Welcome to those of you who are visiting from the KevinMD site. I invite you to take a look around here including My About Page, and My Media Links including local TV interviews. If you like what you see on the blog, I encourage you to subscribe to the blog here.
Welcome to those of you who have clicked on over from the front page of the Twitchy US Politics page. I was alerted to this link by one of my friends on Facebook. I also noticed a huge update in visits to the website today. I guess that's the power of being picked up by a popular website. You can see by the pic below, how things have jumped up in the past few days
This week in Washington, way beneath all the press about Obamacare, there have been articles panning the President's pick as the next Surgeon General of the United States. Wait a minute. What happened to the last Surgeon General?
Six months ago, Family Physician Dr. Regina Benjamin stepped down as the first Surgeon General under President Obama. Quick! Name one accomplishment under Dr. Benjamin. I can't either. What happened?
Dr Benjamin was a rising star in the medical community. In 1995, she was the first African-American woman to be elected to the American Medical Association Board of Trustees. She gained a lot of notoriety following Hurricane Katrina in 2005 as one of the only physicians treating patients in her community of Bayou La Batre. I remember seeing her speak in person in 2007 at an AAFP conference. She has a soft spoken presentation, but she tells a compelling story.
Following the 2008 Presidential election, there was a lot of buzz in the press about the possibility of Sanjay Gupta being nominated as Surgeon General. When that did not materialize, Dr Benjamin's nomination was announced. The Family Medicine community rejoiced. However, the press, who was clearly pulling for a Sanjay Gupta nomination, lashed out with headlines like "Is Regina Benjamin, Surgeon General Nominee, Overweight?"
In my opinion, this Surgeon General tenure was doomed from the start. Don't get me wrong, I'm a BIG fan of Dr Benjamin and her work. She's a nice person, but I think this was her downfall as well. Memorable Surgeon Generals include people like C Everett Coop and Joycelyn Elders. Why? Well, I thought they brought some controversy to the office, and to get attention in Washington DC, you need some controversy.
In Dr. Benjamin's TED talk below, she states that "One person can make a difference." When it comes to government and politics, I disagree with this. The other lesson learned from this doomed Surgeon General tenure is no one person can make an impact in the huge Washington bureaucracy. You need a great team around you and/or a huge amount of supporters within the Washington machine to get anything done there.
This lesson is important for the #FMRevolution activist community to know. Maybe we could have done a better job pushing back on the press when negative stories were sprouting up about Dr Benjamin. I believe this negative press removed most (if not all) her potential effectiveness as a Surgeon General.
One of these days, there will be another opportunity for a Family Physician to be Surgeon General of the United States. The Primary Care and Family Medicine community has to prepare for this by looking at our leadership development and advocacy pipelines. Not only do we need to groom tomorrow's leaders, but also we need to build the numbers of advocates in the public and private sectors to help the next Family Physician make a difference as Surgeon General of the United States.
"Why do we need Social Media in Medicine?" - This is the most common question I'm asked when I talk about social media. Well, THIS is the reason: Calling out hype and bad information.
On Wednesday, December 4, 2013, the main topic of the Katie Couric show will be the "HPV Vaccine Controversy." You'll see the video preview above. Here is what is on the show website:
The HPV vaccine is considered a life-saving cancer preventer. But is it a potentially deadly dose for girls? Meet a mom who claims her daughter died after getting the HPV vaccine, and hear all sides of the HPV cancer controversy.
Now, you know what's going on here, right? It's well documented in the entertainment press that the ratings for the Katie show have been awful and there's been talk about canceling her show. Her show is so "successful" that just last week, it was announced that she's taken a new job with Yahoo as a news anchor. I mean, they'll give anyone an internet show. Heck, I'm an internet news anchor LOL.
If you're in any kind of medical field, I hope you make your social media voice be heard on Wednesday. Even if you're not in medicine, but you get mad at people who spread hype and bad information, I hope you make your social media voice be heard on Wednesday.
Now, don't misunderstand, my heart goes out to this mom who is going to share her story on the Katie show. It is a tragedy that her daughter passed away. However, making the link to the HPV vaccine, seems like a stretch to me. This mom has every right to share her story. But, we as a medical community also have every right to share our story.
Here are some facts from the Public Library of Science post about HPV Vaccine:
- More than 25,000 new cancers attributable to HPV occur in the United States each year. Almost 12,000 of these cases are cervical cancer in females; another 6,000 are oropharyngeal cancers in men.
