The importance and the challenges of patient education: The #socialortho tweetchat

On February 6, 2013 Ann Wendel and I hosted our latest #socialortho tweetchat. This month we discussed patient education. This one had a tremendous amount of enthusiasm and great ideas, and it is a topic we might explore in future chats.

For those of you unfamiliar with tweetchats, people answer questions posed by the moderator and comment on other tweets using the hashtag specified – in this case #socialortho. It often starts slowly, but it can become difficult to follow when many people get involved and respond to many different questions and comments.

If you enjoy fast-paced discussions about important sports medicine, healthcare, and social media topics, join us for future #socialortho tweetchats. We usually hold these chats on the first Wednesday of each month. The next #socialortho tweetchat will take place on Wednesday, March 6 at 9 PM ET.

Shoulder Model
Models to demonstrate anatomy might be helpful to emphasize medical information to patients.
Dr. David Geier ‏@DrDavidGeier
Welcome to the February #socialortho tweetchat! This time we’re talking about patient education.

Ann Wendel ‏@PranaPT
#socialortho starting at 9pm – I’m mobile right now but @DrDavidGeier is kicking things off!

Dr. David Geier ‏@DrDavidGeier
Ann – @PranaPT – had another event but will try to join by phone. We’ll start in a few minutes. Who is here joining us? #socialortho

Julie Eibensteiner ‏@laurusrehab
@DrDavidGeier @PranaPT present and looking forward to it. #socialortho

Mike Hopper ‏@mnhopper1s
I’m here once again.. :) #socialortho

Dr. David Geier ‏@DrDavidGeier
@laurusrehab @PranaPT Awesome Julie! I think I can speak for Ann too. Love your #aclchat – Thanks for joining us tonight #socialortho

TherapyGirl5 ‏@SnippetPhysTher
@laurusrehab @DrDavidGeier @PranaPT Kind of… one eyeball… #socialortho

Ann Wendel ‏@PranaPT
@laurusrehab #socialortho Hi Julie!

Julie Eibensteiner ‏@laurusrehab
@DrDavidGeier @PranaPT thanks, wish I could more often. What’s on the menu tonight? #socialortho

Ann Wendel ‏@PranaPT
@mnhopper1s #socialortho Hi Mike!

Dr. David Geier ‏@DrDavidGeier
@mnhopper1s Great! And I can’t wait for a project Mike and I are working on to appear in March! #socialortho

Ann Wendel ‏@PranaPT
@laurusrehab @drdavidgeier Talking patient education #socialortho

Julie Eibensteiner ‏@laurusrehab
Talking patient education on #socialortho right now with @DrDavidGeier and @pranapt. Monthly discussion for all of those who work in ortho!

Dr. David Geier ‏@DrDavidGeier
@SnippetPhysTher @laurusrehab @PranaPT That’s ok. Glad you are here Selena! #socialortho

Dr. David Geier ‏@DrDavidGeier
Let’s get started with ideas about patient education. Please remember to use the hashtag #socialortho in all of your tweets.

TherapyGirl5 ‏@SnippetPhysTher
I like to use stories… patients seem more engaged and remember the stuff better #socialortho

Dr. David Geier ‏@DrDavidGeier
Q1: Do you have trouble with patient education? Do patients just want treatment but care little about causes, prevention? #socialortho

Luis Fernando Prato ‏@FisioPratoUS
@laurusrehab @drdavidgeier @pranapt I’ll join for a few minutes #socialortho are you familiar with software that sends text to pts postop

Melissa Roth ‏@Melizzard_CAT
@DrDavidGeier I’m reffing bball games tonight, but will be following the chat and joining in at halftimes when I can! #socialortho

Dr. David Geier ‏@DrDavidGeier
@SnippetPhysTher Stories? How do you use them? And how do they help? #socialortho

Dr. David Geier ‏@DrDavidGeier
@Melizzard_CAT Completely understand Melissa! Tweet when you can! #socialortho

Mike Hopper ‏@mnhopper1s
@Melizzard_CAT LOL.. reffing games and chatting it up ;) #socialortho

Dr. Monique J Caruth ‏@mjcDPT
@DrDavidGeier A1: most I’ve encountered want to know cause & preventative measures. Some younger clients then want to do PT #socialortho

ACL knee brace soccerJulie Eibensteiner ‏@laurusrehab
@DrDavidGeier since Im mostly s/p ACLr, many v interest in ed. Always get a few that go thru motions…thats when we have a chat.#socialortho

