All right. Good morning. Good morning. So, on behalf of myself and Joy, just welcome you to the session. We're super excited. Thank you, Sean, for the introduction. Just as a way of getting started off, who's a clinician in the room? Okay. So, about half. Who's a researcher or a scientist? Okay. Another half. And then maybe people are researchers and scientists, or clinicians and scientists. Okay. So, about a third, a third, and a third. Okay. So, we'll keep that in mind as we kind of go through. We're going to talk about kind of building your brand through social media, and I'm going to focus on transformational change. And then Joy's going to talk a lot about why you should do this. Right? She has a lot of great information on that. Maybe. Maybe. Maybe we're going to talk about social media. Let's give us one second. Is it good now? Okay. There we go. Okay. This is my biography, just for the slides. After the conference, I'm at the Ohio State University Wexner Medical Center. I'm a clinician. I see individuals with diabetes, and then also run a research group focused on diabetes and cardiovascular disease health equity. Here are my disclosures, mostly grant funding. So with that, we're going to start off with one of my friends, Sean King. He is a social justice activist now. And you know, we went to a conference a couple of years ago, and Sean asked some questions and kind of told his story. And so Sean was actually a gentleman who was in environmental conservation. He worked out in San Diego, thinking about how can we save the dolphins, right? He also, previous to that, had worked on animal rights issues with dogs. And you know, one day he was watching the news and saw this story here on the bottom left, where a gentleman in New York was selling Lucy cigarettes, and that's like a single cigarette, was kind of accosted by the police, said he couldn't breathe, and ended up passing away. And on that day, Sean said, you know, I think, you know, I found my why, I found the thing that's really going to drive me and kind of push me forward. And so he asked this question, you know, what is the issue in the world that breaks your heart? You know, and I'm going to ask you that question today. For people in the audience, feel free to raise your hand. Maybe a couple people tell us, what is the issue that breaks your heart? We need a brave soul to say one of the issues that breaks their heart. Racism. Racism. So racism is the issue that breaks your heart, okay? Violence against children is the issue that breaks your heart. People who don't have money for basic things in life, like their care, and basic needs. Yeah, people who may be living in poverty, don't have money for health care, basic needs, struggling to survive, definitely a very important issue. Misinformation leading to harm. Misinformation leading to harm. We've been living in a lot of misinformation these days, right? And we have a lot of experts in the room that we need to combat that misinformation, and that may be a theme coming up in the future. So one of the questions, or one of the things that he said after he launched this question, was that if people around you don't know the issue that breaks your heart, then you probably don't have an issue. Or either you really care about it and no one knows it, or you really don't care that much about that issue. And for him, he said he had to decide, you know, what is his number one issue, so that he could pour his heart and soul into that issue. And so the second question he asked was, what in the world makes you come alive? You know, what are those things that get you really excited and make you want to get up in the morning? So we'll have two or three folks talk about what it is that makes them come alive. And I love awkward silence. I'm an awkward silence person. Good. My work. Your work. What kind of work do you do? I'm a clinician. Diabetes and obesity. So a clinician and diabetes, obesity, that gets you up in the morning, it makes you come alive. People change. People around you want to change the world. Okay. So and maybe even you. You changing the world, right? So a world changer, and that's what kind of makes you come alive. Good. And the back right table. Yeah, you. Yeah, you're the furthest back. There you go. So getting new exciting data. New exciting data. So research. Yeah. Yeah. Nothing better than being a PI, and one of the lab members comes to you with something new and exciting, and you're going through it, and particularly when you see something in there. You see a signal for something that you were thinking you might have hypothesized was the direction that you were going to go. So great. So new and exciting data. So Sean says, do the thing that makes you come alive to impact the issue that breaks your heart. Right? So whether it's seeing patients, right? And let's say diabetes breaks your heart, and you see patients, look, you're doing the thing that makes you come alive to impact the issues that breaks your heart. Let's say that it's research, and researching, you know, a new discovery in thyroid. And thyroid is one of the things that makes you come alive. Maybe, you know, a family member had thyroid cancer or something, right? Doing the thing that makes you come alive to impact the issue that breaks your heart. And the example I usually use of this, and this, you know, is starting to date me a little bit, but does anybody know Mariah Carey? Right? Somebody has, two or three people have heard of Mariah Carey? Okay. She's a singer. Has a very, you know, multiple octaves. She may be my wife's favorite singer. Okay? And people often say, you know, for me, you know, I do research and clinical care to impact diabetes. But if Mariah Carey was going to impact diabetes, how would she do that? What do folks think? What would Mariah Carey do if she wanted to impact diabetes? Would she go into the lab and, you know, get some cells out and start doing some experiments? She might raise funds for research. She might sing a song about diabetes. She might become an advocate for diabetes. Right? And so that would be the thing that makes her come alive to impact the issue that breaks her heart. And we're all going towards transformational change. Defined as causing a metamorphosis in form or structure, a change in the very condition or nature of a thing, a change to another substance, a radical change in outward form or inner character. We are all moving towards transformational change. You know, we don't, we might have incremental change to get there, right? One experiment after another or one patient after another. But at the end of the day, we're trying to all transform, you know, the delivery of healthcare or transform individuals with endocrine-related disorders or diseases, right? We're all going for transformational change. And so as we move towards transformational change, we have to tell our stories, right? We have to be storytellers. We have to engage with individuals and let them know the importance of the issue that breaks our heart and how we are working towards improving that issue. And there are many basic plots that can be used to do this. Many basic plots. I'm going to point out a couple here. So the first is overcoming the monster. There is an evil force, evil force, threatening our hero, their world, mankind. The hero must fight and slay this monster, which often isn't easy, but they come out triumphant and receive a great reward. So here you want to thank Beowulf or Dracula or King Kong. People seen King Kong? Right? There's an older King Kong. There's a newer King Kong. So, you know, maybe people have seen King Kong. Has anybody ever used overcoming the monster? And this is just a reflective question to tell a story. The second one is rags to riches, right? At the beginning, our hero is insignificant and despised by others, but something happens to elevate them, revealing them to be exceptional, right? Here you can think my favorite on this list, I have a three-year-old and a seven-year-old, is Aladdin, right? You know the thing, Aladdin. Everybody's got a friend like me, right? The third one, the quest, in the quest, our hero must set out on a long hazardous journey and will battle all obstacles until they are triumphant. Here you think about the Wizard of Oz or Harry Potter, but you can tell your stories using these frameworks. The last one being voyage and return, right? It's a little different from the quest. Here the hero travels out of their normal world and into the overwhelming and unknown before escaping back to safety of their homeland. Favorite one here, Finding Nemo, right? Anybody seen Finding