- More than 100 million doses of the vaccine have been given since it was approved in 2006
- A study published in the British Medical Journal in October evaluated 997,000 girls, 296,000 of whom had received at least one dose of the HPV vaccine. More than 150,000 of those girls received all three doses. The results? Absolutely no link to short-or-long-term health problems. As Lisen Arnheim-Dahlstrom, the lead researcher on the study told Reuters Health, "There were not really any concerns before our study and no new ones after."
In addition here are some links from our friends at the Centers for Disease Control:
- Questions and Answers about HPV Vaccine
- Side Effects
- Vaccine Information Statement
- Questions and Answers about HPV Vaccine Safety
- Cervical Cancer: The Preventable Gynecologic Cancer
How do you fight emotion and hype, with facts and science. I challenge anyone who reads this post to use your social media voice to share the truth about vaccines. For grassroots clinicians like me, I challenge you to especially talk about vaccines on Wednesday with your patients to defuse the hype that this show may generate. The truth and the science are on our side. We just have to get the word out to the public, and most importantly, to our patients....
Everywhere in the news these days, you read of stories where physicians are being cancelled from insurance plans, and groups like the American Medical Association, and state based medical societies fighting to reverse these decisions. Does anyone think these actions will really make a difference? I certainly don't.
Since this is the start of December, this is the time of year where I look at certain expenses and wonder if they are worth continuing for next year. There are some elements which are essential, like my state medical license and DEA license (so I can prescribe certain medications). One cannot practice medicine without these.
What I struggle with every year is justifying the expense for continued membership in physician professional organizations like the American Medical Association, state based medical societies, and my speciality organization.
It is no secret and it has been well documented that the American Medical Association has not had the membership numbers it once had, and less than 30 percent of American physicians are AMA members now. Every year, it has come down to this question for me: "Does this organization represent me and support my professional interests?" At one point that answer was "yes," but now, it's "no." I'm issuing my cancellation letter to the AMA and my state based medical society. With shrinking payment, increasing expenses, and not feeling like I have a voice there anymore, it is time to part ways.
I know there are some physicians out there saying, "What took you so long?" One could always hope that my Family Physician activist friends could help to turn the tide at the speciality driven AMA, but I don't have the dollars to wait any longer. My heart and soul and voice remains with my specialty organization (American Academy of Family Physicians), and I think that other physicians feel the same way in that their niche group or their specialty group brings their health policy message to the local, state, and federal levels for advocacy.
I went to medical school to be an independently owned, primary care physician, who sees patients in the hospital and in my office. Unfortunately, we are facing extinction in the face of the current trends of hospital owned, employed physicians, who are either hospital based or office based. Physician membership organizations are doing a lot of soul searching these days trying to figure out who there membership is these days. Fragmentation is not only in patient care. It is also in physician advocacy. My dollars and support will go to organizations who support me and hear my voice...
Addendum: Welcome to
The main topic of this morning's show was the Social Media & Medicine Panel I was on last week in Austin, Texas at the RWJF Aligning Forces For Quality 2013 Annual Meeting. I have written a lot about this meeting including this post, this post, this post, and this post.
You'll see in the video above, my main thoughts and take aways from our fabulous panel. In addition to this topic, I shared some thoughts on today's post called "Filipino Survivor Guilt" where I share some random ramblings on my life from the past week.
You can listen to the entire audio podcast in the player above. Or, if you like, you can click here, download the file, and listen whenever you like. Welcome to those of you who are visiting this site for the first time. If you like the podcast, I invite you to subscribe here. If you like the blog, you can subscribe here. In addition check me out on twitter, facebook, youtube, and linked-in. Enjoy!
"Hey Dr. Sevilla, just wanted to let you know that we're praying for your family in the Phillipines. What a tragedy with that Typhoon..."
For the past week, I have been receiving messages like this from my patients, from total strangers, and from people on social media (Photo Credits). And, while I know these wishes are well intentioned, I cannot help but feel a little guilty hearing this genuine kindness & concern.
Yes, my heritage is from the Philippines, but my parents emigrated from there and I was born in the United States. The last time I was in the Philippines was about 30 years ago. I remember visiting my relatives and started to learn and understand what the terms "uncle," "aunt," "cousin," and "grandparents" all meant. And, if it wasn't for Facebook, I would not have any connection with my close and distant relatives who connect digitally.
