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Xuan W, Phongsatha T, Hao L, Tian K. Impact of health science popularization videos on user perceived value and continuous usage intention: based on the C-A-C and ECM model framework. Front Public Health 2024; 12:1382687. [PMID: 39011330 PMCID: PMC11246855 DOI: 10.3389/fpubh.2024.1382687] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2024] [Accepted: 06/14/2024] [Indexed: 07/17/2024] Open
Abstract
Objective To enhance individuals' sustained intention to use health science popularization videos, this study investigated the path relationships and influencing mechanisms of health science popularization video factors on users' perceived value, expectancy confirmation, enjoyment, satisfaction, trust, and continuous usage intention based on the cognitive-affective-conative and expectation-confirmation model theoretical framework. Methods This study adopted a cross-sectional design and collected data using self-administered questionnaires. The hypotheses were analyzed using the smart partial least squares (Smart-PLS) structural equation modeling method with a dataset containing 503 valid responses. Subsequently, comprehensive data analysis was conducted. Results Blogger and video quality factors present in health science popularization videos substantially influenced users' perceived value (p < 0.001). Furthermore, users' expectancy confirmation exerted a positive influence on both users' perceived value (p < 0.001) and satisfaction (p < 0.01). Perceived value, in turn, positively impacted satisfaction (p < 0.001) and pleasure (p < 0.001). User satisfaction (p < 0.001) and pleasure (p < 0.001) directly enhanced trust, which, in turn, significantly and directly impacted continuous usage intention (p < 0.001). Discussion This study offers both theoretical and practical insights into enhancing the quality of health science popularization videos. From a theoretical perspective, it expands upon the cognitive-affective-conative and expectation-confirmation model theoretical frameworks, enriches the theoretical model, and offers theoretical references for future research in this domain. From a practical perspective, enhancing the overall quality of health science popularization content significantly influences users' perceived value, emotional engagement, and continued usage intention to engage with the content.
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Affiliation(s)
- Wenxia Xuan
- Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, China
| | - Thanawan Phongsatha
- Graduate School of Business and Advanced Technology Management, Assumption University, Bangkok, Thailand
| | - Lijie Hao
- Department of Curriculum and Instructional Technology, Faculty of Education, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Kun Tian
- Graduate School of Business and Advanced Technology Management, Assumption University, Bangkok, Thailand
- College of Digital Arts, Communication University of Shanxi, Taiyuan, China
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Rahayu GR, Findyartini A, Riskiyana R, Thadeus MS, Meidianawaty V, Sari SM, Puspadewi N, Bekti RS, Hermasari BK, Sudarso S, Utami AE, Kusumawati W. Stakeholders' Views and Confidence Towards Indonesian Medical Doctor National Competency Examination: A Qualitative Study. J Multidiscip Healthc 2021; 14:3411-3420. [PMID: 34938080 PMCID: PMC8685446 DOI: 10.2147/jmdh.s336965] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Accepted: 11/24/2021] [Indexed: 11/23/2022] Open
Abstract
Introduction Indonesia is a huge country consisting of 33 provinces with different characteristics. There are 83 medical schools across Indonesia with different accreditation statuses. The Indonesia Medical Doctor National Competency Examination (IMDNCE) has been established to control the quality of medical school graduates. The implementation of IMDNCE needed to be evaluated to determine its impact. To date, there has not been any research in Indonesia that explores the stakeholders’ perceptions toward IMDNCE. This study aimed to explore how the stakeholders in Indonesia perceived the impact of IMDNCE towards performances of medical school graduates in clinical practice. Methods and Study Participants A qualitative study with phenomenological approach was conducted to investigate perceptions of stakeholders including representatives from consumer organizations, the National Health Coverage, the Ministry of Health, the Indonesian Medical Association, employers (hospital and health center directors), clinical supervisors as well as patients across Indonesia. Data were obtained through focus group discussions (FGDs) and interviews. The study used thematic analysis methods to obtain the results. Results A total of 90 study participants participated in the study including 10 representatives of consumer watchdog organizations, the National Health Coverage, the Ministry of Health, the Indonesian Medical Association, 31 employers, 32 professionals, and 17 patients. The study found three general themes which represent the perceptions of the stakeholders towards performances of medical school graduates in clinical practice: IMDNCE as an effort to standardize doctor graduates in Indonesia, the results of IMDNCE as a mean to reflect the quality of medical education in Indonesia, and IMDNCE as an effort to improve health services in Indonesia through the quality of graduates. Conclusion In general, the stakeholders perceived that the IMDNCE was able to standardize medical school graduates from various medical schools across Indonesia. However, the IMDNCE needs to be further developed to maximize its potential in improving the competences of Indonesian medical students.
