Tag: health blogging

  • Nurturing Safe and Braves Spaces on Social Media

    Social media has been a “comfortable” space ever since I joined most of these platforms. This is not just because I’m comfortable with computers and the internet, but mainly because I tend to gravitate and collaborate with people that allow me to grow in this space. In other words, I felt psychologically safe to grow in some groups I am with in social media.

    Two presidential elections and a pandemic drastically changed that “comfortable, safe” social media space. Sometimes, social media is so toxic I had to belabor curating my feed. Add to the difficulty is the changing algorithm of social media feeds, which is getting out of our control more than ever. Now I have to really do social media sabbaticals just to save my sanity from the milee.

    I (and I guess a number of others) wanted at east to reclaim this safe space on social media. And we cannot do it alone. I remember my coach telling me, “if you want a safe space, make one for others first”. This is the topic of our #HealthXPh chat this Saturday June 11, 2022 9PM Manila time.

    Psychological safety is defined as the

    belief that one will not be punished or humiliated for speaking up with ideas, questions, concerns, or mistakes. A shared belief held by members of a team that the team is safe for interpersonal risk taking

    -Edmonson 1999

    Today we will be revisiting the safe and brave spaces #HealthXPH as well as other #HCSM group started for other healthcare professionals to grow their networks on social media. We would seek advice from our colleagues on social media how they did make “safe and brave’ spaces t grow on social media.

    According to Clarke (2020) there are four stages of psychological safety in an environment- Inclusion Safety, Learner safety, Contributor safety and Challenger Safety. Let’s discuss how you can contribute to creating these stages of safe spaces.

    T1. How can you promote inclusion safety on social media?

    This stage simply meant all people in your social media group felt welcomed and included. I remember when we first formed #Healthxph, it was so informal and I felt very much welcomed even though we’re miles apart and very diverse persons at that. Some of us don’t know a thing about social media platforms. We included them first then helped them along the way. And we tried all platforms first to see what worked for all of us!

    T2. How can you promote learner safety on social media?

    Learner safety means “being able to ask questions, give and receive feedback, experiment, and make mistakes”. #HealthXPh is a very learning group. We assured each other we’ll help in everyone’s learning “the ropes” in social media. We have been doing this with our various summits and workshops since 2015. Here every time I speak in front of summit attendees, I often ask “what if I’m wrong”? One would answer, well we will know and learn together. Just go and do it”

    T3. How can you promote Contributor safety on social media?

    Contributor safety means “being able to participate as a member of the team, contribute ideas and suggestions, and raise threats and risks using members’ individual talents and abilities to contribute to the team without fear”. At #HealthXPh, each one contributes his or her best abilities. And even in areas where you have very minimal abilities, your contribution builds the overall program of the group. And since none were mainly an expert on everything in social media, we tried to contribute what we learned along our journey.

    T4. How can you promote challenger safety on social media?

    Challenger safety meant “being able to challenge the way the team works, come up with new ways of working, behaviours, and challenge the ideas of others – even the ideas of senior members” . We had some very controversial discussions at #HealthXPh, and even on twitter. We provide and hosted topics that were rather unpopular or divisive. #HealthXPh in some ways been able to diffuse the tension and made the discussion safe for everyone to contribute or challenge. This is what I later learned as increasing the ” academic tension but decreasing the social tension”. Social media feedbacking is very important here and we have tackled that in so many tweetchats before.

    Psychologically safe space is the “underpinning of high performing teams, bringing out creativity and innovation in teams” says Amy Edmonson in Fearless Organization. In one recent workshop I attended I heard one speaker mention ‘bravespace” for safe space. Indeed, if in the last stage of Psychological safety meant we are “safe” to challenge status quo in social media, then “brave space” would be an apt term.

    I am inviting you once again to join #HealthXPh tweetchat this Saturday June 11, 2022 9PM Manila time. See you all!

  • Jan 4, 2014 #HealthXPh Tweet Chat and Hangout on Air Topic Responses

    It was a happy day of surprises for the #HealthXPh community as it officially launched the tweet chat and Google Hangout as platforms for health collaboration. For a community less than a month old, #HealthXPh’s tweet chat’s upsurge of activity (we hit 560+ impressions!) delighted us to no end. Big thanks to our friends and colleagues at #hcldr and the Filipino physicians for supporting the launching of tweet chat.

    The live tweet chat started on time while a hangout (instead of the scheduled Hangout on Air) started some 45 minutes after because of technical difficulties. Once the conversations on hangout rolled however, it snowballed into one live, highly interactive discussion on emerging technologies. We actually went into overtime by some 30minutes or so!

    Since we’re utilizing all medium as a platform for collaboration,  I’m answering the questions/topics in a blog post, here in my blog.

