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Cited by 29Social Media in Health EducationInnovations in Medical EducationImpact of Technology on Adolescents

Pediatric Clerkship Directors’ Social Networking Use and Perceptions of Online Professionalism

Kind, Terry, Greysen, S. Ryan, Chretien, Katherine C.·2012·Academic Pediatrics
DOI 10.1016/j.acap.2011.12.003
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Abstract

Objective The use of social networking sites (SNS) is increasing among all ages, with implications for medical education faculty and trainee interactions. Our objective was to understand pediatric medical educators' use of SNS and perspectives on professional boundaries and posted content.Methods From September through December 2010, the Council on Medical Student Education in Pediatrics conducted its annual online survey. This survey included 11 questions regarding members' own SNS use, interactions with trainees, and perceptions about online behaviors by students. In addition, 3 open-ended questions about reasons for SNS use/nonuse and interactions with trainees were included. Bivariate and multivariable analyses were conducted with the use of logistic regression for predictors of clerkship directors' SNS use and views about behaviors. Open-ended questions were analyzed qualitatively to identify themes.Results Of the 65% (94/144) of clerkship directors responding to the survey, 34% (32/94) currently use SNS, 54% (51/94) never used SNS, and 12% (11/94) previously used SNS. Lack of time was the main reason for non-use. Female respondents were more likely to perceive it as never/rarely acceptable to accept students' friend requests (odds ratio = 2.96, P = .03). Most felt hypothetical student online behaviors were rarely/never acceptable, such as photos of students holding alcohol (68/92, 74%), using discriminatory language (89/91, 98%), and sexually explicit posts (87/90, 97%).Conclusions Approximately one-third of pediatric clerkship directors currently use SNS, with use less likely with increasing age. Fewer have SNS relationships with students than with residents. Perceptions of appropriateness of faculty SNS behaviors and students' postings varied. These perceptions by medical education leaders can stimulate discussion to inform consensus guidelines on professional SNS use.

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  • There is less certainty about what constitutes appropriate professional behavior online, and opinions differ between medical students and faculty and among medical education faculty.

    “With the blurring of personal and professional content online, there remains less certainty about what constitutes appropriate professional behaviors online, and these opinions differ between medical students and faculty and even among medical education faculty.5,6,38”

    From Social Media and Clinical Care: Ethical, Professional, and Social Implications (2013) · cites this paper as [6]

  • When medical educators rated online behaviors, a majority (86-88%) felt it was rarely or never acceptable to write a deidentified patient narrative using a disrespectful tone.

    “When medical educators were asked to rate a list of specific online behaviors on appropriateness, the majority felt that it was rarely or never acceptable to write a deidentified patient narrative using a disrespectful tone (86-88%).5,6”

    From Social Media and Clinical Care: Ethical, Professional, and Social Implications (2013) · cites this paper as [6]

  • A smaller but still majority (61%) of medical educators felt that writing a deidentified patient narrative using a respectful tone was never or rarely acceptable.

    “Fewer, but still a majority, felt that writing this deidentified patient narrative using a respectful tone was never or rarely acceptable (61%).5,6”

    From Social Media and Clinical Care: Ethical, Professional, and Social Implications (2013) · cites this paper as [6]

  • In surveys of internal medicine and pediatrics medical educators, 82% to 84% said it was never or rarely acceptable to become social networking friends with a current patient.

    “When medical educators in internal medicine and pediatrics were asked to rate the appropriateness of certain online physician behaviors, 82% to 84% felt that it was never or rarely acceptable to become social networking friends with a current patient.”

    From Social Media and Clinical Care: Ethical, Professional, and Social Implications (2013) · cites this paper as [6]

  • Those studies did not distinguish between personal and professional social networking sites.

    “However, the distinction between personal and professional social networking sites was not made in these studies.”

    From Social Media and Clinical Care: Ethical, Professional, and Social Implications (2013) · cites this paper as [6]

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Authors
Kind, T., Greysen, S. R., & Chretien, K. C.
Affiliations
Children's National (US)
Corresponding author
Kind, Terry
ORCID
Venue
Academic Pediatrics
Publisher
Elsevier BV
Published
2012-03
Volume
12
Issue
2
Pages
142-148
ISSN
1876-2859 (ISSN-L)
DOI
10.1016/j.acap.2011.12.003
OpenAlex
W2052369913
Cited by
29
References
18
Citations by year
2024: 1 · 2023: 1 · 2022: 2 · 2021: 3 · 2020: 2 · 2019: 3 · 2017: 1 · 2016: 2 · 2015: 5 · 2014: 4 · 2013: 5
FWCI
5.10
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Academic Pediatrics (publishedVersion)
  • PubMed (publishedVersion)
Funders
University of Washington
Topics
  • Social Sciences › Health › Social Media in Health Education
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
  • Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
Keywords
social networking sites, online professionalism, faculty-student relationships, professional boundaries, medical faculty, student online behavior, teacher perceptions, social media policy
MeSH terms
Adult, Clinical Clerkship, Faculty, Medical, Female, Humans, Interpersonal Relations, Male, Middle Aged, Pediatrics, Social Support, Multivariate Analysis, Logistic Models

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