Developing a curriculum to promote professionalism for medical students using social media: pilot of a workshop and blog-based intervention
Open accessAbstract
BACKGROUND: As the use of social media (SM) tools becomes increasingly widespread, medical trainees need guidance on applying principles of professionalism to their online behavior. OBJECTIVE: To develop a curriculum to improve knowledge and skills regarding professionalism of SM use by medical students. METHODS: This project was conducted in 3 phases: (1) a needs assessment was performed via a survey of medical students regarding SM use, rationale for and frequency of use, and concerns; (2) a workshop-format curriculum was designed and piloted for preclinical students to gain foundational knowledge of online professionalism; and (3) a complementary longitudinal SM-based curriculum was designed and piloted for clinical students to promote both medical humanism and professionalism. RESULTS: A total of 72 medical students completed the survey (response rate 30%). Among the survey respondents, 71/72 (99%) reported visiting social networking sites, with 55/72 (76%) reporting daily visits. Privacy of personal information (62/72, 86%) and mixing of personal/professional identities (49/72, 68%) were the students' most commonly endorsed concerns regarding SM use. The workshop-format curriculum was evaluated qualitatively via participant feedback. Of the 120 students who participated in the workshop, 91 completed the post workshop evaluation (response rate 76%), with 56 positive comments and 54 suggestions for improvement. The workshop was experienced by students as enjoyable, thought provoking, informative, and relevant. Suggestions for improvement included adjustments to timing, format, and content of the workshop. The SM-based curriculum was evaluated by a small-scale pilot of 11 students, randomized to the intervention group (participation in faculty-moderated blog) or the control group. Outcomes were assessed quantitatively and qualitatively via personal growth scales, participant feedback, and analysis of blog themes. There was a trend toward improvement in total personal growth scores among those students in the blog group from 3.65 (0.47) to 4.11 (0.31) (mean [SD]) with no change observed for the students in the control group (3.89 [0.11] before and after evaluation). Themes relevant to humanism and professionalism were observed in the blog discussion. CONCLUSIONS: Most medical students surveyed reported using SM and identified privacy and personal-professional boundaries as areas of concern. The workshop format and SM-based curricula were well-received by students whose formative feedback will inform the refinement and further development of efforts to promote professionalism among medical students.
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In 4 studies including medical students, educational interventions were positively accepted by students and showed a positive impact on the way they view themselves and their use of social media.
“In 4 studies that included medical students as participants [46,48,60,63], educational interventions were positively accepted by students and showed a positive impact on the way they view themselves and their use of SM.”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [46]
The Results report that medical students received the workshop positively, and the Abstract Results report a trend toward improved personal-growth scores in the small blog-intervention group. But the Discussion (Limitations) says social-media use outside the workshop was not observed, so the paper cannot establish that the intervention changed students’ use of social media. (LLM, conf=0.90)
Experimental — accuracy not yet measuredBenefits of social media on e-professionalism of health care professionals can be seen as improvements of established networks or possibilities for collaboration through social media sites.
“Benefits of SM on e-professionalism of HCPs can be seen as improvements of established networks or possibilities for collaboration through SM sites [33, 34, 36, 38, 39, 44-46, 53, 69, 72, 76, 78, 79, 92, 97, 106-108, 117].”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [46]
The Introduction (page unavailable) describes social media as facilitating collaboration and networking, and says medical students use it to form supportive peer networks. It does not establish that social media improves existing networks or show this benefit across health care professionals generally. (LLM, conf=0.82)
Experimental — accuracy not yet measuredOne medical school has developed workshop and blog-based interventions to promote professionalism among medical students using social media.
“One medical school, for example, has developed workshop and blog-based interventions to promote professionalism among medical students using SM (33).”
From Identifying social media professionalism competencies in Vietnamese medical students: a modified Delphi method (2026) · cites this paper as [33]
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 [46]
Effectiveness of educational interventions about e-professionalism or impact of existing social media policies has been recognized in this review, since numerous studies explored educational interventions for promoting e-professionalism.
“Effectiveness of educational interventions about e-professionalism or impact of existing SM policies has been recognized in this review, since numerous studies explored educational interventions for promoting e-professionalism [46,48,52,54,55,60,63,81,89,103].”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [46]
Numerous studies emphasized the importance of structured education and the implementation of guidelines on the professional usage of social media among healthcare students and professionals.
“This finding is also supported by numerous studies [5, 8, 10, 21, 22, 33–38] which emphasized the importance of structured education and the implementation of guidelines on the professional usage of social media among healthcare students and professionals.”
