21 st Century Web 20 Aditi Singh MD Sandhya WahiGururaj MD MPH Special thanks to Cynthia Herrick MD Learning Objectives Reflect upon beneficial and harmful uses of various social networking sites ID: 805042
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Slide1
Professionalism in the 21st Century: “Web 2.0”
Aditi Singh, MDSandhya Wahi-Gururaj, MD, MPHSpecial thanks to Cynthia Herrick, MD
Slide2Learning ObjectivesReflect upon beneficial and harmful uses of various social networking sites
Describe tips for proper use of social networking tools
Slide3DisclosuresNone
Slide4Slide5Do you Facebook, Twitter, MySpace, Blog, or … ?Yes
B. No
Slide6Have you ever posted something that you wouldn't want your coworkers, boss, or family to see?
Yes
B. No
Slide7Survey of Medical School Deans
Chretien, KC, et al. Online Posting of Unprofessional Content by Medical Students.
JAMA
2009.
Slide8Greysen, S., et al. Physician violations of online professionalism and disciplinary actions: A national survey of state medical boards.
JAMA
2012
Slide9Have you ever “friended” a patient?
Yes
B. No
Slide10QuantiaMD survey33% physicians report patients tried to “
friend”75% decline or ignore
25% accept
Slide11Have you ever googled yourself or one of your colleagues?
Yes
B. No
Slide12Are there repercussions to what you Post, Blog, or Tweet?A. Yes
B. NoC. No clue
Slide13Is your account private?
A. Yes
B. No
C. I don
’
t know
Slide14University of Florida found:
37.5% were made private83.3% of accounts listed at least 1 form of personally identifiable information
Some accounts displayed
“
potentially unprofessional material.
”
Thompson, Lindsay, et al. The Intersection of Online Social Networking with Medical Professionalism.
JGIM
2008.
Slide15Web 2.0 Scenarios
Slide16Case 1: Posted on Facebook
Hello … we’ll be saving yer life today!
What time did your shift start yesterday? What time was the code?
Intubated 218? I think . . Then 219 coded and died. Then 218 coded n passed… some cute nurses up there at nite hahaha
Slide17Case 2: Medical MalpracticeSocial media posts may be “discoverable”no reasonable expectation of privacy
'Back and causing chaos. Been on call this week. Been in theatre this week slaughtering the innocent’Post by Welsh surgeon in 2010Discovered in malpractice probe for patient death in 2011
http
://
www.dailymail.co.uk
/news/article-2126868/Been-slaughtering-innocent--Facebook-post-consultant-facing-medical-
malpractise
-
probe.html
Slide18Posted to Facebook while on aid mission to help
Earthquake victims in 2010
Pictures of patients, half dressed, without consent
Pictures of doctors
Smiling while holding guns
D
rinking alcohol in scrubs
Consequences
Ethics investigation
HIPAA violation investigation
Lost jobs/Damaged careers
Negated value of good work
Case 3:
Physicians on Humanitarian Mission to
Haiti
Slide19Inappropriate Pictures
“Anybody who isn't smart enough to figure out what's OK to post on the Internet has absolutely no business being in charge of other people's health,”
Patient opinion excerpted from: Greyson, SR, Kind, T, and Chretien KC. “Online Professionalism and the Mirror of Social Media,” JGIM 25(11) 1227-29.
Slide20Case 4
http://
articles.cnn.com
/2009-02-17/tech/twitter.surgery_1_twitter-and-facebook-social-networking-site-twitter-tweeted?_s=PM:TECH
Slide21Case 5: Socially Awkward?You finished residency and are off to fellowship. You are leaving town, and receive a “friend” request from a patient on your personal Facebook account. You have interacted with this patient in both social and professional settings. Several months later, the patient is repeatedly posting private health information and asking for your medical advice.
How do you respond?
What
is your opinion on “friending” patients?
Slide22Slide23Case 6: Finding Your Next PartnerYou have been in solo practice for two years now, and find that you need to add on a partner to manage your bustling practice. You have two candidates who you think may be appropriate individuals. The
cv of Dr. Smart is more impressive as she has trained at a well-reputed state institution. When you inform your office manager that you plan to hire Dr. Smart, your manager informs you that she decided to Google Dr. Smart. During her search, she found photos in which she was tagged partying with her friends. One of the photos show her asleep on a friend’s shoulder who is holding a glass of wine.
Does this information impact your decision to hire Dr. Smart
?
Slide24Future employers are Watching
Slide25Current Employers are Watching2009 survey of employersRegarding violations of…Blog/message policiesMedia sharing/posting policiesSocial networking policies
8-9% had terminated employees10-17% had disciplined employeesData from
Proofpoint
, 2009
Slide26Where Do We Stand?
Slide27QuantiaMD survey “Doctors, Patients, and Social Media”
Surveyed 4,033 cliniciansPersonal use – 87%
P
rofessional use – 67%
Slide28Inappropriate Comments260 Physician Twitter Users identified5156 Tweets analyzed3% categorized as ‘unprofessional’
Chretien, KC, Azar, J and Kind T., “Research Letter: Physicians on Twitter,” JAMA 305(6), 566-68.
Slide29ChallengesManaging your identity and professional imageUsing social media in a professional manner
Communicating with patients and colleagues electronically and professionally
Mostaghimi, A., et al. Professionalism in the Digital Age.
Annals of Int Med
2011.
Slide30Netiquette Tips
Slide31Use social networking sites to your advantage
Slide32Patient Education/Recruitment
Patients can pose questions for ‘information only’
Physicians/medical groups share expertise
Patients may use this method to find a physician
Slide33Patient Disease Self ManagementContent from 15 Largest Facebook Groups on DiabetesGreene, JA, Choudhry, NK, Kilabuk, E and Shrank WH. “Online Social Networking by Patients with Diabetes: A Qualitative Evaluation of Communication with Facebook,” JGIM, 26(3), 287-92.
Slide34Organ Donation
Register as an organ donor and share that information with friends
Indicate desire to be a donor to family members even if not officially registered
Goal
Increase the donor pool
Slide35Public Health Info Dissemination
Slide36Hospital Service Information
Slide37Medical Education
Slide38Networking
Slide39Consultation – the new ‘curbside’Input on difficult patient care issues Access to new evidenceUnclear liability issuesInadequate security
Partnered with Stanford, UCSF, PennFacilitates online communicationHIPAA secure messaging systemUnclear liability issues
Glenn, Brandon. “Behind Doctors’ Social Networking Websites,” Medical Economics, Feb 20, 2009.
Slide40Protect Patient Privacy
Slide41Privacy Settings
Slide42Electronic Self-Audits
Slide43Electronic Communication with Patients
Slide44Dual Citizenship
Slide45Don’t post anything you wouldn't
want your boss or patients to see.
Slide46Think Before You Post
Slide47Disclaimers and Policies
Slide48Social Media Guide for Professionalism in a Nutshell“Don
’t Lie, Don’t Pry, Don’t Cheat, Can
’
t Delete, Don
’
t Steal, Don
’
t Reveal
”
Dr. Farris Timimi, Medical Director of Mayo Clinic Center for Social Media
Slide49Slide50Thank You!Questions? Comments?