Canadian physicians and socialmedia: A prognosisBC Patient Safety and Quality CouncilMarch 7, 2012Pat Rich – Director, CMA...
The agenda1. Introduction2. What we know (and don’t know) about Canadian   doctors and their use of social media3. Why you...
Introduction
What we know about MDs and SM Limited good data on physicians and social media  use for professional purposes (even less ...
What we know about MDs and SM II Hot off Twitter: Randomized sample of 307 US  physicians conducted in summer of 2011 by ...
What we know about MDs and SM IIICanadian Medical Association ePanel Survey  2010 647 respondents (20% response rate)  no...
Epanel comments“Given the weight of privacy issues, using social  media in a physician-patient relationship is a  dangerou...
Why your doctor is probably notusing SM Time Money Regulatory environment    Privacy/security concerns    Boundary is...
Why your doctor is probably notusing SM II Regulatory environment    College of Physicians and Surgeons of BC - 2010    ...
Why your doctor is probably notusing SM IIIThe Council has recently become aware that some  physicians have posted informa...
Why your doctor is probably notusing SM IVCanadian Medical Protective Association – June 2010We’d rather you didn’t but if...
Why your doctor is probably notusing SM - V They have no time in busy practice dominated by  individual patient care The...
Why a doctor should consider SM To communicate more effectively with groups of  patients or the public To stay better in...
Why a doctor should consider SM II New and effective ways to communicate with and  engage patients      Write a blog to ...
“…as a profession we are justcoming to understand howthese social media can help usinteract and communicatebetter to engag...
Physician academic perspective“It is an important challenge for us as researchers and    health system leaders to work wit...
Physician champions IDr. Allan Brookstone
Physician champions IIDr. Brian Goldman
Physician champions IIIDr. Mike Evans
Physician champions VDr. Anne Marie Cunningham (@amcunningham)
Physician champions VIDr. Wendy SwansonSeattle, WA-based pediatrician and blogger who ispaid to write about issues of chil...
Epatient champions                 Dave deBronkart                 @epatientdave                 Founding member of       ...
Epatient championsRegina Halliday (@reginahalliday)
Medical Associations Generally more proactive than individual MDs in  use of social media to engage their members and  co...
Medical Associations IICanadian Medical AssociationLaunched social networking site for physicians(Asklepios) in 2008Firs...
Tips from an icon“Don’t be banal, self promote excessively,share confidential material (especially aboutpatients), be a tr...
Other Resources KevinMD.com   Foremost blog posting site for informative views on    physicians and use of social media...
Other resources
The prognosis Canadian physician use of various social media will  increase Social media will transform physician-patien...
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Canadian physicians and social media: A prognosis

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March 2012 overview of social media use by Canadian physicians.

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Canadian physicians and social media: A prognosis

