scholarly journals New Professionalism Challenges in Medical Training: An Exploration of Social Networking

2014 ◽  
Vol 6 (1) ◽  
pp. 100-105 ◽  
Author(s):  
Jennifer C. Kesselheim ◽  
Maneesh Batra ◽  
Frank Belmonte ◽  
Kimberly A. Boland ◽  
Robert S. McGregor
Keyword(s):  
Social Networking ◽  
Social Networking Sites ◽  
Online Survey ◽  
Ad Hoc ◽  
Medical Training ◽  
Program Directors ◽  
The United States ◽  
Inappropriate Behavior ◽  
Online Activity ◽  
Residency Programs

Abstract Background Innovative online technology can enhance the practice of medicine, yet it also may be a forum for unprofessional behavior. Objective We surveyed program directors regarding their perceptions and experiences with residents' use of social networking sites (SNS). Methods In September 2011, we sent an online survey to program directors and associate program directors of pediatrics residency programs within the United States who are members of the Association of Pediatric Program Directors. Results A total of 162 program directors or associate program directors (representing 50% of residency programs) responded to the survey. One-third of respondents are “very familiar” with SNS and 23% use them “daily or often.” Most respondents (70%) rated “friending” peers as “completely appropriate,” whereas only 1% of respondents rated “friending” current or past patients as “completely appropriate.” More than one half of respondents believe inappropriate behavior on SNS is “somewhat” or “very” prevalent, and 91% are “somewhat” or “very” concerned that the prevalence of inappropriate behavior on SNS may increase. The most commonly reported problematic online activity was posting inappropriate comments about the workplace. Posting of inappropriate comments about self, patients, and staff also was observed. Residency programs commonly educate trainees about SNS during intern orientation (45%), or using written guidelines (29%) and ad hoc remediation (16%). Conclusions As educators teach trainees principles of online professionalism, appropriate use of SNS needs to be included in the training process. Curricular efforts may be hindered by some program directors' lack of familiarity with SNS.

scholarly journals Teaching High-Value Care in Pediatrics: A National Survey of Current Practices and Guide for Future Curriculum Development

2017 ◽  
Vol 9 (6) ◽  
pp. 741-747 ◽  
Author(s):  
Michael J. Tchou ◽  
Alice Walz ◽  
Elizabeth Burgener ◽  
Alan Schroeder ◽  
Rebecca Blankenburg
Keyword(s):  
Medical Training ◽  
Health Care Expenditures ◽  
Program Directors ◽  
The United States ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Formal Curriculum ◽  
Residency Programs ◽  
Discussion Format ◽  
Case Based

ABSTRACT Background  Health care expenditures in the United States are increasing at an unsustainable pace. There have been calls to incorporate education on resource stewardship into medical training, yet the perceived need for and current use of high-value care (HVC) curricula in pediatrics residency programs is unknown. Objective  We described the current national landscape of HVC curricula in pediatrics residencies, including characterization of current programs, barriers to the practice of HVC, and clarification of preferred curricula types. Methods  Using a cross-sectional study design, we conducted a national, anonymous, web-based survey of pediatrics residency program directors and pediatrics chief residents in fall 2014. Results  We received responses from 85 of 199 (43%) pediatrics program directors and 74 of 199 (37%) pediatrics chief residents. Only 10% (8 of 80) of program directors and 12% (8 of 65) of chief residents reported having a formal curriculum on HVC. Respondents identified the largest barriers to HVC as a lack of cost transparency (program directors) and attending physicians having the final say in treatment decisions (chief residents). The majority of respondents (83%, 121 of 146) agreed their program needs a HVC curriculum, and 90% (131 of 145) reported they would use a curriculum if it was available. Respondents significantly preferred a case-based conference discussion format over other approaches. Conclusions  Most pediatrics residency programs responding to a survey lacked formal HVC curricula. There is a desire nationally for HVC education in pediatrics, particularly in a case-based discussion format.

scholarly journals Teaching Ethics and Professionalism: A National Survey of Ophthalmology Residency Program Directors

