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Hello and welcome to Noon Conference, hosted by MRI Online

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Noon Conference connects the global radiology community

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through free live educational webinars that are accessible

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for all and is an opportunity to learn,

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learn alongside top radiologists from around the world.

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We encourage you to ask questions

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and share ideas to help the community learn and grow.

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You can access the recording of today's conference

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and previous noom conferences by free,

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creating a free MRI online account.

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Today we're honored to welcome Dr.

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Navid Raji for a lecture entitled, utilizing Social Media

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to Heal, to Teach, to Discover.

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Dr. Raji is an MSK radiologist

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and passionate educator at University

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hospitals in Cleveland, Ohio.

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He teaches the residents in their program,

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but is also heavily involved in educating medical students

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in radiological anatomy.

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We're thrilled he's here today

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to share his expertise with us.

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At the end of the lecture, please join Dr.

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Ji in a q and a session

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where he will address questions you

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may have on today's topic.

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Please remember to use a q

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and a feature to submit your questions so we can get to

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as many as we can before our time is up.

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With that, we're ready to begin today's lecture. Dr.

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Faraji, please take it from here.

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Alright, folks, welcome, uh, thank you

1:15

for joining us here.

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Thank you for MRI online and modality, um, for having me.

1:21

It's great to be here,

1:22

and hopefully it should be a relatively fun talk today.

1:27

Um, I'm a radiologist here at University Hospitals in

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Cleveland, Ohio, and, um, yeah, passionate educator.

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So here I am educating

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or at least trying to, um, let's get started.

1:39

So originally I made this lecture, I'll say,

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as a first year attending,

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and it's one of my favorite ones to share with folks.

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And I think it's social media utilization has been something

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that has been, um, you know, relatively important

1:52

to me in my young courier so far.

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And I think it's a tool that is underutilized.

1:58

So hopefully you'll agree with me

2:00

and join the party after this talk.

2:03

So, I was thinking to myself when I first made this, like,

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you know, I'm a, I'm, I was junior faculty in the department

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in which I work, and which I trained

2:11

as a resident and fellow.

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So all these people who I'm, you know, I've been asked

2:15

to educate in this grand rounds are

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folks who had educated me.

2:18

So, some of these folks, for your example, Dr.

2:21

Nikhil Ramiah, he's a abdominal imager. Um, uh, Dr.

2:25

Donna Pletcher, who's our chair, Dr.

2:27

Sheila Melin, just a lot of,

2:29

well-known radiologists who, Dr.

2:31

Gilkeson, who all Dr. Young,

2:33

who's our section chief in m Mss, k Drs, RIP, Dr.

2:36

Pa, Dr. Sunshine, our vice chair.

2:39

So the point is like, these are all these, you know,

2:41

well known, accomplished muss, uh,

2:44

radiologist in our department,

2:45

and what do I have to teach them about?

2:48

This is my sister, another radiologist about radiology.

2:51

So it seemed clear to me that, you know,

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while I saw myself at the time as this person,

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that mostly everybody probably in the audience saw me

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as this young, um, person.

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So what can a person such as this teach, um, some more, um,

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let's say seasoned faculty.

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And then to me it came to mind that, you know, what,

3:13

maybe utilization of social media would be a good

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topic to share with these folks.

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So, um, the title of this talk is Utilization

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of Social Media to Deal, to Teach and to Discover,

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and which is the motto of our, um, That's my, uh,

3:27

tag here on for Twitter.

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And How can we use this to get promoted?

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So it's gonna be geared towards medical students,

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towards residents, and also to faculty.

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How can we utilize, I've got no relevant disclosures

3:42

and you know, the objectives here.

3:45

I'm trying to promote introspection about your personal

3:47

departmental goals and

3:48

how you can use social media to achieve those goals.

3:51

In addition, um, I'd like to understand the, you know,

3:54

to understand the various ways social media may be utilized

3:57

and to highlight some resources

3:58

that may assist you all in utilization of social media

4:01

and this capacity.

4:03

So, you know, first things first is, in order

4:06

to motivate you folks to, to care about

4:08

what I'm talking about, it's probably important

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to talk about what your goals are.

4:12

So as a medical student,

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like what are the main goals, right?

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You wanna match into the field of radiology,

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which is increasingly challenging,

4:19

and particularly in today's day and age.

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And then eventually, and you wanna

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obtain exposure to the field of radiology.

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A lot of medical students don't have a lot

4:26

of exposure in their curriculum to the field of radiology

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and social, you know,

4:30

and social media may provide an opportunity to do so

4:34

for a radiology residents and fellows.

4:35

You wanna become competent radiologist. That's a goal.

4:38

Uh, should be a main goal.

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And to pass the boards you wanna match into a good

4:42

fellowship program and ultimately get a job.

4:45

What about attendings or technologists

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or nurses and radiology?

4:49

You want to get promoted,

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you wanna maintain your certification, provide high quality,

4:54

quick care as,

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and, you know, radiologists in general

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like to be right, you know?

4:59

Um, so being well educated can, can increase your likelihood

5:03

of being right When you see a case, you wanna be well known

5:06

to others in your department and to,

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and to with others in your hospital and in your specialty.

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And, you know, we wanna recruit those excellent trainees

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and we wanna increase our volumes and make the bosses happy.

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So we're gonna talk about how social media may help all

5:21

of these folks to, to accomplish these goals.

5:25

So here's a potato,

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and let's say we wanna make hash browns, right?

5:31

We can do it the old fashioned way,

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which is more laborious using one of these knives,

5:36

or sometimes they make tools to help

5:38

with shredding said potatoes such as this.

5:42

So social media for me is like using one of these

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rather than doing it the old fashioned way.

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And so we'll talk about a little bit about

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how it may be useful in order to do that.

5:53

So I just want to give a scenario

5:55

to help exemplify the point I'm trying to convey.

5:58

So let's say there's two folks applying for the same job

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or for a promotion, or for a grant

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or for a fellowship, right?

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One of those people has, um, you know,

6:09

social media presence and the other doesn't, um, going back.

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So let's say one does, one doesn't,

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and you're, you're interfacing with the same interviewer

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or the same decision maker.

