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Social Media and Medical Professionalism

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Grand rounds presentation at the Philippine General Hospital Department of Medicine 23 Sept 2014.

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Social Media and Medical Professionalism

  1. 1. Social Media and Medical Professionalism Iris Thiele Isip Tan MD, Msc Chief, Medical Informatics Unit Assoc. Professor 4, UP College of Medicine 23 Sept 2014 Department of Medicine Grand Rounds Social Media Class by mkhmarketing, https://flic.kr/p/e1HpQq Thursday, September 25, 14
  2. 2. The Facebook post that led to this grand rounds :) Int J Med Students 2014;2(2):64-67 Thursday, September 25, 14
  3. 3. Heroes: M by Frederic Poirot https://flic.kr/p/wGjzG Facebook by Dimitris Kalogeropoylos, https://flic.kr/p/8kvsXB Social media policy #HealthXPH #SoMe manifesto Medical professionalism in the age of Internet Thursday, September 25, 14
  4. 4. What are our commitments? Medical professionalism in the age of Internet Heroes: M by Frederic Poirot https://flic.kr/p/wGjzG Thursday, September 25, 14
  5. 5. Patient welfare Patient autonomy Social justice hospital corridor 2 by Pam Roth Medical Professionalism in the New Millennium: A Physician Charter http://www.freeimages.com/photo/65904 Ann Intern Med 2002;136(3):243-6 Thursday, September 25, 14
  6. 6. Professional competence Honesty with patients Patient confidentiality Maintaining appropriate relations with patients wit Improving quality of care Just distribution of finite resources Improving access to care Scientific knowledge Maintaining trust by managing conflict of interest Professional responsibilities A Set of Professional Responsibilities Ann Intern Med 2002;136(3):243-6 Raise your hands by Stina Jonsson, https://flic.kr/p/6ZwuPm Thursday, September 25, 14
  7. 7. The Impact of Social Media on Medical Professionalism: A Systematic Qualitative Review of Challenges & Opportunities Gholami-Kordkheili F, Wild V, Strech D. J Med Internet Res 2013;15(8):e184 Wet feet by Guy Donges, https://flic.kr/p/KX9vX Thursday, September 25, 14
  8. 8. Social media as a tool for improved information sharing Multiple Tweets Plain by mkhmarketing https://flic.kr/p/dVaqmj Commitment to Professional Competence Gholami-Kordkheili F, Wild V, Strech D. J Med Internet Res 2013;15(8):e184 #HealthXPh Thursday, September 25, 14
  9. 9. Online medical content curation & personal time management with Web 2.0: an exciting era Bertalan Mesko MD @berci Thursday, September 25, 14
  10. 10. Thursday, September 25, 14
  11. 11. Improving access to and benefits of conferences #ICEENDO2014 Commitment to Professional Competence Gholami-Kordkheili F, Wild V, Strech D. J Med Internet Res 2013;15(8):e184 Thursday, September 25, 14
  12. 12. Thursday, September 25, 14
  13. 13. Accessing news/ information from professional organizations Commitment to Professional Competence Gholami-Kordkheili F, Wild V, Strech D. J Med Internet Res 2013;15(8):e184 Thursday, September 25, 14
  14. 14. Commitment to Professional Competence Increasing involvement by doctors in underserved areas Gholami-Kordkheili F, Wild V, Strech D. J Med Internet Res 2013;15(8):e184 #HealthXPh tweetchat Saturdays, 9 pm Gholami-Kordkheili F, Wild V, Strech D. J Med Internet Res 2013;15(8):e184 Thursday, September 25, 14
  15. 15. Facilitating continuing education for post-graduates/ clinicians Committing to lifelong learning supported by social media Gholami-Kordkheili F, Wild V, Strech D. J Med Internet Res 2013;15(8):e184 www.webicina.com Thursday, September 25, 14
  16. 16. @DrHWoo #urojc Improvement in learning patterns Committing to lifelong learning supported by social media Gholami-Kordkheili F, Wild V, Strech D. J Med Internet Res 2013;15(8):e184 Thursday, September 25, 14
  17. 17. Mentoring student’s reasonable engagement in social media Gholami-Kordkheili F, Wild V, Strech D. J Med Internet Res 2013;15(8):e184 Thursday, September 25, 14
  18. 18. Ensuring evidence-based CME in the environment of social media N Engl J Med 366;12 Challenge Gholami-Kordkheili F, Wild V, Strech D. J Med Internet Res 2013;15(8):e184 Thursday, September 25, 14
  19. 19. Managing disclosure of additional patient information that a physician gathered online The New York Times Commitment to honesty with patients Gholami-Kordkheili F, Wild V, Strech D. J Med Internet Res 2013;15(8):e184 Thursday, September 25, 14
  20. 20. Picture redacted Names Geographic information Dates (e.g. birth date, admission date, discharge date, date of death) Telephone numbers Fax numbers Email addresses Social security numbers Medical record numbers Health plan beneficiary numbers Account numbers Certificate/license numbers Vehicle identifiers and serial numbers, including license plate numbers Device identifiers and serial numbers URLs IP address numbers Biometric identifiers (e.g. finger and voice prints) Full-face photographic images & any comparable images Other unique identifying numbers, Commitment to patient characteristics or codes confidentiality Gholami-Kordkheili F, Wild V, Strech D. J Med Internet Res 2013;15(8):e184 Thursday, September 25, 14
