Early adopters or laggards? Attitudes toward and use of social media among urologists
Abstract
Objective: To understand the attitudes and practices of urologists regarding social media use. Social media services have become ubiquitous, but their role in the context of medical practice is underappreciated. Subjects and Methods: A survey was sent to all active members of the C anadian U rological A ssociation by e‐mail and surface mail. Likert scales were used to assess engagement in social media, as well as attitudes toward physician responsibilities, privacy concerns and patient interaction online. Results: Of 504 surveys delivered, 229 were completed (45.4%). Urologists reported frequent or daily personal and professional social media use in 26% and 8% of cases, respectively. There were no differences between paper ( n = 103) or online ( n = 126; P > 0.05) submissions. Among frequent social media users, Y ou T ube™ (86%), F acebook™ (76%), and T witter™ (41%) were most commonly used; 12% post content or links frequently to these sites. The most common perceived roles of social media in health care were for inter‐professional communication (67%) or as a simple information repository (59%); online patient interaction was endorsed by 14% of urologists. Fewer than 19% had read published guidelines for online patient interaction, and ≤64% were unaware of their existence. In all, 94.6% agreed that physicians need to exercise caution personal social media posting, although 57% felt that medical regulatory bodies should ‘stay out of [their] personal social media activities’, especially those in practice <10 years ( P = 0.001). In all, 56% agreed that social media integration in medical practice will be ‘impossible’ due to privacy and boundary issues; 73% felt that online interaction with patients would become unavoidable in the future, especially those in practice >20 years ( P = 0.02). Conclusion: Practicing urologists engage infrequently in social media activities, and are almost universal in avoiding social media for professional use. Most feel that social media is best kept to exchanges between colleagues. Emerging data suggest an increasing involvement is likely in the continuing professional development space.
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Studies investigated whether participants mixed professional and personal information and activities on social media sites (blended profiles) or adopted a separation strategy (dual citizenship).
“Studies also investigated the purpose of SM use, whether participants mixed professional and personal information and activities on SM sites (blended profiles) or adopted a separation strategy where professional information and activities were clearly separated from personal ones (dual citizenship) [34,39,69,78,79,91,96,97,106].”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [78]
Blurred boundaries between professional and personal spheres of social media use, with concerns about exposure of private life or separating private and professional profiles, have been presented in numerous studies in this review.
“Blurred boundaries between professional and personal spheres of SM use [34, 39, 47, 51, 69, 78, 79, 91, 96, 97, 106], with concerns about exposure of one’s private life or separating private and professional profiles have been presented in numerous studies of this review.”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [78]
56% of urologists agreed that social media integration in medical practice will be impossible due to privacy and boundary issues.
“Even though 56% of urologists agreed that SM integration in medical practice will be “impossible” due to privacy and boundary issues, 73% felt that online interaction with patients would become unavoidable in the future, especially for those in practice [78].”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [78]
In Fuoco and Leveridge's study, online patient interaction was endorsed by only 14% of urologists.
“In Fuoco and Leveridge’s [78] study about attitudes toward and use of SM among urologists, online patient interaction was endorsed by only 14% of urologists.”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [78]
Among physicians, the majority have legal concerns about communicating with patients through social media.
“Among physicians, the majority have legal concerns about communicating with patients through SM [78,105,117].”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [78]
73% of urologists felt that online interaction with patients would become unavoidable in the future, especially for those in practice.
“Even though 56% of urologists agreed that SM integration in medical practice will be “impossible” due to privacy and boundary issues, 73% felt that online interaction with patients would become unavoidable in the future, especially for those in practice [78].”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [78]
57% of respondents felt that medical regulatory bodies should stay out of their personal social media activities, especially those in practice for less than 10 years.
“In all, 94.6% of respondents agreed that physicians need to exercise caution in personal SM posting, although 57% felt that medical regulatory bodies should “stay out of [their] personal SM activities,” especially those in practice for less than 10 years.”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [78]
94.6% of respondents agreed that physicians need to exercise caution in personal social media posting.
“In all, 94.6% of respondents agreed that physicians need to exercise caution in personal SM posting, although 57% felt that medical regulatory bodies should “stay out of [their] personal SM activities,” especially those in practice for less than 10 years.”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [78]
Unprofessional behavior on social media of health care professionals can have legal consequences, potentially affecting credibility and licensure.
“Unprofessional behavior on SM of HCPs can have legal consequences, potentially affecting credibility and licensure.”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [78]
Most urologists agreed that care should be taken in posting on social media sites, as unprofessional posts can put one at risk of discipline.
“Most urologists agreed that care should be taken in posting on SM sites, as unprofessional posts can put one at risk of discipline, so medicolegal guidance would be beneficial in this aspect as well.”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [78]
Even if institutions have social media policies or guidelines, health care professionals acknowledged reluctant behavior regarding existing social media policies or ignorance of their existence.
“Contrary to that finding, even if institutions have SM policies or guidelines, HCPs acknowledged reluctant behavior regarding existing SM policies [78,85,114] or ignorance to their existence [61,64,65,100].”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [78]
Social media have enabled the creation of communities for support.
“Besides providing the opportunity for connecting with others and sharing experiences [38,39,46,53,69,72,78,106-108], SM have enabled the creation of communities for support.”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [78]
Blurred boundaries between professional and personal spheres of social media use, with concerns about exposure of one's private life, presenting details of personal life, or separating private and professional profiles, have been presented in numerous studies in this review.
“Blurred boundaries between professional and personal spheres of SM use [34, 39, 47, 51, 69, 78, 79, 91, 96, 97, 106], with concerns about exposure of one’s private life, presenting details of personal life, or separating private and professional profiles, have been presented in numerous studies in this review.”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [78]
Even if institutions have social media policies or guidelines, health care professionals acknowledged reluctant behavior regarding existing social media policies or ignorance to their existence.
“Our results show that even though a lack of SM policies was recognized as a barrier, even if institutions have SM policies or guidelines, HCPs acknowledged reluctant behavior regarding existing SM policies [78,85,114] or ignorance to their existence [61,64,65,100].”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [78]
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Internal Medicine Physicians and Social Media: Knowledge, Skills, and Attitudes (Preprint)Preprint
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Barriers to professional social media use among medical laboratory scientists
Johnson, C., Sulejmani, P., Puls, R. F., Schukow, C. P., Mulder, L., Mirza, K., & Ahmed, A. (2025) · Laboratory Medicine · doi:10.1093/labmed/lmaf041
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- Authors
- Fuoco, M., & Leveridge, M. J.
- Affiliations
- Queen's University (CA)
- Corresponding author
- Leveridge, Michael J.
- Venue
- BJU International
- Publisher
- Wiley
- Published
- 2014-10-23
- Volume
- 115
- Issue
- 3
- Pages
- 491-497
- ISSN
- 1464-4096 (ISSN-L)
- 1464-410X
- OpenAlex
- W1758422239
- Cited by
- 61
- References
- 24
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2023: 3 · 2022: 2 · 2021: 6 · 2020: 3 · 2019: 7 · 2018: 12 · 2017: 7 · 2016: 8 · 2015: 7 · 2014: 2
- FWCI
- 10.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- British Journal of Urology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Health › Social Media in Health Education
- Social Sciences › Communication › Social Media and Politics
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Keywords
- social media use, urologists, physician attitudes, professional boundaries, privacy concerns, physician responsibility, professional development, YouTube, Facebook, Twitter
- MeSH terms
- Attitude of Health Personnel, Delivery of Health Care, Humans, Physicians, Urology, Internet, Social Media
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