Digital Professionalism for Medical Providers
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These are the slides from a talk I gave last year to incoming house officers about professionalism in the world of social media, smart phones, and continual connectedness. We are preparing an accompanying manuscript to this talk which we hope to post soon.
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Digital Professionalism for Medical Providers
- 1. PROFESSIONALISM IN A DIGITAL AGE Bradley H Crotty, M.D. Research Fellow in Medicine Harvard Medical School & Beth Israel Deaconess Medical Center Graduate Medical Student Education Orientation June 22, 2010
- 4. ABIM Foundation.American Board of Internal Medicine et al. Medical professionalism in the new millennium: a physician charter.Ann Intern Med (2002) vol. 136 (3) pp. 243-6
- 5. Digital Professionalism: a standard for conduct by healthcare workers in a connected world that maintains confidentiality, honesty, and trust in the medical profession.
- 8. Public, M.D. Private, M.D.
- 9. • How many have a social networking account on facebook, myspace, linked in, or other site? • How many of you have adjusted privacy settings on your site within the last month, or maintain vigilance over your privacy settings on a regular basis?
- 10. BIDMC Housestaff on Social Networks
- 13. Social Networking • Utilize privacy settings to their fullest • Be thoughtful about your representation • Be exquisitely cautious to respect patient confidentiality and other sensitive information. • Remember that it is nearly impossible to delete once posted
- 14. Lagu et al. Content of weblogs written by health professionals. Journal of general internal medicine (2008) vol. 23 (10) pp. 1642-6
- 15. Lagu et al. Content of weblogs written by health professionals. Journal of general internal medicine (2008) vol. 23 (10) pp. 1642-6 •271 Medical Blogs 1/06 - 12/06 •57% of authors could be identified •Patients were described in 42% of blogs •(16% Positively, 18% Negatively) •3 blogs had patient pictures •Products promoted in 11% of blogs
- 16. Chretien et al. Online posting of unprofessional content by medical students. JAMA: The Journal of the American Medical Association (2009) vol. 302 (12) pp. 1309-15
- 17. Chretien et al. Online posting of unprofessional content by medical students. JAMA: The Journal of the American Medical Association (2009) vol. 302 (12) pp. 1309-15
- 19. Blogs • Consider how you identify yourself • Be careful about patient representation • Small details may violate HIPAA
- 21. Digital Photography • Signed, informed consent • Is this part of the medical record? • Is this for teaching files? Can it be deidentified? • How will digital information be transferred or deleted?
- 22. Digital Professionalism •Social Media: Privacy •Blogs: Representation •Photography: Informed Consent
Editor's Notes
- This is a talk prepared for new house officers at the GME orientation
- Our hospital has a relatively long history with embracing social media. Here are two blogs from our CEO and CIO respectively, as well as the facebook profile page of our CEO. Note that he chronicles hospital operations as well as communicating more social messages to colleagues.
- We introduce the topic of digital professionalism,
- The Physician Charter, created by ABIM, ACP and EFIM , has several online analogues.
- Our definition:
- Several different domains, spanning identity to security, social medial to patient confidentiality. Thinking about professionalism in this area, one considers electronic transactions with patients, using social media in wellness education, and security of information transfer. I’m going to start with talking about physician identity, and then social media, because I think it’s most relevant to this group.
- Many physicians have public and private identities. Some are open, others are closed. Patients may be able to see both if privacy settings are not tight.
- BIDMC medical residents are overwhelmingly on social networks.
- A facebook page even from a Google search can reveal interests, favorite bands, favorite products, and political information.
- What gets published to facebook stays on facebook.
- Recommendations for social networking for incoming house officers
- Blogs are popular among physicians in training and faculty. This was an article that looked at what was being posted on medical blogs.
- Many blogs contained patient descriptions, and more tended to be negative than positive … are we a group of complainers? How will this shape how doctors are perceived?
- In this survey of medical school deans, 60% of respondents were aware of unprofessional online postings
- Patients can identify themselves in blog posts, whether or not their name was used. In the survey, 2 of the 46 cases were noticed by patients and their families, and then brought to the attention of the medical school.
- We view social media as the new millennium’s elevator. No matter what is being said, it’s possible to make patients feel uncomfortable about what is being said, and how it might relate to them. If writing about patients in a blog post, consider obtaining informed consent.
- Blog pearls…
- Digital photography is now very portable, and many house officers will carry smart phones that are capable of taking pictures for the medical team. However, these are not part of the medical record, and can violate HIPAA potentially.
- Photography, even a quick snapshot, is protected health information, and should be preceded by signed informed consent.
- Summary: Privacy, representation, and informed consent.