Article Text

Original research
#SoMe4Surgery: from inception to impact
  1. Rebecca C Grossman1,
  2. Douglas Graham Mackenzie2,
  3. Deborah S Keller3,
  4. Nicola Dames4,
  5. Perbinder Grewal5,
  6. Andrés A Maldonado6,
  7. Argyrios Ioannidis7,
  8. Ameera AlHasan8,9,
  9. Kjetil Søreide10,11,
  10. Jeremy Yuen-Chun Teoh12,
  11. Steven D Wexner13,
  12. Julio Mayol14
  1. 1 Department of General Surgery, Buckinghamshire Healthcare NHS Trust, Amersham, Buckinghamshire, UK
  2. 2 General Practice, NHS Education for Scotland, Edinburgh, UK
  3. 3 Division of Colon and Rectal Surgery, New York-Presbyterian, Columbia University Medical Center, New York, USA
  4. 4 Patient Liaison Group, Association of Coloproctology of Great Britain and Ireland, London, UK
  5. 5 Department of Cardiovascular Surgery, University Hospital Southampton, Southampton, UK
  6. 6 Department of Plastic, Hand and Reconstructive Surgery, BG Unfallklinik Frankfurt, Frankfurt, Germany
  7. 7 Department of General, Laparoscopic, Oncologic and Robotic Surgery, Athens Medical Center, Athens, Greece
  8. 8 Department of Surgery, Jaber AlAhmad Hospital, Kuwait
  9. 9 Department of Surgery, Mubarak AlKabeer Hospital, Jabriya, Kuwait
  10. 10 Department of Gastrointestinal Surgery, Stavanger University Hospital, Stavanger, Norway
  11. 11 Department of Clinical Medicine, University of Bergen, Bergen, Norway
  12. 12 Surgery, The Chinese University of Hong Kong, Hong Kong
  13. 13 Colorectal Surgery, Cleveland Clinic Florida, Weston, Florida, USA
  14. 14 Hospital Clinico San Carlos, Instituto de Investigación Sanitaria San Carlos, Universidad Complutense, Madrid, Spain
  1. Correspondence to Ms Rebecca C Grossman, Department of General Surgery, Buckinghamshire Healthcare NHS Trust, Amersham HP7 0JD, UK; rebeccagrossman{at}


Objectives and setting The aim of this study was to create a hashtag #SoMe4Surgery on the social network application Twitter, and to examine the natural history of the resulting online community.

Design and outcome measures A prospective, four-stage framework was proposed and used: (1) inception phase (connection): users were actively invited to participate; (2) dissemination phase (contagion): several tweetchats were designed, scheduled and run; (3) adherence phase (feedback): Twitonomy and NodeXL summaries were regularly posted on Twitter; and (4) impact phase (outcomes): abstracts and manuscripts, and related projects on Twitter. Tweets, influencers and interactions were analysed, and a brief survey was shared with participants to assess demographics and motivations of social media use.

Participants Users engaging with the #SoMe4Surgery hashtag.

Results Users of the hashtag came from a wide variety of specialties and geographical locations, as well as varying in age and stage of training. The inception of #SoMe4Surgery was followed by an increase in the follower count and impressions of users. A total of 675 tweeters posted 11 855 tweets with 30 122 retweets between 28 July and 27 December inclusive. There were new contributors and activity throughout the period. There were many more retweeters than accounts posting original content. Over a 10-day period ending on 31 December 2018, the number of followers of the 10 most influential accounts was higher than the number of followers of the 10 most engaging accounts (p=0.002). The mean (SD) number of tweetchat participants was 121 (64), who posted 719 (365) tweets and had a potential reach of 3 825 155 (1 887 205) accounts. Spin-off projects included surveys from low and medium-income countries, subspecialised hashtags, presentations and one publication.

Conclusions The creation of a cohesive online surgical community may allow a flattened hierarchy, with increased engagement between surgeons, other healthcare professionals, researchers and patients.

  • general surgery
  • communication
  • social networking
  • social media

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Twitter @rebgross, @gmacscotland, @debby_keller, @VBlush, @drAAmaldonado, @ArgIoannid, @A160186, @ksoreide, @jteoh_hk, @SWexner, @juliomayol

  • Contributors All authors contributed to drafting and had final approval of the manuscript. All authors are accountable for the work. All authors were regularly engaged with the #SoMe4Surgery community on Twitter. RCG coordinated the drafting of the manuscript, guided the design of the project, analysed the Google Docs spreadsheet data and assisted in interpreting the results. DGM performed NodeXL and Followthehashtag data collection and analysis, and contributed to data interpretation. ND is a patient representative involved in designing the study, setting the objectives and interpreting the results. PG, KS, DGM, AAM, AI, AA, JYCT and SDW provided expertise on social media use among surgeons, assisted with setting objectives and study design, and in interpreting the results. AI, AA and RCG all comoderated tweetchats with JM. JM initiated the project, guided the design of the project, created the @me4_so Twitter account, coordinated the tweetchats, coordinated SoMe4Surgery projects and collected Twitter Analytics and Twitonomy data. JM is the guarantor of the study.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement Data are available in a public, open access repository.