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Risks versus Benefits: Using Social Media Safely

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Practical guidelines for doctors and other clinicians using social media. I outline a framework for the increasing risks and benefits that come with more involvement in social media. Presented at the American Society of Clinical Oncology June 2, 2018 in Chicago, IL.

Publicada em: Saúde e medicina

Risks versus Benefits: Using Social Media Safely

  1. 1. Risks versus Benefits Using Social Media Safely 1MATTHEW KATZ, M.D. http://bit.ly/MSKSlideshare
  2. 2. Disclosures • Stock: Dr. Reddy Laboratories, U.S. Physical Therapy, Mazor Robotics, Healthcare Services Group, Inc. • No other financial disclosures for healthcare or social media companies 2MATTHEW KATZ, M.D. http://bit.ly/MSKSlideshare
  3. 3. Social media isn’t worth your time unless • It complements or improves your clinical practice of medicine • Maintains or builds trust between you and your patients 3MATTHEW KATZ, M.D. Patient-Doctor Dyad http://bit.ly/MSKSlideshare
  4. 4. Our Roles as Doctors* 4MATTHEW KATZ, M.D. Clinician Educator Administrator Researcher * Applies to other health professionals Citizen PRIVATE PUBLICPRIVATE? Advocate http://bit.ly/MSKSlideshare
  5. 5. Denial is futile, Competence in not • Social media are powerful communications tools • We can learn to use them safely and effectively* 5 * Introverts can do great on social media MATTHEW KATZ, M.D. http://bit.ly/MSKSlideshare
  6. 6. 6MATTHEW KATZ, M.D. Digital ‘Snapshot’ Risks & Benefits of Social Media http://bit.ly/MSKSlideshare
  7. 7. 7MATTHEW KATZ, M.D. Digital ‘Snapshot’ Risks & Benefits of Social Media Passive Receptive Creative Interactive http://bit.ly/MSKSlideshare
  8. 8. “No Fly” Zone: Established Patients • Connecting on any platform • Risks violation of trust • No Facebook friends, LinkedIn to your personal accounts • Separate account for your practice/department okay • Twitter, Instagram: they may follow you, but don’t follow back • Searching for patients online • Public sharing on social media (or physician review websites) 8MATTHEW KATZ, M.D. http://bit.ly/MSKSlideshare
  9. 9. Risks of Opting Out • Patients find health misinformation online • Others define your professional reputation • Patients find providers more accessible online • ? Malpractice risk for no public affirmation your quality 9MATTHEW KATZ, M.D. http://bit.ly/MSKSlideshare
  10. 10. Dangers of Misinformation • False news spreads farther, faster than the truth • Online ads undercut patient confidence in treating oncologist 10MATTHEW KATZ, M.D. Vosoughi et al, Science 2018 Abel et al, J Clin Oncol 2009 CCDF = fraction of rumors with certain # of cascades http://bit.ly/MSKSlideshare
  11. 11. Signing Up • Give information about • Yourself • Who you know [usually email] • Details about professional self 11MATTHEW KATZ, M.D. http://bit.ly/MSKSlideshare
  12. 12. Signing Up 12 • Avoids crossover with patients • Risks ‘silo syndrome’ • ? HIPAA risk vs. more public sites • More public, lose some privacy • Establish your public presence as trustworthy • Competes with physician ratings sites in search engines MATTHEW KATZ, M.D. http://bit.ly/MSKSlideshare
  13. 13. • Don’t import contacts • May expose private links to family, patients • May create connections between trusted colleagues and industry • Non-anonymous, use full name • Anyone can follow you on Twitter but not Facebook, LinkedIn 13 Consider link to COI if you have them MATTHEW KATZ, M.D. http://bit.ly/MSKSlideshare
  14. 14. Obtaining information Benefits • Learn how people discuss disease, care • Plain language, not ‘medical-ese’ • Keep up on new health information • Publications • Academic meetings • Policy affecting patients, practice • Affirm accurate information over ‘fake news’ Risks • Potential for distraction • Exposure to misinformation • Malware • Tracking 14MATTHEW KATZ, M.D. http://bit.ly/MSKSlideshare
  15. 15. Smartphone Addiction • Addictive social media use linked to age, gender, education, income • Some links of addictive use to narcissism, low self-esteem • Estimated ‘At risk’ or ‘problematic’ use in 20.5% of adults • High frequency use linked to sleep disturbance, symptoms of depression • Social networking linked to problematic internet use in 26-55 year olds • Average person touches phone 2617 times, 2.42 hours/day* 15 Andreassen et al, Addictive Behaviors 2017 De-Sola et al, PLOS One 2017 Thomée et al, BMC Public Health 2011 Ioannidis et al, Addictive Behaviors 2018 * blog.dscout.com/mobile-touches MATTHEW KATZ, M.D. http://bit.ly/MSKSlideshare
