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Emails, Apps and Social Media for Psychiatrists Dr Christopher Pell Consultant Psychiatrist NHS Tayside [email protected] @egosyntonically 15th Dec 2014

Email, apps and SoMe for psychiatrists

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Page 1: Email, apps and SoMe for psychiatrists

Emails, Apps and Social Media for Psychiatrists

Dr Christopher PellConsultant PsychiatristNHS Tayside

[email protected]@egosyntonically 15th Dec 2014

Page 2: Email, apps and SoMe for psychiatrists

Overview

❖ The technologies - what are we using?

❖ The techniques - inbox zero, getting started on Twitter

❖ The benefits - positive potential uses for Psychiatrists

❖ The pitfalls - and how to avoid them

❖ The guidance - further reading and regulations

http://www.internetlivestats.com

Page 3: Email, apps and SoMe for psychiatrists

Rise of the Cyborgs

❖ Web 2.0 allows for rapid and easy creation of online content - the read/write web

❖ “Moore’s Law” puts mobile computing on a par with traditional desktop devices

❖ 3G and 4G rollout allows instant and continuous access

❖ Phantom Leg Vibration Syndrome, FOMO

Do you know your partner’s telephone number?

Page 4: Email, apps and SoMe for psychiatrists

Rise of the Cyborgs

❖ Web 2.0 allows for rapid and easy creation of online content - the read/write web

❖ “Moore’s Law” puts mobile computing on a par with traditional desktop devices

❖ 3G and 4G rollout allows instant and continuous access

❖ Phantom Leg Vibration Syndrome, FOMO

What is your partner’s telephone number?

Page 5: Email, apps and SoMe for psychiatrists

Why Doctors should care

✤ You are already on-line.

Page 6: Email, apps and SoMe for psychiatrists

Why Doctors should care

✤ You are already on-line.

Page 7: Email, apps and SoMe for psychiatrists

Why Doctors should care

✤ You are already on-line.

Page 8: Email, apps and SoMe for psychiatrists

Why Doctors should care

✤ You are already on-line. ❖ Your patients are on line

❖ Your relatives and friends are online

❖ You are increasingly searchable and linkable to personal profiles

❖ Google yourself to see what others might

❖ Curate, block, report

❖ Can set up an RSS feed to alert you to new content

Page 9: Email, apps and SoMe for psychiatrists

Email❖ Asynchronous electronic communication

❖ Allows attachments, creation of folders, storage

❖ Mobile connectivity ………. always on

❖ Confidentiality - NHS.net, but conflict with Trust Policies?

❖ Volume, deluge and email bankruptcy

❖ Spamming/spoofing - use of block lists

❖ unroll.me - rolls up all of your regular emails into a daily newsletter

Page 10: Email, apps and SoMe for psychiatrists

Inbox Zero❖ 5 actions for emails - Delete, Delegate, Respond, Defer, Do

❖ Open and close email client at set times, not in between.

❖ First delete or archive as many emails as possible

❖ Identify those that others should do and forward on (then delete original)

❖ Sort the remainer into ones that can be done in 2 mins or less and do them

❖ Move ones taking longer to a “response required folder”

❖ Set aside a fixed period in the day to work on these

Page 11: Email, apps and SoMe for psychiatrists

Applications and Widgets❖ "Do one thing well"

❖ Small programmes specialising in a few tasks, downloadable, often optimised for mobile devices

❖ Apple App Store, Google Play, Amazon App Store

❖ Considerations: free/paid for, in-app purchases, accessible off line?

❖ Easy to use

❖ Easy to create…?

Page 12: Email, apps and SoMe for psychiatrists

Applications and Widgets❖ "Do one thing well"

❖ Small programmes specialising in a few tasks, downloadable, often optimised for mobile devices

❖ Apple App Store, Google Play, Amazon App Store

❖ Considerations: free/paid for, in-app purchases, accessible off line?