TherapyGirl5 ‏@SnippetPhysTher
@DrDavidGeier After seeing enough patients & the things they do, lots of stories… stories to help explain why #socialortho

Dr. David Geier ‏@DrDavidGeier
@FisioPratoUS @laurusrehab @PranaPT Actually @DrKMarberry and I are trying to study use of texting for that purpose #socialortho

Dr. David Geier ‏@DrDavidGeier
@mjcDPT That’s good to hear. When we proposed this topic, got a lot of tweets saying pts only wanted treatment, not education #socialortho

Kirsten Schrader ‏@SchraderKirsten
Seems like many of our patients only hear parts of the explanation and move ahead to how our doc magically plans to fix it. #socialortho

TherapyGirl5 ‏@SnippetPhysTher
@DrDavidGeier @FisioPratoUS @DrKMarberry Research supports texting for various chronic conditions & reduces downstream cost #socialortho

Dr. Monique J Caruth ‏@mjcDPT
@DrDavidGeier and those are usually the ones who I consider frequent flyers…they come back for same or some other issue #socialortho

Mike Hopper ‏@mnhopper1s
I’m a visual teacher.. like showing vid clips, demonstrating movements, and would like to get anatomy models for educating pts #socialortho

TherapyGirl5 ‏@SnippetPhysTher
@DrDavidGeier @mjcDPT How can treatment and education even be separated? They go hand in hand… #socialortho

Julie Eibensteiner ‏@laurusrehab
@DrDavidGeier @mjcDPT I just show the studies stating they’re 16X greater risk than uninjured peers of having a 2nd ACL inj. #socialortho

Dr. David Geier ‏@DrDavidGeier
@laurusrehab Education critically important for ACL treatment & prevention. Good to hear #socialortho

Mike Hopper ‏@mnhopper1s
RT @SnippetPhysTher: @DrDavidGeier @mjcDPT How can treatment and education even be separated? They go hand in hand… #socialortho

Tracy Sher ‏@PelvicGuru1
@DrDavidGeier #socialortho I find pts. Want less education and more hands on since switching to #cashPT.

Dr. David Geier ‏@DrDavidGeier
@SnippetPhysTher @mjcDPT Think people have been saying pts just want quick fix & not learn ways to prevent problem in 1st place #socialortho

Julie Eibensteiner ‏@laurusrehab
@SchraderKirsten PT &Ortho collaboration is HUGE. The pts of docs I have good relationship always have smoother overall rehab. #socialortho

Dr. Monique J Caruth ‏@mjcDPT
@SnippetPhysTher @DrDavidGeier they do. I agree so I explain why I choose the interventions to meet goals. #socialortho

Kirsten Schrader ‏@SchraderKirsten
I use my smart phone quite a bit in the field to show parents and athletes what I am talking about. #socialortho

AOSSM ‏@AOSSM_SportsMed
Join the #socialortho crew talking about patient education in their monthly tweet chat…happening now! #sportsmedicine

Dr. David Geier ‏@DrDavidGeier
@SnippetPhysTher @FisioPratoUS @DrKMarberry Would love to see data. Think good potential uses for texting in healthcare #socialortho

Julie Eibensteiner ‏@laurusrehab
I’m big on explaining the WHY behind the WHAT we are doing. #socialortho. Agree they go hand and hand.

Ann Wendel ‏@PranaPT
@DrDavidGeier #socialortho Ok, I’m here now!I find it interesting-I got some of those tweets too. I think it depends on the setting u work in

Sarah Talley ‏@sarah_pelvicPT
@PelvicGuru1 @DrDavidGeier I don’t always find this in #cashPT but there are those who don’t consider education ‘treatment’ #socialortho

Ann Wendel ‏@PranaPT
@PelvicGuru1 #socialortho That’s interesting – I find the opposite since going #cashPT – my patients want to understand more,more invested

Julie Eibensteiner ‏@laurusrehab
@sarah_pelvicPT @PelvicGuru1 @DrDavidGeier I’m cash and find the opposite, but I have different pt population. #socialortho

Dr. David Geier ‏@DrDavidGeier
@SchraderKirsten It’s funny Kirsten, @laurusrehab @SnippetPhysTher and I were just talking about video on phones for ACL issues #socialortho

Dr. Monique J Caruth ‏@mjcDPT
@DrDavidGeier @SnippetPhysTher @laurusrehab maybe because Medicare doesn’t reimburse for patient education #socialortho

TherapyGirl5 ‏@SnippetPhysTher
@DrDavidGeier @FisioPratoUS @DrKMarberry Think diabetes… texts & phone calls helpful in managing and reducing costs long term #socialortho

