The DOI matches its Crossref record; 44 of the 47 references it cites were found in a registry or an index.
Junior physician's use of Web 2.0 for information seeking and medical education: A qualitative study
Abstract
Background Web 2.0 internet tools and methods have attracted considerable attention as a means to improve health care delivery. Despite evidence demonstrating their use by medical professionals, there is no detailed research describing how Web 2.0 influences physicians' daily clinical practice. Hence this study examines Web 2.0 use by 35 junior physicians in clinical settings to further understand their impact on medical practice.Method Diaries and interviews encompassing 177 days of internet use or 444 search incidents, analyzed via thematic analysis.Results Results indicate that 53% of internet visits employed user-generated or Web 2.0 content, with Google and Wikipedia used by 80% and 70% of physicians, respectively. Despite awareness of information credibility risks with Web 2.0 content, it has a role in information seeking for both clinical decisions and medical education. This is enabled by the ability to cross check information and the diverse needs for background and non-verified information.Conclusion Web 2.0 use represents a profound departure from previous learning and decision processes which were normally controlled by senior medical staff or medical schools. There is widespread concern with the risk of poor quality information with Web 2.0 use, and the manner in which physicians are using it suggest effective use derives from the mitigating actions by the individual physician. Three alternative policy options are identified to manage this risk and improve efficiency in Web 2.0's use.
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“It appears to be difficult to reach high-quality and reliable information due to the probability of the collection or spread of unnecessary and inaccurate information through social media, resulting in confusion in patient-physician relationship.21”
From Social media and Internet usage of orthopaedic surgeons (2017) · cites this paper as [21]
In the citing paper
“Previous surveys have particularly concentrated on physicians’ use of specific media channels (eg, email) [1], their information seeking on the Internet, and the impact of media on medical education [2,3].”
Citations
Cites
Qualitative research in health care: Assessing quality in qualitative research
Mays, N. (2000) · BMJ · doi:10.1136/bmj.320.7226.50 · Cited by 3,742
Management research: An introduction
(1992) · Long Range Planning · doi:10.1016/0024-6301(92)90354-5 · Cited by 3,036
Use of the Internet and E-mail for Health Care Information: Results From a National Survey
Baker, L., Wagner, T. H., Singer, S., & Bundorf, M. K. (2003) · JAMA · doi:10.1001/jama.289.18.2400 · Cited by 1,129
Boulos, M. N. K., & Wheeler, S. (2007) · Health Information & Libraries Journal · doi:10.1111/j.1471-1842.2007.00701.x · Cited by 894
Metzger, M. J. (2007) · Journal of the American Society for Information Science and Technology · doi:10.1002/asi.20672 · Cited by 871
Judgment of information quality and cognitive authority in the Web
Rieh, S. Y. (2001) · Journal of the American Society for Information Science and Technology · doi:10.1002/asi.10017 · Cited by 669
Judgment of information quality and cognitive authority in the Web
Rieh, S. Y. (2002) · Journal of the American Society for Information Science and Technology · doi:10.1002/asi.10017.abs · Cited by 585
Grand challenges in clinical decision support
Sittig, D. F., Wright, A., Osheroff, J. A., Middleton, B., Teich, J. M., Ash, J. S., Campbell, E., & Bates, D. W. (2008) · Journal of Biomedical Informatics · doi:10.1016/j.jbi.2007.09.003 · Cited by 582
Googling for a diagnosis—use of Google as a diagnostic aid: internet based study
Tang, H., & Ng, J. (2006) · BMJ · doi:10.1136/bmj.39003.640567.ae · Cited by 386
How Web 2.0 is changing medicine
Giustini, D. (2006) · BMJ · doi:10.1136/bmj.39062.555405.80 · Cited by 315
Verbrugge, L. M. (1980) · Medical Care · doi:10.1097/00005650-198001000-00006 · Cited by 275
Handbook on Decision Support Systems 1
Burstein, F., & Holsapple, C. W. (2008) · Springer eBooks · doi:10.1007/978-3-540-48713-5 · Cited by 267
Information quality work organization in wikipedia
Stvilia, B., Twidale, M. B., Smith, L. C., & Gasser, L. (2008) · Journal of the American Society for Information Science and Technology · doi:10.1002/asi.20813 · Cited by 250
Physicians' Internet information-seeking behaviors
Bennett, N. L., Casebeer, L. L., Kristofco, R. E., & Strasser, S. M. (2004) · Journal of Continuing Education in the Health Professions · doi:10.1002/chp.1340240106 · Cited by 237
Health 2.0 and Medicine 2.0: Tensions and Controversies in the Field
Hughes, B., Joshi, I., & Wareham, J. (2008) · Journal of Medical Internet Research · doi:10.2196/jmir.1056 · Cited by 221
Self-citationWeb 2.0 technologies for undergraduate and postgraduate medical education: an online survey
Sandars, J., & Schroter, S. (2007) · Postgraduate Medical Journal · doi:10.1136/pgmj.2007.063123 · Cited by 219
Beyond logs and surveys: In‐depth measures of people's web use skills
Hargittai, E. (2002) · Journal of the American Society for Information Science and Technology · doi:10.1002/asi.10166 · Cited by 214
Do Online Information Retrieval Systems Help Experienced Clinicians Answer Clinical Questions?
