handout#1 - appd · 14.1% had profiles with potentially unprofessional content (drinking alcoholic...

Handout#1

Preparticipation instructions: Please complete handout#1 instructions before the session begins

Molding the Millennial MindInstagram as a Medium for Graduate Medical

EducationStephanie A. Raymundo, MD, Chief Resident

Niharika Goparaju, MD, InternDaniel Kang, MD, Associate Program Director

Candice Taylor Lucas, MD, MPH, Associate Program DirectorUniversity of California Irvine - Children’s Hospital of Orange County

Pediatric Residency Program

My colleagues and I have no disclosures to report.

Instagram in action

Learning Objectives• Understand how social media platforms can be utilized by pediatric

residency programs to support education, recruitment, and resilience (i.e. wellbeing, belonging).

• Utilize and personalize the main features of Instagram towards your program’s needs.

• Recognize limitations and concerns related to social media.

Introduction to Instagram

“Convey”

“Connect”

“Community”

Concerns

Case Review and Scenarios

Questions

Closing Comments

Pre-participation Survey

Please open up instagram on your phones● Find our account “appdels19”

● Click on our picture icon to start the story/survey

Please answer the following questions on the instagram poll:

● Are you a millennial (born 1981-1996)? ● Do you have a personal facebook account?● Do you have a personal instagram account?● Does your residency program have a facebook

account?● Does your residency program have an instagram

account?

Introduction to Instagram

Instagram Basic Terminology

Handle: Your account, preceded by “@”

Feed: Content shared by people you follow

Posts: Any photo shared to your followers

Stories: A short post visible for 24 hours

DMs: Direct Messages https://visionpathmarketing.com/instagram-terminology-need-know/

Follower: Your audience

Comments: A response/reply to a photo

Tagging/Mention: Attaching another person’s handle to a post/story/comment/etc

Hashtags: Preceded by “#”, a way to describe/categorize posts

https://visionpathmarketing.com/instagram-terminology-need-know/

CONVEY

CONVEY: Application• Share information

– Summarization– Take-away points– Example: Celiac disease “story”

• Stimulate discussion– Case studies– Question of the Week– “DM” (program, speaker), comments

CONVEY: APPLICATION • Assessment

– 2 choice questions – Type-in box, reflection (one thing I learned)– Board prep material

• Feedback/Evaluation• Topics of interest?• Should we have more

lectures on this?• NOT anonymous!

Sample Teaching Story

https://docs.google.com/file/d/1ZyzKAD22v426-VTi9HWk1lO-cVxOI7eL/preview

“Insta-Feedback”

CONNECT

Behind the scenes of residency, application season, connect with medical community

A day in the life of a resident• Feature:

– Residents, Attendings, Fellows– Different fields of pediatric medicine– Highlights daily achievements:

medical procedures to presentations

Sample: A day in the life of a resident

https://docs.google.com/file/d/1sk3qbbehT8qEuePa1FwAA9lNH85LbSSm/preview

Residency Application Season

Hospital Holiday Spirit

Interacting with Applicants

Interacting with the Medical Community

COMMUNITY

Instructing the IntangiblesProfessionalism, Resilience, and Wellness

Professionalism

Accountability and Modeling

Professionalism: Accountability Reminders/Resources

- Due dates- Paperwork- Paging prefixes- Safety reporting

Professionalism: Modeling- Attendings

- Perspective on after residency- What is your biggest

takeaway from training? - Relatability

- How do you deal with burnout?

Abaza MM, Nelson KG. Leading by Example: Role Modeling Resilience Helps Our Learners and Ourselves. Acad Med. 2018;93(2):157-158.

Professionalism: ModelingResidents


Resiliency and Wellness

Resilience

Zwack J, Schweitzer J. If every fifth physician is affected by burnout, what about the other four? Resilience strategies of experienced physicians. Acad Med. 2013;88(3):382-9.

In a paper by Zwack and Schweitzer examining the characteristics of physician resilience...

Resilience


Resilience


Appreciation

Purpose

Community

Resilience: Appreciation

Resilience: PurposeResearch and Advocacy

Resilience: community• Cohesiveness• Connections

Resilience: community• Interdisciplinary teams• Attendings• Alumni


WellnessCelebrating Diversity

• Showcasing representation• Varying backgrounds

Special Considerations

Concerns, Evidence & Potential

CONCERNSProfessionalism

○ HIPAA○ Guidelines for use

Evidence○ Limited

Consideration: Professionalism

Social Media is a Public Platform

“...it has brought forth issues related to online professionalism in GME, and the

potential for dissemination of protected health information.”

- Sterling et al. Academic Medicine. 2017

In a cohort study of residents by Ponce et al. ● 73.7% had profiles with no unprofessional content

● 14.1% had profiles with potentially unprofessional content (drinking alcoholic beverages)

● 12.2% had profiles with clearly unprofessional content (e.g., HIPAA violations, binge drinking, and sexually suggestive material)


Ponce et. al. J Surg Educ. 2013


What can you do?

Assign accountability responsibilities to faculty

&/or resident representatives

Partner with departmental & hospital leaders & outreach

managers

Establish clear guidelines


https://www.ama-assn.org/delivering-care/ethics/professionalism-use-social-media



https://www.amsa.org/2016/09/15/social-media-guidelines-medical-students-physicians/



● Be professional● Be responsible● Maintain separation● Be transparent/use

disclaimers● Be respectful● Follow copyright laws

● Protect client/patient information

● Avoid politics● Comply with legal restrictions

and obligations● Be aware of risks to privacy

and security

Key AMSA Points




● Be professional● Be responsible● Maintain separation● Be transparent/use

disclaimers● Be respectful● Follow copyright laws

● Protect client/patient information

● Avoid politics?● Comply with legal restrictions

and obligations● Be aware of risks to privacy

and security

Key AMSA Points



Consideration: Limited Evidence

Unfortunately this is especially true for focused GME studies

Mixed results of effect on resident education, recruitment, and professionalism.

Modest quality of findings.

Most studies are descriptive. No RCTsSterling et. al. The Use of Social Media in Graduate Medical Education: A Systematic Review. Academic Medicine. 2017

Consideration: Potential

Scholarship - Limited evidence allows for novel discoveries

Wellness & Belonging - Sharing images unites residents in real time and accents diversity.

Recruitment, Resident Education, Health Promotion...

CASE REVIEW

Handout#2

Handout#3

Handout#4

Handout#5

QUESTIONS

Helpful References1. Sterling M, Leung P, Wright D, Bishop TF. The Use of Social Media in

Graduate Medical Education: A Systematic Review. Acad Med. 2017;92(7):1043-1056.

2. Basraon JS, Simpson D, Gupta A. Use of social media to promote continuous learning: a phased strategy for Graduate Medical Education Fellowship implementation. J Patient Cent Res Rev. 2015;2:69-72. doi: 10.17294/2330-0698.1034

3. Pander T, Pinilla S, Dimitriadis K, Fischer MR. The use of Facebook in medical education--a literature review. GMS Z Med Ausbild. 2014;31(3):Doc33.

4. Cartledge P, Miller M, Phillips B. The use of social-networking sites in medical education. Med Teach. 2013;35(10):847-57.

Helpful Linkshttps://www.amsa.org/2016/09/15/social-media-guidelines-medical-students-physicians/




Thank you!

Stephanie Raymundo [email protected]

Niharika [email protected]

Daniel [email protected]

Candice [email protected]

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