social media and medical professionalism

Social Media and Medical ProfessionalismIris Thiele Isip Tan MD, MscChief, Medical Informatics UnitAssoc. Professor 4, UP College of Medicine

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

23 Sept 2014Department of Medicine Grand Rounds

Thursday, September 25, 14

The Facebook post that led to this grand rounds :) Int J Med Students 2014;2(2):64-67

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

Medical professionalism

in the age of Internet

What are our commitments?Medical professionalismin the age of Internet

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

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

Professional competence

Honesty with patients

Patient confidentiality

Maintaining appropriate relations with patients

witImproving quality of care

Improving access to care

Just distribution of finite resources

Scientific knowledge

Maintaining trust by managing conflict of interest

Professional responsibilities

A Set of Professional

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

Raise your hands by Stina Jonsson, https://flic.kr/p/6ZwuPm

The Impact of Social Media on Medical Professionalism: A Systematic Qualitative Review of Challenges & OpportunitiesGholami-Kordkheili F, Wild V, Strech D. J Med Internet Res 2013;15(8):e184 Wet feet by Guy Donges,

https://flic.kr/p/KX9vX

Social media as a tool for improved information sharing

Commitment to Professional Competence

Multiple Tweets Plain by mkhmarketinghttps://flic.kr/p/dVaqmj

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

#HealthXPh

Online medical content curation & personal time management with Web 2.0: an exciting eraBertalan Mesko MD @berci

Improving access to and benefits of conferences

#ICEENDO2014

Accessing news/information from professional

organizations

Increasing involvement by doctors in underserved areas

#HealthXPhtweetchatSaturdays, 9 pm Gholami-Kordkheili F, Wild V, Strech D.

J Med Internet Res 2013;15(8):e184

Facilitating continuing education for post-graduates/clinicians

Committing to lifelong learning supported by social media

www.webicina.com

Improvement in learning patterns

@DrHWoo

#urojc

Committing to lifelong learning supported by social media

Mentoring student’s reasonable engagement in social mediaGholami-Kordkheili F, Wild V, Strech D. J Med Internet Res 2013;15(8):e184

Ensuring evidence-based CME in the environment

of social mediaChallenge

N Engl J Med 366;12

The New York Times

Commitment to honesty with patients

Managing disclosure of additional patient information that a physician gathered online

Picture redacted

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

Picture redacted

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

www.psmag.com

Reasonable self-disclosure of health care providers in social media

Commitment to maintaining appropriate relations with patients

http://therealsingapore.com/content/radiographer-makes-nasty-remarks-about-patients-urine-and-menses-online

Preventing inadequate stress relief through social media by posting patient sensitive information

ChallengeGholami-Kordkheili F, Wild V, Strech D. J

Med Internet Res 2013;15(8):e184

Commitment to improving quality of care

#hcldr

Care improvement via online feedback to providers; reducing power imbalances through social media

Facilitating online medical assistance through social media

Commitment to improving access to care

www.facebook.com/EndocrineWitch

Managing access to Internet technology in order to engage in social media

Commitment to scientific knowledge

Twitter as a personal learning network

NoFocus (remembrine HCl) for mild to moderate memory loss - may cause seizures in patients with a seizure disorder www.nofocus.com/risk

Commitment to maintaining trust by managing conflicts of interest

Maintaining transparency and dealing with advertisement and lobbying on social media platformsGholami-Kordkheili F, Wild V, Strech D.

J Med Internet Res 2013;15(8):e184

Twitter bird logo icon illustration by Matt Hamm,https://flic.kr/p/6a2ssY

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

Let’s do this! isiptan@endocrine-witch.net

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

Social media policy

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.

#HealthXPH Social Media manifesto

Let’s go!!!

100 Healthcare and Digital Health Influencers to

Follow in 2014

Half of #HealthXPH

@endocrine_witch @giasison @bonedoc @cebumdThursday, September 25, 14

The goal of the Healthcare Hashtag Project is to make the use of Twitter more accessible for providers and the healthcare community as a whole.

By lowering the learning curve of Twitter with a database of relevant hashtags to follow, we hope to help new and existing users alike to find the conversations that are of interest and importance.

- Symplur.com

Partners

Screenshot from www.symplur.com/healthcare-hashtags

#HealthXPh on Symplur

#HealthXPH Symplur Stats 2 Jan - 18 May 2014

#HealthXPH tweetchat Mar 21, 2014

Trip to Dublin, Ireland to attend the global gathering of HealthXL

2014 Healthees Asia Pacific Finalist

#HealthXPH Social network analysisusing NodeXL

I am a physician and I will conduct myself in a manner worthy of my profession even online.

Whatever I post online in relation to my medical expertise should be of benefit to my countrymen. I will prioritize the advancement of health rather than medical products.

#HealthXPH

I will not use online platforms to rant against or bash patients and healthcare professionals.

I will refrain from posting information online that will compromise patient confidentiality.

#HealthXPH

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