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And if that decision maker has a preexisting exposure

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to one of these applicants due

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to their social media following,

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and it's a relatively positive social media presence

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that's not super controversial

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or, um, you know, challenging,

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I guess I would say it's relative positive exposure, then

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that person may have a little bit of an etch re relative

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to the other person, assuming everything else is held equal.

6:45

So that's, um,

6:46

one scenario in which I think this can be helpful.

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So again, we're gonna talk about this and how Twitter

6:53

or now X may be a tool to,

6:58

to kind of emulate the a a way

7:01

to do things in a different way that may be more efficient.

7:05

So a little bit of background about Twitter

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or X Um, you know, at the time of this publication, 2018,

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there was 330 million active users.

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Who knows? Is that up or down by now?

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I guess it's, uh, relevant remains to be seen.

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One in five US adults had a Twitter or X at the time.

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And it's a microblogging platform

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where you can share your thoughts

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and 280 characters using videos, pictures, or gifs

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or gifs, depends on who you ask.

7:33

Um, it's for great

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for case presentations if you put some images in there, um,

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and great for those with a short attention span.

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So each thought is called a tweet.

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Um, I'm assuming most folks in here know what Twitter is,

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so I'm gonna kind of fly through here.

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And you can interact with other people's tweets by liking

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or re-posting or retweeting them.

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So what's the utilization of social media

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and medicine and radiology?

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So this study in 2017, academic radiology, uh, in addition

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to this other study, 65%

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of physicians were using social media

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for professional reasons.

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And 85% of radiologists were using social media.

8:10

As of 2017, 60% of folks were using it

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for networking or professional purposes.

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And it's a small but expanding community,

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meaning it's a perfect time to enter.

8:21

And it goes beyond the cv.

8:23

It gives people an opportunity to see what you're all about,

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not, you know, just what your list

8:29

of publications are, for example.

8:31

And so this is a, so social media,

8:34

is that a misnomer, right?

8:35

Do you have to be a social or do you have

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to be an extroverted person to be on social media?

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And I guess my thought is no,

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because you're not really directly face-to-face interacting

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with folks that can drain your energy

8:49

if you're an introverted person.

8:50

The reason for this photo is

8:52

'cause it kind of exemplifies the difference

8:54

between my wife, wife and I.

8:55

I'm an extroverted person and she thinks I'm a psychopath.

8:57

So, um, but yeah,

9:00

so I think there's a place in social media

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for everybody dependent.

9:04

It doesn't matter if you're introverted

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or extroverted, it's just a venue

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by which you can share your thoughts

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and represent your quote unquote brand in this space.

9:13

So there's this ransom survey

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of re reasons radiologists use, uh, social media

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and Europe and USA in total.

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And most people are trying

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to stay informed about the latest news

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and developments in radiology.

9:27

Others are trying to communicate

9:28

with their colleagues most commonly.

9:31

Um, and at National International to share

9:34

and discuss interesting

9:35

or difficult cases, which people do often

9:38

and increase my influence pro promote my ideas,

9:40

just the top four, um, common causes,

9:43

common reasons people might use it.

9:47

Um, just exemplifying those there.

9:49

And also to make our profession more visible to patients.

9:52

Obviously radiology is a very patient facing specialty

9:56

and the more we can expose our our patients

9:59

to our specialty, the more likely they are

10:02

to advocate on our behalf when the time comes if necessary.

10:07

So we got some catching up to do,

10:09

or at least we did at the time of this publication in 2015.

10:13

In that private practices is,

10:15

I guess I meant comp in academic radiology compared

10:18

to private practice radiology.

10:19

There was a relative, um, difference,

10:22

statistically significant difference in the amount

10:24

of departments on social media, um,

10:27

both from LinkedIn and Facebook.

10:30

Uh, Twitter was not as statistically significant,

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but there's a discrepancy there.

10:35

And so the point is we had some catching up to do.

10:38

I would assume that by now this gap has been closed.

10:42

So let's talk about how social media can help us to heal,

10:44

which is what we wanna do as physicians, obviously,

10:47

so we can stay up to date on the radiology literature.

10:50

I mean, if you follow the various A-C-R-R-S-N-A, uh,

10:54

your favorite journal, CPDR, academic radiology,

10:57

whatever it is, they tend to post, uh, publications

11:00

as they're being published.

11:01

And it's a good opportunity for at least stay up

11:03

to date on the headlines in the, in the recent publications.

11:07

Additionally, we can share puzzling cases and get opinions.

11:10

I love doing this 'cause I get insight into

11:12

what people are seeing throughout the world in our country

11:15

and for me to share any puzzling cases as long

11:18

as you do it in a safe and non-identifiable

11:20

way, which we'll talk about.

11:22

So, um, 78%

11:25

of radiation oncology articles are more tweeted

11:28

before the paper publication came out.

11:30

So just an, you can really be ahead

11:32

of the game on the cutting edge literature if you're on

11:34

social media, um, prior to it's even posted in paper.

11:39

Um, a lot of radiologists are using Twitter

11:41

to follow radiology news.

11:42

We can connect with an educate patients,

11:45

although you want to be a little bit cautious about that.

11:47

So here's an example of how you can use, uh, social media

11:50

to stay up to date on medical literature.

11:52

I mean, this was a free open source test textbook

11:55

that was shared by velia,

11:57

a great musculoskeletal radiologist in Texas, um, to just

12:01

to share this resource with other folks, um, in the world.

12:04

Whoever is exposed to his social media

12:07

platform would've seen this and just a good opportunity

12:10

to get free open source resources.

12:13

Um, and there's hashtags you can follow us like foam, foam,

12:17

rad, free, open access, medical, something foam rad.

12:22

Um, so there's just another hashtag FOAM rad

12:25

that you could get some free open access resources.

12:28

Here's an example of an article posted by radiology, um,

12:32

about breast MRI, just getting these, uh, quick snippets

12:37

before they're published just to expose you

12:39

to what's going on in the world around you.

12:42

Just another example about dual energy,

12:44

this is an MSK example about how dual energy can help you

12:47

to assess whether a vertebral fracture is acute or chronic.

12:51

Um, 'cause we can see some bone marrow edema here

12:53

where we see absence of, uh,

12:54

bone marrow edema like signal on this particular case

12:57

with the virtual non calcium,

13:03

we can share puzzling cases.

