Itʼs Your Own Risk: Medical Studentsʼ Perspectives on Online Professionalism
Abstract
BACKGROUND: U.S. medical schools have reported unprofessional online content by medical students. To inform institutional policies and curricula, we conducted a qualitative study exploring medical student perspectives on online posting. METHOD: Six focus groups were conducted with students from a single institution in November 2009. Interviews were recorded, transcribed, and analyzed using qualitative methods. RESULTS: Sixty-four students participated. Besides HIPAA violations and illegal activities, students disagreed as to what was inappropriate to post. They experienced online identity conflicts and described ambivalence toward Facebook. Students were concerned about online activity risks and lack of personal control. Their postings were guided by common sense and what they believed was expected from medical students. Students desired recommendations for appropriate content and suggested raising awareness through discussion. CONCLUSIONS: Medical students viewed online postings through a lens of personal risk. They desired recommendations but were sensitive to feeling controlled by their school.
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Important differences exist in perceptions of inappropriate social media behavior among various stakeholders.
“Further, important differences exist in perceptions of inappropriate SM behavior among various stakeholders.”
From Perceptions of Unprofessional Social Media Behavior Among Emergency Medicine Physicians (2017) · cites this paper as [14]
Medical students often regard themes of speech, alcohol, and dress as components of online 'social identity' rather than potential unprofessional behavior.
“Medical students often regard themes of speech, alcohol, and dress as components of online '' social identity '' rather than potential unprofessional behavior. 13,14”
From Perceptions of Unprofessional Social Media Behavior Among Emergency Medicine Physicians (2017) · cites this paper as [14]
Medical students often regard themes of speech, alcohol, and dress as components of online social identity rather than potential unprofessional behavior.
“Medical students often regard themes of speech, alcohol, and dress as components of online ‘‘social identity’’ rather than potential unprofessional behavior [154,155].”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [155]
Consensus about what constitutes unprofessional behavior has still not been reached.
“It seems that consensus about what constitutes unprofessional behavior, even evoked as a question since Chretien et al’s [155] study in 2010, has still not been reached.”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [155]
Medical students' perspectives on appropriate social media use and their current practices have not been well explored.
“Despite this meteoric rise in use, the perspectives of students regarding the appropriate utilization of this technology (as well as their current practices) have not been well explored. 21”
From Beyond Good and Evil: Exploring Medical Trainee Use of Social Media (2012) · cites this paper as [21]
Medical students are generally facile with social media but eager for their institutions to provide professional guidance and direction.
“Studies have found that medical students are generally facile with social media but are eager for their institutions to provide professional guidance and direction. 21”
From Beyond Good and Evil: Exploring Medical Trainee Use of Social Media (2012) · cites this paper as [21]
A 2010 qualitative study found no consensus among medical students on what constitutes unprofessional behaviour, except for HIPAA violations and illegal behaviours.
“A 2010 qualitative study found that, with the exception of HIPAA violations and illegal behaviours, there was no consensus among medical students for what constitutes unprofessional behaviour.12”
From What is appropriate to post on social media? <scp>R</scp> atings from students, faculty members and the public (2014) · cites this paper as [12]
There is suspicion and pessimism among social media users about what is truly private.
“Including members of the public in the study is key because there is suspicion and pessimism among social media users as to what is truly private.”
From What is appropriate to post on social media? <scp>R</scp> atings from students, faculty members and the public (2014) · cites this paper as [12]
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 [38]
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- Authors
- Chretien, K. C., Goldman, E. F., Beckman, L., & Kind, T.
- Corresponding author
- Chretien, Katherine C.
- Venue
- Academic Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-10
- Volume
- 85
- Issue
- 10 Suppl
- Pages
- S68-S71
- ISSN
- 1040-2446 (ISSN-L)
- OpenAlex
- W2295911421
- Cited by
- 111
- References
- 7
- Citations by year
- 2025: 4 · 2024: 3 · 2023: 6 · 2022: 2 · 2021: 7 · 2020: 5 · 2019: 11 · 2018: 4 · 2017: 9 · 2016: 7 · 2015: 14 · 2014: 8 · 2013: 15 · 2012: 12
- FWCI
- 9.85
- 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 › Sociology and Political Science › Impact of Technology on Adolescents
- Keywords
- medical students, online professionalism, social media, Facebook, online posts, professional conduct, individual risk, online identity, student perceptions, medical education policy
- MeSH terms
- Adult, Attitude of Health Personnel, Female, Humans, Male, Professional Competence, Students, Medical, United States, Focus Groups, Internet
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