 Hello and welcome to noon conference hosted by MRI online noon conference connects the global radiology community through free live educational webinars that are accessible for all. And as an opportunity to learn learn alongside top radiologists from around the world. We encourage you to ask questions and share ideas to help the community learning grow. You can access the recording of today's conference and previous noon conferences by creating a free MRI online account. Today we're honored to welcome Dr. Naveed Faraji for a lecture entitled utilizing social media to heal to teach to discover. Dr. Faraji is an MSK radiologist and passionate educator at University hospitals in Cleveland, Ohio. He teaches the residents in their program but is also heavily involved in educating medical students and radiologic anatomy. We're thrilled he's here today to share his expertise with us. At the end of the lecture, please join Dr. Faraji in a Q&A session where he will address questions you may have on today's topic. Please remember to use a Q&A feature to submit your questions so we can get to as many as we can before our time is up. With that, we're ready to begin today's lecture. Dr. Faraji, please take it from here. All right, folks, welcome. Thank you for joining us here. Thank you for MRI online and modality for having me. It's great to be here and hopefully it should be a relatively fun talk today. I'm a radiologist here at University hospitals in Cleveland, Ohio. And yeah, passionate educator. So here I am educating or at least trying to. Let's get started. So originally I made this lecture, I'll say as a first year attending. And it's one of my favorite ones to share with folks and I think it's social media utilization has been something that has been, you know, relatively important to me in my young career so far. And I think it's a tool that is underutilized. So hopefully you will agree with me and join the party after this talk. So I was thinking to myself when I first made this like, you know, I'm, I was junior faculty in the department in which I work and which I trained as a resident and fellow. So all these people who I'm, you know, I've been asked to educate in this grand rounds or folks who had educated me. So some of these folks for example, Dr. Nikila Ramaya, he's a abdominal imager. Dr. Donna Pletcher, who's our chair, Dr. Sheila Berlin, just a lot of well-known radiologists who Dr. Gilkerson, who all Dr. Young, who's our section chief in MSK, Dr. Sivit RIP, Dr. Pospallati, Dr. Sunshine, our vice chair. So the point is like, these are all these, you know, well-known accomplished muscular radiologists in our department. And what do I have to teach them about this is my sister another radiologist about radiology. So it seemed clear to me that, you know, while I saw myself at the time as this person that mostly everybody probably in the audience saw me as this young person. So what can a person such as this teach some more, let's say, seasoned faculty? And then to me it came to mind that, you know what, maybe utilization of social media would be a good topic to share with these folks. So the title of this talk is Utilization of Social Media. So it's going to be geared towards medical students, towards residents, and also to faculty. How can we utilize? I've got no relevant disclosures. And, you know, the objectives here, I'm trying to promote introspection about your personal departmental goals and how you can use social media. To achieve those goals. In addition, I'd like to understand, you know, to understand the various ways social media may be utilized and to highlight some resources that may assist you all in utilization of social media in this capacity. So, you know, first things first is in order to motivate you folks to care about what I'm talking about, it's probably important to talk about what your goals are. So as a medical student, like what are the main goals, right? You want to match into the field of radiology, which is increasingly challenging, and particularly in today's day and age. And then eventually you want to obtain exposure to the field of radiology. A lot of medical students don't have a lot of exposure and their curriculum to the field of radiology and social, you know, and social media may provide an opportunity to do so. For radiology residents and fellows, you want to become competent radiologists. That's a goal. It should be a main goal and to pass the boards. You want to match into a good fellowship program and ultimately get a job. What about attendings or technologists or nurses in radiology? You want to get promoted? You want to maintain your certification, provide high quality care and, you know, radiologists in general like to be right, you know. So being well educated can can increase your likelihood of being right when you see a case. You want to be well known to others in your department and to with others in your hospital and in your specialty. And, you know, we want to recruit those excellent trainees and we want to increase our volumes and make the bosses happy. So we're going to talk about how social media may help all of these folks to accomplish these goals. So here's a potato and let's say we want to make hash browns, right? We can do it the old fashioned way, which is more laborious using one of these knives. Or sometimes they make tools to help with shredding said potatoes such as this. So social media for me is like using one of these rather than doing it the old fashioned way. And so we'll talk about a little bit about how it may be useful in order to do that. So I just want to give a scenario to help exemplify the point I'm trying to convey. So let's say there's two folks applying for the same job or for a promotion or for a