❖ Easy to use

❖ Easy to create…? http://www.statista.com/statistics/263794/number-of-downloads-from-the-apple-app-store/

Cumulative downloads from Apple App Store

Page 13: Email, apps and SoMe for psychiatrists

Types of useful app

❖ Reference

❖ Organisation

❖ Storage

❖ Education

❖ Patient data

❖ Self-help

Page 14: Email, apps and SoMe for psychiatrists

Social Media

❖ The BIG 4: Facebook, Twitter, YouTube/Google+, LinkedIn

Page 15: Email, apps and SoMe for psychiatrists

Social Media

❖ The BIG 4: Facebook, Twitter, YouTube/Google+, LinkedIn

Page 16: Email, apps and SoMe for psychiatrists

Social Media

❖ The BIG 4: Facebook, Twitter, YouTube/Google+, LinkedIn

Page 17: Email, apps and SoMe for psychiatrists

Social Media

❖ The BIG 4: Facebook, Twitter, YouTube/Google+, LinkedIn

Page 18: Email, apps and SoMe for psychiatrists

Year

Use

rs (m

illio

ns)

Page 19: Email, apps and SoMe for psychiatrists

0

300

600

900

1200

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

facebook twitter google+ pinterest instagram

Year

Use

rs (m

illio

ns)

Page 20: Email, apps and SoMe for psychiatrists

0

300

600

900

1200

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

facebook twitter google+ pinterest instagram

1 5.5 1250

150

350

608

845

1,060

1,150

Year

Use

rs (m

illio

ns)

Page 21: Email, apps and SoMe for psychiatrists

0

300

600

900

1200

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

facebook twitter google+ pinterest instagram

6 8 26

150

500555

1 5.5 1250

150

350

608

845

1,060

1,150

Year

Use

rs (m

illio

ns)

Page 22: Email, apps and SoMe for psychiatrists

0

300

600

900

1200

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

facebook twitter google+ pinterest instagram

400

500

1,000

6 8 26

150

500555

1 5.5 1250

150

350

608

845

1,060

1,150

Year

Use

rs (m

illio

ns)

Page 23: Email, apps and SoMe for psychiatrists

0

300

600

900

1200

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

facebook twitter google+ pinterest instagram

1 1050

150

400

500

1,000

6 8 26

150

500555

1 5.5 1250

150

350

608

845

1,060

1,150

Year

Use

rs (m

illio

ns)

Page 24: Email, apps and SoMe for psychiatrists

Facebook

❖ Total no. of Facebook users: 1.38 billion 

❖ Percentage of online adults using FB: 72%

❖ Global daily active FB users: 864 million 

❖ UK daily active users: 24 million

❖ Average no. of monthly posts/page: 36

❖ No. of friend connections: 150 billion 

❖ Average no. of friends per FB user: 141.5

❖ Average daily FB likes: 2.7 billion  http://expandedramblings.com/index.php/resource-how-many-people-use-the-top-social-media/

Page 25: Email, apps and SoMe for psychiatrists

Facebook

❖ Total no. of Facebook users: 1.38 billion 

❖ Percentage of online adults using FB: 72%

❖ Global daily active FB users: 864 million 

❖ UK daily active users: 24 million

❖ Average no. of monthly posts/page: 36

❖ No. of friend connections: 150 billion 

❖ Average no. of friends per FB user: 141.5

❖ Average daily FB likes: 2.7 billion  http://expandedramblings.com/index.php/resource-how-many-people-use-the-top-social-media/

Page 26: Email, apps and SoMe for psychiatrists

Facebook

❖ Total no. of Facebook users: 1.38 billion 

❖ Percentage of online adults using FB: 72%

❖ Global daily active FB users: 864 million 

❖ UK daily active users: 24 million

❖ Average no. of monthly posts/page: 36

❖ No. of friend connections: 150 billion 

❖ Average no. of friends per FB user: 141.5

❖ Average daily FB likes: 2.7 billion  http://expandedramblings.com/index.php/resource-how-many-people-use-the-top-social-media/

Page 27: Email, apps and SoMe for psychiatrists

Facebook

❖ Total no. of Facebook users: 1.38 billion 

❖ Percentage of online adults using FB: 72%

❖ Global daily active FB users: 864 million 

❖ UK daily active users: 24 million

❖ Average no. of monthly posts/page: 36

❖ No. of friend connections: 150 billion 

❖ Average no. of friends per FB user: 141.5

❖ Average daily FB likes: 2.7 billion  http://expandedramblings.com/index.php/resource-how-many-people-use-the-top-social-media/