13:05

So there's an example of someone doing this.

13:07

So, you know, things that you don't wanna do,

13:10

you don't wanna say, I saw this case yesterday, for example.

13:13

You don't, you want to make sure that all the image you can,

13:16

you don't have any identifiable image, um,

13:19

in information on these images, right?

13:21

There's no dates, there's no names, there's no birth dates,

13:24

there's no locations.

13:26

Anything that's a patient identifier is

13:28

not present on this case.

13:29

And that's how you can remain safe, uh, 40-year-old male.

13:33

I mean, you could say middle-aged

13:34

male if you want to be safe.

13:35

But the main gist is you do not want the patient to be able

13:39

to identify themselves in the images.

13:41

If it's a disease entity that's so rare that they could,

13:43

then you probably shouldn't post it.

13:45

Or, um, if you give enough information

13:48

that the patient could identify themselves,

13:49

you probably don't wanna post it.

13:50

So just be very cognizant of that.

13:54

So connecting with and educating patients.

13:57

Okay, so we're, again, we're working behind the scenes

13:59

and social media offers us an opportunity

14:01

to step into the light and expose the world to

14:04

what we do on a daily basis.

14:07

We can educate, educate thousands

14:09

of patients on medical imaging and procedures.

14:11

Fast. MRI cancer screening is a really important thing

14:14

that we do as radiologists,

14:15

and it's important for patients to know

14:16

that we are the folks that are providing these services,

14:19

um, of the cancer screening.

14:20

It's not their surgeons or their clinicians.

14:25

Um, so 85% of the patients are unaware

14:28

that radiologists are from physicians.

14:30

That is a problem, um, per,

14:32

this is 2012 that we need to fix.

14:34

And more than 80% of respondents in studies said

14:37

that the person who was interpreting their exams was

14:38

important or very important.

14:39

So I don't think this is, I mean,

14:41

this number is hopefully less than 85% now, um,

14:45

but uh, it's probably still higher than we'd like it to be.

14:48

And continued exposure on social media is one way

14:51

that we can to educate patients about what we do.

14:55

So marketing, marketing is a really important thing, right?

14:57

So before you go to buy a car, for example,

15:00

you see a car commercial that kind of prompts you like, oh,

15:03

I really like that car, right?

15:04

So before a patient goes to get their medical service, um,

15:07

if we expose them

15:08

to the services we provide at our institution

15:11

or in our department, they may be more likely

15:13

to choose our institution relative

15:15

to another institution down the street, for example.

15:19

Um, so we can differentiate our departments

15:21

from neighboring healthcare centers.

15:23

And so the concept that I described,

15:24

it's called pre e-commerce, where opinions are formed

15:27

regarding products or services

15:28

before the consumer actually engages with that service.

15:32

And so social media is a way for us

15:33

to engage in pre commerce,

15:36

and you can control your narrative,

15:38

not Healthgrades or Doximity.

15:39

I would encourage all of you who are on

15:41

or not on social media

15:42

to Google your names to see what happens.

15:44

And before I created an X

15:46

or a Twitter, it was like LinkedIn, Doximity, things that

15:50

it's difficult for patients to engage with.

15:52

Anybody can give any sort of feedback, um, you know,

15:56

rate me any sort of way.

15:58

Um, but at least if you have an X,

16:00

it's usually the first thing that shows up on your Google,

16:04

um, that allows you to control the narrative.

16:07

Social media sites are preferentially prioritized compared

16:10

with third party sites on Google.

16:11

And there's ways, uh, breast cancer, social media and

16:14

and lung cancer, social media are, these are hashtags

16:16

that you can engage with these patient populations.

16:19

So if you were to Google my name, um, you would see

16:23

that my Twitter or X is the first thing

16:25

that shows up next is my work.

16:26

And then there's probably further down some

16:28

additional resources.

16:30

But you know, you click on the first link

16:31

and that allows patients insight into

16:34

what I'm all about rather than other, um,

16:37

platforms determining what my narrative is.

16:40

Uh, Michael and is a former co-resident of mine

16:42

who does not have a social media.

16:43

So if you search his name, you'll see

16:47

probably a little bit changed by now,

16:48

but, uh, hospitals where he worked

16:49

and then Toledo where he went to med school,

16:51

but then WebMD healthcare for people,

16:53

like, what is all this stuff?

16:54

You know, it's, it's relatively non-specific

16:56

and doesn't really give a lot of information about you.

17:00

So this article, um, basically I really liked this quote,

17:04

which is, radiologists must rise to the challenge

17:06

and embrace social media as an opportunity

17:08

to counter the false narrative, the significance

17:10

of radiologists and patient care,

17:12

and the idea that AI will replace radiologists.

17:14

Big topic, right? AI was all over RSNA also just plugged

17:18

uses my RSNA mug.

17:20

Um, but yes, you know, med students are scared

17:24

to go into radiology 'cause of AI

17:26

because of other physicians kind

17:28

of giving them maybe false information about AI or,

17:32

and some people think that AI is gonna replace radiologists.

17:35

That is not my impression.

17:37

Um, I think that a AI is gonna aid us to, to increase to

17:42

our output and throughput, do it in a safer way.

17:45

And social media is also, is a way for us to combat

17:48

that narrative and share articles

17:50

that you might publish about those things.

17:54

So that was about how to heal

17:56

and various numbers of ways to do that.

17:57

Let's talk about how we can teach, uh, an area

18:00

of interest for me.

18:02

Uh, so 89% of med students are using social media,

18:06

91% by radiology trainees.

18:10

And it allows us to share stuff from our department,

18:13

like ways that I could educate folks, articles

18:16

that I publish, um, cases that I see.

18:18

It gives enlightening information to prospective fellows

18:21

and residents about the types of cases

18:22

that we've see in our department and our coursework

18:25

and casework in our accomplishments.

18:27

It allows mentorship opportunities.

18:29

Can't tell you the amount of times I've gotten a DMM

18:31

or a message or from folks who would like some mentorship

18:36

and I'm happy to accommodate everybody the best that I can.

18:38

Obviously there's limitations to what one person can do,

18:41

but, um, trying to do it all as much as possible.

18:44

So it's ways for you to reach out to other physicians,

18:48

other radiologists

18:49

and geographic areas of interest for you to seek mentorship.

