2018 Grand Rounds on Social Media Professionalism and Opportunities. Examples are given of using Twitter for professional development, academic research, and networking.

1. Social Media in
Medicine:
Professionalism and
Opportunities
Aaron Gray, MD
Departments of Orthopaedics and Family Medicine
University of Missouri
@MizzouSportsDoc

2. Objectives
 Discuss Professionalism, Safety, and
Mindfulness with regards to the use of
social media
 Evaluate Opportunities for professional
networking, research promotion, and
reputation building.

3. First, Let’s Talk about Cell Phones

4. Smartphones
 What are ways you use a smartphone to
better take care of patients/improve your
knowledge as a physician?

5. Smartphones
 What are some potential negatives of
smartphone use in the hospital/clinic?

6. What is this person doing?

7. Smartphones
 What is the perception of someone who is
looking at their phone on rounds?
 “iPhone attribution error”: If you’re looking at
your iPhone, you must be goofing off!

8.  We all have a online digital
presence whether we like it or not!
 Do you ever Google yourself?
Your Online Digital Presence

9. My Friend Landon’s Story

11. My Headhunters Profile

12. My Friend Landon’s Story

13.  Find a partner next to you and Google them. See
what you can find.
Your Online Digital Presence

14.  “the trail or traces that you leave
online”
Your Digital Footprint

15. Online

16.  Everything online is potentially PUBLIC
FOREVER
 Private or Locked accounts DO NOT
guarantee anonymity or security
 Your employer/future employers are
watching
 Your patients will judge you based on
what you do online
What Happens Online, Stays
Online

17. A word of caution about posting
controversial topics online

18. Poor Online Choices =
Consequences

21. Date of download: 2/6/2018
Copyright © 2012 American Medical
Association. All rights reserved.
From: Physician Violations of Online Professionalism and Disciplinary Actions: A National Survey of State
Medical Boards
JAMA. 2012;307(11):1141-1142. doi:10.1001/jama.2012.330
Bar length indicates total frequency for each violation type.
Figure Legend:

22. Things to Remember
 Avoid patient-specific dialog in
public places
 Same rules for talking about patients
in hallways/elevators go for talking
online

23. Things to Remember
 Privacy – Have you removed patient identifiers?
 Respect – Does your communication reflect respect
for the patient under discussion?
 Intent – What’s the intent of using the case or
illustration? Is it intended to amuse others at the
patient’s expense or educate others.
 Perception – How will the discussion be
perceived? If the patient were listening in or could
read what you’ve written, how would they feel?

25. Takeaway
 Don’t post pictures of in the anatomy lab
 Be careful about any photos taken in a
dissection lab or surgical course

26. Things to Remember
 Patients are patients, they are not
your friends
 Keep your professional boundaries
 Remember that your mother, boss,
colleague, patient, etc. are
watching
 Good reminder before every time you post is to
think about all these people seeing it forever

27. “The Jumbotron Test”

29. Things to Remember
 Anonymity online is a myth
 Be very careful with ANY picture
taking in a clinical setting
 Is there any Protected Health Information (PHI)
or patients in the background?
 Final Reminder – Everything
shared/posted online is there FOREVER!

30. Digital Footprint vs Digital
Fingerprint

31. Social Media

32. Opportunity using Social
Media
 What are some potential professional
benefits of using social media?
 What are some ways you can positively
impact patients/the public by using social
media?

33. Differences Between Types of
Social Media
Facebook
 Local audience
 Prospective and former
patients
 Great for patient
feedback & reviews
Twitter
 National & International
audience
 Fewer patient leads
 Medical journals and
organizations
 Connect w/ media
 Academic researchers
 Thought leaders

34.  Your chance to positively leave your
mark online
 “content creation, curation,
conversation”
 …and connections to colleagues from
around the world!
Digital Fingerprint

35.  Can be as involved as blog/podcast/video
Content Creation

36. Content Creation
 Dr. Keeney and Dr. Hansen Facebook Live
on Partial Knee Replacement

37.  Or as short as 140 characters or 1 photo or 1 snap
Content Creation

38. Content Creation
 Share your research online to increase its
exposure

41.  A record of attention
 A measure of dissemination
 An indicator of influence and impact

42. Demo of Altmetric
 Gray et al. Development and Validation of a Portable
and Inexpensive Tool to Measure the Drop Vertical
Jump Using the Microsoft Kinect V2. Sports Health,
2017.

43. Content Creation
 Most medical journals are now on Twitter
and will promote published manuscripts

44.  Expert comment
 You likely have (or will have) expertise within
certain areas of orthopedics
 My example of expert content going viral
 2014 FIFA World Cup
Content Creation

48.  Provide links to content of others that are
important to you and your followers
 Journal Articles
 Podcasts
 Other tweets or graphics
 A great way to make a connection to
someone you don’t know is to compliment
and share their work
Curation of Content

49. Curation of Content

50. Curation of Content

51. Conversation
 Follow a hashtag on Twitter at the next
conference you attend
 #AOSSM2018
 Discuss current research with colleagues
in your field
 Build research collaborations
 Consume and discuss what thought
leaders are reading

52. Conversation
 Discuss current research with colleagues in your field
 Listen and read what thought leaders are reading and
listening to
 Follow a hashtag on Twitter at the next conference you
attend

54. Conversation Leading to
Research Collaboration

55. Connect with Colleagues from
Around the World!

56.  You have one whether you know it or not.
 What is your current purpose/use for
social media?
 What is your professional social media
strategy?
Social Media Strategy

57.  What is your purpose for social media?
 Who are your desired followers?
 What types of social media are you going to use?
 What types of things are you going to post/share?
 When are you going to check and post to social
media?
Professional Social Media
Strategy

58.  What is your purpose for social media?
 Stay up to date on current articles/hot topics
 Be a sports med expert locally and nationally
 Connect with colleagues
 Share research
 Attract new patients
 Who are your desired followers?
Professional Social Media
Strategy

59.  What is your purpose for social media?
 Stay up to date on current articles/hot topics
 Be a sports med expert locally and nationally
 Connect with colleagues
 Share research
 Attract new patients
 Who are your desired followers?
 Anyone from the sports medicine community
Professional Social Media
Strategy

60.  What types of social media are you going to use?
 Twitter
 What types of things are you going to post/share?
 Link to journal and news articles on relevant topics
 Comment on injuries or what is likely being done by
sports med staffs during high profile games
 Share research
Professional Social Media
Strategy

61.  When are you going to check and post to social
media?
 During downtime in hospital or clinic
 Scheduled administrative time
Professional Social Media
Strategy

62. Some examples from my Twitter feed

64. Thanks!
 Please send me any questions, thoughts,
or comments!
 I’m happy to help you get started on
Twitter
 Find me @MizzouSportsDoc