For my parents, their homeland, on the map above, is north of the Manila area. This is well away from the typhoon impact area. It's kind of like the distance between New Orleans, Louisiana, and Jacksonville, Florida - about 550 miles. It's kind of like saying, "Our thoughts and prayers go out to the people of Jacksonville as they try to survive after Hurricane Katrina." Everyone (in the United States) knows that Katrina went nowhere near Jacksonville. For the typhoon, it went nowhere near Manila and points north.
I know everyone out there is saying, "Hey Mike, people are just trying to be nice. Why are you overanalyzing this? Get over it." I guess you people are right. Just a quirky observation in the life of me. Sheesh....
Finally, you know I have to find the social media angle to any story. The image above is from a Facebook page from a Filipino news network. One of the cool things being done is that this TV station is posting pics of survivors on their Facebook page asking if anyone knows the people in the news videos. The news youtube site also has the actual videos so that views can review them and try to identify their loved ones. In addition, there is a google database being built of survivors along with missing persons in the area. Without social media, this process could have taken days, if not weeks, or months. Disaster situations are when social media communication tools show their strength...
What follows below is the video from the PM Session of the Social Media & Medicine Panel at the 2013 Annual Meeting of the RWJF Aligning Forces For Quality (#AF4Q) in Austin, Texas on November 7, 2013.
If you would like more details about the panel, check out previous post, "Previewing Austin #AF4Q 2013 Meeting." I also encourage you to check out previous post "Thanks Aligning Forces For Quality" for some tweets and pics from the meeting.
If you would like to check out the AM session, check out the post called, "Social Media & Medicine Panel AM." Yes, it's similar material, but I just wanted to share that session with you as well. And, yes, this is all me video recording, video editing, and posting video. There is no video team doing this. It's all me baby! Enjoy!
What follows below is the video from the AM Session of the Social Media & Medicine Panel at the 2013 Annual Meeting of the RWJF Aligning Forces For Quality (#AF4Q) in Austin, Texas on November 7, 2013.
If you would like more details about the panel, check out previous post, "Previewing Austin #AF4Q 2013 Meeting." I also encourage you to check out previous post "Thanks Aligning Forces For Quality" for some tweets and pics from the meeting.
I'm still in the process of video editing our PM session, and it will be posted soon. Yes, it's really similar to the AM session, but I wanted to share that with all of you as well. And, yes, this is all me video recording, video editing, and posting video. There is no video team doing this. It's all me baby! Enjoy!
Thanks so much to my new friends at RWJF Aligning Forces For Quality! Above are some initial video and pictures from yesterday that I was able to put together, edit, and share with all of you. I'll have more video and commentary on our Social Media Panel soon. Stay tuned!
Addendum: Just attended great Data Visualization session. The panelists recommended the following resources at the end of their session:
- Book: Information Dashboard Design: The Effective Visual Communication of Data by Stephen Few
- Book: Graphic Design for the Eye of the Mind by Stephen Kosslyn
- Book: Data Visualization: A Successful Design Process by Andy Kirk
- Blog: Flowing Data
- Website: Information Aesthesics
In a previous post, I gave a preview of the Social Media and Influence panel that I will be moderating. In this post, I will share my brief remarks....
My story in social media begins in the pre-twitter and pre-facebook days (at least before they became wildly popular) back in 2005. Back then, the culture in physician social media was to be an anonymous blogger. So, we had names like Grunt Doc and Dr. Flea. So when I started blogging, I called myself Doctor Anonymous.
What did I write about? Yes, I talked about patients. No, I don't do that now. But, that was the culture at the time. It was the Wild West. We talked about whatever we wanted to talk about. I wanted to share with readers the frustrations of taking care of patients in this broken health care system. I learned story telling makes things compelling.
Fast forward to now: Why do Physicians need to be on Social Media?
- Patient Education: As you know, there is a lot of bad information out there on the internet right now. When I get asked by patients, I try to direct them to resources online that I have looked at. For example, the CDC and WebMD has good information. From a hospital standpoint, I use Cleveland Clinic and Mayo Clinic as sources
- Advocacy and Reputation Management: When I talk with fellow Family Physicians, I always tell them that we have let other people tell the Family Medicine story and it's the wrong story. We, as Family Physicians, have to be proactive and share what we're passionate about. You can really find a community online. My colleagues have this twitter group called #FMRevolution (Family Medicine Revolution) where we share how cool it is to be a Family Physician. On those bad days at work, I search out the #FMRevolution hashtag, and reading the tweets refresh me and reenergizes me. What about you and your organization? Are you telling our story online, or is someone else defining who you are? What its the online reputation of your organization, hospital or clinic? Have you checked? Tell your own story, or someone else will.