18:55

So, and as far as sharing cool cases, again, like,

18:58

so this is a way that I can show the types

19:00

of cases we see in our clinical service,

19:03

in our radiology service.

19:04

And this is a patient who had, um, rugged jersey spine,

19:08

which is indicative of, of renal osteo dystrophy.

19:12

And this case was showing some atrophic kidneys, this image

19:16

that you can't see unless you click on it.

19:17

And then we have these nodular hypo intense areas

19:20

with erosions of the acromioclavicular joint

19:23

and some erosions of the greater tuberosity.

19:26

You couple these erosions

19:28

and nodular things

19:29

with renal osteo dystrophy and renal failure.

19:32

And this is, uh, more likely to be, um,

19:37

amyloid arthropathy with differential PVNS

19:39

and giant cell tumor of the tendon sheath.

19:44

So, quick question, what is the most effective social media

19:47

that could help in more communication?

19:49

I mean, I personally mostly use X for this.

19:53

I don't use my Instagram

19:55

as we have a departmental radiology in residency Instagram,

19:59

but I use that, I use my own X

20:01

for my own personal communications

20:04

and my Instagram is more for my own personal use.

20:06

I don't use it for professional reasons.

20:09

Um, that's my preference.

20:11

Here's another case just showing Langer hand cell

20:14

histiocytosis and then eventually, you know,

20:17

spontaneous resorption after treatment.

20:21

Here's another case by Dr. Harris Ani at, uh,

20:24

I think somewhere in Boston, MGH maybe, um,

20:28

don't quote me on that, but showing extra me hematopoiesis

20:32

so folks can share the types of cases they're seeing

20:34

and educate the masses on those types of cases.

20:41

So, and here's some examples of mentorship

20:45

and keeping connections.

20:46

So this person was looking for a mentor and advice

20:49

and we got a bunch of, um, a bunch of folks reaching out.

20:55

And so I'm rising here, interest neurology, I'm looking

20:58

for mentorship advice accounts,

20:59

and you can see retweets comments, things like that.

21:03

Shannon Sullivan is one of our radiology residents

21:07

and I was able to get, uh, to interface

21:09

with her prior to her being.

21:11

So this was when she was a PGY one

21:13

before she joined our institution.

21:14

We were able to interface, um, grace,

21:17

you obviously she created Rad Discord,

21:19

which highly recommend as a resource to all of you.

21:22

Um, and basically is a way that I interfaced with her prior

21:26

to even joining Rad Discord.

21:28

And here's our local medical students whom I teach at the

21:31

med school and just ways for me to interact

21:33

with the folks locally, uh, whom I teach too, and Toledo.

21:37

So you can see basically it's just a way for us

21:39

to interface both local trainees and in national

21:44

and international trainees as educators

21:47

and kind of mentor folks who, who are seeking mentorship

21:50

and just be able to give back positively to the world.

21:55

So recruiting trainees, how can we use it?

21:57

So eight of 75 neuroradiology fellowships had at least one

22:01

social media account, and that was in 20 17, 20 18.

22:05

And if you compare that to neurosurgery, 31

22:08

and 21, neuro neurosurgery

22:10

and neurology programs had at least

22:11

one social media account.

22:13

So that was, um,

22:14

and then only approximately 50%

22:16

of neuro rat division chiefs had one social media account,

22:18

but most were on LinkedIn.

22:20

So I think it's time to, for these folks

22:22

and to start joining the Twitter

22:25

and social media in that way to x

22:28

and to be a little bit more, uh, to increase our exposure

22:32

to prospective applicants and trainees.

22:35

Uh, and most tweets for radiology news related,

22:38

not promotional about what they're doing, their department

22:40

or what they're doing in their

22:42

division or trying to recruit.

22:45

So news articles tend to result in less engagement.

22:48

Some data shows and more on this later, women in radiology.

22:53

Really important topic.

22:54

If we want to increase the, the number of women in radiology

22:59

to be more commensurate to the amount

23:02

of medical students there are, then we need to expose, um,

23:07

more folks to our field

23:08

and hopefully capture the interest of, uh,

23:11

women in the this pipeline.

23:13

And one way to do that is to just show that how supportive

23:16

of a community we have in the radiology community, uh,

23:20

for women in, uh, in radiology.

23:22

So one example of how that can be accomplished is, uh,

23:25

there are two one hour tweet chats, um, were performed, um,

23:30

on behalf of, I believe, I can't say for sure,

23:33

which I think it was JCR about, not a hundred percent sure.

23:36

And a tweet chat. What is that?

23:38

That's a moderated discussion

23:39

regarding specific question or questions.

23:43

And so you can use various hashtags

23:45

to follow this tweet chat.

23:46

And basically it's a conversation between folks

23:49

who are engaging with this timed, um,

23:51

and met a proctored tweet chat where questions are presented

23:55

and folks can interact with those questions, um,

23:58

in a organized fashion.

24:00

So session one garnered 472 tweets with the hashtag rad xx

24:05

2.3 million impressions, uh, were generated, which is likes

24:10

or any ways that someone uses or interacts with that tweet.

24:13

Session two garnered 620 with 1.8 million impressions.

24:16

So these are great things to participate in, to learn about,

24:20

um, whatever the topic is in that tweet chat.

24:23

Also to increase your exposure

24:25

and your interest by participating in those tweet chats.

24:28

Other individuals who are participating may become, um, more

24:34

aware of who you are, what you're all about.

24:36

And at the same time you're learning about this topic

24:39

and engaging in a meaningful way.

24:41

And it's really important. 'cause if you

24:43

can see it, you can be it, right?

24:44

So women in radiology, if, if we want to increase, um,

24:48

women in the field of radiology

24:49

or underrepresented minorities in the field of radiology,

24:53

if we present to the world that, hey, you know,

24:55

people like you exist in our field and you can be successful

24:59

and you know, you can have a flexible, desirable life,

25:02

whatever you like, whatever it is we wanted

25:03

to say about our field, you know, putting that out

25:06

for the world to see as a way to increase engagement

25:08

and hopefully develop a pipeline of folks

25:10

that are more interested in, uh, participating in our field.

25:13

And this is just an example of

25:15

how we've done that in our department.