From Future healthcare providers and professionalism on social media: a cross-sectional study (2022) · cites this paper as [34]
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Cites
The Devil is in the Third Year: A Longitudinal Study of Erosion of Empathy in Medical School
Hojat, M., Vergare, M. J., Maxwell, K., Brainard, G. C., Herrine, S. K., Isenberg, G. A., Veloski, J. J., & Gonnella, J. S. (2009) · Academic Medicine · doi:10.1097/acm.0b013e3181b17e55 · Cited by 1,630 · see citing works
Medicine 2.0: Social Networking, Collaboration, Participation, Apomediation, and Openness
Eysenbach, G. (2008) · Journal of Medical Internet Research · doi:10.2196/jmir.1030 · Cited by 1,143 · see citing works
Social Media Use in Medical Education: A Systematic Review
Cheston, C. C., Flickinger, T. E., & Chisolm, M. S. (2013) · Academic Medicine · doi:10.1097/acm.0b013e31828ffc23 · Cited by 638 · cited 2× · see citing works
“The general needs assessment for this curriculum development included a systematic review of the literature regarding the use of SM in medical education [11].”
Self-citationTeaching Empathy to Medical Students
Batt-Rawden, S., Chisolm, M. S., Anton, B., & Flickinger, T. (2013) · Academic Medicine · doi:10.1097/acm.0b013e318299f3e3 · Cited by 614 · see citing works
Self-citationIs There Hardening of the Heart During Medical School?
Newton, B. W., Barber, L. D., Clardy, J. A., Cleveland, E. R., & O’Sullivan, P. (2008) · Academic Medicine · doi:10.1097/acm.0b013e3181637837 · Cited by 502 · 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
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
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
Definition of Health 2.0 and Medicine 2.0: A Systematic Review
Van De Belt, T. H., Engelen, L. J., Berben, S. A., & Schoonhoven, L. (2010) · Journal of Medical Internet Research · doi:10.2196/jmir.1350 · Cited by 351 · see citing works
Privacy, 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
Hafler, J. P., Ownby, A. R., Thompson, B. M., Fasser, C. E., Grigsby, K., Haidet, P., Kahn, M. J., & Hafferty, F. W. (2011) · Academic Medicine · doi:10.1097/acm.0b013e31820df8e2 · Cited by 212 · see citing works
Educational Technologies in Problem-Based Learning in Health Sciences Education: A Systematic Review
Jin, J., & Bridges, S. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.3240 · Cited by 198 · see citing works
What is the Net Generation? The challenge for future medical education
Sandars, J. E., & Morrison, C. M. (2007) · Medical Teacher · doi:10.1080/01421590601176380 · Cited by 194 · see citing works
How Doctors View and Use Social Media: A National Survey
Brown, J., Ryan, C., & Harris, A. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.3589 · Cited by 190 · cited 1× · see citing works
“In addition, the public availability of information on patients and physicians represents a threat to privacy [31-33], with the potential for a negative impact on patient-physician relationships [34,35].”
How we use social media to supplement a novel curriculum in medical education
Bahner, D. P., Adkins, E., Patel, N., Donley, C., Nagel, R., & Kman, N. E. (2012) · Medical Teacher · doi:10.3109/0142159x.2012.668245 · Cited by 189 · see citing works
Social media policies at US medical schools
Kind, T., Genrich, G., Sodhi, A., & Chretien, K. C. (2010) · Medical Education Online · doi:10.3402/meo.v15i0.5324 · Cited by 161 · see citing works
Humanism at Heart: Preserving Empathy in Third-Year Medical Students
Rosenthal, S., Howard, B., Schlussel, Y., Herrigel, D. J., Smolarz, B. G., Gable, B., Vasquez, J., Grigo, H., & Kaufman, M. (2011) · Academic Medicine · doi:10.1097/acm.0b013e318209897f · Cited by 144 · 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
Chretien, K. C., Goldman, E. F., & Faselis, C. J. (2008) · Journal of General Internal Medicine · doi:10.1007/s11606-008-0796-5 · Cited by 129 · see citing works
Professional Boundaries in the Era of the Internet
Gabbard, G. O., Kassaw, K. A., & Perez-Garcia, G. (2011) · Academic Psychiatry · doi:10.1176/appi.ap.35.3.168 · Cited by 129 · cited 1× · see citing works
“Traditional boundaries between patients and physicians, and between students and faculty, may be blurred by online interactions [28-30].”
