Lab Medicine Rounds

In this episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., sits down with Melanie Bois, M.D., associate professor of laboratory medicine and pathology, a cardiovascular pathologist at Mayo Clinic, and host of the “Society for Cardiovascular Pathologies” podcast, to discuss why you should consider utilizing social media within your practice and how to maximize your efforts.

Show Notes

Timestamps
0:00 Intro
01:10 Why is social media a tool that our lab medicine and pathology community should consider using?
04:01 How do you reassure or talk to a pathology resident or a medical laboratory technologist, who is just getting started on social media, when a patient reaches out with a question?
07:29 What is your advice about how to use your time wisely on social media?
09:57 How do you think about the social media landscape at this point, realizing things are dynamic and changing? How do you characterize and think about these different platforms?
12:10 How has your social media practice evolved over time? What has your journey been like and how has this affected you?
14:48 What skills do you think that you can walk away from this with, what skills have this been helping with for you?
16:44 What is next for you? What challenges do you want to throw out there for the experienced social media person?
17:42 Outro

What is Lab Medicine Rounds?

A Mayo Clinic podcast for laboratory professionals, physicians, and students, hosted by Justin Kreuter, M.D., assistant professor of laboratory medicine and pathology at Mayo Clinic, featuring educational topics and insightful takeaways to apply in your practice.

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- This is Lab Medicine
Rounds, a curated podcast

for physicians, laboratory
professionals, and students.

I'm your host, Justin Kreuter,

the bow tie bandit of blood,

a transfusion medicine
pathologist at Mayo Clinic.

And today's episode will
focus on social media,

why you should consider
using it in your practice,

how to maximize your efforts.

And so, to that effort,

joining us today is Dr. Melanie Bois,

Associate Professor of Laboratory
Medicine and Pathology,

a cardiovascular pathologist

at Mayo Clinic here in
Rochester, Minnesota,

and also, host of the

Society for Cardiovascular
Pathologies Podcast.

So thanks for joining us today, Dr. Bois.

- It is my absolute pleasure to join you,

Dr. Kreuter, thank you for having me.

- So, you know, we were just talkin'

before we started recording here

about how maybe some
of that early adopters

are getting through,

and maybe more the bulk of pathologists

might be now kinda considering

becoming more active with social media.

So, kinda what's your why,

why is social media a tool

that our lab medicine pathology community

should consider using?

- Yeah, I think it's a great question.

And honestly, I can't
say that I'm one of those

that adapted right away,

and was fully embracing social
media when it became popular,

but, I will say I've
noticed and appreciated

the benefits of it as my practice
has continued to progress.

So, for instance,

I think there are probably
three main reasons

why social media is really
really useful in today's world.

Number one is the patients.

So patients are on the internet,

and they are really searching for answers.

They have questions about
their disease processes,

those that are affecting their loved ones.

And there is a study that 80% of patients

are going to be on social media,
or rather, on the internet,

looking for answers about
these types of questions.

75% of those are on social media.

And I really feel like it should be us

being the ones to give them the answers

and to really direct them to
where they should be looking

or what physician resource
might be really useful for them,

and provide answers to these questions

that are really bothering them,

for both them and their loved ones.

In addition to that,

I found it to be a great
professional networking resource,

so that is something that I didn't expect,

It wasn't on my radar at all

when I started using social media

personally and professionally.

But I've developed this
wonderful network of pathologists

who I would not have been
able to meet otherwise.

And we've collaborated
on research projects,

I get to see them at meetings,

we share a lot of common interests.

And that has been a really
rewarding process for me,

both personally and professionally,

within the social media world.

And lastly is education,
and I know that's something

that's near and and dear
to your heart, Dr. Kreuter,

I just love being able to use it,

to spread the joy that
cardiovascular pathology brings to me

and why it's important to me,

and how we can positively
impact our patients

by being aware of certain disease
processes that may affect,

not only your patient,

but your patient's first degree relatives,

their mother, their brother,
their son or daughter,

and being able to
understand the implications

of what we're seeing under the microscope

and how that can affect the
patients and their loved ones.