Nemo? It's okay. It's okay, right? I know many of you have seen Finding Nemo. So comedy, you know, comedy always works well. Normally involving a mistake in identity, misunderstanding or confusion, resulting in hilarious chaos, tragedy. This is a story without the happy ending. We are not to the happy ending yet. The plot takes a different turn and ends in a loss or death. Romeo and Juliet is a great example here. And then rebirth, seeing our hero has fallen under a dark spell, whether it's a sleep, sickness or enchantment, before breaking free and being redeemed. Once again, three and seven year old, Beauty and the Beast would be my movie for this one. So you don't have to use these archetypes as a hard and fast guide, but it's interesting to understand the different patterns that narratives can follow, right? Both long narratives and short narratives, and then when and why you might want to use some of them in your storytelling. You know, yesterday I did the policy and advocacy session, and we had a congressional leader join us. And what they said was, you know, in policy and advocacy, you know, it's not really all the data that they remember, right? They don't remember all the figures, you know, 10%, 12%, 15%, 50% decline. But what they do remember is the stories and the people who tell the stories, right? So that, you know, Congresswoman Schreier was saying, you have to tell a story. So next, with that as an intro, let's think about building your social media brand. Many different social media brands to choose from. In academic medicine, Twitter is, you know, the 800-pound gorilla in many ways. It is King Kong, right? And so we're going to talk about Twitter today. So when we think about building a social media brand, how many individuals in here have a Twitter account? Okay, so what is that, Joy? Is that about two tens? Two out of three, maybe? Okay, so we got about a third of individuals convinced. Sean, do you have a social media account? No. Okay, so we got to convince Sean as well on the importance of having a social media account. Joy is going to do that in her half of the talk, I promise you. So in the first half, we talk about, let's talk about creating accounts. So when we think about creating accounts, particularly towards academic medicine or policy and advocacy or engaging around an issue that you think is important, professionalism can be one important element. When you look at my post, I do, you know, a few family posts here and there, but they're mostly professional posts on Titter. Two-way dialogue, you know, so ensuring that you're not only posting, but that you're responding to others and having that kind of consistent feedback, as well as connection. Oh, thank you. As well as connection. Yeah, I left my badge in the room. They didn't want to let me in. I promised. I said, look, I'm giving a talk. I promise. So finally, one of the Integrity Society staff had to help me to get in this morning. So thank you for the badge. I appreciate that, sir. So connection. So ensuring you're connected to individuals. The second is actually building your profiles. So what does your profile say about you, right? What are the things that you care about, right? What are the things that you love and enjoy, and how are you impacting the issues that you care about? You know, it may be, you know, that you went to a conference all about patient advocacy and patient care. It may be that you published a new research paper, and there's a new mechanism for the endocrine disorder that you are studying. Some of the core competencies, though, are credibility, expertise, passion, authenticity, and then things that relate back to your why, right? Kind of going back all the way to the beginning to your why. Step three is winning friends and influencing people. So these are peers, influencers, audiences. You know, you can see, you know, the one in the bottom there with the blue people around and the red person at the top. You know, who are your influencers? Who are those individuals that influence you, either in your work in caring for patients or in the lab or in clinical research? You know, who are those individuals who influence you? And then who do you want to influence, right? You might want to influence individuals who are in your region that, you know, you want them to come to your hospital or your center to get care. You know, maybe you're a world leader in pituitary disorders, growth hormone, and you want people to come in. So you want people to know about the great work that you're doing in your center. It may be that, you know, you want to influence policymakers or maybe that you want to influence, you know, NIH study sections, right, to get grant funding. And so who do you want to influence? Step four is to post and interact, and I often add, like a real human. And that had a different meaning, you know, two or three years ago when I first started developing this, but now it's like artificial intelligence and generative AI, and so it's kind of taken on a whole different meaning these days. But when we think about this, we don't control what other people do, right? People say all sorts of things. You know, I was in a session yesterday and there were all sorts of things being said. We can't control that. But what we can do is share from a point of positivity, right, in our work, and we need to know people who know what they're talking about. You know, we need you. You are the experts, right? I'll repeat that again. You are the experts. So we need you on social media around some of these issues. You know, think about gender-affirming care these days. We need you. There's lots of misinformation out there. We need you. And so, once again, I can't emphasize enough. You are the experts. You know, that's you. I have trainees who come for a poster session and they're first, you know, usually it's their first poster session, and they're so worried. And I said, no one knows more about the work that you've done than you, right? I mean, yes, there may be experts in the field who understand different aspects, but for the project that you've done, no one knows more about it than you. And that's true for clinical care, that's true for research, and that's true for policy and advocacy. Step five is to engage. Answer a question. Ask a question. Jump into a conversation. Compliment someone. Share a random thought. And then when you do that, tag or at someone. And we're gonna talk a little bit later about how to do that. But there's a hashtag for Endocrine Society meeting this year, endo, hashtag endo2023. And then many of us use at the Endocrine Society when we tweet as well, because that helps to spread engagement around the tweets. Step six that I like to do personally, it's not a requirement, is to promote others. There's always the opportunity to uplift someone else. There's always opportunity to uplift their message. And spread it to a wider audience. Step seven is pay attention. You know, utilize hashtags and conversations. Tag groups or related topics. I already mentioned kind of tagging the Endocrine Society or maybe the American Diabetes Association, or American Heart Association, or American Thyroid Association. You know, whatever your work relates to, tagging them in the tweet. Stay up to date on relevant news, and then tweet about the relevant news in your field. I have a couple friends who tweet about a lot of the papers that come out related to the work that I do. So I have the whole PubMed search and crawl and all those things, but a lot of times it's Twitter in the morning. Right, we're like, oh, okay, that's a new paper that came out today with a whole discussion on the paper. Step eight is keeping it up, and sometimes that's the hardest part. I have peaks and valleys just like anyone else. I take vacations too, where I may be a little bit less active, and you'll probably see me posting about running somewhere, hopefully near water, because that's what I like to do. But this, you know, when we think about this, try to maintain your social media presence. Continue interacting and engaging with others, because that's truly important. And then you have to understand what makes sense for you and your lifestyle. You know, once again, I'm at a conference right now. I'm tweeting all about the conference, right? Well, there may have been a couple tweets about running the first couple days, Tuesday, Wednesday, but tweeting mostly about the conference now. So putting this all together, you know, when we think about tips for increasing engagement, it's following and engaging with influencers in the field, using popular hashtags, using images, videos, features