grant or for a fellowship, right? One of those people has, you know, social media presence and the other doesn't. Going back. So let's say one does one doesn't you're interfacing with the same interviewer or the same interviewer. And you're interfacing with the same interviewer or the same decision maker. And if that decision maker has a pre existing exposure to one of these applicants due to their social media following and it's a relatively positive social media presence that's not super controversial or, you know, challenging, I guess I would say it's a positive exposure, then that person may have a little bit of an edge relative to the other person assuming everything else is held equal. So that's one scenario in which I think this can be helpful. So again, we're going to talk about this and how Twitter or now X may be a tool to kind of emulate the way to do things in a different way that may be more efficient. So a little bit of background about Twitter or X. You know, at the time of this publication 2018 there was 330 million active users who knows is that up or down by now I guess it's relevant remains to be seen one in five us adults had a Twitter or X at the time. And it's a micro blogging platform where you can share your thoughts and 280 characters using videos pictures or gifts or GIFs depends on who you ask. It's great for case presentations if you put some images in there and great for those of the short attention span. So each thought is called a tweet. I'm assuming most folks in here know what Twitter is so I'm going to kind of fly through here and you can interact with other people's tweets by liking or read posting or retweeting them. So what's the utilization of social media and medicine and radiology so this study in 2017 academic radiology. In addition to this other study 65% of physicians were using social media for professional reasons and 85% of radiologists were using social media as of 2017 60% of folks were using it for networking or professional purposes. And it's a small but expanding community meaning it's a perfect time to enter and it goes beyond the CV it gives people an opportunity to see what you're all about not you know just what your list of publications are for example. And so this is a social media is that a misnomer right do you have to be a social or do you have to be an extroverted person to be on social media and I guess my thought is no because you're not really directly face to face interact. You're interacting with folks that can drain your energy if you're an introverted person the reason for this photos because it kind of exemplifies the difference between my wife and I'm an extroverted person and she thinks I'm a psychopath so. But yeah so I think there's a place in social media for everybody dependent it doesn't matter if you're introverted or extroverted it's just a venue by which you can share your thoughts and represent your quote unquote brand and this space. So there's this ransom survey of reasons radiologists use social media and Europe and USA in total, and most people are trying to stay informed about the latest news and developments in radiology. Others are trying to communicate with their colleagues, most commonly. And that national international to share and discuss interesting or difficult cases which people do often and increase my influence, promote my ideas just the top four. Common causes common reasons people might use it. Just exemplifying those there and also to make our profession more visible to patients obviously radiology is the very patient facing specialty, and the more we can expose our patients to our specialty, the more likely they are to advocate on our behalf, when the time comes if necessary. So we got some catching up to do or at least we did at the time of this publication in 2015 in that private practices, I guess I meant an academic radiology compared to private practice radiology there was a relative difference, statistically significant difference in the amount of departments on social media, both in LinkedIn and Facebook, Twitter was not as statistically significant but there's a discrepancy there. And so the point is, we had some catching up to do I would assume that by now this gap has been closed. So let's talk about how social media can help us to heal, which is what we want to do as physicians obviously. So we can stay up to date on the radiology literature, I mean if you follow the various ACR RS and a your favorite journal CPD our academic analogy whatever it is, they tend to post publications as they're being published. So let's continue for at least stay up to date on the headlines in the in the recent publications. Additionally, we can share puzzling cases and get opinions I love doing this because I get insight into what people are seeing throughout the world in our country, and for me to share any puzzling cases as long as you do it in a safe and non identifiable way, which we'll talk about. So 78% of radiation oncology articles are more tweeted before the paper publication came out so just then you can really be ahead of the game on the cutting edge literature if you're on social media. Prior to it's even posted in paper. So a lot of radiologists are using Twitter follow radiology news we can connect with and educate patients, although you want to be a little bit cautious about that so here's an example of how you can use social media to stay up to date on medical literature So this was a free open source task textbook that was shared by the college of great musculoskeletal radiologists in Texas to just share this resource with other folks in the world whoever is exposed to his social media platform would have seen this and just a good opportunity to get free open source resources. So