The Development and Impact of a Social Media and Professionalism Course for Medical Students
Abstract
PROBLEM: Inappropriate social media behavior can have detrimental effects on students' future opportunities, but medical students are given little opportunity to reflect upon ways of integrating their social media identities with their newly forming professional identities. INTERVENTION: In 2012, a required educational session was developed for 1st-year medical students on social media and professional identity. Objectives include identifying professionalism issues and recognizing positive social media use. The 2-hour large-group session uses student-generated social media examples to stimulate discussion and concludes with an expert panel. Students complete a postsession reflection assignment. CONTEXT: The required social media session occurs early in the 1st year and is part of the Professionalism curriculum in The George Washington University School of Medicine. Reflection papers are graded for completion. OUTCOME: The study began in 2012 and ran through 2014; a total of 313/505 participants (62%) volunteered for the study. Assessment occurred through qualitative analysis of students' reflection assignments. Most students (65%, 203/313) reported considering changes in their social media presence due to the session. The analysis revealed themes relating to a broader understanding of online identity and opportunities to enhance careers. In a 6-month follow-up survey of 76 students in the 2014 cohort who completed the entire survey, 73 (94%) reported some increase in awareness, and 48 (64%) made changes to their social media behavior due to the session (response rate = 76/165; 46%), reflecting the longer term impact. LESSONS LEARNED: Opportunities for discussion and reflection are essential for transformational learning to occur, enabling understanding of other perspectives. Incorporating student-submitted social media examples heightened student interest and engagement. The social media environment is continually changing, so curricular approaches should remain adaptable to ensure timeliness and relevance. Including online professionalism curricula focused on implications and best practices helps medical students develop an awareness of their electronic professional identities.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Another school has designed and implemented a 90 min educational session to raise students' awareness of their new role as medical professionals and the implications for their social media presence.
“Another school has designed and implemented a 90 min educational session to raise students’ awareness of their new role as medical professionals and the implications for their SM presence (34).”
From Identifying social media professionalism competencies in Vietnamese medical students: a modified Delphi method (2026) · cites this paper as [34]
In 4 studies including medical students, educational interventions were positively accepted by students and showed a positive impact on the way they view themselves and their use of social media.
“In 4 studies that included medical students as participants [46,48,60,63], educational interventions were positively accepted by students and showed a positive impact on the way they view themselves and their use of SM.”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [48]
In Gomes et al's cohort study, 94% of medical students reported some increase in awareness, and 64% made changes to their social media behavior due to the session.
“In a cohort study by Gomes et al [48], 94% of medical students reported some increase in awareness, and 64% made changes to their SM behavior due to the session, reflecting the longer-term impact.”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [48]
Effectiveness of educational interventions about e-professionalism or impact of existing social media policies has been recognized in this review, since numerous studies explored educational interventions for promoting e-professionalism.
“Effectiveness of educational interventions about e-professionalism or impact of existing SM policies has been recognized in this review, since numerous studies explored educational interventions for promoting e-professionalism [46,48,52,54,55,60,63,81,89,103].”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [48]
There have been some examples of rigorous and impactful social media professionalism training, such as that of Gomes et al.
“Although there have been some examples of rigorous and impactful social media professionalism training like that of Gomes et al.,”
From Evaluating perceptions of social media professionalism by healthcare workers (2026) · cites this paper as [21]
There remains a massive gap for healthcare professionals in social media professionalism training.
“there remains a massive gap for healthcare professionals in this realm. 21”
From Evaluating perceptions of social media professionalism by healthcare workers (2026) · cites this paper as [21]
Cites
Transformative learning: Theory to practice
Mezirow, J. (1997) · New Directions for Adult and Continuing Education · doi:10.1002/ace.7401 · Cited by 4,445 · see citing works
Journal of General Internal Medicine
(2013) · Journal of General Internal Medicine · doi:10.1007/11606.1525-1497 · Cited by 1,284 · see citing works
Online Posting of Unprofessional Content by Medical Students
Chretien, K. C. (2009) · JAMA · doi:10.1001/jama.2009.1387 · Cited by 448 · see citing works
Self-citationFarnan, J. M., Snyder Sulmasy, L., Worster, B. K., Chaudhry, H. J., Rhyne, J. A., Arora, V. M., for the American College of Physicians Ethics, P. A. H. R. C., the American College of Physicians Council of Associates, & the Federation of State Medical Boards Special Committee on Ethics and Professionalism* (2013) · Annals of Internal Medicine · doi:10.7326/0003-4819-158-8-201304160-00100 · Cited by 420 · see citing works
Dangers and Opportunities for Social Media in Medicine
GEORGE, D. R., ROVNIAK, L. S., & KRASCHNEWSKI, J. L. (2013) · Clinical Obstetrics & Gynecology · doi:10.1097/grf.0b013e318297dc38 · Cited by 352 · see citing works
Online professionalism and the mirror of social media.