    [box style=”yellow question shadow” ]

    T1. What is #HealhXPh for core collaborators?[/box]

    HealthXPh is an enabling platform of collaboration for all the healthcare stakeholders -physicians, patients, healthcare institutions, academe and policy makers in the Philippines. It will engage all of these stakeholders to take a more active role in owning issues that affect their health. It aims to give stakeholders a new tool to increase reach beyond what mainstream media can in the discussions about health.

    [box style=”yellow question shadow” ]

    T2. What emerging technologies do you find important and relevant in healthcare?[/box]

    The mobile sms because of its reach and widespread use in the Philippines is still on top of these emerging technologies. With adaptation and maximization of its use to further healthcare programs and discussions is of great potential for an archipelagic country like the Philippines. I currently use sms to remind some of my distantly located patients of their follow -up schedule and specialist referrals.

    Social media also plays an important role for me in my clinical practice. This is mainly for patient education and collaboration with fellow physicians. I get queries from potential patients on facebook, twitter and sometimes Google+. All my social media interactions are aimed at encouraging patients to see a physician personally for their health questions and concerns.  While facebook and twitter may have the farthest reach,  I’m particularly interested with Google+ and all the app services attached to it. It’s potential as a platform for use to health is enormous. Most of these services, is free. Of course, blogging is an effective social media platform to further healthcare discussions and raise awareness. I’ve been blogging since 2006 and that spurred my interest into social media as a platform for collaboration in health!

    I do not consider email as an emerging technology nowadays but for the past decade, it has been a great tool for me in health. Research, training, discussions, updates, and lately to communicate with patients has all been quite a success.

    [box style=”yellow question shadow” ]

    T3 What do you think are the obstacles to the use of emerging technologies in healthcare?[/box]

    Many healthcare stakeholders in the Philippines adapt slowly to emerging technologies when it comes to health. Technical knowhow seem to be an apparent stumbling block. However, if you observe the use of emerging technologies in other segments of our society- business, entertainment and politics, this stumbling block seem negligible. Socially this is can be tied up to a bigger, more fundamental reality to Filipino’s priorities. Health and all other services attached to it, remains low on our priority scale. This is the behavior we wanted to change. With social media as a platform, #HealthXPh could hopefully effect a positive behavioral change to all stakeholders for a collaboration on health.

    Closing Thought (CT): What’s one thing you’ve learned in todays discussion that you can take to your place of influence to help a patient or colleague tomorrow?

    Foremost in my intention is to enlighten interested colleagues and patients regarding social media use in healthcare. Enlighten primarily mean allaying fears of physicians regarding social media usage and issues. The other is to come up with simpler “1-2-3  how to steps” for adapting to some social media tools they can use.

    Thanks to all those who joined and supported #HealthXPh tweetchat and Hangout on Air launch. See you again next week!

    [box style=”green info shadow” ]#HealthXPh tweet chat and Google Hangout on Air happens every Saturday 10 am Manila time (UTC +8 hours). Join the #HealthXPh community on Google Plus, facebook group, like our FB page and on twitter discussions using #HealthXPh hashtag. Subscribe to the HealthXPh blog (www.healthxph.net)  for more updates on email  and your RSS feeds.[/box]

  • January 4, 2014 #HealthXPh Hangout on Air Launching- Your most relevant emerging technology in healthcare

    On Saturday January 4, 2014 10:00 AM Philippine Standard Time, #HealthXPh will be formally launched live on Google+ Hangout on Air (HOA). Core collaborators discussed the framework for #HealthXPh  in the last Hangout on Air. In summary;

    HealthXPh is a platform for healthcare stakeholders – physicians, patients, healthcare institutions, academe and policy makers, to discuss emerging technologies in health as it impacts the Philippine health landscape.

    #HealthXPh Hangout on Air will be a regular Saturday event for the HealthXPh community. #HealthXPh’s format is basically similar to #HCLDR chats, thanks to our colleagues Lisa Fields (@PracticalWisdom) and Colin Hung (@Colin_Hung) at Healthcare Leadership Blog.  Topics and a corresponding speaker or panel of speakers will be assigned to each hangout sessions.  Each hangout sessions will also have a preassigned moderator.

    Participants are encouraged to join the discussions and will be given time to speak or ask questions during interactive sessions. Questions maybe entertained thru Google chat ( which is just beside your Google+ hangout window) twitter using hashtag #HealthXPh or tru our FB group and FB page during the live session.

    The topics for this Saturday’s HOA are:

    • T1 Panel: What is #HealthXPh from the core collaborators?
    • T2 Open Mike: What emerging technologies do you find important and relevant in healthcare?
    • T3 Open Mike: What do you think are the obstacles to the use of emerging technologies in healthcare?
    • Closing Thought (CT): What’s one thing you’ve learned in todays discussion that you can take to your place of influence to help a patient or colleague tomorrow?

    Dr. Remo-tito Aguilar will be the moderator for this HOA.