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Affiliation(s)
- Gandes Retno Rahayu
- Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | | | - Rilani Riskiyana
- Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | | | - Vivi Meidianawaty
- Faculty of Medicine, Universitas Swadaya Gunung Jati, Cirebon, Indonesia
| | | | - Natalia Puspadewi
- School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia
| | | | | | | | | | - Wiwik Kusumawati
- Faculty of Medicine and Health Science, Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia
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De Gagne JC, Cho E, Yamane SS, Jin H, Nam JD, Jung D. Analysis of Cyberincivility in Posts by Health Professions Students: Descriptive Twitter Data Mining Study. JMIR MEDICAL EDUCATION 2021; 7:e28805. [PMID: 33983129 PMCID: PMC8160798 DOI: 10.2196/28805] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Revised: 04/13/2021] [Accepted: 04/13/2021] [Indexed: 05/08/2023]
Abstract
BACKGROUND Health professions students use social media to communicate with other students and health professionals, discuss career plans or coursework, and share the results of research projects or new information. These platforms allow students to share thoughts and perceptions that are not disclosed in formal education settings. Twitter provides an excellent window through which health professions educators can observe students' sociocultural and learning needs. However, despite its merits, cyberincivility on Twitter among health professions students has been reported. Cyber means using electronic technologies, and incivility is a general term for bad manners. As such, cyberincivility refers to any act of disrespectful, insensitive, or disruptive behavior in an electronic environment. OBJECTIVE This study aims to describe the characteristics and instances of cyberincivility posted on Twitter by self-identified health professions students. A further objective of the study is to analyze the prevalence of tweets perceived as inappropriate or potentially objectionable while describing patterns and differences in the instances of cyberincivility posted by those users. METHODS We used a cross-sectional descriptive Twitter data mining method to collect quantitative and qualitative data from August 2019 to February 2020. The sample was taken from users who self-identified as health professions students (eg, medicine, nursing, dental, pharmacy, physician assistant, and physical therapy) in their user description. Data management and analysis were performed with a combination of SAS 9.4 for descriptive and inferential statistics, including logistic regression, and NVivo 12 for descriptive patterns of textual data. RESULTS We analyzed 20 of the most recent tweets for each account (N=12,820). A total of 639 user accounts were analyzed for quantitative analysis, including 280 (43.8%) medicine students and 329 (51.5%) nursing students in 22 countries: the United States (287/639, 44.9%), the United Kingdom (197/639, 30.8%), unknown countries (104/639, 16.3%), and 19 other countries (51/639, 8.0%). Of the 639 accounts, 193 (30.2%) were coded as having instances of cyberincivility. Of these, 61.7% (119/193), 32.6% (63/193), and 5.7% (11/193) belonged to students in nursing, medicine, and other disciplines, respectively. Among 502 instances of cyberincivility identified from 641 qualitative analysis samples, the largest categories were profanity and product promotion. Several aggressive or biased comments toward other users, politicians, or certain groups of people were also found. CONCLUSIONS Cyberincivility is a multifaceted phenomenon that must be considered in its complexity if health professions students are to embrace a culture of mutual respect and collaboration. Students' perceptions and reports of their Twitter experiences offer insights into behavior on the web and the evolving role of cyberspace, and potentially problematic posts provide opportunities for teaching digital professionalism. Our study indicates that there is a continued need to provide students with guidance and training regarding the importance of maintaining a professional persona on the web.
