Social media policies at US medical schools
Open accessAbstract
BACKGROUND/PURPOSE: Today's medical students are learning in a social media era in which patient confidentiality is at risk yet schools' social media policies have not been elucidated. The purpose of this study is to describe the presence of medical schools on top social media sites and to identify whether student policies for these schools explicitly address social media use. METHOD: Websites of all 132 accredited US medical schools were independently assessed by two investigators for their presence (as of March 31, 2010) on the most common social networking and microblogging sites (Facebook and Twitter) and their publicly available policies addressing online social networking. Key features from these policies are described. RESULTS: 100% (n=132) of US medical schools had websites and 95.45% (126/132) had any Facebook presence. 25.76% (34/132) had official medical school pages, 71.21% (94/132) had student groups, and 54.55% (72/132) had alumni groups on Facebook. 10.6% of medical schools (14/132) had Twitter accounts. 128 of 132 medical schools (96.97%) had student guidelines or policies publicly available online. 13 of these 128 schools (10.16%) had guidelines/policies explicitly mentioning social media. 38.46% (5/13) of these guidelines included statements that defined what is forbidden, inappropriate, or impermissible under any circumstances, or mentioned strongly discouraged online behaviors. 53.85% (7/13) encouraged thoughtful and responsible social media use. CONCLUSIONS: Medical schools and their students are using social media. Almost all US medical schools have a Facebook presence, yet most do not have policies addressing student online social networking behavior. While social media use rises, policy informing appropriate conduct in medical schools lags behind. Established policies at some medical schools can provide a blueprint for others to adopt and adapt.
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Various concerns about potential professionalism implications exist, particularly related to breaches of patient confidentiality, professional boundaries, and depiction of unprofessional behaviors.
“Various concerns about potential professionalism implications [151-153] exist, particularly related to breaches of patient confidentiality, professional boundaries, and depiction of unprofessional behaviors.”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [151]
Ten years ago, many schools lacked policies specific to social media use, but nowadays schools have developed specific guidelines.
“Ten years ago, many schools lacked policies specific to SM use [151], but nowadays schools have developed specific guidelines [169,170].”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [151]
Of the 128 U.S. allopathic medical schools with policies publicly available online, only 13 (10.16%) had guidelines and/or policies explicitly mentioning social media.
“Of the 128 schools who had policies publically available online, only 13 (10.16%)had guidelines and/or policies explicitly mentioning social media.”
From e-Professionalism: A New Frontier in Medical Education (2013) · cites this paper as [26]
Of the 13 schools with social media policies, five (38.46%) defined unacceptable or strongly discouraged online behaviors, whereas seven (53.85%) encouraged thoughtful and responsible use of social media.
“Five (38.46%) defined unacceptable or strongly discouraged online behaviors, whereas seven (53.85%) encouraged thoughtful and responsible use of social media.”
From e-Professionalism: A New Frontier in Medical Education (2013) · cites this paper as [26]
Published social media guidelines from national medical organizations and medical school policies often lack specific behavioral guidance or definitions of professionalism for the online space.
“Published social media guidelines by national medical organizations and medical school social media policies often lack specific behavioral guidance or definitions of professionalism as applied to the online space.39,40”
From Social Media and Clinical Care: Ethical, Professional, and Social Implications (2013) · cites this paper as [39]
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Kind, T., Patel, P. D., & Lie, D. (2013) · PEDIATRICS · doi:10.1542/peds.2013-2521 · Cited by 15 · see citing works
Self-citationSociotechnical stewardship in higher education: a field study of social media policy documents
Pasquini, L. A., & Evangelopoulos, N. E. (2016) · Journal of Computing in Higher Education · doi:10.1007/s12528-016-9130-0 · Cited by 14 · see citing works
Social Media Etiquette for the Modern Medical Student:A Narrative Review
Harrison, B., Gill, J., & Jalali, A. (2014) · International Journal of Medical Students · doi:10.5195/ijms.2014.86 · Cited by 13 · see citing works
Social Media Milestones: Entrusting Trainees to Conduct Themselves Responsibly and Professionally
Kind, T. (2014) · Journal of Graduate Medical Education · doi:10.4300/jgme-d-13-00439.1 · Cited by 13 · see citing works
Self-citationMixed messages: An evaluation of NHS Trust Social Media policies in the North West of England
Scragg, B., Shaikh, S., Robinson, L., & Mercer, C. (2017) · Radiography · doi:10.1016/j.radi.2017.03.018 · Cited by 12 · see citing works
Social networks in medical practice
Ibarra-Yruegas, B. E., Camara-Lemarroy, C. R., Loredo-Díaz, L. E., & Kawas-Valle, O. (2015) · Medicina Universitaria · doi:10.1016/j.rmu.2015.01.008 · Cited by 12 · see citing works
E-professionalism in medical sciences: A Hybrid Concept Analysis
Mosalanejad, L., Tafvisi, M., & Zarifsanaiey, N. (2021) · Journal of Education and Health Promotion · doi:10.4103/jehp.jehp_408_20 · Cited by 9 · see citing works
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Fear of Facebook: Private Ordering of Social Media Risks Incurred by Healthcare ProvidersPreprint
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Medical Student Dermatology Interest Groups
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Ethical considerations in dermatology residency.
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The integration of social media into courses
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Social media and health: Current and future healthcare provider perspectives
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A social media self-evaluation checklist for medical practitioners
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- Authors
- Kind, T., Genrich, G., Sodhi, A., & Chretien, K. C.
- Affiliations
- Children's National (US)
- University of California, San Francisco (US)
- George Washington University (US)
- Corresponding author
- Kind, Terry
- Venue
- Medical Education Online
- Publisher
- Informa UK Limited
- Published
- 2010-01
- Volume
- 15
- Issue
- 1
- Pages
- 5324
- ISSN
- 1087-2981 (ISSN-L)
- PMC
- PMC2941429
- OpenAlex
- W2031569140
- Cited by
- 161
- References
- 16
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 2 · 2023: 4 · 2022: 7 · 2021: 6 · 2020: 6 · 2019: 7 · 2018: 11 · 2017: 8 · 2016: 13 · 2015: 14 · 2014: 22 · 2013: 18 · 2012: 27
- FWCI
- 18.30
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- Medical Education Online (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Funders
- Association of American Medical Colleges
- Topics
- Social Sciences › Health › Social Media in Health Education
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Keywords
- social media policy, medical schools, medical students, Facebook, Twitter, social networking, microblogging, patient confidentiality, online behavior
- MeSH terms
- Confidentiality, Humans, Interpersonal Relations, Schools, Medical, Students, Medical, United States, Organizational Policy, Internet, Blogging
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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