it and the future generalist: social media; presentation to birmingham vts gps 2013 june

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@NorthBhamVTS

IT & the Future Generalist

@SarbySoorae / @DrJohnCosgrove

2013

What is/are social media?

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Which platforms do you use?

What would/do you share?

• Professional?• Hobbies?• Photos?• Family?• Partying?• Politics?• Religion?

Who do you share it with?

• Friends• Family• Colleagues• Employers• Patients• Journalists• Politicians• GCHQ/NSA

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Employee and background checks

Be conscious of your online image.Employers may find information about you online that could prove to be advantageous(e.g., professional-looking photos, information on your extracurricular activities such as sports or volunteer work)

BUT material that portrays you in an unprofessional or controversial light could be detrimental.

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Employee and college trainee background checks

Recruiters increasingly screen potential employees online20-60% of employers say they conduct Internet searches, including social networking sitessome have turned down applicants as a result of their searches. 21% of colleges and universities check the social networking of prospective students, usually for those applying for scholarships and other awards and programmes.

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Employee and background checks

Real life examples1. an employer who turned down an applicant after

discovering that he had used Facebook to criticise previous employers,

2. a doctor who missed out on a job because the doctor’s online activities revealed an interest in witchcraft,

3. and a female psychiatrist who failed to gain employment after a recruiting agency found explicit pictures on MySpace of her intoxicated.

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Why use social media?

Why use social media?

• Mutual support• Sharing ideas w/ opinion leaders• Advice• Education• Health promotion• Networking

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Maslow’s Hierarchy of Needs

PHYSIOLOGICAL OR SURVIVAL NEEDS

SAFETY NEEDS

LOVE, AFFECTION, AND BELONGINGNESS NEEDS

ESTEEM NEEDS

SELF-ACTUALIZATION

NEED

Maslow’s Hierarchy of Needs

PHYSIOLOGICAL OR SURVIVAL NEEDS

SAFETY NEEDS

LOVE, AFFECTION, AND BELONGINGNESS NEEDS

ESTEEM NEEDS

SELF-ACTUALIZATION

NEED

Examples of How Twitter is Used by Doctors

Providing information to professional colleagues and to the public @EvidBaseMed_BMJ

Holding online discussions about clinical and educational issues #1care

Holding scheduled online journal club discussions @PHTwitJC #TwitJC

Engaging in political and leadership debates with medical and other professionals @ClareRCGP

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Examples of How Twitter is Used by Doctors

Maintaining lists and networks of colleagues with particular interests

Scheduled weekly Twitter conferencesNHS/health policyMedical education #MedEd #ECGClass

For personal usecommunicating with family and friendssharing photosrunning local community groups discussing current affairsdiscussing #Downton

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RCGP Social Media Highway Code

1. Be aware of the image you present online and manage this proactively2. Recognise that the personal and professional can’t always be separated3. Engage with the public but be cautious of giving personal advice4. Respect the privacy of all patients, especially the vulnerable5. Show your human side, but maintain professional boundaries

link

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RCGP Social Media Highway Code

6. Contribute your expertise, insights and experience7. Treat others with consideration, politeness and respect8. Remember that other people may be watching you9. Support your colleagues and intervene when necessary10. Test out innovative ideas, learn from mistakes – and have fun!

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Patient “friends”

You get a friend request on a social networking site from someone whose name sounds very familiar, but they have a photo of a dog as their profile picture. You accept the request.After looking through their profile page, you realise that it is actually one of your previous patients. The patient sends you a message to let you know that they cannot make their next clinic appointment, but would like to know their histology results from a test ordered while the patient was in hospital.

The patient also throws in a cheeky comment about some photos they saw of you wearing swimmers at the beach.

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DefamationAnother potential risk of inappropriate online comments is defamation.Defamatory statements:

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Defamation

Dear Emergency Registrar,Thanks a million for misdiagnosing my patient’sperforated bowel as constipation and treating aggressivelywith laxatives. I’m sure she appreciated the subsequentcardiac arrest and multiorgan failure. Don’t worry, she justneeds a new set of kidneys and a liver and she’ll be right.And with that kind of performance, I’m sure you can helpher acquire them.Kind regards,Lowly intern

(based on an actual posting on a social networking site)

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GMC Good Medical Practice 2013

Doctors’ use of social media 2013

17. If you identify yourself as a doctor in publicly accessible social media, you should also identify yourself by name

link

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What have I learned from this? I realize that one needs to be careful with comments placed on social media. While Ms. Thomas has likely helped many patients through her blog, my comments were greatly misconstrued. It was certainly not my intention to cause such a furor. I am stunned how a 3-tweet interaction can lead to such a defaming and inflammatory blog response from someone I have never met with, spoken to or interacted with beyond a total of 400 characters. A reputation is a lifelong and daily building process. To have it torn apart in a very public way is extremely damaging and upsetting.

William Dillon MDlink

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