Social Media and Medical Professionalism: Rethinking the Debate and the Way Forward
Abstract
This Perspective addresses the growing literature about online medical professionalism. Whereas some studies point to the positive potential of social media to enhance and extend medical practice, the dominant emphasis is on the risks and abuses of social media. Overall evidence regarding online medical professionalism is (as with any new area of practice) limited; however, simply accumulating more evidence, without critically checking the assumptions that frame the debate, risks reinforcing negativity toward social media. In this Perspective, the author argues that the medical community should step back and reconsider its assumptions regarding both professionalism and the digital world of social media. Toward this aim, she outlines three areas for critical rethinking by educators and students, administrators, professional associations, and researchers. First she raises some cautions regarding the current literature on using social media in medical practice, which sometimes leaps too quickly from description to prescription. Second, she discusses professionalism. Current debates about the changing nature and contexts of professionalism generally might be helpful in reconsidering notions of online medical professionalism specifically. Third, the author argues that the virtual world itself and its built-in codes deserve more critical scrutiny. She briefly summarizes new research from digital studies both to situate the wider trends more critically and to appreciate the evolving implications for medical practice. Next, the author revisits the potential benefits of social media, including their possibilities to signal new forms of professionalism. Finally, the Perspective ends with specific suggestions for further research that may help move the debate forward.
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Risks such as privacy and accuracy of information, compromising confidentiality, eroding public trust, and loosening accountability were presented in previous research.
“Likewise, risks such as privacy and accuracy of information, compromising confidentiality, eroding public trust, and loosening accountability were presented in previous research [156,188,189].”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [188]
Cites
Sociomaterial practices: exploring technology at work
Orlikowski, W. J. (2007) · Organization Studies · doi:10.1177/0170840607081138 · Cited by 3,248 · see citing works
Hawn, C. (2009) · Health Affairs · doi:10.1377/hlthaff.28.2.361 · Cited by 821 · see citing works
The Appeal to ‘Professionalism’ as a Disciplinary Mechanism
Fournier, V. (1999) · The Sociological Review · doi:10.1111/1467-954x.00173 · Cited by 777 · see citing works
Participation, Remediation, Bricolage: Considering Principal Components of a Digital Culture
Deuze, M. (2006) · The Information Society · doi:10.1080/01972240600567170 · Cited by 675 · see citing works
Towards an uncertain politics of professionalism: teacher and nurse identities in flux
Stronach, I., Corbin, B. R., McNamara, O., Stark, S., & Warne, T. (2002) · Journal of Education Policy · doi:10.1080/02680930110100081 · Cited by 456 · 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
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
Sociological interpretations of professionalism
Martimianakis, M. A., Maniate, J. M., & Hodges, B. D. (2009) · Medical Education · doi:10.1111/j.1365-2923.2009.03408.x · Cited by 211 · see citing works
Social Media and Organ Donor Registration: The Facebook Effect
Cameron, A. M., Massie, A. B., Alexander, C. E., Stewart, B., Montgomery, R. A., Benavides, N. R., Fleming, G. D., & Segev, D. L. (2013) · American Journal of Transplantation · doi:10.1111/ajt.12312 · Cited by 180 · 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
E-professionalism: a new paradigm for a digital age
Cain, J., & Romanelli, F. (2009) · Currents in Pharmacy Teaching and Learning · doi:10.1016/j.cptl.2009.10.001 · Cited by 158 · see citing works
Sociological Analysis of Professionalism: Past, Present and Future
Evetts, J. (2011) · Comparative Sociology · doi:10.1163/156913310x522633 · Cited by 139 · see citing works
Social Media Use by Health Care Professionals and Trainees: A Scoping Review
Hamm, M. P., Chisholm, A., Shulhan, J., Milne, A., Scott, S. D., Klassen, T. P., & Hartling, L. (2013) · Academic Medicine · doi:10.1097/acm.0b013e31829eb91c · Cited by 136 · see citing works
Professionalism in the Digital Age
Mostaghimi, A., & Crotty, B. H. (2011) · Annals of Internal Medicine · doi:10.7326/0003-4819-154-8-201104190-00008 · Cited by 123 · see citing works
Social media and the medical profession
Mansfield, S. J., Morrison, S. G., Stephens, H. O., Bonning, M. A., Wang, S., Withers, A. H. J., Olver, R. C., & Perry, A. W. (2011) · Medical Journal of Australia · doi:10.5694/j.1326-5377.2011.tb03149.x · Cited by 112 · see citing works
Promoting Clinical Competence Using Social Media
Green, B., & Hope, A. (2010) · Nurse Educator · doi:10.1097/nne.0b013e3181d9502b · Cited by 47 · see citing works
Beyond Good and Evil: Exploring Medical Trainee Use of Social Media
George, D. R., & Green, M. J. (2012) · Teaching and Learning in Medicine · doi:10.1080/10401334.2012.664972 · Cited by 43 · see citing works
Lie (2013) · doi:10.1097/acm.0b013e31827bf5fc · Cited by 41 · see citing works
Incorporating Social Media Into Practice
Omurtag, K. R., & Turek, P. J. (2013) · Clinical Obstetrics & Gynecology · doi:10.1097/grf.0b013e3182988cec · Cited by 17 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Supporting the development of a professional identity: General principles
Cruess, S. R., Cruess, R. L., & Steinert, Y. (2019) · Medical Teacher · doi:10.1080/0142159x.2018.1536260 · Cited by 531 · see citing works
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
“Likewise, risks such as privacy and accuracy of information, compromising confidentiality, eroding public trust, and loosening accountability were presented in previous research [156,188,189].”
