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Professional Use of
Social Media
PRESENTATION TO UOTTAWA UNDERGRADUATE MEDICAL
EDUCATION PROGRAM
SEPT. 1, 2020
PAT RICH
@PAT_HEALTH
#UOSM20
Professional use of Social
Media: The 2020 Virtual Edition
AN AGONY IN FOUR FITS
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.
Disclosures
• Some people pay me toTweet
Professional use of social media –
virtual session agenda
• 1. Why
•2. How
•3. Principles of professional use
•4. Case studies, caveats and miscellanea
• Case 1: After a night out with friends, Kiara– a first year
medical student posts pictures of herself enjoying a socially-
distanced beer at a pub with friends. Are these pictures
appropriate?
• Case 2: Brandon is a medical student who 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. A
professor tells him that he must delete his posts as they do not
reflect well on the medical school.
• Case 3: 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 help 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.
Why?
“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, former CEO, Canadian Medical
ProtectiveAssociation
“
”
Welcome to the future …
where doctors and nurses are
no longer dispassionate
enigmas; we’re humans with
online lives, dog pictures and
grief that we need to process
Tricia Pendergast (on the sheMD blog, May 31, 2019)
Social media are also IRL
THE GOOD AND THE SAD
Why?
Using social media as a medical
student or physician
•
•
•
It’s not rocket science
Rather than learn bad habits
from the get-go, take advantage
of your lack of experience. It’s
okay to make mistakes that don’t
cause harm and violate the
privacy and dignity of others.
From: Physician Social Media: Has Advice About It
Become a Crock?Yes @philbaumann, Jan. 1, 2013
But it can explode on you
Some words of wisdom (Dr. Joshua Tepper)
Wield the lasso of truth
Advocacy
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 Protective Association
Principles for the use of social media
The principles for the
professional use of social
media have not changed since
social media platforms came
into use
Principles for use of social media
• Protect patient confidentiality
(default position)
• Be Professional
• Factual and transparent
• Polite (!?)
• Attribute
Don’t Lie, Don’t Pry
Don’t Cheat, Can’t Delete
Don’t Steal. Don’t Reveal
Dr. FarrisTimimi, medical director,
Mayo Clinic Center for Social Media,
April 5, 2012
The Boundary Fallacy
Keeping a boundary between professional and personal life on social media is
“operationally impossible, lacking in-agreement among active physician
social media users, inconsistent with the concept of professional identity, and
potentially harmful to physician and patients.”
Rather than eliminating boundaries and “suggesting anything goes,”
physicians should just ask themselves whether what they are posting on
social media is appropriate for a physician in a public space – with the issue of
the content being professional or personal being irrelevant.
“Social Media and Physicians’ Online Identity Crisis” published in JAMA, Aug. 14 2013 (v.310,
no: 6, 581-582).
The new professionalism
Three cases
• Case 1: After a night out with friends, Kiara– a first year medical student
posts pictures of herself enjoying a socially-distanced beer at a pub with
friends. Are these pictures appropriate?
• Case 2: Brandon is a medical student 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. A professor
tells him that he must delete his posts as they do not reflect well on the
medical school.
• Case 3: 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
help 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.
Final words of wisdom (Dr. Jalali)
Thank you!
Questions?

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Professional Use of Social Media 2020