  16. 16. Time Management • Avoid multitasking • Limit/Budget time online • Put mobile phone away from where you sleep • Consider turning color ‘off’ 16MATTHEW KATZ, M.D. * blog.dscout.com/mobile-touches http://bit.ly/MSKSlideshare
  17. 17. Misinformation, Malware: Think Before You Link 17MATTHEW KATZ, M.D. Pew Research, December 2016 • Only 61% believe they can identify false information online • 23% have shared ‘fake news’ – 7% on purpose • Restrict who you follow for health information to reliable sources • Avoid clicking on hyperlinked material for strange URLs or bit.ly links for possible malware http://bit.ly/MSKSlideshare
  18. 18. Tracking, Online or Off • https://www.facebook.com/s ettings and download a copy • https://takeout.google.com/s ettings/takeout • 50-75 URLs from browser history enough to de- anonymize with >80% success rate 18 Su et al, World Wide Web conference 2017 CBS News, April 24 2018 MATTHEW KATZ, M.D. http://bit.ly/MSKSlideshare
  19. 19. Mobile Phones Going Viral – or Bacterial ‘Dirty’ Phones in Healthcare • Viral pathogens 38% • Bacterial colonization 74-98% • Nosocomial 5-28% • More common with smartphones • 59% of medical students report bathroom smartphone use 19 Pillet et al, Clin Microbiol Infect 2016 Zakai et al, J Microscopy Ultrastruct 2015 Lee et al, J Hosp Med 2013 MATTHEW KATZ, M.D. http://bit.ly/MSKSlideshare
  20. 20. Creative and Interactive Social Media • You are what you • Like • Tweet • Post • Nurses, pharmacists and doctors are the three most trusted professions* • Be the best version yourself online 20 *Gallup, December 2016 MATTHEW KATZ, M.D. http://bit.ly/MSKSlideshare
  21. 21. What the public and our patients expect of us • Confident • Reliable • Composed • Accountable • Dedicated 21 Chandratilake et al, Clin Med 2010 MATTHEW KATZ, M.D. http://bit.ly/MSKSlideshare
  22. 22. The 4Rs will take you far Reflective • Thoughtful, humble • Agree to disagree; don’t try to ‘win’ an argument by disrespecting others Responsive • Active listening, timely response Relevant • Focused on the current topic Rigorous • Shared valid information based upon experience, evidence • Acknowledging what we don’t know 22MATTHEW KATZ, M.D. Bibault et al, Adv Radiat Oncol 2017 http://bit.ly/MSKSlideshare
  23. 23. What you share is discoverable Sarcasm, superiority, and sharp wit may • attract followers more quickly • increase volume of engagement • be used against you in court Humility, integrity, and empathy may • attract similar people, more slowly • increase quality of engagement • provide favorable evidence of your character 23MATTHEW KATZ, M.D. http://bit.ly/MSKSlideshare
  24. 24. Define & Maintain Boundaries Goal Method Protect my patients Don’t acknowledge in public directly Suggest privately (DM, Message) they contact you by telephone, email Avoid establishing therapeutic relationship Don’t give medical advice Don’t establish/maintain connect with people seeking more than you’re comfortable sharing Learn/share with patients (not mine) Validate-Reference-Direct Promote your practice/hospital Let that entity do the promotion, not you 24MATTHEW KATZ, M.D. http://bit.ly/MSKSlideshare
  25. 25. Avoid Medical Advice, Maintain Trust • Validate the person sharing her/his medical issue through active, reflective listening • Reference publicly available resources that are relevant but generalized (guidelines, websites, articles) • Direct her/him to discuss the issue with own doctor 25MATTHEW KATZ, M.D. http://bit.ly/MSKSlideshare
  26. 26. Legal Tips • Social media policy • Know if your employer or hospital has one • Read it • Copyright • Don’t take post figures/tables from articles without permission • Defamation • Comment, debate without using personal attacks • Speak the truth, back it up with hyperlinks/data • Remain silent if you can’t back it up 26MATTHEW KATZ, M.D. http://bit.ly/MSKSlideshare
  27. 27. 27MATTHEW KATZ, M.D. http://bit.ly/MSKSlideshare Digital ‘Snapshot’ Risks & Benefits of Social Media Passive Receptive Creative Interactive
  28. 28. 28MATTHEW KATZ, M.D. Safe Use Snapshot Risks & Benefits of Social Media Passive Receptive Creative Interactive http://bit.ly/MSKSlideshare
  29. 29. Conclusions • Opting out has risks for you and your patients • Participation brings increasing risks and benefits • Social media use is a learnable skill • Set limits, keep it clean and transparent • Use digital tools, don’t be one 29MATTHEW KATZ, M.D. http://bit.ly/MSKSlideshare
  30. 30. Thank you • Questions? Contact me at @subatomicdoc 30MATTHEW KATZ, M.D. http://bit.ly/MSKSlideshare