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Professional use of social media (for medical students)

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Lecture to uOttawa 1st year medical students on the benefits and challenges of using social media professionally

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Professional use of social media (for medical students)

  1. 1. Professional use of social media Presentation to uOttawa Undergraduate Medical Education Program SEPT. 6, 2017 UOTTAWA PAT RICH @PAT_HEALTH #UOSM17
  2. 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. 3. There are more things in heaven and Earth, Horatio, / Than are dreamt of in your philosophy Hamlet: Shakespeare
  4. 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. 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. 6. “ ” You are learning medicine in an era when social media, the Internet, digital care and mobile apps are becoming increasingly interconnected
  7. 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. 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. 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. 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
  11. 11. The power of social media
  12. 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. 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
  14. 14. Social media in medicine: Global
  15. 15. The power of social media
  16. 16. Be a health care social media superstar – fight Goop
  17. 17. What are/is social media Extension of every day interaction Conversations & exchange Communities of shared interest Tools for innovation
  18. 18. 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
  19. 19. “… 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
  20. 20. Canadian studies from 2016 have documented gap between learners and educators in understanding of and use of social networking sites in medical education
  21. 21. 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
  22. 22. Fun with Twitter (educational too!)
  23. 23. An expert Canadian physician voice – Dr. Ali Jalali
  24. 24. 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
  25. 25. The challenges  Impact on patients  Liability  Privacy  Ethics  Boundaries  Time theft  Reputation  Compensation
  26. 26. 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
  27. 27. The rules (summarized) Protect patient privacy and confidentiality Be professional
  28. 28. “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
  29. 29. “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
  30. 30. 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
  31. 31. Dr. Joshua Tepper – CEO Health Quality Ontario
  32. 32. Downside of social media for med students
  33. 33. 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
  34. 34. 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
  35. 35. 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
  36. 36. 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
  37. 37. 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.
  38. 38. 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.
  39. 39. 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.”
  40. 40. 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
  41. 41. 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)
  42. 42. Dr. Jalali (again)
  43. 43. Thank you! Questions?

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