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Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
Julian Walter on Social Media: Law & Order
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Julian Walter on Social Media: Law & Order

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Julian Walter clarifies what 21st century tech activities you ought to avoid to keep your medical career in optimum health.

Julian Walter clarifies what 21st century tech activities you ought to avoid to keep your medical career in optimum health.

Published in: Health & Medicine, Business
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  • 1. Law and Order in Social Media A new frontier or the wild west? Dr Julian Walter Medico-Legal Advisor (Solicitor)
  • 2. Same problems, different ways
  • 3. COMMUNICATION Same problems, different ways
  • 4. = TROUBLE Old problems New medium No time to think Wide audience Same problems, different ways
  • 5. “Not quite the tablets I had in mind” Same problems, different ways
  • 6. Same problems, different ways Where are we now?
  • 7. Same problems, different ways • Widening use of social media by medical practitioners September 2012
  • 8. Same problems, different ways • AHPRA speaks ........... And we wait http://t.co/5h04G4Gk
  • 9. Same problems, different ways WHAT DID AHPRA SAY? • Advertising • Maintaining Professional Obligations • Professional Boundaries • Professional Behaviour • Confidentiality & Privacy
  • 10. Same problems, different ways Is this the end of Social Media before it even began?
  • 11. Same problems, different ways We have to ask the right questions
  • 12. What are the ‘rules’?
  • 13. What are the ‘RULES’? MEDICAL BOARD OF AUSTRALIA CODE OF CONDUCT http://www.medicalboard.gov.au/documents/default.aspx?record=WD1 0%2f1277&dbid=AP&chksum=eNjZ0Z%2fajN7oxjvHXDRQnQ%3d%3d
  • 14. What are the ‘RULES’? AMA https://ama.com.au/social-media-and-medical-profession
  • 15. What are the ‘RULES’? American Medical Association http://www.ama-assn.org/ama/pub/physician-resources/medical- ethics/code-medical-ethics/opinion9124.page
  • 16. What are the ‘RULES’? British Medical Association
  • 17. Professional Boundaries
  • 18. Professional Boundaries BOUNDARY VIOLATIONS
  • 19. Professional Boundaries “Professional boundaries are integral to a good doctor–patient relationship. They promote good care for patients and protect both parties”
  • 20. Professional Boundaries “Never use your professional position to establish or pursue a sexual, exploitative or other inappropriate relationship with anybody under your care”
  • 21. Professional Boundaries “Avoid expressing your personal beliefs to your patients in ways that exploit their vulnerability or that are likely to cause them distress”
  • 22. Professional Boundaries
  • 23. Professional Boundaries MORAL PANIC ??
  • 24. Professional Behaviour
  • 25. Professional Behaviour www.foxnews.com
  • 26. Professional Behaviour “In professional life, doctors must display a standard of behaviour that warrants the trust and respect of the community. This includes observing and practising the principles of ethical conduct”
  • 27. Respect for colleagues
  • 28. Respect For Colleagues
  • 29. Respect For Colleagues “Good patient care is enhanced when there is mutual respect and clear communication between all health care professionals involved in the care of the patient - Communicating clearly, effectively, respectfully and promptly”
  • 30. Confidentiality
  • 31. Confidentiality
  • 32. Confidentiality “Patients have a right to expect that doctors and their staff will hold information about them in confidence, unless release of information is required by law or public interest considerations”
  • 33. Confidentiality
  • 34. Photography
  • 35. Photography YOU 3rd Party
  • 36. Photography IMPORTANT POINTS: Disclosure only if purpose directly related to the primary reason for data collection; AND Disclosure is within the reasonable expectation of the patient National Privacy Principle 2.1(a) - Privacy Act 1988 (Cth)
  • 37. Photography To infinity ...... and beyond!
  • 38. Photography IMPORTANT POINTS: "child abuse material“ = the private parts of a person who is, appears to be or is implied to be, a child. s91FB (1)(d) Crimes Act 1900 (NSW)
  • 39. Photography IMPORTANT POINTS: - Informed consent, audience and purpose -Maintain confidentiality & privacy - Part of the record - Secure storage - Beware the Policy
  • 40. Photography
  • 41. Photography Clinical images Explanation only Research - Written Consent Education - Written Consent Publication - Written Consent Branding - Written Consent Advertising - Written Consent
  • 42. Photography Does a unique image identify the patient? Obtain consent even for de-identified images
  • 43. Online doctor rating
  • 44. Online doctor rating Currently in the US, approximately 16% of doctors rated on this site http://www.jmir.org/2013/2/e24/
  • 45. Online Rating Difficult area Just ‘over the fence banter’ Or Something more serious ?
  • 46. Online Rating Legal solution is not ideal
  • 47. Online Rating Legal solution is not ideal Defamation action: Who is the poster? Opinion? Fact? Defamatory? Risks: expensive costly no guarantee of success publicises complaint
  • 48. Online Rating Social Media driving the profession?
  • 49. Online Rating Conclusion: In a nationally representative sample, higher patient satisfaction was associated with less emergency department use but with: - greater inpatient use of healthcare - higher overall healthcare and prescription drug expenditures - increased mortality http://archinte.jamanetwork.com/article.aspx?articleid=1108766 (26% more likely to die than those who had the lowest satisfaction) Social Media driving the profession?
  • 50. QUESTIONS? Dr Julian Walter Medico-Legal Advisor (Solicitor)

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