you can follow us like foam, foam rad free open access medical something foam rad. So it's just another hashtag foam rad that you could get some free open access resources. Here's an example of an article posted by radiology above breast MRI just getting these quick snippets before they are published just to expose you to what's going on in the world around you. So just another example about dual energy this is an MSK example about how dual energy can help you to assess whether a vertebral fracture is acute or chronic. Because we can see some bone marrow Dima here where we see absence of bone marrow Dima like signal on this particular case with the virtual non calcium. So there's an example of someone doing this. So, you know, things that you don't want to do you don't want to say I saw this case yesterday, for example, you don't you want to make sure that all the image you can, you don't have any identifiable image information on these images right there's no dates, there's no names there's no birth date there's no locations, anything that's a patient identifier is not present on this case and that's how you can remain safe. Well, I mean you could say middle age male if you want to be safe, but the main gist is you do not want the patient to be able to identify themselves and the images if it's a disease entity that's so rare that they could then you probably shouldn't post it, or if you give enough information that the patient could identify themselves you probably don't want to post it so just feel very cognizant of that. We're connecting with an educating patients. Okay, so again we're working behind the scenes and social media offers us an opportunity to step into the light and expose the world to what we do on a daily basis. We can educate educate thousands of patients on medical imaging and procedures fast MRI cancer screening is a really important thing that we do as radiologists and it's important for patients to know that we are the folks that are providing these services of the cancer screening it's not their patients or their clinicians. So 85% of the patients are unaware that radiologists are from the physicians that is a problem for this is 2012 that we need to fix and more than 80% of respondents and studies said that the person was interpreting their exams was important or very important I don't think this is I mean this number is hopefully less than 85% now, but it's probably still higher than we'd like it to be and continued exposure on social media is one way that we can to educate patients about what we do. So market marketing is a really important thing right so before you go to buy a car, for example, you see a car commercial that kind of prompts you like oh I really like that car right so before a patient goes to get their medical service. If we expose them to the services we provide at our institution or in our department, they may be more likely to choose our institution relative to another institution down the street, for example. So we can differentiate our departments from neighboring health care centers and so the concept that I described is called pre commerce or opinions are formed regarding products with services before the consumer actually engages with that service. And so social media is a way for us to engage in pre commerce. So you can control your narrative, not health grades or doximity I would encourage all of you who are on or not on social media to Google your names to see what happens. And before I created an X or Twitter, it was like LinkedIn Doximity things that it's difficult for patients to engage with anybody can give any sort of feedback. It doesn't mean any sort of way. But at least if you have an X it's usually the first thing that shows up on your Google that allows you to control the narrative. Social media sites preferentially prioritize compare with third party sites on Google. And there's ways breast cancer social media and lung cancer social media or these are hashtags that you can engage with these patient populations. So if you were to Google my name. You would see that my Twitter or X is the first thing that shows up next is my work and then there's probably further down some additional resources but you know you click on the first link and that allows patients insight into what I'm all about, rather than other platforms determining what my narrative is. And then there's a former co resident of mine who does not have a social media. So if you search his name, you'll see probably a little bit changed by now but UH hospitals where he worked and then Toledo where he went to med school but then WebMD healthcare for people like what is all this stuff you know it's relatively not specific and doesn't really give a lot of information about you. So in this article. Basically, I really like to this quote which is radiologists must rise to the challenge and embrace social media as an opportunity to counter the false narrative the significance of radiologists and patient care. And the idea that AI will replace radiologists big topic right AI was all over RSNA also just plug is my RSNA mug. Yes, you know med students are scared to go into radiology because of AI because of other physicians kind of giving them maybe false information about AI and some people think that AI is going to replace radiologists that is not my impression. I think the area that AI is going to aid us to increase to our output and throughput, do it in a safer way, and social media is a way for us to combat that narrative and share articles that you might publish about those things. So that was about how to heal and various numbers of way to do that let's talk about how we can teach an area of interest for me. 99% of med students are using social media. 