Online professionalism: A synthetic review
Abstract
The rise of social media has increased connectivity and blurred personal and professional boundaries, bringing new challenges for medical professionalism. Whether traditional professionalism principles apply to the online social media space remains unknown. The purpose of this synthetic literature review was to characterize the original peer-reviewed research studies published between 1 January 2000-1 November 2014 on online professionalism, to assess methodologies and approaches used, and to provide insights to guide future studies in this area. The investigators searched three databases and performed manual searches of bibliographies to identify the 32 studies included. Most studies originated in the USA. Cross-sectional surveys and analyses of publicly available online content were the most common methodologies employed. Studies covered the general areas of use and privacy, assessment of unprofessional online behaviours, consensus-gathering of what constitutes unprofessional or inappropriate online behaviours, and education and policies. Studies were of variable quality; only around half of survey studies had response rates of 50% or greater. Medical trainees were the most common population studied. Future directions for research include public perspectives of online professionalism, impact on patient trust, and how to use social media productively as medical professionals.
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A recent review of online professionalism studies found that themes involving patient identifying images, inappropriate communications, and discriminatory language were consistently regarded as most inappropriate, whereas derogatory speech, images of alcohol, and partial nudity were considered only moderate to least inappropriate.
“A recent review of online professionalism studies found that themes involving patient identifying images, inappropriate communications, and discriminatory language were consistently regarded as most inappropriate, whereas derogatory speech, images of alcohol, and partial nudity were considered only moderate to least inappropriate. 12”
From Perceptions of Unprofessional Social Media Behavior Among Emergency Medicine Physicians (2017) · cites this paper as [12]
Consensus on what constitutes unprofessional behavior remains elusive.
“Although issues of SM professionalism are prevalent, consensus on what constitutes unprofessional behavior remains elusive.”
From Perceptions of Unprofessional Social Media Behavior Among Emergency Medicine Physicians (2017) · cites this paper as [12]
Our findings are consistent with prior evidence: a high level of consensus for investigation in themes involving confidentiality, inappropriate communication, and discrimination, and a low consensus for themes associated with social identity, including derogatory speech and images of alcohol (with and without intoxication).
“Our findings are consistent with prior evidence: a high level of consensus for investigation in themes involving confidentiality, inappropriate communication, and discrimination, and a low consensus for themes associated with social identity, including derogatory speech and images of alcohol (with and without intoxication).”
From Perceptions of Unprofessional Social Media Behavior Among Emergency Medicine Physicians (2017) · cites this paper as [12]
Prior reviews focused on e-professionalism of medical students, residents, or physicians, or presented a full spectrum of social media-related challenges and opportunities in the context of medical professionalism of diverse types of health care professionals, but these studies were conducted almost 6 years ago.
“Prior reviews have focused on the e-professionalism of medical students, residents, or physicians [14], or have presented a full spectrum of SM-related challenges and opportunities in the context of medical professionalism of diverse types of HCPs [15,16], but these studies were conducted almost 6 years ago.”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [14]
Chretien and Tuck's review of online professionalism studies found that themes involving patient identifying images, inappropriate communications, and discriminatory language were consistently regarded as most inappropriate, whereas derogatory speech, images of alcohol, and partial nudity were considered only moderate to least inappropriate.
“Chretien and Tuck’s [14] review of online professionalism studies found that themes involving patient identifying images, inappropriate communications, and discriminatory language were consistently regarded as most inappropriate, whereas derogatory speech, images of alcohol, and partial nudity were considered only moderate to least inappropriate.”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [14]
Chretien and Tuck's review included 32 studies and recognized general areas of online professionalism with no clear separation between challenges or benefits and addressed only online professionalism of medical students, residents, or physicians.
“The review included 32 studies and recognized general areas of online professionalism (use and privacy, assessment of unprofessional behavior, consensus-gathering of what constitutes unprofessional or inappropriate behaviors, and education and policies) with no clear separation between challenges or benefits and addressed only online professionalism of medical students, residents, or physicians.”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [14]
Compared to other literature reviews published on related topics, this scoping review is the first to capture original research about e-professionalism in terms of methods, subjects, and themes since Chretien and Tuck.
“Compared to other literature reviews published on related topics, this scoping review is the first to capture original research about e-professionalism in terms of methods, subjects, and themes since Chretien and Tuck [14], who conducted a synthetic review to characterize the original peer-reviewed research on online professionalism of medical students, residents, or physicians.”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [14]
Workday comments are common on Facebook.
“whereas, workday comments are common on Facebook [12,18-20,22].”
From Effects of Mock Facebook Workday Comments on Public Perception of Professional Credibility: A Field Study in Canada (2019) · cites this paper as [12]
Confidentiality breaches are rare.
“Although confidentiality breeches are more serious and have been a focus of attention for regulators and educators, they are rare [12,18]”
From Effects of Mock Facebook Workday Comments on Public Perception of Professional Credibility: A Field Study in Canada (2019) · cites this paper as [12]
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Guraya, S. S., Guraya, S. Y., & Yusoff, M.-H. (2021) · Figshare · doi:10.6084/m9.figshare.14955984
Değirmencioğlu, E., & Kılıçoğlu, H. (2024) · Figshare · doi:10.6084/m9.figshare.26748383
Imran, S., Yasmeen, R., & Mansoor, M. (2024) · Figshare · doi:10.6084/m9.figshare.25357751
- Authors
- Chretien, K. C., & Tuck, M. G.
- Affiliations
- George Washington University (US)
- Corresponding author
- Chretien, Katherine C.
- Venue
- International Review of Psychiatry
- Publisher
- Informa UK Limited
- Published
- 2015-03-04
- Volume
- 27
- Issue
- 2
- Pages
- 106-117
- ISSN
- 0954-0261 (ISSN-L)
- 1369-1627
- OpenAlex
- W2162046397
- Semantic Scholar
- 5e3eb7c90f3dfcb1000c35a3c4985987ac7547e6
- Cited by
- 49
- References
- 40
- Citations by year
- 2025: 3 · 2024: 8 · 2023: 2 · 2022: 4 · 2021: 10 · 2020: 7 · 2019: 2 · 2018: 3 · 2017: 6 · 2016: 1 · 2015: 2
- FWCI
- 0.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Review of Psychiatry (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
- online professionalism, medical professionalism, social media, medical trainees, professional boundaries, online privacy, medical education, patient trust
- MeSH terms
- Professionalism, Humans, Privacy, Professional Misconduct, Social Media
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