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
The YouTube Generation: Implications for Medical Professionalism
Farnan, J. M., Paro, J. A. M., Higa, J., Edelson, J., & Arora, V. M. (2008) · Perspectives in Biology and Medicine · doi:10.1353/pbm.0.0048 · Cited by 113 · see citing works
Itʼs Your Own Risk: Medical Studentsʼ Perspectives on Online Professionalism
Chretien, K. C., Goldman, E. F., Beckman, L., & Kind, T. (2010) · Academic Medicine · doi:10.1097/acm.0b013e3181ed4778 · Cited by 111 · see citing works
Web 2.0 and social software: the medical student way of e-learning
Sandars, J. E., Homer, M., Pell, G., & Croker, T. (2008) · Medical Teacher · doi:10.1080/01421590701798729 · Cited by 107 · see citing works
Facebook and the professional behaviours of undergraduate medical students
Garner, J., & O’Sullivan, H. (2010) · The Clinical Teacher · doi:10.1111/j.1743-498x.2010.00356.x · Cited by 103 · see citing works
Comparison of blogged and written reflections in two medicine clerkships
Fischer, M. A., Haley, H.-L. A., Saarinen, C. L., & Chretien, K. C. (2011) · Medical Education · doi:10.1111/j.1365-2923.2010.03814.x · Cited by 92 · see citing works
Hollinderbäumer, A., Hartz, T., & Ückert, F. (2013) · PubMed · doi:10.3205/zma000857 · Cited by 89 · see citing works
Tran, K., Morra, D., Lo, V., Quan, S. D., Abrams, H., & Wu, R. C. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.3138 · Cited by 80 · see citing works
The decision to access patient information from a social media site: what would you do?
Jent, J. F., Eaton, C. K., Merrick, M. T., Englebert, N. E., Dandes, S. K., Chapman, A. V., & Hershorin, E. R. (2011) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2011.02.004 · Cited by 79 · cited 1× · see citing works
“In addition, the public availability of information on patients and physicians represents a threat to privacy [31-33], with the potential for a negative impact on patient-physician relationships [34,35].”
Personal growth in medical faculty: a qualitative study
Kern, D. E. (2001) · Western Journal of Medicine · doi:10.1136/ewjm.175.2.92 · Cited by 74 · see citing works
To Friend or Not to Friend? Social Networking and Faculty Perceptions of Online Professionalism
Chretien, K. C., Farnan, J. M., Greysen, S. R., & Kind, T. (2011) · Academic Medicine · doi:10.1097/acm.0b013e3182356128 · Cited by 73 · see citing works
Commentary: The Relationship Status of Digital Media and Professionalism: Itʼs Complicated
Farnan, J. M., Paro, J. A. M., Higa, J. T., Reddy, S. T., Humphrey, H. J., & Arora, V. M. (2009) · Academic Medicine · doi:10.1097/acm.0b013e3181bb17af · Cited by 68 · see citing works
Personal growth during internship
Levine, R. B., Haidet, P., Kern, D. E., Beasley, B. W., Bensinger, L. D., Brady, D. W., Gress, T., Hughes, J., Marwaha, A., Nelson, J., et al. (2006) · Journal of General Internal Medicine · doi:10.1111/j.1525-1497.2006.00383.x · Cited by 60 · see citing works
Personal growth and its correlates during residency training
Wright, S. M., Levine, R. B., Beasley, B. W., Haidet, P., Gress, T., Caccamese, S. M., Brady, D. W., Marwaha, A., & Kern, D. E. (2006) · Medical Education · doi:10.1111/j.1365-2929.2006.02499.x · Cited by 55 · see citing works
Web searching for information about physicians
Gorrindo, T. (2008) · JAMA · doi:10.1001/jama.2008.44 · Cited by 54 · see citing works
Online professionalism: A synthetic review
Chretien, K. C., & Tuck, M. G. (2015) · International Review of Psychiatry · doi:10.3109/09540261.2015.1004305 · Cited by 49 · see citing works
Bernard, A. W., Malone, M., Kman, N. E., Caterino, J. M., & Khandelwal, S. (2011) · BMC Emergency Medicine · doi:10.1186/1471-227x-11-11 · Cited by 37 · see citing works
Social media: a new frontier in reflective practice
Brown, A. D. (2010) · Medical Education · doi:10.1111/j.1365-2923.2010.03729.x · Cited by 35 · see citing works
Blurring boundaries and online opportunities
Farnan, J. M., & Arora, V. M. (2011) · The Journal of Clinical Ethics · doi:10.1086/jce201122212 · Cited by 17 · see citing works
Web 2.0 Applications in Medicine: Trends and Topics in the Literature
Boudry, C. (2015) · Medicine 2 0 · doi:10.2196/med20.3628 · Cited by 16 · see citing works
Farnan, 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
Medical weblogs: advocacy for positive cyber role models
Gosselink, M. J. (2011) · The Clinical Teacher · doi:10.1111/j.1743-498x.2011.00483.x · Cited by 12 · see citing works
Nonclinical Use of Online Social Networking Sites: New and Old Challenges to Medical Professionalism
