Understanding the "Social" in "Social Media". An Analysis of Twitter Engagement of Pulmonary and Critical Care Fellowship Programs.
Understanding the "Social" in "Social Media". An Analysis of Twitter Engagement of Pulmonary and Critical Care Fellowship Programs.
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理解“社交媒体”中的“社交”。Twitter参与肺部和重症监护奖学金计划的分析。
DOI：
10.34197/ats-scholar.2020-0100oc
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发表时间：
2021-06
期刊：
影响因子：
1.9
通讯作者：
Kaul V
中科院分区：
文献类型：
--
作者：
Gandotra S;Stewart NH;Khateeb D;Garcha P;Carlos WG;Carroll CL;Kaul V
背景：社交媒体作为协作、网络和传播的工具无处不在。然而，对肺部和重症监护医学奖学金计划使用社交媒体平台的情况知之甚少。目的：我们使用Twitter和Instagram识别和描述肺部和重症监护奖学金项目，以及他们的社交媒体账户的张贴行为。方法：我们使用电子住院申请服务确定了美国所有成人和儿童肺部、重症监护医学(CCM)以及肺和重症监护医学(PCCM)项目。我们搜索了2018年1月1日至2018年9月30日期间每个项目的Twitter个人资料。推特和推特互动被分为以下三种类型：社交、临床或医学教育(MEED)相关。我们收集了关于推文内容增强的数据，包括图片、图形交换格式或视频、标签、链接和标记其他帐户的使用。分析了推文类型、内容增强特征和参与措施与关注者数量的关系。结果：我们评估了341个方案，包括163个PCCM、36个成人CCM、20个成人肺、67个儿童CCM和55个儿童肺方案。33个(10%)的程序拥有Twitter账户。在341个拥有Twitter账户的程序中，有33个程序发布了1903条推文，其中476条(25%)与医疗相关，733条(39%)与临床有关，694条(36%)与社交有关。每月推特发送率的中位数为1.65(四分位数范围[IQR]，0.4-6.65)，55%的节目推文超过月度。发推特的账户比发推文频率低的账户拥有更多的粉丝(中位数，240%粉丝；25%-75%的智商，164388vs107个粉丝；25%-75%的智商，13-188%；P = 0.006)。临床和社交推特互动(推文、转发、点赞和评论)的参与度越高，关注者越多，但与Meed相关的推特互动则不相关。除标签外，所有类型的内容增强(图片、图形交换格式/视频、链接和标签)都与更多的追随者相关。结论：尽管社交媒体在医学上的使用稳步增加，但美国只有10%的肺部和危重护理奖学金项目有Twitter账户。社交和临床内容似乎在网上获得了吸引力；然而，对于如何有效地利用Meed内容吸引受众，还需要进行额外的评估。
Background: Social media is ubiquitous as a tool for collaboration, networking, and dissemination. However, little is known about use of social media platforms by pulmonary and critical care medicine fellowship programs. Objective: We identify and characterize pulmonary and critical care fellowship programs using Twitter and Instagram, as well as the posting behaviors of their social media accounts. Methods: We identified all adult and pediatric pulmonary, critical care medicine (CCM), and combined pulmonary and critical care medicine (PCCM) programs in the United States using the Electronic Residency Application Service. We searched for Twitter profiles for each program between January 1, 2018, and September 30, 2018. Tweets and Twitter interactions were classified into the following three types: social, clinical, or medical education (MedEd) related. We collected data about content enhancements of tweets, including the use of pictures, graphics interchange format or videos, hashtags, links, and tagging other accounts. The types of tweets, content enhancement characteristics, and measures of engagement were analyzed for association with number of followers. Results: We assessed 341 programs, including 163 PCCM, 36 adult CCM, 20 adult pulmonary, 67 pediatric CCM, and 55 pediatric pulmonary programs. Thirty-three (10%) programs had Twitter accounts. Of 1,903 tweets by 33 of the 341 programs with Twitter accounts, 476 (25%) were MedEd related, 733 (39%) were clinical, and 694 (36%) were social. The median rate of tweets per month was 1.65 (interquartile range [IQR], 0.4–6.65), with 55% programs tweeting more than monthly. Accounts tweeting more often had significantly more followers than those tweeting less frequently (median, 240 followers; 25–75% IQR, 164–388 vs. median, 107 followers; 25–75% IQR, 13–188; P = 0.006). Higher engagement with clinical and social Twitter interactions (tweets, retweets, likes, and comments) was associated with more followers but not for the MedEd-related Twitter interactions. All types of content enhancements (pictures, graphics interchange format/videos, links, and tagging) were associated with a higher number of followers, except for hashtags. Conclusion: Despite the steadily increasing use of social media in medicine, only 10% of the pulmonary and critical care fellowship programs in the United States have Twitter accounts. Social and clinical content appears to gain traction online; however, additional evaluation is needed on how to effectively engage audiences with MedEd content.