Abstract Details

Title What Makes a Tweetorial Fly?

Topic Education, Research, and Methodology

Presentation(s) S33 - Innovations in Medical Education (2:36 PM-2:48 PM)

Poster/Presentation
Number 009

Background Social media platforms like Twitter (X) are an increasingly utilized for medical education.

Objective

What makes certain neurology-themed tweetorials widely shared is unknown.

Design/Methods

Tweetorials were identified by searching “tweetorial” AND “Neurology or Neuro” on X. We created and validated a formula to determine the tweetorial “Impact Factor” (IF) that reflects retweets and likes to facilitate comparisons. Tweet and author characteristics were collected directly from the platform and internet search of academic profiles. We thematically analyzed each tweetorial to determine if it was “generalized” (topic relevant to all neurologists), “inclusive” (had utility to medical students or non-neurologist), and “clear” (topic stated in the first tweet). The first tweet’s style was categorized as “humorous,” “creative,” “mystery case,” “question,” or “statement.” Generalized Estimating Equation was applied to account for author effects.

Results We identified 392 neurology-related tweetorials posted between November 2018 and December 2022 by 96 unique authors. Neurologists and assistant professors were the most frequent author type (62%, 59/96 and 23%, 22/96). Timing of the post did not correlate with IF. Median Tweetorial length was 13 (IQR 9-19). The median “likes” and “retweets” for the first tweet of the thread was 101 and 31 respectively (IQR 37-275 and 11-77). Median IF was 28.5 (IQR 12.7-61.5). Tweets with generalizability, inclusion, and clarity had 36%, 27%, and 52% higher IF than those without (p<.001, 0.03, and <.001, 95% CI: [7%, 73%], [3%, 57%], and [15%, 101%]), respectively. Creative first tweets had 60% higher IF than statement counterparts (p=0.01,95% CI: [13%, 125%]). First tweets with unique hashtags and author-made graphics had 49% and 84% higher IF than those without (p<.001 and <.001, 95% CI: [16%, 92%] and [30%, 164%]), respectively.

Conclusions

Tweetorials with topic clarity and utility to a broad audience have the highest impact, findings that may help educators maximize reach for online education material.