Greysen, S. R., Kind, T., & Chretien, K. C. (2010) · Journal of General Internal Medicine · doi:10.1007/s11606-010-1447-1 · Cited by 323 · cited 2× · see citing works
“media activity mirrors their daily thoughts and activities.(2) However, as they transition into the role of a professional physician, students may or may not alter their personal social media behavior.”
BackgroundSelf-citationKolb, D. A. (2007) · Cited by 180 · see citing works
Social media policies at US medical schools
Kind, T., Genrich, G., Sodhi, A., & Chretien, K. C. (2010) · Medical Education Online · doi:10.3402/meo.v15i0.5324 · Cited by 161 · see citing works
Self-citationSocial media and physicians’ online identity crisis
DeCamp, M., Koenig, T. W., & Chisolm, M. S. (2013) · JAMA · doi:10.1001/jama.2013.8238 · Cited by 106 · see citing works
e-Professionalism: A New Frontier in Medical Education
Kaczmarczyk, J. M., Chuang, A., Dugoff, L., Abbott, J. F., Cullimore, A. J., Dalrymple, J., Davis, K. R., Hueppchen, N. A., Katz, N. T., Nuthalapaty, F. S., et al. (2013) · Teaching and Learning in Medicine · doi:10.1080/10401334.2013.770741 · Cited by 94 · cited 1× · see citing works
“As a result, a new facet of medical professionalism has emerged—e-professionalism.(6) Some schools and associations, including the American Medical Association, the American College of Physicians, and the Federation of State Medical Boards, have developed social media guidelines to encourage appropriate behavior.”
BackgroundGagnon, K., & Sabus, C. (2015) · Physical Therapy · doi:10.2522/ptj.20130227 · Cited by 90 · see citing works
Use of social media by residency program directors for resident selection.
Cain, J., Scott, D. R., & Smith, K. M. (2010) · American Journal of Health-System Pharmacy · doi:10.2146/ajhp090658 · Cited by 71 · see citing works
Online professionalism and Facebook – Falling through the generation gap
Osman, A., Wardle, A., & Caesar, R. (2012) · Medical Teacher · doi:10.3109/0142159x.2012.668624 · Cited by 67 · see citing works
Walton, J. M., White, J., & Ross, S. (2015) · Medical Education Online · doi:10.3402/meo.v20.28708 · Cited by 59 · see citing works
Physician, Monitor Thyself: Professionalism and Accountability in the Use of Social Media
Lagu, T., & Ryan Greysen, S. (2011) · The Journal of Clinical Ethics · doi:10.1086/jce201122213 · Cited by 44 · see citing works
Social Networking Profiles and Professionalism Issues in Residency Applicants
Ponce, B. A., Determann, J. R., Boohaker, H., Sheppard, E. D., McGwin, G., & Theiss, S. M. (2013) · Journal of surgical education · doi:10.1016/j.jsurg.2013.02.005 · Cited by 41 · see citing works
Lie (2013) · doi:10.1097/acm.0b013e31827bf5fc · Cited by 41 · see citing works
Social Media and Medical Professionalism: Rethinking the Debate and the Way Forward
Fenwick, T. (2014) · Academic Medicine · doi:10.1097/acm.0000000000000436 · Cited by 34 · see citing works
Flickinger, T. E., O'Hagan, T., & Chisolm, M. S. (2015) · JMIR Medical Education · doi:10.2196/mededu.4886 · Cited by 34 · see citing works
Opinions of Students from a Brazilian Medical School Regarding Online Professionalism
Rocha, P. N., & de Castro, N. A. A. (2014) · Journal of General Internal Medicine · doi:10.1007/s11606-013-2748-y · Cited by 32 · see citing works
Social Media and Tomorrow's Medical Students—How Do They Fit?