to drive engagements. Some of the suggestions from this article in Jack were to set time limits on social media use, follow institutional policies, identifying a focus, and share perspective and best practice. And then bottom left, be civil, right? And I think that, you know, we need civility in the world today kind of more than anything. Tips on increasing engagement are the top right, talking about, you know, hashtags, recording podcasts, visual abstracts. The more visual your posts are, the more engagement that you're usually gonna get. And then some of the cautions is, you know, things that are probably obvious to individuals in this room, do not discuss specific patients, right? HIPAA is still a thing, right? You know, you don't wanna say, Miss Jones, a 64-year-old woman with thyroid disease came in and, no, you can't do that, right? Never post HIPAA-identifiable information, avoid posting content that could be negatively viewed in the press. And negatively viewed in the press is sometimes hard to understand what would be negatively viewed in the press, right, as experts in some of the fields that we are. And then when we think about impact, this was a study done by the European Heart Journal, where they randomized to either discussing an article on Twitter when it was released, or not discussing the article on Twitter. So, you know, what they found was that when they discussed the articles on Twitter, they got higher altmetric scores and a higher number of citations looking out one year later, right? So it actually is increasing the impact of science. There are similar articles that have been published on policy and advocacy, as well as engagements in health centers around the country as well. So some of the conclusions here on building your social media brand surround creating your accounts, building your profiles, when friends and influencing people, posting and interacting, once again, like a real human, engaging, promoting others, paying attention, and then keeping it up. And all this can lead to transformational change. So what we're gonna do now, for those of you who did not have a Twitter account, et cetera, we're happy to help you set them up, okay? And for those of you who have one, we want you to send a tweet, or encourage you to send a tweet, about either your clinical care, your policy advocacy work, or your research work. When we think about tweets, the most common length is about 33 characters. So this doesn't have to be long. You can go all the way out to 280, if you like. And we're gonna take about five to seven, let me see here, maybe even a little bit longer. We may even be able to go out to 10 minutes or so to craft a tweet. You can use, you know, at the Endocrine Society, you can at your institution, and we're gonna try to follow each other and comment. My Twitter handle is up there, JoshuaJosephMD. Joy's is up there, JoyYWoo. We got Steve Holmes, who's the incoming president of the Endocrine Society. Carol Wysham, who's also a past president, who's very, very active. Lindsey Trevino, who's on the board, who's very, very active on Twitter. So lots of different options there for individuals to add in your posts, okay? Questions, comments, or thoughts before we kind of move on to kind of making a post or helping you to develop an account. After posting, what are your thoughts on separating personal accounts versus professional accounts, or do you think that's very different in each area? Yeah, I think it depends on how personal that personal account is. You know, I do post things with my family intermittently, but I'm not posting necessarily all the holiday pictures. That's for me. I have colleagues who do both personal and professional on the same account. So that's kind of, it depends a little on you, what that personal looks like, and how comfortable you are sharing in both domains. For me, I kind of, you know, I have, like I say, a three-year-old and a seven-year-old. I kind of don't want them necessarily all over social media because some of the things that I might tweet about, although not controversial to me, may be controversial to other individuals, and I don't want to necessarily drag, you know, my family into some of that. And so, you know, it really depends on you, the person, and those boundaries that you set. Joy, maybe you could comment on that as well. Yeah, that's a great question. I mean, I think, so I have a Twitter account that it's entirely professional, and I don't mean the professional version that you have to pay for. I just mean that I think of it as being used only in the professional settings. That doesn't mean that I don't post things about my own life and personal life, and the way that I think about it is if it's something that I wouldn't mind sharing in front of a room, right, standing in front of a seminar, I don't mind sharing that I go skiing, that I have children, that my favorite sports teams are X, Y, and Z. Those sorts of personal details I think are fine to share. And actually, I think they can be important to validate that, you know, faculty and other people have normal lives, right? So I hope that my students are watching and seeing that, you know, it's okay to have hobbies and to have things that you do in your free time. So for instance, you know, Joy posted about her husband's shirt choices on one post, right? And so I learned a lot, the insight into her shot and the shirt choices that he makes. He had a colored shirt on, as I remember that day. Yeah, it was a go-red-for-women day, but my husband, on every other day of the year, refuses to wear any kind of color. So that's how much, he's a cardiologist, that's how much women's heart health matters to him is for this one day of the year, he will agree to wear color. Good, other questions? Okay, does that, oh, good, yeah, go ahead. I'm sorry, most of the telecommunity in our country has been Soviet-American. So engaging people in other languages. Is it an Arabic language? Yeah, in Arabic. Yeah, I've seen people post in both, their primary language and then maybe English as a secondary language. I've seen people do posts in both with the same account. But Joy, any comments there from you on that one? Yeah, I agree. I follow a lot of physicians around the world, and many people post in two languages if they want, or they post in their own language, I think it's fine. Twitter may have changed, but there's a feature on Twitter that it can translate tweets for you. So even if you're posting in your own language, somebody who, for instance, reads English can have it translated. Good. I have a question. So you showed about six different platforms, maybe, Instagram, Facebook, Twitter, and LinkedIn. How do you, you have all of them, or do you just, this sounds naive, but it seems like a lot. Yeah, great question. Yeah, great question, Sean. So I actually do, if I can go back to that slide. Not so easy to go back. Just give me one second. I do want to show it because I can talk through each of them. So there are different options here, right? So Facebook, I use a lot at Ohio State, but it's more for patient-facing things. So when we want to recruit for a clinical trial, I don't do that on Twitter, right? I do that on Facebook. That's where people are, right? That's where families are. There's some seats out front. Come on up. Take a seat. Okay. You okay? So I use Facebook in that way. Also, my family is all on Facebook. My friends from high school, they're all on Facebook, right? So I use that not necessarily professionally for that, but I'll use that personally. And then at Ohio State, we use Facebook to recruit. Very effective for patient recruitment. Instagram is like maybe a generation under me. Use that a little bit more. And there's some others, TikTok and other things. And so I'll use that to connect with individuals, depending on, we use that for clinical trials as well, if we're recruiting kind of maybe the 20 to 40 demographic, as well as, I guess that's a good example of where we use LinkedIn or Instagram at Ohio State. We talked about Twitter. LinkedIn is more, for me, professional, professional. If I want to share something with colleagues, people use it a lot for work. You're looking for a new job. There's a lot of people on LinkedIn that can kind of help in that way. And then Doximity is an all kind of medical piece, where there's medical stories. You'll see stuff from MedPage on there, all that kind of piece, but you can connect with other providers and sciences, mostly providers, less scientists on Doximity. But I would say out of all these, the ones that the most use is Twitter. Perfect. Yeah. I have a