Sarah Talley ‏@sarah_pelvicPT
@laurusrehab I agree Julie- I am big on education about why, what and how to get them to the next level. #socialortho

Ann Wendel ‏@PranaPT
@mjcDPT @DrDavidGeier @SnippetPhysTher @laurusrehab I go with “Let’s walk while we talk.” #socialortho

Luis Fernando Prato ‏@FisioPratoUS
@DrDavidGeier @laurusrehab @pranapt @drkmarberry any HIPPA concerns? I have seen greater compliance when using texting #socialortho

TherapyGirl5 ‏@SnippetPhysTher
@mjcDPT @DrDavidGeier @laurusrehab Be creative… the TOPIC of the education can be coded and billed. :) #socialortho

Dr. David Geier ‏@DrDavidGeier
@PelvicGuru1 @PranaPT Interesting. I would have thought patients willing to pay cash would be more into education. No? #socialortho

Julie Eibensteiner ‏@laurusrehab
@sarah_pelvicPT pt buy-in is HUGE. And it is really they’re rehab/recovery right? They have to have ownership. #socialortho

Kirsten Schrader ‏@SchraderKirsten
You can show YouTube videos of how an injury occurs as well as images of the injured parts, surgical procedures etc. #socialortho

TherapyGirl5 ‏@SnippetPhysTher
@FisioPratoUS @DrDavidGeier @laurusrehab @pranapt @drkmarberry Technically supposed to be in some portal… #socialortho

Dr. David Geier ‏@DrDavidGeier
@mjcDPT @SnippetPhysTher @laurusrehab We are actually going to discuss billing for education time in a few. Great point! #socialortho

Ann Wendel ‏@PranaPT
@SnippetPhysTher #socialortho I believe that “development of and demonstrating HEP” can be included in Ther Ex charge, right Selena?

TherapyGirl5 ‏@SnippetPhysTher
@FisioPratoUS @DrDavidGeier @laurusrehab @pranapt @drkmarberry HIPPA = huge problems. Most patient want access & communication #socialortho

Dr. David Geier ‏@DrDavidGeier
Q2: What tools do you currently utilize to educate patients? Pamphlets, verbal explanation, video, website, others? #socialortho

TherapyGirl5 ‏@SnippetPhysTher
@PranaPT Yep… #socialortho

Doctor texting
Text messaging could be a useful way for healthcare providers to spread health information to patients.
Julie Eibensteiner ‏@laurusrehab
@FisioPratoUS @DrDavidGeier @pranapt @drkmarberry Tigertext is a HIPAA complaint texting platform. #socialortho

Ann Wendel ‏@PranaPT
@SnippetPhysTher @FisioPratoUS We did discuss this one time before, about whether texting was HIPAA compliant… #socialortho

Sarah Talley ‏@sarah_pelvicPT
@PranaPT @PelvicGuru1 most want the education to help manage on their own-comes down to the ‘guide me’ or ‘fix me’ mentality. #socialortho

Julie Eibensteiner ‏@laurusrehab
@FisioPratoUS @DrDavidGeier @pranapt @drkmarberry the HIPAA rules leave a lot up to interpretation…a lot depends on access. #socialortho

Dr. Monique J Caruth ‏@mjcDPT
@DrDavidGeier all of the above. #socialortho

TherapyGirl5 ‏@SnippetPhysTher
@DrDavidGeier All of the above depending on situation. Plus demonstrating & making fool of oneself #socialortho

Luis Fernando Prato ‏@FisioPratoUS
Showing evidence and sharing stories of outcomes (good and bad) of another pt’s seem to keep them interested #socialortho

Dr. David Geier ‏@DrDavidGeier
@laurusrehab @FisioPratoUS @PranaPT @DrKMarberry Julie, send me more on Tigertext if you have info later, if you can. Thanks! #socialortho

Mike Hopper ‏@mnhopper1s
A2: demonstrations, use of anatomy models #socialortho

Ann Wendel ‏@PranaPT
@laurusrehab That’s right – I think @hjluks mentioned that one time. #socialortho

Julie Eibensteiner ‏@laurusrehab
@FisioPratoUS @DrDavidGeier @pranapt @drkmarberry I have encrypted email to ensure security & can email through secure portals.#socialortho

Sarah Talley ‏@sarah_pelvicPT
@laurusrehab Absolutely- empower the patient and give them the tools- without ownership there is a plateau in progress. #socialortho