- Social Media at Meetings: Meetings is where I introduce most people to social media, because I get asked to speak a lot at meeting. I'm also happy to sign people up during the meeting, and help them with their first tweet. I show them that twitter can help them take notes at meetings. And, perhaps the best reason I show them about twitter is that it can take the conversation our of this room, out of this city, and you can possibly have conversations around the world.
Finally, as I finish my remarks, I dabble in a lot of different social media platforms. I have a blog, a podcast, on twitter, on Facebook, on youtube, on linked-in and other platforms. I don't think physicians should be doing everything that I'm doing online. But I think that physicians should know that social media is a powerful communication tool that should not be ignored.
Later this week in Austin, I'll be moderating a superstar panel on the topic of Social Media and the Power of Influence. This will be at the Annual Meeting of Aligning Forces For Quality which is associated with the Robert Wood Johnson Foundation. I have never heard of this group until now, and I'm really looking forward to meeting new people and talking about how we can make this health care system better.
The panel is "Breakout Session 1" (of course) and it is entitled "Influence Through Social Media: Trust, Share, Engage" The description of the panel on the website is as follows:
- Social Media is an undeniable force in health care decision-making, advocacy, and communication. Increasingly, it is a way of turbo-boosting your influence in the field and in the conversation, making connections you otherwise could not have made and building a following for your efforts. It is a natural source of collective influence and collaboration.
- The place to connect: 65 percent of online adults use social networking sites
- Deeper engagement: Nearly 90 percent of those ages 18-24 would engage in health activities or trust information found via social media
- Opportunity to personalize encounters and gather data: One out of three consumers said they would be comfortable having their social media monitored if that data could help them identify ways to improve their care or better coordinate their care
- New expectations: More than 75 percent of consumers expect health care entities to respond within a day or less to social media appointment requests, and nearly half expect a response within a few hours
- How can you tap into this vein of influence? And how do you quantify its impact? Come find out what the landscape looks like and how you can maximize your impact through social media
- The panelists follow below...
I talked about this Austin meeting along with this panel on my most recent podcast which was Episode 317 of the Mike Sevilla Radio Program. In the video above, you'll see the segment of the podcast where I talk about this upcoming panel. You can listen to the entire audio podcast in the player above, or you can download the episode here and listen anytime.
Welcome to those of you who are new to my website. I invite you to take a look around. If you like what you see, I invite you to subscribe to the blog. In addition, you can follow me on twitter, facebook, youtube, linked-in, and subscribe to my podcast on iTunes. Enjoy!
Last month, I had the honor of being interviewed on a podcast from the "Diabetes Community Advocacy Foundation" on their program "DSMA Live." My thanks to Cherise Shockley who is the founder of DSMA and Chair of the Foundation.
We chatted about a number of topics including Family Medicine, Social Media, and Diabetes. I encourage you to check out their weekly chat on twitter on Wednesday nights at 9pm Eastern Time using the #DSMA hashtag.
In addition, they have a weekly podcast every Thursday at 9pm Eastern Time. You can check out the entire audio podcast in the player below. There is a little segment of the show in the video above. Enjoy!
After a month off from podcasting, I recorded yesterday Episode 316 of the Mike Sevilla Radio Program. The video above shows the opening moments of the show. And, there definitely was a lot of talk about and to catch up on. You can also listen to the entire audio podcast in the player below. Or, you can download the episode here, and listen anytime...
Topic One: AAFP 2013 San Diego (At 6:18 in podcast)
The annual meeting of the American Academy of Family Physicians took place in late September in San Diego. Unfortunately, I wasn't able to attend this year, but I followed the meeting on twitter. Even though I wasn't there, following the twitter feed still made me feel energized and reinforced my choice for Family Medicine as my specialty.
The audio clip I shared in this section was the first words of AAFP President Dr. Reid Blackwelder right after he was sworn in as the AAFP President. The audio clip starts in the podcast at 7:59. You can also see the video clip here on the AAFP website.
Topic Two: Direct Primary Care National Summit (At 23:04 in podcast)
In St Louis, on October 11-12, 2013, the Direct Primary Care National Summit took place. The principal sponsor for this event was the Family Medicine Education Consortium and Direct Primary Care Coalition. You can check out the schedule here.
