New Professionalism Challenges in Medical Training: An Exploration of Social Networking
Open accessAbstract
Background: Innovative online technology can enhance the practice of medicine, yet it also may be a forum for unprofessional behavior. Objective: We surveyed program directors regarding their perceptions and experiences with residents' use of social networking sites (SNS). Methods: In September 2011, we sent an online survey to program directors and associate program directors of pediatrics residency programs within the United States who are members of the Association of Pediatric Program Directors. Results: A total of 162 program directors or associate program directors (representing 50% of residency programs) responded to the survey. One-third of respondents are “very familiar” with SNS and 23% use them “daily or often.” Most respondents (70%) rated “friending” peers as “completely appropriate,” whereas only 1% of respondents rated “friending” current or past patients as “completely appropriate.” More than one half of respondents believe inappropriate behavior on SNS is “somewhat” or “very” prevalent, and 91% are “somewhat” or “very” concerned that the prevalence of inappropriate behavior on SNS may increase. The most commonly reported problematic online activity was posting inappropriate comments about the workplace. Posting of inappropriate comments about self, patients, and staff also was observed. Residency programs commonly educate trainees about SNS during intern orientation (45%), or using written guidelines (29%) and ad hoc remediation (16%). Conclusions: As educators teach trainees principles of online professionalism, appropriate use of SNS needs to be included in the training process. Curricular efforts may be hindered by some program directors' lack of familiarity with SNS.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Despite widely disseminated guidelines, the data show that professionalism standards are being violated as reported previously.
“Despite widely disseminated guidelines on the professional use of social media content, the data show that these professionalism standards are being violated as reported previously [12,16].”
From Pediatric Residents’ Perceptions of Potential Professionalism Violations on Social Media: A US National Survey (2017) · cites this paper as [12]
The section on program directors’ experiences reports inappropriate social-networking activity by pediatrics residents and counseling for related professionalism lapses. The Education and Policy section does not establish that guidelines were widely disseminated: 29% of respondents reported using written guidelines to educate trainees. The paper supports the reported lapses, but not the claim about widespread dissemination. (LLM, conf=0.86)
Experimental — accuracy not yet measuredPublished data show 99% disapproval by program directors of entering an electronic friendship with a patient.
“published data on program directors’ opinions (99% disapproval) [12]”
From Pediatric Residents’ Perceptions of Potential Professionalism Violations on Social Media: A US National Survey (2017) · cites this paper as [12]
Study respondents recognized entering an electronic friendship with a patient as inappropriate to a lesser degree than published data on program directors' opinions.
“our study respondents recognized it as inappropriate, but to a lesser degree (around 70%) than published data on program directors’ opinions (99% disapproval) [12].”
From Pediatric Residents’ Perceptions of Potential Professionalism Violations on Social Media: A US National Survey (2017) · cites this paper as [12]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Relationship Between Burnout and Professional Conduct and Attitudes Among US Medical Students
Dyrbye, L. N., Massie, F. S., Eacker, A., Harper, W., Power, D., Durning, S. J., Thomas, M. R., Moutier, C., Satele, D., Sloan, J., et al. (2010) · JAMA · doi:10.1001/jama.2010.1318 · Cited by 896 · see citing works
Disciplinary Action by Medical Boards and Prior Behavior in Medical School
Papadakis, M. A., Teherani, A., Banach, M. A., Knettler, T. R., Rattner, S. L., Stern, D. T., Veloski, J. J., & Hodgson, C. S. (2005) · New England Journal of Medicine · doi:10.1056/nejmsa052596 · Cited by 840 · see citing works
Papadakis, M. A., Hodgson, C. S., Teherani, A., & Kohatsu, N. D. (2004) · Academic Medicine · doi:10.1097/00001888-200403000-00011 · Cited by 514 · 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
Farnan, J. M., Snyder Sulmasy, L., Worster, B. K., Chaudhry, H. J., Rhyne, J. A., Arora, V. M., for the American College of Physicians Ethics, P. A. H. R. C., the American College of Physicians Council of Associates, & the Federation of State Medical Boards Special Committee on Ethics and Professionalism* (2013) · Annals of Internal Medicine · doi:10.7326/0003-4819-158-8-201304160-00100 · Cited by 420 · see citing works
Online professionalism and the mirror of social media.
Greysen, S. R., Kind, T., & Chretien, K. C. (2010) · Journal of General Internal Medicine · doi:10.1007/s11606-010-1447-1 · Cited by 323 · see citing works
The Challenges and Opportunities of Teaching “Generation Y”
Eckleberry-Hunt, J., & Tucciarone, J. (2011) · Journal of Graduate Medical Education · doi:10.4300/jgme-03-04-15 · Cited by 235 · see citing works
Brinkman, W. B., Geraghty, S. R., Lanphear, B. P., Khoury, J. C., Gonzalez del Rey, J. A., DeWitt, T. G., & Britto, M. T. (2007) · Archives of Pediatrics & Adolescent Medicine · doi:10.1001/archpedi.161.1.44 · Cited by 204 · see citing works
Greysen, S. R., Chretien, K. C., Kind, T., Young, A., & Gross, C. P. (2012) · JAMA · doi:10.1001/jama.2012.330 · Cited by 158 · 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
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
Guidelines for maintaining a professional compass in the era of social networking
Landman, M. P., Shelton, J., Kauffmann, R. M., & Dattilo, J. B. (2010) · Journal of surgical education · doi:10.1016/j.jsurg.2010.07.006 · Cited by 72 · see citing works
Use of social media by residency program directors for resident selection.
