Social Media and Medical Professionalism

Social Media and Medical ProfessionalismIris Thiele Isip Tan MD, MscChief, Medical Informatics UnitProfessor 3, UP College of Medicine

Social Media Class by mkhmarketing, https://flic.kr/p/e1HpQq

31 July 2015Presentation at PGH PA meeting

https://flic.kr/p/e1HpQq

https://flic.kr/p/e1HpQq

Heroes: M by Frederic Poirot https://flic.kr/p/wGjzG

Facebook by Dimitris Kalogeropoylos, https://flic.kr/p/8kvsXB

Social media policy

#HealthXPH #SoMe

manifesto

OnlineMedical

professionalism

https://flic.kr/p/wGjzG


https://flic.kr/p/8kvsXB




Social media policy

#HealthXPH #SoMe

manifesto

OnlineMedical

professionalism





... a new frontier in medicine as physicians and patients become more connected

Ann Intern Med 2013;158:620-627

What are our commitments?Online Medical professionalism




Medical Professionalism in the New Millennium: A Physician Charter

Ann Intern Med 2002;136(3):243-6

Patient welfarePatient autonomySocial justice hospital corridor 2 by Pam Roth

http://www.freeimages.com/photo/65904



Maintaining trust in the profession and in patient-physician relationships requires

that physicians consistently apply ethical principles for preserving the

relationship, confidentiality, privacy and respect for persons to online

settings and communications.

Position 1Ann Intern Med 2013;158:620-627

Online Medical Professionalism: Patient and Public Relationships: Policy Statement from the American College of

Physicians and the Federation of State Medical Boards

The New York Times

Commitment to honesty with patients

Gholami-Kordkheili F, Wild V, Strech D. J Med Internet Res 2013;15(8):e184

Managing disclosure of additional patient information that a physician gathered online

In the meantime, I’m going to ask Dr. E. to change his privacy settings so the nice robots at Facebook can’t make the connection between us - or at least they won’t tell me about it if they do. That way, I can stop thinking about his personal life and get our sessions back to what they should be, which is all about me.“

Steven Petrow, www.washingtonpost.com

http://www.washingtonpost.com

http://www.washingtonpost.com

To what extent should patients’ potential access to online information shape psychiatrists’ use of social media?

Appelbaum P & Kopelman A.Social media’s challenges for psychiatry

World Psychiatry 2014;13(1):21-23

Disclosure of patient-related information even when patients are not directly identified, can raise doubts among the public about the privacy of their medical interaction.

selfie_stick by Ton Schulten, https://flic.kr/p/q8ppyD

[25/365] On the couch (Explored) by Pascal, https://flic.kr/p/8DVMLy

https://flic.kr/p/q8ppyD

https://flic.kr/p/q8ppyD

https://flic.kr/p/8DVMLy


Negative comments about the healthcare system in general or a particular facility can shake patients’ trust and deter them from seeking care.

Appelbaum P & Kopelman A.World Psychiatry 2014;13(1):21-23

Content showing doctors “behaving badly” may call clinical judgment into question, raising doubts in patients’ minds about the quality of the treatment they will receive.

[25/365] On the couch (Explored) by Pascal, https://flic.kr/p/8DVMLy

Online news by Mike Licht, https://flic.kr/p/7XkhM7



https://flic.kr/p/7XkhM7

https://flic.kr/p/7XkhM7

Reasonable self-disclosure of health care providers in social media

Commitment to maintaining appropriate relations with patients


Individuals whose presence among a psychiatrist’s friends becomes known (eg, via a wall post) are revealing their connection to the psychiatrist and other friends may surmise than an individual is a patient.

A beautiful friendship by Viktor Hertz, https://flic.kr/p/9oUtHV

“Mossman D & Farrell H. Facebook: Social networking meets professional duty. www.currentpsychiatry.com

https://flic.kr/p/9oUtHV

https://flic.kr/p/9oUtHV

http://www.currentpsychiatry.com


The Royal Australian & New Zealand College of Psychiatrists Position Statement 75 Aug 2012

Psychiatrists should understand all the privacy settings for all social media applications that they use, and apply the strictest settings when posting personal information.

Facebook & privacy by Tim Wayne, https://flic.kr/p/9qZKm4

“

https://flic.kr/p/9qZKm4

https://flic.kr/p/9qZKm4

InformationRelationships, religious views, home address & tel. no. may be readily viewable to the general public and patients

PhotosIntoxication, sexually explicit material, risk-taking behavior

Wall postsBlatant comments about patients, disgruntlement with institution or supervisors

Mossman D & Farrell H. Facebook: Social networking meets professional duty. www.currentpsychiatry.com

Security settingsLack of privacy restrictions

“Friends” Friending patients and supervisors

“Like” “Liking” groups that contain pornographic material or other controversial topics

Facebook Errors: What to Avoid



NamesGeographic information Dates (e.g. birth date, admission date, discharge date, date of death)Telephone numbersFax numbersEmail addressesSocial security numbersMedical record numbersHealth plan beneficiary numbersAccount numbersCertificate/license numbersVehicle identifiers and serial numbers, including license plate numbersDevice identifiers and serial numbersURLsIP address numbersBiometric identifiers (e.g. finger and voice prints)Full-face photographic images & any comparable imagesOther unique identifying numbers, characteristics or codesCommitment to patient

confidentiality Gholami-Kordkheili F, Wild V, Strech D. J Med Internet Res 2013;15(8):e184

photo redacted

The boundaries between professional and social spheres can blur online.

Physicians should keep the spheres separate and comport themselves

professionally in both.




