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Social Media & Ethics

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Slightly revised slide deck from previous upload. Presented at the 2018 annual convention of the Society of Gynecologic Oncologists of the Philippines,19 July 2018.

Veröffentlicht in: Gesundheitswesen
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Social Media & Ethics

  1. 1. SOCIAL MEDIA & ETHICS Iris Thiele Isip Tan MD, MSc Professor 3, UP College of Medicine Chief, UP Medical Informatics Unit Director, UP Manila Interactive Learning Center @endocrine_witch
  2. 2. Nothing to disclose I give consent for the audience to tweet this talk and give me feedback (@endocrine_witch). Feel free take pictures of my slides (though it will be on www.slideshare.net/isiptan).
  3. 3. Double-effect reasoning OUTLINE Maintaining professionalism Protecting the physician-patient relationship
  4. 4. St.Thomas Aquinas Doing good AND Avoiding evil
  5. 5. The act considered separately from its unintended harmful effect is itself not wrong. Double-effect reasoning 1 Stevenson SE & Peck LA. J Mass Media 2011;26:56-65
  6. 6. The agent intends only the good and does not intend harm as an end or as a mean. Double-effect reasoning 2 Stevenson SE & Peck LA. J Mass Media 2011;26:56-65
  7. 7. The agent reflects upon his/her relevant duties, considering accepted norms and takes due care to eliminate or alleviate any foreseen harm through his/her act. Double-effect reasoning 3 Stevenson SE & Peck LA. J Mass Media 2011;26:56-65
  8. 8. https://goo.gl/images/WQnahJ
  9. 9. https://goo.gl/images/7rq0PM
  10. 10. Double-effect reasoning OUTLINE Maintaining professionalism Protecting the physician-patient relationship
  11. 11. Circulation 2013;127:1413-1421 AMA principles of medical ethics as framework Code of Ethics of the Philippine Medical Association World Medical Association statement on the professional & ethical use of social media
  12. 12. Boundaries of professional interaction are less clear online.
  13. 13. Maintain appropriate boundaries of the patient- physician relationship in accordance with professional ethical guidelines just as they would in any other context. https://www.wma.net/policies-post/wma-statement-on-the-professional-and-ethical-use-of-social-media/
  14. 14. A personal social media profile is moderate risk if informal acquaintances can view personal information. Committee Opinion No. 622: Professional Use of Digital and Social Media. Obstetrics & Gynecology 2015;125(2):516-20.
  15. 15. https://www.wma.net/policies-post/wma-statement-on-the-professional-and-ethical-use-of-social-media/ Consider the intended audience and assess whether it is technically feasible to restrict access to the content to pre-defined individuals or groups.
  16. 16. Study carefully and understand the privacy provisions of social networking sites, bearing in mind their limitations. https://www.wma.net/policies-post/wma-statement-on-the-professional-and-ethical-use-of-social-media/
  17. 17. Chretien & Kind. Circulation 2013;127:1413-1421 Anonymity can breed disinhibition.
  18. 18. THE ENDOCRINE WITCHBrewing Informatics, Endocrinology & Everything Else www.endocrine-witch.net
  19. 19. Social media is a window through which we ask people to look. How big we make the window is up to us, as is what we do in front of the window. Journal of the American Pharmacists Association Nov/ Dec 2013 doi: 10.1331/JAPhA.2013.13536
  20. 20. Communicate availability (office hours, contact number) WAYS PHYSICIANS CAN USE SOCIAL MEDIA Matthews K (2017). http://www.physicianspractice.com/marketing/5-ways-physicians-can-use-social-media
  21. 21. Friend of Mankind PMA Code of Ethics
  22. 22. Chretien & Kind. Circulation 2013;127:1413-1421 Establish norms for interaction.
  23. 23. www.facebook.com/EndocrineWitch
  24. 24. Be honest in all professional interactions. Chretien & Kind. Circulation 2013;127:1413-1421
  25. 25. Chretien & Kind. Circulation 2013;127:1413-1421 Disclose conflict of interest.
  26. 26. PMA Code of Ethics Expose and report charlatans and quacks.
  27. 27. Chretien & Kind. Circulation 2013;127:1413-1421 Bring to attention of individual directly or report to authorities.
  28. 28. http://cnnphilippines.com/news/2016/05/07/map- where-presidential-VP-candidates-vote.html A physician tweets that patients who voted for X can seek care elsewhere.
  29. 29. Comply with the Data Privacy Act.
  30. 30. About people Right to be left alone Limit access to public PRIVACY
  31. 31. CONFIDENTIALITY About identifiable data Extension of privacy Prevent unauthorized access
  32. 32. Others can easily overhear conversations without the benefit of context. Grotty B & Mostaghimi A. Confidentiality in the Digital Age. BMJ 2014;348:g2943 SOCIAL MEDIA IS LIKE A CROWDED ELEVATOR.
  33. 33. Before you post a photo of a patient on Facebook … Parsi K & Elsler N. AMA J Ethics 2015;17(11):1009-1018
  34. 34. Double-effect reasoning OUTLINE Maintaining professionalism Protecting the physician-patient relationship
  35. 35. Social media provides improved access to physicians, thereby building trust. Chretien & Kind. Circulation 2013;127:1413-1421
  36. 36. Do not accept Friend requests from patients.
  37. 37. Maintain appropriate boundaries of the patient-physician relationship. AMA: Professionalism in the Use of Social Media (2010)
  38. 38. AVOID USING SOCIAL MEDIA FOR DIRECT PATIENT CARE & CONTACT Unencrypted Inadvertently accessible to others Controlled by a third party Grotty B & Mostaghimi A. Confidentiality in the Digital Age. BMJ 2014;348:g2943
  39. 39. SOCIAL MEDIA TO FACILITATE CONVERSATION AROUND MATTERS OF PUBLIC HEALTH OR AVAILABILITY OF SERVICES Grotty B & Mostaghimi A. Confidentiality in the Digital Age. BMJ 2014;348:g2943 rather than matters related to a specific patient
  40. 40. GIVE NOTICE TO PATIENTS THAT SOCIAL MEDIA IS NOT MEANT FOR CLINICAL COMMUNICATION Grotty B & Mostaghimi A. Confidentiality in the Digital Age. BMJ 2014;348:g2943 Monitor. Take conversation offline if sensitive information is posted.
  41. 41. Double-effect reasoning SUMMARY Maintaining professionalism Protecting the physician-patient relationship
  42. 42. We don’t have a choice on whether we DO social media. The question is how well we DO it. - Eric Qualman

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