Social Media: Professionalism. Allan F. Simpao, MD Social Media-iTech in Anesthesia Workshop March 8, 2014

Transcription

1 Social Media: Professionalism Allan F. Simpao, MD Social Media-iTech in Anesthesia Workshop March 8, 2014

2 No disclosures.

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4 What is a profession? Body of knowledge and technical skills Shared commitment Self-regulation Code of ethics Contract with society

5 Charter on medical professionalism Professional competence Honesty with patients Patient confidentiality Maintaining appropriate relations with patients Improving quality of care Improving access to care Just distribution of finite resources Scientific knowledge Maintaining trust by managing conflicts of interest Professional responsibilities

6 ACGME Core Competency Commitment to professional responsibilities Adherence to ethical principles Compassion, integrity, and respect for others Responsiveness to patient needs Respect for patient privacy and autonomy Accountability to patients, society and the profession Sensitivity to a diverse patient population

7 Social Media Benefits Dr. Hau: Communication, networking, activism, education Dr. Galvez: Analytics, Big Data, patient care, privacy

8 Social Media Drawbacks Permanent Public

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15 Professionalism in Social Media Online blurring of professional and private lives Online activity may be seen as a proxy for the common sense and trustworthiness required for patient care Many policies lack specific guidance for online behavior

16 HIPAA and Privacy in Social Media Recall that virtually everything in social media is public HIPAA Privacy Rule Well-publicized, often inadvertent HIPAA breaches

17 Patient Communication via Social Media Patients may desire communication via social media Postings on third-party sites likely belong to the site Can be difficult to maintain privacy on third-party sites

18 Professionalism in Social Media Chretien KC, Kind T. Social media as a tool in medicine. Circulation 2013.

19 Posting about Patients on Social Media De-identify the patient Use a respectful tone Unlink the narrative to a specific institution Chretien KC, Kind T. Social media as a tool in medicine. Circulation 2013.

20 Looking up Patients on Social Media Most health care providers feel that social media info is fair game Significant variation in response to accessed information

21 Friending Patients on Social Media Never extend a friend request to a patient Avoid accepting invitations Explain with a face-to-face discussion

22 Many other aspects Legal implications Physician ratings sites Giving medical advice Commercial exploitation

23 Social Media Policy Does my institution have a professionalism in social media policy? If so, is anyone aware that the policy exists and do people adhere to it? If not, how does one make a policy on professionalism in social media?

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26 Avoid Social Media? Role model Trainees Patients Colleagues

27 Pause and Picture Parents Patients Peers Privacy Officer Plaintiff s Attorneys

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29 References ACGME Common Program Requirements. Available at Last accessed on February 6, American Board of Internal Medicine Foundation. American College of Physicians American Society of Internal Medicine Foundation. European Federation of Internal Medicine Medical professionalism in the new millennium: a physician charter. Ann Intern Med. 2002;136(3): Barak N, Pavelski J. The worse social media blunders of New York Post Dec 31. Bernhardt JM, Alber J, Gold RS. A Social Media Primer for Professionals: Digital Dos and Don'ts. Health Promot Pract Jan 6. Chretien KC, Kind T. Social media as a tool in medicine. Circulation. 2013; 127: Epstein RM, Hundert EM. Defining and assessing professional competence. JAMA. 2002;287(2): Farnan JM, et al. Online Medical Professionalism: Patient and Public Relationships: Policy Statement From the American College of Physicians and the Federation of State Medical Boards. Annals of Int Med. 2013;158(8): Guseh JS II., Brendel RW, Brendel DH. Medical professionalism in the age of online social networking. J Med Ethics. 2009;35: Jent JF, Eaton CK, Merrick MT, Englebert NE, Dandes SK, Chapman AV, Hershorin ER. The decision to access patient information from a social media site: what would you do? J Adolesc Health. 2011;49: Fisher J, Clayton M. Who gives a tweet: assessing patients interest in the use of social media for health care. Worldviews Evid Based Nurs. 2012;9: Kind T, Patel PD, Lie DA. Opting in to Online Professionalism: Social Media and Pediatrics. Pediatrics. 2013;132(5): Kirk LM. Professionalism in medicine: definitions and considerations for teaching. Proc Bayl Univ Med Cent. 2007;20(1)13-16.

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