raise awareness of how important it is for the United States. Our friends at Primary Care Progress have a great webpage with great information.

Something very cool that they have on their website is a page called "Voices of Primary Care" where primary care advocates show their support by taking a picture with a sign called "Primary Care Is..." I think this is fun, yet informational, and entertaining way to share their story. In the pic above, my sign says, "Primary Care is Hi-Tech AND High Touch..."

I have a lot of friends on what we call the Family Medicine Revolution, or #FMRevolution on twitter. I'm issuing a fun little challenge to #FMRevolution to jump on board for this year's National Primary Care Week by taking a pic saying why Primary Care and Family Medicine is important to you. Click on this link for more information and how to download your own sign.

Whether you're a medical student, resident, physician, patient, or anyone else out there, have a lot of fun with this. Be creative. And, most importantly, let your voice be heard for National Primary Care Week!

Internet Safety: Salem PD Presentation

I have the honor of presenting today along with our local police department and the county prosecutor's office on the topic of Internet Safety. Presenting to our local community about social media is an intriguing challenge for me. I mean, I've presented nationally to physicians about social media, and I've talked with my patients about social media. I've only had a couple of opportunities to present locally. I'll try to take some pics and share them with you.

Among the topics that will be covered will be cyberbullying and sexting. I only recently learned of the 2008 case of 18 year old Jessica Logan from the Cincinnati, Ohio area who committed suicide over a case of sexting followed by cyberbulling after their break up. How tragic.

In my section, I will be talking about the internet and social media framed around physical health, social/emotional health, and social media reputation. I've talked in the past about technology related physical ailments. In talking social/emotional, I'll be asking questions like "Is Facebook Making Us Lonely, and exploring "My So Called (Double) Life on Facebook." 

Welcome to those of you who are visiting the site for the first time, especially from my presentation. As promised, here are a few links which are good Social Media Resources for Parents and Teens:

• Social Media Parenting: Raising The Digital Generation
• Facebook Safety
• Safety Net from American Academy of Pediatrics
• HealthyChildren.org Media Information 

The slides I used from my presentation are below. I also invite you to check out (and "like") the facebook page for this site. There's also my YouTube page, my podcast site, my twitter feed, my linked-in page, my slideshare page, and my twitter storify page. Enjoy! 

Parents & Internet Safety from Mike Sevilla

Primary Care Leadership Summit

In addition to last weekend's "Patient Revolution" summit, the physicians also had a "revolution" like gathering from our friends at Primary Care Progress. They had a Primary Care Leadership summit that was tracked on twitter with the hashtag #pcpsummit.

I was not physically there, but I felt like I was while following the twitter stream. I've only been following the Primary Care Progress organization for the past couple of months, and I've enjoyed what I have read. Hopefully, there will be collaborative opportunities in the future.

National Primary Care Week which will be October 8-12, 2012, and the Primary Care Progress site is featuring this with the creative idea of having people print off a sign and writing what they like about Primary Care. Featured tweets from the meeting are in the slideshow below. Enjoy!

Partnership With Patients Summit

Last weekend, patients and patient advocates gathered for a three day event entitled The Partnership With Patients Summit. The evening of Day One was The Walking Gallery (which I still have to see in person for myself one of these days). Day Two was a long day with a fabulous set of speakers (one of which I will highlight below) and ended with the always fun Ignite format of presentations. I didn't know why the hashtag for day two was #cinderblocks, but reading here, I learned why. Day three was Health Camp Kansas City.

One of the speakers on Day Two was a Family Doc who calls himself Dr. Neu and is @NeuCare on twitter. W Ryan Neuhofel, DO is from Lawrence, Kansas and his practice is called NeuCare Family Medicine. The tweets from his presentation are below. As discussed on a previous podcast, it looks like Dr. Neu also practices in the model of Direct Primary Care. We definitely need more and more trailblazers like this. I have never met this physician in person, but it would be interesting for me to interview this innovative Family Physician on the podcast (hint, hint).

