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PT  - JOURNAL ARTICLE
AU  - Koontz, N.A.
AU  - Tomblinson, C.M.
AU  - Shatzkes, D.R.
AU  - Glastonbury, C.M.
AU  - Phillips, C.D.
AU  - Dean, K.
AU  - Strauss, S.
AU  - Agarwal, M.
AU  - Robson, C.D.
AU  - Wiggins, R.H.
TI  - A Gamified Social Media–Based Head and Neck Radiology Education Initiative of the American Society of Head and Neck Radiology: Viewership and Engagement Trends at 3 Years
AID  - 10.3174/ajnr.A7711
DP  - 2022 Dec 01
TA  - American Journal of Neuroradiology
PG  - 1784--1791
VI  - 43
IP  - 12
4099  - http://www.ajnr.org/content/43/12/1784.short
4100  - http://www.ajnr.org/content/43/12/1784.full
SO  - Am. J. Neuroradiol.2022 Dec 01; 43
AB  - BACKGROUND AND PURPOSE: Social media has made inroads in medical education. We report the creation and 3-year (2018–2021) longitudinal assessment of the American Society of Head and Neck Radiology Case of the Week (#ASHNRCOTW), assessing viewership, engagement, and impact of the coronavirus disease 2019 (COVID-19) pandemic on this Twitter-based education initiative.MATERIALS AND METHODS: Unknown cases were tweeted from the American Society of Head and Neck Radiology account weekly. Tweet impressions (number of times seen), engagements (number of interactions), and new followers were tabulated. A social media marketing platform identified worldwide distribution of Twitter followers. Summary and t test statistics were performed.RESULTS: #ASHNRCOTW was highly visible with 2,082,280 impressions and 203,137 engagements. There were significantly greater mean case impressions (9917 versus 6346), mean case engagements (1305 versus 474), case engagement rates (13.06% versus 7.76%), mean answer impressions (8760 versus 5556), mean answer engagements (908 versus 436), answer engagement rates (10.38% versus 7.87%), mean total (case + answer) impressions (18,677 versus 11,912), mean total engagements (2214 versus 910), and total engagement rates (11.79% versus 7.69%) for cases published after the pandemic started (all P values &amp;lt; .001). There was a significant increase in monthly new followers after starting #ASHNRCOTW (mean, 134 versus 6; P &amp;lt; .001) and significantly increased monthly new followers after the pandemic started compared with prepandemic (mean, 178 versus 101; P = .003). The American Society of Head and Neck Radiology has 7564 Twitter followers throughout 130 countries (66% outside the United States).CONCLUSIONS: Social media affords substantial visibility, engagement, and global outreach for radiology education. #ASHNRCOTW viewership and engagement increased significantly during the COVID-19 pandemic.ASHNRAmerican Society of Head and Neck Radiology#ASHNRCOTWASHNR Case of the Week hashtag@ASHNRSocietyASHNR Twitter account handleERengagement rateGIFGraphics Interchange FormatCOVID-19coronavirus disease 2019