25:18

Uh, rad Discord. Just a quick little segue on that.

25:21

What is it? It is a platform,

25:23

communication platform on Discord created by Gray Zoo,

25:26

who's a, was a University of Utah resident

25:28

and now is a abdominal imager at University of Utah.

25:31

And it's the first international online radiology community

25:33

that promotes real time interactions.

25:35

There's various chats geared towards sub chats geared

25:38

towards trainees and junior faculty.

25:41

Um, there's invited lectures

25:42

and board reviews for any r threes out there getting ready

25:45

to study for a board, uh,

25:46

really would consider joining that.

25:48

And you may get exposed to these free, um, board reviews.

25:53

So here's an example of someone, they also have a Twitter

25:56

that you could follow and some

25:58

of the board reviews which were given.

26:02

So here's a little article if you're interested in learning

26:04

more about Intro to Rad Discord by the on the a CR.

26:08

Um, any bad experiences using social media

26:10

that you have that you're aware of?

26:12

Not trying to be negative, but wonder

26:13

what the pitfalls maybe?

26:14

Thanks for your time, the opportunity to learn. No problem.

26:17

So honestly, I can't say

26:19

that I've had a real negative experience personally.

26:22

I've never been called out for posting anything incorrect.

26:26

And I generally try to use, uh, I try

26:30

to engage in a more positive way.

26:32

Um, and I not tend to not participate in controversial

26:36

discussions or if people like disagree with

26:39

what I'm posting in general, then I'm always open

26:42

to being corrected.

26:44

I mean, negative, like,

26:47

there's no negative that I can think of.

26:48

The only thing is that, you know, a lot

26:50

of people want mentored

26:51

and I can, you know, I try to accommodate people

26:54

to the best of my ability.

26:56

Um, but it can be stressful in some, in some instances,

26:59

depending on what else is going on in my life for one person

27:03

to, um, interact with so many folks, I guess.

27:06

But as far as like real professional challenge,

27:11

I can't say like more than maybe somebody saying like,

27:13

are you sure this is that?

27:14

Or what else could it be? And me responding.

27:17

Yeah, I guess you're right, it could be this, this

27:19

or that rather than just this.

27:21

That's like the worst case scenario,

27:22

but that's just part of being a radiologist

27:24

and being open to learning

27:26

and being corrected, um, if appropriate and, and, and,

27:30

and participating in an academic discussion.

27:33

Great question. So to discover, um, let's, so we healed,

27:38

we've taught, now we're gonna discover.

27:40

So Twitter, um, this is all basically about research

27:43

and learning things and, and promoting your own research.

27:47

Um, so it provides opportunities for folks

27:50

to share their own research and read the work of others.

27:53

And most radiology journals have a Twitter presence.

27:55

And I would advise everybody

27:57

to start following those journals,

27:59

which you're most interested in.

28:01

You can share articles to be published.

28:02

How am I doing on time? 1230.

28:04

Oh, I can slow it down a little bit. Let's slow it down.

28:06

It's fine. Okay, great.

28:09

So we can demonstrate a link between the impact.

28:12

Oh yeah, this is interesting.

28:13

There has been a demonstrated link between impact factor

28:16

and social media presence for radiology journals.

28:18

So what is your impact factor?

28:21

Um, 'cause for me it stands to reason that if a journal

28:26

being on social media has increased the impact factor, then

28:32

a person like yourself

28:34

or myself who is posting their research

28:38

on social media may also increase their impact

28:42

and exposure, um,

28:44

which essentially can increase your impact factor.

28:47

So, you know, individuals don't have impact factors

28:51

to my knowledge, but I think the same, you know,

28:54

reasoning makes sense.

28:57

So of the top 50 radiology journals per this study in 2016,

29:01

only 11% had no Twitter connection.

29:04

The 11 subsequently joined social media

29:06

and experienced an increase in impact.

29:08

And feel free to substitute X.

29:09

Every time I say Twitter, I'm just too

29:11

lazy to go back and forth.

29:12

So we're not gonna do that.

29:14

Uh, journals with Twitter profiles had a higher impact

29:16

factor than those without profiles,

29:18

meaning it's 3.37 versus 2.14

29:21

and a larger number of followers was correlated

29:23

with a higher impact factor.

29:25

So the more followers you have,

29:27

the more you tweet your own stuff, the more likely you're

29:30

to expose other readers to your research

29:33

and perhaps you will be more impactful and,

29:37

and, um, by broadly exposing, uh,

29:40

the world to your research.

29:43

So social media presence, increased engagement from readers,

29:47

um, as I alluded to earlier

29:49

and increased article access when tweeted, you know,

29:51

there's a 30 day period in some journals

29:53

where you get a free link to share your article

29:56

for free with the world.

29:57

And that's a perfect opportunity to share that link

29:59

for others to read your article for free if they're not, um,

30:02

members or subscribers to that journal.

30:06

And using personal and journal institutional Twitter

30:08

accounts, augmented the social media strategy.

30:12

So control group 7.6

30:15

and 19 compared to 9.4 and 20.1.

30:19

Not really sure how to read this thing to be honest anymore,

30:21

but the main point is that the more journals were on Twitter

30:27

or eh, and on social media,

30:28

the their impact factors increased

30:31

and their, they had more interaction

30:33

with readers and engagement.

30:34

And I would suspect

30:35

that the same would hold true for an individual.

30:42

Um, do I think Twitter is better

30:43

than LinkedIn for radiologists?

30:45

I, that's a good question.

30:47

I think LinkedIn, if you're looking for job opportunities

30:51

is a useful way to do that.

30:54

Job opportunities are ways to engage

30:56

in a real professional relationship

30:59

with the individual or organization.

31:01

But if you want to broadly expose the world to your work,

31:04

I would guess that Twitter or X is a little bit better.

31:08

But I don't have any data off the top of my head

31:11

to substantiate that claim.

31:13

It's just my personal experience. Great question.

31:17

So, so I guess, yeah, as I kinda alluded to, yes,

31:20

these previous slides

31:21

and this study pertained to the effect

31:23

of social media on the strength of medical journals,

31:26

but it's, for me, it's kind of easy to draw a correlation

31:29

and kind of an analogy to how that may, uh,

31:32

a similar link would exist

31:34

for radiologists individually in

31:36

their social media presence.

