Handout#1 - APPD · 14.1% had profiles with potentially unprofessional content (drinking alcoholic...
Transcript of Handout#1 - APPD · 14.1% had profiles with potentially unprofessional content (drinking alcoholic...
Handout#1
Preparticipation instructions: Please complete handout#1 instructions before the session begins
Molding the Millennial MindInstagram as a Medium for Graduate Medical
EducationStephanie A. Raymundo, MD, Chief Resident
Niharika Goparaju, MD, InternDaniel Kang, MD, Associate Program Director
Candice Taylor Lucas, MD, MPH, Associate Program DirectorUniversity of California Irvine - Children’s Hospital of Orange County
Pediatric Residency Program
My colleagues and I have no disclosures to report.
Instagram in action
Learning Objectives• Understand how social media platforms can be utilized by pediatric
residency programs to support education, recruitment, and resilience (i.e. wellbeing, belonging).
• Utilize and personalize the main features of Instagram towards your program’s needs.
• Recognize limitations and concerns related to social media.
Introduction to Instagram
“Convey”
“Connect”
“Community”
Concerns
Case Review and Scenarios
Questions
Closing Comments
Pre-participation Survey
Please open up instagram on your phones● Find our account “appdels19”
● Click on our picture icon to start the story/survey
Please answer the following questions on the instagram poll:
● Are you a millennial (born 1981-1996)? ● Do you have a personal facebook account?● Do you have a personal instagram account?● Does your residency program have a facebook
account?● Does your residency program have an instagram
account?
Introduction to Instagram
Instagram Basic Terminology
Handle: Your account, preceded by “@”
Feed: Content shared by people you follow
Posts: Any photo shared to your followers
Stories: A short post visible for 24 hours
DMs: Direct Messages https://visionpathmarketing.com/instagram-terminology-need-know/
Follower: Your audience
Comments: A response/reply to a photo
Tagging/Mention: Attaching another person’s handle to a post/story/comment/etc
Hashtags: Preceded by “#”, a way to describe/categorize posts
https://visionpathmarketing.com/instagram-terminology-need-know/
CONVEY
CONVEY: Application• Share information
– Summarization– Take-away points– Example: Celiac disease “story”
• Stimulate discussion– Case studies– Question of the Week– “DM” (program, speaker), comments
CONVEY: APPLICATION • Assessment
– 2 choice questions – Type-in box, reflection (one thing I learned)– Board prep material
• Feedback/Evaluation• Topics of interest?• Should we have more
lectures on this?• NOT anonymous!
Sample Teaching Story
“Insta-Feedback”
CONNECT
Behind the scenes of residency, application season, connect with medical community
A day in the life of a resident• Feature:
– Residents, Attendings, Fellows– Different fields of pediatric medicine– Highlights daily achievements:
medical procedures to presentations
Sample: A day in the life of a resident
Residency Application Season
Hospital Holiday Spirit
Interacting with Applicants
Interacting with the Medical Community
COMMUNITY
Instructing the IntangiblesProfessionalism, Resilience, and Wellness
Professionalism
Accountability and Modeling
Professionalism: Accountability Reminders/Resources
- Due dates- Paperwork- Paging prefixes- Safety reporting
Professionalism: Modeling- Attendings
- Perspective on after residency- What is your biggest
takeaway from training? - Relatability
- How do you deal with burnout?
Abaza MM, Nelson KG. Leading by Example: Role Modeling Resilience Helps Our Learners and Ourselves. Acad Med. 2018;93(2):157-158.
Professionalism: ModelingResidents
Abaza MM, Nelson KG. Leading by Example: Role Modeling Resilience Helps Our Learners and Ourselves. Acad Med. 2018;93(2):157-158.
Resiliency and Wellness
Resilience
Zwack J, Schweitzer J. If every fifth physician is affected by burnout, what about the other four? Resilience strategies of experienced physicians. Acad Med. 2013;88(3):382-9.
In a paper by Zwack and Schweitzer examining the characteristics of physician resilience...
Resilience
Zwack J, Schweitzer J. If every fifth physician is affected by burnout, what about the other four? Resilience strategies of experienced physicians. Acad Med. 2013;88(3):382-9.
Resilience
Zwack J, Schweitzer J. If every fifth physician is affected by burnout, what about the other four? Resilience strategies of experienced physicians. Acad Med. 2013;88(3):382-9.
