Klee David, Covey Carlton, Zhong Laura
Munson Medical Center, Michigan State University College of Human Medicine.
Fam Med. 2015 Mar;47(3):222-6.
Incorporation of social media (SM) use in medicine is gaining support. The Internet is now a popular medium for people to solicit medical information. Usage of social networks, such as Facebook and Twitter, is growing daily and provides physicians with nearly instantaneous access to large populations for both marketing and patient education. The benefits are myriad, but so are the inherent risks. We investigated the role providers' age and medical experience played in their beliefs and use of SM in medicine.
Using multiple state-wide and national databases, we assessed social media use by family medicine residents, faculty, and practicing family physicians with a 24-question online survey. Descriptive data is compared by age and level of medical experience.
A total of 61 family medicine residents and 192 practicing family physicians responded. There is a trend toward higher SM utilization in the younger cohort, with 90% of resident respondents reporting using SM, half of them daily. A total of 64% of family physician respondents over the age of 45 have a SM account. An equal percentage of senior physicians use SM daily or not at all. Practicing physicians, more than residents, agree that SM can be beneficial in patient care. The vast majority of residents and physicians polled believe that SM should be taught early in medical education.
The high utilization of SM by younger providers, high prevalence of patient use of the Internet, and the countless beneficial opportunities SM offers should be catalysts to drive curriculum development and early implementation in medical education. This curriculum should focus around four pillars: professional standards for SM use, SM clinical practice integration, professional networking, and research.
将社交媒体应用于医学领域正逐渐获得支持。互联网如今已成为人们获取医学信息的常用媒介。诸如脸书和推特等社交网络的用户数量与日俱增，为医生提供了近乎即时接触大量人群的途径，可用于营销和患者教育。其益处众多，但也存在内在风险。我们调查了医疗服务提供者的年龄和医学经验在他们对社交媒体在医学中的信念和使用方面所起的作用。
我们利用多个全州范围和全国性的数据库，通过一项包含24个问题的在线调查，评估了家庭医学住院医师、教员以及执业家庭医生对社交媒体的使用情况。描述性数据按年龄和医学经验水平进行比较。
共有61名家庭医学住院医师和192名执业家庭医生做出了回应。年轻人群体中社交媒体利用率有上升趋势，90%的住院医师受访者表示使用社交媒体，其中一半人每天使用。45岁以上的家庭医生受访者中有64%拥有社交媒体账户。同样比例的资深医生要么每天使用社交媒体，要么根本不使用。与住院医师相比，执业医生更认同社交媒体在患者护理中有益。绝大多数接受调查的住院医师和医生认为，应在医学教育早期就教授社交媒体相关内容。
年轻医疗服务提供者对社交媒体的高利用率、患者对互联网的高使用率以及社交媒体提供的无数有益机会，应成为推动医学教育课程开发和早期实施的催化剂。该课程应围绕四个支柱展开：社交媒体使用的专业标准、社交媒体与临床实践的整合、专业网络建设以及研究。