The first audio clip shared in this segment was a portion of an interview of Dr. Erika Bliss from Qliance from The Dr Synonymous Show. The entire 40 minute interview can be found in the player below...
The 2nd audio clip in this segment is from the video below which are the closing thoughts from the Summit. In this clip, Dr. Bliss said. "If Primary Care providers of all stripes cannot step up right now, and own the health care system and change it on behalf of our patients and ourselves, we should just go home."
Topic Four: CFHA 2013 (At 53:13 in podcast)
Earlier this month, I attended the annual meeting of the Collaborative Family Healthcare Association in Denver. The audio clips I shared in this segment were from four previous blog posts entitled "Pecha Kucha," "What are your expectations?," "Questions from #CFHA13," "Collaborative Family Healthcare Association Mtg."
Topic Five: Flashback Segment (At 1:13:07 in podcast)
It's been fun sharing interviews from past shows. In this episode, I shared a small piece of an interview from October 2008 (can't believe it's been five years already) with our pal Carrie on Podcast episode 53.
Carrie has been a long time friend of me and a friend of the show. She is a nurse practitioner in the Northeastern United States. We talked about her chronic pain diagnosis and her love of music. In this brief clip, I shared a few songs that she played on the piano. You can check out the entire 90 minute interview from 2008 in the player below....
What a fun show to put together and share with all of you! Apologies for not having a podcast in over a month. Hopefully, I'll have more time to podcast more. I also invite you to subscribe to the iTunes feed here. You can also subscribe to this blog right here. I also invite you to check me out on twitter, youtube, facebook, and linked-in as well. Enjoy!
I was reviewing the awesome Family Medicine Revolution (#FMRevolution) twitter feed this evening when I saw the above tweet from a fourth year medical student: "I was advised a social media blackout for interview season. Yesterday, I made this feed public. I feel I've done the right thing."
Hmm. Interesting. So, I am not a residency recruiter person, but I play one on the internet. I found that this person has a blog called "Learning Medspeak" and this person is going to be applying to Family Medicine residencies from this blog post:
I will be applying to family medicine residencies that include training in family planning and a strong academic component. In the long run I'm hopeful that I will do all the things I care about: be a good full-spectrum primary care doctor for my patients and a proponent of this work via research or public health or advocacy.
Well, that's cool. On inspection of this person's twitter feed, I find the following three tweets...
Hm. Interesting. I wondering who advised this person about doing a "social media blackout for interview season." If you're hiring someone, on the admissions committee for college or medical school, or if you're on a residency recruitment committee, what would you think if you saw this information?
Here are some other questions that have come to mind: Did my curiosity draw me into a trap? Is this person really real? Is this a hoax? Would an actual medical student write all of this? Hm. Interesting....
Addendum: What I love about social media is the interaction that happens. In addition to the comments below, I'll share some of the feedback tweets like the ones below...
Here are a couple of questions asked of participants during the 2013 Collaborative Family Healthcare Association Annual Meeting...
- What has been the most important accomplishment of the integrated care movement to date?
- What is the biggest hurdle preventing integrated care from entering the mainstream of healthcare services?
Last night in Denver, was one of the best opening sessions that that Collaborative Family Healthcare Association annual meetings has even seen (in my humble opinion lol). The Pecha Kucha presentation style requires 20 slides at 20 seconds each in which the slides advance automatically.
What follows below are the presentations focused on the presenter. I apologize for not having the accompanying slides as a part of this blog post. I'll try to work with the meeting organizers to also get the corresponding slides with the presentations. But, what I thought was the best part of these talks are the people themselves.
Each one of these presenters never prepared a talk like this before, and they worked very hard not only before this meeting, but also hours before show time during the rehearsal sessions in which some of these talks were sharpened to what you see below. See more of my videos at MikeSevilla.TV Enjoy...
I have talked about Direct Primary Care on this blog and on the podcast in the past. For those who are not familiar, Direct Primary Care are services offered directly to the patient, often without insurance administration. The patient pays fixed monthly fees and also sometimes visit fees as well. The challenge in describing this concept is that there is no official definition of Direct Primary Care. Hopefully, this meeting will take steps toward that.
As far as I know, there has never been a national meeting about Direct Primary Care - that is until now. This meeting is organized by our friends at the Family Medicine Education Consortium and starts today in St Louis.
The full schedule is here and you can follow on twitter using the hashtag #DPCSummit. I'll only be able to catch part of the summit, but I hope to learn more about Direct Primary Care and its impact on American Healthcare.