Cain, J., Scott, D. R., & Smith, K. M. (2010) · American Journal of Health-System Pharmacy · doi:10.2146/ajhp090658 · Cited by 71 · see citing works
Online professionalism and Facebook – Falling through the generation gap
Osman, A., Wardle, A., & Caesar, R. (2012) · Medical Teacher · doi:10.3109/0142159x.2012.668624 · Cited by 67 · see citing works
Ethics and Professionalism in the Pediatric Curriculum: A Survey of Pediatric Program Directors
Lang, C. W., Smith, P. J. K., & Ross, L. F. (2009) · PEDIATRICS · doi:10.1542/peds.2009-0658 · Cited by 60 · see citing works
Addressing Therapeutic Boundaries in Social Networking
Ginory, A., Sabatier, L. M. M., & Eth, S. (2012) · Psychiatry · doi:10.1521/psyc.2012.75.1.40 · Cited by 46 · see citing works
Revisiting Social Network Utilization by Physicians-in-Training
Black, E. W., Thompson, L. A., Duff, W. P., Dawson, K., Saliba, H., & Black, N. M. P. (2010) · Journal of Graduate Medical Education · doi:10.4300/jgme-d-10-00011.1 · Cited by 43 · see citing works
Pediatric Clerkship Directors’ Social Networking Use and Perceptions of Online Professionalism
Kind, T., Greysen, S. R., & Chretien, K. C. (2012) · Academic Pediatrics · doi:10.1016/j.acap.2011.12.003 · Cited by 29 · see citing works
Education in Professionalism: Results from a Survey of Pediatric Residency Program Directors
Kesselheim, J. C., Sectish, T. C., & Joffe, S. (2012) · Journal of Graduate Medical Education · doi:10.4300/jgme-d-11-00110.1 · Cited by 26 · see citing works
Self-citationReflective Practice as a Tool to Teach Digital Professionalism
Kung, J. W., Eisenberg, R. L., & Slanetz, P. J. (2012) · Academic Radiology · doi:10.1016/j.acra.2012.08.008 · Cited by 26 · see citing works
(2012) · Journal of Medical Regulation · doi:10.30770/2572-1852-98.2.27 · Cited by 24 · see citing works
Barker, A. L., Wehbe-Janek, H., Bhandari, N. S., Bittenbinder, T. M., Jo, C., & McAllister, R. K. (2012) · Journal of Clinical Anesthesia · doi:10.1016/j.jclinane.2012.06.002 · Cited by 21 · see citing works
Paediatricians, social media and blogs: Ethical considerations
St-Laurent-Gagnon, T., & Coughlin, K. W. (2012) · Paediatrics & Child Health · doi:10.1093/pch/17.5.267 · Cited by 12 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- AMA Code of Medical Ethics. Opinion 9.124-professionalism in the use of social media. http://www.ama-assn.org/ama/pub/physician-resources/ medical-ethics/code-medical-ethics/opinion9124.page. Accessed August 1, 2013.
Cited by
Sorted by citations
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
Dawkins, R., King, W. D., Boateng, B., Nichols, M., & Desselle, B. C. (2017) · JMIR Medical Education · doi:10.2196/mededu.5993 · Cited by 17 · see citing works
“Despite widely disseminated guidelines on the professional use of social media content, the data show that these professionalism standards are being violated as reported previously [12,16].”
BackgroundResultInfluentialKesselheim, J. C., Schwartz, A., Belmonte, F., Boland, K. A., Poynter, S., & Batra, M. (2016) · Academic Pediatrics · doi:10.1016/j.acap.2015.12.004 · Cited by 16 · see citing works
Self-citationEvaluating the appropriateness of Facebook posts – What do faculty and residents consider?
Loo, M. E., Wong, B., & Lee, Y. M. (2020) · The Asia Pacific Scholar · doi:10.29060/taps.2020-5-3/oa2226 · Cited by 2 · see citing works
- Authors
- Kesselheim, J. C., Batra, M., Belmonte, F., Boland, K. A., & McGregor, R. S.
- Affiliations
- University of Louisville (US)
- Corresponding author
- Kesselheim, Jennifer C.
- Venue
- Journal of Graduate Medical Education
- Published
- 2014-03
- Volume
- 6
- Issue
- 1
- Pages
- 100-105
- ISSN
- 1949-8349 (ISSN-L)
- 1949-8357
- PMC
- PMC3963763
- OpenAlex
- W2488746277
- Cited by
- 11
- References
- 24
- Citations by year
- 2024: 1 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 1 · 2017: 1 · 2015: 2 · 2014: 1 · 2012: 1
- FWCI
- 1.70
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Graduate Medical Education (publishedVersion)
- PubMed Central (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
- social networking sites, medical professionalism, pediatric residency, program directors, residency training, physician-patient relationship
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.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
