social media and medical professionalism
TRANSCRIPT
Social Media and Medical ProfessionalismIris Thiele Isip Tan MD, MscChief, Medical Informatics UnitProfessor 3, UP College of Medicine
Social Media Class by mkhmarketing, https://flic.kr/p/e1HpQq
31 July 2015Presentation at PGH PA meeting
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
OnlineMedical
professionalism
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
OnlineMedical
professionalism
... a new frontier in medicine as physicians and patients become more connected
Ann Intern Med 2013;158:620-627
What are our commitments?Online Medical professionalism
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
Maintaining trust in the profession and in patient-physician relationships requires
that physicians consistently apply ethical principles for preserving the
relationship, confidentiality, privacy and respect for persons to online
settings and communications.
Position 1Ann Intern Med 2013;158:620-627
Online Medical Professionalism: Patient and Public Relationships: Policy Statement from the American College of
Physicians and the Federation of State Medical Boards
The New York Times
Commitment to honesty with patients
Gholami-Kordkheili F, Wild V, Strech D. J Med Internet Res 2013;15(8):e184
Managing disclosure of additional patient information that a physician gathered online
In the meantime, I’m going to ask Dr. E. to change his privacy settings so the nice robots at Facebook can’t make the connection between us - or at least they won’t tell me about it if they do. That way, I can stop thinking about his personal life and get our sessions back to what they should be, which is all about me.“
Steven Petrow, www.washingtonpost.com
To what extent should patients’ potential access to online information shape psychiatrists’ use of social media?
Appelbaum P & Kopelman A.Social media’s challenges for psychiatry
World Psychiatry 2014;13(1):21-23
Disclosure of patient-related information even when patients are not directly identified, can raise doubts among the public about the privacy of their medical interaction.
selfie_stick by Ton Schulten, https://flic.kr/p/q8ppyD
[25/365] On the couch (Explored) by Pascal, https://flic.kr/p/8DVMLy
Negative comments about the healthcare system in general or a particular facility can shake patients’ trust and deter them from seeking care.
Appelbaum P & Kopelman A.World Psychiatry 2014;13(1):21-23
Content showing doctors “behaving badly” may call clinical judgment into question, raising doubts in patients’ minds about the quality of the treatment they will receive.
[25/365] On the couch (Explored) by Pascal, https://flic.kr/p/8DVMLy
Online news by Mike Licht, https://flic.kr/p/7XkhM7
Reasonable self-disclosure of health care providers in social media
Commitment to maintaining appropriate relations with patients
Gholami-Kordkheili F, Wild V, Strech D. J Med Internet Res 2013;15(8):e184
Individuals whose presence among a psychiatrist’s friends becomes known (eg, via a wall post) are revealing their connection to the psychiatrist and other friends may surmise than an individual is a patient.
A beautiful friendship by Viktor Hertz, https://flic.kr/p/9oUtHV
“Mossman D & Farrell H. Facebook: Social networking meets professional duty. www.currentpsychiatry.com
The Royal Australian & New Zealand College of Psychiatrists Position Statement 75 Aug 2012
Psychiatrists should understand all the privacy settings for all social media applications that they use, and apply the strictest settings when posting personal information.
Facebook & privacy by Tim Wayne, https://flic.kr/p/9qZKm4
“
InformationRelationships, religious views, home address & tel. no. may be readily viewable to the general public and patients
PhotosIntoxication, sexually explicit material, risk-taking behavior
Wall postsBlatant comments about patients, disgruntlement with institution or supervisors
Mossman D & Farrell H. Facebook: Social networking meets professional duty. www.currentpsychiatry.com
Security settingsLack of privacy restrictions
“Friends” Friending patients and supervisors
“Like” “Liking” groups that contain pornographic material or other controversial topics
Facebook Errors: What to Avoid
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
photo redacted
The boundaries between professional and social spheres can blur online.
Physicians should keep the spheres separate and comport themselves
professionally in both.
Position 2Ann Intern Med 2013;158:620-627
Online Medical Professionalism: Patient and Public Relationships: Policy Statement from the American College of
Physicians and the Federation of State Medical Boards
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
photo redacted
Email or other electronic communication should only be used by physicians in an
established patient-physician relationship and with patient consent.
Documentation about patient care communications should be included in the
patient’s medical record.
Position 3Ann Intern Med 2013;158:620-627
Online Medical Professionalism: Patient and Public Relationships: Policy Statement from the American College of
Physicians and the Federation of State Medical Boards
Physicians should consider periodic “self-auditing” to assess the
accuracy of information available about them on physician-ranking
websites and other sources online.
Position 4Ann Intern Med 2013;158:620-627
Online Medical Professionalism: Patient and Public Relationships: Policy Statement from the American College of
Physicians and the Federation of State Medical Boards
The reach of the Internet and online communications is far and often
permanent. Physicians, trainees and medical students should be aware that
online postings may have future implications for
their professional lives.
Position 5Ann Intern Med 2013;158:620-627
Online Medical Professionalism: Patient and Public Relationships: Policy Statement from the American College of
Physicians and the Federation of State Medical Boards
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
OnlineMedical
professionalism
Facilitating continuing education for post-graduates/clinicians
Gholami-Kordkheili F, Wild V, Strech D. J Med Internet Res 2013;15(8):e184
Committing to lifelong learning supported by social media
www.webicina.com
ParisJune 4-5, 2015Berci at Doctors 2.0 & You
Accessing news/information from professional
organizations
Commitment to Professional Competence
Gholami-Kordkheili F, Wild V, Strech D. J Med Internet Res 2013;15(8):e184
Improvement in learning patterns
@DrHWoo
#urojc
Committing to lifelong learning supported by social media
Gholami-Kordkheili F, Wild V, Strech D. J Med Internet Res 2013;15(8):e184
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
OnlineMedical
professionalism
Let’s do this! [email protected]
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.
AO No. CMBA-2014–092
Guidelines for Posting Materials on Website and Social Media
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.
AO No. CMBA-2014–092
Guidelines for Posting Materials on Website and Social Media
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.
AO No. CMBA-2014–092
Guidelines for Posting Materials on Website and Social Media
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.
AO No. CMBA-2014–092
Guidelines for Posting Materials on Website and Social Media
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.
Ensuring public trust while engaging on social media platforms
Commitment to professional responsibilities
Gholami-Kordkheili F, Wild V, Strech D. J Med Internet Res 2013;15(8):e184
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
Ethics of Clinical Photography & Social Media
Med Health Care & Philos Feb 2015;18(1):63-7
Primary use: For patient’s care
Secondary use: For medical education & research
photoredacted
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
OnlineMedical
professionalism