Washington DC Veterans Affairs Medical Center, Department of Medicine, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Acad Med. 2011 Dec;86(12):1545-50. doi: 10.1097/ACM.0b013e3182356128.
To assess faculty perceptions of professional boundaries and trainee-posted content on social networking sites (SNS).
In June 2010, the Clerkship Directors in Internal Medicine conducted its annual survey of U.S. and Canadian member institutions. The survey included sections on demographics and social networking. The authors used descriptive statistics and tests of association to analyze the Likert scale responses and qualitatively analyzed the free-text responses.
Of 110 institutional members, 82 (75%) responded to the survey. Of the 40 respondents who reported current or past SNS use, 21 (53%) reported receiving a "friend request" from a current student and 25 (63%) from a current resident. Of these, 4 (19%) accepted the student request and 12 (48%) accepted the resident request. Sixty-three of 80 (79%) felt it was inappropriate to send a friend request to a current student, 61 (76%) to accept a current student's request, 42 (53%) to become friends with a current resident, and 61 (81%) to become friends with a current patient. Becoming friends with a former student, former resident, or colleague was perceived as more appropriate. Younger respondents were less likely to deem specific student behaviors inappropriate (odds ratio [OR] 0.18-0.79; adjusted OR 0.12-0.86, controlling for respondents' sex, rank, and SNS use), although none reached statistical significance.
Some internal medicine educators are using SNSs and interacting with trainees online. Their perceptions on the appropriateness of social networking behaviors provide some consensus for professional boundaries between faculty and trainees in the digital world.
评估教师对专业界限和学员在社交网站（SNS）上发布内容的看法。
2010 年 6 月，内科住院医师指导委员会对美国和加拿大的成员机构进行了年度调查。调查包括人口统计学和社交网络两个部分。作者使用描述性统计和关联检验分析了李克特量表的回答，并对自由文本的回答进行了定性分析。
在 110 个机构成员中，有 82 个（75%）对调查做出了回应。在 40 名报告目前或过去使用 SNS 的受访者中，有 21 名（53%）收到了一名现任学生的“好友请求”，25 名（63%）收到了一名现任住院医师的请求。其中，有 4 名（19%）接受了学生的请求，12 名（48%）接受了住院医师的请求。80 名中的 63 名（79%）认为向现任学生发送好友请求是不合适的，61 名（76%）认为接受现任学生的请求不合适，42 名（53%）认为与现任住院医师成为朋友不合适，61 名（81%）认为与现任患者成为朋友不合适。与以前的学生、以前的住院医师或同事成为朋友被认为更合适。较年轻的受访者不太可能认为特定的学生行为不适当（比值比[OR]0.18-0.79；调整后的 OR 0.12-0.86，控制了受访者的性别、级别和 SNS 使用情况），尽管没有达到统计学意义。
一些内科教育者正在使用 SNS 并与学员在线互动。他们对社交网络行为是否适当的看法为数字世界中教师与学员之间的专业界限提供了一些共识。
