conversation is an engine

A lot can happen in a conversation

Archive for the ‘Collaborate’ Category

Are Doctors “Ethically Obligated” to Tweet?

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No.

Although Wendy Sue Swanson, MD (@SeattleMamaDoc) feels that way about her social media presence (as demonstrated in this clip).

There is one piece of the Hippocratic Oath that calls for casting a wider net in “all my acquirements, instructions, and whatever I know” to those within the physician’s circle. The original oath also called all gods and goddesses to witness and observe, but these days the NSA serves that function (despite HIPAA).

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Yesterday’s MedAxiom post by Ginger Biesbrock (“Has anyone seen my Dictaphone?”) makes the excellent point that any new technology adopted should make taking care of patients easier. New technology should not get in the way of treatment, it should not be another hurdle to jump. Instead, technology should simplify meeting the patient’s need. That’s why I’m pleased with the movement to hire medical scribes to complete the electronic medical records in the moment—freeing doctors to treat patients versus keyboarding.

Dr. Swanson’s strong feeling about casting a wider net is likely shared by many if not most physicians. And it just so happens that putting correct information out where regular folks might read it may also be a way to grow your practice—which has been the capitalistic promise of social media from day one.

Sure: doctors are busy. But I cannot help but wonder if more and more physicians will make outward communication (blogging, tweeting, connecting) a priority as they work to free themselves from some routine tasks.

Many already are.

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Image credit: Kirk Livingston

Should a Doctor Blog?

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Only if they want to grow their practice. Or connect with other physicians. Or with patients. Or provide thought-leadership.

Greg Matthews, author of Missing the Forest for the Trees, has been studying the online presence of physicians for years. He’s found that the credibility of their position and the connections within that position can translate to large and devoted followings today.

But all that was counter-intuitive in 2007.

Back when Mr. Matthews was formulating his questions about physicians online.

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Back then he was sure—we all were sure—that talking about health information online would never fly. It’s just too personal. What kind of nut would diagnose and prescribe in public/online?

Plus, well, HIPAA.

But some physicians found a way to talk with regular folks (that is, us non-experts who live on the web) about pressing topics. Diagnosis and prescribing on the web was a non-starter, but presenting topics in a way that made sense to regular people did happen. And as we all took to the web to sort our maladies, these authoritative, personal voices became trusted sources of information.

According to Mr. Matthews, today 61% of physicians access social media weekly, 5000 physicians post daily to blogs and Twitter, and 50 physicians are followed each by more than 500 other physicians.  Some physicians even feel “ethically obligated” to share on the web.GregMatthewsReport-10222014 Download Mr. Matthews PDF for more stats.

In this blog (conversation is an engine) we talk about conversation. We’ve noted how conversation is a two-way street: not just in words exchanged, but actually causing conversation partners to go and do different stuff. We leave our best conversations changed and with new resolve for the most important things facing us. It’s a sort of speech-act theory for anyone willing to take a dumb-sketch approach to life.

And even physicians and even patients can gain from this. And what they both gain is far more than mere information.

It makes me wonder what paths might open for collaborative conversations in lots of different work settings.

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Prank your colleagues with over-eager listening

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Listening-lessons from the dead

Halloween is still a couple weeks out and we’re gearing up to scare the bejeebers out of each other. Check out this infarctioninducing bus shelter in Austria. Certainly the walking dead are a scary fiction.

(The walking dead are fiction. Right?)

Here’s a way to prank your colleagues on a Monday. When they say something, get very close—inches away—and listen. It’s freaky, I tell you. Invade their personal space with wide eyes and open ears. Set your mind and fix your body to understand what they are saying, why they are saying it, and what it means.

This scary prank comes courtesy an old dead guy I’ve been reading. This old dead guy played all sorts of pranks. He was a kind of performance-art-communicator: He shaved with a sword. He drew a city on a brick laid next it for a year, packed his luggage and broke through a wall instead of calling for a camel-taxi.

Only they weren’t exactly pranks. He was hearing voices (well, a voice) and acting out what that voice said. Was he nuts? Likely his contemporaries thought so. But his culture also held a treasured place for people they considered prophets—people who seemed to speak for God. Which Ezekiel reluctantly did.