  1. 1. Canadian physicians and socialmedia: A prognosisBC Patient Safety and Quality CouncilMarch 7, 2012Pat Rich – Director, CMA Online Content
  2. 2. The agenda1. Introduction2. What we know (and don’t know) about Canadian doctors and their use of social media3. Why your family doctor is probably not using SM4. Why a doctor should consider SM5. Physician champions6. What medical associations are doing7. Other resources
  3. 3. Introduction
  4. 4. What we know about MDs and SM Limited good data on physicians and social media use for professional purposes (even less for Canadian MDs) What we do know:  Physicians mirror rest of society in use of social media for personal reasons  Use of social media by physicians professionally is increasing
  5. 5. What we know about MDs and SM II Hot off Twitter: Randomized sample of 307 US physicians conducted in summer of 2011 by Deloitte Center for Health Solutions  6% report using social networks to communicate with patients
  6. 6. What we know about MDs and SM IIICanadian Medical Association ePanel Survey 2010 647 respondents (20% response rate) nonrandomized volunteers 80% believed SM poses legal and professional risks Use of social media professionally - Facebook – 1%, Twitter – 11%, Other social networking sites – 22%, Blog – 19%
  7. 7. Epanel comments“Given the weight of privacy issues, using social media in a physician-patient relationship is a dangerous trap, best to be avoided.”vs.“Social media is very important for us and should be harnessed. I greatly welcome this for patient- patient and physician-physician interaction.”
  8. 8. Why your doctor is probably notusing SM Time Money Regulatory environment  Privacy/security concerns  Boundary issues Lack of knowledge about technology Lack of proven clinical benefit
  9. 9. Why your doctor is probably notusing SM II Regulatory environment  College of Physicians and Surgeons of BC - 2010  Excellent, detailed document, setting down exactly what risks physicians face by using social media  Language does not encourage SM use * “exercise caution …” * “proceed carefully …” * exercise restraint …”
  10. 10. Why your doctor is probably notusing SM IIIThe Council has recently become aware that some physicians have posted information on Facebook … such that specific patients have been inadvertently identified…Council does not believe there is ever a need, or a point, to posting any information regarding a physician’s professional or clinical activity in such a fashion, considering the many risks and no discernable benefits. College of Physicians and Surgeons of New Brunswick
  11. 11. Why your doctor is probably notusing SM IVCanadian Medical Protective Association – June 2010We’d rather you didn’t but if you do …“While physicians are aware that disclosing patientinformation in public spaces such as hallways andelevators may breach their duty to protect patientconfidentiality and privacy, they may not realizesimilar discussions on social networking orprofessional websites can also constitute a breach.”
  12. 12. Why your doctor is probably notusing SM - V They have no time in busy practice dominated by individual patient care They don’t get paid to do it They don’t understand the technology and what they have heard about Facebook or Twitter doesn’t encourage them They don’t see how SM could be used to improve the care they deliver
  13. 13. Why a doctor should consider SM To communicate more effectively with groups of patients or the public To stay better informed and up-to-date about medical or health developments To exchange information with peers on a secure network To monitor public health trends To conduct medical research
  14. 14. Why a doctor should consider SM II New and effective ways to communicate with and engage patients  Write a blog to update people on useful health information  Correct erroneous information online  Post videos on YouTubes informing or educating patients about medical procedures  Start a Twitter account to tweet from medical conferences  Moderate a patient community discussion
  15. 15. “…as a profession we are justcoming to understand howthese social media can help usinteract and communicatebetter to engage inconversations about health orto more effectively delivermessages about better health…Don’t expect your doctor tobe your “friend” on Facebookbut don’t be surprised as yousee more and more doctorsusing these social media toolsin ways that can help makeeverybody’s health better.”Dr. John Haggie, CMA President
  16. 16. Physician academic perspective“It is an important challenge for us as researchers and health system leaders to work with the public to find ways to use the social media to achieve the ideal state … where important decisions are based upon a combination of evidence of needs and impacts; costs and affordability; and fairness and justice.” Andreas Laupacis Notes for the Justice Emmett Hall Lecture Halifax, Nova Scotia, Canada May 11, 2011
  17. 17. Physician champions IDr. Allan Brookstone
  18. 18. Physician champions IIDr. Brian Goldman
  19. 19. Physician champions IIIDr. Mike Evans
  20. 20. Physician champions VDr. Anne Marie Cunningham (@amcunningham)
  21. 21. Physician champions VIDr. Wendy SwansonSeattle, WA-based pediatrician and blogger who ispaid to write about issues of children’s health
  22. 22. Epatient champions Dave deBronkart @epatientdave Founding member of the Society for Participatory Medicine
  23. 23. Epatient championsRegina Halliday (@reginahalliday)
  24. 24. Medical Associations Generally more proactive than individual MDs in use of social media to engage their members and communicate with members and the public British Columbia Medical Association a pioneer in its use of Facebook about 3 years ago “[As] with any social media campaign, when you want to get people talking, we started the conversation with a question: do you think addiction is a disease or a human failing?” Sharon Shore, BCMA Communications and Public Affairs Officer
  25. 25. Medical Associations IICanadian Medical AssociationLaunched social networking site for physicians(Asklepios) in 2008First Twitter feed in 2009 (@cmaer)Twitter # with annual meeting starting in 2009Public engagement campaignwww.healthcaretransformation.ca 2011Developed SM guidelines for members 2011
  26. 26. Tips from an icon“Don’t be banal, self promote excessively,share confidential material (especially aboutpatients), be a troll, break the law, commit alibel, or overdo it.”  Dr. Richard Smith, BMJ, March 1, 2012
  27. 27. Other Resources KevinMD.com  Foremost blog posting site for informative views on physicians and use of social media #hcsmca  Foremost Canadian Twitter stream for posting of issues relating to social media in health care. Weekly Tweetup at 1 pm (EST) on Wednesdays
  28. 28. Other resources
  29. 29. The prognosis Canadian physician use of various social media will increase Social media will transform physician-patient interactions in some situations Social media will strengthen the ePatient movement Social media will lead to a re-evaluation of the ethics and professionalism surrounding boundary issues for physicians

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