question for you. Okay. How much time do you want to use? How do you divide your time between these accounts? Yeah, so for me, I'm a kind of early in the morning person. I wake up. I'll take a peek. If there's something I want to post that day, I'll post it. And then oftentimes, I'm in meetings. I'm in the lab. I'm doing stuff, so I put it away. And then at night, I might kind of go in today. It all depends on you, though. I have friends who kind of do five minutes there, five minutes there. I have people who do it Monday, Wednesday, Friday, and not Tuesday, Thursday, Saturday. I know people who just do it on the weekends. So it really kind of really comes back to your lifestyle and kind of what works for you. We could all give different answers about how we engage, and there's no perfect answer. But I think in Joy's part of the talk, she's really going to talk about how influential this can be, and even building your career in many ways. Maybe one last question, and then we'll... Yep. Yeah, let me have people raise their hands. Who's ever changed what they wanted to do in life? Right? So change is natural, right? I was, you know, when I was growing up, I used to watch the Cosby show. And he was an OBGYN, this guy, Bill Cosby, you know, on the show. And a lot of things, personally, I'm not getting into that part. But he delivered like a Subway sub on the show, like from Subway, that's kind of how they showed it. I was like, oh, that's so cool. I want to be an OBGYN, right? And so I wrote my whole med school application about being an OBGYN. Yeah, I do cardiometabolic disease, right? And so I say that to say, we all change over time. But the advantage of that first year resident is that when they started tweeting, they started building an audience of people who kind of care about them and might be interested in not only what they do, but them in many ways. And so even when they transform, you know, that audience doesn't leave, right? So as they go towards GI or another field, they're still posting out to that larger audience. And we're all in kind of under the umbrella of medicine or health or health care, right? And so that's the advantage of starting earlier, is that you build your followers, you build your audience. You can influence more people when you make that post about changes in the guidelines for colonoscopy, right? Which are also still important for cardiologists to understand, right, for their patients, too. Good, well, I'm going to stop there. And then let's take that five to seven minutes, or I think we have 10, to kind of either post a tweet. Or if you need help setting up an account, Joy and I are here. We're happy to come around and help folks, too, OK? And then you'll hear Joy Wu will be the next word you'll hear. I'm working on Sean up here. We'll see what happens. Yeah, oh yeah, I've seen you on Twitter. I just brought it into the app store. I was looking at it. He's looking at the app? Yeah. You can help each other, you can chat, you can talk. And just a reminder, the hashtag for the meeting, because I didn't include it on the slide there, is hashtag Indo2023. So I apologize for not getting that up there on the slide, hashtag Indo2023. The reason why that is important is folks like Joy this morning, right, she's like hits the hashtag Indo2023 on Twitter, and you can search that. It's like a search tag. You see all the different tweets about Indo2023. So hashtag Indo2023 somewhere in your tweet would be really beneficial. I'm trying to join you in this century. Yeah, I'm the senior delegate. Yeah, of course. And so I But it's been an incredible, incredible program. I'll let you do that. Yeah, whenever I have to get into this computer, it's. Okay, okay. Let's round of applause. All right, Peter. And Peter, do you want to say who you are? Hi, everybody. My name is Peter Van Doty. I serve as the director. All right, good morning everyone, thanks for being here and thanks for engaging with social media. So, I love this session, Joshua and I have done this a couple of times and it's one of my favorite parts of Endo, so I hope you enjoy this too. As you know, my name is Joy Wu, I'm at Stanford where I'm also the Division Chief for Endocrinology and as you'll hear, I'm pretty sure I am the chief because of my Twitter, so think on that for a second. I want to explicitly point out that for this session, you know, forget everything your parents told you about how it's rude to use your phones when people are speaking. I want to see phones out, I would love to see people taking photos. Feel free to tweet whatever you want. For the rest of Endo, please follow the guidelines, respect the science and we'll talk a little more about best practices for live tweeting in a bit, but again, there's my Twitter handle, the Endocrine Society and the hashtag for this conference, Endo2023. Okay, I want to start with a story, which is why I love Twitter. So, the last time that Endo was in Chicago, my eyes are not good enough, I think that says 2018, I was here a little early and I went to the Field Museum and how many of you have read Neil Shubin's book? So Neil Shubin is an evolutionary biologist at the Field Museum here in Chicago. He predicted that between fish that swim in the water and four-legged animals that walk on land, he predicted that there would have to be some intermediate animal in the fossil record, right? So that the first fish that walked out of the water onto land, and it turns out that, you know, I study bones, so the fins of fish anatomically resemble our forelimbs and, yeah, our forelimbs. So he made this prediction, which is all fine, and then by some means that I have no idea how he did it, he actually made a prediction about where you could find that fossil in the ground. And he got financing and he took a team and they discovered, they found the fossil and he named it Tiktaalik. And then he wrote a book called The Inner Fish, it's a beautiful book and if you're interested in science or evolutionary biology, I really recommend it. So I was at the Field Museum and I saw this exhibit and really enjoyed it, and then I fired off this tweet that just said, nice exhibit, I love this book, Your Inner Fish. And then, I think, oh, you can't really see, anyway, on the bottom, when people like, you can tell who likes your tweet, right? And it was liked two times, once by the Field Museum, but the second time was by Neil Shubin himself, right? And this totally made my day. It took him a fraction of a second to do this, right? As Joshua said, I spend some time here liking everybody's tweets on the Endo2023 hashtag. It doesn't take, well, actually, that's taking a lot of time because there's so much good engagement, which is great, but for him, in that microsecond, he completely made my day, right? And so I think that's something to keep in mind. I had more recently a similar experience. I was at the San Francisco Opera and they had a production that has not been seen in 34 years, and I tweeted about how much I loved it, and the general director of the orchestra liked my tweet. And again, I'm sort of fangirling over the fact that a celebrity has interacted with me on Twitter. So I'm also going to start out now with the very intentional reasons that I use Twitter. I've already told you that for me, Twitter is a professional account. And when I tweet, I do it with very specific reasons in mind. And we'll go through in more detail, but I hope by the end, I'll convince you that some of these things are useful. So I use Twitter to follow the literature, share interesting publications, network with colleagues around the world, the map outside on the way in here with all the push pins of where everybody's from. Really great to see so many international visitors to ENDO this year. Of course, I use it to highlight my own lab's research, but especially important now to me is to celebrate the accomplishments of my trainees, more than my own accomplishments. And as Joshua mentioned, to boost people, so my colleagues, trainees, et cetera. I want to educate about bone endocrinology, osteoporosis, metabolic bone disease. My clinical interests really lie in bone health and cancer, so I try to share about that. Again, as Joshua alluded to, we are the source of, you know, solid information for patients and the public and our colleagues, so we have, you know, a responsibility to share that. I use it for advocacy, to advocate for things like endocrinology research, NIH funding. I advocate for diversity and equity, particularly in academic medicine. And then, you know, to the point about why I sometimes share personal things, I think at this stage, you