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The medical conference is dead,
long live the medical conference

Len Starnes digital healthcare consultant
The format of medical society
conferences has remained
unchanged for over 100 years
http://www.fims.org/en/general/about-fims/
But not for much longer…
What constitutes a ’
meeting’
today?
It suggests that the way doctors once related
was episodic and isolated. We would come,
then we would go away. I m in, I m out. Now we re
engaging, now we re not. Until we meet again.
Now the meeting and the conversation never
really end, and our engagement is increasingly
continuous.
Bryan Vartabedian
Assistant Professor of Pediatrics
Baylor College of Medicine, USA
Commentator on the frontline of
technology and medicine
1

2

3

Dressing gown
or suit?

The shape
of things to come

What it
all means
Dressing
gown
or suit?
The digitally-native
majority is driving change

LBI Health: http://www.lbi.com/uk/
More doctors will attend in
a dressing gown
’attending the ACR
‘ Iinllmy dressing gown, virtually,
from the
comfort of my home office…

Not Dr Ronan Kavanagh,
but Harold Lloyd looking
decidedly suave

…I have set up a list of all the
rheumatologists I know who
will be tweeting, following
the hashtag for the meeting
(#ACR2012)…

’

Dr Ronan Kavanagh, Rheumatologist
http://www.ronankavanagh.ie/blog/attending-a-medical-meeting-in-my-dressing-gown/
‘ The numbers of doctors tweeting at
the ACR [2013] has increased
dramatically and this has added a
whole new dynamic to the meeting.
Dr Ronan Kavanagh, Rheumatologist

http://www.symplur.com/healthcare-hashtags/acr13/

’
Physical attendee doctor
Expects medical socs Values paper-based
to dictate programmes written proceedings
Perceives confs as Content to engage with
temporally-limited presenters and attendees
events at physical event
Seeks to attend confs Sees limited value in using
physically whenever social media at medical
possible confs
Virtual attendee doctor
Expects to help shape
conf programmes

Follows live & recorded
streaming audio & video

Perceives confs as
continuous 365-day
interactive events

Engages with presenters
& attendees before,
during and after event

Opts for physical
participation
only occasionally

Regards Twitter, Linkedin,
Facebook, Google+ as
essential conf tools
Physical and virtual attendee
doctors are not mutually
exclusive groups

Physical

Virtual

Face-to-face communications will remain
essential for many
Virtual attendees set to
outnumber physical

1600
1400

Attendees
Physical conference attendees
Virtual conference attendees

1200
1000
800
600

Baseline = 100%
Number of physical conference
attendees in 2010

400
200
0
2010

2013

2015

Scenario based on current growth of virtual vs physical conference attendees

2020

2023
We need to make a distinction between
physical attendees (those in the room)
and the whole audience. For some leading
conferences, the true audience is many
times larger than the number of physical
attendees. Social media, and especially
Twitter, is driving this conference
participation disruption.

Auden Utengen
Founder & partner symplur.com
Virtual access increases
frequency of attendances
Change in overall frequency of attending
conferences among doctors accessing
live and recorded virtual sessions (2012)
7%
Less frequently
than 2 years ago Column1

63%
More frequently
than 2 years ago

30%
As frequently
as 2 years ago
Taking the Pulse Europe, Manhattan Research 2012
Due to rising costs, carbon footprints and the
increasing importance of spending our time
efficiently, virtual events will take place more and
more often. As people like to argue that the real life
handshake is missing from virtual encounters, the
force feedback technique used in the gaming
industry will soon make it happen too, therefore
it's going to be much more reasonable to organize
virtual events with no geographical or time
limitations than only real life events.
Dr Bertalan Mesko
World s most wired doctor
Medical futurist
Founder of webincina.com
The shape

of things to come
The new world of
collaborative healthcare
will usher in a new world
of collaborative medical
conferences
The European
Society of
Cardiology
annual congress
How one congress
is evolving into a
collaborative
physical & virtual
event
The generational divide
Digital technologies
enable doctors to
keep up with the
latest advances in
medicine, lessening
their dependence on
medical societies as a
prime source of
reference

Younger generation
cardiologists are
less loyal to the
Society
Stephanie Raty
Head of Congress Marketing
& Communications
European Society of cardiology
Transforming to a global
event via digital & social
North America

