{"id":392,"date":"2008-06-10T11:27:24","date_gmt":"2008-06-10T10:27:24","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/2008\/06\/10\/richard-smith-get-with-web-20-or-become-a-yesterday%e2%80%99s-person\/"},"modified":"2009-03-06T15:25:17","modified_gmt":"2009-03-06T14:25:17","slug":"richard-smith-get-with-web-20-or-become-a-yesterday%e2%80%99s-person","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2008\/06\/10\/richard-smith-get-with-web-20-or-become-a-yesterday%e2%80%99s-person\/","title":{"rendered":"Richard Smith: Get with Web 2.0 or become yesterday\u2019s person"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.bmj.com\/home\/icons\/bmjh7648e.jpg\" alt=\"Richard Smith\" width=\"160\" height=\"110\" align=\"left\" \/> Web 2.0\u2014the social web\u2014has the potential to improve global health greatly and to solve complex problems in health science\u2014as it has already done in particle physics. I heard this message at a conference on global health in Geneva last week, but I also heard that the barriers to these potential achievements are social and cultural, not technological. <!--more-->The machines we can fix. It\u2019s the people\u2014particularly old timers (that\u2019s anybody over 40, I\u2019m 56)\u2014that are the problem.<\/p>\n<p>I suspect that most readers of the BMJ couldn\u2019t tell you much about Web 2.0\u2014despite the journal having had several <a title=\"0 is changing medicine\" href=\"http:\/\/www.bmj.com\/cgi\/content\/extract\/333\/7582\/1283\">editorials<\/a> on the subject. The essence of Web 2.0 is that it\u2019s bottom up and participative: it\u2019s created by the many not the few.<\/p>\n<p>Most websites are firmly Web 1.0\u2014a few wise guys attempting to inform the many. <a title=\"web 2\" href=\"http:\/\/www.bmj.com\">Bmj.com<\/a> has its Web 2.0 components (blogs and rapid responses), but mostly it\u2019s potentates pushing stuff that they try and pass off as wisdom.<\/p>\n<p>Web 2.0 can also be understood by listing its components\u2014RSS feeds, blogs, wikis, podcasts, social networking sites, mash up technology, etc\u2014but the only way to really understand Web 2.0, as to understand anything, is to jump in and start using it.<\/p>\n<p>As an evangelist for Web 2.0 attracted to it by its anarchic, democratising, iconoclastic potential, I urge friends to start using <a title=\"Facebook\" href=\"http:\/\/www.facebook.com\">Facebook<\/a>. Most are reluctant. &#8220;My identity will be stolen.&#8221; &#8220;I don\u2019t want to waste time.&#8221; &#8220;My children will be horrified.&#8221; &#8220;I don\u2019t want my life to be exposed: it\u2019ll be like being on Big Brother.&#8221;<\/p>\n<p>My friends can chose to stay living in the old world, but I think that they are making a big mistake\u2014because the appearance of Web 2.0 seems to me a crucial step in entering the information age, more crucial even than the invention of the world wide web.<\/p>\n<p>The invention of the web was an essential technical development, but it\u2019s the social and cultural change that will have far more impact.<\/p>\n<p>Ten years ago we used to compare the early days of the web with the early days of film\u2014when directors used one camera fixed on actors on a stage: it was theatre filmed.<\/p>\n<p>Later came outside locations, cutaways, rapid scene switches, stuntmen, car chases, animation, and all the techniques we take for granted.<\/p>\n<p>We couldn\u2019t see ten years ago how the web would move by analogy from filmed theatre to films, but now we are beginning to see. We also begin to see how Web 2.0 can help solve the really big problems\u2014like the gross inequalities in the world between rich and poor.<\/p>\n<p>At the conference in Geneva we heard about the <a title=\"People's Uni\" href=\"http:\/\/www.peoples-uni.org\/\">Peoples\u2019 Uni <\/a>, which aims to provide free education for health workers in the poor world.<\/p>\n<p>Many cannot afford the fees of the distance learning courses of Northern universities, and so a group from Edinburgh has started free learning based on using open access material.<\/p>\n<p>The amount of such material is increasing rapidly, but its educational value is increased by adding teaching and assessment based on the material.<\/p>\n<p>That\u2019s what the People&#8217;s University is doing. The university is still a bit Web 1.0, confessed Richard Heller, co-ordinator of Peoples&#8217; Uni. It\u2019ll be more Web 2.0 when the students set the curriculum and do the assessment. That will come.<\/p>\n<p>Particle physicists have been among the first to grasp the potential of Web 2.0 to solve previously insoluble scientific problems by linking computers around the world in the <a title=\"Atlas project\" href=\"http:\/\/atlas.ch\/\">Atlas<\/a> project. E-science is not about technology but about global interaction: it\u2019s a social not a technological development. Biologists are using Web 2.0 capabilities to unravel the human genome, but we\u2019ve been slower in health to exploit the possibilities.<\/p>\n<p>And our tardiness is social. The Global Fund for responding to AIDS, TB, and malaria has tried to use Web 2.0  through My global fund at work, but the response has been slow.<\/p>\n<p>The reasons, said the manager of the project, are generational, educational, cultural, linguistic, and psychological.<\/p>\n<p>Many health workers come from very respectful cultures where the young do not criticize the old. For many people it\u2019s a huge and terrifying step to press a button and potentially allow the whole world to read your words.<\/p>\n<p>Doctors, I fear, are too fond of a top down world\u2014because they are usually at the top. But that top down world is crumbling. Think of Nicolae Ceau\u015fescu\u2019s statue being hauled down and smashed. That\u2019s the old world of Web 1.0. Get with Web 2.0 in a serious way or become a yesterday\u2019s person.<\/p>\n<p><strong>Richard Smith<\/strong> is director of the Ovations Chronic Disease Initiative, editor of Cases Journal, and a member of the board of the Public Library of Science. In the past he&#8217;s been the editor of the BMJ, chief executive of the BMJ Publishing Group and UnitedHealth Europe, a doctor of sorts, and a television doctor. He loves making soup, trouble, and marmalade.<\/p>\n<p><strong>Competing interest:<\/strong> Richard Smith is the editor of Cases Journal, which has claims to be a Web 2.0 journal. He&#8217;s also a Facebook fanatic.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Web 2.0\u2014the social web\u2014has the potential to improve global health greatly and to solve complex problems in health science\u2014as it has already done in particle physics. I heard this message [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2008\/06\/10\/richard-smith-get-with-web-20-or-become-a-yesterday%e2%80%99s-person\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":38364,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[223,955],"tags":[],"class_list":["post-392","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-guest-bloggers","category-richard-smith"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Richard Smith: Get with Web 2.0 or become yesterday\u2019s person - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2008\/06\/10\/richard-smith-get-with-web-20-or-become-a-yesterday\u2019s-person\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Richard Smith: Get with Web 2.0 or become yesterday\u2019s person - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Web 2.0\u2014the social web\u2014has the potential to improve global health greatly and to solve complex problems in health science\u2014as it has already done in particle physics. 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