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Affiliation(s)
| | - Eunji Cho
- School of Nursing, Vanderbilt University, Nashville, TN, United States
| | - Sandra S Yamane
- Department of Nursing, Catawba College, Salisbury, NC, United States
| | - Haesu Jin
- Division of Hematologic Malignancies and Cellular Therapy, Duke University Medical Center, Durham, NC, United States
| | - Jeehae D Nam
- Global Health Institute, Duke University, Durham, NC, United States
| | - Dukyoo Jung
- College of Nursing, Ewha Womans University, Seoul, Republic of Korea
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Gormley M, Collins L, Schofield S, Neville P. Exploring the impact of digital professionalism awareness training on dental undergraduate students. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2021; 25:271-281. [PMID: 32949078 DOI: 10.1111/eje.12601] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Revised: 08/01/2020] [Accepted: 09/01/2020] [Indexed: 06/11/2023]
Abstract
INTRODUCTION Since the publication of GDC guidance, there have been small, but rising numbers of Fitness to Practise (FtP) cases made against qualified dentists, relating to the use of social media. Prior to graduation, dental students currently receive training in the appropriate use of social media, but more work is needed to determine the most effective methods do this. The aim of this study is to explore the impact of the digital professionalism awareness training provided at one UK-based institution. MATERIALS AND METHODS In year 2, a "brown envelope" is compiled using an online publicly available Facebook profile search for every student. All year 2 to 5 dental undergraduate students at one UK dental school who had completed the "brown envelope" were invited to participate in focus groups to examine its impact on behaviour change. A qualitative framework analysis method was applied to the transcripts. RESULTS Eleven dental undergraduate students participated in two focus groups. All students had experienced the "brown envelope" intervention. Four main themes emerged, including: a clear expression of dental student autonomy and rejection of regulation; that online activity in dentistry is different to medicine; that the intervention is useful and changed online behaviour; and constructive suggestions for improving training. CONCLUSION The interactive "brown envelope" intervention for digital professionalism awareness training was well received and appeared to result in actionable behavioural change on student profiles (eg alterations in privacy settings or restricting access to their own "friends lists").
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Omori K, Stitt C. Website Users’ Perceptions of Source Credibility Through Online Doctor Profiles: Cultural Differences Based on Doctors’ Approach to Medicine. JOURNAL OF CONSUMER HEALTH ON THE INTERNET 2019. [DOI: 10.1080/15398285.2019.1681248] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Kikuko Omori
- Department of Communication Studies, California State University, Sacramento, CA, USA
| | - Carmen Stitt
- Department of Communication Studies, California State University, Sacramento, CA, USA
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Fatollahi JJ, Colbert JA, Agarwal P, Lee JL, Lehmann EY, Yuan N, Lehmann LS, Chretien KC. The Impact of Physician Social Media Behavior on Patient Trust. AJOB Empir Bioeth 2019; 11:77-82. [PMID: 31663810 DOI: 10.1080/23294515.2019.1678533] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Introduction: Institutions have developed professionalism policies to help guide physician social media behavior in light of professionalism lapses that have resulted in serious consequences. Prior research has gathered perspectives on online professionalism; however, the public's views remain poorly understood. Importantly, the impact of physician social media behavior on patient trust is unknown. Methods: To determine whether patients' trust might change based on their physicians' social media behavior, we conducted a cross-sectional survey across three U.S. cities (n = 491). The survey assessed patient trust using hypothetical scenarios. Results: Most respondents reported they would have less trust if their physician posted racist comments online, wrote a disrespectful patient narrative, appeared intoxicated in a photograph, or wrote profanity. Respondent age and education impacted change in trust. Conclusions: We conclude that physicians' social media behavior may affect patient trust. Better understanding of how physicians' online presence impacts their relationships with patients can help guide policy and inform educational efforts.