Europe

Latin America

Africa

Attendees from
all continents

Most abstract submissions
originate from Japan

Source: European Society of Cardiology

Asia Pacific
The 5-day Congress is now a
365-day Congress
Collaborative
physical + virtual
Congress

Engagement
pre, during
& post
congress

Traditional
physical
Congress
Pre-event

Event

Post-event
ESC Congress 365
Everywhere
24 hours/day
365 days/year
English

French

German

Italian

Spanish
More than twice as many
virtual 365 attendees
as physical
102k unique visitors
177k visits
846k page views
18 Jan – 12 Nov 2013: European Society of Cardiology analytics
Use of social media to
share up almost 100%
Percent ESC attendees
who use social media to
share Congress learnings
Sales

Sales

53%
2013

28%
2011

Source: European Society of Cardiology November 2013
4 platforms dominate
social media usage
Platforms used most by 53% of ESC Congress
attendees: private + professional use

30%

15%

10%

Source European Society of Cardiology: sample of 2000 ESC Congress attendees 2013

10%
ESC members are cautious
of using Twitter but this is
expected to change rapidly

Source: European Society of Cardiology
Learning how to leverage
the immediacy of Twitter

Live reporting
Comment
Discussion
Real-time physical/virtual attendee dialogue
http://www.symplur.com/healthcare-hashtags/esccongress2013/
In future: more focus on
live Twitter reporting
Limited use of
Twitter reporters at
ESC Congress 2013
Planning to deploy
medical students as
Twitter reporters
in 2014
Source: European Society of Cardiology
‘ The sound of the keyboard

is the new sound of applause ’
Lisa Fields
@practicalwisdom
Under review
A dedicated
members-only
ESC-owned
community to
share, discuss
and collaborate
The Hub: a new
interactive format
Less intimidating
environment

1 expert,
20 - 30
attendees

Expert
Intensive
focused
Q&A

Open to virtual
attendees
via Twitter
60% of attendees
downloaded Congress app
Browse sessions
Create personalised
Congress programme
Find practical Congress
information
Stay informed with latest news

Follow discussions on
#ESCcongress2013 hashtag
Source: European Society of Cardiology
Exploring how the
Congress could be used
for acquiring eCME credits
Virtual attendees will be able to
gain points from e-learning modules
Pharma scenarios
Exhibition booths
Smaller
Less brand focused
More science focused
Fewer gimmicks
More interactive

Sponsored symposia

Source: European Society of Cardiology

Less brand focused
More science focused
More educational
More open
More interactive
What ESC members
want in future
More practiceorientated
sessions

47%

More clinical
trials results

26%

More hot-topic
coverage

26%

More online
resources
More dynamic
speakers

25%
17%

0
10
20
Source European Society of Cardiology: survey of members 2013

30

40

50
Challenges ahead
ESC and Congress Committee
must develop a long-term
vision for the event
Impact of digital technologies
and social media must be fully
understood
Value proposition for younger
generation cardiologists must
be continuously revised
What it
all means
Medical societies
Redefine the conference
Create more collaborative networked formats that
reflect how new medical advances are continuously
disseminated to daily practice
Treat eCME as complementary

Address the needs of the virtual-attendee majority
But without neglecting the physical

Relinquish media control & embrace open dialogue
Increasing use of social media will mandate open policies
Doctors
Embrace virtual attendance
Physical attendance at conferences will no longer
be the only or preferred way of keeping up with
medical advances
CME is a continuous activity

Live and recorded audio and video streaming will
enable information to be effortlessly filtered,
followed, and documented
Conferences are now 365-day events

Social media open opportunities to engage
before, during and after the event
Select from open and closed-access platforms
Patients/patient organizations
Be part of the conversation
Use social media to enable the voice of the patient
to be heard
Medicine is participatory

Work with medical societies to help shape
programmes reflecting patient wisdom,
perspectives, and needs
ePatient scholars can help improve health outcomes

Boehringer Ingelheim s #ChatAfib tweet chat set
a precedent
Demonstrated how doctors, patients, patient organizations,
pharma, and the medical media can openly engage
Pharma
Redefine participation
Medical, Marketing and Sales must adapt to the
new knowledge and data dissemination paradigm
Collaborative 365-day conferences will be a challenge;
recognition will signal the end of an era