  • 1. Professional Use of Social Media PRESENTATION TO UOTTAWA UNDERGRADUATE MEDICAL EDUCATION PROGRAM SEPT. 1, 2020 PAT RICH @PAT_HEALTH #UOSM20
  • 2. Professional use of Social Media: The 2020 Virtual Edition AN AGONY IN FOUR FITS
  • 3. 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.
  • 5. Professional use of social media – virtual session agenda • 1. Why •2. How •3. Principles of professional use •4. Case studies, caveats and miscellanea
  • 6. • Case 1: After a night out with friends, Kiara– a first year medical student posts pictures of herself enjoying a socially- distanced beer at a pub with friends. Are these pictures appropriate? • Case 2: Brandon is a medical student who 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. A professor tells him that he must delete his posts as they do not reflect well on the medical school. • Case 3: 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 help 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.
  • 7. Why? “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, former CEO, Canadian Medical ProtectiveAssociation
  • 8. “ ” Welcome to the future … where doctors and nurses are no longer dispassionate enigmas; we’re humans with online lives, dog pictures and grief that we need to process Tricia Pendergast (on the sheMD blog, May 31, 2019)
  • 9. Social media are also IRL THE GOOD AND THE SAD
  • 10. Why?
  • 11. Using social media as a medical student or physician • • •
  • 12. It’s not rocket science Rather than learn bad habits from the get-go, take advantage of your lack of experience. It’s okay to make mistakes that don’t cause harm and violate the privacy and dignity of others. From: Physician Social Media: Has Advice About It Become a Crock?Yes @philbaumann, Jan. 1, 2013
  • 13. But it can explode on you
  • 14. Some words of wisdom (Dr. Joshua Tepper)
  • 15. Wield the lasso of truth
  • 17. 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 Protective Association
  • 18. Principles for the use of social media The principles for the professional use of social media have not changed since social media platforms came into use
  • 19. Principles for use of social media • Protect patient confidentiality (default position) • Be Professional • Factual and transparent • Polite (!?) • Attribute
  • 20. Don’t Lie, Don’t Pry Don’t Cheat, Can’t Delete Don’t Steal. Don’t Reveal Dr. FarrisTimimi, medical director, Mayo Clinic Center for Social Media, April 5, 2012
  • 21. The Boundary Fallacy Keeping a boundary between professional and personal life on social media is “operationally impossible, lacking in-agreement among active physician social media users, inconsistent with the concept of professional identity, and potentially harmful to physician and patients.” Rather than eliminating boundaries and “suggesting anything goes,” physicians should just ask themselves whether what they are posting on social media is appropriate for a physician in a public space – with the issue of the content being professional or personal being irrelevant. “Social Media and Physicians’ Online Identity Crisis” published in JAMA, Aug. 14 2013 (v.310, no: 6, 581-582).
  • 23. Three cases • Case 1: After a night out with friends, Kiara– a first year medical student posts pictures of herself enjoying a socially-distanced beer at a pub with friends. Are these pictures appropriate? • Case 2: Brandon is a medical student 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. A professor tells him that he must delete his posts as they do not reflect well on the medical school. • Case 3: 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 help 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.
  • 24. Final words of wisdom (Dr. Jalali)

Editor's Notes

  1. Welcome to this virtual presentation of the professional use of social media. I am not used to giving virtual lectures and you will probably soon get very sick of them. But we will do the best we can. Just to note there is a hashtag for this session and the accompanying lecture being given in French by Dr. Ali Jalali at the same time. My Twitter handle is also listed here. My email address is prich5757@gmail.com if you want to follow up with me later about anything.
  2. Because this lecture is being given virtually it will be hard to engage as much with you as I would like. Also because this is using Microsoft Teams as the platform I need to ask you to mute your camera access as Teams cannot handle the video feed for so many people. Your microphones will also be muted unless you are asking a question. I would encourage you to ask questions or make comments at any time in the discussion panel or to raise you virtual hand and I will try and recognize you when I can. I am going to break this lecture up into four sections and will be taking a short break between sections in order to deal with comments or questions and allow you to take a bit of a breather. I definitely commit to keeping this presentation within the time limits so it will be 90 minutes of not less.
  3. These are the formal lecture objectives. You’ll notice I have crossed out Google + as this platform is no longer generally available. While discussing social networks in general I will be focusing much of this presentation on Twitter as myself and many others believe this is the most useful tool for physicians wishing to use social media in a professional context.
  4. My “nothing up my sleeve” disclosure slide. No pharmaceutical backing or honoraria for me in giving this address. It is worth noting though that I do have a keen personal and professional interest in Twitter as I do get some income from tweeting for certain medical organizations. A bit more about myself. In putting this latest presentation together I realize I have probably been working as a medical writer and editor for longer that pretty much anybody in Canada – going on 42 years. I hope the value I can bring to you is that I am a long time observer and user of social media in a medical setting. I am not a physician or an academic – although I have had papers published in peer-reviewed medical journals. However I did work for the Canadian Medical Association for 14 years and helped establish them on social media more than a decade ago as well as helping them write the first balanced social media guidelines for Canadian physicians.
  5. Here is what I intend to cover in this presentation. First, why you should be interested in learning more as medical students about why you might consider using social media or social networks in the context of your professional life. I will then touch on some perspectives on how you can be get involved. I will provide what many consider to be the core principles behind the professional use of social media. As noted I will be focusing on Twitter but will also touch on other social media such as LinkedIn, Facebook, TikTok and I will then finish by dealing with some of the case studies I am going to present, a few caveats about
  6. Here are 3 case studies I would like you to consider while, I talk. I’ll return to these at the end of the presentation. Briefly case 1 involves the appropriateness of posting pictures on your social media account of you enjoying a beer on your. The second is about what happens if you are blogging about political issues and are told it would be best to remove them. The third case is an interesting one that first started to make the rounds a couple of years ago and deals with the appropriateness of looking up personal information about patients on their social media accounts. I’ll give you another minute or two to read them. If you want to make a comment in the discussion panel please remember to specify if you are commenting on case 1,2 or 3.