  21. 21. Picture redacted Dealing with social media as a source for (third-party) misunderstanding and misinterpretation Commitment to patient confidentiality Gholami-Kordkheili F, Wild V, Strech D. J Med Internet Res 2013;15(8):e184 Thursday, September 25, 14
  22. 22. www.psmag.com Thursday, September 25, 14
  23. 23. Reasonable self-disclosure of health care providers in social media Commitment to maintaining appropriate relations with patients Gholami-Kordkheili F, Wild V, Strech D. J Med Internet Res 2013;15(8):e184 Thursday, September 25, 14
  24. 24. http://therealsingapore.com/content/radiographer-makes-nasty-remarks-about-patients-urine-and-menses-online Preventing inadequate stress relief through social media by posting patient sensitive information Challenge Gholami-Kordkheili F, Wild V, Strech D. J Med Internet Res 2013;15(8):e184 Thursday, September 25, 14
  25. 25. #hcldr Commitment to improving quality of care Gholami-Kordkheili F, Wild V, Strech D. J Med Internet Res 2013;15(8):e184 Care improvement via online feedback to providers; reducing power imbalances through social media Thursday, September 25, 14
  26. 26. Facilitating online medical assistance through social media Commitment to improving access to care Gholami-Kordkheili F, Wild V, Strech D. J Med Internet Res 2013;15(8):e184 Thursday, September 25, 14
  27. 27. www.facebook.com/ EndocrineWitch Managing access to Internet technology in order to engage in social media Gholami-Kordkheili F, Wild V, Strech D. J Med Internet Res 2013;15(8):e184 Thursday, September 25, 14
  28. 28. Commitment to scientific knowledge Gholami-Kordkheili F, Wild V, Strech D. J Med Internet Res 2013;15(8):e184 Twitter as a personal learning network Thursday, September 25, 14
  29. 29. FDA NoFocus (remembrine HCl) for mild to moderate memory loss - may cause seizures in patients with a seizure disorder www.nofocus.com/risk Commitment to maintaining trust by managing conflicts of interest Maintaining transparency and dealing with advertisement and lobbying on social media Gholami-Kordkheili F, Wild V, Strech D. platforms J Med Internet Res 2013;15(8):e184 Twitter bird logo icon illustration by Matt Hamm, https://flic.kr/p/6a2ssY Thursday, September 25, 14
  30. 30. Don’t lie. Don’t pry. Don’t cheat. Can’t delete. Don’t steal. Don’t reveal. Ensuring public trust while engaging on social media platforms Commitment to professional responsibilities Gholami-Kordkheili F, Wild V, Strech D. J Med Internet Res 2013;15(8):e184 A 12-word Social Media Policy Farris Timimi, Mayo Clinic Center for Social Media If it’s on the Internet, it isn’t private by DonkeyHotey, https://flic.kr/p/9RYZvc Thursday, September 25, 14
  31. 31. Facebook by Dimitris Kalogeropoylos, https://flic.kr/p/8kvsXB Let’s do this! isiptan@endocrine-witch.net Social media policy Thursday, September 25, 14
  32. 32. AO No. CMBA-2014–092 Guidelines for Posting Materials on Website and Social Media When uploading visuals When posting/reposting/sharing links When updating status/writing banners Thursday, September 25, 14
  33. 33. AO No. CMBA-2014–092 Guidelines for Posting Materials on Website and Social Media Share links or articles that come from credible sources or established groups or organizations with track record, whether in media, health professional societies or health organizations or institutions (e.g. CNN, BBC, ABS-CBN, GMA for media; DOH, PCHRD for health orgs and WHO, PCP for health professional societies) to uphold the credibility of the article. Thursday, September 25, 14
  34. 34. AO No. CMBA-2014–092 Guidelines for Posting Materials on Website and Social Media For our purposes, the following are not considered credible sources: blogs, FB posts or other self-authored sites and research articles without citations; websites without an author or which are not by a government entity or health organization, materials published 15 or more years ago. Thursday, September 25, 14
  35. 35. AO No. CMBA-2014–092 Guidelines for Posting Materials on Website and Social Media Health advisories/tips for uploading must come from our own experts (i.e. graduates/alumni, officials, faculty members, doctors, nurses, dentists, pharmacists, therapists, public health professionals); please coordinate with the concerned departments of UPCM/PGH and those of the colleges for advisory requests on a particular health problem or disorder. Thursday, September 25, 14
  36. 36. Please refrain from including data or information that are for internal use only. Refrain from using informal/colloquial words in addressing the community; construct sentences or phrases in formal and straight English. Remember to always use politically correct and gender sensitive terms. AO No. CMBA-2014–092 Guidelines for Posting Materials on Website and Social Media http://dcharmedone.wordpress.com/2010/05/17/what-is-jejemon/ Thursday, September 25, 14