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Affiliation(s)
| | - James A Colbert
- Harvard Medical School.,Blue Cross Blue Shield of Massachusetts
| | | | - Joy L Lee
- Indiana University School of Medicine.,Regenstrief Institute, Inc
| | | | - Neal Yuan
- University of California at San Francisco School of Medicine
| | | | - Katherine C Chretien
- George Washington University School of Medicine.,Washington DC Veterans Affairs Medical Center
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Weijs C, Coe J, Desmarais S, Majowicz S, Jones-Bitton A. Effects of Mock Facebook Workday Comments on Public Perception of Professional Credibility: A Field Study in Canada. J Med Internet Res 2019; 21:e12024. [PMID: 30998223 PMCID: PMC6495291 DOI: 10.2196/12024] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2018] [Accepted: 02/17/2019] [Indexed: 01/01/2023] Open
Abstract
BACKGROUND There is considerable discussion of risks to health professionals' reputations and employment from personal social media use, though its impacts on professional credibility and the health professional-client relationship are unknown. OBJECTIVE The aim of this study was to test the extent to which workday comments posted to health professionals' personal Facebook profiles influence their credibility and affect the professional-client relationship. METHODS In a controlled field study, participants (members of the public) reviewed randomly assigned mock Facebook profiles of health professionals. The 2×2×2 factorial design of mock profiles included gender (female/male), health profession (physician/veterinarian), and workday comment type (evident frustration/ambiguous). Participants then rated the profile owner's credibility on a visual analog scale. An analysis of variance test compared ratings. Mediation analyses tested the importance of credibility ratings on participants' willingness to become a client of the mock health professional. RESULTS Participants (N=357) rated health professionals whose personal Facebook profile showed a comment with evident frustration rather than an ambiguous workday comment as less credible (P<.001; mean difference 11.18 [SE 1.28]; 95% CI 8.66 to 13.70). Furthermore, participants indicated they were less likely to become clients of the former when they considered credibility (standardized beta=.69; P<.001). Credibility explained 86% of the variation in the relationship between the type of workday comment and the participant's willingness to become a client of the health professional. CONCLUSIONS This study provides the first evidence of the impact of health professionals' personal online disclosures on credibility and the health relationship. Public perceptions about professionalism and credibility are integral to developing the evidence base for e-professionalism guidelines and encouraging best practices in social media use.
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Affiliation(s)
- Cynthia Weijs
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
- Department of Population Medicine, Ontario Veterinary College, University of Guelph, Guelph, ON, Canada
| | - Jason Coe
- Department of Population Medicine, Ontario Veterinary College, University of Guelph, Guelph, ON, Canada
| | - Serge Desmarais
- Department of Psychology, University of Guelph, Guelph, ON, Canada
| | - Shannon Majowicz
- Faculty of Applied Health Sciences, School of Public Health and Health Systems, University of Waterloo, Waterloo, ON, Canada
| | - Andria Jones-Bitton
- Department of Population Medicine, Ontario Veterinary College, University of Guelph, Guelph, ON, Canada
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8
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Lemire F. Digital engagement. CANADIAN FAMILY PHYSICIAN MEDECIN DE FAMILLE CANADIEN 2018; 64:320. [PMID: 29650615 PMCID: PMC5897081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
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Maben-Feaster RE, Stansfield RB, Opipari A, Hammoud MM. Evaluating Patient Perspectives of Provider Professionalism on Twitter in an Academic Obstetrics and Gynecology Clinic: Patient Survey. J Med Internet Res 2018. [PMID: 29530838 PMCID: PMC5869178 DOI: 10.2196/jmir.8056] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Background One-third of Americans use social media websites as a source of health care information. Twitter, a microblogging site that allows users to place 280-character posts—or tweets—on the Web, is emerging as an important social media platform for health care. However, most guidelines on medical professionalism on social media are based on expert opinion. Objective This study sought to examine if provider Twitter profiles with educational tweets were viewed as more professional than profiles with personal tweets or a mixture of the two, and to determine the impact of provider gender on perceptions of professionalism in an academic obstetrics and gynecology clinic. Methods This study randomized obstetrics and gynecology patients at the University of Michigan Von Voigtlander Clinic to view one of six medical provider Twitter profiles, which differed in provider gender and the nature of tweets. Each participant answered 10 questions about their perception of the provider’s professionalism based on the Twitter profile content. Results The provider profiles with educational tweets alone received higher mean professionalism scores than profiles with personal tweets. Specifically, the female and male provider profiles with exclusively educational tweets had the highest and second highest overall mean professionalism ratings at 4.24 and 3.85, respectively. In addition, the female provider profiles received higher mean professionalism ratings than male provider profiles with the same content. The female profile with mixed content received a mean professionalism rating of 3.38 compared to 3.24 for the male mixed-content profile, and the female profile with only personal content received a mean professionalism rating of 3.68 compared to 2.68 for the exclusively personal male provider profile. Conclusions This study showed that in our obstetrics and gynecology clinic, patients perceived providers with educational profiles as more professional than those with a mixture of educational and personal tweets or only personal tweets. It also showed that our patient population perceived the female provider with educational tweets to be the most professional. This study will help inform the development of evidence-based guidelines for social media use in medicine as it adds to the growing body of literature examining professionalism and social media.
