social media in medical education: embracing a new medium

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Social Media in Medical Education: Embracing a New Medium

Ryan D. Madanick, MDAssistant Professor of Medicine

Center for Esophageal Diseases and SwallowingDivision of Gastroenterology & Hepatology

UNC School of Medicine

Twitter: @RyanMadanickMDBlog: Gut Check (ryanmadanickmd.wordpress.com)

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Learning Objectives

The information presented at this educational activity should improve your ability to:

1. Explain how social media is currently being employed for medical education

2. Describe risks, limitations, and opportunities with regard to the use social media in medicine and medical education

3. Incorporate social media into teaching medicine and the competencies

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What is (are) Social Media?

You may have heard of some of these:• MySpace• Facebook• Twitter• LinkedIn• Sermo• Various blog sites

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What are the Risks of Being involved in Social Media?

• Patients “friend” or “follow” you• HIPAA violations• Professionalism issues• Time issues

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“Twitter is a big cocktail party that you are dropping in on from time to time to listen to what people are saying and join in.”

-- Vineet Arora (@FutureDocs)Top Twitter Myths & Tips, FutureDocs Blog

http://futuredocsblog.com/top-twitter-myths-tips/

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Why Should Medical Educators Care About Social Media?

• Our students/learners are already there– Whether or not you like it– We need to educate about it

• Our patients/the public

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How Can Social Media Be Used to Advance a Medical Academic Career?

http://futuredocsblog.com/2011/05/02/twitter-to-tenure-7-ways-social-media-advances-my-career/

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How Can Social Media Be Used to Advance a Medical Academic Career?

• Media interviews• Workshop presentations• Acquisition of new skills• Lecture invitations• Committee invitations• Grant opportunities• Disseminationhttp://futuredocsblog.com/2011/05/02/twitter-to-tenure-7-

ways-social-media-advances-my-career/

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Competency 1:Medical

Knowledge

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The Blog as a Teaching Tool

http://casesblog.blogspot.com/

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Competency 2:Patient Care

Slide courtesy of Dr. Ves Dimov: AllergyCases.org/@DrVes

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The e-Patient Revolution

“Participatory Medicine is a movement in which networked patients shift from being mere passengers to responsible drivers of their health, and in which providers encourage and value them as full partners.”

http://e-patients.net/http://participatorymedicine.org/

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e-Patient Dave

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Competency 3:Interpersonal and Communication

Skills

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Blogging (and Micro-blogging)

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Networking

Some leaders in the #SMIME arena

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Blogging

http://tworabbits-medicaleducation.blogspot.com/2011/10/my-third-day-at-hmi-course.html

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Competency 4:Professionalism

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#HCSMGATE: A Lesson about Professionalism

http://33charts.com/2011/05/unprofessional-physician-behavior-twitter.html

@Doctor_V

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Physicians on Twitter: A Study in Professionalism

• Identified 260 docs on Twitter*– With at least 500 followers– Analyzed last 20 tweets– Total 5156 tweets analyzed

• 148 (3%) considered “unprofessional”– Potential pt privacy violations: 38 (0.7%)

• 27 users (10%), 25 were identifiable

– Profanity: 33 (0.6%) – Sexually explicit: 14 (0.3%)

*Doctors identified between in May 2010

Chretien KC et al. JAMA 2011;305: 566.

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“…social networks may be considered the new millennium’s elevator: a public forum where you have little to no control over who hears what you say, even if the material is not intended for the public.”

Mostaghimi A, Crotty BH. Ann Int Med 2011;154: 560.

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Our Students Future Employers May Be Watching

http://www.allfacebook.com/facebook-law-schools-students-2011-10

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AMA Policy: Professionalism in the Use of Social Media

http://www.ama-assn.org/ama/pub/meeting/professionalism-social-media.shtml

a. Physicians should be cognizant of standards of patient privacy and confidentiality that must be maintained in all environments, including online, and must refrain from posting identifiable patient information online.

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b. When using the Internet for social networking, physicians should use privacy settings to safeguard personal information and content to the extent possible, but should realize that privacy settings are not absolute and that once on the Internet, content is likely there permanently. Thus, physicians should routinely monitor their own Internet presence to ensure that the personal and professional information on their own sites and, to the extent possible, content posted about them by others, is accurate and appropriate.



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c. If they interact with patients on the Internet, physicians must maintain appropriate boundaries of the patient-physician relationship in accordance with professional ethical guidelines just, as they would in any other context.



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d. To maintain appropriate professional boundaries physicians should consider separating personal and professional content online.



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e. When physicians see content posted by colleagues that appears unprofessional they have a responsibility to bring that content to the attention of the individual, so that he or she can remove it and/or take other appropriate actions. If the behavior significantly violates professional norms and the individual does not take appropriate action to resolve the situation, the physician should report the matter to appropriate authorities.



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f. Physicians must recognize that actions online and content posted may negatively affect their reputations among patients and colleagues, may have consequences for their medical careers (particularly for physicians-in-training and medical students), and can undermine public trust in the medical profession.



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Competency 5:Practice-Based

Learning & Improvement

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“Instant” Feedback from Experts

Cycle of Online Information and Physician Education

Cycle of Patient Education

Image source: https://www.iot-at-work.eu/downloads_press-related.html


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Competency 6:Systems-Based

Practice

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Systems-Based Practice

• Teamworking– Nurses, Pharmacists– Patients

• New technologies to advance care/education

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Lessons from Being at the Crossroads of Healthcare and Social Media

1. Getting involved in Social Media means starting small

2. It is easy to feel overwhelmed in Social Media3. “If you post it, they will come”4. Both the compliments and the criticisms

come more quickly

http://ryanmadanickmd.wordpress.com/2011/07/11/lessons-from-my-first-six-months-at-the-crossroads-of-healthcare-and-social-media/

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Lessons from Being at the Crossroads of Healthcare and Social Media

5. Venturing into Social Media is great way to communicate with a broad audience

6. Don’t enter Social Media expecting to become wildly successful

7. The proliferation of Social Media is not a passing fad

8. Getting involved in Social Media is not for everyone

http://ryanmadanickmd.wordpress.com/2011/07/11/lessons-from-my-first-six-months-at-the-crossroads-of-healthcare-and-social-media/

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Final Thoughts…

With Social Media, medical educators have OPPORTUNITIES and RESPONSIBILITIES• For ourselves • For our patients• For our learners• And for the public

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Social Media in Medical Education: Embracing a New Medium

Ryan D. Madanick, MDAssistant Professor of Medicine

Center for Esophageal Diseases and SwallowingDivision of Gastroenterology & Hepatology

UNC School of Medicine

Twitter: @RyanMadanickMDBlog: Gut Check (ryanmadanickmd.wordpress.com)