At the top of this post, you'll see an interesting metric from the past weekend's meeting. If you wanted to learn how to do twitter at this meeting right, we'll this was the meeting to be at. The number that should stick out to you is Seven Million Impressions on social media. (What's an impression? Click here.)

One other thing I wanted to point out was that look who was number three in impressions (if you can't see the graphic, I was number three in impressions), and I wasn't even on site at the meeting. Now, I know that was because of the number of twitter followers I have. But still, think about the impact and internet reach your meeting could have, even by people who are not on site with you.

Oh, and by the way, guess actually how many people were on site for the meeting. How about this? Organizers tell me that there were about 70 people for about 7,000,000 impressions. Do the math people. We'll see if today's E-Patient Connections Conference (hashtag #epatcon) in Philadelphia can keep up - Hehe. Enjoy the tweets from Dr. Neu's presentation below. Have a great week!

Physician Vs NP: Five Opinions

Earlier this week, the American Academy of Family Physicians released a report entitled Primary Care For The 21st Century: Ensuring A Quality, Physician-Led Team For Every Patient. I talked about this report on this week's podcast. Following the release of this report, there has been a lot of discussion, including this twitter chat following my podcast.

At issue is the question about who should be the leader of the health care team - The Physician or the Independent Nurse Practitioner. There have been long form essays written about this report, and I will include links and quotes below from the five I think are interesting, and you can decide for yourself how you feel about this issue.

Nurse Practitioners No Substitute For Physician Led Team: Roland Goertz, MD from AAFP

• Granting independent practice to nurse practitioners would create two classes of care: one run by a physician-led team and one run by less-qualified health care professionals. Physicians are required to complete 16,000 more hours of training than nurse practitioners
• At a time when the AAFP is advocating a team-based approach to health care to improve outcomes and lower costs, some nurse practitioners are eager to go it alone. Our report makes a strong statement that the patient-centered medical home model is designed to be run with a physician leading a team of health care professionals.

From American Academy of Nurse Practitioners: Angela Golden, DNP, FNP-C

• The American Academy of Nurse Practitioners strongly supports patient-centered and team-based care models. However, the AANP believes that AAFP's efforts to link these evolving models of care with the licensure of nurse practioner practice are misdirected and out of step with today's environment.
• Making full use of the NP workforce is a critical piece of a multi-pronged solution to address the urgent need for health care access in our nation. The ongoing attempts by the AAFP to limit the ability of NPs to practice to the full extent of their education and training only serves to increase the already overwhelming hardships placed on millions of Americans who are struggling to gain access to high quality health care.

Nurse Practitioners, Scope of Practice, and Turf - CKRN

• Frankly, I find this statement condescending and disheartening. First of all, the statement over simplifies a much more complicated issue. Yes, I believe in removing barriers to nurse practitioner scope of practice. One practical reason for this is that when nurse practitioners are authorized to diagnose and prescribe, they can bill more comprehensively for services. If nurse practitioners cannot bill for services, they aren't useful additions to the health care team.
• The way the AAFP has presented their argument leaves me throughly disheartened... With one statement, the specialty that made me believe in the future of healthcare has made me feel like a second class citizen... Believe it or not, that attitude doesn't make me want to collaborate.

The Business Case For Nurse Practitioners - Brian Klepper, PhD

• Why has AAFP taken a public stance against nurse practitioners extending primary care services, but ignored specialists usurping a significant portion of primary care business? An August 2012 study found tht 41% of primary care office visits were provided by specialists.
• Primary care is in decline because it has been compromised by a health care industry that wants direct patient access to lucrative downstream services. But primary care's leadership also has complicity, because it has failed to compellingly convey primary care's value and allowed others to define it.

Patients Are The Real Leaders In The Patient-Centered Medical Home - Kevin Bernstein, MD

• Our medical home team has a team leader. At any time, it can be a nurse, a physician, or whoever is available to take charge and make sure our patients are cared for. That's the point.
• Whether or not it needs to be a physician or nurse practitioner - the evidence is definitely lacking. However, when looking at the IOM report for nursing and the AAFP report for the future of primary care, the only thing that really sticks out to me is the idea we should be working together in collaboration. The national organizations can spin their reports and backlashes however they would like. Unfortunately, this is what media will do for a news story.
• Who is the leader in the Patient-Centered Medical Home? The answer is easy - Our Patients. And they deserve the right for increased access to a team of providers - physicians, nurse practitioners, not practicing independently - who all need to be leaders for the patient's ability to achieve a healthier life.

