Lecture slides (but not as exactly given as I forgot to download the right slide deck) from talk to 1st year uOttawa medical students for 2015

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Professional use of social media in
medical education
Presentation to uOttawa Undergraduate Medical Education
Program
Sept. 2, 2015
uOttawa
Ann Fuller @annfuller
Pat Rich @cmaer

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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.

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Who I am
Pat Rich – Strategic Advisor, CMA
Enterprise Marketing and
Communications
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

4. Medical students and social media
– A perspective
When I was a child, I spoke as a
child, I understood as a child, I
thought as a child; but when I
became a man, I put away childish
things
1 Corinthians 13

5. WhatisSocialMedia?
 Extension of every day interaction
 Conversations & exchange
 Communities of shared interest
 Tools for innovation
 Integrates technology

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Social media, health care
and medical students – a
timely case study
Canadian Medical
Association General
Council meeting
Halifax – Aug. 24-26

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#cmagc
Impressions – 23.4 million
Tweets - 10,758
Participants - 1,946

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A changing environment: Are you digitally literate
enough to be a physician?
“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
The democratization of media has made every physician an independent
publisher …physicians now have to learn to manage and maintain their
identity in the public space,”
Dr. Bryan Vartabedian,
From an article by Stephen Pelletier, in the AAMC Reporter,
Aug, 2014

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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

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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

12.  Impact to patients
 Liability
 Privacy
 Ethics
 Boundaries
 Time theft
 Reputation
 Compensation
Thechallenges

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Opportunities for change
Patient
& family
support
AdvocacyHealth
Education
Clinical care Research

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Opportunities for change
Health
Education

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Opportunities for change
Patient
& family
support

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Opportunities for change
Clinical care

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Opportunities for change
Advocacy

19. Average time between
discovery of medical
innovation and widespread
adoption?

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Social media “policies” by
academic medical centers or
medical schools point out the
“don’t do this, don’t do that”, but
let’s also focus on what the
trainees CAN do. Let’s
consider how we can IMPROVE
our current health care system
and ultimately the care of
patients with innovative uses of
social media and social
networking …
Dr. Alex Djuricich, Associate
Dean for CME, University of
Indiana School of Medicine

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Who is 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

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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

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“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

27. Case study: 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

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Discussion
Is it reasonable for the residency program director to tell this resident that
this non-medical blog should be removed? The residency director tells this
resident to remove his blog. What would an appropriate response be?
 A. What a resident does on his own time is his business.
 B. He should have asked him to remove the offending posts and be
careful in the future.
 C. When you are a student and resident, you are ultimately under the
guidance of your dean and residency director.

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Case study II – Looking up patients on Facebook
Susan is a psychiatrist who is treating a patient who is
will 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
Facebook to see what – if anything has been written
about him.

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Case study II – Looking up patients on Facebook
 Topic of widespread ongoing debate in the social
media community
 Would it be a different situation if Susan just thought
the patient was vaguely recognizable and checked on
Facebook to see if he was anybody famous?
 “Do it if your conscience says there’s a good clinical
reason for doing so.”
– White Coat Black Art host Dr. Brian Goldman

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Social media at
medical school
Students who
don’t use social
media in school
“are missing out.”
Dr. Mike Leveridge,
Queen’s University
urologist

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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

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▸Questions?