know, I can provide some career guidance, I hope, but also some insight into the life of a professor. And finally, I'm quite rabid about my sports teams and the family jokes. I'm a Duke basketball fan. I'm just going to come out and say it, and my family jokes that every time I post about Duke basketball, I shed followers because many people don't like them, but I do, so those are the reasons I use Twitter. All right. So first and foremost, and I think of Twitter as sort of levels of engagement, right? So starting with the things that are easy to do and then getting to things that are maybe a little bit more involved. So first of all, Twitter is a great source of news and publications. These are screenshots from a variety of scientific and medical journals that I follow. I want to highlight the Endocrine Society journals since we're at Endo. And you can follow every one of these accounts, and they will fill your timeline within the way that you can have the table of contents emailed to you. Now I don't do that. This is the way that I follow literature because every journal every day is tweeting about their publications. And unlike the table of contents, they are being tweeted the minute they're accepted, right? So you often see articles in press weeks before they come out in the actual issue. And so you can just follow the journals and you can see the publications. And more importantly, you can follow the conversation about these articles. So I have not yet had a chance to sit down and read any publications since I'm at Endo. I don't need to. I know that the TRAVERSE study was published in the New England Journal of Medicine. I know that it shows that testosterone replacement in hypogonadal men does not increase the risk of cardiovascular events. And shockingly, I know that it increased the risk of fractures. And now there's a lot of buzz and a lot of discussion. I got that all from Twitter and maybe talking to a few people. I didn't go to this session. I was doing something else. And I have not seen the New England Journal. One of the great things is on the left, one of my colleagues and friends who is particularly good at highlighting articles on Twitter. He does what people call tweetorials, threads. So this is the first in a series of tweets. But he gives beautiful background about why they did the study. What was the question they were trying to do? What were the challenges they encountered? And then what are the main findings? So it's almost like a mini lecture or mini seminar from the authors themselves. On the right is another clinician who studies clonal hematopoiesis, who also has a really lovely Twitter educational style. And then in the comments, you can follow the discussion. So I, at some point, am going to sit down and try to understand from the discussions why people think testosterone increases fracture risk. I find that fascinating. And I'm sure there's all kinds of speculation. The next thing you can do is you can use it to promote your own work, right? So if you're in science or medicine and you are publishing a case study or your endo poster or a review article or your first authored publication, you can share that with the world. So on the left was a publication I had with a fellow a couple of years ago in JCEM. And I usually clip a figure because, as Joshua mentioned, visual is always more interesting. So you can tweet text only, but I almost always add a photo because I think it helps with engagement. In the middle is another paper we published a few years ago. And I give a shout out to the first author. I didn't do it in that one, but I should have thanked the funding agency in that tweet. And then on the right is actually one of the... I don't tend to do long threads, but this was one that I wrote about a great story. Fred Shapiro is a pediatric orthopedic surgeon who had spent a few years as a visiting scholar in my lab. And he published a story that, you know, the data went back 40 years. It involved unearthing some stuff from Iron Mountain. Anyway, you'll have to look it up. I don't have time to tell you the story, but it was a fun thing to share. So you can use Twitter to share not only your publications, but a behind-the-scenes look. Okay. Next thing that I think is really, really valuable about Twitter is the networking, right? So this is my favorite slide in this deck, which is the Little Hearts are all of the places that I have followers or people that I follow from around the world. And this is only people that put in their biography where they're from. Not everybody does that. So I suspect that the actual number of countries would be far greater, but you can see that it's really great representation from all around the world. For many years, Africa was sort of a blank spot for me, but now gradually we're seeing more and more engagement there. So out of this networking, a lot of wonderful things can happen. And so my own career, I think, has really flourished in part because of my activity on social media. So Twitter, you know, maybe most obviously you can offer the opportunity for collaborations, right? Because you're tweeting about something in your science and somebody can say, oh, do you want to work on this together? It can lead to seminar invitations. So on the lower left, the ICCBH is a Canadian and European group on pediatric bone issues, and they asked me to come give a seminar. Joshua and I are giving this seminar because of our work on Twitter, and you know, it is a line on the CV, so that's always helpful. But maybe my most favorite thing about Twitter is the camaraderie and support. So the upper right, these are two scientists in the bone world, Chris Hernandez on the right and Joel Burkle in the middle. I met Joel by sort of my favorite thing, which is when I'm at a meeting and somebody comes up to me and says, I know you from Twitter. So he was the very first person who ever did this, maybe now, eight years ago. We've become good friends, and so here we are hanging out together. Chris and I hosted an ASBMR webinar on social media many years ago without having ever met in person, and now, you know, we are friends, we're writing a grant together, and it's great. And then finally, we all know that medicine, you know, we had this session on burnout and stress yesterday, and science. There are times when things are frustrating. They don't go your way. Just this week, I had an R01 grant that was triaged. And so sometimes I'll post something like the little R2D2. It's actually a GIF. So it's a short video clip, and it's of him just sort of falling on his face, right? And so after one of the many grant submissions I've had that have failed, I posted this a number of years ago. And the great thing is I have a circle of Twitter followers and friends that I can rely on to fill my comments with funny videos and jokes to cheer me up, right? This is just part of academic life. You are going to keep submitting manuscripts, you're going to keep submitting grants, and they are going to be rejected over and over and over again, unless you're like the one person who has the weekly cell column. But for most of us, we have a lot of rejection, so it's really nice to have other people who understand. And then, you know, sort of serendipitous things can happen. So I've had some very interesting things offered to work on. On the left was I was invited by Medscape Endo to write a commentary when romasozumab was first approved by the FDA. For those of you who are not in the bone field, it's the third anabolic agent approved for osteoporosis. So that was fun. And then on the right, I don't know, do any of you know who Jen Gunter is? Okay. Do any of you know who Gwyneth Paltrow is? Okay. So Gwyneth Paltrow, wonderful actress, but she has this sort of side hustle as the promoter of a medical, I call it a disinformation site group. So she posts a lot of very sort of sketchy information. Jen Gunter is an OBGYN and sort of has made it her mission to fight these kinds of things. And she has a TED Talk sponsored podcast. And so she invited me to come on this podcast and have an episode all about bone health, which was super fun and not something that I would normally do. Moving on. So the other things that I think Twitter is really great for is education. So you can follow different kinds of handles for information and it can be patient information. So on the left is Hormone Health Network is the Endocrine Society's patient facing organization that provides education about various endocrine diseases. And so those are two tweets on the left. On the right are various things. If you're a medical student, you know, you can sign