Don’t Forget The Twitter

Perhaps you’ve been introduced to FOAMed and have dipped a toe into the land of Twitter but have been hesitant about joining in until now. Here are some top tips from the DFTB Team to help you on your Twitter journey at the upcoming conference and beyond!

Signing Up

1. Create a username that will last

Remember that your username will be how people tag you in conversations and search for you. A good username choice should be easily identifiable as well as appropriate for long-term use, taking into account not just your current role but roles you may have in the future (for example, a username based on being a student will likely need to be changed once you graduate). Similarly, if possible, try to avoid using your year of birth or the current year, as this will easily ‘date’. Be aware that unusual spelling, multiple special characters and substituting numbers for letters (such as zero for o) may also make it harder for people to type and search for your name to interact with you on twitter via tagging.

2. Build a profile

Choose a profile picture that is easily identifiable as a thumbnail. For this reason, if using a photograph of yourself; headshots are preferable. Add a short bio which details your background and something about you. If you want to use Twitter for more professional or academic purposes, consider including key hashtags you follow or are involved with. Twitter bios feed into the search capabilities of the search tool.

3. Getting Introduced & First Follows/Followers

Suppose you’re joining Twitter as part of a conference or as part of medical education. In that case, it is often helpful to introduce yourself or have a colleague or friend on Twitter to make some introductions. Following key hashtags and following users whose content you enjoy or like can be a good starting point to help Twitter create a feed of interesting content for you to access. See below for some of our suggested friends for first steps on Twitter:

How to communicate effectively on Twitter

Now that you’ve set up your account and started to link in with others let’s delve into what you might start composing.

Brevity is the soul of wit, and much can be said within a tweet’s 280 characters. However, if you are feeling the squeeze or have a longer discussion that you’d like to have, you can use common abbreviations or create a thread.

1. Commonly used abbreviations:

@ -> Mention/used to tag a username
# -> Hashtag- used as a prefix and a way to identify terms that can easily be searched on Twitter
RT -> Retweet ; PRT -> Partial retweet; MT -> Modified tweetHT -> Hat Tip: To acknowledge or credit someone for a thought/idea/resource or inspiration for your tweet or work

OH -> Overheard
DM -> Direct message (one one-on-one messaging- look for the envelope to contact someone privately)
TIL -> Today I learned

2. Hashtags

Hashtags are a great tool to flag points of interest or topic areas for your tweets. If you click on a hashtag, it will link you to all recent or popular tweets using the same tag, which is particularly great when joining a global conversation. You can also start hashtags or use hashtags to provide extra commentary on what you’ve tweeted.

3. Tagging

Tagging is when someone is notified of your tweet so that you are bringing them into a conversation. It is akin to messaging a Twitter user directly in public so that others might join the conversation, too. It also helps differentiate between “tweets” and “tweet and replies,” which form two different feeds on your desktop version of Twitter so that you can more easily follow an individual’s unique posts rather than ongoing conversations or threads. I prefer to use tags at the start if it is a directed or broad message for everyone, but I might want a particular group to be aware of it or spread the word, and then I will tag them at the end.

Including a photograph or picture in your tweet is a great way to promote engagement. This breaks up the wall of text on Twitter and draws attention, and you can tag up to 10 usernames in your image.

Please remember that any flow from your tweets (e.g., retweets and likes) will be passed on via notifications to those tagged, so tag thoughtfully. If you prefer, you can also use Twitter settings to prevent yourself from being tagged in images.

4. Creating a thread

At the end of your tweet, mark it 1/X (X is either left as X or, better yet, should be the final number of tweets you plan to send out on the one topic ). You can then reply to your tweet and end it 2/X. This makes it easier for people to follow your chain of thought and to read your posts chronologically.

You can also now create a thread using Twitter ‘Moments’ where you can select posted threads to create your own chronological tweet slide decks.

5. Retweets, Quotes and Likes

Liking a tweet shows your approval, support, or appreciation for a tweet made, whilst a retweet enables you to spread the tweet to all your followers and beyond. You can also quote a tweet so that you can add your commentary (in agreement or disagreement with the content you are retweeting). When you quote a tweet, it should be noted that the original thread will not appear below your tweet, so people must click on the original to see further commentary. Retweeting and quoting are useful and a good way to interact with others; however, if all you do is retweet and like, you will remain a passive user. We would encourage you to consider also writing some of your tweets and quoting, tagging and discussing tweets with others.

6. Polling

Polling can be a fun way of creating debate, getting other’s opinions or even assessing variations in medical practice. People cannot immediately see an answer unless they have voted or the poll has closed.

Twitter etiquette

Now that you’ve established yourself by making new friends and engaging in discussion, it is important to follow good Twitter etiquette. People on Twitter are the same as those you work with or walk past along the street. Unfortunately, the perceived anonymity of the internet can make some individuals feel empowered to misbehave or become hurtful or abusive in their commentary. Suffice it to say, if the behaviour is inappropriate or ‘below the line’ in real life, there isn’t any reason why it is any more acceptable online.

Like driving, social media has its own set of ‘Road Rules’. You may have seen this handy reminder before:

What might this look like in practical terms?

Don’t Lie, Don’t Cheat, Don’t Steal: Some people remain anonymous or de-identified on Twitter. That is perfectly fine; however, it is important that in doing so, you do not create a fictional character or portray yourself as being of a different skill set than you are (for example, listing false qualifications). Similarly; passing off someone else’s original thoughts as your own without acknowledgement (HT, MT or via) is another form of plagiarism or stealing. We should also be cautious to consider copyright on images we use online and that acknowledgement or payment may be required outside of ‘fair use’ situations.

Don’t Pry & Don’t Reveal: We should respect each other’s privacy and remember that Twitter is a very public, worldwide forum. This is particularly important to remember when considering discussing patients. Images of patients or images that reveal identifying patient details should only be posted with explicit consent given by patients for use not just for education but also specifically for use on social media. Consent should be obtained both verbally and in writing.

Whilst some groups have suggested a moratorium on patient cases of at least five years (provided identifying features such as age, gender, and location have been changed), Don’t Forget The Bubbles would add that to that it is never okay to post on social media any cases wherein the patient may recognise themselves (if not previously and thoroughly consented). The Hippocratic oath reminds us to First Do No Harm. Sharing cases with unique features (e.g. sat on by a hippo), even if demographics are changed, may mean that patients are still identifiable and can be hurt by this even decades on.

Can’t Delete: Once your tweet is let loose on the world, like the fable of the gossip trying to retrieve feathers lost in the wind, once published, you can never take your words back. Twitter is not your private diary, and direct messages are not secure. This is why it is important not to tweet when in heightened emotional states, as you’re more liable to write something you may regret. Just think of all the many politicians and personalities who have gotten into hot water for this very thing. If you’re not sure whether you should post something – STOP. Instead, you might save it as a draft and return another day when you’ve cooled down and can see things more objectively. You may feel differently about your writing and be glad it didn’t spill out.

So what should you do?

With all those rules to keep the Twitter community safer and happier, what can and should you do on Twitter?

We hope you will be able to use Twitter to interact, engage, explore and learn. Remain open to differing viewpoints and continue to be compassionate and kind. Advocacy, teaching, learning, making new friends and networking are all potential benefits of engaging in twitter.