91% by radiology trainees. And allows us to share stuff from our department like ways that I could educate folks with articles that I publish cases that I see it gives enlightening information to prospective fellows and residents about the types of cases that we've seen our department and our coursework in casework and our department allows mentorship opportunities can't tell you the amount of times I've gotten a DM or a message from a folks who would like some mentorship and I'm happy to accommodate everybody the best that I can. Obviously there's limitations to what one person can do but trying to do it all as much as possible so it's ways for you to reach out to other physicians, other radiologists and geographic areas of interest for you to seek mentorship. So, and as far as sharing cool cases again like so this is a way that I can show the types of cases we see in our clinical service and our radiology service and this is a patient who had ruggers a spine which is indicative of renal osteodistrophy. And this case was showing some atrophic kidneys this image that you can't see unless you click on it. And then we have these nodular hypo intense areas with erosions of the acromioclavicular joint and some erosions of the greater tuberosity. And you couple these erosions and nodular things with renal osteodistrophy and renal failure, and this is a more likely to be amyloid arthropathy with differential PVMS and giant cell tumor of the tenet sheath. So quick question what is the most effective socially that could help in more communication I mean, I personally mostly use X for this. I use my Instagram is, we have a departmental radiology and residency Instagram but I use that I use my own X for my own personal communications, and my Instagram is more for my own personal use I don't use it for professional reasons. That's my preference. Here's another case just showing Langer hand cell histiocytosis, and then eventually, you know, spontaneous resorption after treatment. Here's another case by Dr. Harrison Ghani at, I think somewhere in Boston MGH maybe. Don't quote me on that but showing extra measure of hematopoiesis so folks can share the types of cases they're seeing and educate the masses on those types of cases. So, and here's some examples of mentorship and keeping connection so this person was looking for a mentor and advice, and got a bunch of a bunch of folks reaching out. And so I'm rising here interest in biology, I'm looking for mentorship advice accounts, and you can see retweets comments things like that. I was one of our radiology residents, and I was able to get to interface with her prior to her being so this one when she was a PGI one before she joined our institution we were able to interface. Grace you obviously this she created rad discord which I highly recommend as a resource to all of you. Basically is a way that I interfaced with her prior to even joining rad discord and here's our local medical students who might teach at the med school and just ways for me to interact with the folks locally, whom I teach to and Toledo. And you can see basically just a way for us to enter face both local trainees and national and international trainees as educators and kind of mentor folks who are seeking mentorship and just be able to give back positively to the world. How can we use it so eight of 75 neuro radiology fellowships had at least one social media account. And that was in 2017 2018. If you compare that to neurosurgery 31 and 21 neuro neurosurgery neurology programs had at least one social media account. And then only approximately 50% of neuro rad division she's had one social media account, but most were on LinkedIn so I think it's time to, for these folks and to start joining the Twitter and social media and that way to X and to be a little bit more to increase our exposure to perspective applicants and trainees. And most tweets were radiology news related not promotional about what they're doing their department or what they're doing in their division or trying to recruit. So, news articles tend to result in less engagement some data shows and more on this later. Women in radiology really important topic if we want to increase the, the number of women in radiology to be more commensurate to the amount of medical students there are, then we need to expose more folks to our field and hopefully capture the most of women in this pipeline. And one way to do that is to just show that how supportive of a community we have in the radiology community for women in radiology. So, one example how that can be accomplished is a two one hour tweet chats were performed on behalf of I believe I can't say for sure which I think it was JCR about 900% sure. And tweet chat what is that that's a moderated discussion regarding specific question or questions. And so you can use various hashtags to follow this tweet chat and basically it's a conversation between folks who are engaging with this timed and met a proctor tweet chat where questions are presented and folks can interact with those questions. In a organized fashion. So session one garnered 472 tweets with the hashtag rad xx 2.3 million impressions were generated, just likes or any ways that someone uses or interacts with that tweet session to garnered 620 with 1.8 million impressions so these are great things to participate in to learn about whatever the topic is in that tweet chat also to increase your exposure and your interest by participating in those tweets chats other individuals who are participating may become more aware of who you are what you're all about at the same time you're learning about this topic and engaging in a meaningful way. It's really important because if you can see it you could be it right so women in