Jain Kunal, Fuoco Michael B, Fervaha Gagan, Leveridge Michael J
School of Medicine, Queen's University, Kingston, ON, Canada.
Department of Urology, Queen's University, Kingston, ON, Canada.
Can Urol Assoc J. 2018 Jul;12(7):E298-E313. doi: 10.5489/cuaj.5042. Epub 2018 Mar 19.
Social media (SoMe) have revolutionized healthcare, but physicians remain hesitant to adopt SoMe in their practices. We sought to assess graduating urology residents' practices of and attitudes toward SoMe.
A close-ended questionnaire, employing five-point Likert scales, was distributed to all final-year residents (n=100) in Canadian urology training programs in 2012, 2014, and 2016 to assess SoMe usage and perceived usefulness.
All (100%) questionnaires were completed. Respondents frequently used online services for personal (100%) and professional (96%) purposes. Most (92%) used SoMe. Many (73%) frequently used SoMe for personal purposes, but few (12%) frequently used SoMe for professional purposes. While a majority (59%) opposed direct patient interaction online, most supported using SoMe to provide patients with static information (76%) and collaborate with colleagues (65%). Many (70-73%) were optimistic that novel solutions to privacy issues in online communications will arise, making SoMe and email contact with patients conceivable. Few (2-8%) were aware and had read guidelines and legislations regarding physician online practices; however, awareness of medical associations' and institutional SoMe policies significantly increased over time (p<0.05).
Despite their active online use, graduating urology residents rarely used SoMe in professional settings and were wary of using it in patient care. Nevertheless, they were optimistic toward its integration in urology and supported its use in physician-physician communication. Considering SoMe's increased influence on urology and graduating residents' limited awareness of guidelines and legislations, postgraduate medical educators should encourage residents to become more familiar with current online communication recommendations.
社交媒体已经彻底改变了医疗保健领域,但医生们在实践中仍然对采用社交媒体犹豫不决。我们试图评估即将毕业的泌尿外科住院医师对社交媒体的使用情况和态度。
2012年、2014年和2016年,我们向加拿大泌尿外科培训项目中的所有最后一年住院医师(n = 100)发放了一份采用五点李克特量表的封闭式问卷,以评估社交媒体的使用情况和感知有用性。
所有问卷(100%)均已完成。受访者经常将在线服务用于个人(100%)和专业(96%)目的。大多数(92%)使用社交媒体。许多人(73%)经常将社交媒体用于个人目的,但很少有人(12%)经常将社交媒体用于专业目的。虽然大多数人(59%)反对在线与患者直接互动,但大多数人支持使用社交媒体为患者提供静态信息(76%)以及与同事协作(65%)。许多人(70 - 73%)乐观地认为,在线通信中的隐私问题将会出现新的解决方案,从而使与患者进行社交媒体和电子邮件联系成为可能。很少有人(2 - 8%)了解并阅读过关于医生在线执业的指南和法规;然而,随着时间的推移,对医学协会和机构社交媒体政策的认识显著提高(p < 0.05)。
尽管即将毕业的泌尿外科住院医师在日常生活中积极使用网络,但他们很少在专业环境中使用社交媒体,并且对在患者护理中使用社交媒体持谨慎态度。尽管如此,他们对社交媒体融入泌尿外科持乐观态度,并支持在医生与医生的交流中使用社交媒体。鉴于社交媒体对泌尿外科的影响日益增加,以及即将毕业的住院医师对指南和法规的认识有限,研究生医学教育工作者应鼓励住院医师更加熟悉当前的在线通信建议。