- That's really awesome, so,

I think, maybe for those listening,

maybe it kinda surprises people

about patients and
connecting with patients,

and maybe for the community
that are non-pathologists,

thinking about pathologists
interacting with patients,

it might seem as a surprise.

What do you say,

I know that sometimes we
have pathology residents

that are just getting
started in social media,

or we have medical
laboratory technologists

that are on social media, and
they sort of wonder about that

or I think they get concerned about,

if a patient reaches out with a question,

how do you reassure

or talk to somebody in
that kind of a position?

- Yeah, absolutely, I
think it's a good question.

I actually started using social media

when I was a resident too, and certainly,

I developed a pretty strict guideline

to sort of hold myself to

when it comes to interacting
in the space of social media.

Because first and foremost,

we need to remember that
it is a very public forum.

And so, we need to be
careful about what we share

and how we share it.

From the educational standpoint,

and I'll circle back to
your question, Dr. Kreuter,

but from the educational standpoint,

I don't post anything

that would be able to be
traced back to a patient.

Only generic questions
about a disease process,

even I might fabricate
some of the age or gender

or sex of the patient,

in order to make sure that there's no way

that that information can be traced back.

And I think it's important to note, too,

that the patients who are
affected by this disease process

can be reading your post too,

so it's not a neat process,

it's not something that's really cool.

Instead it's something
that we can all learn from,

and really be aware of, in
order to better help patients

who are are in this process

or really experiencing this firsthand.

And in doing so, you do
sometimes interact with patients

that do see your post,

because they're
researching about a disease

that they may have been diagnosed with.

And I think the important part there

is not necessarily to
provide medical advice,

but rather to refer the
patient to their doctor

if they have specific questions,

or provide resources that are validated

to help get them linked
into a medical professional

that can really provide the
appropriate medical advice

for their specific scenario.

- I like the way that
you kinda manage that

as kind of, I don't know, in my head,

I'm thinking of like
air traffic controller,

just kind of directing
people to really where that

right information is--
- Right.

- 'Cause, yeah, I don't know about

how somebody could even
possibly conceive of

doing a medical consultation

in whatever the character
count limits are.

(chuckles)
- Oh, I totally

agree with you,

"In 250 characters or less,
please diagnose, send,

"and provide a treatment strategy."

No, and I don't think
that would be responsible

for us either, because
every patient is unique

and every patient comes with
a very specific framework

of what's going on in their lives

and how their disease is presenting, so,

really it's something that requires

a more in-depth medical approach.

And I know it's something that actually

Mayo Clinic started using,
I believe it was in 2010,

we might have to double check that date,

wherein they started this
social media approach,

and saying, "Patients, we're here,

"we we wanna hear about
your disease processes,

"we wanna be able to help you."

And they really started
a coordinated approach,

through Twitter and YouTube and Facebook,

and encouraged us to do the same,

because, really, the only way

we're going to be able
to help these individuals

is so that they know that
we're here and we're listening.

- You know, I was wondering if, you know,

this is wonderful,
connecting with patients,

professional networking, education.

And I think maybe some
listeners might be like, okay,

these are three lanes of things
that I do not have time for.

So, I guess, respectful of time,

I guess that puts importance on, okay,

if you are gonna engage in this world,

how can we really maximize

and use our time on
social media well, right?

I mean, if we're talking about

why people should engage in this,

I guess there's quite a lotta that,

what is it, doom scrolling--

- Yes (laughs).
- Or something, where people

kinda get lost in scrolling through,

and I think that that's a real thing.

What do you say to people about, you know,

what's your advice

about how to really use your
time wisely with social media?

- It's another great question.

I think it's one that we all
continue to struggle with.

You know, I think we all find ourselves

staring at our phone

when maybe we should be
interacting in a different way,

or maybe we should be making eye contact

with the person who's
passing us in the hall,

rather than scrolling through
our social media feeds.

So it's certainly something

that I think we all struggle with.