Page 28: Email, apps and SoMe for psychiatrists

Twitter❖ Total number of Twitter users: ~1 billion

❖ Total number of Tweets sent:

❖ Monthly active Twitter users: 284 million

❖ Average no. of Tweets sent per day: 500 million

❖ Average no. of tweets per Twitter user: 208 

❖ Average time spent per month: 170 mins

❖ Percentage of Twitter users on a mobile: 60%

❖ Most followed celebrity on Twitter: Justin Bieber

http://expandedramblings.com/index.php/resource-how-many-people-use-the-top-social-media/

Page 29: Email, apps and SoMe for psychiatrists

Twitter❖ Total number of Twitter users: ~1 billion

❖ Total number of Tweets sent:

❖ Monthly active Twitter users: 284 million

❖ Average no. of Tweets sent per day: 500 million

❖ Average no. of tweets per Twitter user: 208 

❖ Average time spent per month: 170 mins

❖ Percentage of Twitter users on a mobile: 60%

❖ Most followed celebrity on Twitter: Justin Bieber

http://expandedramblings.com/index.php/resource-how-many-people-use-the-top-social-media/

Page 30: Email, apps and SoMe for psychiatrists

Twitter❖ Total number of Twitter users: ~1 billion

❖ Total number of Tweets sent:

❖ Monthly active Twitter users: 284 million

❖ Average no. of Tweets sent per day: 500 million

❖ Average no. of tweets per Twitter user: 208 

❖ Average time spent per month: 170 mins

❖ Percentage of Twitter users on a mobile: 60%

❖ Most followed celebrity on Twitter: Justin Bieber

http://expandedramblings.com/index.php/resource-how-many-people-use-the-top-social-media/

Page 31: Email, apps and SoMe for psychiatrists

Twitter❖ Total number of Twitter users: ~1 billion

❖ Total number of Tweets sent:

❖ Monthly active Twitter users: 284 million

❖ Average no. of Tweets sent per day: 500 million

❖ Average no. of tweets per Twitter user: 208 

❖ Average time spent per month: 170 mins

❖ Percentage of Twitter users on a mobile: 60%

❖ Most followed celebrity on Twitter: Justin Bieber

http://expandedramblings.com/index.php/resource-how-many-people-use-the-top-social-media/

Page 32: Email, apps and SoMe for psychiatrists

LinkedIn❖ Link skills and endorsements

❖ Share C.V. - professional networking

❖ Total number of users: 332 million

❖ 40% of its users check LinkedIn daily

❖ Your LinkedIn profile is 11x more likely to be viewed if you include a photo

❖ Most used profile buzzword in 2013: Responsible

❖ 41% of millennials use LinkedInhttp://expandedramblings.com/index.php/resource-how-many-people-use-the-top-social-media/

Page 33: Email, apps and SoMe for psychiatrists

YouTube

❖ One billion unique views per month

❖ 4 billion views per day

❖ 100 hours of video uploaded per minute

❖ Nearly 9 out of 10 (87%) of UK internet users have used YouTube

❖ Incorporated into Google 2006/7 leading to monetisation, music vids and adverts

❖ Most watched video?

http://expandedramblings.com/index.php/resource-how-many-people-use-the-top-social-media/

Page 34: Email, apps and SoMe for psychiatrists

YouTube

❖ One billion unique views per month

❖ 4 billion views per day

❖ 100 hours of video uploaded per minute

❖ Nearly 9 out of 10 (87%) of UK internet users have used YouTube

❖ Incorporated into Google 2006/7 leading to monetisation, music vids and adverts

❖ Most watched video?

http://expandedramblings.com/index.php/resource-how-many-people-use-the-top-social-media/

Page 35: Email, apps and SoMe for psychiatrists

YouTube

❖ One billion unique views per month

❖ 4 billion views per day

❖ 100 hours of video uploaded per minute

❖ Nearly 9 out of 10 (87%) of UK internet users have used YouTube

❖ Incorporated into Google 2006/7 leading to monetisation, music vids and adverts

❖ Most watched video?

http://expandedramblings.com/index.php/resource-how-many-people-use-the-top-social-media/

Page 36: Email, apps and SoMe for psychiatrists

YouTube

❖ One billion unique views per month

❖ 4 billion views per day

❖ 100 hours of video uploaded per minute

❖ Nearly 9 out of 10 (87%) of UK internet users have used YouTube

❖ Incorporated into Google 2006/7 leading to monetisation, music vids and adverts

