Department of Medical Education, Children's National Medical Center, Washington, DC, USA.
Acad Pediatr. 2012 Mar-Apr;12(2):142-8. doi: 10.1016/j.acap.2011.12.003. Epub 2012 Feb 4.
The use of social networking sites (SNS) is increasing among all ages, with implications for medical education faculty and trainee interactions. Our objective was to understand pediatric medical educators' use of SNS and perspectives on professional boundaries and posted content.
From September through December 2010, the Council on Medical Student Education in Pediatrics conducted its annual online survey. This survey included 11 questions regarding members' own SNS use, interactions with trainees, and perceptions about online behaviors by students. In addition, 3 open-ended questions about reasons for SNS use/nonuse and interactions with trainees were included. Bivariate and multivariable analyses were conducted with the use of logistic regression for predictors of clerkship directors' SNS use and views about behaviors. Open-ended questions were analyzed qualitatively to identify themes.
Of the 65% (94/144) of clerkship directors responding to the survey, 34% (32/94) currently use SNS, 54% (51/94) never used SNS, and 12% (11/94) previously used SNS. Lack of time was the main reason for non-use. Female respondents were more likely to perceive it as never/rarely acceptable to accept students' friend requests (odds ratio = 2.96, P = .03). Most felt hypothetical student online behaviors were rarely/never acceptable, such as photos of students holding alcohol (68/92, 74%), using discriminatory language (89/91, 98%), and sexually explicit posts (87/90, 97%).
Approximately one-third of pediatric clerkship directors currently use SNS, with use less likely with increasing age. Fewer have SNS relationships with students than with residents. Perceptions of appropriateness of faculty SNS behaviors and students' postings varied. These perceptions by medical education leaders can stimulate discussion to inform consensus guidelines on professional SNS use.
社交网站（SNS）的使用在各年龄段人群中都在增加，这对医学教育教师和学员之间的互动产生了影响。我们的目的是了解儿科医学教育工作者使用 SNS 的情况以及他们对专业界限和发布内容的看法。
2010 年 9 月至 12 月，儿科学医学学生教育理事会进行了年度在线调查。该调查包括 11 个问题，涉及成员自己使用 SNS 的情况、与学员的互动以及对学生在线行为的看法。此外，还包括 3 个关于使用 SNS/不使用 SNS 的原因以及与学员互动的开放式问题。使用逻辑回归进行单变量和多变量分析，以预测教务长使用 SNS 的情况和对行为的看法。对开放式问题进行定性分析，以确定主题。
在回应调查的 65%（94/144）的教务长中，34%（32/94）目前使用 SNS，54%（51/94）从未使用 SNS，12%（11/94）以前使用过 SNS。缺乏时间是不使用的主要原因。女性受访者更倾向于认为接受学生的好友请求是从不/很少可以接受的（比值比=2.96，P=.03）。大多数人认为学生的在线行为假设是很少/从不可以接受的，例如学生拿着酒精的照片（68/92，74%）、使用歧视性语言（89/91，98%）和色情内容（87/90，97%）。
大约三分之一的儿科教务长目前使用 SNS，使用频率随着年龄的增长而降低。与住院医师相比，与学生建立 SNS 关系的人较少。医学教育领导者对教师 SNS 行为和学生发布内容的适当性的看法各不相同。这些医学教育领导者的看法可以激发讨论，为专业 SNS 使用的共识指南提供信息。