This particular listening prank came from the voice Ezekiel heard, but it also was not a prank, but a way to pay attention to the next thing he was about to see. The voice asked for careful attention because the next thing was important. And the prophet’s job was to declare it.

Be careful with this prank. Pretending to listen can become actual listening, which can be habit-forming because of the way it affects your relationships and job.

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Image credit: Taxi

If a Customer Shouts in the Forest and No Customer Service Rep is Around to Hear it…

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Should she post a comment on Yelp?

Nancy Beiersdorf of Medtronic’s e-Commerce and global strategy hinted (in this SAP talk) at the medical device company’s evolution from a product company to a solutions and service company. One important ingredient in this new recipe will be hearing from the people with problems (people in need of a solution) and helping them solve those problems (that is, service).

But hearing from customers is not easy—even for other customers.

If you’ve ever used Yelp to locate a restaurant while traveling through a new city, you know to toss 30-50% of the comments as someone having (a) evil intent or (b) a bad day. Even our favorite national parks suffer from poor Yelp reviews:

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Sorting fact from fiction has been a traditional problem with hearing from the customer. Customer service must wade through long, rabbit-trail narratives to finally get to the actionable item. That is the way of human conversation—sometimes it takes a while to get to the point. All this unquantifiable blather plays havoc with our quality systems. Surely customer service will soon chart a metric like “Time to actionable issue” and pay employees accordingly.

Hearing from customers is an inherently messy business. Especially for Medtronic: where reps once talked only with cardiologists and electrophysiologists now there will be all sorts of real people on the phone (or more likely, placing orders and comments on a web site).

All this conversation cannot help but change things upstream and downstream. In particular I expect at least two results:

  1. Increasing masses of consumer-to-company interactions will train consumers over time to use certain words and press certain buttons to get what they want. Much in the same way we are conditioned by repetition to bypass our bank’s introductions to get to a real human.
  2. Corporations may grow more sensitivity toward customer voices–the very thing Ms. Beiersdorf  advocates. By that I mean conversations have a way of working backward into the machine-gears of a corporation. As solutions and service show up more clearly on the P&L sheets, people will start to pay more attention to human interaction.

At least that is what I hope.

Let there be more advocates for the customer voice.

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Image credit via Adfreak

Beware the Information Hoarders in Your Office

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Collaboration opens as the sharing economy pushes back into your organization

Old-School Corporate Climbers held information and doled it out on a need-to-know basis. Knowing secrets was their key to moving up and sometimes they purposely withheld information so you might fail/they might succeed.

Maybe you know someone like this.

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But as we watch the sharing economy slip free of social media venues and push back into organizations (simultaneously raising the expectation of being heard), I expect we’ll see another kind of corporate operative: the sharer. Maybe I’ll call that person the Sharing-Economy Newbie. In this new world of sharing information, the Sharing-Economy Newbie shares information freely and in a way that allows others to collaborate. The power the surrounds them will not be command-and-control power, it will be the power that invites participation.

Then again, human nature being what it is, there will always be information hoarders. Old-School Corporate Climbers will always find their way. But if we intentionally build cultures that reward information sharing and collaboration, the organization, its mission, and humanity are the big winners.

Maybe there are some who prefer a command-and-control culture of being told what to do at every turn, but there will be fewer and fewer every year.

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Dumb sketch credit: Kirk Livingston

Clothe Your Team with Inspiring Briefs

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Creatives are natural problem-solvers. Start them with a tantalizing puzzle to solve.

In stark contrast to the meeting where the boss wanted creatives morphed into analysts, Adrian Goldthorpe (Lothar Böhm London) has such faith in the creative process he thinks creatives are proper problem solvers. All they need is the right question, which turns out to be a really good puzzle to solve.

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One Artist’s Solution: 262 Studios, St. Paul Art Crawl

The creative brief (as you know) provides a quick take on a new assignment. All too often the brief is prepared and presented as a sleepy, non-essential document. But for copywriters and art directors, that brief can and should be a vital link to starting with the right focus.