❖ Most watched video?

http://expandedramblings.com/index.php/resource-how-many-people-use-the-top-social-media/

Page 37: Email, apps and SoMe for psychiatrists

YouTube

❖ One billion unique views per month

❖ 4 billion views per day

❖ 100 hours of video uploaded per minute

❖ Nearly 9 out of 10 (87%) of UK internet users have used YouTube

❖ Incorporated into Google 2006/7 leading to monetisation, music vids and adverts

❖ Most watched video?

http://expandedramblings.com/index.php/resource-how-many-people-use-the-top-social-media/

Page 38: Email, apps and SoMe for psychiatrists

YouTube

❖ One billion unique views per month

❖ 4 billion views per day

❖ 100 hours of video uploaded per minute

❖ Nearly 9 out of 10 (87%) of UK internet users have used YouTube

❖ Incorporated into Google 2006/7 leading to monetisation, music vids and adverts

❖ Most watched video?

http://expandedramblings.com/index.php/resource-how-many-people-use-the-top-social-media/

Page 39: Email, apps and SoMe for psychiatrists

Positive Uses of Social Media❖ Keep up to date

❖ Inform others and share interesting articles

❖ Networking particularly for conferences - #RCPsychIC14

❖ Journal clubs and specific discussion groups - #meded #TwitJC

❖ Track jobs and other opportunities

❖ Public health - track disease outbreaks, emergencies - #UKsnow

❖ Crowd sourcing platform - ask your followers

❖ Communicate with colleagues (and patients?)

❖ Present a professional image

❖ Create a “fan page” for your organisation - e.g. RCPsych

❖ Use to disseminate information

❖ Generate discussion amongst friends or fans

Page 40: Email, apps and SoMe for psychiatrists

Getting Started on Twitter❖ Find a username, ideally that reflects your main content

❖ Consider guidance on anonymity - GMC

❖ Work on the basis that all material is public domain and can be reused without permission

❖ Join the conversation - @ and #

❖ Build a following - be interesting, be focussed, be helpful and be polite

❖ DFTT, or start flamewars - remember Godwin's Law!

“If you don’t learn something new each day on Twitter, then you are following the wrong people.”-via @TweetSmarter

Page 41: Email, apps and SoMe for psychiatrists

Getting Started on Twitter

http://jbmccrea.com/wordpress/wp-content/uploads/2014/12/State-of-Social-Media-in-the-NHS.pdf

Page 42: Email, apps and SoMe for psychiatrists

Getting Started on Twitter

http://jbmccrea.com/wordpress/wp-content/uploads/2014/12/State-of-Social-Media-in-the-NHS.pdf

Page 43: Email, apps and SoMe for psychiatrists

Getting Started on Twitter

http://jbmccrea.com/wordpress/wp-content/uploads/2014/12/State-of-Social-Media-in-the-NHS.pdf

❖ @PsychiatrySHO

❖ @Mental_Elf

❖ @MentalHealthCop

❖ @DrG_NHS

❖ @ProfLAppleby

❖ @ffolliet

❖ @DeeeDoc

Page 44: Email, apps and SoMe for psychiatrists

Netiquette ❖ Contextless text - use emoticons? :)

❖ Flaming and trolling - just don’t.

❖ Know your abbreviations - LOL, IMHO, AFAIK, KTB, FFS…

❖ Always proofread - spelling and grammar

❖ Are you communicating with the right media for the task in hand?

Page 45: Email, apps and SoMe for psychiatrists

Netiquette ❖ Contextless text - use emoticons? :)

❖ Flaming and trolling - just don’t.

❖ Know your abbreviations - LOL, IMHO, AFAIK, KTB, FFS…

❖ Always proofread - spelling and grammar

❖ Are you communicating with the right media for the task in hand?

Page 46: Email, apps and SoMe for psychiatrists

Netiquette ❖ Contextless text - use emoticons? :)

❖ Flaming and trolling - just don’t.

❖ Know your abbreviations - LOL, IMHO, AFAIK, KTB, FFS…

❖ Always proofread - spelling and grammar

❖ Are you communicating with the right media for the task in hand?

