Dimitri Daneilla, Gubert Andrea, Miller Amanda B, Thoma Brent, Chan Teresa
Family Medicine, McMaster University.
Resident, McMaster University.
Cureus. 2016 Sep 18;8(9):e788. doi: 10.7759/cureus.788.
The increasing use of social media to share knowledge in medical education has led to concerns about the professionalism of online medical learners and physicians. However, there is a lack of research on the behavior of professionals within open online discussions. In 2013, the Academic Life in Emergency Medicine website (ALiEM.com) launched a series of moderated online case discussions that provided an opportunity to explore the relationship between anonymity and professionalism. Comments from 12 case discussions conducted over a one-year period were analyzed using modified scales of anonymity and professionalism derived by Kilner and Hoadley. Descriptive statistics and Spearman calculations were conducted for the professionalism score, anonymity score, and level of participation. No correlation was found between professionalism and anonymity scores (rho = -0.004, p = 0.97). However, the number of comments (rho = 0.35, p < 0.01) and number of cases contributed to (rho = 0.26, p < 0.05) correlated positively with clear identification. Our results differed from previous literature, the majority of which found anonymity associated with unprofessionalism. We believe that this may be a result of the fostering of a professional environment through the use of a website with a positive reputation, the modelling of respectful behaviour by the moderators, the norms of the broader online community, and the pre-specified objectives for each discussion.
在医学教育中，社交媒体用于分享知识的情况日益增多，这引发了人们对在线医学学习者和医生专业性的担忧。然而，对于开放在线讨论中专业人员的行为，目前缺乏相关研究。2013年，急诊医学学术生活网站（ALiEM.com）发起了一系列有主持的在线病例讨论，为探讨匿名性与专业性之间的关系提供了契机。使用基尔纳和霍德利推导的匿名性和专业性的修正量表，对在一年时间内进行的12次病例讨论的评论进行了分析。对专业性得分、匿名性得分和参与程度进行了描述性统计和斯皮尔曼计算。未发现专业性与匿名性得分之间存在相关性（rho = -0.004，p = 0.97）。然而，评论数量（rho = 0.35，p < 0.）和参与的病例数量（rho = 0.26，p < 0.05）与明确身份呈正相关。我们的结果与以往文献不同，以往文献大多发现匿名性与非专业性相关。我们认为，这可能是由于通过使用具有良好声誉的网站营造了专业环境、主持人树立了尊重行为的榜样、更广泛在线社区的规范以及每次讨论预先设定的目标所致。