Thompson, L. A., & Black, E. W. (2011) · The Journal of Clinical Ethics · doi:10.1086/jce201122211 · Cited by 10 · see citing works
Medical students and their blogs
Bains, M., Beckett, N., Walkling, J., & Sandars, J. (2007) · Medical Teacher · doi:10.1080/01421590701288416 · Cited by 8 · see citing works
(2011) · PubMed · Cited by 8 · see citing works
Flagged first, then by citations
Research works printed but not linked: 3
- [9]Thompson LA Dawson K Ferdig R Black EW Boyer J Coutts J Black NP The intersection of online social networking with medical professionalism J Gen Intern Med 2008 07 23 7 954 957 10.1007/s11606-008-0538-8 18612723 18612723 PMC2517936 · DOI · Paper page
- [37]Kind T Genrich G Sodhi A Chretien KC Social media policies at US medical schools Med Educ Online 2010 15 10.3402/meo.v15i0.5324 20859533 PMC2941429 20859533 · DOI · Paper page
- [38]American Medical Association Professionalism in the Use of Social Media 2015 2015-05-19 Chicago, IL American Medical Association http://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/code-medical-ethics/opinion9124.page
Cited by
Sorted by citations
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
“A total of 10 studies have tried to assess effectiveness of educational sessions or workshops incorporated in students’ or residents’ curriculum [46,48,52,54,55,60,63,81,89,103], and 1 study assessed the effects of formal SM instruction and policy on residents’ ability to navigate case-based…”
InfluentialZalpuri, I., Liu, H. Y., Stubbe, D., Wrzosek, M., Sadhu, J., & Hilty, D. (2018) · Academic Psychiatry · doi:10.1007/s40596-018-0983-6 · Cited by 93 · see citing works
O’Connor, S., Zhang, M., Honey, M., & Lee, J. J. (2021) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2021.104514 · Cited by 76 · 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
Future healthcare providers and professionalism on social media: a cross-sectional study
Soubra, R., Hasan, I., Ftouni, L., Saab, A., & Shaarani, I. (2022) · BMC Medical Ethics · doi:10.1186/s12910-022-00742-7 · Cited by 26 · see citing works
Viskić, J., Jokić, D., Marelić, M., Machala Poplašen, L., Relić, D., Sedak, K., & Vukušić Rukavina, T. (2021) · Croatian Medical Journal · doi:10.3325/cmj.2021.62.569 · Cited by 24 · see citing works
Karveleas, I., Kyriakouli, A., Koukou, M., Koufatzidou, M., Kalogirou, E., & Tosios, K. I. (2021) · European Journal of Dental Education · doi:10.1111/eje.12585 · Cited by 24 · see citing works
Weijs, C., Coe, J., Desmarais, S., Majowicz, S., & Jones-Bitton, A. (2019) · Journal of Medical Internet Research · doi:10.2196/12024 · Cited by 17 · see citing works
“%) of medical students surveyed in a social media and professionalism intervention reported the mixing of their personal and professional lives on social media sites as a key concern [17].”
Hussain, S., Hussain, S., Khalil, M., Salam, S., & Hussain, K. (2021) · Currents in Pharmacy Teaching and Learning · doi:10.1016/j.cptl.2020.02.017 · Cited by 18 · see citing works
Creation of a family medicine residency blog
Jones, K. B., Fortenberry, K., Sanyer, O., Knighton, R., & Van Hala, S. (2018) · The International Journal of Psychiatry in Medicine · doi:10.1177/0091217418791457 · Cited by 3 · see citing works
Dang, T. K. C., Yeh, B.-I., Park, Y. C., Hoang, B. B., Vinh, K., & Park, K. H. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1703842 · Cited by 1 · see citing works
- Authors
- Flickinger, T. E., O'Hagan, T., & Chisolm, M. S.
- Affiliations
- University of Virginia (US)
- Musgrove Park Hospital (GB)
- Johns Hopkins University (US)
- Corresponding author
- Flickinger, Tabor E
- Venue
- JMIR Medical Education
- Publisher
- JMIR Publications Inc.
- Published
- 2015-12-01
- Volume
- 1
- Issue
- 2
- Pages
- e17
- ISSN
- 2369-3762 (ISSN-L)
- PMC
- PMC5041365
- OpenAlex
- W2190772807
- Cited by
- 34
- References
- 45
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 2 · 2023: 5 · 2022: 5 · 2021: 3 · 2020: 4 · 2019: 4 · 2018: 4 · 2017: 4
- FWCI
- 3.31
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- JMIR Medical Education (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- 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
- professionalism, social media, medical students, curriculum development, online professionalism, humanism in medicine, workshop intervention, privacy concerns, personal and professional boundaries, preclinical medical students, clinical students, personal growth, needs assessment, medical education, professional identity formation, personal branding, self-presentation, social networking sites
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