31:38

So would an active social media presence increase the impact

31:40

of your research efforts?

31:42

It's a great question. All these are great questions.

31:45

Something to think about. So

31:49

developing and building upon research partnerships,

31:52

AZ Met is a French company, um,

31:54

that has a fractured detection tool known as Ray Evolve,

31:56

which, um, I have been fortunate to work with

32:00

and perform some collaborative research with.

32:03

And just following them

32:04

and them following me kind of gets us both exposure to

32:07

what the other party is all about, what they're,

32:10

what they have coming up in the pipeline.

32:13

And so it kind of also creates a profile

32:16

for yourself in which industry may interact with,

32:22

in addition, it's a great way

32:24

to lift up your colleagues, right?

32:26

So I've got colleagues in my department, I've got residents,

32:29

trainees, they're publishing research.

32:30

It's not all about me, you know, we here, we're a community

32:33

and we wanna lift up others.

32:35

So I, you know, just by doing a retweet

32:37

of someone else's work

32:39

or accomplishments can help to increase the exposure of

32:42

that individual in a substantial

32:45

and meaningful way, you know, so it's kind

32:47

of like sponsorship, um, in

32:49

that we can increase the exposure of our colleagues work

32:53

to the world, and you would hope that, you know,

32:55

they would do the same maybe if the opportunity calls

32:58

for it, but it, um, really it's about lifting up others in,

33:01

in your circle and trying to to increase their exposure

33:06

and hopefully their success and their professional careers.

33:10

So getting promoted, so as a junior faculty getting promoted

33:13

as an interesting concept.

33:15

Um, so part of the, um, process getting promoted,

33:19

and this is straight from my department,

33:21

but, uh, generally it's, um, common, uh,

33:24

theme from department to department.

33:26

But you need to get people, uh,

33:28

who you've never personally worked with.

33:30

There's this arms length rule, um, basically

33:33

where you can have like published with them, really,

33:35

you can't have worked with them, uh, in your department.

33:38

You can't have trained together essentially.

33:41

Um, so you, they have to satisfy this arm's length rule

33:44

and you have to convince these people

33:46

or get these people to want to write you a letter

33:48

of recommendation saying that yes,

33:50

indeed this individual is an active participant in academia

33:54

and has contributed substantially to education

33:57

or clinical work in a substantial way on the national

34:01

or international scale.

34:03

So how does one convince other people to do

34:06

that if you've never worked with them or co-published?

34:09

And I think going to conferences is a very important thing

34:13

to get exposure.

34:14

Publishing work at conferences

34:17

or manuscripts is an important thing to get exposure.

34:19

People will recognize your name,

34:22

but if you're also on social media, I think

34:25

that just amplifies

34:26

or helps them to recognize your name when they see your

34:30

article or when they see your abstract, they can link it

34:33

to this person who they have a preexisting

34:35

knowledge of from social media.

34:36

So, I mean, think of how many articles you've read

34:39

or how many abstracts you've seen

34:41

and how many names can you recall from those articles

34:43

or abstracts that you don't,

34:47

you couldn't connect in some other

34:49

way to social media, you know?

34:50

So I just think it's easier for people

34:52

to connect the names on these various publications,

34:55

peer reviewed publications,

34:57

if they have a preexisting knowledge of that person.

35:00

And social media is a great way to develop

35:02

that preexisting reputation and knowledge.

35:05

Um, so to be outside the university,

35:07

but preferably not outside, outside the academy, this is

35:10

that arm's length rule.

35:11

Um, so these things all violate

35:13

that arm's length requirement, serving

35:15

as a supervisor being supervised, uh,

35:19

close familial relationship, being a formal departmental co

35:23

colleague within the past seven years, um,

35:26

having close research collaboration, co-authoring

35:28

with the candidate in the past seven years.

35:31

So all of these are challenging things.

35:33

I mean, this excludes a lot of folks, you know, that you

35:35

that may want be willing to write you a letter.

35:38

Um, so it's maybe a little bit easier to capture folks.

35:42

Um, if you have a preexisting social media presence,

35:46

these things do not violate this requirement.

35:48

So having conversations, participating on a panel

35:51

or committee with a candidate, uh, inviting the candidate

35:54

to present a paper at a conference,

35:57

presenting a guest lecture, just various things.

36:00

This is our department.

36:02

So social media and radiology overview

36:04

and use usefulness of online professional, uh,

36:08

social media profiles.

36:09

And this is a quote directly from this article by Omar Juan

36:12

and Bradley Speer etal at junior faculty often struggle

36:16

with opportunities to present

36:17

their work at the national level.

36:18

They sub shoulder their substantial clinical load,

36:21

reducing their ability to conduct research

36:23

and strategic use

36:24

of social media can shine a light on the scholarship

36:26

and expertise of an individual

36:28

that's building their reputation and network.

36:29

So basically that's, you know, I agree with them on this

36:33

and I hope that this talk so far

36:36

has convinced you in some fashion that this is real

36:40

and there's no, you know, there's nothing wrong

36:43

with self-promotion

36:44

and promoting other individuals whom you're familiar

36:47

with on social media, um, to increase their exposure.

36:53

So, you know, I'm just a guy,

36:55

just wanna be very clear about that.

36:56

I'm just a dude in northeast Ohio who's

36:58

musculoskeletal radiologist.

36:59

Yes, I have the social media profile and some a following,

37:03

but I'm just a dude, right?

37:04

So these are a bunch of well-known radiologists who I feel

37:08

that, you know, who follow me

37:09

or have at some point that I feel

37:13

that I have no business having a social media following.

37:16

So Dr. Morrison was past president of SSR, uh,

37:19

Donna Blanken Banker is current president of SSR, obviously,

37:23

uh, cookie oz.

37:25

Uh, Dr. Moz is the professor of radiology, editor

37:27

of Radiographics, uh, Arius is a, uh,

37:31

well-known musculoskeletal radiologist, Ali Azi,

37:34

also a well-known musculoskeletal radiologist.

37:37

Alini TI is the president of, uh, radiology

37:41

and Rio de Janeiro,

37:42

and then a musculoskeletal radiologist in Jan Fritz,

37:44

who's division chief of mss K at NYU.