  37. 37. Data Privacy Act of 2012 The unauthorized processing of personal sensitive information shall be penalized by imprisonment ranging from 3 y to 6 y and a fine of not less than P500,000 but not more than P4,000,000 (maximum penalty if at least 100 persons harmed) Thursday, September 25, 14
  38. 38. Data Privacy Act of 2012 Access due to negligence Improper disposal Unauthorized purposes Unauthorized access or intentional breach Concealment of security breach Malicious disclosure Unauthorized disclosure Thursday, September 25, 14
  39. 39. Suggested Elements of Social Media Policies Jeff Cain, Am J Health-Syst Pharm 2011;68:1036-40. Reputation of organization Define who is permitted to speak on behalf of the organization Privacy Should not reveal private information about patients Productivity Personal use is permissible only during non-work hours Playbricks 3 by Paul Preacher, http://www.freeimages.com/photo/205911 General State that organizational policies are applicable to social media communications Thursday, September 25, 14
  40. 40. 1. Follow all applicable Mayo Clinic policies. 2. Write in the first person. Where your connection to Mayo Clinic is apparent, make it clear that you are speaking for yourself and not on behalf of Mayo clinic. Disclaimer: “The views expressed on this [blog; website] are my own and do not reflect the views of my employer.” Thursday, September 25, 14
  41. 41. 3. If you identify your affiliation to Mayo Clinic, your social media activities should be consistent with Mayo’s high standards of professional conduct. 4. If you communicate in the public internet about Mayo clinic or Mayo Clinic-related matters, you must disclose your connection with Mayo clinic and your role at Mayo. Thursday, September 25, 14
  42. 42. 5. Be professional, use good judgement and be accurate and honest in your communications; errors, omissions or unprofessional language or behavior reflect poorly on Mayo, and may result in liability for you or Mayo clinic. Be respectful and professional to fellow employees, business partners, competitors and patients. Thursday, September 25, 14
  43. 43. 6. Ensure that your social media activity does not interfere with your work commitments. 7. Mayo Clinic strongly discourages “friending”of patients on social media websites. Staff in patient care roles generally should not initiate or accept friend requests except in unusual circumstances such as the situation where an in-person friendship pre-dates the treatment relationship. Thursday, September 25, 14
  44. 44. 8. Mayo Clinic discourages staff in management/ supervisory roles from initiating “friend” requests with employees they manage. Managers/supervisors may accept friend requests if initiated by the employee, and if the manager/ supervisor does not believe it will negatively impact the work relationship. Thursday, September 25, 14
  45. 45. #HealthXPH Social Media manifesto Thursday, September 25, 14
  46. 46. Let’s go!!! Thursday, September 25, 14
  47. 47. 100 Healthcare and Digital Health Influencers to Follow in 2014 Thursday, September 25, 14
  48. 48. Half of #HealthXPH @endocrine_witch @giasison @bonedoc @cebumd Thursday, September 25, 14
  49. 49. The goal of the Healthcare Hashtag Project is to make the use of Twitter more accessible for providers and the healthcare community as a whole. By lowering the learning curve of Twitter with a database of relevant hashtags to follow, we hope to help new and existing users alike to find the conversations that are of interest and importance. - Symplur.com Partners Screenshot from www.symplur.com/healthcare-hashtags “ Thursday, September 25, 14
  50. 50. #HealthXPh on Symplur Thursday, September 25, 14
  51. 51. #HealthXPH Symplur Stats 2 Jan - 18 May 2014 Thursday, September 25, 14
  52. 52. #HealthXPH tweetchat Mar 21, 2014 Thursday, September 25, 14
  53. 53. Trip to Dublin, Ireland to attend the global gathering of HealthXL 2014 Healthees Asia Pacific Finalist Thursday, September 25, 14
  54. 54. #HealthXPH Social network analysis using NodeXL Thursday, September 25, 14
  55. 55. I am a physician and I will conduct myself in a manner worthy of my profession even online. Whatever I post online in relation to my medical expertise should be of benefit to my countrymen. I will prioritize the advancement of health rather than medical products. 1 2 #HealthXPH Thursday, September 25, 14
  56. 56. I will not use online platforms to rant against or bash patients and healthcare professionals. I will refrain from posting information online that will compromise patient confidentiality. 3 4 #HealthXPH Thursday, September 25, 14
  57. 57. Thursday, September 25, 14

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