up for the USMLE questions or if you're also you can do like daily EKGs and that kind of thing. So there's just a lot of opportunities for education. I think something that's really powerful are online journal clubs. The nephrologists, I think, do this the best. So at NEFJC is a nephrology journal club. They host Twitter chats twice every other week. And they host them at two times of the day so that the entire world can participate. And they pick an impactful publication in the world of renal medicine. And often they have the authors of the publications. So if there are discussions and comments, you want to know why something was done this way. Why did you pick that control? What was your inclusion, exclusion criteria, rationale? Really, really engaging discussions. And then at the end of every chat, they archive the tweets and they post them on this beautiful website. So you can then go back and sort of read about the discussion. I'm very pleased that there is an endocrine version. So at Endo Journal Club. And they, too, have had great discussions. I think on the right is one from one of our active Twitter users talking about a vitamin D deficiency publication in JCM a few years ago. Okay. So up until now, we've really been talking about mostly consumption of things. Maybe a little bit of engagement around sharing your own publications, boosting your trainees, commenting on publication. But now we're going to talk about sort of what I think of as next level Twitter. And that's using it for advocacy, right? So this is when you are now ready to sort of put your stake out there with your opinions and share your thoughts with the world. And as Joshua mentioned, what is it that breaks your heart and what are you going to do about it? What are you going to say? So these are just some of the examples of things that I tweet in my advocacy domain. So on the left, that's a fracture cast mountain that used to travel around the country. It's 5,500 fractures, which is the number of fractures that happen every day in the U.S. In the very back, you can see a person. It gives you a sense of how big this cast is. And it's in the exhibit halls at the bone meetings. And so when I see it, I tweet it because it's a very visually striking information. I advocate for NIH funding. So in the middle is a tweet from FASIB about urging Congress to fund another increase for NIH. The Endocrine Society has an amazing advocacy arm and is really, really influential. And in the days before the pandemic, they would do in-person visits to the hill. Now I think they're virtual, but this was a photo from one of those visits. So you can get engaged with advocacy. This can be retweeting other people's, if you're not comfortable with restating, you can retweet, you can follow them and take those actions. I mean, often the Endocrine Society is saying, please write an email to your congressman about NIH funding. Or you can really just step in and get engaged. So as you all know, during the pandemic, there was quite a bit of social justice awareness. And for me, this came home with the Atlanta shootings. That was a shooting of eight individuals, six of whom were women of Asian descent. And one of my rules is I never post to Twitter in anger. And in fact, one of the, Joel, the one I told you was the first person to meet me, what he told me was, you're a very positive person on Twitter. And my response to him was, that's because you can't see my drafts folder. So I never tweet in anger, right? If I'm angry about something, I put it in my drafts folder and I wait a day and then I delete it. This was an exception. I was so angry and upset about the shooting and the xenophobia and anti-Asian racism that was swirling during the pandemic, that I do what I never do, which is to blast out a series of tweets about this. And I was prepared. I was so angry that I was like, come at me, right? All you haters, just come at me. I'm going to take it. And in fact, the outpouring of, getting a little emotional here, the outpouring of support was so amazing and so positive that one of my friends convinced me that this should become an essay. And so I wrote it into an essay and it was published in the annals. And this might be, of all the things that I've done in my world that have been published, this might be one of the things of which I'm most proud. So you can go from Twitter to, you know, again, it's a line item on the CV that's only minimal benefit. But to me, the fact that it's out there in print is very meaningful. Okay. I also want to take a moment to say that Twitter can be great. You may not be able to tell, but I actually started life as a horrible introvert. I was terrified of speaking to any person. Public speaking would have terrified me, but learned to overcome that. But it's still hard in medicine. It sometimes feels like you have to be loudest or fastest or opinionated. And, you know, if you're not somebody who's naturally extroverted, this can be challenging. So one of the reasons I think Twitter has been particularly great for me is that you can take your time, right? You know, we've all been there, right? Somebody said something insulting to you and like six hours later you came up with the perfect comeback. And you're like, why didn't I think of that in the moment, right? But Twitter allows you to sort of think about things and craft your statements in your own time. And so again, it feels like medicine and science sometimes favor those who speak loudest. This is especially challenging for those who are in marginalized communities or who speak as a second language. And if you haven't read this book by Susan Cain, Quiet About the Power of Introverts, she really goes into why we need introverts in the world. So never underestimate the value of being thoughtful. And again, social media allows you to share your thoughts in your own time. Okay, so I think we've sort of done a lot of these, but just to reiterate for that third of you in the room who don't have a Twitter account, I saw a few of you working on it. Sean, are you working on this? I'm done now. All right, we've succeeded. Some of you may know that right before the session, I tweeted a photo of the three of us and said that our challenge was to see if we could get our moderator on Twitter because maybe during our pre-meeting discussions this spring, there might have been a question asked by our moderator, what's the point of social media? So Joshua and I took it as a challenge. So congratulations, Sean. So okay, so just a few things. I think Joshua's covered many of these things. You can create your profile. We've talked about how we keep this professional. Your handle is the thing that has at, so short but informative. Many of us use our names or in Joshua's case, name and degree. Some people have a clever, witty handle. One of my former fellows is at Bone Doctor, which I love. You should definitely include a photo, I think. You don't have to have a background image if you don't want, but I think you should have a photo or some kind of image there. And then I think a brief bio is very helpful. So all of you who are setting up accounts, I hope that you will follow me. And if I can tell that you are in medicine or in science or in academics in some way, right, rising PGY2, you know, assistant professor of this or that, I always follow back. So you're guaranteed at least one, and Joshua, you too, at least two followers from this session if you follow us. But I have to be able to tell that you're in a professional field, right, because sometimes people have very clever handles and a very witty quote in their bio, which I get, but if I can't tell that they're not in a professional field, then I'm a little bit more wary of following them because, you know, you don't know who's out there. Okay, so here's what I call low maintenance Twitter. And so for all of you who we've just, I hope, persuaded to sign up for accounts, you don't have to tweet. I think, I forget the number, but something like 80 to 90% of Twitter accounts never tweet, right? And that's totally fine. The analogy I use is it's completely acceptable to read the New York Times and not write for them, right? So it's totally fine to sign up for Twitter. You'll get all the benefits of following the publications if you want. It's a great way to follow the general news. In California, every once in a while, we have mild earthquakes. And so now the first thing I do to try to figure out is, you know, was that my imagination or was that actually an earthquake as I go on Twitter? And very quickly I can tell if there was an actual earthquake. And so you can get all of those