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Affiliation(s)
- Rosalyn E Maben-Feaster
- Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, United States
| | - R Brent Stansfield
- Graduate Medical Education, Wayne State University School of Medicine, Detroit, MI, United States
| | | | - Maya M Hammoud
- Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, United States
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Management of electronic social networks by students of medicine: The case of publication of photographs with patients and professional medical conduct. BIOMEDICA 2016; 36:140-8. [PMID: 27622447 DOI: 10.7705/biomedica.v36i1.2646] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/16/2014] [Revised: 07/27/2015] [Indexed: 11/21/2022]
Abstract
INTRODUCTION The socio-demographic characterization of medical students at the Pontificia Universidad Javeriana in Cali, Colombia, was made using a survey and focus group discussion to collect information on access to the Internet, management of electronic social networks and the dissemination of photographs with patients taken during medical teaching rounds, a practice that constitutes a breach of professional medical conduct. OBJECTIVE To identify the management of social electronic networks by students of medicine with respect to the publication of photographs with patients. MATERIALS AND METHODS A descriptive cross-sectional study was undertaken to characterize students of medicine at the Pontificia Universidad Javeriana in Cali. Of the 423 students enrolled in January 2013, 299 participated in a survey designed with the software Cardiff TELEform®, version 10.0. Twenty students were also selected at random for a focus group discussion on the publication of photographs with patients on electronic social networks. RESULTS Of the students surveyed, 97.6% claimed to be active users of at least one of the main electronic social networks (96.2% Facebook, 70.5% Instagram and 44.1% Twitter). Of these, 52 (17.6%) admitted having published a photograph showing patient care on at least one occasion. CONCLUSION Most of the students had smartphones and user profiles on the main social electronic networks, on which they disseminated photographs of patients taken during teaching rounds, as well as images of various activities which could have ethical and legal implications and contravene standards of professional medical conduct.
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Langenfeld SJ, Sudbeck C, Luers T, Adamson P, Cook G, Schenarts PJ. The Glass Houses of Attending Surgeons: An Assessment of Unprofessional Behavior on Facebook Among Practicing Surgeons. JOURNAL OF SURGICAL EDUCATION 2015; 72:e280-e285. [PMID: 26276300 DOI: 10.1016/j.jsurg.2015.07.007] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/04/2015] [Revised: 06/22/2015] [Accepted: 07/13/2015] [Indexed: 06/04/2023]
Abstract
PURPOSE Our recent publication demonstrated that unprofessional behavior on Facebook is common among surgical residents. In the formulation of standards and curricula to address this issue, it is important that surgical faculty lead by example. Our current study refocuses on the Facebook profiles of faculty surgeons involved in the education of general surgery residents. METHODS The American College of Surgeons (ACS) web site was used to identify general surgery residencies located in the Midwest. Departmental web sites were then searched to identify teaching faculty for the general surgery residency. Facebook was then searched to determine which faculty had profiles available for viewing by the general public. Profiles were then placed in 1 of the 3 following categories: professional, potentially unprofessional, or clearly unprofessional. STATISTICAL ANALYSIS A chi-square test was used to determine significance. RESULTS In all, 57 residency programs were identified on the ACS web site, 100% of which provided an institutional web site listing the surgical faculty. A total of 758 general surgery faculty were identified (133 women and 625 men), of which 195 (25.7%) had identifiable Facebook accounts. In all, 165 faculty (84.6%) had no unprofessional content, 20 (10.3%) had potentially unprofessional content, and 10 (5.1%) had clearly unprofessional content. Inter-rater reliability was good (88.9% agreement, κ = 0.784). Clearly unprofessional behavior was found only in male surgeons. For male surgeons, clearly unprofessional behavior was more common among those in practice for less than 5 years (p = 0.031). Alcohol and politics were the most commonly found variables in the potentially unprofessional group. Inappropriate language and sexually suggestive material were the most commonly found variables in the clearly unprofessional group. CONCLUSIONS Unprofessional behavior on Facebook is less common among surgical faculty compared with surgical residents. However, the rates remain unacceptably high, especially among men and those in practice for less than 5 years. Education on the dangers of social media should not be limited to residents but should instead be extended to attending surgeons as well.
