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Professional use of social media in medical education


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Lecture to first year uOttawa medical students by Pat Rich and Ann Fuller

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Professional use of social media in medical education

  1. 1. 1 Professional use of social media in medical education Presentation to uOttawa Undergraduate Medical Education Program Sept. 10, 2013 uOttawa Pat Rich @cmaer Ann Fuller @annfuller
  2. 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. 3 Who we are Ann Fuller – Director, Public Relations - CHEO Pat Rich – Director and Editor-in-chief, Canadian Medical Association Both experienced health care communicators 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 WE ARE NOT Physicians Academics
  4. 4. WhatisSocialMedia?  Extension of every day interaction  Conversations & exchange  Communities of shared interest  Tools for innovation  Integrates technology
  5. 5. 5 “We have current roles and guidelines but times are changing quickly. By 2017 patients and their health care providers are going to be communicating very differently.” Dr. Darren Beiko, Queens University urologist, July, 2013
  6. 6. 6 A changing environment  New health information technology tools  Engaged patients  Collaborative, team-based care
  7. 7. 7 A changing environment  A variety of forces are conspiring to redefine the physician: tech | information | health 2.0. We must understand our evolving role  Reality of the networked world: social communication will define the way MDs engage, learn and communicate  The most important decision a physician will make is who and what to listen to  The internet has changed the way patients see doctors, their diseases and themselves  Med students are at a very unique point in med history: Between a collapsing analog age and an emerging digital age  A great digital footprint will never cover for a doctor’s poor care Dr. Bryan Vartabedian, adapted tweets from lecture to first year Baylor College of Medicine Students
  8. 8. Whycare?
  9. 9. HealthEducation
  10. 10. HealthEducation
  11. 11. Engagement
  12. 12. Drug-Drug Interaction Alert Project Collaboration
  13. 13. Research & Academic Mandate  Knowledge exchange & crowdsource  Teaching tool  Raise visibility for experts/expertise  Clinical trial recruitment Research/Acadmic
  14. 14. The importance of Social Media in Medicine Dr. Scott Strayer, Univ of Virginia Health System
  15. 15. Average time between discovery of medical innovation and widespread adoption?
  16. 16. Patient Care & Support  Anti stigma  Patient & family support groups  Clinical diagnosis  Patient care ApplicationsofSocial NetworksforHospitals
  17. 17. Courtesy Dr. Mistry, SickKids
  18. 18. Courtesy Dr. Mistry, SickKids
  19. 19. Flickr, USHR FD
  20. 20. #haiti #cholera
  21. 21. 31 I think there are too many people on the Web offering advice to you on how to use social media. Most of this advice is just regurgitated advice from people you may never have heard of before, …You really don’t need “How To” tips on blogging or Twitter. Oh, I’m confident that you’ll be told otherwise – but those folks, well-intentioned as they may be, don’t understand that you’re smarter than that. Rather than learn bad habits from the get-go, take advantage of your lack of experience. It’s okay to make mistakes that don’t cause harm and violate the privacy and dignity of others. From: Physician Social Media: Has Advice About It Become a Crock? Yes @philbaumann, Jan. 1, 2013
  22. 22. 32 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 ….. Und so weiter
  23. 23. 33 The rules - translated “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
  24. 24. 34 The rules - translated  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
  25. 25. 35 Key elements of the rules * Apply same principles of professionalism that apply in person * Respect patient confidentiality “Student professionalism … can be strained by the use of social media due to its familiarity, ubiquity and impersonal nature.” “Social media should be treated as a public forum akin to an op-ed in a newspaper or a lecture. Anything that would be inappropriate to share in these more traditional outlets should be considered inappropriate to share online.” CFMS Guide to Medical Professionalism: Recommendations for Social Media
  26. 26. 36 CMA guidance  Rules of Engagement  Understand technology and audience  Be transparent  Respect others  Focus on areas of expertise
  27. 27.  Impact to patients  Liability  Privacy  Ethics  Boundaries  Time theft  Reputation  Compensation Thechallenges
  28. 28. 38 What not to do Chicago Doctor Accused of Posting Photos of Intoxicated Patient Aug. 20, 2013 (AP) By ALANA ABRAMSON A former Northwestern University student claims that after she was admitted to an Illinois hospital for extreme intoxication, a doctor there took photos of her and posted them to social media sites with commentary about her condition. Elena Chernyakova filed suit in the Cook County Circuit Court against Dr. Vinaya Puppala, the Feinberg School of Medicine and the Northwestern Memorial Hospital on Aug. 15, claiming invasion of privacy and infliction of emotional distress. Puppala is a fellow in the Multidisciplinary Pain Medicine Fellowship at Feinberg, which works in conjunction with Northwestern Memorial Hospital, according to court documents.
  29. 29. 39 Twitter post by Tennessee cardiologist, Nov. 15, 2012 What not to do - II
  30. 30. 40 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  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
  31. 31. 41 Why consider using social media (post-graduate) For public health purposes (e.g. tracking epidemics or spread of new pathogens)  To show your clinical technique on YouTube  For public health purposes (e.g. tracking epidemics or spread of new pathogens)  To help get a job  To deliver clinical care!!!
  32. 32. Join Groups Recruitment
  33. 33. 43 Social media at school What the CFMS guide says: “… the rules of academic integrity continue to apply online. Social media and the internet should not be used for plagiarism or gaining unfair advantages with respect to evaluation, such as by sharing or receiving exam content.”
  34. 34. 44 Social media at medical school II Students who don’t use social media in school “are missing out.” Dr. Mike Leveridge, Queen’s University urologist
  35. 35. 45 -“For those of us who have the philosophy that we want to graduate docs who are better than we are, Twitter is a great thing.” Dr. Chris Simpson, cardiologist and CMA President-Elect
  36. 36. 46 Using social media in medical school: Suggestions  Facebook presence for classmates etc  LinkedIn account to:  Build network for future career  Follow discussion forums on medical education  Twitter account to:  Develop your list of people, journals and other accounts to follow  Watch (and engage) medical Twitter community (e.g. #hcsmca, #hcsm)  Follow and engage your professors
  37. 37. 47 Social media and you, the medical student Students come to medicine with a relatively self-focused view of their networked world, and don’t yet understand how they fit into the broader networked world. As they mature professionally, they recognize that they are part of a broader community, which brings accountability. This progression has real importance when we expose ourselves to the great wide open. Dr. Bryan Vartabedian, Aug. 14 (Wing of Zock via. 33charts)
  38. 38. 48 ▸ Questions?