My talk on social media to the Allegheny Department of Anesthesiology in March 2017.

1. Social Media for the 21st
Century Anesthesiologist
Allegheny Health Network
March 7, 2017
Amanda Xi, MD, MSE
Resident Physician
Massachusetts General Hospital
#AnesSoMe

2. Disclosures
None
#AnesSoMe

3. Objectives
#AnesSoMe
● Define “digital footprint” and compare and contrast passive versus
active footprints
● Recognize the importance of professionalism and potential pitfalls
● Identify organizational social media policies and establish personal
guidelines
● Describe applications of social media to medical practice,
professional development and career advancement

4. Phones, tweets, snaps and
instagrams encouraged!
#AnesSoMe

5. Who uses social media?
#AnesSoMe

6. #AnesSoMe
AMA Insurance Agency. Work life profiles of today’s physician. https://www.amainsure.com/reports/work-life-profiles-of-todays-us-
physician.html. Accessed March 5, 2017.

7. https://www.linkedin.com/pulse/20140717153422-3690183--social-medicine-a-look-at-physician-use-of-social-media

8. #AnesSoMe

9. https://storify.com/amandasxi/help-on-anessome
#AnesSoMe

10. #AnesSoMe
http://www.medicine20congress.com/ocs/index.php/med/med2013/paper/view/1442

11. What is a “digital footprint”?
#AnesSoMe

12. #AnesSoMe
Pho K, Gay S. Establishing, Managing, And Protecting Your Online Reputation. 1st ed. Greenbranch Publishing; 2013.

13. Active vs. Passive Digital Footprints
Active
Under your control
Deliberate
Passive
What others write/post about you
Directory-type, online rating websites

14. Google Thyself
#AnesSoMe
Can you identify the
active vs. passive
results?

15. Google Thyself
#AnesSoMe
Can you identify the
active vs. passive
results?

16. Google Thyself
#AnesSoMe

17. Google Thyself
#AnesSoMe

18. Our patients use physician rating sites...
#AnesSoMe
Hanauer DA, Zheng K, Singer DC, Gebremariam A, Davis MM. Public Awareness, Perception, and Use of Online Physician Rating Sites.
JAMA. 2014;311(7):734-735. doi:10.1001/jama.2013.283194

19. ...even if they have scarce data
#AnesSoMe
Lagu T, Metayer K, Moran M, Ortiz L, Priya A, Goff SL, Lindenauer PK. Website Characteristics and Physician Reviews on Commercial
Physician-Rating Websites. JAMA. 2017;317(7):766-768. doi:10.1001/jama.2016.18553

20. ...even if they have scarce data
#AnesSoMe
Lagu T, Metayer K, Moran M, Ortiz L, Priya A, Goff SL, Lindenauer PK. Website Characteristics and Physician Reviews on Commercial
Physician-Rating Websites. JAMA. 2017;317(7):766-768. doi:10.1001/jama.2016.18553

21. What defines online professional
behavior?
#AnesSoMe

22. Sheldon B. Doctor resigns after backlash from Facebook post. KUSA. http://www.9news.com/news/local/doctor-resigns-after-backlash-from-facebook-post-/
361116206. Published December 2, 2016. Accessed March 3, 2017.
Denver Health Pediatric Anesthesiologist/University of Colorado Assistant Professor
#AnesSoMe

23. Examples of Unprofessional Online Conduct
Chretien KC, Greysen SR, Chretien JP, Kind T. Online posting of unprofessional content by medical students. JAMA. 2009;302(12):1309-15.
● Breaches of patient confidentiality
● Profanity, generally inappropriate language
● Discriminatory comments
● Depiction of intoxicationSexually suggestive material
● Conflicts of interest
● Inaccurate information/claims
#AnesSoMe

24. Kind T, Genrich G, Sodhi A, Chretien KC. Social media policies at US medical schools. Medical Education Online. 2010;15:10.3402/
meo.v15i0.5324. doi:10.3402/meo.v15i0.5324.
#AnesSoMe