Booths will be science focused and interactive
Virtual-attendee majority will expect to engage with
the booth team; Corporate Compliance will object

Sage on the stage* sponsored symposia will wither
Attendees will avoid didactic brand-focused lectures and opt
for formats that are more science based, collaborative and
open; Medical, Marketing and CorpComs will stage a lastditch battle
*With thanks to Bryan Vartabedian
This is just the beginning.
Learn more
Digitally Sick podcast with
Alex Butler, Andrew Spong, Faisal Ahmed, Len Starnes
Scientific communications in a digital age
http://digitallysick.com
#ChatAfib Boehringer Ingelheim-sponsored tweet chat
Transcripts & analytics
http://tinyurl.com/mvc6etz

#hcsmeu chat 18 October 2013
Use of Twitter & tweet chats at professional medical
conferences
Transcripts & analytics:
http://tinyurl.com/luldukt
This is the second of two presentations
exploring the impact of social media
and digital technologies on
professional medical conferences
Part 1: #ChatAfib. One small step for a pharma, one giant
leap for the pharma industry
http://www.slideshare.net/lenstarnes/boehringer-afib-chatfinal20-nov-13

Part 2: The medical conference is dead, long live the
medical conference
Further explorations of this topic are planned for 2014
A sincere thanks to the following for
their help and support in developing
this presentation
•
•
•
•
•

Ben Hainsworth, European Society of Cardiology, @escardio

•
•
•

Bertalan Mesko, MD, PhD, medical futurist, @Berci, webicina.com

•

Bryan Vartabedian MD, Assistant Professor of Pediatrics
Baylor College of Medicine, USA, @Doctor_V, 33charts.com

Lisa Fields, social media consultant, @practicalwisdom
Dr Lutz Gogoll, cardiologist, Berlin, Germany
Davi Kaur, European Cancer Organization, @EuropeanCancer
Dr Ronan Kavanagh, rheumatologist, Ireland
@RonanTKavanagh, ronankavanagh.ie
Stefanie Raty, European Society of Cardiology, @escardio
Auden Utengen, founder & partner Symplur, @symplur, @audvin,
symplur.com
Len Starnes
lenstarnes@gmail.com
T: + 49 30 781 5513
M: + 49 172 1788253
Skype: lenstarnes
linkedin.com/in/lenstarnes
twitter.com/lenstarnes
slideshare.net/lenstarnes

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The medical conference is dead, long live the medical conference