Goldthorpe laments the mindless filling of briefs and checking of boxes, which is how many creative projects begin. Instead, at a meeting in Moscow earlier this year, he recommended short, informative briefs that facilitate (versus block) creative solutions. The brief should succinctly answer five questions:

  1. What should the creative do?
  2. What do we want to achieve?
  3. Who is the audience?
  4. What is the brand proposition and how is that supported?
  5. What is the tone of the voice?

Of course there is more to say in a brief and we all experiment with different ways to communicate this information. But I like Goldthorpe’s succinct, concrete statement of the problem. It is enough information to provide a frame to begin the creative process.

Naturally the creative process is not just for “creatives” at an ad agency. Presenting our problem or opportunity for others to consider and collaborate with is something authors deal with, and parents and professors and bosses. And coworkers.

It behooves any of us to consider how we succinctly introduce a topic to others, especially if we want help.

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Via POPSOP

Image credit: Kirk Livingston

Written by kirkistan

October 13, 2014 at 9:53 am

A Tale of Two Meetings

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Collaboration in person and on paper

Meeting #1: The entire department was gathered at tables shaped into a horseshoe, to facilitate discussion. Twenty to thirty of us waiting for the director to come in and explain his vision. And his vision was that the creatives needed to become analysts. Art directors, designers, copywriters, production personnel—everyone an analyst. Everyone focused on metrics. Give away the creative to outside agencies.

The director talked for 30 minutes and then asked for questions.

Not a single question.

Meeting #2: The entire group was gathered at tables shaped into a horseshoe, to facilitate discussion. Twenty to thirty of us waiting for a series of speakers to come in and explain their vision. Speaker after speaker explained their vision, the metrics they used to decode that vision, and the outcomes they experienced.

Each of the seven speakers spoke for a few minutes and then paused and waited for responses. Then they spoke again and waited. The entire group learned quickly that each speaker truly sought interaction.

Every pause elicited questions. Tangents were followed despite time constraints. After all, the point was the responses.

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In my social media marketing class we spend time talking about how to get interaction and comments from the communities we are building. At first it is discouraging for the students, their work feels like shouting treasured thoughts into a hillbilly hollering convention. Nearly impossible to be heard.

But gradually a few people show up at each student’s attempts. And we learned to treat comments from these few with great care: responding immediately. Thanking those who show up for reading. Engaging the thoughts of the people who showed up. Then the students learned to go visit others building similar communities and listen and comment. And soon they found their community growing (in the social world, people follow back those who show up). And they learned not just to put questions at the end of diatribe but to design pauses in the middle of their thoughts so people could respond. And they learned to break up a lecture into a series of engaging posts. And they learned to let their thoughts be shaped by what the people who showed up said.

Those two meetings had key differences: In Meeting #1 each audience member reported to the director so there was very little debate. Debate in that particular firm seemed not too far from mutiny. But in Meeting #2 (same company, oddly enough), the audience was composed of potential customers. And as each speaker spoke, they did their best work with verbal and body language to engage the audience. And each of the potential customers spoke freely, calling “BS” when they heard it, disagreeing vocally, undaunted by executive titles.

Our verbal collaborations point to our literate collaborations. Pauses in copy, short copy, even shorter copy, copy that talks about what people are interested in—all of these allow collaboration. But the key is how you think about the audience: do you really want their response? People are not stupid: they know when someone is lecturing. And lecturing is a sure-fire way to shut down collaboration.

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Image credit: Kirk Livingston

Why Medical Device Twitter Feeds are Boring

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It’s because monologue can be enforced. Dialogue cannot.

Twitter is all about the quick, personality-laden human voice. Twitter carries truncated thoughts by design—more like a human talk—one thought at a time.

Official medical device Twitter feeds are boring because the communicators behind those feeds are trussed and bound by legal and regulatory protocols. The feeds are boring because competing lawyers have police scanner-like attention for claims that fall outside of the FDA-vetted matrix. And those feeds are also boring because many of us are not in chronic pain, or worried about going through airport security with a defibrillator or insulin pump or mechanical heart valve. If we were, we might get those medical device tweets instantly on our smartphones and find them very interesting indeed.

I’m glad those tweets are boring. I hope they continue to bore many of us because we don’t need the product.

