Transcript Nephrol: 1500 Nephrologists in a Professional Dialogue

Nephrol: 1500 Nephrologists
in a Professional Dialogue
Presented at
cyberNephrology: A New Opportunity for the Profession
A Tutorial and Interactive Seminar
Michele L. Hales
University of Alberta
Edmonton, AB CANADA
November 24, 2000
Bologna, Italy
Host Count Graph 1991 – 2000
(From July 2000)
Source: http://www.isc.org/
How Many Online?
Internet Users Worldwide - September 2000
Nua Internet Surveys
World Total
Africa
Asia/Pacific
Europe
Middle East
Canada & USA
Latin America
Source: http://www.nua.ie
377.65 million
3.11 million
89.68 million
105.89 million
2.40 million
161.31 million
15.26 million
E-mail Use Higher in Europe Than US
E-mail use in Europe higher than in the US
 France 64%
 UK 60.3%
 Germany 53.5%
US only 44%
Source: Oct. 13, 2000 NetValue
Daily E-mail Output
Globally 10 billion e-mails sent daily by the end of
this year
 35 billion e-mails estimated to be sent
every day by 2005
Western Europe 511 billion annually in 2000
 1.6 trillion annually by 2005!
Source: Oct. 12, 2000 IDC Research
Statistics Specific to Italy

12 million internet users in Italy

Up from 8.6 million a year ago

16 million predicted by September 2001

Majority of new users in 2000 were women
Women are driving the Italian Internet Boom!
Source: Oct. 31, 2000 Between ICT Brokers
A Brief History of NEPHROL
 Created
 1st
in October 1994
year membership was 355
 Began
 Legal
 Birth
as a moderated group
problems/risk minimal
to various offshoot groups
NEPHROL’s Layout
NEPHROL
NEPHROL Digest
NEPHMIN
NEPHJNL
NEPHHIST
NEPHJNL Digest
NEPHHIST Digest
NEPHCNPT
NEPHNPPT
NEPHCNPT Digest
NEPHNPPT Digest
NEPH… E-mail Discussion Groups
NEPHROL - general nephrology, all subjects including
renal pathology and transplantation
NEPHADMIN - for nephrology administrators
NEPHBSCI - nephrology basic science discussion
NEPHCNPT - discussions of individual clinical
nephrology cases
NEPHDEVEL - discussion of humanitarian projects
and ISN Sister Centres Program
NEPHINDIG - discussion of renal disease in
indigenous peoples
NEPH… E-mail Discussion Groups
NEPHJNL - nephrology/transplantation journal club
NEPHMIN - a stripped down version of NEPHROLDIGEST with all repetition and North American specific
content removed, designed for subscribers in
developing countries
NEPHNPPT - discussions of individual renal biopsy
cases
NEPHRONOL - Spanish - English discussion of
nephrology subjects
NEPHHIST - history of renal medicine, ISN video
legacy project interview transcripts
NEPH… E-mail Discussion Groups
KFINT-L - discussion relating to the International
Federation of Kidney Foundations
PDIAL - peritoneal dialysis
PedNeph - paediatric nephrology (for renal healthcare
professionals)
Patient E-mail Discussion Groups
NEPHKIDS – for parents with children with renal
disease
KIDNEYDISEASE – for adult children with renal
disease
IGAN – IgA nephropathy
NEPHROL Message Topics
CN:
HD:
PD:
HY:
TX:
NP:
PH:
IM:
BI:
CB:
AN:
ET:
Clinical nephrology
Hemodialysis
Peritoneal dialysis
Hypertension
Transplantation
Nephropathology
Physiology
Immunology
Biochemistry
Cell Biology
Anatomy
Ethics
UC:
DS:
IP:
Underdeveloped countries
Disasters
Intellectual property, Internet
publishing
TM:
Telemedicine
MT:
Meeting announcements
WWW: World Wide Web resources
CSN: Canadian Society of Nephrology
LATF: Latin American Task Force
JN:
Jobs in Nephrology
JP:
Jobs in Renal Pathology
JT:Jobs in Transplantation
GEN: Messages of a general nature
likely to be of interest to all
NEPHROL Statistics


Membership Total:
1443
Average Total Posts per Week:
65
(Approx. 10 posts per day)

Top 5 Recent Topics:
1)
2)
3)
4)
5)
How to do renal biopsy?
Management of cardiomyopathy.
Renal biopsy in coumadinized patient.
External cuff extrusion.
How many nephrologists are enough?
NEPHROL in General
An Internet discussion group like NEPHROL
is at its best when debating important
questions in the field of nephrology, the
answers to which cannot be found in
existing journals or books, and discussing
uniquely challenging patients, with the
ability to instantly consult 1500 nephrology
professionals.
Subscription To Our Groups
To subscribe to NEPHROL or any of the
other groups send e-mail to:
[email protected]
with the message:
subscribe nephrol
subscribe nephdevel etc.
Measurable Outcomes
Value of International On-line Discussion
Groups -
Haiti mass poisoning
- Nephrol discussion posted on HDCN
- 60 minutes interview
Measurable Outcomes – Cont’d
Turkey Earthquake (ISN DRTF)
 Aug. 16, 1999 - Massive earthquake in Turkey,
DRTF deployed early; prevented many cases of
ARF. Mortality among the 400+ dialyzed patients
only 17% compared with the usual 50%.
Measurable Outcomes – Cont’d
 1st
Renal Internet Videoconferencing
Between Milan, Italy and Edmonton, AB
December 9th, 1996
 Sharing
of Renal Pathology Images
Food for Thought
 300% increase in regular Internet usage by
physicians from 1997 to 1999
 Primary use of the Internet by physicians:
- e-mail
- personal services
- educational purposes
- medical journal access
- communication with medical societies
 63% of doctors use email daily
 33% of them use email to communicate with patients
Source: Healtheon Corporation May 07/99
“Our research shows that a growing number of
physicians are increasingly prepared to rely on the
Internet as a primary means of obtaining clinical and
medically related data and information.
Moreover, our survey results indicate that physicians
also recognize the important role that online linkages
can play in helping their office conduct clinical and
administrative transactions much more efficiently.”
Mike Long, CEO of Healtheon
January 20, 1999
Web Based Forums
AJKD Forum – www.ajkd.org
 A moderated
bulletin board
 Open to the general pubic
 Free of charge
 487 site registrants (May 2000)
http://www.ajkd.org
Conclusion
E-mail at the moment is an ideal
communication medium
The computer can save time
The Internet will be the major avenue for
health communication in the next two years
The discussions stimulated on NEPHROL
should increase your knowledge and help
you improve patient outcomes
“We shall not cease from exploration
And the end of all our exploring
Will be to arrive where we started
And know the place for the first time.”
-- Little Gidding,
T. S. Eliot
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[email protected]