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Residents and Social Media Facebook, and Twitter, and Blogs, Oh my…. Pediatrics Chief Residents Brian Flaherty, Lahia Yemane , Jamie Holland. Discussion Points. eProfessionalism P itfalls of Social Media Benefits of S ocial media Social Media Policy eProfessionalism Cases.
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Residents and Social MediaFacebook, and Twitter, and Blogs, Oh my… Pediatrics Chief Residents Brian Flaherty, LahiaYemane, Jamie Holland
Discussion Points • eProfessionalism • Pitfalls of Social Media • Benefits of Social media • Social Media Policy • eProfessionalism Cases
Professionalism ACGME expects professional residents to: “Demonstrate integrity and compassion; subordinate their needs to the needs of the patient; respect patient diversity, privacy and autonomy; and be accountable to patients, society, and the medical profession”
eProfessionalism The application of classic concepts of “professionalism” to our behavior in the on-line world
Common Breaches of eProfessionalism • Divulging privileged information • Inappropriate physician-patient relationships • Displaying images or posting remarks that lower society’s trust in physicians
Benefits of Social Media • Distribute common information/education to large numbers of patients • Discuss puzzling cases with colleagues • Distribute education to students
Why is a Policy Important? • Protect the Residents • HIPPA violations result in automatic implementation of University and Hospital level disciplinary policies • Employers and fellowship programs routinely screen applicants social media pages • Link to policy: http://peds.stanford.edu/policies/socialmedia.html
Scenario 1 An 8yo patient with ALL who a resident has taken care of during his induction therapy is finally ready to go home after a 2 week hospital stay. The resident has gotten along well with the patient and his family. As they are leaving, the patient asks if the resident will be his Facebook “friend.” • How can a resident politely decline such a request? • What alternatives can be used to communicate with patients/families?
Scenario 2 A resident is called in for their 3rd jeopardy shift in a row, taking them away from a day on an exciting elective rotation. The resident expresses their anger with a rapid series of “tweets” proclaiming that “some residents in my program are so lazy, they don’t deserve to be doctors and I am tired of picking up their slack.” • Is this an appropriate thing to say in a public forum? • How can residents avoid publishing permanent records of unprofessional speech against their patients, coworkers, and employer?
Scenario 3 At the annual hospital Halloween celebration, the patients are encouraged to create masks and other costume items during art time at the activity center. During the end of art time, a resident walks by the activity center and sees several children have made animal masks. The resident quickly pulls out their smartphone and posts a picture to their instagram account. • Is this a HIPPA violation ? • How can HIPPA violations such as this be avoided ? • How can images intended for teaching of exam findings/procedures be used?
Scenario 4 After a well deserved vacation to Mexico a resident posts numerous pictures on their facebook account. Several of the pictures are from a party the resident attended and he is seen with various alcoholic drinks. • Do photos like this change the perception of the resident, their residency program, or physicians in general? • Would you feel comfortable taking a child to this physician? • What social events are acceptable to post?
eDevices • Only access Stanford/Hospital material from encrypted/protected devices • If a device is lost, report it immediately • Don’t share passwords
Some final thoughts • Pause before you post • Avoid posting when angry • Caution with “CC”, “BCC”, “Reply All” • Post things you would show your grandparents • Avoid discussing patients • When in doubt, don’t do it