Julie Eibensteiner ‏@laurusrehab
@PranaPT @SnippetPhysTher affirmative #socialortho

Jeff Zerfas ‏@Zerfas_ATC
@DrDavidGeier a2 anything that helps them understand better if it helps them why not use it #socialortho

Tracy Sher ‏@PelvicGuru1
@sarah_pelvicPT @laurusrehab Agreed! #socialortho

Dr. David Geier ‏@DrDavidGeier
@PelvicGuru1 @laurusrehab @sarah_pelvicPT Billing for education time, just having time to do both in busy schedule a challenge #socialortho

Julie Eibensteiner ‏@laurusrehab
@DrDavidGeier A2: video of others, video of them, current events, current research, & prob the best educ tool….PATIENT RAPPORT. #socialortho

Ann Wendel ‏@PranaPT
@SnippetPhysTher @DrDavidGeier I’m a big fan of making a fool of myself, especially demos of The Ministry of Silly Walks #socialortho

Kirsten Schrader ‏@SchraderKirsten
I also ask my athletes to repeat what I have told them. Juvenile, I know, but it seems to work. #socialortho

Luis Fernando Prato ‏@FisioPratoUS
@DrDavidGeier @laurusrehab @pranapt @drkmarberry same here , I cover myself by having them sign a form, but wanna do better #socialortho

Dr. David Geier ‏@DrDavidGeier
@PranaPT Wow, all means of education seem to be popular – video, pamphlets, even making fun of yourself… #socialortho

Sarah Talley ‏@sarah_pelvicPT
@PelvicGuru1 @laurusrehab @sarah_pelvicPT @DrDavidGeier Ah yes- MORE must be better- this goes to perception of value #socialortho

Ann Wendel ‏@PranaPT
@PelvicGuru1 Ah. No,no,no-you can’t roll like that! I always end at 50 min. Gotta have a clear boundary! #socialortho

Dr. Monique J Caruth ‏@mjcDPT
@DrDavidGeier @PranaPT a client appreciates a down-to-earth clinician. You must be approachable keeps them engaged. #socialortho

Dr. David Geier ‏@DrDavidGeier
@SchraderKirsten Whatever works. Plus that helps you know if they understand. Which we know is much less than we think #socialortho

Ann Wendel ‏@PranaPT
@DrDavidGeier I can demonstrate a mean medial heel whip ;) #socialortho

TherapyGirl5 ‏@SnippetPhysTher
@mjcDPT @DrDavidGeier @PranaPT Plus if it’s fun and memorable and there is laughter… an awesome session #socialortho

Sarah Talley ‏@sarah_pelvicPT
@PranaPT @PelvicGuru1 Agree Ann although I confess I have some difficulty with this at times #socialortho

Luis Fernando Prato ‏@FisioPratoUS
@DrDavidGeier nothing like the power of a nice conversation! I think u can introduce a why and how in the middle of casualtalk #socialortho

Julie Eibensteiner ‏@laurusrehab
agreed! RT @SnippetPhysTher: @DrDavidGeier All of the above depending on situation. Plus demonstrating & making fool of oneself #socialortho

Ann Wendel ‏@PranaPT
@DrDavidGeier It does take extra time to provide HEP, etc. I have started using pt’s phone to take photos during the session. #socialortho

Dr. Monique J Caruth ‏@mjcDPT
@SnippetPhysTher yes I observed you had humor on your new business card. Great marketing #socialortho

TherapyGirl5 ‏@SnippetPhysTher
Has anyone ever, ever given a formal test to ensure the patient understood the education? #socialortho

Dr. David Geier ‏@DrDavidGeier
@PranaPT Do I even want to know?? #socialortho

Ann Wendel ‏@PranaPT
@sarah_pelvicPT @PelvicGuru1 Get’s easier with time :) I have to check my patients out myself, so it’s a natural ending point. #socialortho

TherapyGirl5 ‏@SnippetPhysTher
@mjcDPT Oh, you bet! There has to be humor and wit and zingers… I do them all very well ;) #socialortho

Julie Eibensteiner ‏@laurusrehab
@jdimick…you may be the go-to guyRT @DrDavidGeier: Julie, send me more on Tigertext if you have info later, if you can. Thanks! #socialortho

Dr. David Geier ‏@DrDavidGeier
@FisioPratoUS Yes, like @laurusrehab said, patient rapport is key #socialortho

Sarah Talley ‏@sarah_pelvicPT
@PranaPT @DrDavidGeier Excellent way to give the patient something concrete for ed! I do this (and sometimes video) as well. #socialortho

