Social Media and Medical Professionalism

Social Media and
Medical Professionalism
Iris Thiele Isip Tan MD, Msc
Chief, Medical Informatics Unit
Assoc. Professor 4, UP College of Medicine
23 Sept 2014
Department of Medicine Grand Rounds
Social Media Class by mkhmarketing, https://flic.kr/p/e1HpQq
Thursday, September 25, 14

The Facebook post that led
to this grand rounds :) Int J Med Students 2014;2(2):64-67

Heroes: M by Frederic Poirot
https://flic.kr/p/wGjzG
Facebook by Dimitris Kalogeropoylos,
https://flic.kr/p/8kvsXB
Social media
policy
#HealthXPH
#SoMe
manifesto
Medical
professionalism
in the age
of Internet

What are our commitments?
Medical professionalism
in the age of Internet
Heroes: M by Frederic Poirot
https://flic.kr/p/wGjzG

Patient welfare
Patient autonomy
Social justice hospital corridor 2 by Pam Roth
Medical Professionalism in
the New Millennium:
A Physician Charter
http://www.freeimages.com/photo/65904
Ann Intern Med 2002;136(3):243-6

Professional
competence
Honesty
with
patients
Patient
confidentiality
Maintaining appropriate
relations with patients
wit
Improving
quality of care
Just distribution of
finite resources
Improving
access to
care
Scientific
knowledge
Maintaining trust by
managing conflict
of interest
Professional
responsibilities
A Set of
Professional
Responsibilities
Ann Intern Med 2002;136(3):243-6
Raise your hands by Stina Jonsson,
https://flic.kr/p/6ZwuPm

The Impact of Social Media on Medical
Professionalism: A Systematic Qualitative
Review of Challenges & Opportunities
Gholami-Kordkheili F, Wild V, Strech D. J Med Internet Res 2013;15(8):e184 Wet feet by Guy Donges,
https://flic.kr/p/KX9vX

Social media as a tool for
improved information sharing
Multiple Tweets Plain by mkhmarketing
https://flic.kr/p/dVaqmj
Commitment to
Professional Competence
Gholami-Kordkheili F, Wild V, Strech D.
J Med Internet Res 2013;15(8):e184
#HealthXPh

Online medical content curation & personal time
management with Web 2.0: an exciting era
Bertalan Mesko MD
@berci

Improving access to and
benefits of conferences
#ICEENDO2014
Commitment to

Accessing news/
information from
professional
organizations
Commitment to

Commitment to
Increasing involvement by
doctors in underserved areas
#HealthXPh tweetchat
Saturdays, 9 pm Gholami-Kordkheili F, Wild V, Strech D.

Facilitating continuing
education for post-graduates/
clinicians
Committing to lifelong learning
supported by social media
www.webicina.com

@DrHWoo
#urojc
Improvement in learning
patterns
Committing to lifelong learning
supported by social media

Mentoring
student’s reasonable
engagement in
social media

Ensuring evidence-based
CME in the environment
of social media
N Engl J Med 366;12
Challenge

Managing disclosure of
additional patient information
that a physician gathered online
The New York Times
Commitment to
honesty with patients
Gholami-Kordkheili F, Wild V, Strech D. J Med Internet Res 2013;15(8):e184

Picture redacted
Names
Geographic information
Dates (e.g. birth date, admission
date, discharge date, date of death)
Telephone numbers
Fax numbers
Email addresses
Social security numbers
Medical record numbers
Health plan beneficiary numbers
Account numbers
Certificate/license numbers
Vehicle identifiers and serial numbers,
including license plate numbers
Device identifiers and serial numbers
URLs
IP address numbers
Biometric identifiers (e.g. finger and
voice prints)
Full-face photographic images & any
comparable images
Other unique identifying numbers,
Commitment to patient characteristics or codes
confidentiality

Picture redacted
Dealing with social media as a source for
(third-party) misunderstanding and
misinterpretation
Commitment to patient
confidentiality
Gholami-Kordkheili F, Wild V, Strech D. J
Med Internet Res 2013;15(8):e184

www.psmag.com

Reasonable self-disclosure of
health care providers in
social media
Commitment to maintaining
appropriate relations with patients

http://therealsingapore.com/content/radiographer-makes-nasty-remarks-about-patients-urine-and-menses-online
Preventing inadequate stress relief
through social media by posting
patient sensitive information
Challenge
Gholami-Kordkheili F, Wild V, Strech D. J
Med Internet Res 2013;15(8):e184

#hcldr
Commitment to improving
quality of care
Care improvement via online
feedback to providers;
reducing power imbalances
through social media

Facilitating online
medical assistance
through social media
Commitment to improving
access to care

www.facebook.com/
EndocrineWitch
Managing access to Internet technology
in order to engage in social media

Commitment to
scientific knowledge
Twitter as a personal
learning network

FDA
NoFocus (remembrine HCl) for mild to moderate
memory loss - may cause seizures in patients
with a seizure disorder www.nofocus.com/risk
Commitment to maintaining
trust by managing
conflicts of interest
Maintaining transparency and
dealing with advertisement
and lobbying on social media
Gholami-Kordkheili F, Wild V, Strech D. platforms
Twitter bird logo icon illustration by Matt Hamm,
https://flic.kr/p/6a2ssY