My best approach, and
it's something, actually,

I spoke with Jared Gardner about,

who really started a lot of this,

at least Twitter-based social media,

kind of revolution in pathology

and bringing pathologists
into social media

and being a advocate for the
patient through that way.

And his advice was, really
take a case, take one case,

and use it, and use it multiple times

use it in multiple different venues, even.

If you already have one that
you're giving a lecture on,

use that, and make sure
that you have taken out

all patient-related information
that can be identifiable

so you're not violating HIPAA.

And then you use the
teaching points from that

in different ways,

and you can use similar pictures,

or different pictures from that,

to really highlight different aspects

of the disease process.

And then you can do it on Twitter,

you can make a YouTube
video if you prefer,

something like that,

a Facebook account can
also be a way to do that.

And so use those same cases,
and use them again and again,

because your colleagues

most likely aren't going to see it,

necessarily, the first time,

but they might see it
the second or third time.

So just use the resources
that are available,

and use them in multiple different ways.

I found that approach to
be generally very helpful.

And it does minimize the
amount of time that I'm sitting

at my computer trying to come
up with new interesting cases,

or trying to come up with
something clever to say.

I think that it does really
help streamline the approach,

and it also helps get that message out

about what you're trying to teach,

or what you're trying to advocate.

- I like, you brought up and you named

a couple of different
platforms that are out there,

and I think that's
another aspect of people

that are thinking about getting
started in social media,

where it can also seem very overwhelming.

So, for our listeners,

how do you think about the
social media landscape?

You know, at this point, August 2022,

realizing things are dynamic and changing.

How do you characterize

and think about these different platforms?

- That's a really good
question, I struggle a bit

because I know that there are
so many different platforms,

and the popularity of the
platforms ebbs and flows,

and it's even generation specific.

So the generation that's
probably a little bit behind me

has really embraced social media,

it's a way that they communicate,

it's a way that they look
up information about,

really anything they're
interested in, including medicine.

And I think that within that sphere,

you have the the Twitter platform,

which has been very good

for an interprofessional communication,

and in a way that a professional
network can be developed.

There are certainly are patients

and there are students on that platform

that are really interested

in learning about disease
processes as well.

A platform called
Instagram is really useful

in using images in order to communicate

what we want to try and say.

So it's less text based,

it's less word based, but
rather really focused on images.

And certainly,

the dynamics of each of
these platforms change,

and the popularity among
generations can change too.

So I see those as two
different ways to use it.

YouTube is another one
that can be very useful,

but is more video based.

And so if that's something
that you really embrace

and you find that you
can take your lectures

and put them into very
digestible, small segments

that are really amenable to
developing video series around,

that could be a great platform as well.

There are also ways to blast your message

across all of these different platforms,

and those require
subscriptions in some areas,

some of them are free to use,

but you can take a centralized
message and then put them

on all of the different
platforms available to you.

- So we've been talkin' about, you know,

the social media landscape
is kind of dynamic.

And I'm assuming you're
also dynamic and changing,

as you're interacting and
have been on social media now

for some time, and have
cultivated a community.

How does your social media practice

kind of evolve over time?

'Cause maybe our listeners
can start to identify,

you know, ones that maybe
are on social media now,

but maybe they feel stuck in a rut.

You know, it might be helpful to hear,

what's your journey been like,

and how has this affected you?

- Yeah.

So I started out in
Twitter for the most part.

It was really encouraged by a co-resident

to try and get that, an account
in this arena up and going,

and then really just see where it took me.

So I spent most of my time in Twitter

really just getting used to that platform,

understanding how to
communicate on that platform

and what exactly the audience would be

for that particular area.

I did try to do a little bit on Facebook,

I didn't find it to be as user
friendly, that tends to be,

and not from a technology standpoint,

but it tends to be a
bit more socially driven

rather than professionally driven,

at least in my personal experience.

So I went back to Twitter predominantly.

Another one that I think is really helpful

is the Instagram site.

I know a few pathologists

that have successfully made an account

and made a presence within that space.

I think that it is,
again, very image based,

which lends itself

to a lot of our subspecialty
disciplines in pathology.