  • 1. The medical conference is dead, long live the medical conference Len Starnes digital healthcare consultant
  • 2. The format of medical society conferences has remained unchanged for over 100 years http://www.fims.org/en/general/about-fims/
  • 3. But not for much longer…
  • 4. What constitutes a ’ meeting’ today? It suggests that the way doctors once related was episodic and isolated. We would come, then we would go away. I m in, I m out. Now we re engaging, now we re not. Until we meet again. Now the meeting and the conversation never really end, and our engagement is increasingly continuous. Bryan Vartabedian Assistant Professor of Pediatrics Baylor College of Medicine, USA Commentator on the frontline of technology and medicine
  • 5. 1 2 3 Dressing gown or suit? The shape of things to come What it all means
  • 7. The digitally-native majority is driving change LBI Health: http://www.lbi.com/uk/
  • 8. More doctors will attend in a dressing gown ’attending the ACR ‘ Iinllmy dressing gown, virtually, from the comfort of my home office… Not Dr Ronan Kavanagh, but Harold Lloyd looking decidedly suave …I have set up a list of all the rheumatologists I know who will be tweeting, following the hashtag for the meeting (#ACR2012)… ’ Dr Ronan Kavanagh, Rheumatologist http://www.ronankavanagh.ie/blog/attending-a-medical-meeting-in-my-dressing-gown/
  • 9. ‘ The numbers of doctors tweeting at the ACR [2013] has increased dramatically and this has added a whole new dynamic to the meeting. Dr Ronan Kavanagh, Rheumatologist http://www.symplur.com/healthcare-hashtags/acr13/ ’
  • 10. Physical attendee doctor Expects medical socs Values paper-based to dictate programmes written proceedings Perceives confs as Content to engage with temporally-limited presenters and attendees events at physical event Seeks to attend confs Sees limited value in using physically whenever social media at medical possible confs
  • 11. Virtual attendee doctor Expects to help shape conf programmes Follows live & recorded streaming audio & video Perceives confs as continuous 365-day interactive events Engages with presenters & attendees before, during and after event Opts for physical participation only occasionally Regards Twitter, Linkedin, Facebook, Google+ as essential conf tools
  • 12. Physical and virtual attendee doctors are not mutually exclusive groups Physical Virtual Face-to-face communications will remain essential for many
  • 13. Virtual attendees set to outnumber physical 1600 1400 Attendees Physical conference attendees Virtual conference attendees 1200 1000 800 600 Baseline = 100% Number of physical conference attendees in 2010 400 200 0 2010 2013 2015 Scenario based on current growth of virtual vs physical conference attendees 2020 2023
  • 14. We need to make a distinction between physical attendees (those in the room) and the whole audience. For some leading conferences, the true audience is many times larger than the number of physical attendees. Social media, and especially Twitter, is driving this conference participation disruption. Auden Utengen Founder & partner symplur.com
  • 15. Virtual access increases frequency of attendances Change in overall frequency of attending conferences among doctors accessing live and recorded virtual sessions (2012) 7% Less frequently than 2 years ago Column1 63% More frequently than 2 years ago 30% As frequently as 2 years ago Taking the Pulse Europe, Manhattan Research 2012
  • 16. Due to rising costs, carbon footprints and the increasing importance of spending our time efficiently, virtual events will take place more and more often. As people like to argue that the real life handshake is missing from virtual encounters, the force feedback technique used in the gaming industry will soon make it happen too, therefore it's going to be much more reasonable to organize virtual events with no geographical or time limitations than only real life events. Dr Bertalan Mesko World s most wired doctor Medical futurist Founder of webincina.com
  • 18. The new world of collaborative healthcare will usher in a new world of collaborative medical conferences
  • 19. The European Society of Cardiology annual congress How one congress is evolving into a collaborative physical & virtual event
  • 20. The generational divide Digital technologies enable doctors to keep up with the latest advances in medicine, lessening their dependence on medical societies as a prime source of reference Younger generation cardiologists are less loyal to the Society Stephanie Raty Head of Congress Marketing & Communications European Society of cardiology
  • 21. Transforming to a global event via digital & social North America Europe Latin America Africa Attendees from all continents Most abstract submissions originate from Japan Source: European Society of Cardiology Asia Pacific
  • 22. The 5-day Congress is now a 365-day Congress Collaborative physical + virtual Congress Engagement pre, during & post congress Traditional physical Congress Pre-event Event Post-event
  • 23. ESC Congress 365 Everywhere 24 hours/day 365 days/year
  • 25. More than twice as many virtual 365 attendees as physical 102k unique visitors 177k visits 846k page views 18 Jan – 12 Nov 2013: European Society of Cardiology analytics
  • 26. Use of social media to share up almost 100% Percent ESC attendees who use social media to share Congress learnings Sales Sales 53% 2013 28% 2011 Source: European Society of Cardiology November 2013
  • 27. 4 platforms dominate social media usage Platforms used most by 53% of ESC Congress attendees: private + professional use 30% 15% 10% Source European Society of Cardiology: sample of 2000 ESC Congress attendees 2013 10%