Don’t lie. Don’t pry.
Don’t cheat. Can’t delete.
Don’t steal. Don’t reveal.
Ensuring public trust while
engaging on social media
platforms
Commitment to
professional responsibilities
A 12-word Social Media Policy
Farris Timimi, Mayo Clinic Center for Social Media
If it’s on the Internet, it isn’t private by DonkeyHotey,
https://flic.kr/p/9RYZvc

Facebook by Dimitris Kalogeropoylos, https://flic.kr/p/8kvsXB
Let’s do this!
isiptan@endocrine-witch.net
Social media policy

AO No. CMBA-2014–092
Guidelines for Posting Materials on Website and Social Media
When uploading visuals
When posting/reposting/sharing links
When updating status/writing banners

Share links or articles that come from credible sources or
established groups or organizations with track record, whether
in media, health professional societies or health organizations or
institutions (e.g. CNN, BBC, ABS-CBN, GMA for media; DOH, PCHRD for health orgs
and WHO, PCP for health professional societies) to uphold the credibility of the
article.

For our purposes, the following are not considered credible sources: blogs,
FB posts or other self-authored sites and research articles without citations;
websites without an author or which are not by a government entity or health
organization, materials published 15 or more years ago.

Health advisories/tips for uploading must come from our own
experts (i.e. graduates/alumni, officials, faculty members, doctors, nurses, dentists,
pharmacists, therapists, public health professionals); please coordinate with the
concerned departments of UPCM/PGH and those of the colleges
for advisory requests on a particular health problem or disorder.

Please refrain from including data or information
that are for internal use only.
Refrain from using informal/colloquial words in
addressing the community; construct sentences
or phrases in formal and straight English.
Remember to always use politically correct and
gender sensitive terms.
Guidelines for Posting Materials
on Website and Social Media
http://dcharmedone.wordpress.com/2010/05/17/what-is-jejemon/

Data Privacy Act
of 2012
The unauthorized processing
of personal sensitive
information shall be penalized
by imprisonment ranging from
3 y to 6 y and a fine of not less
than P500,000 but not more
than P4,000,000 (maximum
penalty if at least 100 persons
harmed)

Data Privacy Act
of 2012
Access due to negligence
Improper disposal
Unauthorized purposes
Unauthorized access or
intentional breach
Concealment of security
breach
Malicious disclosure
Unauthorized disclosure

Suggested Elements of Social Media Policies
Jeff Cain, Am J Health-Syst Pharm 2011;68:1036-40.
Reputation of
organization
Define who is permitted to speak on
behalf of the organization
Privacy
Should not reveal private information
about patients
Productivity
Personal use is permissible only
during non-work hours
Playbricks 3 by Paul Preacher,
http://www.freeimages.com/photo/205911
General
State that organizational policies are
applicable to social media
communications

1. Follow all applicable Mayo Clinic policies.
2. Write in the first person. Where your connection to Mayo
Clinic is apparent, make it clear that you are speaking for yourself
and not on behalf of Mayo clinic.
Disclaimer: “The views expressed on this [blog; website] are my own and do
not reflect the views of my employer.”

3. If you identify your affiliation to Mayo Clinic, your social
media activities should be consistent with Mayo’s high
standards of professional conduct.
4. If you communicate in the public internet about Mayo
clinic or Mayo Clinic-related matters, you must disclose
your connection with Mayo clinic and your role at Mayo.

5. Be professional, use good judgement and be accurate
and honest in your communications; errors, omissions or
unprofessional language or behavior reflect poorly on Mayo, and
may result in liability for you or Mayo clinic. Be respectful and
professional to fellow employees, business partners, competitors
and patients.

6. Ensure that your social media activity does not interfere
with your work commitments.
7. Mayo Clinic strongly discourages “friending”of patients
on social media websites. Staff in patient care roles generally should
not initiate or accept friend requests except in unusual circumstances such
as the situation where an in-person friendship pre-dates the treatment
relationship.

8. Mayo Clinic discourages staff in management/
supervisory roles from initiating “friend” requests with
employees they manage. Managers/supervisors may accept
friend requests if initiated by the employee, and if the manager/
supervisor does not believe it will negatively impact the work
relationship.

#HealthXPH
Social Media manifesto

Let’s go!!!

100 Healthcare and Digital
Health Influencers to
Follow in 2014

Half
of #HealthXPH
@endocrine_witch @giasison @bonedoc @cebumd

The goal of the Healthcare Hashtag Project is to make
the use of Twitter more accessible for providers and
the healthcare community as a whole.
By lowering the learning curve of Twitter with a
database of relevant hashtags to follow, we hope to help
new and existing users alike to find the conversations
that are of interest and importance.
- Symplur.com
Partners
Screenshot from www.symplur.com/healthcare-hashtags
“

#HealthXPh on Symplur

#HealthXPH
Symplur Stats 2 Jan - 18 May 2014

#HealthXPH tweetchat Mar 21, 2014

Trip to Dublin, Ireland to
attend the global gathering of
HealthXL
2014 Healthees
Asia Pacific Finalist

#HealthXPH
Social network analysis
using NodeXL

I am a physician and I will conduct myself in a
manner worthy of my profession even online.
Whatever I post online in relation to my medical
expertise should be of benefit to my countrymen. I
will prioritize the advancement of health rather than
medical products.
1
2
#HealthXPH

I will not use online platforms to rant against or bash
patients and healthcare professionals.
I will refrain from posting information online that will
compromise patient confidentiality.
3
4
#HealthXPH

Social Media and Medical Professionalism

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