benefits from Twitter without ever posting anything yourself. Totally fine. So I would, you know, recommend that everyone sign up just for the informational parts, the consumption. But if you're ready to sort of put your first toe in the water to engage, follow, as Joshua said, follow the Endocrine Society. For this meeting, follow the hashtag Endo23. Follow the leadership that was on Joshua's slide of several of our current leaders and various members. And then all you have to know are the two little symbols there. So the heart, obviously, is you like. And I shared that story of how Neil Shubin liked my tweet and made my day. So if you're somebody who's more established in endocrinology and you like a trainee's tweet, they're gonna be really excited that that happened. And then you can also retweet. So some accounts are entirely composed of retweets of other people's tweets, and that's totally fine. And you can listen. We call them lurkers. I lurked on Twitter for years. I don't know. It was probably three or four years before I ever tweeted. I don't know. Joshua, did you lurk or were you in there right from the start? I hop right in. All right. Go for it. One of the things that becomes apparent over time is you can learn a lot about a person from their Twitter account. And the way I describe it is every Twitter handle has a voice, right? Even the society ones. Like the Endocrine Society has a very, I think, charming voice on Twitter, right? So they share information, but they also engage with membership. They responded to my tweet about getting Sean on Twitter. And so even when you only retweet, people can tell what you care about. Again, back to Joshua's point, what breaks your heart by what you retweet, right? So if I'm trying to decide whether to follow somebody or something, I'll check their Twitter. And very quickly, I can get a sense of this person. What do they believe in? What do they value in that? So people can get that from, even if you never craft your own tweet. Okay. So let's talk about some best practices. Joshua also covered many of these. Never, never, never post information on patients, especially protected health information. That should go without saying. And I think that's now very widely understood. When I first started tweeting, I would hear from, I think somebody asked a question, Faye, about first-year residents. And at the time, many residents would tell me that they were being told by their program directors, do not tweet, because of the risks involved, both sharing patient information, but also, you know, sometimes people say things, etc. I think that has shifted now. Proofread before posting and watch out for autocorrect. There's some great cringy things out there. Do remember that social media is permanent and potentially amplified. Remember that it is public. So again, my guidelines about, you know, would I say something up here in front of a room with a microphone? That's my threshold for what I would share on Twitter. Employers will probably check your feed. I do that sometimes when I'm looking at someone I might hire. Use that to your advantage, right? You all have a sort of virtual profile that is being crafted with or without your consent. You know, if you have never Googled yourselves, I would recommend that you do that. So my, you know, my kids made my day because they Googled and they're like, mom, you're more famous than dad. I was like, yes. So you have, you have a public profile that is being generated by your Google searches, whether or not you do anything. So use that to your advantage, right? Put yourself out there so that the things that people find about you are the things that you want them to know. You can be aware of privacy controls. There's a function to lock your Twitter account. Again, because it's professional, I do not lock mine and I don't engage with accounts that are locked because that's, to me, not the point. The point is to have a conversation. But you can. If you want to have control over who sees, you can certainly do that. Use good judgment. A lot of people say tweets are my own in their bio, but everything you post reflects not only on you, but on your institution. So just beware. And then respect copyright rules and IP rights. Okay, so as you know, one of my favorite things is live tweeting. This, again, another level up on upping your Twitter game. So live tweeting at conferences. So the most important thing, again, respect the science. Don't share unpublished data and no photographs. If somebody is talking, what I often do will link to their articles. I mentioned that I like visual things. You can link to websites and it will generate a visual of the website. If somebody is sharing something that, you know, I think that they're trying to share it as an informational point, like a website or a research tool or a database, I consider that acceptable to share. So often, you know, in a plenary lecture, somebody will say, yesterday in the burnout session, he had a link to the physician's self-assessment for burnout. So I consider that kind of information acceptable to share. And you can aim for summaries rather than line-by-line tweeting. You want to try to be accurate. And then again, tag everything with that Endo2023 hashtag. We have to submit our slides earlier. So these are the some of the tweets that I did from last year. And so, you know, just going through them. Upper left is I usually, if I'm attending the plenaries, I'll share that. Lower left, the Early Career Forum, I see several of you from Wednesday here, is one of my favorite events at Endo. And so when I'm able to be there for the group photo, it's fun to share. The top middle is me advertising for this session from last year with Joshua. And then, oh, we should do a group photo again. That's the middle bottom. We did a group photo last year. And then, oh, right. So last year, they had these really cute souvenir pads about, that were labeled with all the endocrine organs. And so I was sharing that you could go get those from the store. They had Endo masks and some swag. Remember, that was our first in-person meeting in many years. This year, I have an ongoing debate. I buy an endocrine plushie from the store, and I think my suitcase only has room for one. So I have an ongoing debate, sorry, vote right now for team thyroid versus team pancreas. So if you all want to get on there and vote, I'm gonna count the votes right before I go to the store and see who wins. And then my, you know, one of the wonderful things about coming to Endo is, of course, seeing your friends and colleagues from around the world. And several of the individuals in that bottom right photo are people that I know so well from Twitter that it's hard to imagine that we have not met in person, right? Like I just, several of them are people that I engage with all the time on Twitter. And we were having a moment there in the exhibit hall and sort of laughing over the fact that many of us had never met in person. This was our first time in-person meeting, but that we all felt like we knew each other. Okay, I do want to address, and some of these have come up, obviously when you talk about social media, there are a lot of concerns that people will bring up. And on the right, this was a few years ago, on the same day in the New York Times, you know, there were two back-to-back articles. One said, quit social media, your career may depend on it. And the other one said, don't quit, put it to work for your career instead. So I can appreciate that there are a lot of conflicting ideas. So I think somebody already asked a question about it. How do you decide how much time to spend on Twitter? It can be very time-consuming. Sean, I may have heard that concern from you when we were in our pre-meeting discussion. I think it's a very valuable question. So I hope I've convinced you of some of the value of Twitter. And as with everything you do, else you do for your career, you get to decide on that trade-off of time and value. Here at Endo, yes, I'm spending a lot of time on Twitter. It's sort of what I do. It's why Joshua and I are standing here. But when I am at home, it turns out, if you look at my tweet history, I only tweet maybe once a day, maybe once every other day. But you know, people often come up to me and say, like, oh, you must be on Twitter all the time. Like, no, actually, I'm not, right? It's just once a day. If something occurs to me, I tweet it. If nothing occurs to me, I can go days without saying anything. But I think what happens is that drip, drip, drip of a little bit every couple of days over time, people build the impression