Rocha Paulo Novis, de Castro Naara Alethéa Azael
Hospital Universitário Professor Edgard Santos (HUPES), Federal University of Bahia, Laboratório de Nefrologia, 6° andar, Rua João das Botas, s/n - Canela, 40110-160, Salvador, BA, Brasil,
J Gen Intern Med. 2014 May;29(5):758-64. doi: 10.1007/s11606-013-2748-y. Epub 2014 Jan 7.
Unprofessional online behavior by medical students or physicians may damage individual careers, and the reputation of institutions and the medical profession. What is considered unprofessional online behavior, however, is not clearly defined and may vary in different cultures.
To determine the frequency with which students from a Brazilian Medical School come across ten given examples of unprofessional online behavior by medical students or physicians, and gather the opinions of participants regarding the appropriateness of these behaviors.
A cross-sectional survey of 350 students from the Medical School of Bahia, Brazil. Only those who had a profile in social media were included in the final analyses.
336/350 (96.0%) medical students kept a profile in social media. Only 13.5% reported having discussions about online professionalism during ethics classes. They reported witnessing the investigated examples of unprofessional online behavior with varying frequencies, ranging from 13.7% for "violation of patient's privacy" to 85.4% for "photos depicting consumption of alcoholic beverages". Most participants felt neutral about posting "pictures in bathing suits", whereas the vast majority rated "violation of patient's privacy" as totally inappropriate. When presented with a case vignette illustrating violation of patients' privacy (publication of pictures of hospitalized children or neonates in social media), however, most participants felt neutral about it. Participants considered all investigated examples of unprofessional online behavior more inappropriate if carried out by doctors rather than by students.
Medical students are witnessing a high frequency of unprofessional online behavior by their peers and physicians. Most investigated behaviors were considered inappropriate, especially if carried out by physicians. Participants were not able to recognize the publication of pictures of hospitalized children or neonates in social media as cases of violation of patients' privacy. Further studies are needed to determine if an academic curriculum that fosters online professionalism will change this scenario.
医学生或医生在网络上的不专业行为可能会损害个人职业生涯以及机构和医学专业的声誉。然而，对于什么是不专业的网络行为并没有明确的定义，并且在不同文化中可能有所不同。
确定巴西一所医学院的学生遇到医学生或医生十种特定不专业网络行为示例的频率，并收集参与者对这些行为适当性的看法。
对巴西巴伊亚医学院的350名学生进行横断面调查。最终分析仅纳入那些在社交媒体上有个人资料的学生。
350名医学生中有336名（96.0%）在社交媒体上有个人资料。只有13.5%的学生报告在伦理课程中讨论过网络专业精神。他们报告目睹被调查的不专业网络行为示例的频率各不相同，从“侵犯患者隐私”的13.7%到“展示饮酒照片”的85.4%。大多数参与者对发布“泳装照片”持中立态度，而绝大多数人认为“侵犯患者隐私”是完全不合适的。然而，当呈现一个说明侵犯患者隐私的案例 vignette（在社交媒体上发布住院儿童或新生儿的照片）时，大多数参与者对此持中立态度。参与者认为，如果这些不专业的网络行为是由医生而非学生实施，那么所有被调查的示例都更不合适。
医学生目睹同龄人及医生频繁出现不专业的网络行为。大多数被调查的行为被认为是不合适的，尤其是由医生实施时。参与者无法将在社交媒体上发布住院儿童或新生儿的照片视为侵犯患者隐私的案例。需要进一步研究以确定培养网络专业精神的学术课程是否会改变这种情况。
