A Curriculum to Enhance Online EProfessionalism among Internal Medicine Residents
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Abstract
Background: Social Media platforms such as Facebook and Instagram are widely utilized by post-medical school resident physicians. Several incidents of breaches of electronic professionalism by resident and practicing physicians have been highly publicized in online media. Some of these incidents violated patient privacy guidelines and have resulted in official sanction by State Medical Boards in the United States. Professionalism is a core competency required of resident physicians in training. Many intern and resident physicians are unaware of how their online activity is accessible to the public and can impact on their future employment. They are also unaware that even with strict privacy settings, anything residents post online may be viewed, and unprofessional posts reflect negatively on both Mayo Clinic and the medical profession.
Objective: The Internal Medicine Clinical Competency Committee at Mayo Clinic Florida felt an education curriculum to enhance physician professionalism among first to third year internal medicine interns and residents was urgently needed. It was essential to provide a format other than face to face lectures/small group discussion in order to accomodate the schedules of interns and residents, who work at night and on weekends. They would not otherwise be able to attend weekday daytime curriculum activities.
Methods: A year-long eProfessionalism curriculum was developed. It included an institution-wide Mayo Clinic Florida Grand Rounds presentation, a #SocialatMayo video on the MayoClinic YouTube channel, a presentation to Internal Medicine interns and residents, and a small group workshop discussing challenging scenarios involving physician-patient social media interactions. The Mayo Clinic social media policy was presented. Two volunteer second year residents also developed a peer to peer workshop to enhance social media professionalism. All formats and and cases were posted on a private Blackboard site developed for the Internal Medicine residents. Tools utilized on Blackboard provided documentation that each resident had viewed the required materials. A social media professionalism pre-test and post-test utilizing a smartphone polling application was utilized. This allowed demonstration of resident core competency in professionalism. There was also collaboration with the Mayo Clinic Center for Social Media and the Mayo Clinic Center for Professionalism.
Results: Residents showed improved performance on the social media professionalism posttest after undergoing the year-long curriculum.
Conclusions: Intern and Resident physicians had a greater understanding of Mayo Clinic social media policy and how their online behavior could reflect on Mayo Clinic and the medical profession. Interns and residents were able to discuss in an open atmosphere questions about physician-patient online scenarios. This curriculum enhanced professionalism, a required core competency, among Internal Medicine interns and residents at Mayo Clinic Florida.
Objective: The Internal Medicine Clinical Competency Committee at Mayo Clinic Florida felt an education curriculum to enhance physician professionalism among first to third year internal medicine interns and residents was urgently needed. It was essential to provide a format other than face to face lectures/small group discussion in order to accomodate the schedules of interns and residents, who work at night and on weekends. They would not otherwise be able to attend weekday daytime curriculum activities.
Methods: A year-long eProfessionalism curriculum was developed. It included an institution-wide Mayo Clinic Florida Grand Rounds presentation, a #SocialatMayo video on the MayoClinic YouTube channel, a presentation to Internal Medicine interns and residents, and a small group workshop discussing challenging scenarios involving physician-patient social media interactions. The Mayo Clinic social media policy was presented. Two volunteer second year residents also developed a peer to peer workshop to enhance social media professionalism. All formats and and cases were posted on a private Blackboard site developed for the Internal Medicine residents. Tools utilized on Blackboard provided documentation that each resident had viewed the required materials. A social media professionalism pre-test and post-test utilizing a smartphone polling application was utilized. This allowed demonstration of resident core competency in professionalism. There was also collaboration with the Mayo Clinic Center for Social Media and the Mayo Clinic Center for Professionalism.
Results: Residents showed improved performance on the social media professionalism posttest after undergoing the year-long curriculum.
Conclusions: Intern and Resident physicians had a greater understanding of Mayo Clinic social media policy and how their online behavior could reflect on Mayo Clinic and the medical profession. Interns and residents were able to discuss in an open atmosphere questions about physician-patient online scenarios. This curriculum enhanced professionalism, a required core competency, among Internal Medicine interns and residents at Mayo Clinic Florida.
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