Challenges to Professionalism in Social Media G Dodd Denton, MD MPH President, Clerkship Directors in Internal Medicine Assistant Deputy Head of School, Students Ochsner Clinical School, New Orleans, LA Online Abstract "Facebook, Snapchat, Instagram, Twitter and other social media tools threaten unsuspecting learners' professional comportment. Learners may inadvertently post inappropriate pictures or information about themselves, their patients, their colleagues, their teachers or their institutions. During this plenary and workshop, we'll delve deeply into these issues, review solutions implemented at medical schools and training programs around the world, and discuss ways to help learners be responsible in this era of digital media." Disclosures I have no Conflicts of Interest to disclose Agenda Define social media Discuss uses of social media in medical education Discuss threats to professionalism in social media Social Media Policy Development Wrap up and questions Exactly What is Social Media A group of Internet-based applications that build on the ideological and technological foundations of Web 2.0, and that allow the creation and exchange of user-generated content 1.18 Billion Users MedEd Uses of Social Media Overview Little literature to show effectiveness, though positive results beginning to emerge Hazards of social media get more attention than benefits Benefits include Active Learning Engagement in user-generated content Facilitated communication Interaction across varying physical locations Cheston et al., Acad Med 2013 14 studies met inclusion criteria Interventions associated with improved Knowledge Attitudes Skills Opportunities for med ed in SM: Promoting engagement (71% of studies) Feedback (57%) Collaboration and profession development (36% each) One study used Twitter and Facebook in elective ultrasound course for med students 89% thought tools were user-friendly 81.5% found content useful Another delivered dermatology content via social networking portal to 8 med students in Somaliland; tutor in UK moderated Interactive format more useful Higher confidence Pander et al., GMS Zeitschrift 2014 16 articles met inclusion criteria Facebook well accepted by undergraduate and graduate students Exam prep Sharing online materials Discussing clinical cases Organizing face to face sessions Exchanging information about courses/clerkships Flipped Classroom Instead of an educational session followed by homework, learners do homework first Introduce core concepts online Face-to-face explore points of confusion and complex ideas Need a title. Section summary Facebook is widespread the most predominant social media tool in medical education Research is in infancy Low level outcomes Rare randomized controlled trials No evidence exists that this is better or worse than other methods of learning Different and appropriate to this generation Concerns About Social Media Chretien et al., JAMA 2009 Sixty percent of medical schools reported incidents of students posting unprofessional online content Violations of patient confidentiality (13%) Profanity (52%) Frankly discriminatory language (48%) Depiction of intoxication (39%) Sexually suggestive material (38%) Facebook professionalism violations % of FB postings had some sort of unprofessional behavior and/or privacy violation Status postings Uploading of unprofessional profile pictures Posting identifable patient information Questionable self-representation Membership in obvious discriminatory groups. Program Directors Experience 50% of pediatric PDs in US responded Half of respondents stated inappropriate behavior on social media was somewhat or very prevalent 91% were somewhat or very concerned about a potential increase Common problematic activities: Inappropriate Workplace comments Self, patient and staff comments Picture Removed for Privacy Can I google a patient? Response rate 49.1% 74% had Facebook account. 13.5% had used Google to research a patient 2.1% had used Facebook Neither practice was commonly disclosed to patients (14%) 51% found this to be somewhat or very unethical Whats an appropriate post? Online survey of appropriateness of a mock medical students Facebook profile Surveyed med students, attendings, and the public Compared to med students, attendings and the public rated images Less appropriate (p