37:46

Very good guy. So in general, the point is to convey that

37:51

you can expose yourself and your work

37:54

and your accomplishments to, to folks that you may not

37:58

otherwise have a exposure to or network with, um,

38:02

unless you've worked with them or know them from other ways.

38:05

But it's just a way to kind of present what you're all about

38:09

to a, to individuals who are relatively advanced

38:13

and accomplished in their careers,

38:15

which can be potentially useful to you.

38:17

And you never know what will occur, what can happen,

38:20

or where these connections may arise.

38:22

But I'm just mean to convey,

38:24

and this was like when I was a fellow first year attending,

38:27

I was, I mean, I'm still a nobody,

38:28

but I was even more of a nobody then.

38:31

So I just want to convey that.

38:34

So outside of, uh, here's a perfect example

38:37

of you never know what's gonna happen.

38:38

So Dr. Fon, Fritz

38:40

and NYU group, they developed this really cool rapid, um,

38:44

MR technology where you can basically do

38:46

what historically has been a 20 minute knee MRI

38:49

and, you know, five or 10 minutes depending on

38:50

how fast you accelerate the sequence.

38:53

And this is just an example of showing, you know, how,

38:57

you know, equivalent the image quality may be

39:00

to a conventional, um, fastmen Echo, MRI.

39:04

So, you know, this is something I commented on

39:08

that this is impressive, you know, love to, you know,

39:12

this is a great contribution to the community

39:15

and, you know, patients hate being in this closed loud

39:17

donut for 20 minutes.

39:19

And so if we can provide a more comfortable atmosphere while

39:22

increasing the throughput

39:23

and increasing access to MRI by o opening up more MRI spots.

39:28

So this is a very substantial

39:29

contribution and this is awesome.

39:31

And so Dr. Fritz responded, thanks

39:33

and he'd always happy to help and share protocols.

39:35

So from this in basic interaction, eventually Dr.

39:39

Fritz came and gave grand rounds to our department

39:42

and we subsequently purchased this said, uh, tool.

39:45

And he was hap well, happy to share his protocols with us

39:49

to allow us to not have to reinvent the wheel

39:52

and to, um, kind of be able

39:56

to implement this in our clinical atmosphere, um,

39:59

without too much effort And other things like building a

40:03

network within your community, right?

40:04

So we have physicians

40:06

with whom we work within our community, um,

40:09

within our hospital.

40:10

And this is a way to develop partnerships

40:13

and show them, you know, what you're all about.

40:15

So, Dr. ELA and Dr.

40:16

Rothermell are, um, oncologists, medical oncologists

40:21

and surgical oncologists, um, within our department.

40:24

And sarcoma tumor boards is a way for us

40:26

to follow each other

40:28

and kind of see what each other is all about

40:30

and maybe find ways

40:31

that we can collaborate on research, maintaining connections.

40:35

So these are all residents, co-residents,

40:37

former co-residents that I've had.

40:38

And it's a good way for us to network

40:40

and keep in touch with each other.

40:42

Um, or former attendings, Dr.

40:44

Golans, the chair Radiology, university of Michigan.

40:47

So just a way for us all to be able to see

40:50

what everybody's doing when we're not in the same

40:53

geographic region any longer.

40:57

So finding your voice branding, right?

40:59

So what is your brand?

41:01

Brand is basically some of the ideas

41:04

and messages you convey, okay?

41:07

So, and your social media presence is a reflection of

41:10

what you want people to think of you.

41:12

So for me, that's someone who's like, kind of funny,

41:14

casual, yet professional.

41:16

I value medical education.

41:17

I, I enjoy what I do and I love Cleveland support.

41:20

So that's like, that's what I'm putting out there.

41:22

And so you wanna be somewhat thoughtful

41:25

and I don't think it has to be super, like,

41:27

completely professional.

41:28

I think something that increases

41:30

and drives engagement just anecdotally is when you give the

41:34

world a little taste of who you are in addition

41:37

to your professional work, right?

41:38

So like, who am I interacting with?

41:40

Like, it's a real person with a real thing.

41:42

So like, I love ultimate Frisbee, I love Cleveland.

41:44

That's why, you know, I'm wearing my

41:46

Cleveland to Ohio sweatshirt.

41:47

Um, you know, so yes, I'm a musculoskeletal radiologist.

41:51

Yes, I'm an educator. Yes, I know a thing

41:53

or two about how to read an MRI,

41:55

but I'm also just a regular person who loves Cleveland

41:58

and sports and uh, and ultimate Frisbee.

42:01

And that's something I try to convey

42:03

and I'd like to keep it light and fun and engaging.

42:07

Put professional.

42:09

So here's my pro tips from an amateur,

42:12

or these are pro tips from an amateur post image rich

42:16

content and interesting cases.

42:18

This is based off of an article

42:19

and CPDR, um,

42:22

a study using the Twitter handle at CTS revealed at 9 910

42:27

tweets news links garnered the fewest engagement when they

42:31

went back and looked at their tweets, whereas case images

42:34

had the highest engagement.

42:36

And we can see that here depicted on this graph.

42:38

165 for case images, illustrations, very important.

42:43

136, scroll through videos, 125,

42:45

but slide images, uh, case question videos

42:49

and educational links.

42:50

News links, far fewer. Okay?

42:51

So the more image rich content you can post,

42:54

the more likely folks will interact.

42:57

Here are some hashtags, which is a means

42:59

by which you can categorize content

43:01

or follow categorized content.

43:04

Hashtag MedEd,

43:05

hashtag grad leaders hashtag Twitter IR twitter ir hashtag

43:09

foam rad for free educational resources, hashtag rad raz

43:14

for radiology residents and hashtag MSK rad.

43:16

Here's another radio, big list of radiology tag ontology.

43:21

Just leave this up here for a second.

43:22

JACR 2016 Hawkins at all things that you may want

43:27

to use MSK ultrasound.

43:28

You wanna interact with John Jacobson, for example.

43:37

So here's a one, Nico Ramiah

43:39

as an oncologic imagery in our department.

43:41

So here are some oncologic imaging hashtags that you may use

43:45

to interact, particularly if it's like screening

43:47

or diagnostic exams related to a specific cancer.

43:50

These are ways in which you may, uh, garner some interest

43:55

and engagement with these various communities.

