Brisson Gregory E, Fisher Matthew J, LaBelle Mark W, Kozmic Sarah E
a Department of Medicine , Northwestern University, Feinberg School of Medicine , Chicago , Illinois , USA.
Teach Learn Med. 2015;27(2):208-14. doi: 10.1080/10401334.2015.1011648.
Use of social networking sites (SNS) by medical students is increasing, and some students lack awareness of pitfalls arising from the intersection of social networking and medicine. Many institutions have developed guidelines on using SNS, but they are insufficient for students. Educators need new methods to train students on the appropriate use of this technology, but more information is needed before implementing change.
Differences in SNS usage between students and faculty were examined. The goal was to evaluate four content areas: SNS usage patterns, attitudes regarding activity on SNS, experience with patient interactions online, and awareness of institutional guidelines on use of SNS.
A cross-sectional survey took place at Feinberg School of Medicine, Northwestern University, in 2012. Participants included all students and a cohort of faculty who teach them in a class on professionalism.
The response rate was 42% by students (300/711) and 78% by faculty (31/40). Of the students, 94% use SNS, compared to 48% of faculty. Students were more likely than faculty to display content they would not want patients to see (57% vs. 27%), report seeing inappropriate content on colleagues' SNS profiles (64% vs. 42%), and ignore harmful postings by colleagues (25% vs. 7%). Faculty were more likely than students to have been approached by patients on SNS (53% vs. 3%). Most participants were unlikely to conduct Internet searches on patients.
Students are more likely than faculty to use SNS and use it very differently than faculty. Students would benefit from training on appropriate use of SNS. Topics that should be addressed include editing one's online presence, managing friend requests from patients, dealing with colleagues who post harmful content, conducting Internet searches on patients, and discussion of boundaries to identify potential harms associated with SNS usage. Differences in usage between students and faculty raise questions if faculty are well suited to provide this training.
医学生使用社交网站（SNS）的情况日益增多，一些学生并未意识到社交网络与医学交叉所带来的隐患。许多院校已制定了关于使用SNS的指导方针，但这些方针对于学生而言并不充分。教育工作者需要新的方法来培训学生正确使用这项技术，但在实施变革之前还需要更多信息。
研究学生和教师在SNS使用方面的差异。目标是评估四个内容领域：SNS使用模式、对SNS上活动的态度、在线患者互动体验以及对院校SNS使用指导方针的认知。
2012年在西北大学范伯格医学院进行了一项横断面调查。参与者包括所有学生以及在一门关于职业素养课程中授课的一组教师。
学生的回复率为42%（300/711），教师的回复率为78%（31/40）。在学生中，94%使用SNS，而教师的这一比例为48%。与教师相比，学生更有可能展示他们不希望患者看到的内容（57%对27%），报告在同事的SNS资料上看到不适当的内容（64%对42%），以及忽略同事发布的有害帖子（25%对7%）。与学生相比，教师更有可能在SNS上被患者联系（53%对3%）。大多数参与者不太可能对患者进行网络搜索。
与教师相比，学生更有可能使用SNS，且使用方式与教师有很大不同。学生将从关于正确使用SNS的培训中受益。应涉及的主题包括编辑个人在线形象、管理来自患者的好友请求、处理发布有害内容的同事、对患者进行网络搜索以及讨论界限以识别与SNS使用相关的潜在危害。如果教师适合提供此类培训，学生和教师在使用上的差异会引发疑问。
