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Professional use of social media (for medical students)
1. Professional use of social
media
Presentation to uOttawa Undergraduate Medical Education
Program
SEPT. 6, 2017
UOTTAWA
PAT RICH @PAT_HEALTH #UOSM17
2. Lecture objectives
Discuss the potentials of social networking tools such as
Facebook, Twitter, LinkedIn and Google+ in medical
education.
Discuss the safe and professional behaviours regarding social
networking usage.
3. There are more things in
heaven and Earth, Horatio,
/ Than are dreamt of in your
philosophy
Hamlet: Shakespeare
4. Who I am
Pat Rich –
Medical writer, editor and social
media commentator
Experienced health care
communicator with a keen interest
and involvement in the use of social
media tools in medicine and health
care and believers in the value of
these tools
WHO I AM NOT
Physician
Academic
5. Five years and a seismic shift
Huge benefits to using social media in your
medical career should you choose to do so
Definite downsides and significant risks
6. “
”
You are learning medicine in an era when social media,
the Internet, digital care and mobile apps are becoming
increasingly interconnected
7. “
”
If the doctor-patient relationship was a
meticulously crafted house of cards, held
together by historically entrenched relations of
power and professionalism, then the Internet is
the toddler that toppled the house and bent the
cards.
Erene Stergeopolus, Aug. 30, 2017
8. The new digital era
“Today’s medical professionals must be masters of different skills
that are related to using digital devices or online solutions” and
mastering those skills “is now a crucial skill set that all medical
professionals require.”
Dr. Bertalan Mesko
“The democratization of media has made every physician an
independent publisher …physicians now have to learn to
manage and maintain their identity in the public space,”
Dr. Bryan Vartabedian,
9. Being a digital doctor
Shape an idea in under 400
words
Share an idea in a few hundred
characters
Put an idea on a short video clip
Understand the limitations of
patient-specific dialogue on
public networks
Manage input and consumption
of information
Dr. Bryan Vartabedian
10. Maybe you won't becoming a
tweeting, blogging doctor. But,
what content will you publish in
order to establish a healthy digital
presence for yourself or your
practice? …Will you be prepared to
help steer the conversation back
towards science when celebrities
hijack the conversation with
something otherwise?
@thedocsmitty
12. Prevalence of social media in medicine
- Ontario
“In my now nearly 40 years as an Ontario physician I
have never witnessed such passionate engagement
with OMA affairs or the political process. (It) was
directly fuelled by the use of social media and the
enhanced connectivity between different regions and
specialties.”
Dr. Alan Drummond
(@alandrummond2)
13. The prevalence of social media in
medicine: Canada
2015 – Halifax
Tweets – 10,748
Participants – 1946
2016 - Vancouver
Tweets – 15,306
Participants – 2177
2017 – Quebec City
Tweets – 13,861
Participants – 2295
17. Be a health care social media superstar
– fight Goop
18. What are/is social media
Extension of every day interaction
Conversations & exchange
Communities of shared interest
Tools for innovation
19. Why care?
“Whether physicians are active on social media
or not, an understanding of social media and its
potential implications on their professional lives
is essential.”
Dr. Hartley Stern, CEO, Canadian Medical
Protective Association
20. “… millennials whose use of social media is integrated into every
other aspect of their life, are not happy with the educational status
quo.”
BMJ Senior Editor Tessa Richards
21. Canadian studies from 2016 have documented gap
between learners and educators in understanding of
and use of social networking sites in medical education
22. Social media and academia
Social media is a new space for academic
medicine that has enormous possibilities for
research, education, clinical care, and
dissemination of health care science.
Institutions are starting to recognize social
media scholarship as significant and
meritorious and to include it when an
academic is being considered for promotion
and tenure.
More Than Likes and Tweets: Creating Social Media
Portfolios for Academic Promotion and Tenure: JGME, Aug.