25. Characteristics of Medical School Policies
● 37% of medical schools had publically available social media policies/
guidelines
● Of 41 social media policies publically available in 2013:
○ 90% mentioned professionalism
○ 70% mentioned confidentiality
○ 46% mentioned HIPAA violations
○ 27% mentioned career impact
Xi AS, Topf J, Stefaniak J. Key Characteristics of Current Social
Media Policies at U.S. Allopathic Medical Schools. Medicine 2.0
Conference. http://www.medicine20congress.com/ocs/index.php/
med/med2013/paper/view/1442. Accessed March 6, 2017.
#AnesSoMe

26. Chretien KC, Azar J, Kind T. Physicians on Twitter. JAMA. 2011;305(6):566-8.
#AnesSoMe

27. American Medical Association. Opinion 9.124 Professionalism in the use of social media. Code of Medical Ethics. http://www.ama-assn.org/
ama/pub/physicianresources/medical-ethics/code-medical-ethics/opinion9124.page? Accessed March 2, 2017.
Farnan JM, Snyder Sulmasy L, Worster BK, et al. Online medical professionalism: patient and public relationships: policy statement from the
American College of Physicians and the Federation of State Medical Boards. Ann Intern Med. 2013;158(8):620-627. #AnesSoMe

28. https://www.ahn.org/code-business-conduct #AnesSoMe

29. Basic Social Media “Rules”
Mandrola J. Dr. John M. http://www.drjohnm.org/2013/04/ten-simple-rules-for-doctors-on-social-media/. Published April 18, 2013.
Accessed March 5, 2017.
#AnesSoMe
1. Do not fear social media
2. Never post anything when angry
3. Strive for accuracy
4. When in doubt, pause
5. Don’t post anything that can identify a patient
6. Ask permission
7. Be respectful
8. Assume beneficence
9. Be careful “friending” patients online
10. Educate yourself and ask questions

30. How can I use social media?
#AnesSoMe

31. DeCamp M, Koenig TW, Chisolm MS. Social Media and Physicians’ Online Identity Crisis. JAMA.2013;310(6):581-582. doi:10.1001/jama.2013.8238
#AnesSoMe

32. DeCamp M, Koenig TW, Chisolm MS. Social Media and Physicians’ Online Identity Crisis. JAMA.2013;310(6):581-582. doi:10.1001/jama.2013.8238
#AnesSoMe

33. ~90%...
...of papers published in academic journals are never cited
#AnesSoMe
Meho LI. The Rise and Rise of Citation Analysis. physicsworld.com. http://physicsworld.com/. Published January 2007. Accessed March 2, 2017.

34. ~50%...
...of those papers were only read by the authors, referees and journal editors
#AnesSoMe
Meho LI. The Rise and Rise of Citation Analysis. physicsworld.com. http://physicsworld.com/. Published January 2007. Accessed March 2, 2017.

35. Social media as
the “new” impact
factor?
#AnesSoMe
Botting, N., Dipper, L. and Hilari, K. (2017), The effect of social media
promotion on academic article uptake. Journal of the Association for
Information Science and Technology, 68: 795–800. doi:10.1002/asi.23704

36. #AnesSoMe

37. #AnesSoMe

38. Ways Doctors Can Use Social Media
21 Ways Doctors Can Use Social Media. Marjorie Podraza
Stiegler, M.D. http://www.marjoriestieglermd.com/21-ways-
physicians-can-and-should-use-social-media/?hvid=5CCAzc.
Published February 19, 2016. Accessed March 6, 2017.
#AnesSoMe
● Curate a library
● Find collaborators
● Make a bigger difference by
disseminating your work
● Promote health literacy
● Engage in professional advocacy
● Influence policy
● Grow your practice by helping
patients find you
● Recruit the best partners,
associates, students, residents
● Make surprising connections
● Manage what patients see about
you and your professional
reputation
● Share your passion
● Make big projects easier
● Performance data for promotion
● Learn

39. How can I get started on social
media?
#AnesSoMe

40. Start by Lurking
Twitter Handles
@AHNtoday
@ASALifeline
@ALNanesthesia
@IARS_Journals
@amandasxi
@EMARIANOMD
@DrMStiegler
@ankeetudani
@colinjmccartney
@Ron_George
@KarenSibertMD
@Duke_Anesthesia
@Dal_Anesthesia
@DrSeanBarnes
@RKmd
Blogs
http://blog.amandaxi.com/
http://www.edmariano.com/
http://www.marjoriestieglermd.com/
http://apennedpoint.com/
https://rk.md/
http://www.blog.greatzs.com/
http://www.kevinmd.com/blog/
http://whitecoatinvestor.com/
http://skepticalscalpel.blogspot.com/
Twitter Hashtags
#AnesSoMe
#Anes16
#AnesJC
#perioptalk
#AnesGR
#AnesSoMe
http://list.ly/list/lWw-anesthesiologists-on-twitter
http://twittersuperuser.com/
http://www.doctorasdesigner.com/socialmedia/