radiology. If we want to increase women in the field of radiology or underrepresented minorities in the field of radiology. If we present to the world that hey, you know people like you exist in our field, and you can be successful and you know you can have a flexible desirable life whatever you like whatever it is we want to say about our field, you know, putting that out for the world to see as a way to increase your engagement and hopefully develop a pipeline of folks that are more interested in participating in our field and this is just an example of how we've done that in our department. Rad discord just a quick little segue on that what is it it is a platform communication platform on discord created by great zoo who was a university of Utah resident now as a abdominal imager at University of Utah. The first international online radiology community that promotes real time interactions there's various chats geared towards sub chats geared towards trainees and junior faculty. There's invited lectures and board reviews for any are threes out there getting ready to study for board really would consider joining that you may get exposed to these free board reviews. So here's an example of some they also have a Twitter that you could follow and some of the board reviews which were given. Here's a little article if you're interested in learning more about intro to Rad discord by the ACR. Any bad experiences using social media that you have that you're aware of not trying to be negative a wonder what the pitfalls maybe thanks for time and opportunity to learn no problem. So honestly, I can't say that I've had a real negative experience personally I've never been called out for posting anything incorrect and I generally try to use. I try to engage in a more positive way, and I tend to not participate in controversial discussions or if people like disagree with what I'm posting in general, then I'm always open to being corrected. I mean, negative like there's no negative that I can think of the only thing is that you know the lot of people want mentored and I can, you know I tried to accommodate people to the best of my ability. I can be stressful in some in some instances depending on what else is going on in my life for one person to interact with so many folks I guess but as far as like a real professional challenge. I can't say like more than maybe somebody saying like are you sure this is that or what else could it be me responding yeah I guess you're right it could be this this or that rather than just this. That's like the worst case scenario but that's just part of being a radiologist and being open to learning and being corrected. If appropriate and participating in an academic discussion. Great question so to discover. Let's so we healed we've taught now we're going to discover so Twitter. This is all basically about research and learning things and promoting your own research. It provides opportunities for folks to share their own research and read the work of others and most radiology journals have a Twitter presence and I would advise everybody to start following those journals which are most interested. You can share articles to be published how am I doing on time 1230 I can slow it down a little bit. Let's slow it down. It's fine. Okay. Great. So we can demonstrate a link between the impact. Oh yes this is interesting there has been a demonstrated link between impact factor and social media presence for radiology journals. So what is your impact factor is for me it stands to reason that if a journal being on social media has increased the impact factor. Then a person like yourselves or myself who is posting their research on social media may also increase their impact and exposure, which essentially can increase your impact factor so. You know, individuals don't have impact factors to my knowledge but I think the same, you know reasoning makes sense. So, of the top 50 radiology journals per the study in 2016 only 11% had no Twitter connection. The 11 subsequently joined social media and experienced an increase in impact and feel free to substitute x every time I say Twitter I'm just too lazy to go back and forth so we're not going to do that journals with Twitter profiles had a higher impact factor than those without profiles 3.37 versus 2.14 and a larger number of follows was correlated with a higher impact factor so more followers you have the more you tweet your own stuff the more likely you're to expose other readers to your research and perhaps you will be more impactful and by broadly exposing the world to your research. So, social media presence increase engagement from readers, as I alluded to earlier, an increased article access when tweeted you know there's a 30 day period in some journals where you get a free link to share your article for free with the world and that's a perfect opportunity to share that link for others to read your article for free if they're not members or subscribers to that journal. And journal institutional Twitter accounts augmented the social media strategy. So, control group 7.6 and 19 compared to 9.4 and 20.1. Not really sure how to read this thing to be honest anymore but the main point is that the more journals were on Twitter are and on social media them. Their impact factors increased in there. They had more interaction with readers and engagement and I would suspect that the same would hold true for an individual. Do I think Twitter is better than LinkedIn for radiologists. I, that's a good question. I think LinkedIn if you're looking for job opportunities is a useful way to do that job opportunities are ways to engage in a real professional partnership with the individual organization but if you want to broadly expose the world to your