allegheny dept of anesthesiology grand rounds 3-7-17

Social Media for the 21st Century Anesthesiologist Allegheny Health Network March 7, 2017 Amanda Xi, MD, MSE Resident Physician Massachusetts General Hospital

#AnesSoMe

Disclosures

None

#AnesSoMe

Objectives

#AnesSoMe

● Define “digital footprint” and compare and contrast passive versus active footprints

● Recognize the importance of professionalism and potential pitfalls ●  Identify organizational social media policies and establish personal

guidelines ● Describe applications of social media to medical practice,

professional development and career advancement

Phones, tweets, snaps and instagrams encouraged!

#AnesSoMe

Who uses social media?

#AnesSoMe

#AnesSoMe AMA Insurance Agency. Work life profiles of today’s physician. https://www.amainsure.com/reports/work-life-profiles-of-todays-us-physician.html. Accessed March 5, 2017.

https://www.linkedin.com/pulse/20140717153422-3690183--social-medicine-a-look-at-physician-use-of-social-media

#AnesSoMe

https://storify.com/amandasxi/help-on-anessome #AnesSoMe

#AnesSoMe http://www.medicine20congress.com/ocs/index.php/med/med2013/paper/view/1442

What is a “digital footprint”?

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#AnesSoMe Pho K, Gay S. Establishing, Managing, And Protecting Your Online Reputation. 1st ed. Greenbranch Publishing; 2013.

Active vs. Passive Digital Footprints

Active Under your control

Deliberate

Passive What others write/post about you

Directory-type, online rating websites

Google Thyself

#AnesSoMe

Can you identify the active vs. passive results?

Google Thyself

#AnesSoMe

Our patients use physician rating sites...

#AnesSoMe Hanauer DA, Zheng K, Singer DC, Gebremariam A, Davis MM. Public Awareness, Perception, and Use of Online Physician Rating Sites. JAMA. 2014;311(7):734-735. doi:10.1001/jama.2013.283194

...even if they have scarce data

#AnesSoMe Lagu T, Metayer K, Moran M, Ortiz L, Priya A, Goff SL, Lindenauer PK. Website Characteristics and Physician Reviews on Commercial Physician-Rating Websites. JAMA. 2017;317(7):766-768. doi:10.1001/jama.2016.18553

What defines online professional behavior?

#AnesSoMe

Sheldon B. Doctor resigns after backlash from Facebook post. KUSA. http://www.9news.com/news/local/doctor-resigns-after-backlash-from-facebook-post-/361116206. Published December 2, 2016. Accessed March 3, 2017.

Denver Health Pediatric Anesthesiologist/University of Colorado Assistant Professor

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Examples of Unprofessional Online Conduct

Chretien KC, Greysen SR, Chretien JP, Kind T. Online posting of unprofessional content by medical students. JAMA. 2009;302(12):1309-15.

● Breaches of patient confidentiality ● Profanity, generally inappropriate language ● Discriminatory comments ● Depiction of intoxicationSexually suggestive material ● Conflicts of interest ● Inaccurate information/claims

#AnesSoMe

Kind T, Genrich G, Sodhi A, Chretien KC. Social media policies at US medical schools. Medical Education Online. 2010;15:10.3402/meo.v15i0.5324. doi:10.3402/meo.v15i0.5324.

#AnesSoMe

Characteristics of Medical School Policies

●  37% of medical schools had publically available social media policies/guidelines

●  Of 41 social media policies publically available in 2013:

○  90% mentioned professionalism

○  70% mentioned confidentiality

○  46% mentioned HIPAA violations

○  27% mentioned career impact

Xi AS, Topf J, Stefaniak J. Key Characteristics of Current Social Media Policies at U.S. Allopathic Medical Schools. Medicine 2.0 Conference. http://www.medicine20congress.com/ocs/index.php/med/med2013/paper/view/1442. Accessed March 6, 2017. #AnesSoMe