Twitter
Phones, with apps and photo and video capability, could play a role in treatment and rehabilitation.
Ann Wendel ‏@PranaPT
@sarah_pelvicPT I used to use my phone, but using their phone eliminates the email later! #socialortho

Dr. Monique J Caruth ‏@mjcDPT
@PranaPT I use the VHI software email to clients, scan or print on downtime #socialortho

TherapyGirl5 ‏@SnippetPhysTher
I’ve always wondered, we “educate,” but do we ever meausure the person really understood? #socialortho

Luis Fernando Prato ‏@FisioPratoUS
@PranaPT @drdavidgeier this is huge with teens! You use their own phone and sometimes they make it a topic of conversation #socialortho

Dr. David Geier ‏@DrDavidGeier
Q3: One means I haven’t heard-Do you have website for your practice? Do you provide informative content for current patients? #socialortho

Sarah Talley ‏@sarah_pelvicPT
@SnippetPhysTher Aside from review regarding exercises- no. Great point Selena #socialortho

TherapyGirl5 ‏@SnippetPhysTher
@DrDavidGeier A3 Yep #socialortho

Dr. Monique J Caruth ‏@mjcDPT
@SnippetPhysTher not formal but if I give HH client HEP I make sure they demonstrate entire program #socialortho

Ann Wendel ‏@PranaPT
@DrDavidGeier I’ll email you some video! My patients always laugh! #socialortho

TherapyGirl5 ‏@SnippetPhysTher
@sarah_pelvicPT I don’t either… sometimes that education stuff is highly important… seems awkward to quiz ‘em #socialortho

Dr. David Geier ‏@DrDavidGeier
@SnippetPhysTher Seems like I’ve seen a study that shows patient retention rate is really low #socialortho

TherapyGirl5 ‏@SnippetPhysTher
@DrDavidGeier So… are we wasting our time? Do our methods need to change? Bet mine remember something silly! lol #socialortho

Luis Fernando Prato ‏@FisioPratoUS
@mjcDPT @pranapt I do too, but teens tend to leave the sheets anywhere except in front of them. VHI good for my older adults #socialortho

Ann Wendel ‏@PranaPT
@SnippetPhysTher I check up on it later. I email a lot of articles to my patients for them to read at home. #socialortho

Dr. David Geier ‏@DrDavidGeier
@SnippetPhysTher How do you use your website with patients? Marketing? Or for education about their injury, rehab? #socialortho

Ann Wendel ‏@PranaPT
@FisioPratoUS @drdavidgeier Yes – teens always have their phone with them! #socialortho

Julie Eibensteiner ‏@laurusrehab
@DrDavidGeier Yes, FB page with a lot of current events. Website has links to studies backing the method behind the madness. #socialortho

Jeff Zerfas ‏@Zerfas_ATC
@DrDavidGeier if you relate the info to them and make understandable they will retain more than you think #socialortho

Dr. David Geier ‏@DrDavidGeier
@SnippetPhysTher I guess that gets back to where we started. Should we educate? Seems to be yes but are we effective? #socialortho

Ann Wendel ‏@PranaPT
@DrDavidGeier You know I do! I have a few demo videos on there and lots of educational articles. #socialortho

Tracy Sher ‏@PelvicGuru1
@PranaPT @sarah_pelvicPT That’s where I issues.Check-out. Feel it would be easier to send them to front. Go Ann! Boundary hero. #socialortho

Dr. Monique J Caruth ‏@mjcDPT
@DrDavidGeier for my surgical cases esp smokers educate them on risks especially while on Coumadin but they still smoke #socialortho

Mike Hopper ‏@mnhopper1s
#SportsSafety Bill of Rights says education is key.. I plan to launch website specific to #youthsportsinjuries.. #socialortho

Mike Hopper ‏@mnhopper1s
and include high school specific details as well.. #socialortho

Ann Wendel ‏@PranaPT
@laurusrehab Julie, do you find that your patients interact w you on your FB page? #socialortho

Julie Eibensteiner ‏@laurusrehab
@DrDavidGeier @SnippetPhysTher I admit. Ill give “quizzes” when needed. Usually with pts around the age of 14-16. Only takes 1. #socialortho

Mike Hopper ‏@mnhopper1s
Yep, even when they’re concussed and not supposed to! @PranaPTYes – teens always have their phone with them! #socialortho

Dr. Monique J Caruth ‏@mjcDPT
@DrDavidGeier hard to use website for each patient so better interaction with facebook, email, makes it client specific #socialortho