Westbrook, J. I. (2005) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m1717 · Cited by 181
McLean, R., Richards, B. H., & Wardman, J. I. (2007) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.2007.tb01180.x · Cited by 179
Comparing test searches in PubMed and Google Scholar
Shultz, M. (2007) · Journal of the Medical Library Association : JMLA · doi:10.3163/1536-5050.95.4.442 · Cited by 174
Handbook on Decision Support Systems 2
Burstein, F., & Holsapple, C. W. (2008) · Springer eBooks · doi:10.1007/978-3-540-48716-6 · Cited by 153
For what purpose and reasons do doctors use the Internet: A systematic review
Masters, K. (2008) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2006.10.002 · Cited by 151
Toward an epistemology of Wikipedia
Fallis, D. (2008) · Journal of the American Society for Information Science and Technology · doi:10.1002/asi.20870 · Cited by 149
Pre‐registration house officers and ward‐based learning: a `new apprenticeship' model
Bleakley, A. (2002) · Medical Education · doi:10.1046/j.1365-2923.2002.01128.x · Cited by 132
Information-seeking behaviors and reflective practice
Bennett, N. L., Casebeer, L. L., Zheng, S., & Kristofco, R. E. (2006) · Journal of Continuing Education in the Health Professions · doi:10.1002/chp.60 · Cited by 126
Creating and sharing clinical decision support content with Web 2.0: Issues and examples
Wright, A. T., Bates, D. W., Middleton, B., Hongsermeier, T., Kashyap, V., Thomas, S. M., & Sittig, D. F. (2008) · Journal of Biomedical Informatics · doi:10.1016/j.jbi.2008.09.003 · Cited by 109
Assessment of internet use and effects among healthcare professionals: a cross sectional survey
Podichetty, V. K., Booher, J. R., Whitfield, M., & Biscup, R. S. (2006) · Postgraduate Medical Journal · doi:10.1136/pgmj.2005.040675 · Cited by 106
Designing the Undesignable: Social Software and Control.
Dron, J. (2007) · Cited by 104
HCLS 2.0/3.0: Health care and life sciences data mashup using Web 2.0/3.0
Cheung, K., Yip, K. Y.-L., Townsend, J. P., & Scotch, M. (2008) · Journal of Biomedical Informatics · doi:10.1016/j.jbi.2008.04.001 · Cited by 85
Designing the Undesignable: Social software and control
Dron, J. (2008) · The International Review of Research in Open and Distributed Learning · doi:10.19173/irrodl.v9i1.532 · Cited by 74
The influence of mental models on undergraduate students’ searching behavior on the Web
Zhang, Y. (2007) · Information Processing & Management · doi:10.1016/j.ipm.2007.09.002 · Cited by 74
New horizons for e-learning in medical education: ecological and Web 2.0 perspectives
Sandars, J. E., & Haythornthwaite, C. (2007) · Medical Teacher · doi:10.1080/01421590601176406 · Cited by 73
Websites most frequently used by physician for gathering medical information.