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Affiliation(s)
- Sean J Langenfeld
- Department of Surgery, University of Nebraska Medical Center, Omaha, Nebraska.
| | - Craig Sudbeck
- Department of Surgery, University of Nebraska Medical Center, Omaha, Nebraska
| | - Thomas Luers
- Department of Surgery, University of Nebraska Medical Center, Omaha, Nebraska
| | - Peter Adamson
- Department of Surgery, University of Nebraska Medical Center, Omaha, Nebraska
| | - Gates Cook
- Department of Surgery, University of Nebraska Medical Center, Omaha, Nebraska
| | - Paul J Schenarts
- Department of Surgery, University of Nebraska Medical Center, Omaha, Nebraska
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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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Affiliation(s)
- Katherine C Chretien
- VA Medical Center, Washington, DC and George Washington University School of Medicine and Health Sciences , Washington DC , USA
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13
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Walton JM, White J, Ross S. What's on YOUR Facebook profile? Evaluation of an educational intervention to promote appropriate use of privacy settings by medical students on social networking sites. MEDICAL EDUCATION ONLINE 2015. [PMID: 26198434 PMCID: PMC4509902 DOI: 10.3402/meo.v20.28708] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
BACKGROUND The rise of social media has led to growing concerns about the potential implications of 'unprofessional' postings by physicians and medical students on individuals, institutions, and the medical profession. Relevant and effective guidelines have been difficult to develop and enforce, and there is a need for students and physicians to consider how their online activities may be perceived in the context of their professional roles. The purpose of this project was to examine the Internet presence of a graduating Canadian medical school class by scanning students' public profiles on the social media site Facebook, incorporate this information into an educational activity addressing professionalism and social media, and evaluate the impact of this activity on student behavior. METHODS A systematic search for public Facebook profiles of each member of the class was conducted, and data were collected on the types of publicly visible material. These were presented as part of an educational session on social media and professionalism. One month later, the Facebook search was repeated. RESULTS Of 152 students in the class, profiles were found for 121 (79.8%). The majority of students used appropriately restrictive privacy settings; however, a significant minority had publicly visible information, including comments, photographs, location, and status as a medical student. The educational innovation was well received with more than 90% of students agreeing that this topic was important and well addressed. A follow-up search found that many students had altered their privacy settings to make less information publicly available. CONCLUSIONS A small but significant proportion of students share potentially unprofessional content on social media. An interactive educational intervention, which includes specific disclosure of how participants appear to others on social media, resulted in a significant change in student behavior.
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Affiliation(s)
- Jennifer M Walton
- Department of Pediatrics, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, Canada;
| | - Jonathan White
- Department of Surgery, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, Canada
| | - Shelley Ross
- Department of Family Medicine, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, Canada
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Mehta NV, Shamdas M, Arnold TJ. Should students still fear social media? Conveying an online personality can enrich the doctor-patient relationship. MEDICAL EDUCATION ONLINE 2014; 19:25752. [PMID: 25261826 PMCID: PMC4176667 DOI: 10.3402/meo.v19.25752] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Affiliation(s)
- Nitesh V Mehta
- Department of Medicine, Imperial College London, London, UK;
| | - Mohith Shamdas
- Department of Medicine, Imperial College London, London, UK
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