Page 47: Email, apps and SoMe for psychiatrists

Security

http://amitay.us/blog/files/most_common_iphone_passcodes.php

http://www.nytimes.com/2010/01/21/technology/21password.html

Page 48: Email, apps and SoMe for psychiatrists

Personal vs Professional Personas❖ Article 8 of the Human Rights Act states:

“Everyone has the right to respect for his private and family life, his home and his correspondence.”

❖ Care needed to ensure policy does not infringe our rights to freedom of speech, and to a private life

❖ Would we accept policies that monitor and limit what we say in public? Are tweets and posts any different?

❖ Is it possible to separate who we are?

The InternetPrivacy

http://www.flickr.com/photos/buriednexttoyou/5095255302/

A Helpful Venn Diagram

Page 49: Email, apps and SoMe for psychiatrists

Sharing of Information❖ 2008 USA survey showed 2/3 medical students use Facebook

❖ Only 37.5% of these made their profiles private

❖ University of Otago NZ - class of 2006

❖ N=338 - 65% had Facebook accounts

❖ Only 63% had activated their privacy settings

❖ University of Rouen 2010

❖ N=202 - 73% had Facebook profiles, 61% changed privacy

Guseh JS (2009)

MacDonald J (2010)

Moubarak G (2011)

Page 50: Email, apps and SoMe for psychiatrists

Friending and Patients

❖ 76% of doctors in the Rouen survey felt that the doctor-patient relationship would be altered if patients had viewed their FB profile

❖ Don’t accept requests if you are not absolutely certain who they are

❖ Ignore friend requests from patient

❖ Discuss the issue with them face to face if they persist

❖ Respect patients’ rights to on-line privacy and do not enter information gathered from the internet into their case file without their consent

Page 51: Email, apps and SoMe for psychiatrists

Developing Legal Trends

❖ #twitterjoketrial

❖ Unnamed footballer saga

❖ Ongoing case in respect of Twitter users who wrongly identified Lord MacAlpine

❖ Upshot in UK as far back as 2011 - all tweets are considered public domain material

❖ Material posted is permanent attributable and searchable

Page 52: Email, apps and SoMe for psychiatrists

Developing Legal Trends

❖ #twitterjoketrial

❖ Unnamed footballer saga

❖ Ongoing case in respect of Twitter users who wrongly identified Lord MacAlpine

❖ Upshot in UK as far back as 2011 - all tweets are considered public domain material

❖ Material posted is permanent attributable and searchable

Page 53: Email, apps and SoMe for psychiatrists

Developing Legal Trends

❖ #twitterjoketrial

❖ Unnamed footballer saga

❖ Ongoing case in respect of Twitter users who wrongly identified Lord MacAlpine

❖ Upshot in UK as far back as 2011 - all tweets are considered public domain material

❖ Material posted is permanent attributable and searchable

Page 54: Email, apps and SoMe for psychiatrists

Developing Legal Trends

❖ #twitterjoketrial

❖ Unnamed footballer saga

❖ Ongoing case in respect of Twitter users who wrongly identified Lord MacAlpine

❖ Upshot in UK as far back as 2011 - all tweets are considered public domain material

❖ Material posted is permanent attributable and searchable

Page 55: Email, apps and SoMe for psychiatrists

Developing Legal Trends

❖ #twitterjoketrial

❖ Unnamed footballer saga

❖ Ongoing case in respect of Twitter users who wrongly identified Lord MacAlpine

❖ Upshot in UK as far back as 2011 - all tweets are considered public domain material

❖ Material posted is permanent attributable and searchable

Page 56: Email, apps and SoMe for psychiatrists

Specific Problem Areas for Clinicians❖ Boundaries

❖ Personal views❖ Privacy

❖ Confidentiality❖ Professionalism❖ Harassment❖ Anonymity

CC: Takomabibelot

Page 57: Email, apps and SoMe for psychiatrists

GMC Cases to date❖ Dr Kavasogullari

❖ In or around October 2010 and thereafter you stored photographs of patients on an online storage site without patient consent; Admitted and found proved

❖ In or around April 2012 and thereafter you posted 3 photographs of your patients on Instagram (“the Patient Images”) without patient consent; Admitted and found proved

❖ In or around April 2012 and thereafter you permitted links to appear on your Twitter account to a) The Patient Images, and b) The Third Party Comments

CC: Takomabibelot

Page 58: Email, apps and SoMe for psychiatrists

GMC Cases to date❖ Comments made:

❖ In relation to a photograph of a misshapen ear, you commented: ‘I can’t hear you!’