work I would guess that Twitter or X is a little bit better but I don't have any data off the top of my head to substantiate that claim it's just my personal experience. Great question. So I guess yeah as I kind of alluded to yes these previous slides and this study pertain to the effect of social media on the strength of medical journals. But it's, for me it's kind of easy to draw a correlation and kind of an analogy to how that may a similar link would exist for radiologists individually in their social media presence. The impact of social media presence increased the impact of your research efforts. It's a great question. All these are great questions something to think about. So developing and building upon research partnerships AZ Met is a French company that has a fractured detection tool known as Revolve which I have been fortunate to work with and perform some collaborative research with, and just following me kind of gets us both exposure to what the other party is all about what they're what they have coming up in the pipeline. And so it kind of also creates a profile for yourself in which industry may interact with. In addition, it's a great way to lift up your colleagues right so I've got colleagues in my department I've got residents trainees, they're publishing research it's not about me you know we're here or a community, and we want to lift up others so just by doing a retweet of someone else's work or accomplishments can help to increase the exposure of that individual in a substantial meaningful way you know so it's kind of like sponsorship. In that we can increase the exposure of our colleagues work to the world, and you would hope that you know they would do the same maybe if the opportunity calls for it but it really it's about lifting up others and in your circle, and trying to increase their exposure, and hopefully their success and their professional careers. So getting promoted so as a junior faculty getting promoted as an interesting concept. So part of the process getting promoted this is straight from my department but generally it's common theme from department to department but you need to get people who you've never personally worked with there's this arms length rule. Basically where you can have like published with them really you can't have worked with them in your department you can't have trained together essentially. So you, they have to satisfy this arms length rule and you have to convince these people or get these people to want to write you a letter of recommendation saying that yes, indeed this individual is an active participant in academia and has contributed substantially to education or clinical work in a substantial way on the national or international scale. So how does one convince other people to do that, if you've never worked with them or co published and I think going to conferences is a very important thing to get exposure, publishing work at conferences, or manuscripts is an important thing to get people to recognize your name. But if you're also on social media, I think that just amplifies or helps them to recognize your name when they see your article or when they see your abstract they can link it to this person who they have a pre existing social media so I mean think of how many articles you've read how many abstracts you've seen and how many names can you recall from those articles or abstracts that you don't you couldn't connect in some other way to social media you know so I just think it's easier for people to connect the names on these various publications peer reviewed publications if they have a pre existing knowledge of that person and social media is a great way to develop that pre existing reputation knowledge. So to be outside the university but preferably not outside outside the academy this is that arms length rule. So these things all violate that arms length requirement serving as a supervisor being supervised close familial relationship being a formal departmental college college within the past seven years. Having close research collaboration co authoring with the candidate in the past seven years. So all these are challenging things. I mean this excludes a lot of folks you know that you that may want be willing to write you a letter. So it's maybe a little easier to capture folks. If you have a pre existing social media presence. These things do not violate this requirement so having conversations participating on a panel or committee with a candidate inviting the candidate to present a paper at a conference. Presenting a guest lecture just various things this is our department. So social media and radiology overview and use usefulness of online professional social media profiles and this is a quote directly from this article by Omar one and Bradley Speeler at all. That junior faculty often struggle with opportunities to present their work at the national level. So basically that's you know I agree with them on this and I hope that this talk so far has convinced you in some fashion that this is real. And there's no, you know, there's nothing wrong with self promotion and promoting other individuals whom you're familiar with on social media. To increase their exposure. So, you know, I'm just a guy just want to be very clear about that I'm just a dude in Northeast Ohio is musculoskeletal radiologist yes I have the social media profile and following but I'm just a dude right so these are a bunch of well known radiologist who I feel that you know who follow me or have at some point that I feel that I have no business, having a social media following So Dr Morrison was past president of SSR Donna Blankenbaker is current president of SSR. Obviously cookie many us Dr me as the professor radiology editor of