{"pk":9294,"title":"Survey of Individual and Institutional Risk Associated with the Use of Social Media","subtitle":null,"abstract":"Introduction:\n Residents and faculty in emergency medicine (EM) residency programs might be unaware of the professional and legal risks associated with the use of social media (SM). The objective of this study was to identify and characterize the types and reported incidence of unprofessional SM behavior by EM residents, faculty, and nurses and the concomitant personal and institutional risks.\nMethods:\n This multi-site study used an 18-question survey tool that was distributed electronically to the leaders of multiple EM residency programs, members of the Council of Emergency Medicine Residency Directors (CORD), and the residents of 14 EM programs during the study period May to June 2013.\nResults:\n We received 1,314 responses: 772 from residents and 542 from faculty. Both groups reported encountering high-risk-to-professionalism events (HRTPE) related to SM use by residents and non-resident providers (NRPs), i.e., faculty members and nurses. Residents reported posting of one of the following by a resident peer or nursing colleague: identifiable patient information (26%); or a radiograph, clinical picture or other image (52%). Residents reported posting of images of intoxicated colleagues (84%), inappropriate photographs (66%), and inappropriate posts (73%). Program directors (PDs) reported posting one of the following by NRPs and residents respectively: identifiable patient information (46% and 45%); a radiograph, clinical picture or other image (63% and 58%). PDs reported that NRPs and residents posted images of intoxicated colleagues (64% and 57%), inappropriate photographs (63% and 57%), or inappropriate posts (76% and 67%). The directors also reported that they were aware of or issued reprimands or terminations at least once a year (30% NRPs and 22% residents). Residents were more likely to post photos of their resident peers or nursing colleagues in an intoxicated state than were NRPs (p=0.0004). NRPs were more likely to post inappropriate content (p=0.04) and identifiable patient information (p=0.0004) than were residents.\nConclusion:\n EM residents and faculty members cause and encounter HRTPE frequently while using SM; these events present significant risks to the individuals responsible and their associated institution. Awareness of these risks should prompt responsible SM use and consideration of CORD’s Social Media Task Force recommendations.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"social media"},{"word":"institutional risk"},{"word":"Residency Education"},{"word":"Medical Education"}],"section":"Education","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0760h2kf","frozenauthors":[{"first_name":"Manish","middle_name":"","last_name":"Garg","name_suffix":"","institution":"Temple University Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"},{"first_name":"David","middle_name":"A.","last_name":"Pearson","name_suffix":"","institution":"Carolinas Medical Center, Department of Emergency Medicine, Charlotte, North Carolina","department":"None"},{"first_name":"Michael","middle_name":"C.","last_name":"Bond","name_suffix":"","institution":"University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland","department":"None"},{"first_name":"Michael","middle_name":"","last_name":"Runyon","name_suffix":"","institution":"Carolinas Medical Center, Department of Emergency Medicine, Charlotte, North Carolina","department":"None"},{"first_name":"M.","middle_name":"Tyson","last_name":"Pillow","name_suffix":"","institution":"Baylor College of Medicine, Department of Emergency Medicine, Houston, Texas","department":"None"},{"first_name":"Laura","middle_name":"","last_name":"Hopson","name_suffix":"","institution":"University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan","department":"None"},{"first_name":"Robert","middle_name":"R.","last_name":"Cooney","name_suffix":"","institution":"Conemaugh Memorial Medical Center, Department of Emergency Medicine, Johnstown, Pennsylvania","department":"None"},{"first_name":"Jay","middle_name":"","last_name":"Khadpe","name_suffix":"","institution":"SUNY Downstate Medical Center, Department of Emergency Medicine, Brooklyn, New York","department":"None"},{"first_name":"Jason","middle_name":"T.","last_name":"Nomura","name_suffix":"","institution":"Christiana Care Health System, Department of Emergency Medicine, Newark, Delaware","department":"None"},{"first_name":"Pholaphat","middle_name":"C.","last_name":"Inboriboon","name_suffix":"","institution":"University of Missouri-Kansas City, Department of Emergency Medicine, Kansas City, Missouri","department":"None"}],"date_submitted":"2015-11-26T17:54:31+05:30","date_accepted":"2015-11-26T17:54:31+05:30","date_published":"2016-05-05T12:30:00+05:30","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9294/galley/5246/download/"}]}