Ann Wendel ‏@PranaPT
@Zerfas_ATC @DrDavidGeier Agree – each person needs a different kind/level/method of education to make it “stick.” #socialortho

Dr. David Geier ‏@DrDavidGeier
@Zerfas_ATC Makes sense Jeff. Do you ask them to repeat it, like @SchraderKirsten suggested? #socialortho

TherapyGirl5 ‏@SnippetPhysTher
@DrDavidGeier Created info for athletes after sport physicals. I’m always asked to help. Wanted to help reduce injury #socialortho

Jesse Dimick ‏@jdimick
@DrDavidGeier Facebook page for education and interaction with patients. #socialortho

Running on indoor trackTherapyGirl5 ‏@SnippetPhysTher
@DrDavidGeier Then..in my community, quite a few members of high school fitness center. Created exercise pages for them #socialortho

Julie Eibensteiner ‏@laurusrehab
@PranaPT some yes, some no. Not about their situation though…I’m careful/cautious about boundaries and pt info on there. #socialortho

TherapyGirl5 ‏@SnippetPhysTher
@jdimick @DrDavidGeier Excellent. THAT’s what I use. Recent news… recent helpful stuff. I like FB better for that #socialortho

Ann Wendel ‏@PranaPT
@mnhopper1s I would think the parents would be interested in that -they would like to know how to help their kids when injured. #socialortho

Dr. David Geier ‏@DrDavidGeier
@mnhopper1s That’s something I’ve never thought of w athlete concussions; stimulation via phones, iPad. Will ask our neuro team #socialortho

Sarah Talley ‏@sarah_pelvicPT
@PranaPT @DrDavidGeier Thanks for the #socialortho chat- sorry to duck out early. Great topic! Early run in the am #bostonmarathonbound

Jeff Zerfas ‏@Zerfas_ATC
@DrDavidGeier not usually. Many times they ask questions and I can judge their understanding off of that #socialortho

Dr. David Geier ‏@DrDavidGeier
@jdimick Lots of people seem to think Facebook effective for patient education. What makes it such a good platform for it? #socialortho

Steve Middleton, ATC ‏@mddltn
@PranaPT @sarah_pelvicPT @PelvicGuru1 the “guide me” patients tend to have much better outcomes with less recurrence #socialortho

Ann Wendel ‏@PranaPT
@laurusrehab Exactly. I find that people respond more to the articles or links I post on my biz FB wall. #socialortho

TherapyGirl5 ‏@SnippetPhysTher
@SchraderKirsten oh dear… how did I ever miss that? Need to work on body language & observation skill! #Socialortho

Dr. David Geier ‏@DrDavidGeier
@sarah_pelvicPT @PranaPT Thanks for joining us and sharing your thoughts! Good luck training! #socialortho

TherapyGirl5 ‏@SnippetPhysTher
@DrDavidGeier @mnhopper1s Is it Canada Hockey that has some application? #socialortho

Jesse Dimick ‏@jdimick
@DrDavidGeier ability to push info for immediate feedback and interaction. #socialortho

Ann Wendel ‏@PranaPT
@sarah_pelvicPT Thanks for joining, Sarah! Boston Marathon – wow! Good luck! #socialortho

Ann Wendel ‏@PranaPT
@mnhopper1s Exactly! Too much stimulation already. Some aren’t even back to full days of school but still have phone! #socialortho

Kirsten Schrader ‏@SchraderKirsten
@DrDavidGeier @mnhopper1s #socialortho I tell the parents that the concussed kid may not pay video games, ipad, tv etc. Brain has to rest.

Ann Wendel ‏@PranaPT
@DrDavidGeier @jdimick I think b/c patients of all ages use it, where very few of mine use Twitter. #socialortho

Dr. David Geier ‏@DrDavidGeier
Q4: Do you create educational materials/answer questions/communicate on your own time? How do you manage time? Bill for it? #socialortho

Dr. David Geier ‏@DrDavidGeier
@laurusrehab Thanks for joining us! #socialortho

Quadriceps strengthening in physical therapyAnn Wendel ‏@PranaPT
@mddltn @sarah_pelvicPT @PelvicGuru1 Naturally – they have taken ownership and see that they can take steps to prevent relapse. #socialortho

TherapyGirl5 ‏@SnippetPhysTher
I’m out too… early morning run. Nice topic… #socialortho Let me know if you figure out how to be more effective w education :)

Mike Hopper ‏@mnhopper1s
Right on!:I tell the parents that the concussed kid may not pay video games, ipad, tv etc. Brain has to rest. #socialortho

Dr. David Geier ‏@DrDavidGeier
@PranaPT @jdimick Agree. I’m a huge Twitter fan, but it seems to have less use for direct patient interaction, education. #socialortho

Ann Wendel ‏@PranaPT
@laurusrehab #socialortho Thanks for joining, Julie!