❖ In relation to photograph of an avulsion injury to a finger, you commented: ‘I said: “DO NOT point your finger ever again” But he did...’

❖ In relation to a photograph of a cut forehead, you commented: ‘the real Harry Potter!’

❖ In relation to a photograph of a cut wrist, you commented: the ‘NHS should provide “How to commit suicide effectively!” courses’.

CC: Takomabibelot

Page 59: Email, apps and SoMe for psychiatrists

GMC Cases to date❖ Dr Stamatov

❖ […] pursued two female colleagues in order to achieve a personal relationship with them, despite them each having categorically rejected his advances and made clear that his attentions were unwelcome. His advances, which included text messages, emails and Facebook messages, were persistent, […] were sexually motivated and extended to sexually suggestive physical contact.

❖ You admitted that on the day you were dismissed from the Trust you posted a comment on Facebook relating to your dismissal knowing that it would be seen by the various Trust employees […] You accepted that the language used was intemperate and inappropriate.

CC: Takomabibelot

Page 60: Email, apps and SoMe for psychiatrists

Guidance for Online Doctors

Page 61: Email, apps and SoMe for psychiatrists

GMC Guidance❖ Part of process to update Good Medical Practice

❖ Came into effect as of 22nd April 2013❖ To maintain your license to practice, you must demonstrate, through the revalidation process, that you work

in line with […] this guidance. […] Serious or persistent failure to follow this guidance will put your registration at risk

❖ 8 additional areas consulted on to provide explanatory guidance on the GMCs views on what is expected of doctors in the following areas:

❖ Acting as a witness in legal proceedings 

❖ Delegation and referral 

❖ Doctors' use of social media (new guidance) 

❖ Ending your professional relationship with a patient 

❖ Financial and commercial arrangements and conflicts of interest 

Page 62: Email, apps and SoMe for psychiatrists

General

❖ The standards expected of doctors do not change because they are communicating through social media rather than face to face or through other traditional media. However, using social media creates new circumstances in which the established principles apply.

❖ As well as this guidance, you should keep up to date with and follow your organisation’s policy on social media.

Page 63: Email, apps and SoMe for psychiatrists

Privacy❖ Using social media has blurred the boundaries between public and private

life, and online information can be easily accessed by others. You should be aware of the limitations of privacy online and you should regularly review the privacy settings for each of your social media profiles. Because...

❖ Social media sites cannot guarantee confidentiality

❖ Others may be able to access your personal information

❖ Location information may be shared

❖ Information posted is permanent and distributable

Page 64: Email, apps and SoMe for psychiatrists

Doctors’ use of Social Media❖ Risks:

❖ Maintaining boundaries

❖ Follow separate guidance

❖ If approached by a patient you should indicate you cannot mix social and professional relationships and direct to your professional profile

❖ Maintaining confidentiality

❖ Caution even in private forums

❖ Must not discuss individual patient or their care with those patients or anybody else

❖ Caution that confidentiality may be breached by the sum of info on-line

Page 65: Email, apps and SoMe for psychiatrists

Confidentiality

❖ Confidentiality is the sum of on-line information

Page 66: Email, apps and SoMe for psychiatrists

Confidentiality

❖ Confidentiality is the sum of on-line information

Today✤ Phew what a day! Ward understaffed, and annoying tribunal for that patient

with the stroppy relatives.

Page 67: Email, apps and SoMe for psychiatrists

Confidentiality

❖ Confidentiality is the sum of on-line information

Today✤ Phew what a day! Ward understaffed, and annoying tribunal for that patient

with the stroppy relatives.

✤ Wow, the nerve of some people - admitted a really difficult patient with stroppy relatives today. People don’t appreciate doctors!Friday

Page 68: Email, apps and SoMe for psychiatrists

Confidentiality

❖ Confidentiality is the sum of on-line information

Today✤ Phew what a day! Ward understaffed, and annoying tribunal for that patient

with the stroppy relatives.

