![]() ![]() One strategy is to create a global company, employ the brightest people available, check every fact produced, and implement the most rigorous editorial controls. Imagine that 5 years ago you are responsible for developing the most comprehensive and up-to-the-minute encyclopaedia the world has ever seen. ![]() I think of many doctors I know chuckling dismissively at Facebook, My Space, Twitter, and Wikipedia, and I agree with Shirkey that they are making a serious mistake.Ĭonsider this thought experiment, which I heard described by Jamie Boyle, an academic lawyer and enthusiast for making as much culture as possible open to all. The young may ‘overestimate fads,’ but it's the old – those born before 1980, most GPs in other words – who are likely to dismiss a ‘real, once in a lifetime change’ as a fad. Shirky's thesis is that when people are given new and easy ways to come together – through email, social networking sites, wikis, and the like – then remarkable and unexpected things happen. Clay Shirky in his readable and thought provoking book, Here Comes Everybody: How Change Happens When People Come Together, describes a world that will be unfamiliar – and even threatening – to many doctors. ![]() If you're reading this in the pages of the BJGP, then I fear that you are probably past it. ![]()
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