Dr. Monique J Caruth ‏@mjcDPT
@DrDavidGeier if I do it on my own time I don’t bill for it but if done while patient is there under therapeutic exercise #socialortho

Ann Wendel ‏@PranaPT
@SnippetPhysTher G’night, Selena! #socialortho

Dr. David Geier ‏@DrDavidGeier
@SnippetPhysTher You guys are all making me feel lazy. Might have to set alarm even earlier to work out before surgery #socialortho

Ann Wendel ‏@PranaPT
@DrDavidGeier @SnippetPhysTher Lots of runners and triathletes in the group! #socialortho Practicing what we preach! Boom!

Dr. David Geier ‏@DrDavidGeier
@mjcDPT Maybe argument would be that if you create educational materials in own time, frees time down the road #socialortho

Mike Hopper ‏@mnhopper1s
@DrDavidGeier No workout before work for me.. 4:30AM is early enough as it is! Start work at 5:30 #socialortho

Ann Wendel ‏@PranaPT
@mjcDPT @DrDavidGeier Me too – problem is, it’s almost always on my time if I don’t use their phone for photos! #socialortho

Jeff Zerfas ‏@Zerfas_ATC
@DrDavidGeier when I’m in season I consider myself on call During the offseason I’ll call them back after they leave a message #socialortho

Ann Wendel ‏@PranaPT
@mnhopper1s @DrDavidGeier Ugh, that sounds dreadful! #notamorningperson #socialortho

Dr. David Geier ‏@DrDavidGeier
@Melizzard_CAT Those could all work. Seems to be many here that like using models for patient education #socialortho

Dr. Monique J Caruth ‏@mjcDPT
@DrDavidGeier it does to some extent but hard to tell client that time today will be less because I worked on this info for you #socialortho

Ann Wendel ‏@PranaPT
@Zerfas_ATC @DrDavidGeier Are ATC’s ever out of season? LOL #socialortho

Mike Hopper ‏@mnhopper1s
@PranaPT 3 days a week.. work 12+ on those days and sometimes 15+.. only sleep about 4 hours a night during week… #socialortho

Dr. David Geier ‏@DrDavidGeier
@Zerfas_ATC I bet that your athletes know they can get in touch with you just about any time, so that makes sense #socialortho

Ann Wendel ‏@PranaPT
@Melizzard_CAT @DrDavidGeier I have a mean stick person home exercise collection! Years worth of effort! #socialortho

Ann Wendel ‏@PranaPT
@mnhopper1s That is SO not good for you! Us old folks can’t keep up that pace-did it when I was first out of school! #socialortho

Dr. David Geier ‏@DrDavidGeier
@PranaPT @Melizzard_CAT Awesome. I definitely want to see that! #socialortho

Kirsten Schrader ‏@SchraderKirsten
I think if we could bill for all the hours that athletes could get in touch with us, we would be multi millionaires. #socialortho

Ann Wendel ‏@PranaPT
@mjcDPT @DrDavidGeier Haha, I can JUST picture that! #socialortho

Ann Wendel ‏@PranaPT
So does anyone use a prepackaged pt ed program? Sounds like we all make up our own… #socialortho

Jeff Zerfas ‏@Zerfas_ATC
@DrDavidGeier @mnhopper1s life is different for us ATCs. Gotta love the hours #socialortho

Ann Wendel ‏@PranaPT
@SchraderKirsten Word. #socialortho

Dr. David Geier ‏@DrDavidGeier
@DrKMarberry @FisioPratoUS @laurusrehab @PranaPT Kevin, is http://OBERD.com your texting system? #socialortho

Mike Hopper ‏@mnhopper1s
@SchraderKirsten Absolutely! My phone is on for 20 hours/day during week and 18 hours/day on weekends.. #socialortho

Kristopher Abeln MD ‏@VilleSportsMed
@DrDavidGeier. Pretty much impossible to prepare information other than on the weekend. Haven’t submitted an invoice yet! #socialortho

Dr. Monique J Caruth ‏@mjcDPT
@PranaPT I use VHI can be pricey but usually get them when discounted. Clients like photos #socialortho