Wrap-up FamMedRocks Ep 278

Thanks again to our pal Dr. Gerry Tolbert, host of the Here's To Your Health podcast, for joining me for Family Medicine Rocks Episode 278 where we talked about a new report released by the American Academy of Family Physicians entitled Primary Care For the 21st Century: Ensuring A Quality, Physician-Led Team For Every Patient.

As of the publishing of this post, there are 19 comments right here. And, it is the comments to this article that are most interesting. Opinions are on both sides of this one - supporting the AAFP paper, and against the views in the paper. There have already been several essays written on both points of view on this AAFP paper. I'll address those in a future blog post. 

In addition to this AAFP position paper, Dr. Tolbert and I discussed the upcoming National Primary Care Week and an interesting photo essay showing people why they believe in Primary Care. To close the show, we discussed Dr. Tolbert's podcast. At the top of this post, you'll see the video of the closing thoughts of the show. At the bottom of this post, you'll see a twitter discussion following the podcast.

You can listen to the show in its entirety below in the player. You can also download the entire audio podcast for Family Medicine Rocks Episode 278 right here. I also encourage you to follow me on twitter, check out the facebook page for this show (and "like" it), and to check out my you tube page with a new TV interview from this past week. Enjoy!

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Download Ep278 Here

Meeting Video Recording Tips

This post as well as the video below is intended for attendees for the 2012 Family Medicine Education Consortium meeting in Cleveland, Ohio. If you're reading this, you're considering helping out to video document the meeting. Thanks so much for your consideration!

There are tons of complicated articles out there to help you record great vids. But, if you're using a flip video camera or your smartphone, there are two simple steps that you have to remember when you are recording video interviews at meetings:

1) Adequate Lighting: The most common error that is made is a dark picture because of not enough light. Try to make sure that there is almost a light focused on the subject. You'll see in this video interview that I recorded at the 2010 FMEC meeting - that there was not enough light. In another example from a 2012 meeting, you'll see in this video, the lights initially off, and then magically turn on during the interview. Kinda funny.

2) Little Background Noise: It's very convenient to catch someone just after a session ends, and before they leave the room. The 2nd most common error is not knowing just how much background noise will interfere with the interview. In this first example, here is an interview of me last year that was recorded on a smartphone. You'll hear that breakfast has been going on with the background noise. Would've been easier (but less convenient) to go out into the hall. In the 2nd example, I conduct an interview "behind the scenes" at a meeting in an empty room, with only some music in the background. It's kind of a spoof video, so enjoy that.

There are a lot of other tips that I could give you, but I wanted to keep it simple, Also check out my "tips video" below, and I hope to see you in Cleveland for the FMEC meeting!

Direct Primary Care Interview

Thanks again to Rob Lamberts, MD for being my guest on Family Medicine Rocks Episode 277. He is leaving his current traditional medical practice model for something called "Direct Care" medicine which is a subscription model in which patients pay a monthly fee. Dr. Rob states that his patients will have better access to him in this model, which includes electronic communication like e-mail.

In the midst of our conversation, he describes how he came to this decision. He's frustrated (like many of us primary care physicians) with the current health care system, and he felt that he could not transform his practice from within. So, he decided to start his new practice from scratch.

At the end of the interview, we reminisced about when we first started blogging about 5 years ago. My, how times have changed in the healthcare social media space. In the video above, Dr. Rob gave some reflective comments to close the show.

You can listen to the show in the player below. You can also download Family Medicine Rocks Episode 277 here or below. Welcome to those of you who are new to this site. I invite you to check you the podcast site (which includes our iTunes link), the facebook page for this website, my youtube page, my twitter feed, and my linked in page. Enjoy!

Listen to internet radio with DrMikeSevilla on Blog Talk Radio

Download Ep277 Here