Physician, Monitor Thyself: Professionalism and Accountability in the Use of Social Media
Abstract
The recent report of the AMA Council on Ethical and Judicial Affairs (CEJA), "Professionalism in the Use of Social Media," describes the types of social media medical professionals use, outlines ways in which existing AMA policies address issues of online professionalism, and makes a list of recommendations for physicians to maintain online professionalism. CEJA recommends directed efforts towards educating physicians about the benefits and pitfalls of social media and, in particular, underscores the difficulties of maintaining professional boundaries in the digital age. In this commentary, we highlight issues introduced by the report and suggest some specific ways that the recommendations of the committee can be implemented by medical schools, residency programs, and practicing physicians.
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?
Prior literature has highlighted both benefits and risks of social media in healthcare, but there remains limited understanding of how generational perspectives shape views of professionalism in healthcare social media use.
“Prior literature has highlighted both benefits and risks of social media in healthcare,4–13 but there remains limited understanding of how generational perspectives shape views of professionalism in healthcare social media use.”
From Evaluating perceptions of social media professionalism by healthcare workers (2026) · cites this paper as [12]
Cites
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
The Intersection of Online Social Networking with Medical Professionalism
Thompson, L. A., Dawson, K., Ferdig, R., Black, E. W., Boyer, J., Coutts, J., & Black, N. P. (2008) · Journal of General Internal Medicine · doi:10.1007/s11606-008-0538-8 · Cited by 425 · 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 · see citing works
Self-citationLagu, T., Hannon, N. S., Rothberg, M. B., & Lindenauer, P. K. (2010) · Journal of General Internal Medicine · doi:10.1007/s11606-010-1383-0 · Cited by 290 · see citing works
Self-citationContent of Weblogs Written by Health Professionals
Lagu, T., Kaufman, E. J., Asch, D. A., & Armstrong, K. (2008) · Journal of General Internal Medicine · doi:10.1007/s11606-008-0726-6 · Cited by 255 · see citing works
Self-citationPrivacy, professionalism and Facebook: a dilemma for young doctors
MacDonald, J., Sohn, S., & Ellis, P. (2010) · Medical Education · doi:10.1111/j.1365-2923.2010.03720.x · Cited by 245 · see citing works
Medical professionalism in the age of online social networking
Guseh, J. S., Brendel, R. W., & Brendel, D. H. (2009) · Journal of Medical Ethics · doi:10.1136/jme.2009.029231 · Cited by 165 · see citing works
Facebook activity of residents and fellows and its impact on the doctor–patient relationship
Moubarak, G., Guiot, A., Benhamou, Y., Benhamou, A., & Hariri, S. (2011) · Journal of Medical Ethics · doi:10.1136/jme.2010.036293 · Cited by 138 · see citing works
Protected health information on social networking sites: ethical and legal considerations
Thompson, L. A., Black, E., Duff, W. P., Paradise Black, N., Saliba, H., & Dawson, K. (2011) · Journal of Medical Internet Research · doi:10.2196/jmir.1590 · Cited by 114 · see citing works
Putting the Public Back in Public Reporting of Health Care Quality
Lagu, T. C., & Lindenauer, P. K. (2010) · JAMA · doi:10.1001/jama.2010.1499 · Cited by 67 · see citing works
Self-citationFarnan, J. M., Higa, J. T., Paro, J. A. M., Reddy, S. T., Humphrey, H. J., & Arora, V. M. (2010) · AJOB Primary Research · doi:10.1080/21507711003697527 · Cited by 12 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Social Media and Clinical Care: Ethical, Professional, and Social Implications
Chretien, K. C., & Kind, T. (2013) · Circulation · doi:10.1161/circulationaha.112.128017 · Cited by 355 · see citing works
Greysen, S. R., Chretien, K. C., Kind, T., Young, A., & Gross, C. P. (2012) · JAMA · doi:10.1001/jama.2012.330 · Cited by 158 · see citing works
Self-citationWhite, J., Kirwan, P., Lai, K., Walton, J., & Ross, S. (2013) · BMJ Open · doi:10.1136/bmjopen-2013-003013 · Cited by 93 · 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 · see citing works
Pillow, M., Hopson, L., Bond, M., Cabrera, D., Patterson, L., Pearson, D., Sule, H., Ankel, F., Fernández-Frackelton, M., Hall, R., et al. (2014) · Western Journal of Emergency Medicine · doi:10.5811/westjem.2013.7.14945 · Cited by 61 · see citing works
The Development and Impact of a Social Media and Professionalism Course for Medical Students
Gomes, A. W., Butera, G., Chretien, K. C., & Kind, T. (2017) · Teaching and Learning in Medicine · doi:10.1080/10401334.2016.1275971 · Cited by 53 · see citing works
Online professionalism investigations by state medical boards: first, do no harm
Greysen, S. R., Johnson, D., Kind, T., Chretien, K. C., Gross, C. P., Young, A., & Chaudhry, H. J. (2013) · Annals of Internal Medicine · doi:10.7326/0003-4819-158-2-201301150-00008 · Cited by 46 · see citing works
Self-citationLie (2013) · doi:10.1097/acm.0b013e31827bf5fc · Cited by 41 · 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
- Authors
- Lagu, T., & Ryan Greysen, S.
- Affiliations
- Tufts University (US)
- ORCID
- Lagu, Tara
- Venue
- The Journal of Clinical Ethics
- Publisher
- University of Chicago Press
- Published
- 2011-06-01
- Volume
- 22
- Issue
- 2
- Pages
- 187-190
- ISSN
- 1046-7890 (ISSN-L)
- 1945-5879
- OpenAlex
- W1549314110
- Cited by
- 44
- References
- 11
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 1 · 2023: 1 · 2021: 1 · 2020: 3 · 2018: 2 · 2017: 3 · 2016: 2 · 2015: 8 · 2014: 4 · 2013: 9 · 2012: 4
- FWCI
- 5.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Ethics (publishedVersion)
- PubMed (publishedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Topics
- Social Sciences › Health › Social Media in Health Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmaceutical industry and healthcare
- Keywords
- social media, physician professionalism, professional accountability, professional boundaries, online professionalism, physician training, medical schools, residency training, physician-patient relationship
- MeSH terms
- American Medical Association, Ethics, Medical, Humans, Physician-Patient Relations, Physicians, Social Environment, Social Responsibility, United States, Liability, Legal, Guidelines as Topic, Privacy, Guideline Adherence, Internet, Advisory Committees
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