Mike Hopper ‏@mnhopper1s
@Zerfas_ATC Yep.. take the good with the bad sometimes.. #socialortho

Ann Wendel ‏@PranaPT
@DrDavidGeier @Melizzard_CAT You should see my stick figure drawing of quadriped TA exercise (aka Preganant Cat). #socialortho

Dr. David Geier ‏@DrDavidGeier
@PranaPT And is there a really good prepackaged one? Or do you prefer your own materials and education methods? #socialortho

Ann Wendel ‏@PranaPT
@VilleSportsMed @DrDavidGeier That’s the truth! I’m usually just caught up by Sunday night :/ #socialortho

Jeff Zerfas ‏@Zerfas_ATC
“@mnhopper1s: @Zerfas_ATC Yep.. take the good with the bad sometimes.. #socialortho” true that

Dr. David Geier ‏@DrDavidGeier
@VilleSportsMed Yeah that seems to be consensus. Patient education key, and creating materials important. Unable to bill for it #socialortho

Kevin Marberry, M.D. ‏@DrKMarberry
@DrDavidGeier @FisioPratoUS @laurusrehab @PranaPT It has the ability to do secure texting, but I have not used that feature. #socialortho

Ann Wendel ‏@PranaPT
@DrDavidGeier Clinics always have the “Exercise Pro” computer program for HEP. It has limitations, though. #socialortho

Ann Wendel ‏@PranaPT
@mjcDPT So VHI is kinda like Exercise Pro? #socialortho

Dr. David Geier ‏@DrDavidGeier
We didn’t get close to all the questions we had. There were so many great ideas. Obviously an important topic for patient care #socialortho

Ann Wendel ‏@PranaPT
@mjcDPT I use HEP2Go, it’s free! I can email HEP to patients. #socialortho

stephen ‏@srharris22
@PranaPT @drdavidgeier #socialortho ever use http://HEP2GO.com ? Pretty solid and free, can email or print

Dr. Monique J Caruth ‏@mjcDPT
@PranaPT something similar but they have a wider variety #socialortho

Luis Fernando Prato ‏@FisioPratoUS
#socialortho thanks for your insight, between this and trying to keep up with a soccer game I’m running out of battery. Lookforwardtonext1

Ann Wendel ‏@PranaPT
@srharris22 @drdavidgeier I do. #socialortho

Ann Wendel ‏@PranaPT
@FisioPratoUS Thank you for joining! #socialortho

Dr. David Geier ‏@DrDavidGeier
@DrKMarberry @FisioPratoUS Several people here mentioned texting as a means of educating pts. Tigertext came up as one option #socialortho

Ann Wendel ‏@PranaPT
#socialortho summary: pt ed important,time consuming,questionable pt understanding/retention,best if personalized,making pt laugh prob helps

Dr. David Geier ‏@DrDavidGeier
@FisioPratoUS Thanks for joining! Please come back each month. I fought another chat & reclaimed the 1st Wed each month 9 PM ET #socialortho

Dr. Monique J Caruth ‏@mjcDPT
@PranaPT thanks just signed up #socialortho

Ann Wendel ‏@PranaPT
@DrDavidGeier @FisioPratoUS That’s our Dr. Geier – he’s a fighter,but don’t ask him to get up at 4am to work out! #socialortho

Dr. David Geier ‏@DrDavidGeier
@PranaPT @FisioPratoUS Hey I lifted weights at 4 AM for 6 years, so watch it, Ann! #socialortho

Dr. David Geier ‏@DrDavidGeier
@PranaPT Tons of great comments; We might have to revisit themes from this chat in future months #socialortho

Ann Wendel ‏@PranaPT
@DrDavidGeier Agreed! Great ideas, great group! Time flies by every month! #socialortho

Mike Hopper ‏@mnhopper1s
@DrDavidGeier There is no way you’re getting me out of bed at 4AM to lift weights! or any other exercise! #morningisforsleep #socialortho

Ann Wendel ‏@PranaPT
#socialortho Thanks everyone for another insightful, fun chat! I’m off to draw stick figures and work on silly walks. Video to come!

Dr. David Geier ‏@DrDavidGeier
@PranaPT Thanks everyone! You make these chats so informative & fun. Remember-1st Wed of month, 9 ET. Please suggest topics! #socialortho

One Response to The importance and the challenges of patient education: The #socialortho tweetchat

  1. Having read this I found it to be rather insightful.
    . I take joy in you setting aside the time to put this info together.

    I repeatedly find myself wasting way too much time simultaneously reading
    and/or commenting. Absolutely worth the time, regardless.

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