41. Social Media Checklist
#AnesSoMe
1. Check your privacy settings on existing accounts
2. Decide on separation of personal/private accounts
3. Setup a Google Alert on your name
4. Setup professional profiles and update them quarterly
5. Utilize disclaimers
6. Think before posting
7. Stay open to opportunities
8. Have fun!

42. Questions?
#AnesSoMe

43. References
1. AMA Insurance Agency. Work life profiles of today’s physician. https://www.amainsure.com/reports/work-life-profiles-of-todays-us-physician.html. Accessed March 5,
2017.
2. Pho K, Gay S. Establishing, Managing, And Protecting Your Online Reputation. 1st ed. Greenbranch Publishing; 2013.
3. Hanauer DA, Zheng K, Singer DC, Gebremariam A, Davis MM. Public Awareness, Perception, and Use of Online Physician Rating Sites. JAMA. 2014;311(7):734-735.
doi:10.1001/jama.2013.283194
4. Lagu T, Metayer K, Moran M, Ortiz L, Priya A, Goff SL, Lindenauer PK. Website Characteristics and Physician Reviews on Commercial Physician-Rating Websites.
JAMA. 2017;317(7):766-768. doi:10.1001/jama.2016.18553
5. Sheldon B. Doctor resigns after backlash from Facebook post. KUSA. http://www.9news.com/news/local/doctor-resigns-after-backlash-from-facebook-post-/
361116206. Published December 2, 2016. Accessed March 3, 2017.
6. Chretien KC, Greysen SR, Chretien JP, Kind T. Online posting of unprofessional content by medical students. JAMA. 2009;302(12):1309-15.
7. Kind T, Genrich G, Sodhi A, Chretien KC. Social media policies at US medical schools. Medical Education Online. 2010;15:10.3402/meo.v15i0.5324. doi:10.3402/
meo.v15i0.5324.
8. Xi AS, Topf J, Stefaniak J. Key Characteristics of Current Social Media Policies at U.S. Allopathic Medical Schools. Medicine 2.0 Conference.
9. Chretien KC, Azar J, Kind T. Physicians on Twitter. JAMA. 2011;305(6):566-8.
10. American Medical Association. Opinion 9.124 Professionalism in the use of social media. Code of Medical Ethics. http://www.ama-assn.org/ama/pub/
physicianresources/medical-ethics/code-medical-ethics/opinion9124.page? Accessed March 2, 2017.
11. Farnan JM, Snyder Sulmasy L, Worster BK, et al. Online medical professionalism: patient and public relationships: policy statement from the American College of
Physicians and the Federation of State Medical Boards. Ann Intern Med. 2013;158(8):620-627.
12. http://www.medicine20congress.com/ocs/index.php/med/med2013/paper/view/1442. Accessed March 6, 2017.
13. Mandrola J. Dr. John M. http://www.drjohnm.org/2013/04/ten-simple-rules-for-doctors-on-social-media/. Published April 18, 2013. Accessed March 5, 2017.
14. DeCamp M, Koenig TW, Chisolm MS. Social Media and Physicians’ Online Identity Crisis. JAMA.2013;310(6):581-582. doi:10.1001/jama.2013.8238
15. Meho LI. The Rise and Rise of Citation Analysis. physicsworld.com. http://physicsworld.com/. Published January 2007. Accessed March 2, 2017.
16. Botting, N., Dipper, L. and Hilari, K. (2017), The effect of social media promotion on academic article uptake. Journal of the Association for Information Science and
Technology, 68: 795–800. doi:10.1002/asi.23704
17. 21 Ways Doctors Can Use Social Media. Marjorie Podraza Stiegler, M.D. http://www.marjoriestieglermd.com/21-ways-physicians-can-and-should-use-social-media/?
hvid=5CCAzc. Published February 19, 2016. Accessed March 6, 2017.