Batt-Rawden Samantha, Flickinger Tabor, Weiner John, Cheston Christine, Chisolm Margaret
King's College London, UK.
Clin Teach. 2014 Jul;11(4):264-9. doi: 10.1111/tct.12129.
The provision of excellent patient care is a goal shared by all doctors. The role of social media (SM) in helping medical students and doctors achieve clinical excellence is unknown. Social media may help facilitate the achievement of clinical excellence
This report aimed to identify examples of how SM may be used to help promote the achievement of clinical excellence in medical learners.
Three of the authors previously conducted a systematic review of the published literature on SM use in undergraduate, graduate and continuing medical education. Two authors re-examined the 14 evaluative studies to identify any examples of SM use that may facilitate the achievement of clinical excellence and to consider whether there were any aspects of clinical excellence for which no studies had been performed, and, if so, whether SM was relevant to these domains.
Each study touched on one or more of the following domains of clinical excellence: communication and interpersonal skills; professionalism and humanism; knowledge; diagnostic acumen; exhibiting a passion for patient care; a scholarly approach to clinical practice; and explicitly modelling expertise to medical trainees. No study addressed the role of SM to promote the skillful negotiation of the health care system, and in collaboration with investigators to advance science and discovery; however, additional evidence suggested that SM may play an adjunctive role in promoting the achievement of these aspects of clinical excellence.
This report supports the hypothesis that SM may help facilitate the achievement of clinical excellence; however, further research is needed into the role of SM in promoting the achievement of clinical excellence.
提供优质的患者护理是所有医生共同的目标。社交媒体（SM）在帮助医学生和医生实现卓越临床水平方面的作用尚不清楚。社交媒体可能有助于促进卓越临床水平的实现。
本报告旨在找出社交媒体可如何用于帮助促进医学学习者实现卓越临床水平的实例。
三位作者先前对已发表的关于社交媒体在本科、研究生和继续医学教育中应用的文献进行了系统综述。两位作者重新审视了14项评估研究，以确定社交媒体应用中可能有助于实现卓越临床水平的任何实例，并考虑是否存在尚未进行研究的卓越临床水平方面，以及如果存在，社交媒体是否与这些领域相关。
每项研究都涉及以下卓越临床水平领域中的一个或多个：沟通与人际交往能力；专业精神与人文关怀；知识；诊断敏锐度；对患者护理表现出热情；临床实践的学术方法；以及向医学实习生明确展示专业技能。没有研究探讨社交媒体在促进熟练应对医疗保健系统以及与研究人员合作推动科学发现方面的作用；然而额外的证据表明，社交媒体在促进这些卓越临床水平方面可能发挥辅助作用。
本报告支持社交媒体可能有助于促进卓越临床水平实现的假设；然而，需要进一步研究社交媒体在促进卓越临床水平实现方面的作用。