Resilience
Zwack J, Schweitzer J. If every fifth physician is affected by burnout, what about the other four? Resilience strategies of experienced physicians. Acad Med. 2013;88(3):382-9.
Appreciation
Purpose
Community
Resilience: Appreciation
Resilience: PurposeResearch and Advocacy
Resilience: community• Cohesiveness• Connections
Resilience: community• Interdisciplinary teams• Attendings• Alumni
Abaza MM, Nelson KG. Leading by Example: Role Modeling Resilience Helps Our Learners and Ourselves. Acad Med. 2018;93(2):157-158.
WellnessCelebrating Diversity
• Showcasing representation• Varying backgrounds
Special Considerations
Concerns, Evidence & Potential
CONCERNSProfessionalism
○ HIPAA○ Guidelines for use
Evidence○ Limited
Consideration: Professionalism
Social Media is a Public Platform
“...it has brought forth issues related to online professionalism in GME, and the
potential for dissemination of protected health information.”
- Sterling et al. Academic Medicine. 2017
In a cohort study of residents by Ponce et al. ● 73.7% had profiles with no unprofessional content
● 14.1% had profiles with potentially unprofessional content (drinking alcoholic beverages)
● 12.2% had profiles with clearly unprofessional content (e.g., HIPAA violations, binge drinking, and sexually suggestive material)
Consideration: Professionalism
Ponce et. al. J Surg Educ. 2013
Consideration: Professionalism
What can you do?
Assign accountability responsibilities to faculty
&/or resident representatives
Partner with departmental & hospital leaders & outreach
managers
Establish clear guidelines
Consideration: Professionalism
https://www.ama-assn.org/delivering-care/ethics/professionalism-use-social-media
Consideration: Professionalism
https://www.amsa.org/2016/09/15/social-media-guidelines-medical-students-physicians/
Consideration: Professionalism
● Be professional● Be responsible● Maintain separation● Be transparent/use
disclaimers● Be respectful● Follow copyright laws
● Protect client/patient information
● Avoid politics● Comply with legal restrictions
and obligations● Be aware of risks to privacy
and security
Key AMSA Points
https://www.amsa.org/2016/09/15/social-media-guidelines-medical-students-physicians/
Consideration: Professionalism
● Be professional● Be responsible● Maintain separation● Be transparent/use
disclaimers● Be respectful● Follow copyright laws
● Protect client/patient information
● Avoid politics?● Comply with legal restrictions
and obligations● Be aware of risks to privacy
and security
Key AMSA Points
https://www.amsa.org/2016/09/15/social-media-guidelines-medical-students-physicians/
Consideration: Limited Evidence
Unfortunately this is especially true for focused GME studies
Mixed results of effect on resident education, recruitment, and professionalism.
Modest quality of findings.
Most studies are descriptive. No RCTsSterling et. al. The Use of Social Media in Graduate Medical Education: A Systematic Review. Academic Medicine. 2017
Consideration: Potential
Scholarship - Limited evidence allows for novel discoveries
Wellness & Belonging - Sharing images unites residents in real time and accents diversity.
Recruitment, Resident Education, Health Promotion...
CASE REVIEW
Handout#2
Handout#3
Handout#4
Handout#5
QUESTIONS
Helpful References1. Sterling M, Leung P, Wright D, Bishop TF. The Use of Social Media in
Graduate Medical Education: A Systematic Review. Acad Med. 2017;92(7):1043-1056.
2. Basraon JS, Simpson D, Gupta A. Use of social media to promote continuous learning: a phased strategy for Graduate Medical Education Fellowship implementation. J Patient Cent Res Rev. 2015;2:69-72. doi: 10.17294/2330-0698.1034
3. Pander T, Pinilla S, Dimitriadis K, Fischer MR. The use of Facebook in medical education--a literature review. GMS Z Med Ausbild. 2014;31(3):Doc33.
4. Cartledge P, Miller M, Phillips B. The use of social-networking sites in medical education. Med Teach. 2013;35(10):847-57.
Helpful Linkshttps://www.amsa.org/2016/09/15/social-media-guidelines-medical-students-physicians/
https://www.ama-assn.org/delivering-care/ethics/professionalism-use-social-media
Thank you!
Stephanie Raymundo [email protected]
Niharika [email protected]
Daniel [email protected]
Candice [email protected]