radiographics. This is a well known musculoskeletal radiologist Ali Garamazi also a well known musculoskeletal radiologist Alini Serfati is the president of radiology and Rio de Janeiro and musculoskeletal radiologist and Jan Fritz is division chief of MSK NYU very good guy. In general, the point is to convey that you can expose yourself and your work and your accomplishments to the folks that you may not otherwise have a exposure to or network with, unless you've worked with them or know them from other ways but it's just a way to kind of present what you're all about to a to individuals who are relatively advanced and accomplished in their careers, which can be potentially useful to you and you never know what will occur what can happen or where these connections may arise. But I just mean to convey this was like when I was a fellow first year attending, I was, I mean I'm still a nobody but I was even more of a nobody that. So, I just want to convey that. So, outside of UH here's a perfect example of you never know what's going to happen so Dr young fritz and NYU group they developed is really cool rapid MR technology where you can basically do what historically has been a 20 minute knee MRI, and you know five or 10 minutes depending on how fast you accelerate the sequence. And this is just an example of showing, you know, how, you know, equivalent to the image quality may be to a conventional fast and echo MRI. So, you know, this is something I commented on that this is impressive, you know, love to, you know, this is a great contribution to the community. And patients hate being in this closed loud donut for 20 minutes. And so if we can provide a more comfortable atmosphere while increasing the throughput and increasing access to MRI by opening up more MRI spots and this is a very substantial contribution and this is awesome. And so Dr fritz responded thanks to me to always happy to help and share protocols so from this in basic interaction. Dr fritz came and gave grand rounds to our department, and we subsequently purchased this said tool, and he was happy to share his protocols with us to allow us to not have to reinvent the wheel, and to kind of be able to implement this in our clinical atmosphere without too much effort. Another thing is like building a network within your community right so we have physicians with whom we work within our community within our hospital and this is a way to develop partnerships and show them, you know what you're all about so Dr. Michael and Dr Rothermel are it oncologists medical oncologists and surgical oncologists within our department and sarcoma tumor board and this is a way for us to follow each other and kind of see what each other is all about and maybe find ways that we can collaborate on research maintaining connections so these are all residents co residents former co residents that have had. It's a good way for us to network and keep in touch with each other. We're more former attendings Dr. Gline's chair ideology University of Michigan so just a way for us all to be able to see what everybody's doing when we're not in the same geographic region any longer. So finding your voice branding right so what is your brand brand is basically some of the ideas and messages you convey. So in your social media presence is a reflection of what you want people to think of you. So for me that's someone who's like kind of funny casual yet professional I value medical education. I enjoy what I do and I love Cleveland sports so that's like that's what I'm putting out there. And so you want to be somewhat thoughtful. And I don't think it has to be super like completely professional I think something that increases and drives engagement just anecdotally is when you give the world a little taste of who you are in addition to your professional work right so what am I interacting with like it's a real person with a real things like love ultimate frisbee I love Cleveland that's why I'm wearing my Cleveland Ohio sweatshirt. You know so yes I must go skeleton radiologist yes I'm an educator yes I know a thing or two about how to read an MRI but I'm also just regular person who loves Cleveland and sports and and ultimate frisbee and that's something I tried to convey. I like to keep it light and fun and engaging but professional. So here's my pro tips for an amateur or these are pro tips from an amateur post image rich content and interesting cases this is based off of an article on CPD are a study using the Twitter handle that CT is us revealed at 910 tweets. Thanks Garner the fewest engagement when they went back and looked at their tweets, whereas case images had the highest engagement and we can see that here depicted on this graph 165 for case images illustrations very important 136 scroll through videos 125 but slide images case question videos and education links news links far fewer okay so the more image rich content you can post the more likely folks will interact. Here are some hashtags, which is a means by which you can categorize content or follow categorized content. Hashtag meta hashtag Rad leaders hashtag Twitter IR Twitter IR hashtag foam rad for free educational resources. Hashtag rad res for radiology residents and hashtag MSK rat. Here's another radio big list of radiology tag ontology. Just leave this up here for a second JCR 2016 Hawkins at all. Things that you may want to use MSK ultrasound you want to interact with john Jacobs and for example. So here's a bond Nicarama is an oncologic image in our department so here's some oncologic imaging hashtags that you may use to interact particularly if it's like screening or diagnostic exams related to a specific cancer. These are ways in which you may garner some interest and engagement with these