Dealing with social media as a source for (third-party) misunderstanding and

misinterpretation

Commitment to patient confidentiality Gholami-Kordkheili F, Wild V, Strech D. J Med Internet Res 2013;15(8):e184

photo redacted

Email or other electronic communication should only be used by physicians in an

established patient-physician relationship and with patient consent.

Documentation about patient care communications should be included in the

patient’s medical record.




Physicians should consider periodic “self-auditing” to assess the

accuracy of information available about them on physician-ranking

websites and other sources online.




The reach of the Internet and online communications is far and often

permanent. Physicians, trainees and medical students should be aware that

online postings may have future implications for

their professional lives.




www.psmag.com

http://www.psmag.com

http://www.psmag.com



Social media policy

#HealthXPH #SoMe

manifesto

OnlineMedical

professionalism





Facilitating continuing education for post-graduates/clinicians


Committing to lifelong learning supported by social media

www.webicina.com

http://www.webicina.com

http://www.webicina.com

ParisJune 4-5, 2015Berci at Doctors 2.0 & You

Accessing news/information from professional

organizations

Commitment to Professional Competence


Improvement in learning patterns

@DrHWoo

#urojc

Committing to lifelong learning supported by social media




Social media policy

#HealthXPH #SoMe

manifesto

OnlineMedical

professionalism





Let’s do this! [email protected]


Social media policy

mailto:[email protected]

mailto:[email protected]



AO No. CMBA-2014–092

Guidelines for Posting Materials on Website and Social Media

When uploading visuals

When posting/reposting/sharing links

When updating status/writing banners

Share links or articles that come from credible sources or established groups or organizations with track record, whether in media, health professional societies or health organizations or institutions (e.g. CNN, BBC, ABS-CBN, GMA for media; DOH, PCHRD for health orgs and WHO, PCP for health professional societies) to uphold the credibility of the article.



For our purposes, the following are not considered credible sources: blogs, FB posts or other self-authored sites and research articles without citations;

websites without an author or which are not by a government entity or health organization, materials published 15 or more years ago.



Health advisories/tips for uploading must come from our own experts (i.e. graduates/alumni, officials, faculty members, doctors, nurses, dentists, pharmacists, therapists, public health professionals); please coordinate with the concerned departments of UPCM/PGH and those of the colleges for advisory requests on a particular health problem or disorder.



Please refrain from including data or information that are for internal use only.Refrain from using informal/colloquial words in addressing the community; construct sentences or phrases in formal and straight English.Remember to always use politically correct and gender sensitive terms.



http://dcharmedone.wordpress.com/2010/05/17/what-is-jejemon/



Data Privacy Act of 2012

The unauthorized processing of personal sensitive information shall be penalized by imprisonment ranging from 3 y to 6 y and a fine of not less than P500,000 but not more than P4,000,000 (maximum penalty if at least 100 persons harmed)

Data Privacy Act of 2012Access due to negligenceImproper disposalUnauthorized purposesUnauthorized access or intentional breachConcealment of security breachMalicious disclosureUnauthorized disclosure

Suggested Elements of Social Media PoliciesJeff Cain, Am J Health-Syst Pharm 2011;68:1036-40.

Reputation of organization

Define who is permitted to speak on behalf of the organization

Privacy Should not reveal private information about patients

Productivity Personal use is permissible only

during non-work hours

General State that organizational policies are applicable to social media communications

Playbricks 3 by Paul Preacher, http://www.freeimages.com/photo/205911



1. Follow all applicable Mayo Clinic policies.2. Write in the first person. Where your connection to Mayo Clinic is apparent, make it clear that you are speaking for yourself and not on behalf of Mayo clinic.Disclaimer: “The views expressed on this [blog; website] are my own and do not reflect the views of my employer.”

3. If you identify your affiliation to Mayo Clinic, your social media activities should be consistent with Mayo’s high standards of professional conduct.4. If you communicate in the public internet about Mayo clinic or Mayo Clinic-related matters, you must disclose your connection with Mayo clinic and your role at Mayo.

5. Be professional, use good judgement and be accurate and honest in your communications; errors, omissions or unprofessional language or behavior reflect poorly on Mayo, and may result in liability for you or Mayo clinic. Be respectful and professional to fellow employees, business partners, competitors and patients.

6. Ensure that your social media activity does not interfere with your work commitments.7. Mayo Clinic strongly discourages “friending”of patients on social media websites. Staff in patient care roles generally should not initiate or accept friend requests except in unusual circumstances such as the situation where an in-person friendship pre-dates the treatment relationship.

8. Mayo Clinic discourages staff in management/supervisory roles from initiating “friend” requests with employees they manage. Managers/supervisors may accept friend requests if initiated by the employee, and if the manager/supervisor does not believe it will negatively impact the work relationship.

Ensuring public trust while engaging on social media platforms

Commitment to professional responsibilities


Don’t lie. Don’t pry.Don’t cheat. Can’t delete.Don’t steal. Don’t reveal.

A 12-word Social Media PolicyFarris Timimi, Mayo Clinic Center for Social Media

If it’s on the Internet, it isn’t private by DonkeyHotey, https://flic.kr/p/9RYZvc

https://flic.kr/p/9RYZvc

https://flic.kr/p/9RYZvc

Ethics of Clinical Photography & Social Media

Med Health Care & Philos Feb 2015;18(1):63-7

Primary use: For patient’s care

Secondary use: For medical education & research

photoredacted



Social media policy

#HealthXPH #SoMe

manifesto

OnlineMedical

professionalism





Healthcare

Social Media and Medical Professionalism