Guidelines for Maintaining a Professional Compass in the Era of Social Networking
Guidelines for Maintaining a Professional Compass in the Era of Social Networking
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DOI：
10.1016/j.jsurg.2010.07.006
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发表时间：
2010-11-01
影响因子：
2.9
通讯作者：
Dattilo, Jeffery B.
中科院分区：
文献类型：
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作者：
Landman, Matthew P.;Shelton, Julia;Dattilo, Jeffery B.
目标：Facebook和Twitter等社交网站的使用在过去5年中飞速增长，现有用户超过4亿。曾经孤立于高中或大学校园的东西，在日常生活和众多行业中变得越来越普遍。医疗中心和住院医师项目也不能幸免于这种入侵。这些网站提供了快速传播信息的机会，从状态更新到tweet，到医疗支持小组，甚至是患者和提供者之间的临床交流。虽然这项技术很强大，但它也为误用打开了大门，因此使用政策是必要的。我们努力在外科社区中开始讨论在使用SN网站时保持专业性。结果：在外科医院工作人员和教职员工中使用SN网站以前没有得到解决。为此，我们试图确定在我们的实习项目中使用SN网站Facebook。在88名住院医生和127名教师中，分别有56人（64%）和28人（22%）在Facebook上拥有页面。其中，50%是可公开访问的。31%的可公开访问的页面发布了与工作相关的评论，而这些评论中，14%参考了特定的患者情况或与患者护理有关。结论：鉴于SN网站在我国外科社区和整个社会的广泛使用，应尽一切努力防范专业逃学。关于这些网站的使用，我们提供了一套与研究生医学教育认证委员会和美国外科医师学会专业授权一致的指导方针。通过承认这一需求并遵循这些指导方针，外科医生将继续定义和维护道德界限，从而展示对患者隐私的承诺和最高水平的专业精神。[J]中华外科杂志67:381-386。(C) 2010年外科项目主任协会。Elsevier Inc.出版。版权所有。)
OBJECTIVES: The use of social networking (SN) sites, such as Facebook and Twitter, has skyrocketed during the past 5 years, with more than 400 million current users. What was once isolated to high schools or college campuses has become increasingly ubiquitous in everyday life and across a multitude of industries. Medical centers and residency programs are not immune to this invasion. These sites present opportunities for the rapid dissemination of information from status updates, to tweets, to medical support groups, and even clinical communication between patients and providers. Although powerful, this technology also opens the door for misuse and policies for use will be necessary. We strive to begin a discourse in the surgical community in regard to maintaining professionalism while using SN sites.RESULTS: The use of SN sites among surgical house staff and faculty has not been addressed previously. To that end, we sought to ascertain the use of the SN site Facebook at our residency program. Of 88 residents and 127 faculty, 56 (64%) and 28 (22%), respectively, have pages on Facebook. Of these, 50% are publicly accessible. Thirty-one percent of the publicly accessible pages had work-related comments posted, and of these comments, 14% referenced specific patient situations or were related to patient care.CONCLUSIONS: Given the widespread use of SN websites in our surgical community and in society as a whole, every effort should be made to guard against professional truancy. We offer a set of guidelines consistent with the Accreditation Council for Graduate Medical Education and the American College of Surgeons professionalism mandates in regard to usage of these websites. By acknowledging this need and by following these guidelines, surgeons will continue to define and uphold ethical boundaries and thus demonstrate a commitment to patient privacy and the highest levels of professionalism. (J Surg 67: 381-386. (C) 2010 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.)