✤ Wow, the nerve of some people - admitted a really difficult patient with stroppy relatives today. People don’t appreciate doctors!Friday

✤ Looking forward to starting on Ward 20 today!January

Page 69: Email, apps and SoMe for psychiatrists

Confidentiality

❖ Confidentiality is the sum of on-line information

Today✤ Phew what a day! Ward understaffed, and annoying tribunal for that patient

with the stroppy relatives.

✤ Wow, the nerve of some people - admitted a really difficult patient with stroppy relatives today. People don’t appreciate doctors!Friday

✤ Looking forward to starting on Ward 20 today!January

✤ Nice to see our local NHS Tayside newsletter today, interesting article on Sunnyside hospital - I’ll be there for my next job!August

Page 70: Email, apps and SoMe for psychiatrists

Doctors’ use of Social Media❖ Risks:

❖ Respect for Colleagues

❖ Covers all situations and all forms of interaction and communication

❖ Must not bully, harrass or make gratuitous, unsubstantiated or unsustainable comments about individuals online

❖ Be aware that online content is subject to same laws of copyright, and defamation (or libel) as other forms of communication

❖ Conflicts of interest

❖ You should be open about any conflict of interest and declare any financial or commercial interests in healthcare organisations or pharmaceutical and biomedical companies

Page 71: Email, apps and SoMe for psychiatrists

Doctors’ use of Social Media

❖ Anonymity…

❖ If you are writing in a professional capacity, you should usually identify yourself. Any material written by authors who represent themselves as doctors are likely to be taken on trust and/ or to represent the views of the profession more widely.

❖ You should also be aware that content uploaded anonymously can, in many cases, be traced back to its point of origin.

Page 72: Email, apps and SoMe for psychiatrists

Doctors’ use of Social Media

❖ Anonymity…

❖ If you identify yourself as a doctor in publicly accessible social media, you should also identify yourself by name. Any material written by authors who represent themselves as doctors is likely to be taken on trust and may reasonably be taken to represent the views of the profession more widely.

❖ You should also be aware that content uploaded anonymously can, in many cases, be traced back to its point of origin.

Page 73: Email, apps and SoMe for psychiatrists

Doctors’ use of Social Media

Page 74: Email, apps and SoMe for psychiatrists

Doctors’ use of Social Media

Page 75: Email, apps and SoMe for psychiatrists

Backlash❖ Doctors will disappear off Twitter and interaction will be lost

❖ Can doctors be trusted to exercise professionalism online?

❖ Doctor anonymity will help protect identification of patient cases being discussed

❖ Suggestions have been made to run two accounts - If one account is anonymous and the other under a real name, then the user is bound to get them mixed up

❖ Why, when patient safety is not an issue?

❖ That doctors should have the right to be anonymous in their social media activities just like any other profession

❖ Doctors will feel unable to comment on medicine and medical politics

❖ There are valid reasons to be anonymous

http://surgicalopinion.blogspot.com.au/2013/03/twitter-wars-on-anonymity-of-doctors-on.html

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Further Reading

❖ GMC Doctors’ Use of Social Media - accessed at http://www.gmc-uk.org/static/documents/content/Doctors_use_of_social_media.pdf

❖ Social Media and the Medical Profession: A guide to online professionalism for medical practitioners and medical students. AMA, NZMA, NZMSA, AMSA (2010) : https://ama.com.au/social-media-and-medical-profession

❖ BMJ Social Media Guidelines: Download a copy here

❖ RCGP: Social Media Highway Code: http://www.rcgp.org.uk/social-media

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Further Reading❖ Farnan JM et al (2008) The YouTube generation: implications for medical professionalism.

Perspectives in Biology and Medicine. 51(4):517-24.

❖ Chretien KC et al (2009) Online posting of unprofessional content by medical students. JAMA 302(12): 1309-15.

❖ MacDonald J et al (2010) Privacy, professionalism and Facebook: a dilemma for young doctors. Medical Education 2010; 44:805-813.

❖ Guseh JS et al (2009) Medical professionalism in the age of online social networking. Journal of Medical Ethics 2009;35:584-586.

❖ Moubarak G et al (2010) Facebook activity of residents and fellows and its impact on the doctor patient relationship. Journal of Medical Ethics Online First DOI:10.1136/jme.2010.0362893