I haven't personally developed

much of a presence on there at all,

but I do think it is a really good option

that a lot of the younger
generation is using

in order to communicate
about medical specialties.

Another good option is the podcast,

just like you're doing, Dr. Kreuter,

it's a great way to get your message out,

to chat with people, to let
them know that you're there

and you're available and
you're interested in educating

and you wanna spread that love
of your subspecialty to them.

I think that's a great way to do it,

and it's easy for people to download

and listen to on their commute,

or while they're cleaning out
the garage or doing chores.

Really a very user-friendly platform

in order to get your message out as well.

- Do you think, I'm curious,
do you think that by,

I guess to give you,

as a little background of this question,

I kind of sometimes think about

the criticism that maybe social media,

things are changing, and so,

why spend time on, like you mentioned,

Twitter as a platform.

'Cause, you know, maybe
you develop something,

you work at something,

and then maybe somebody buys Twitter

and shuts it down or
something, I don't know.

And it goes away,

right, it's not a space
that we own, right?

But I've always kinda looked at it as,

maybe that by engaging
with these platforms,

there's other skills
that we are developing.

Does, and it's okay to say no, but,

does that resonate with you, and if so,

what skills do you think

that you can walk away from this with,

what skills have this
been helping with for you?

- I think that's a really
insightful point, actually,

because you're right,
we don't own this space,

and we don't own the
content that goes out there,

but we do have very lasting experiences

that can come from it.

So we develop relationships with people,

at different institutions,
with other pathologists,

with even sometimes patients
who reach out to you,

and bare their life story
and say "What do I do?"

And you can develop a
relationship with that person

and really just be there as
a support system for them

while they search out their medical care

and their treatment strategies.

Additionally, that educational piece

is something that you will never lose.

So, I really don't think I,

I'm definitely not successful yet,

to put quotations around that
for our listening audience.

My measure of success will
be when I have a student

who saw or heard me speak about something

and comes back to me later and says,

"I fell in love with this

"because I heard your passion for it,

"and this is what I learned from it,

"and then I just wanted
to pick up that mantle

"and run with it."

And that, I think,

would be a really,
really incredible moment,

because that's something
that I really hope

to be able to pass on,

just that love of
cardiovascular pathology,

what it means to our patients,

what it means to their family members,

and how we can positively impact patients

by really being careful,

and being able to communicate

what we're seeing
underneath that microscope.

- So I've got one last question,

and this is maybe now shooting

for the more experienced of
listeners in social media,

to kinda put somethin' for them out there.

You know, you really certainly have built

a strong social media presence,

you've mentioned the
platforms that you're on,

you host your own podcast.

You've really accomplished a lot here,

and I'm curious, what's next for you?

And maybe this can be a,

what challenge do you
wanna throw out there

for the experienced social media person?

- Oh boy, that is a tough one.

I think I'm just going to continue

trying to spread that
message, to really be able to,

as I mentioned, be able
to instill that love,

and in some degree of our
audience that we interact with,

whether it's a listening
audience or a viewing audience.

And people don't have
to fall in love with it,

they don't have to go into
cardiovascular pathology.

But if they understand the tenets of it

and really understand
where that passion lies

and how to triage specimens,
understand the impact

that what they say has to our patients,

that's where it's all at for me,

and that's where I really hope
that, as my career continues,

that people can take that away

from what I'm trying to stand up and shout

from my different platforms,

that we can really have a
positive impact on patient care

by understanding and
embracing the subspecialty.

- We've been rounding with Dr. Bois,

thank you for taking the time

to talk about social media with us.

- Thanks so much, Dr.
Kreuter, it's been so fun.

- (chuckles) To all of our listeners,

thank you for joining us today,

we invite you to share your
thoughts and suggestions

via email, please direct any suggestions

to mcleducation@mayo.edu,
and reference this podcast.

If you've enjoyed Lab
Medicine Rounds Podcast,

please subscribe.

And until our next rounds together,

we encourage you to continue
to connect lab medicine

and the clinical practice
through insightful conversations.

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