Chretien KC, Azar J, Kind T. Physicians on Twitter. JAMA. 2011;305(6):566-8. #AnesSoMe

American Medical Association. Opinion 9.124 Professionalism in the use of social media. Code of Medical Ethics. http://www.ama-assn.org/ama/pub/physicianresources/medical-ethics/code-medical-ethics/opinion9124.page? Accessed March 2, 2017. Farnan JM, Snyder Sulmasy L, Worster BK, et al. Online medical professionalism: patient and public relationships: policy statement from the American College of Physicians and the Federation of State Medical Boards. Ann Intern Med. 2013;158(8):620-627. #AnesSoMe

https://www.ahn.org/code-business-conduct #AnesSoMe

Basic Social Media “Rules”

Mandrola J. Dr. John M. http://www.drjohnm.org/2013/04/ten-simple-rules-for-doctors-on-social-media/. Published April 18, 2013. Accessed March 5, 2017.

#AnesSoMe

1.  Do not fear social media 2.  Never post anything when angry 3.  Strive for accuracy 4.  When in doubt, pause 5.  Don’t post anything that can identify a patient 6.  Ask permission 7.  Be respectful 8.  Assume beneficence 9.  Be careful “friending” patients online 10. Educate yourself and ask questions

How can I use social media?

#AnesSoMe

DeCamp M, Koenig TW, Chisolm MS. Social Media and Physicians’ Online Identity Crisis. JAMA.2013;310(6):581-582. doi:10.1001/jama.2013.8238

#AnesSoMe

~90%... ...of papers published in academic journals are never cited

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Meho LI. The Rise and Rise of Citation Analysis. physicsworld.com. http://physicsworld.com/. Published January 2007. Accessed March 2, 2017.

~50%... ...of those papers were only read by the authors, referees and journal editors

#AnesSoMe

Meho LI. The Rise and Rise of Citation Analysis. physicsworld.com. http://physicsworld.com/. Published January 2007. Accessed March 2, 2017.

Social media as the “new” impact factor?

#AnesSoMe Botting, N., Dipper, L. and Hilari, K. (2017), The effect of social media promotion on academic article uptake. Journal of the Association for Information Science and Technology, 68: 795–800. doi:10.1002/asi.23704

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Ways Doctors Can Use Social Media

21 Ways Doctors Can Use Social Media. Marjorie Podraza Stiegler, M.D. http://www.marjoriestieglermd.com/21-ways-physicians-can-and-should-use-social-media/?hvid=5CCAzc. Published February 19, 2016. Accessed March 6, 2017.

#AnesSoMe

●  Curate a library ●  Find collaborators ●  Make a bigger difference by

disseminating your work ●  Promote health literacy ●  Engage in professional advocacy ●  Influence policy ●  Grow your practice by helping

patients find you ●  Recruit the best partners,

associates, students, residents ●  Make surprising connections

●  Manage what patients see about you and your professional reputation

●  Share your passion ●  Make big projects easier ●  Performance data for promotion ●  Learn

How can I get started on social media?

#AnesSoMe

Start by Lurking

Twitter Handles @AHNtoday @ASALifeline @ALNanesthesia @IARS_Journals @amandasxi @EMARIANOMD @DrMStiegler @ankeetudani @colinjmccartney @Ron_George @KarenSibertMD @Duke_Anesthesia @Dal_Anesthesia @DrSeanBarnes @RKmd

Blogs http://blog.amandaxi.com/ http://www.edmariano.com/ http://www.marjoriestieglermd.com/ http://apennedpoint.com/ https://rk.md/ http://www.blog.greatzs.com/ http://www.kevinmd.com/blog/ http://whitecoatinvestor.com/ http://skepticalscalpel.blogspot.com/

Twitter Hashtags #AnesSoMe #Anes16 #AnesJC #perioptalk #AnesGR

#AnesSoMe

http://list.ly/list/lWw-anesthesiologists-on-twitter http://twittersuperuser.com/ http://www.doctorasdesigner.com/socialmedia/

Social Media Checklist

#AnesSoMe

1.  Check your privacy settings on existing accounts 2.  Decide on separation of personal/private accounts 3.  Setup a Google Alert on your name 4.  Setup professional profiles and update them quarterly 5.  Utilize disclaimers 6.  Think before posting 7.  Stay open to opportunities 8.  Have fun!