Authors/Disclosures
Casey S. Albin, MD (Emory Healthcare) PRESENTER	Dr. Albin has received personal compensation in the range of $0-$499 for serving as a Consultant for Azurity Pharmaceutical. Dr. Albin has received personal compensation in the range of $5,000-$9,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Continuum: Life Long Learning in Neurology. Dr. Albin has received research support from American Academy of Neurology. Dr. Albin has received publishing royalties from a publication relating to health care. Dr. Albin has received personal compensation in the range of $500-$4,999 for serving as a Instructor with Resuscitation Leadership Academy.
Gabriela F. Pucci, MD	Dr. Pucci has nothing to disclose.
Aaron Zelikovich, MD	Dr. Zelikovich has nothing to disclose.
Eric C. Lawson, MD (Emory University School of Medicine)	Dr. Lawson has nothing to disclose.
Tianwen Ma (Emory University Rollins School of Public Health)	No disclosure on file
Aarti Sarwal, MD, FAAN (Medical Center Blvd)	Dr. Sarwal has received personal compensation in the range of $0-$499 for serving as a Consultant for Stimdia, Inc. Dr. Sarwal has received personal compensation in the range of $5,000-$9,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Critical Care Medicine. The institution of Dr. Sarwal has received research support from Butterfly, Inc. The institution of Dr. Sarwal has received research support from Bard. The institution of Dr. Sarwal has received research support from Biogen. The institution of Dr. Sarwal has received research support from Novartis. The institution of Dr. Sarwal has received research support from CVR Global. The institution of Dr. Sarwal has received research support from NIH/NIA R01 AG066910-01 . The institution of Dr. Sarwal has received research support from Image Monitoring. Dr. Sarwal has received personal compensation in the range of $500-$4,999 for serving as a Speaker/Faculty, CME courses with Society of Critical Care Medicine . Dr. Sarwal has received personal compensation in the range of $500-$4,999 for serving as a Speaker at annual congress with Intensive Care Society. Dr. Sarwal has received personal compensation in the range of $500-$4,999 for serving as a Speaker at annual congress with Indian Society of Critical Care. Dr. Sarwal has received personal compensation in the range of $0-$499 for serving as a Subject expert for thesis review with UNIVERSITY OF TECHNOLOGY . Dr. Sarwal has received personal compensation in the range of $500-$4,999 for serving as a Research participation in clinical trial funded by AHRQ with MEDSTAR HEALTH RESEARCH INSTITUTE . Dr. Sarwal has received personal compensation in the range of $500-$4,999 for serving as a speaker/Faculty for Annual meeting, travel compensation with European Society of Intensive Care Medicine. Dr. Sarwal has received personal compensation in the range of $500-$4,999 for serving as a Speaker for CME event with Thomas Jefferson University . Dr. Sarwal has received personal compensation in the range of $500-$4,999 for serving as a Visiting Professor with University of Pittsburgh. Dr. Sarwal has received personal compensation in the range of $500-$4,999 for serving as a Speaker with ISICEM. Dr. Sarwal has received personal compensation in the range of $500-$4,999 for serving as a Associate Editor, Clinical Neuroimaging with American Society of Neuroimaging . Dr. Sarwal has a non-compensated relationship as a Social Media Editor with Neurocritical Care that is relevant to AAN interests or activities. Dr. Sarwal has a non-compensated relationship as a Board of Directors with American Society of Neuroimaging that is relevant to AAN interests or activities. Dr. Sarwal has a non-compensated relationship as a President with Association of Indian Neurologists in America that is relevant to AAN interests or activities.
Neha Dangayach, MD, FAAN (Icahn School of Medicine At Mount Sinai and Mount Sinai Hospital)	Dr. Dangayach has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Jacob's Institute. Dr. Dangayach has received personal compensation in the range of $0-$499 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for AAN. Dr. Dangayach has received personal compensation in the range of $0-$499 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for American Heart Association: SVIN journal. The institution of Dr. Dangayach has received research support from The Aneurysm and AVM Foundation. The institution of Dr. Dangayach has received research support from Neurosteer. Dr. Dangayach has received research support from Visionable. Dr. Dangayach has received publishing royalties from a publication relating to health care. Dr. Dangayach has received publishing royalties from a publication relating to health care.
Aaron L. Berkowitz, MD, PhD, FAAN	Dr. Berkowitz has received personal compensation in the range of $500-$4,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for AAN. Dr. Berkowitz has received personal compensation in the range of $500-$4,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for McGraw-Hill Education. Dr. Berkowitz has received personal compensation in the range of $10,000-$49,999 for serving as an Expert Witness for various law firms. Dr. Berkowitz has received publishing royalties from a publication relating to health care. Dr. Berkowitz has received publishing royalties from a publication relating to health care. Dr. Berkowitz has received publishing royalties from a publication relating to health care. Dr. Berkowitz has received publishing royalties from a publication relating to health care. Dr. Berkowitz has received personal compensation in the range of $500-$4,999 for serving as a Content creator with Clinical problem Solvers. Dr. Berkowitz has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant with Thieme Publisher.
Nicholas A. Morris, MD, FAAN (University of Maryland Medical Center)	The institution of Dr. Morris has received research support from National Institute of Neurological Disorders and Stroke. Dr. Morris has received personal compensation in the range of $0-$499 for serving as a Grand Rounds Speaker with New York University. Dr. Morris has received personal compensation in the range of $500-$4,999 for serving as a Grand Rounds Speaker with Mount Sinai Health System. Dr. Morris has received personal compensation in the range of $500-$4,999 for serving as a Continuum Article Author with American Academy of Neurology. Dr. Morris has received personal compensation in the range of $0-$499 for serving as a Reviewer with Society of Critical Care Medicine. Dr. Morris has received personal compensation in the range of $500-$4,999 for serving as a Grand Rounds Speaker with New York Medical College. Dr. Morris has received personal compensation in the range of $500-$4,999 for serving as a Webinar Speaker with Kreg Therapeutics.
Lyell K. Jones, MD, FAAN (Mayo Clinic)	Dr. Jones has received personal compensation in the range of $100,000-$499,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for American Academy of Neurology. Dr. Jones has received publishing royalties from a publication relating to health care. Dr. Jones has a non-compensated relationship as a member of the AAN Board of Directors with AAN that is relevant to AAN interests or activities. Dr. Jones has a non-compensated relationship as a member of the Mayo Clinic ACO Board of Directors with Mayo Clinic that is relevant to AAN interests or activities.