Physicians - maximum of 0.25 AMA PRA Category 1 Credit(s)™
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This article is intended for physicians who may use social media and/or be social influencers.
The goal of this activity is to describe why being a physician social media influencer can be ethically problematic as well as other challenges involved in physician use of social media, according to an American College of Physicians (ACP) ethics case history and commentary.
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CME / ABIM MOC Released: 12/18/2020; Reviewed and Renewed: 12/9/2022
Valid for credit through: 12/9/2023
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Alice Jones is an internal medicine intern starting at Smith Hospital. At orientation, she meets Brad Green, a second-year resident. In conversation, he mentions how he follows physicians on Instagram who offer advice about residency, discuss anonymous cases on the wards, and post how-to videos for performing hospital procedures (such as peripheral IVs and thoracenteses). He also mentions that he posts frequently on Instagram and invites Dr Jones to follow his account.
Finding his account online, she notices that he has more than 40,000 followers on Instagram. His name on the account is listed as "Brad, MD," and his Instagram handle is @dr_brad. His recent posts include the birth of a child and family trips to a nearby big city, but Dr Brad also promotes products for businesses through posts that often include anecdotes about his time in residency, with photos of him at Smith Hospital. One series of posts, for example, highlight a local gym that gives him a free membership. Other posts feature him recommending a company's weight loss product and offer a 20% promotional discount for its products. Each company pays Dr Brad according to the number of his followers.
Dr Jones enjoys some of Brad's posts but feels uneasy, especially about those in which he promotes products. She later finds similar posts by another resident physician. She wonders if these accounts violate any ethical principles or professional boundaries and what she should do about her concerns.