Not just digital natives: Integrating technologies in professional education contexts
Smith, E. E., Kahlke, R., & Judd, T. S. (2020) · Australasian Journal of Educational Technology · doi:10.14742/ajet.5689 · Cited by 155 · see citing works
Social media in professional medicine: new resident perceptions and practices
Lefebvre, C., Mesner, J., Stopyra, J., O'Neill, J., Husain, I., Geer, C., Gerancher, K., Atkinson, H., Harper, E., Huang, W., et al. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.5612 · Cited by 88 · see citing works
A Digital Ethnography of Medical Students who Use Twitter for Professional Development
Chretien, K. C., Tuck, M. G., Simon, M., Singh, L. O., & Kind, T. (2015) · Journal of General Internal Medicine · doi:10.1007/s11606-015-3345-z · Cited by 84 · see citing works
Alcañíz, M., Giglioli, I. A. C., Marín‐Morales, J., Higuera-Trujillo, J. L., Olmos-Raya, E., Minissi, M. E., Garcia, G. T., Sirera, M., & Abad, L. (2020) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2020.00090 · Cited by 75 · see citing works
Uncovering cyberincivility among nurses and nursing students on Twitter: A data mining study
Gagne, J. C. D., Hall, K. M., Conklin, J., Yamane, S. S., Roth, N. W., Chang, J., & Kim, S. S. (2018) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2018.09.009 · Cited by 54 · 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
My three shrinks: Personal stories of social media exploration
DAVISS, S. R., Hanson, A., & Miller, D. (2015) · International Review of Psychiatry · doi:10.3109/09540261.2015.1027672 · Cited by 52 · see citing works
Ruan, B., Yilmaz, Y., Lu, D., Lee, M., & Chan, T. M. (2020) · Journal of Medical Internet Research · doi:10.2196/21416 · Cited by 47 · see citing works
An Academic Healthcare Twitter Account: The Mayo Clinic Experience
Widmer, R. J., Engler, N. B., Geske, J. B., Klarich, K. W., & Timimi, F. K. (2016) · Cyberpsychology Behavior and Social Networking · doi:10.1089/cyber.2015.0607 · Cited by 43 · see citing works
Extracting medical entities from social media
Šćepanović, S., Martín-López, E., Quercia, D., & Baykaner, K. (2020) · ACM Conference on Health, Inference, and Learning (CHIL) · doi:10.1145/3368555.3384467 · Cited by 34 · see citing works
Perception of social media behaviour among medical students, residents and medical specialists
Pronk, S. A., Gorter, S. L., Van Luijk, S. J., Barnhoorn, P. C., Binkhorst, B., & Van Mook, W. N. K. A. V. M. (2021) · Perspectives on Medical Education · doi:10.1007/s40037-021-00660-1 · Cited by 31 · 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
Social media and professional identity: Pitfalls and potential
O’Regan, A., Smithson, W. H., & Spain, E. (2017) · Medical Teacher · doi:10.1080/0142159x.2017.1396308 · Cited by 27 · see citing works
Pereira, I., Cunningham, A. M., Moreau, K., Sherbino, J., & Jalali, A. (2015) · Postgraduate Medical Journal · doi:10.1136/postgradmedj-2015-133353 · Cited by 23 · see citing works
Blurred lines: the General Medical Council guidance on doctors and social media
Cork, N., & Grant, P. (2016) · Clinical Medicine · doi:10.7861/clinmedicine.16-3-219 · Cited by 20 · see citing works
Social media networks and leadership ethics in healthcare
Ennis-O-Connor, M., & Mannion, R. (2020) · Healthcare Management Forum · doi:10.1177/0840470419893773 · Cited by 16 · see citing works
Kesselheim, J. C., Schwartz, A., Belmonte, F., Boland, K. A., Poynter, S., & Batra, M. (2016) · Academic Pediatrics · doi:10.1016/j.acap.2015.12.004 · Cited by 16 · see citing works
How do general practice residents use social networking sites in asynchronous distance learning?