various communities. I'll leave that up here for a second to some more tips, you want to have separate accounts for personal professional use I tend to not mix them because it can blur your message I just have a professional one on X or Twitter. I don't use it for personal reasons I do follow the Browns and I may like tweet a Browns thing or something but I'm not generally tweeting much more outside of my professional work. You want to review your hospital social media policies just to make sure you're in line with your hospital the institution that you're with. I'm going to say things like a date or like I read this MRI today or I read this MRI last week. Again, avoid negative interactions for those with those who have opposing views. It's not worth getting into, you know, battles with people or social media and tweet chats I think are useful ways to engage and learn about a topic. Being at RSNA you can engage with people in person. It's fun, but it can be exhausting but social media tweet chats is a way to sit on your couch during Monday night football if there's a tweet chat going on or whatever you're watching on TV and engage while you're doing other things and hopefully a less demanding way. And here's me with my dog participating in a tweet chat I probably should not have been when I should have been probably looking outside this window but what can you do. Here's another tweet chat JACR and I was here to join the tweet chat. It was about failures and I'm normalizing failure within that imaging community. So I want to include patient identifiers. Here's our department's acceptable work related uses of social media recruitment networking, creating and participating affinity groups, and what can administrators do to increase social media so administrators you want your faculty maybe to increase their social media engagement. So it's hard to do it. You know people don't want to do it sometimes at home because you don't want to blur the lines and work at home. So lack of time can be a barrier and you may suggest having one person in the department or in the each division to be the social media liaison you may consider giving some dedicated time for social media engagement. So you can you can incorporate into the compensation model to reward people care it for example to for engaging a social media. So what are these things even look like here's what mine look to like not much different maybe a big different background picture. And here's what these various tweets and retweets might look like. I'm not going to go through the step by step tutorial but how to send a tweet, you can find it online on the Google. And that's really all I have for you so I appreciate everyone's engagement and enlightening questions and hopefully if nothing else I've convinced you today that Twitter and social media can be a useful tool for you no you can get to that stage of your professional career where you're a med student or a resident or faculty, and you can both learn about the world. You can learn about disease entities you can get help. You can educate the masses you can foster mentorship experiences, and then you can share your work and research and develop a network that may be fruitful to you, and future situations that you cannot foresee today. But participating is a way to build this network for a time where it may may be fruitful to you so I appreciate your time and again appreciate our friends that modality for hosting. And I'm happy to take any further questions. Thank you so much Dr Frazier yeah we will open the floor to questions and those can come through the Q&A feature please. I'll take the one that just came in. How can I get access to the presentation and recording. If you registered for this event we will email you a replay link when that is ready so. Yeah, and I think this one I answered what is the most effective social media that could help in more communication. I answered that live and basically you know my answer I think is X and this and Twitter. But I'm sure Instagram is another means by which to do so Facebook also but probably less impactful but again this is all anecdotal but is my experience that X and Twitter is the most common way to interact. So places like modality support rads on social media and help foster that community. Any tips there. Yeah, I mean definitely I think following modality on X and Twitter has been exceptional thing to do because you get information about webinars such as today's about other informational webinars, whether scientific or non interpretive today's talk, but in addition just being informed about educational resources that exist in the world out and what are the developments and modality which is a which is a useful educational resource I think. Yeah, I mean ways that you are already engaging at modality with the community to share the free and paid resources which you have to increase engagement and the education of folks in the radiology community has been excellent. So I think if there's no more questions we could probably wrap up thank you so much again for your lecture and for everybody for participating. This has been really awesome. And you can access the recording of today's conference and all our previous noon conferences by creating a free MRI online account will also send this replay link out via email very soon. Join us next week on Wednesday December 13 at 12pm Eastern for a lecture entitled contrast enhanced mammography time for implementation with Dr. Jordan Phillips, you can register for this free lecture at mr online calm, and follow us on social media for updates on future new conferences. Dr fragile Thank you so much again, we loved having you here we love working with you and have a great day. Thank you. Take care.