Cited by 51Social Media in Health EducationInnovations in Medical EducationImpact of Technology on Adolescents

Online professionalism: A synthetic review

Chretien, Katherine C., Tuck, Matthew G.·2015·International Review of Psychiatry

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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Crossref · 10.3109/09540261.2015.1004305

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40 of 40 references verified0 citation errors · 0 not checkable

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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”
  • Consensus on what constitutes unprofessional behavior remains elusive.

    “Although issues of SM professionalism are prevalent, consensus on what constitutes unprofessional behavior remains elusive.”
  • 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).”
  • 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.”
  • 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.”

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Authors
Chretien, K. C., & Tuck, M. G.
Affiliations
George Washington University (US)
Corresponding author
Chretien, Katherine C.
Venue
International Review of Psychiatry
Published
2015-03-04
Volume
27
Issue
2
Pages
106-117
ISSN
  • 0954-0261 (ISSN-L)
  • 1369-1627
OpenAlex
W2162046397
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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