Climbing Social Media in Medicine’s Hierarchy of Needs
Abstract
The social media and medicine landscape is evolving rapidly. Early research, social media policies, and educational efforts focused on risk avoidance, while more current efforts have encouraged reflection and explored opportunities. This trajectory has affirmed physicians' professional commitment to maintaining public trust in the face of new challenges in the digital age. In this Commentary, the authors propose viewing physicians' social media use as a hierarchy of needs, similar to Maslow's psychological theory which posits that more basic levels of needs must be met before higher, aspirational levels can be fully attained. The three levels in the social media in medicine's hierarchy of needs are Security, Reflection, and Discovery. Critical to this model is respecting the essential need for Security in order to move towards Reflection and into Discovery. The social media in medicine hierarchy of needs pyramid rests on a foundation of Public Trust. How physicians as a profession have responded to past--and continue to respond to present and future--social media challenges to professionalism reveals what matters most: maintaining public trust and honoring the physicians' contract with society. A victory for online professionalism would be providing trainees with the tools and guidance needed to ascend to Discovery, while ensuring that their basic social media needs are first met. To do this, physician educators need to continue increasing trainees' awareness through designing relevant curricula, encouraging reflection, and providing positive role modeling and effective mentorship.
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A recent study by Wissinger and Stiegler highlights the importance of formal integration of e-professionalism into health care curricula to prepare students for situations they will face once employed.
“A recent study by Wissinger and Stiegler [183] also highlights the importance of formal integration of e-professionalism into the health care curricula to prepare students for situations they will face once employed.”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [183]
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- Authors
- Chretien, K. C., & Kind, T.
- Affiliations
- United States Department of Veterans Affairs (US)
- Corresponding author
- Chretien, Katherine C.
- Venue
- Academic Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2014-10
- Volume
- 89
- Issue
- 10
- Pages
- 1318-1320
- ISSN
- 1040-2446 (ISSN-L)
- OpenAlex
- W1980147981
- Cited by
- 27
- References
- 10
- Citations by year
- 2023: 2 · 2022: 2 · 2021: 6 · 2020: 1 · 2019: 4 · 2017: 3 · 2016: 4 · 2015: 5
- FWCI
- 5.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Academic 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 › Gender Studies › Diversity and Career in Medicine
- Keywords
- physician social media use, Maslow's hierarchy of needs, public trust in medicine, online professionalism, medical education, social media policy, reflective practice, physician trainees, mentoring, role modeling, social media security
- MeSH terms
- Humans, Professional Competence, Social Media
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