Maisonneuve, H., Chambe, J., Lorenzo, M., & Pelaccia, T. (2015) · BMC Medical Education · doi:10.1186/s12909-015-0435-x · Cited by 16 · see citing works
Dimitri, D., Gubert, A., Miller, A. B., Thoma, B., & Chan, T. M. (2016) · Cureus · doi:10.7759/cureus.788 · Cited by 16 · see citing works
Yılmaz, Y., Ruan, B., Thomas, P., Tran, V., & Chan, T. M. (2021) · F1000Research · doi:10.12688/f1000research.73439.2 · Cited by 15 · see citing works
Mawdsley, A., & Schafheutle, E. I. (2015) · Currents in Pharmacy Teaching and Learning · doi:10.1016/j.cptl.2015.08.010 · Cited by 14 · see citing works
Mixed messages: An evaluation of NHS Trust Social Media policies in the North West of England
Scragg, B., Shaikh, S., Robinson, L., & Mercer, C. (2017) · Radiography · doi:10.1016/j.radi.2017.03.018 · Cited by 12 · see citing works
Mosalanejad, L., & Abdollahifard, S. (2021) · Journal of Education and Health Promotion · doi:10.4103/jehp.jehp_681_20 · Cited by 10 · see citing works
Social Media in Ophthalmology: The Educational and Professional Potential for Medical Students
Schmuter, G., Tooley, A. A., Chen, R. W. S., & Law, J. C. (2020) · Journal of Academic Ophthalmology · doi:10.1055/s-0040-1709178 · Cited by 10 · see citing works
Yılmaz, Y., Ruan, B., Thomas, P., Tran, V., & Chan, T. M. (2021) · F1000Research · doi:10.12688/f1000research.73439.1 · Cited by 7 · see citing works
Runyon, A., Heaven, S., Forster, L., Kerr, A. M., Shaub, T. L., & Simon, J. E. (2023) · Teaching and Learning in Medicine · doi:10.1080/10401334.2023.2211967 · Cited by 6 · see citing works
Curtis, F., & Gillén, J. (2017) · Journal of Further and Higher Education · doi:10.1080/0309877x.2017.1359503 · Cited by 6 · see citing works
Hovdenak, S. S., & Wiese, E. (2018) · Society Health & Vulnerability · doi:10.1080/20021518.2018.1451174 · Cited by 3 · see citing works
Resident Remediation: Start From Scratch
Barnhoorn, P. (2015) · American Journal of Clinical Pathology · doi:10.1309/ajcpe3q4nxxtdbas · Cited by 3 · see citing works
Evaluating the appropriateness of Facebook posts – What do faculty and residents consider?
Loo, M. E., Wong, B., & Lee, Y. M. (2020) · The Asia Pacific Scholar · doi:10.29060/taps.2020-5-3/oa2226 · Cited by 2 · see citing works
Thomson, A., Raciborska, D., Baker, D., & Giovannoni, G. (2017) · Practical Neurology · doi:10.1136/practneurol-2017-001597 · Cited by 2 · see citing works
Ebenezer, C. (2015) · E-LIS Repository (University of Naples Federico II)
- Authors
- Fenwick, T.
- Affiliations
- University of Stirling (GB)
- Corresponding author
- Fenwick, Tara
- Venue
- Academic Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2014-10
- Volume
- 89
- Issue
- 10
- Pages
- 1331-1334
- ISSN
- 1040-2446 (ISSN-L)
- OpenAlex
- W2072982398
- Cited by
- 34
- References
- 19
- Citations by year
- 2023: 1 · 2021: 5 · 2020: 6 · 2019: 2 · 2018: 2 · 2017: 5 · 2016: 4 · 2015: 8 · 2014: 1
- FWCI
- 7.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Academic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Stirling Online Research Repository (University of Stirling) (submittedVersion, public-domain)
- Topics
- Social Sciences › Health › Social Media in Health Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Health Sciences › Health Professions › General Health Professions › Health, Medicine and Society
- Keywords
- social media, medical professionalism, online professionalism, medical practice, digital ethics, professional codes, medical education, professional associations, digital studies
- MeSH terms
- Communication, Humans, Physician's Role, Professional Competence, Social Media
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