M2: Professionalism in Social Media Flashcards
proposes to produce experts in the field to the formative learning that calls for values- and ethics- centered education that produces professionals
Flexner report
Aim of the commission of health profession educators
is to propose an educational reform that will produce enlightened agents of change that are knowledgeable, professional and creative team members and leaders
Survey of medical students in several studies revealed ______ of them have social media accounts
80 to 100%
Purpose of Facebook to medical students (G2K)
- Exam prep
- sharing online material
- Talk about clinical cases
- Scheduling
- Discuss information on clerkship
YouTube videos, are becoming increasingly prevalent as an aid in learning _____ (G2K)
Anatomy
was founded by a group of Filipino doctors who use social media for dissemination of information to patients and their fellow doctors
HealthXPh
who founded Kevinmd.com whose tagline is, “Social media’s leading physician voice”
Dr. Kevin Pho
Moorehead et al identified the 8 following as uses of social media, to wit (G2K)
- Provide information on different conditions,
- Give answers to medical questions
- Facilitate interaction among patients
- Collect data on experiences and opinions of patients,
- Tool for health intervention,
- Promotion and education,
- Reduce stigma of certain diseases
- Provide a platform for online consultation
12 limitations of social media for health promotion (G2K)
- reduced reliability,
- concerns about the quality of information,
- absence of confidentiality and privacy,
- ignorance of the risks of disclosing personal information online,
- communication of harmful or incorrect advice,
- information excess,
- misapplication of the information found online to their personal health circumstances,
- not all social media platforms have the same effect in terms of behavior change,
- negative health consequences,
- unhealthy behaviors,
- discouragement of patients to visit health professionals
- sporadic use of social media as a communication tool
Label of Social media
“new frontier”
is one of the ten expected program outcomes of a medical graduate as set by the technical committee on medical education of the Commission on Higher Education in 2016.
Professionalism
Irby and Hamstra elucidated three frameworks of professionalism that exists in medical education
- virtue-based professionalism
- behavior-based professionalism
- professional identity formation
focuses on humanism, the character of the person and how he uses moral reasoning
Virtue-based professionalism
emphasizes that appropriate responses come from clear expectations and constructive feedback
Behavior-based professionalism
the medical student is molded into the medical community by providing good role models and clarifying ahead of time the circumstances that they can encounter inappropriate role models
professional identity formation
the Medical Professionalism Project composed of the
- American Board of Internal Medicine Foundation
- the American College of Physicians – American Society of Internal Medicine
- European Federation of Internal Medicine
Principles dictated by the Medical Professionalism Project
- Principle of primacy of patient’s welfare
- principle of patient’s autonomy
- principle of social justice
where the interest of the patient comes before the self-interests of the physician or the demands of the market or the pressure of society
principle of primacy of patient’s welfare
where doctors are honest with their patients so they can make informed decisions regarding their care
principle of patient’s autonomy
where health resources are distributed fairly and no one is discriminated against
principle of social justice
where the physician (commits himself to life-long learning) and being given the chance to do so
commitment to professional competence
A must especially when mistakes occur in their medical care
commitment to honesty with patients
(safeguarding data privacy) of patients, extending this to the patient’s health care proxy
commitment to patient’s confidentiality
circumstances that will put the patient at an disadvantage in the patient-physician relationship like a sexual relationship or a financial relationship that is more favorable to the physician
Commitment to maintaining appropriate relationships with patients
physicians and physician associations are encouraged to work to (better the current care) that patients are receiving
commitment to improving the quality of care
eliminating barriers to health care that patients (should be receiving) regardless of race, gender, sexual orientation or economic status
commitment to improving access to care
avoidance of unnecessary tests and procedures for patients and collaborating with other physicians and other medical personnel and hospitals (the most cost-effective care)
commitment to just contribution to finite resources
judicious use of (scientific knowledge) and pursuit of research activities
commitment to scientific knowledge
working in collaboration with other physicians, including (self-regulation and disciplining) of fellow physicians as needed.
commitment to professional responsibilities
Social media is also used as a ______ of medical students about their day-to-day encounters with patients.
sounding board
Concerns regarding med students use of social media
- Insensitivity
- Degrees of violation of privacy laws
- Breaches of ethics
The goal of virtue-based professionalism
is to produce a doctor who is a person of character.
focus on a list of (behaviors that the medical student can do) like demonstrating compassion, integrity and respect and managing conflicts
Behavior based professionalism
believes that lapses in professionalism occur when systems in an organization are not clear like when doing end-of-shift endorsements
Behavior based professionalism
9 strategies employed by behavior-based professionalism
- Crisis communication
- Coaching
- Diplomacy
- Mental health
- Reflection
- Role modeling
- Root cause analysis,
- simulations
- Stress management
is a response to the weaknesses of behavior-based professionalism.
Professional identity formation
Strategies to guide the medical student into (formation of professional identity)
- Direct instruction
- Role modeling
- Reflective writing
Appropriate strategies are (employed at different stages) of becoming a physician
- self-assessment,
- multisource feedback
- moral reasoning