Foley, N. M., Maher, B., & Corrigan, M. A. (2013) · Journal of surgical education · doi:10.1016/j.jsurg.2013.10.008 · Cited by 32 · see citing works
The Impact of Social Media and Technology on Professionalism in Medical Education
Essary, A. C. (2011) · The Journal of Physician Assistant Education · doi:10.1097/01367895-201122040-00009 · Cited by 30 · see citing works
How we made professionalism relevant to twenty-first century residents
Khandelwal, A., Nugus, P., Elkoushy, M. A., Cruess, R. L., Cruess, S. R., Smilovitch, M., & Andonian, S. (2015) · Medical Teacher · doi:10.3109/0142159x.2014.990878 · Cited by 28 · see citing works
Influence of social networking websites on medical school and residency selection process
Schulman, C. I., Kuchkarian, F. M., Withum, K. F., et al. (2012) · Postgraduate Medical Journal · doi:10.1136/postgradmedj-2012-131283 · Cited by 28 · see citing works
Climbing Social Media in Medicine’s Hierarchy of Needs
Chretien, K. C., & Kind, T. (2014) · Academic Medicine · doi:10.1097/acm.0000000000000430 · Cited by 27 · see citing works
Self-citationReflective Practice as a Tool to Teach Digital Professionalism
Kung, J. W., Eisenberg, R. L., & Slanetz, P. J. (2012) · Academic Radiology · doi:10.1016/j.acra.2012.08.008 · Cited by 26 · see citing works
Social Media and Medical Professionalism: Toward an Expanded Program
DeCamp, M. (2012) · Archives of Internal Medicine · doi:10.1001/archinternmed.2012.3220 · Cited by 19 · see citing works
Design for learning: Adapting the microscopic anatomy laboratory to adult learners
Jurjus, R. A., Krum, J. M., & Goldman, E. F. (2012) · Anatomical Sciences Education · doi:10.1002/ase.1324 · Cited by 14 · see citing works
Raising Digital Professionalism awareness in undergraduate medical training
John, B., Cheema, A. K., & Byrne, D. (2012) · Medical Education · doi:10.1111/medu.12007 · Cited by 10 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Vukušić Rukavina, T., Viskić, J., Machala Poplašen, L., Relić, D., Marelić, M., Jokic, D., & Sedak, K. (2021) · Journal of Medical Internet Research · doi:10.2196/25770 · Cited by 199 · see citing works
“A total of 10 studies have tried to assess effectiveness of educational sessions or workshops incorporated in students’ or residents’ curriculum [46,48,52,54,55,60,63,81,89,103], and 1 study assessed the effects of formal SM instruction and policy on residents’ ability to navigate case-based…”
InfluentialDennen, V. P., Choi, H., & Word, K. (2020) · Educational Technology Research and Development · doi:10.1007/s11423-020-09796-z · Cited by 79 · see citing works
O’Connor, S., Zhang, M., Honey, M., & Lee, J. J. (2021) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2021.104514 · Cited by 76 · see citing works
D'Souza, K., Henningham, L., Zou, R., Huang, J., O'Sullivan, E., Last, J., & Ho, K. (2017) · JMIR Medical Education · doi:10.2196/mededu.6429 · Cited by 53 · see citing works
Exploring the impact of digital professionalism awareness training on dental undergraduate students
Gormley, M., Collins, L., Schofield, S., & Neville, P. (2021) · European Journal of Dental Education · doi:10.1111/eje.12601 · Cited by 19 · see citing works
Dang, T. K. C., Yeh, B.-I., Park, Y. C., Hoang, B. B., Vinh, K., & Park, K. H. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1703842 · Cited by 1 · see citing works
Evaluating perceptions of social media professionalism by healthcare workers
Dalton, C., Sarwar, Z., Garwe, T., & Hunter, C. J. (2026) · DIGITAL HEALTH · doi:10.1177/20552076251411281 · Cited by 1 · see citing works
“21 While the goal is certainly not to constantly police what each employee is posting on their accounts or encroach on an individual ’ s rights through censorship, being able to provide some amount of structure may be helpful.”
- Authors
- Gomes, A. W., Butera, G., Chretien, K. C., & Kind, T.
- Affiliations
- George Washington University (US)
- Children's National (US)
- Corresponding author
- Gomes, Alexandra W.
- Venue
- Teaching and Learning in Medicine
- Publisher
- Informa UK Limited
- Published
- 2017-03-08
- Volume
- 29
- Issue
- 3
- Pages
- 296-303
- ISSN
- 1040-1334 (ISSN-L)
- 1532-8015
- OpenAlex
- W2594448362
- Cited by
- 53
- References
- 29
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 1 · 2023: 6 · 2022: 7 · 2021: 7 · 2020: 13 · 2019: 5 · 2018: 3 · 2017: 2
- FWCI
- 6.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Teaching and Learning in Medicine (publishedVersion)
- PubMed (publishedVersion)
- 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 media, professionalism, medical students, professional identity, online identity, reflection, transformative learning, professionalism curriculum, social media behavior, student engagement, expert panel
- MeSH terms
- Professionalism, Curriculum, Education, Medical, Undergraduate, Humans, Surveys and Questionnaires, Students, Medical, Program Evaluation, Social Media
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review