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Professional use of social media 2018

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Presentation to uOttawa undergraduate medical education program

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Professional use of social media 2018

  1. 1. Professional use of social media Presentation to uOttawa Undergraduate Medical Education Program Sept. 5, 2018 uOttawa Pat Rich @pat_Health #UOSM18
  2. 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. 3. Disclosures • Social media has provided me and continues to provide me with income and career advancement
  4. 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)
  5. 5. This Years Model
  6. 6. Last year’s message: Huge benefits to using social media in your medical career should you choose to do so But downsides and significant risks
  7. 7. This Years Model – online, digital and social
  8. 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. 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. 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. 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. 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
  13. 13. The power of social media
  14. 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
  15. 15. The power of social media
  16. 16. The power of social media (global)
  17. 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
  18. 18. Wield the lasso of truth
  19. 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. 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
  21. 21. Social media and academic medicine
  22. 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.
  23. 23. Fun with Twitter (an educational tool)
  24. 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. 25. The challenges Impact on patients Liability Privacy Ethics Boundaries Time theft Reputation Compensation
  26. 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
  27. 27. The rules summarized Protect patient privacy and confidentiality Be professional
  28. 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. 29. 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
  30. 30. Some words of wisdom (Dr. Joshua Tepper)
  31. 31. Downside of social media for medical students
  32. 32. “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
  33. 33. 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
  34. 34. More intolerance and polarization Sept 2, 2018
  35. 35. 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”
  36. 36. 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
  37. 37. 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.
  38. 38. 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.”
  39. 39. 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)
  40. 40. Canadian tweeters worth following
  41. 41. Canadian tweeters worth following
  42. 42. Canadian tweeters worth following
  43. 43. 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
  44. 44. Final words of wisdom (Dr. Jalali)
  45. 45. Here endeth the lesson. Thank you! Questions? Acknowledgement: Elvis Costello album covers used courtesy of Barney Bubbles

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