43:59

I'll leave that up here for a second too.

44:05

So more tips. You wanna have separate

44:07

accounts or personal and professional use.

44:09

I tend to not mix them because it can blurry your message.

44:11

I just have a professional one on X or Twitter.

44:14

Um, I don't use it for personal reasons.

44:16

I do follow the Browns

44:17

and I may pre like tweet a Browns thing or something,

44:19

but I'm not generally tweeting much more outside

44:22

of my professional work.

44:25

You wanna review your hospital social media policies just

44:27

to make sure you're in line with your hospital,

44:29

the institution that you're with.

44:31

Uh, you don't wanna say things like a date

44:33

or like, I read this MRI today,

44:35

or I read this MRI last week.

44:37

Again, avoid negative interactions for those with those

44:39

who have opposing views.

44:41

It's not worth getting into, you know, um, battles

44:45

with people over social media

44:48

and tweet chats I think are useful ways to engage

44:52

and learn about a topic.

44:54

Commercial breaks on the couch are perfect for this.

44:56

There's being at RSNA you can engage with people in person.

44:59

It's fun, but it can be exhausting.

45:01

But social media tweet chats is a way to sit on your couch

45:04

during Monday night Football if there's a tweet, chat

45:06

and go on or whatever you're watching on TV

45:08

and engage while you're doing other things.

45:10

And hopefully a less, um, demanding way.

45:14

And here's me with my dog participating in a tweet chat.

45:19

I probably should not have been when I should have been

45:21

probably looking outside this window.

45:23

But what can you do? Here's another tweet, chat, JACR.

45:28

And I was here to join the treat chat

45:31

and it was about failures.

45:32

And I have normalizing failure within the imaging community.

45:37

So don't include patient identifiers.

45:40

Here's our department's acceptable work-related uses

45:42

of social media recruitment, networking, creating

45:46

and participating in affinity groups.

45:51

And what can administrators do to increase social media use?

45:54

So administrators, you want your faculty maybe

45:56

to increase their social media engagement,

45:58

so it's hard to do it.

45:59

Um, you know, people don't wanna do it sometimes at home

46:02

'cause you don't wanna blur the lines between work and home.

46:04

So lack of time can be a barrier.

46:06

And, um, you may suggest, uh,

46:11

have wing one person in the department to, or

46:13

and each division to be the social media liaison.

46:16

And you may consider giving some dedicated time

46:18

for social media engagement.

46:22

You can, you can incorporate into the compensation model

46:25

to reward people, carrot, for example, to,

46:28

for engaging a social media.

46:30

So what do these things even look like?

46:32

Here's what mine looked like, it's not much different.

46:34

Maybe a big different background picture.

46:37

And here's what these various tweets

46:39

and retweets might look like.

46:43

So I'm not gonna go

46:44

through the step-by-step tutorial, but how to send a tweet.

46:47

You can find it online on the Google.

46:50

And that's really all I have for you.

46:52

So I appreciate everyone's engagement

46:55

and enlightening questions.

46:56

And hopefully if nothing else, I've convinced you today

46:59

that Twitter and social media can be a useful tool

47:03

for you no matter what stage of your professional career,

47:05

whether you're a med student or a resident or faculty.

47:09

And you can both learn about the world,

47:13

you can learn about disease entities, you can get help,

47:17

you can educate the masses,

47:19

you can foster mentorship experiences,

47:22

and then you can share your work and research

47:24

and develop a network that may be fruitful to you

47:28

and future situations that you cannot foresee today.

47:32

But participating is a way to build this network for a time

47:37

where it may, may be fruitful to you.

47:40

So I appreciate your time

47:42

and again, appreciate our friends that modality, um,

47:44

for hosting and I'm happy to take any further questions.

47:50

Thank you so much Dr. Raji.

47:51

Yeah, we will open the floor to questions

47:54

and those can come through the q and a feature, please.

47:58

Um, I'll take the one that just came in,

48:00

how can I get access to the presentation and recording?

48:03

If you registered for this event, we will email you a

48:07

replay link when that is ready.

48:09

So

48:11

Yeah, and then I think this one I answered,

48:13

what is the most effective social media

48:15

that could help in more communication?

48:17

And I'm gonna answer that live

48:19

and basically, you know, my answer I think is X

48:22

and this, um, and Twitter.

48:26

Um, but I'm sure Instagram is another means

48:30

by which to do so.

48:32

Facebook also, but probably less impactful.

48:35

But again, this is all anecdotal,

48:37

but it is my experience that X

48:39

and Twitter is the most common way to interact.

48:44

How can places like modality, uh,

48:46

support RADS on social media and,

48:49

and help foster that community? Any tips there?

48:52

Yeah, I mean definitely I think, um, following modality

48:56

on X and Twitter has been, uh, exceptional, uh, thing to do

49:01

because you get information about webinars such

49:04

as today's about other informational, um,

49:08

webinars, um, whether scientific

49:11

or non interpretive like today's talk.

49:14

But in addition, just being informed about educational

49:17

resources that exist in the world out, um,

49:20

and what are the developments

49:22

and modality, which is a,

49:24

which is a useful educational resource.

49:26

So I think, um, yeah, I mean ways

49:28

that you are already engaging at modality with the community

49:32

to share the free

49:33

and paid resources which you have, um, to

49:37

increase engagement and the education

49:38

of folks in the radiology community has been excellent.

49:42

Well, I think if there's no more questions

49:44

we could probably wrap up.

49:46

Thank you so much again for your lecture

49:47

and for everybody for participating.

49:49

This has been really awesome.

49:51

And you can access the recording of today's conference

49:54

and all our previous noon conferences

49:56

by creating a free MRI online account.

49:58

We'll also send this replay link out via email very soon.

50:03

Be sure to join us next week on Wednesday,

50:05

December 13th at 12:00 PM Eastern for a lecture entitled

50:09

Contrast Enhanced Mammography Time

50:12

for Implementation with Dr.

50:13

Jordana Phillips. You can register

50:15

for this free lecture@mmrionline.com

50:17

and follow us on social media

50:19

for updates on future noon conferences.

50:22

Dr. Raji, thank you so much again. We loved having you here.

50:25

We love working with you and have a great day.

50:28

Thank you. Take care.