FOAMed/Social Media. · Social Media Use in Healthcare Setting: BMA Guidelines •Main advice ......
Transcript of FOAMed/Social Media. · Social Media Use in Healthcare Setting: BMA Guidelines •Main advice ......
FOAMed/Social Media.Dr. Ben Balogun
ST5 Emergency Medicine/FOAM Fellow
July 2017
FOAMed - Introduction
If you want to know how we practiced medicine 5 years ago, read a textbook.
If you want to know how we practiced medicine 2 years ago, read a journal.
If you want to know how we practice medicine now, go to a (good) conference.
If you want to know how we will practice medicine in the future, listen in the hallways and use FOAM.
- From International EM Education Efforts & E-Learning by Joe Lex 2012
From LIFL
What is FOAMed – The Origin?
• Free Open Access Meducation or Medical Education
• ?Started in 2012
• Free for users
• Easily Accessible
• Free to share
• Independent of platform or media
How does it work?
ETHOS(free & Open)
RESOURCES
COMMUNITY(Collaborators, Contributors &
Consumers)
FOAM
Why FOAM?
FOAM=
SOCIAL MEDIA
It’s So Much More!
FOAM platforms
Photographs
A Few Good FOAMs
What is Social Media?
Social media refers to any online
communication channel which allows the user to find and interact with a
community. (BMA)
Main examples include:
Social Media Use in Healthcare Setting: Benefits
• Build your professional network
• Share ideas and information
• Offer and access professional and peer support
• Campaign on issues important to you
• Follow debates and developments around your work
Source: BMA
Social Media Use in Healthcare Setting: BMA Guidelines
• Main advice
• Follow GMC guidelines
• Be aware privacy and confidentiality can never be guaranteed!
• Don’t say or reveal anything that you wouldn’t be happy to see in the press!
Several members of a private Facebook group for junior doctors – set up to discuss the 2015/16 contract dispute – found themselves the subject of unwanted media attention. Some members of the press gained access to the group and used it to trawl for information about committee representatives, including confidential discussions between them and information about their private lives.
Source: BMA Social Media Practical guidance and best practice.
Social Media Use: Tips from MDU
• Be professional at all times.
• Maintain appropriate professional boundaries.
• Respect patient confidentiality.
• Take care about any personal postings of text or images on your own site or other sites.
• Optimise the privacy settings on any personal social media site you use.
• Avoid any dialogue with a patient through social media sites.
• ABOVE ALL: Abide by GMC Guidance!
• Good Medical Practice1
• Confidentiality: good practice in handling patient information2
• Follow guidance on prescribing3
• Follow your organisation’s policy on social media
• Maintaining boundaries
• Privacy
• Anonymity
• Conflicts of interest
Social Media Use in Healthcare Setting: GMC Guidelines
1. http://www.gmc-uk.org/guidance/good_medical_practice.asp2. http://www.gmc-uk.org/guidance/ethical_guidance/confidentiality.asp3. http://www.gmc-uk.org/Prescribing_guidance.pdf_59055247.pdf
Summary of GMC guidelines re Social Media
The GMC has made it clear thatthe standards expected of doctorsdo not change because they are
communicating through social media1.
1. GMC, Doctors’ use of social media(2013), www.gmc-uk.org
NHS England: Principles for Participating in Online Activities
1. Know and follow NHS England’s ‘Standards of Business Conduct’.
2. Responsibility for your Publication
3. Identify yourself
4. Be aware of your participants
5. Disclaimers
6. Respect Copyright
7. Confidentiality
8. Attack and Abuse
9. Proprietary information
10. Partners and Suppliers
11. Respect your audience
12. Conflicts of interest
13. Liaise with Media Team
14. Altering posts
15. Whistleblowing
Source: NHS England/Digital Communication Team- Social Media and attributed digital content policy. Document no: PAT 1001, versno: 1.02. Issued date April 2016, Review date April 2018
Information Governance & Social Media – The Dilemma.
Current Reality
A recent study of 2,107 doctors across five hospital sites found that 98.9% own a smartphone, and just over a third use web-based messaging apps to send clinical information1.
1. http://innovations.bmj.com/content/1/4/174
Why are doctors turning to Social Media?
• Responding to the inadequacy of what the NHS is providing
• Trying to find better ways to provide care.
• Archaic NHS - slow at adopting digital sharing systems.
• Examples• "It can also be really helpful for junior clinicians
to communicate with senior colleagues - send images of X-rays and get quick advice on the best course of action”.
• Croydon Tram Crash in November 2016, WhatsApp allowed doctors at the scene to communicate with colleagues at the nearby hospital about what patient injuries to expect.
Recent National Publications on Social Media Use by Doctors - 1
Should doctors use WhatsApp to bypass archaic NHS tech? By Georgina Gould, Junior Doctor.
Published in The Guardian, June 2017.
NHS England’s Comment:
“Whatsapp should NEVER be used for the sending of information in the professional healthcare environment”.
Recent National Publications on Social Media Use by Doctors - 2
Use of WhatsApp in NHS 'widespread', say doctors. By Jane Wakefield, Technology Reporter BBC.
Published 6 July 2017.
NHS England’s Guidelines – Pagers & Fax machines.According to the guidelines, use of WhatsApp is strictly banned for the purposes of sending patient data.
Doctors are required to contact each other by Pager or Fax
To use or not to use?
• Dr Felix Jackson, who runs MedCrowd, a digital messaging service for health workers, told the BBC he saw use of WhatsApp while he was working as an anaesthetist.
• "Such platforms are used extensively, but it is against the law," he said.
• Anonymising data meant doctors might "just about get away with it", he added, but that would not continue forever.
SOURCE: http://www.bbc.co.uk/news/technology-40507440
But Be ware of Other ‘Seemingly Harmless’ use of Social Media Seven NHS staff suspended over Facebook ‘Lying Down Game’ pictures.
Published in The Times, Sept. 2009.
SOURCE: https://www.thetimes.co.uk/article/seven-nhs-staff-suspended-over-facebook-lying-down-game-pictures-n0kjv72ptjt
Social Media and Healthcare – The Future.
Some simple rules….
Don’t Lie.
Don’t Pry.
Don’t Cheat.
Don’t Delete –amend instead!
Don’t Steal.
Don’t Reveal.
Source: FarrisTimimi, M.D
However……..
The biggest risk in health care social media is not participating in the
conversation.
Farris Timimi, M.D., is medical director for the Mayo Clinic Center for Social Media
References
• GMC, Doctors’ use of social media (2013). www.gmc-uk.org
• GMC, Making and using visual and audio recording of patients (2011). www.gmc-uk.org
• British Medical Association: Social media practical guidance and best practice. BMA.org.uk
• Guide to social media: understanding marketing and media. MDU.com.
• http://www.bbc.co.uk/news/technology-40507440
• https://www.england.nhs.uk/ourwork/tsd/ig/
• https://www.theguardian.com/healthcare-network/views-from-the-nhs-frontline/2017/jun/05/should-doctors-use-whatsapp-to-bypass-archaic-nhs-tech
• http://innovations.bmj.com/content/1/4/174
• https://www.bma.org.uk/advice/employment/ethics/social-media-guidance-for-doctors
• http://www.gmc-uk.org/guidance/good_medical_practice.asp
• http://www.gmc-uk.org/guidance/ethical_guidance/confidentiality.asp
• http://www.gmc-uk.org/Prescribing_guidance.pdf_59055247.pdf
• https://lifeinthefastlane.com/