Law Richard Wm, Kanagasingam Shalini, Choong Kartina A
Department of Acute Medicine and Urgent Care, Tameside & Glossop Integrated Care NHS Foundation Trust, Ashton-under-Lyne, UK.
School of Dentistry, University of Central Lancashire, University of Central Lancashire, Preston, UK.
Digit Health. 2021 Jun 29;7:20552076211028034. doi: 10.1177/20552076211028034. eCollection 2021 Jan-Dec.
Many doctors and dentists took to social media to raise alarm and/or express professional opinion, dissatisfaction, anger and/or incredulity associated with the Covid-19 pandemic. Although most of these social media posts involved practitioners from abroad, this article explores whether they would attract fitness to practise investigations had they been posted by UK-based medical and dental practitioners. In particular, it asks whether such conduct comes into conflict with the existing professional standards issued by the General Medical Council (GMC) and the General Dental Council (GDC). It questions also whether those guidelines should be updated and/or further clarified in view of the extraordinary circumstances posed by the pandemic.
An exploratory study was conducted using sensationalist pandemic-related social media posts by doctors and dentists discovered during the first half of 2020 (n = 11). The contents were analysed qualitatively using documentary analysis using coding terms based on the professional standards on social media published by both the GMC and the GDC. The codes generated common and recurring themes that were used to structure discussion.
This study provides a partial insight as to the likely motivations of doctors and dentists to use social media in a manner that may not necessarily lend well to the professional standards expected. In a majority of instances, doctors and dentists who posted social media material with a sensationalist outlook tended to focus on single-issue campaigns pertaining to specific aspects of the Covid-19 pandemic. These issues included controversial commentary on acute shortages of personal protective equipment and attendant occupational risks to clinical staff to Covid-19 infection; criticisms directed towards regulatory bodies in the handling of the pandemic; and professional advice to the general public which was later found to be inaccurate.
Social media offer opportunities for healthcare professionals to play a constructive role in raising awareness, disseminating information, and promoting solidarity in the management of the Covid-19 pandemic. However, doctors and dentists must carefully consider the ethical and professional pitfalls involved in sensationalist social media posts. The GMC and the GDC should, at the same time, regularly update and clarify their social media guidance in response to major global events like a pandemic as well as advances in social media technology.
许多医生和牙医在社交媒体上发出警报和/或表达与新冠疫情相关的专业意见、不满、愤怒和/或怀疑。尽管这些社交媒体帖子大多来自国外的从业者,但本文探讨的是,如果这些帖子是由英国的医学和牙科从业者发布的,是否会引发从业适宜性调查。特别是,它探讨了这种行为是否与英国医学总会(GMC)和英国牙科总会(GDC)发布的现有专业标准相冲突。它还质疑鉴于疫情带来的特殊情况,这些指导方针是否应该更新和/或进一步阐明。
采用探索性研究,分析了2020年上半年发现的医生和牙医发布的与疫情相关的耸人听闻的社交媒体帖子(n = 11)。使用基于GMC和GDC发布的社交媒体专业标准的编码术语,通过文献分析对内容进行定性分析。这些编码产生了共同且反复出现的主题,用于构建讨论。
本研究部分洞察了医生和牙医以可能不符合预期专业标准的方式使用社交媒体的潜在动机。在大多数情况下,以耸人听闻的视角发布社交媒体内容的医生和牙医往往专注于与新冠疫情特定方面相关的单一问题运动。这些问题包括对个人防护设备严重短缺以及临床工作人员面临的新冠感染职业风险的争议性评论;对监管机构应对疫情方式的批评;以及后来被发现不准确的向公众提供的专业建议。
社交媒体为医疗保健专业人员在提高对新冠疫情的认识、传播信息和促进团结方面发挥建设性作用提供了机会。然而,医生和牙医必须仔细考虑耸人听闻的社交媒体帖子中涉及的道德和专业陷阱。与此同时,GMC和GDC应定期更新和阐明其社交媒体指导方针,以应对像疫情这样的重大全球事件以及社交媒体技术的进步。