Online Posting of Unprofessional Content by Medical Students
- 23 September 2009
- journal article
- research article
- Published by American Medical Association (AMA) in JAMA
- Vol. 302 (12), 1309-15
- https://doi.org/10.1001/jama.2009.1387
Abstract
Context Web 2.0 applications, such as social networking sites, are creating new challenges for medical professionalism. The scope of this problem in undergraduate medical education is not well-defined. Objective To assess the experience of US medical schools with online posting of unprofessional content by students and existing medical school policies to address online posting. Design, Setting, and Participants An anonymous electronic survey was sent to deans of student affairs, their representatives, or counterparts from each institution in the Association of American Medical Colleges. Data were collected in March and April 2009. Main Outcome Measures Percentage of schools reporting incidents of students posting unprofessional content online, type of professionalism infraction, disciplinary actions taken, existence of institution policies, and plans for policy development. Results Sixty percent of US medical schools responded (78/130). Of these schools, 60% (47/78) reported incidents of students posting unprofessional online content. Violations of patient confidentiality were reported by 13% (6/46). Student use of profanity (52%; 22/42), frankly discriminatory language (48%; 19/40), depiction of intoxication (39%; 17/44), and sexually suggestive material (38%; 16/42) were commonly reported. Of 45 schools that reported an incident and responded to the question about disciplinary actions, 30 gave informal warning (67%) and 3 reported student dismissal (7%). Policies that cover student-posted online content were reported by 38% (28/73) of deans. Of schools without such policies, 11% (5/46) were actively developing new policies to cover online content. Deans reporting incidents were significantly more likely to report having such a policy (51% vs 18%; P = .006), believing these issues could be effectively addressed (91% vs 63%; P = .003), and having higher levels of concern (P = .02). Conclusion Many responding schools had incidents of unprofessional student online postings, but they may not have adequate policy in place.This publication has 22 references indexed in Scilit:
- Web 2.0 tools in medical and nursing school curriculaJournal of the Medical Library Association, 2009
- The Reflective Writing Class Blog: Using Technology to Promote Reflection and Professional DevelopmentJournal of General Internal Medicine, 2008
- Expectations and Obligations: Professionalism and Medicine’s Social Contract with SocietyPerspectives in Biology and Medicine, 2008
- Content of Weblogs Written by Health ProfessionalsJournal of General Internal Medicine, 2008
- The Intersection of Online Social Networking with Medical ProfessionalismJournal of General Internal Medicine, 2008
- Web Searching for Information About PhysiciansJama-Journal Of The American Medical Association, 2008
- The emerging Web 2.0 social software: an enabling suite of sociable technologies in health and health care education1Health Information and Libraries Journal, 2007
- Wikis, blogs and podcasts: a new generation of Web-based tools for virtual collaborative clinical practice and educationBMC Medical Education, 2006
- Disciplinary Action by Medical Boards and Prior Behavior in Medical SchoolThe New England Journal of Medicine, 2005
- Educational Programs in US Medical Schools, 2002-2003JAMA, 2003