Leo, G. D., LeRouge, C., Ceriani, C., & Niederman, F. (2006) · PubMed Central · Cited by 53
Kitchin, D. R., & Applegate, K. E. (2007) · Academic Radiology · doi:10.1016/j.acra.2007.06.002 · Cited by 50
A Comparison of World Wide Web Resources for Identifying Medical Information
Johnson, P. T., Chen, J. K., Eng, J., Makary, M. A., & Fishman, E. K. (2008) · Academic Radiology · doi:10.1016/j.acra.2008.02.010 · Cited by 41
Timpka, T., Eriksson, H., Ludvigsson, J., Ekberg, J., Nordfeldt, S., & Hanberger, L. (2008) · BMC Medical Informatics and Decision Making · doi:10.1186/1472-6947-8-54 · Cited by 41
Sim, M., Khong, E. L., & Jiwa, M. (2008) · PubMed · Cited by 29
DSS in Healthcare: Advances and Opportunities
Kohli, R., & Piontek, F. A. (2008) · Springer eBooks · doi:10.1007/978-3-540-48716-6_23 · Cited by 18
Diagnosis using search engines
Gardner, M. (2006) · BMJ · doi:10.1136/bmj.39044.369745.be · Cited by 13
Accidental Epipen® injection into a digit – the value of a Google search
Turner, M., & Purushotham, A. D. (2004) · Annals of The Royal College of Surgeons of England · doi:10.1308/003588404323043391 · Cited by 11
Use of Google as a diagnostic aid
Taubert, M. (2006) · BMJ · doi:10.1136/bmj.39058.703194.3a · Cited by 10
When searching for the evidence, stop using Wikipedia!
Lacovara, J. E. (2008) · PubMed · Cited by 7
Diagnostic Dilemma? Just Google It?
Koenig, K. L., & Facep (2007) · Journal watch · doi:10.1056/em200701190000005 · Cited by 2
Beaton, J. H., & Smith, C. W. L. (2005) · Annals of The Royal College of Surgeons of England · doi:10.1308/003588405x71207 · Cited by 1
Research works printed but not linked: 1
- Alch, 2000, The echo-boom generation—a growing force in American society, Futurist, 34, 42
Cited by
Sorted by citations
Moorhead, S. A., Hazlett, D. E., Harrison, L., Carroll, J. K., Irwin, A., & Hoving, C. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.1933 · Cited by 2,517
Bidmon, S., & Terlutter, R. (2015) · Journal of Medical Internet Research · doi:10.2196/jmir.4127 · Cited by 389
Reviewing social media use by clinicians: Table 1
von Muhlen, M., & Ohno-Machado, L. (2012) · Journal of the American Medical Informatics Association · doi:10.1136/amiajnl-2012-000990 · Cited by 319
How Health Care Professionals Use Social Media to Create Virtual Communities: An Integrative Review
Rolls, K., Hansen, M. M., Jackson, D. W., & Elliott, D. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.5312 · Cited by 313
Towards tacit knowledge sharing over social web tools
Panahi, S., Watson, J., & Partridge, H. (2013) · Journal of Knowledge Management · doi:10.1108/jkm-11-2012-0364 · Cited by 277
Metadata
- Authors
- Hughes, B., Joshi, I., Lemonde, H., & Wareham, J.
- Affiliations
- Esade (ES)
- West Hertfordshire Hospitals NHS Trust (GB)
- National Health Service (GB)
- Corresponding author
- Hughes, Benjamin
- Venue
- International Journal of Medical Informatics
- Publisher
- Elsevier BV
- Published
- 2009-10
- Volume
- 78
- Issue
- 10
- Pages
- 645-655
- ISSN
- 1386-5056 (ISSN-L)
- OpenAlex
- W2097592358
- Cited by
- 217
- References
- 47
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 5 · 2023: 3 · 2022: 8 · 2021: 9 · 2020: 8 · 2019: 15 · 2018: 11 · 2017: 20 · 2016: 15 · 2015: 26 · 2014: 26 · 2013: 25 · 2012: 14
- FWCI
- 25.35
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Medical Informatics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Social Sciences › Health › Social Media in Health Education
- Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
- Keywords
- Web 2.0, junior physicians, information seeking, medical education, clinical decision-making, user-generated content, information credibility, Wikipedia, Google
- MeSH terms
- Computer-Assisted Instruction, Education, Medical, Continuing, Educational Measurement, England, Medical Staff, Hospital, Teaching, Internet
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