2017
25. Why consider using social media
To stay informed
As a learning tool in medical education
Communicate (engage) with peers and patients
Disseminate information
Advocate for/against something
To help get a job
To deliver clinical care
Because if you decide not to use social media, your decision
should be based on sound knowledge about what you are
choosing not to use
26. The challenges
Impact on patients
Liability
Privacy
Ethics
Boundaries
Time theft
Reputation
Compensation
27. Who is making the rules?
• College of Physicians and Surgeons of Ontario Guidelines
• Canadian Federation of Medical Students (CFMS) Guide to
Medical Professionalism: Recommendations For Social
Media
• Canadian Medical Association – Issues and Rules of
Engagement
• Canadian Medical Protective Association
29. “Don’t Lie, Don’t Pry
Don’t Cheat, Can’t
Delete
Don’t Steal. Don’t
Reveal”
Dr. Farris Timimi, medical director,
Mayo Clinic Center for Social Media,
April 5, 2012
30. “Don’t be banal, self-promote excessively, share
confidential material (especially about patients),
be a troll, break the law, commit a libel, or
overdo it.”
Dr. Richard Smith, BMJ, March 1, 2012
31.
32. Twitter pro’s and cons
PROS
Choose the community you chose to
follow
Connect with peers and
internationally respected peer leaders
Stay current with curated information
from medical journals
Stay current with latest information
from medical conferences globally
Engage with Twitter journal clubs
CONS
Tunnel vision
Risk of being trolled or spammed
FOMO
Risk of account being hacked if not
used
35. Medical politics aren’t
for the faint of heart
Former Ontario deputy health minister
Michael Decter quoted by Theresa Boyle
in The Toronto Star, Feb. 27, 2017
36. Downside of social media
“Twitter has proven tedious
and even toxic to what I enjoy
most. 140 characters leaves
little room for nuance, little
room for substance, little room
for clarification, and little room
for courtesy, regret, or
forgiveness.”
@DrWarsh
37. Outcomes of Ontario situation
Canadian Medical Association hosted session on intra-
professionalism with focus on disrespectful activity on social
media – developing new Code of Ethics and Professionalism
Some physicians reported to the CPSO for inappropriate
behavior
Some physicians criticized OMA and other doctors for
reporting doctors to CPSO
38. Case study 1: The political resident
Brandon is a resident who, since starting medical school, has kept a blog
about his views on medicine, medical education, and health care politics.
Recently, Brandon has blogged extensively about his extreme political views
regarding the upcoming election. His residency director reads his blog and
tells him that he must delete his posts and can no longer write new ones, as
he is not only a hospital employee and a representative of the residency
program, but also a professional who must represent himself accordingly
American College of Medical Schools Digital Literacy Toolkit
39. Case study 1: Discussion
Is it reasonable for the residency program director to tell this
resident that this non-medical blog should be removed? The
residency director tells this resident to remove his blog. What
would an appropriate response be?
A. What a resident does on his own time is his business.
B. He should have asked him to remove the offending posts
and be careful in the future.
C. When you are a student and resident, you are ultimately
under the guidance of your dean and residency director.
40. Case 2: Looking up a patient on
Google
Susan is a psychiatrist who is treating a patient who is unwilling
to reveal little or any personal information.
Susan believes a better understanding of the patient and his
individual circumstances would aid her in providing more better
treatment.
To do this, Susan decides to look the patient up on Google
to see what – if anything has been written about him.
41. Case 2 - Variations
If Susan feared for the safety of the patient
If Susan feared for her own safety
If Susan worked in the ER
If Susan thought her patient may be famous
“Do it if your conscience says there’s a good clinical
reason for doing so.”
42. Case 2
“In searching for their patients online, clinicians may be unwittingly
setting legal precedents for mental healthcare. As more and more
providers Google to guide their decisions, they may be shifting the
clinical standards to which all practitioners are held.”
“If a patient leaves a suicidal message on Facebook, and the
clinician misses it, there’s a future—seemingly more plausible by the
day—in which that clinician could be sued for malpractice if the
patient then attempts suicide. ”
Getting Googled By Your Doctor: Erene Stergeopolus
43. Using social media in medical school
Some suggestions
Facebook presence for classmates etc.
LinkedIn account to:
Build network for future career
Follow discussion forums on medical education
Blog about your experiences
Instragram – Mobile-friendly image based slices of life
Twitter account to:
Develop your list of people, journals and other accounts to follow
Watch (and engage) medical Twitter community (e.g. #hcldr)
