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Professional use of social media in

medical educationPresentation to uOttawa Undergraduate Medical Education Program

Sept. 10, 2013

uOttawa

Pat Rich @cmaer

Ann Fuller @annfuller

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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.

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Who we are

Ann Fuller – Director, Public Relations - CHEO

Pat Rich – Director and Editor-in-chief, 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

Wh

at is

So

cial

Med

ia?

Extension of every day interaction Conversations & exchange Communities of shared interest Tools for innovation Integrates technology

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“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

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A changing environment

New health information technology tools Engaged patients Collaborative, team-based care

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A changing environment

A variety of forces are conspiring to redefine the physician: tech | information | health 2.0. We must understand our evolving role

Reality of the networked world: social communication will define the way MDs engage, learn and communicate

The most important decision a physician will make is who and what to listen to

The internet has changed the way patients see doctors, their diseases and themselves

Med students are at a very unique point in med history: Between a collapsing analog age and an emerging digital age

A great digital footprint will never cover for a doctor’s poor careDr. Bryan Vartabedian, adapted tweets from lecture to first year Baylor College of Medicine Students

Wh

y ca

re?

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Ed

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Eng

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Drug-Drug Interaction Alert Project

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Research & Academic Mandate Knowledge exchange & crowdsource Teaching tool Raise visibility for experts/expertise Clinical trial recruitment

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earc

h/A

cadm

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The importance of Social Media in MedicineDr. Scott Strayer, Univ of Virginia Health System

http://www.youtube.com/watch?v=T0w9yIc76zo

Average time between discovery of medical innovation and widespread adoption?

Patient Care & Support Anti stigma Patient & family support groups Clinical diagnosis Patient care

App

licat

ions

of S

ocia

lN

etw

orks

for

Hos

pita

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Courtesy Dr. Mistry, SickKids

Courtesy Dr. Mistry, SickKids

Flickr, USHR FD

#haiti #cholera

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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

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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

….. Und so weiter

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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

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The rules - translated

Don’t Lie, Don’t Pry Don’t Cheat, Can’t Delete Don’t Steal. Don’t Reveal

Dr. Farris Timimi, medical director, Mayo Clinic Center for Social Media, April 5, 2012

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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

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CMA guidance

Rules of Engagement Understand technology and audience Be transparent Respect others Focus on areas of expertise

Impact to patients Liability Privacy Ethics Boundaries Time theft Reputation Compensation

The

cha

lleng

es

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What not to do

Chicago Doctor Accused of Posting Photos of Intoxicated Patient

Aug. 20, 2013 (AP)

By ALANA ABRAMSON A former Northwestern University student claims that after she was admitted to an Illinois hospital for extreme intoxication, a doctor there took photos of her and posted them to social media sites with commentary about her condition.

Elena Chernyakova filed suit in the Cook County Circuit Court against Dr. Vinaya Puppala, the Feinberg School of Medicine and the Northwestern Memorial Hospital on Aug. 15, claiming invasion of privacy and infliction of emotional distress. Puppala is a fellow in the Multidisciplinary Pain Medicine Fellowship at Feinberg, which works in conjunction with Northwestern Memorial Hospital, according to court documents.

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Twitter post by Tennessee cardiologist, Nov. 15, 2012

What not to do - II

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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 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

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Why consider using social media (post-graduate)

For public health purposes (e.g. tracking epidemics or spread of new pathogens) To show your clinical technique on YouTube For public health purposes (e.g. tracking epidemics or spread of new

pathogens) To help get a job To deliver clinical care!!!

Join Groups

Rec

ruitm

ent

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Social media at school

What the CFMS guide says:

“… the rules of academic integrity continue to apply online. Social media and the internet should not be used for plagiarism or gaining unfair advantages with respect to evaluation, such as by sharing or receiving exam content.”

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Social media at medical school II

Students who don’t use social media in school “are missing out.”

Dr. Mike Leveridge, Queen’s University urologist

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-“For those of us who have the philosophy that we want to graduate docs who are better than we are, Twitter is a great thing.”

Dr. Chris Simpson, cardiologist and CMA President-Elect

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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

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Social media and you, the medical student

Students come to medicine with a relatively self-focused view of their networked world, and don’t yet understand how they fit into the broader networked world.  As they mature professionally, they recognize that they are part of a broader community, which brings accountability.  This progression has real importance when we expose ourselves to the great wide open.

Dr. Bryan Vartabedian, Aug. 14 (Wing of Zock via. 33charts)

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▸ Questions?