    Here’s some very good articles you can get ideas for discussion along the Philippine healthcare context.

    1. Let’s start a grassroots physician social media movement. Wes Fisher MD. on KevinMD.com
    2. Seven Effective Ways to Engage on Twitter (shared by @endocrine_witch)
    3. 7 Social media blunders to avoid in 2014 (shared by @cebumd @endocrine_witch)

    Photo Credit to Aaron Guiterman at www.ddadvocacy.com

  • Changing times and changing my blog

    Over a span of several years, I’ve been blogging about almost everything related to my practice. That same time I “grew up” from a “grunt” blogger to one that takes positive insights to every bit of challenge hurled in front of me, medicine related or otherwise. This blog also “expanded”  its horizons from just relating personal experiences to some “serious” stuff about healthcare.

    the current blog theme

    Physicians still has the “authority” over medicine, but not without silent criticisms from “internet powered” patient. Patients gets medical information, validated or not, from the internet. That was years ago. The broad definition of internet sources it seems, is not limited to peer reviewed journals and strict professional medical organizations’ websites. Social media entered the picture and  is becoming a source of medical information. In fact social media, has been pushing boundaries and game changing healthcare as we knew. Healthcare couldn’t just shrug off social media nowadays.

    Thus most of the time, physicians just parry questions left and right, answering “yes that’s right mister” or “No mam that study you read on the internet is not accurate!”. In fact, physicians sometimes get into embarrassing moments when patients volunteer information from the internet none of us came across that data (because maybe, we are busy with doctoring and everything else other than googling). (Here’s one good guide on how to deal with the patients who surf the net made by Dr. Iris Tan)

    Healthcare it seems, is playing catch up on social media.

    In this set up, I began to rethink about this blog evolving role in social-media-healthcare-catch-up sort of thing. Five years into blogging, there still not that many physicians grabbing the opportunity of using social media as a healthcare tool. In the business sense, a social media strategy to aid in his practice or just healthcare for that matter.

    [pullquote]I may not have campaigned, but the real score probably is this- we’re damn too busy. If we have break, we surely don’t want to bring up healthcare issues right in the coffee table, much worse online. It’s just taboo.[/pullquote]

    I thought of providing information about orthopedics or general medicine. But over the years providing such scientific informations per se are better done  by sites related to professional medical organizations and peer reviewed journals.

    Which brings me to what I’m probably changing a bit about the tone of this blog.

    I like writing on a more personal level, presenting an information and then nitpick an idea to go deeper into how I’d be able understand it. It’s more of summarizing, injecting personal thoughts and giving a whole lot of personal touch to understanding medical information. There’s more of trying to reconcile experiences with whats the journals says. Most of the time, it’s the “bone of contention” or the question/ dilemma that needs to be decided or answered  which keeps the information interesting and the interaction lively.

    Thus, I’m gunning for a more personal, meaty content, on health care.

    Note the blog theme is changing. Minimalist. More on content. And the title.,

    My bone of contention…

  • Do you want your healthcare professionals or healthcare institutions to have a social media policy?

    Yesterday I started a survey  asking healthcare professionals (physicians, nurses and allied medical professionals) if their healthcare institutions have a social media usage policy. (If you’re a healthcare professional you can still vote and comment in that post. ) Now its time to ask our clients, the Filipino patients:

    Do you want your healthcare professionals (physicians, nurses allied medical personnel) and /or healthcare institutions (hospitals, clinics) to have a social media policy?

    Philippines, the social media capital of the world!

    This question is important and highly relevant. Why? Philippines is the social media capital of the world and there’s a surge of content sharing in these social networks. That is according to this report by the Global Web Index. Sharing health related patient information on these social networks threads dangerously on an already greyed (if there is/was) privacy and health information laws here in the Philippines. Without enforced laws or governing policies, a breach of patient’s privacy and confidential information have consequences that pose a threat to the mutual trust between patients and his/her physician or that of his/her healthcare institution.

    The other reason is about enhancing patient communication. Social media is  an alternative, revolutionary way in which healthcare professionals or institutions communicate or interact with their patients.  Social media (though research data is lacking on this) could be  a venue for positive reinforcement of actual clinical consults and follow ups. A recent survey also shows that social media is now gaining ground as source of health information in first world countries. The absence of policies regarding its use defaults the interaction to a “free for all” and often negatively affect the overall outcome of these patient-physician  or patient-healthcare institution interactions.

    So again, I’m asking you, Filipino patients, or anyone since obviously you are the ones will be ultimately affected by this policy.

    Do you want your healthcare professional or healthcare institution to have a social media policy use?

    Please vote below and comment (in the comments section) if you wanted to explain your answer. Should you want to maintain anonymous, just email me privately thru this contact page and I will assure you of your confidentiality)

    [poll id=”3″]