This document summarizes a presentation on the professional use of social media. It discusses both the benefits and risks of using social media in an academic medical career. It provides examples of how social media can be used as an educational tool and to establish an online presence. However, it also notes the challenges of impact on patients, liability, privacy and maintaining professionalism online. The presentation concludes with case studies and suggestions for appropriate social media use by medical students and professionals.
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Professional use of social media 2018
1. Professional use of social
media
Presentation to uOttawa Undergraduate Medical
Education Program
Sept. 5, 2018
uOttawa
Pat Rich @pat_Health #UOSM18
2. Lecture objectives
Discuss the potential 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. Disclosures
• Social media has
provided me and
continues to provide
me with income and
career advancement
4. Who I am
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 (well, not really)
8. This year’s message
Huge benefits to using social media
in your academic medical career
should you choose to do so
Downsides and risks still there and
more polarization and intolerance
9. “
”
“To be a 21st century scholar
of impact you must contribute
to social media
Dr. Felix Ankel, professor of emergency medicine, University of
Minnesota, podcast, May, 2018
10. “
”
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
11. 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
12. Being a digital doctor
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
14. The power of social media
“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)
On debate around the 2016 OMA draft agreement
17. Participate in meaningful progress
“Physicians of all ages are using social media, and many women are communicating
on virtual platforms to connect with each other and with supportive male colleagues.
The sheer number of women physicians participating and their robust engagement
suggest that they value these online connections.”
June 14,
2018
#metoomedicine #illooklikeasurgeon
19. 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
20. Social media and academic medicine
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. Social media and academic medicine
“Social media is a tool that the modern scholar and scientist should
have in their armamentarium”
* Being engaged in social media can assist you in your academic
work by cultivating mentors, raising awareness of your research and
scholarship, and facilitating scholarly collaborations.
* A prominent social media presence has the potential to
influence public opinion and could drive funding for research
and education or support policies consistent with scientific evidence.
Social Media and the 21st-Century Scholar: How You Can Harness
Social Media to Amplify Your Career, Journal of the American
College of Radiology, Jan. 2018, Teresa Chan MD et. Al.
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. The challenges
Impact on patients
Liability
Privacy
Ethics
Boundaries
Time theft
Reputation
Compensation
26. Who’s 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
28. The rules in 12 words
“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.
30. Twitter pros 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
Exposure to potentially toxic
environment
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. Medical Twitter can be toxic
“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
36. Outcome of Ontario situation
Canadian Medical Association hosted session on intra-
professionalism with focus on disrespectful activity on social
media – integrated into new draft Code of Ethics and
Professionalism
Some physicians reported to the CPSO for inappropriate
behavior and disciplined for their comments
Some physicians criticized OMA and other doctors for
reporting doctors to CPSO and have condemned OMA for
“muzzling free speech”
37. 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
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. Case 2: Variations
Is it OK for Susan to look up the patient:
If she feared for the safety of the patient
If she feared for her own safety
If she worked in the ER
If she thought her patient may be famous
“Do it if your conscience says there’s a good clinical reason for doing
so.”
40. 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)
44. Select others to follow
@anetto – patient advocate
@couragesings – patient advocate
@nightshiftMD – Dr. Brian Goldman
@DrJoshuaTepper – CEO of Health Quality Ontario (soon to be CEO at NYGH)
@DocSchmadia – Dr. Nadia Alam – Current president OMA
@drcadesky – Current president Doctors of BC
@endocrine_witch Philippine endorcrinologist Dr. Iris Tan (#healthxph)
@shawn_whatley – Past OMA President, blogger