How could medical device tweets be more interesting? Clearly the human voice must be involved. When Omar Ishrak tweets (@MedtronicCEO), the tweets are at times more personal, like when his daughter runs a marathon:

 

But generally medical device tweets lack the sound of the human voice. They tend to sound like monologue-rich press releases:

 

https://twitter.com/MDT_Cardiac/status/518422795077042177

 

Some companies don’t even try:

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Ok: SJM does tweet over here: https://twitter.com/SJM_Media

Granted, medical device firms will never sass it up like DiGiorno pizza

 

But surely as we move forward into deepening inter-connections between professionals and regular humans, every company must find a way to sound human or risk not being heard.

Maybe that means special release from the legal/regulatory straightjackets for certain chatty employee/storytellers. Let them tell their stories in ways that are unique to them while continually repeating “My Opinion Only.” Can medical device firms institute official unofficial-storytellers? People who claim nothing but that they work at the place and this is what they see?

That might result in fun tweets that gather an audience and endear a company to a larger public.

The era of siloed communication is fading quickly in the rear-view mirror.

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Ditch Your Job to Woo Collaboration

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Sure it’s a mess. But it’s a glorious mess.

Focused, nose-to-grindstone is certainly simpler. Get it done so you can go home on time and watch TV.

Bring another person into your process and suddenly things get messy. You find yourself explaining rather than doing. And explanation is a time-sink—just like small-talk. Plus collaboration is not guaranteed: will you have to redo everything your collaborator attempted?

This is why students groan audibly when I introduce a group project in a writing class. Especially when their grade depends on successful interaction. They hate it hate it hate it.

And that is too bad. I’ve often wondered why we don’t teach collaboration alongside math and biology and writing and literature in grade school. But it seems collaboration is a thing you are primed for later in life, when you start to see you don’t have all the answers. It is a bent that takes root after we have an experience or two of utter delight at someone else’s contribution.

Wooing collaboration starts with shop talk: where you step out of your job’s established tracks and ask others about their experience. How do they do what they do? What do they delight in? Where does meaning enter into their work? Those answers play into our daily conversations. This is where we learn the eccentricities of our colleagues and see how they bring their diverse knowledge and experience to bear on the work. This is where we learn what it means to be alongside someone.

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Just doing your job is isolating—especially when you think you have mastered it and have nothing left to learn. Inviting others into the thinking behind the job is incorporating. Yes it takes time and can be a mess, but in the end it is our connections that pull us forward.

How do you incorporate others into your work?

 

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Image credit: Kirk Livingston

Written by kirkistan

October 7, 2014 at 10:01 am

Bill Moyers: Serving “News” like the Butler Serves Tea on Downton Abbey

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Do Not: Do Not Disturb the Master Class

All of us can stand a bit of disruption from time to time.

David Uberti wrote recently in the Columbia Journalism Review about PBS pulling ads from Harper’s Magazine as retribution for an article critical of PBS. PBS exists as a non-commercial, educational media channel. But the critical Harper’s article by Eugenia Williamson pointed out

…that the idealistic, Great Society-era initiative often behaves more like a corporate or political organism.

And so, a fit of ad-pulling ensued. But it was this candid, PBS-critical quote from the patron saint of public broadcasting that caught my ear:

Our Washington coverage, by design or not, serves up ‘news’ the way the butler serves tea on Downton Abbey, so as not to disturb the master class.

–Bill Moyers

Tea is served at the Pittock Mansion

Tea is served at the Pittock Mansion

Wherever you land in your organization, there is some grand narrative at work that guides all involved. That grand narrative is often a good thing and useful. It is often laden with meaning that helps us do our jobs. But it is not a perfect narrative—never is—and parts call out to be challenged by practitioners.

After all, it is the disruptive conversations that lodge in our brain pans. Those conversations we cannot forget sometimes actually open our clam shell brains to something new. And that is the way of both innovation and truth-telling.

Many of us—especially the people-pleasers among us—are careful to assemble conversations that do not disturb the people around us. I am guilty of this. But truth-telling must necessarily veer from the party line.

If only because sometimes the party line veers from truth.

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Image credit: Kirk Livingston