  • 28. ESC members are cautious of using Twitter but this is expected to change rapidly Source: European Society of Cardiology
  • 29. Learning how to leverage the immediacy of Twitter Live reporting Comment Discussion Real-time physical/virtual attendee dialogue http://www.symplur.com/healthcare-hashtags/esccongress2013/
  • 30. In future: more focus on live Twitter reporting Limited use of Twitter reporters at ESC Congress 2013 Planning to deploy medical students as Twitter reporters in 2014 Source: European Society of Cardiology
  • 31. ‘ The sound of the keyboard is the new sound of applause ’ Lisa Fields @practicalwisdom
  • 33. The Hub: a new interactive format Less intimidating environment 1 expert, 20 - 30 attendees Expert Intensive focused Q&A Open to virtual attendees via Twitter
  • 34. 60% of attendees downloaded Congress app Browse sessions Create personalised Congress programme Find practical Congress information Stay informed with latest news Follow discussions on #ESCcongress2013 hashtag Source: European Society of Cardiology
  • 35. Exploring how the Congress could be used for acquiring eCME credits Virtual attendees will be able to gain points from e-learning modules
  • 36. Pharma scenarios Exhibition booths Smaller Less brand focused More science focused Fewer gimmicks More interactive Sponsored symposia Source: European Society of Cardiology Less brand focused More science focused More educational More open More interactive
  • 37. What ESC members want in future More practiceorientated sessions 47% More clinical trials results 26% More hot-topic coverage 26% More online resources More dynamic speakers 25% 17% 0 10 20 Source European Society of Cardiology: survey of members 2013 30 40 50
  • 38. Challenges ahead ESC and Congress Committee must develop a long-term vision for the event Impact of digital technologies and social media must be fully understood Value proposition for younger generation cardiologists must be continuously revised
  • 41. Redefine the conference Create more collaborative networked formats that reflect how new medical advances are continuously disseminated to daily practice Treat eCME as complementary Address the needs of the virtual-attendee majority But without neglecting the physical Relinquish media control & embrace open dialogue Increasing use of social media will mandate open policies
  • 43. Embrace virtual attendance Physical attendance at conferences will no longer be the only or preferred way of keeping up with medical advances CME is a continuous activity Live and recorded audio and video streaming will enable information to be effortlessly filtered, followed, and documented Conferences are now 365-day events Social media open opportunities to engage before, during and after the event Select from open and closed-access platforms
  • 45. Be part of the conversation Use social media to enable the voice of the patient to be heard Medicine is participatory Work with medical societies to help shape programmes reflecting patient wisdom, perspectives, and needs ePatient scholars can help improve health outcomes Boehringer Ingelheim s #ChatAfib tweet chat set a precedent Demonstrated how doctors, patients, patient organizations, pharma, and the medical media can openly engage
  • 47. Redefine participation Medical, Marketing and Sales must adapt to the new knowledge and data dissemination paradigm Collaborative 365-day conferences will be a challenge; recognition will signal the end of an era Booths will be science focused and interactive Virtual-attendee majority will expect to engage with the booth team; Corporate Compliance will object Sage on the stage* sponsored symposia will wither Attendees will avoid didactic brand-focused lectures and opt for formats that are more science based, collaborative and open; Medical, Marketing and CorpComs will stage a lastditch battle *With thanks to Bryan Vartabedian
  • 48. This is just the beginning.
  • 49. Learn more Digitally Sick podcast with Alex Butler, Andrew Spong, Faisal Ahmed, Len Starnes Scientific communications in a digital age http://digitallysick.com #ChatAfib Boehringer Ingelheim-sponsored tweet chat Transcripts & analytics http://tinyurl.com/mvc6etz #hcsmeu chat 18 October 2013 Use of Twitter & tweet chats at professional medical conferences Transcripts & analytics: http://tinyurl.com/luldukt
  • 50. This is the second of two presentations exploring the impact of social media and digital technologies on professional medical conferences Part 1: #ChatAfib. One small step for a pharma, one giant leap for the pharma industry http://www.slideshare.net/lenstarnes/boehringer-afib-chatfinal20-nov-13 Part 2: The medical conference is dead, long live the medical conference Further explorations of this topic are planned for 2014
  • 51. A sincere thanks to the following for their help and support in developing this presentation • • • • • Ben Hainsworth, European Society of Cardiology, @escardio • • • Bertalan Mesko, MD, PhD, medical futurist, @Berci, webicina.com • Bryan Vartabedian MD, Assistant Professor of Pediatrics Baylor College of Medicine, USA, @Doctor_V, 33charts.com Lisa Fields, social media consultant, @practicalwisdom Dr Lutz Gogoll, cardiologist, Berlin, Germany Davi Kaur, European Cancer Organization, @EuropeanCancer Dr Ronan Kavanagh, rheumatologist, Ireland @RonanTKavanagh, ronankavanagh.ie Stefanie Raty, European Society of Cardiology, @escardio Auden Utengen, founder & partner Symplur, @symplur, @audvin, symplur.com
  • 52. Len Starnes lenstarnes@gmail.com T: + 49 30 781 5513 M: + 49 172 1788253 Skype: lenstarnes linkedin.com/in/lenstarnes twitter.com/lenstarnes slideshare.net/lenstarnes