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Professional use of social media in medical education - 2014

Lecture to uOttawa first year medical students on professional use of social media

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Professional use of social media in medical education - 2014

  1. 1. 1 Professional use of social media in medical education Presentation to uOttawa Undergraduate Medical Education Program Sept. 3, 2013 uOttawa Ann Fuller @annfuller Pat Rich @cmaer
  2. 2. 2 Lecture Objectives  Discuss the potentials 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. 3 Who we are Ann Fuller – Director, Public Relations - CHEO Pat Rich – Managing Editor, Member Communications Canadian Medical Association Both experienced health care communicators 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 WE ARE NOT Physicians Academics
  4. 4. Medical students and social media – A perspective When I was a child, I spoke as a child, I understood as a child, I thought as a child; but when I became a man, I put away childish things 1 Corinthians 13
  5. 5. What is Social Media?  Extension of every day interaction  Conversations & exchange  Communities of shared interest  Tools for innovation  Integrates technology
  6. 6. 6 “We have current roles and guidelines but times are changing quickly. By 2017 patients and their health care providers are going to be communicating very differently.” Dr. Darren Beiko, Queens University urologist, July, 2013
  7. 7. 7 Social media “policies” by academic medical centers or medical schools point out the “don’t do this, don’t do that”, but let’s also focus on what the trainees CAN do. Let’s consider how we can IMPROVE our current health care system and ultimately the care of patients with innovative uses of social media and social networking … Dr. Alex Djuricich, Association Dean for CME, University of Indiana School of Medicine
  8. 8. 8 A changing environment  New health information technology tools  Engaged patients  Collaborative, team-based care
  9. 9. 9 A changing environment: Are you digitally literate enough to be a physician? “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 The democratization of media has made every physician an independent publisher …physicians now have to learn to manage and maintain their identity in the public space,” Dr. Bryan Vartabedian, From an article by Stephen Pelletier, in the AAMC Reporter, Aug, 2014
  10. 10. 10 Opportunities for change Patient & family support Health Advocacy Education Clinical care Research
  11. 11. 11 Opportunities for change Health Education
  12. 12. 12 Opportunities for change Patient & family support
  13. 13. 13 Opportunities for change Clinical care
  14. 14. 15 Opportunities for change Advocacy
  15. 15. Average time between discovery of medical innovation and widespread adoption?
  16. 16. 19 I think there are too many people on the Web offering advice to you on how to use social media. Most of this advice is just regurgitated advice from people you may never have heard of before, …You really don’t need “How To” tips on blogging or Twitter. Oh, I’m confident that you’ll be told otherwise – but those folks, well-intentioned as they may be, don’t understand that you’re smarter than that. 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
  17. 17. 20 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
  18. 18. 21 The rules - translated “Don’t be banal, self-promote excessively, share confidential material (especially about patients), be a troll, break the law, commit a libel, or overdo it.” Dr. Richard Smith, BMJ, March 1, 2012
  19. 19. 22 Key elements of the rules * Apply same principles of professionalism that apply in person * Respect patient confidentiality “Student professionalism … can be strained by the use of social media due to its familiarity, ubiquity and impersonal nature.” “Social media should be treated as a public forum akin to an op-ed in a newspaper or a lecture. Anything that would be inappropriate to share in these more traditional outlets should be considered inappropriate to share online.” CFMS Guide to Medical Professionalism: Recommendations for Social Media
  20. 20.  Impact to patients  Liability  Privacy  Ethics  Boundaries  Time theft  Reputation  Compensation The challenges
  21. 21. Case study: 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
  22. 22. 26 Discussion Is it reasonable for the residency program director to tell this resident that this non-medical blog should be removed? The residency director tells this resident to remove his blog. What would an appropriate response be?  A. What a resident does on his own time is his business.  B. He should have asked him to remove the offending posts and be careful in the future.  C. When you are a student and resident, you are ultimately under the guidance of your dean and residency director.
  23. 23. 27 Case study: The Case of the Facebook Faceplant The Case of the Facebook Faceplant From: Academic Life in Emergency Medicine – MEdIC Series
  24. 24. 28 Case study III Susan is helping treat a patient who she is certain she has read about. She seems to remember that he has been associated with violent and criminal activities. The patient’s medical record makes no mention of any psychological or psychiatric issues. Susan decides to look the patient up on Facebook to see what – if anything has been written about him.
  25. 25. 29 Case study III – Looking up patients on Facebook  Topic of widespread debate in the social media community earlier this year and subject of more than one Tweet chat  Would it be a different situation if Susan just thought the patient was vaguely recognizable and checked on Facebook to see if he was anybody famous?  “Do it if your conscience says there’s a good clinical reason for doing so.” – White Coat Black Art host Dr. Brian Goldman
  26. 26. 30 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
  27. 27. 31 Social media at medical school Students who don’t use social media in school “are missing out.” Dr. Mike Leveridge, Queen’s University urologist
  28. 28. 32 Using social media in medical school: Suggestions  Facebook presence for classmates etc  LinkedIn account to:  Build network for future career  Follow discussion forums on medical education  Twitter account to:  Develop your list of people, journals and other accounts to follow  Watch (and engage) medical Twitter community (e.g. #hcsmca, #hcsm)  Follow and engage your professors
  29. 29. 33 Take home messages  Social media are an established part of society and social interaction  Social media use by physicians in Canada is low  Consider using social media:  As tools to support your learning activities  As tools to support research  To enhance what you are doing as practitioner
  30. 30. 34 ▸Questions?