Questions?

#AnesSoMe

References

1.  AMA Insurance Agency. Work life profiles of today’s physician. https://www.amainsure.com/reports/work-life-profiles-of-todays-us-physician.html. Accessed March 5, 2017.

2.  Pho K, Gay S. Establishing, Managing, And Protecting Your Online Reputation. 1st ed. Greenbranch Publishing; 2013. 3.  Hanauer DA, Zheng K, Singer DC, Gebremariam A, Davis MM. Public Awareness, Perception, and Use of Online Physician Rating Sites. JAMA. 2014;311(7):734-735.

doi:10.1001/jama.2013.283194 4.  Lagu T, Metayer K, Moran M, Ortiz L, Priya A, Goff SL, Lindenauer PK. Website Characteristics and Physician Reviews on Commercial Physician-Rating Websites.

JAMA. 2017;317(7):766-768. doi:10.1001/jama.2016.18553 5.  Sheldon B. Doctor resigns after backlash from Facebook post. KUSA. http://www.9news.com/news/local/doctor-resigns-after-backlash-from-facebook-post-/

361116206. Published December 2, 2016. Accessed March 3, 2017. 6.  Chretien KC, Greysen SR, Chretien JP, Kind T. Online posting of unprofessional content by medical students. JAMA. 2009;302(12):1309-15. 7.  Kind T, Genrich G, Sodhi A, Chretien KC. Social media policies at US medical schools. Medical Education Online. 2010;15:10.3402/meo.v15i0.5324. doi:10.3402/

meo.v15i0.5324. 8.  Xi AS, Topf J, Stefaniak J. Key Characteristics of Current Social Media Policies at U.S. Allopathic Medical Schools. Medicine 2.0 Conference. 9.  Chretien KC, Azar J, Kind T. Physicians on Twitter. JAMA. 2011;305(6):566-8. 10.  American Medical Association. Opinion 9.124 Professionalism in the use of social media. Code of Medical Ethics. http://www.ama-assn.org/ama/pub/

physicianresources/medical-ethics/code-medical-ethics/opinion9124.page? Accessed March 2, 2017. 11.  Farnan JM, Snyder Sulmasy L, Worster BK, et al. Online medical professionalism: patient and public relationships: policy statement from the American College of

Physicians and the Federation of State Medical Boards. Ann Intern Med. 2013;158(8):620-627. 12.  http://www.medicine20congress.com/ocs/index.php/med/med2013/paper/view/1442. Accessed March 6, 2017. 13.  Mandrola J. Dr. John M. http://www.drjohnm.org/2013/04/ten-simple-rules-for-doctors-on-social-media/. Published April 18, 2013. Accessed March 5, 2017. 14.  DeCamp M, Koenig TW, Chisolm MS. Social Media and Physicians’ Online Identity Crisis. JAMA.2013;310(6):581-582. doi:10.1001/jama.2013.8238 15.  Meho LI. The Rise and Rise of Citation Analysis. physicsworld.com. http://physicsworld.com/. Published January 2007. Accessed March 2, 2017. 16.  Botting, N., Dipper, L. and Hilari, K. (2017), The effect of social media promotion on academic article uptake. Journal of the Association for Information Science and

Technology, 68: 795–800. doi:10.1002/asi.23704 17.  21 Ways Doctors Can Use Social Media. Marjorie Podraza Stiegler, M.D. http://www.marjoriestieglermd.com/21-ways-physicians-can-and-should-use-social-media/?

hvid=5CCAzc. Published February 19, 2016. Accessed March 6, 2017.

allegheny dept of anesthesiology grand rounds 3-7-17

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