that you're always there. So that can help. There is a character limit on Twitter, but I actually think that's good. We all need to learn to write concisely, so that's helpful. This is less so now, but when I first started, again, residents and graduate students would tell me that they were being told by their supervisors or their leadership that this was a waste of time and not helpful. And you know, my reply is, show them the data. I think it's becoming clearer now that there can be very beneficial uses to social media. It is fair. Platforms keep changing. We talked a little bit with Joshua about the different kinds of social media platforms. But you know, we are in medicine and science. Everything else changes, too. That's our job, to keep up with things as they advance. Negative comments and trolls. A very significant concern. Much, I think, more for those who are underrepresented, those who are women, those who are marginalized. It is a problem. My own personal advice is don't engage. And so sometimes people say things and you're just like, whatever. I'm not gonna, I'm not gonna engage with that. And then again, of course, we hear in the news about how much misinformation is shared on social media. And I would say you can do that by following those you trust. I actually have a curated list. So I don't follow the timeline that Twitter gives me. I have a list only of the people that I follow specifically. Sorry, no. I follow many people, but I curate the list of people whose tweets I can see to be those who I know and trust. And again, I would argue that we have a, an opportunity and perhaps an obligation to be sharing real information with people. Okay, so again, if you haven't already, let's, let's fire off some tweets. We have about 10 minutes left in the session. So, you know, if you're sort of trying to figure out what do I tweet? So share something about what you've enjoyed at ENDO. Take a photo with your friends, your neighbors, your colleagues, and tweet that. Quote a tweet, right? Find something under the hashtag that resonates with you and add above that. So I didn't mention retweeting that little sort of double arrow, retweet somebody else's post, but you have the opportunity before doing so to add a comment above that. And that's called quote tweeting. So you can do that. You can take one of Joshua's tweets and quote tweet above it, etc. Tag the Endocrine Society. It is at the ENDO Society. Somebody pointed out that at ENDO Society is a suspended account. So it's at the ENDO Society. Use our hashtag ENDO 2023. We're trying to drive, I'm positive it's going to break a record this year. And then the other thing you can do is follow each other, right? So follow, we should have come up with a hashtag for this, this little session. Because then, anyway, follow each other, like each other's tweets and retweet them. And now you have an instant community, right? And then I think some of you are taking photos. So you can also take a photo of this slide and tweet that. But we look forward to seeing you online. And then, you know, this community is going to, ENDO ends tomorrow, but the community doesn't end, right? So all of you will be able to continue to engage with each other year round. And then next year, when you come back for ENDO 2024, you'll already have a set of friends. Okay. Okay. Questions? I hope you're tweeting. Okay, right. So this also more broadly gets to the point of, you know, what is Elon Musk doing to Twitter? And so back when Musk bought Twitter in October, November, there was a great deal of alarm. I think there is still some alarm, but it has abated some about what was going to happen to Twitter and was Musk going to destroy it. And the anxiety was so great that many of us were actually actively looking at other platforms and trying to decide whether we would sort of jump. In the end, I concluded that nothing for me replaces Twitter. And so that it's, you know, Twitter or bust. If Twitter went down, I was just going to leave social media and that's, that's fine. Right. But so the, the blue check is right now Twitter's, you know, $8 a month, you get a little bit of, I think you get the ability to edit your tweets. I mean, one of the things that's, you know, the moment is when you fire off a tweet, and then you look at it, and there's some like, typo or spelling error. So it allows you to edit. It does give you that little blue check, you know, if you want, but I think most of us, you know, I don't have one. Is yours verified? Yeah, that's a great question. So you're asking about sort of what degree of institutional control and influence and do you have to worry about your things? And I will, I will acknowledge I am a tenured professor. So my situation is going to be different than maybe somebody who is starting out. But a few things I mean, I think perhaps because we are in Silicon Valley, Stanford itself is very, very active on social media, it really engages, you know, all the platforms, not just Twitter, our department, our department chair is very active. Some of you may recall that during the pandemic, you know, a number of our faculty at the university were promoting what I would call misinformation and quite famous, particularly Scott Atlas. And as you might imagine, behind the scenes at the university, there was a lot of debate about free speech versus misinformation. And what is the university going to do? The university came down on the side of we do nothing, our faculty are protected. They have free speech. And so I took that to mean I can basically say whatever I want and nobody is going to stop me because somebody was out there promoting what I thought were factual mistruths and nobody would stop them. So but again, that's the sort of private university. But Josh, what do you think about, Josh, what do you think about for OSU? It's actually been pretty similar, a pretty similar experience. So we have a social media director, Ohio State, you know, post on Twitter all the time, both the university and the medical center. And it's pretty well understood that, you know, as a faculty member, they don't really get in the way of, you know, what you what you post. But also, you know, we've had instances where, you know, maybe you have a troll or something coming after you on Twitter. They also don't get into that either. So it's kind of on both sides, you know, they kind of, you know, leave it alone, which many of our faculty members kind of prefer it that way. We kind of know, you know, what the rules of engagement are. There is also an opportunity if there is something, you know, a discourse on a topic that, you know, may have state level implications, etc. We can have conversations about, you know, what are what are the boundaries there, if that is if that's needed, but I've tweeted a ton of stuff. And I've never had to have any of those conversations. So it's pretty I know you're in Texas, and they're there, you know, so but they I find that the institutions are very interested in helping individuals through that process and understanding kind of what the guidelines are. So there's definitely a social media director at all institutions that you can check in with on that. The very first time I gave a public talk about social media, I did meet with our university's communications officer. And it reminds me that I was only asked one thing from the university. And that was, please don't post any photographs of undergraduates biking around without helmets. Other questions? So there's a list function in Twitter, and you can add specific people to that list. So I have a large pool of people that I follow and followers, but my curated list is a much smaller fraction of that. And you can make that public or private, private. And then and then there's a tab where so when I look at, I have one list that I call academic, which is all the serious science and medicine list. And then I have one that's called fun, which is all my sports teams and other entertainment. And I think it's 929. I want to be cognizant of time. And I know that we want to take a picture. So if everybody could just rush up front, really quickly, rush up front really quickly, we're going to grab a quick photo. There's great light. Come on, Sean. Because now you're part of the crew. Thank you, everyone. Thank you, everyone, for coming. Truly appreciate it. And we'll stick around a couple minutes after if there are any questions.

social media

Twitter

brand building

professionalism

engagement

networking

research

healthcare initiatives

academic field

news and publications

maintaining a professional online presence

conference experiences