2021 ◽  
Vol 13 (01) ◽  
pp. e88-e94
Author(s):  
Alyssa M. Kretz ◽  
Jennifer E. deSante-Bertkau ◽  
Michael V. Boland ◽  
Xinxing Guo ◽  
Megan E. Collins
Keyword(s):  
Residency Program ◽  
Online Survey ◽  
Optimal Strategies ◽  
Program Directors ◽  
Global Evaluation ◽  
Teaching Ethics ◽  
Residency Programs ◽  
Unprofessional Behavior ◽  
Residency Program Directors ◽  
Trainee Competence

Abstract Background While ethics and professionalism are important components of graduate medical education, there is limited data about how ethics and professionalism curricula are taught or assessed in ophthalmology residency programs. Objective This study aimed to determine how U.S. ophthalmology residency programs teach and assess ethics and professionalism and explore trainee preparedness in these areas. Methods Directors from accredited U.S. ophthalmology residency programs completed an online survey about components of programs' ethics and professionalism teaching curricula, strategies for assessing competence, and trainee preparedness in these areas. Results Directors from 55 of 116 programs (46%) responded. The most common ethics and professionalism topics taught were informed consent (38/49, 78%) and risk management and litigation (38/49, 78%), respectively; most programs assessed trainee competence via 360-degree global evaluation (36/48, 75%). While most (46/48, 95%) respondents reported that their trainees were well or very well prepared at the time of graduation, 15 of 48 (31%) had prohibited a trainee from graduating or required remediation prior to graduation due to unethical or unprofessional conduct. Nearly every program (37/48, 98%) thought that it was very important to dedicate curricular time to teaching ethics and professionalism. Overall, 16 of 48 respondents (33%) felt that the time spent teaching these topics was too little. Conclusion Ophthalmology residency program directors recognized the importance of an ethics and professionalism curriculum. However, there was marked variation in teaching and assessment methods. Additional work is necessary to identify optimal strategies for teaching and assessing competence in these areas. In addition, a substantial number of trainees were prohibited from graduating or required remediation due to ethics and professionalism issues, suggesting an impact of unethical and unprofessional behavior on resident attrition.

scholarly journals The Interplay of Online Network Homogeneity, Populist Attitudes, and Conspiratorial Beliefs: Empirical Evidence From a Survey on German Facebook Users

2020 ◽  
Author(s):  
Manuel Cargnino
Keyword(s):  
Social Networking ◽  
Empirical Evidence ◽  
Social Networking Sites ◽  
Online Survey ◽  
Process Information ◽  
Negatively Associated

Abstract Social networking sites are suspected to impede the communication between members of different political camps and thereby increase network homogeneity. This homogeneity can be a result of humans’ tendency to process information in confirmatory ways—a characteristic which is also ascribed to populist citizens and those who hold conspiratorial beliefs. It is hypothesized that populist views and conspiratorial beliefs are associated with higher exposure to like-minded information within Facebook. An online survey with German Facebook users (N = 469) revealed that populist attitudes are positively associated with conspiratorial beliefs but negatively associated with homogeneity. Conspiratorial beliefs are unrelated to homogeneity. Findings are discussed in the light of extant research.

scholarly journals Postinterview Communication between Obstetrics and Gynecology Residency Programs and Candidates

2012 ◽  
Vol 4 (2) ◽  
pp. 165-169 ◽  
Author(s):  
Diana S. Curran ◽  
Pamela B. Andreatta ◽  
Xiao Xu ◽  
Clark E. Nugent ◽  
Samantha R. Dewald ◽  
...  
Keyword(s):  
United States ◽  
Response Rate ◽  
Educational Leaders ◽  
Program Directors ◽  
The United States ◽  
Obstetrics And Gynecology ◽  
Residency Programs ◽  
Ethical Conflicts ◽  
Communication Practices ◽  
E Mail

Abstract Introduction Residency programs seek to match the best candidates with their positions. To avoid ethical conflicts in this process, the National Residency Matching Program (NRMP or Match) has rules regarding appropriate conduct, including guidelines on contact between candidates and programs. Our study examined communication between obstetrics and gynecology (Ob-Gyn) programs and residency candidates after interviewing and prior to ranking. Methods Ob-Gyn program directors in the United States were sent a self-administered survey via e-mail. Data were collected and analyzed using descriptive methods to examine communication practices of these programs. Results The response rate was 40%. The findings showed that respondents had variable interpretations of the NRMP rules and suggest that programs may be communicating their match intentions especially to favored candidates. Respondents' open text comments highlighted program directors' frustrations with current NRMP rules. Discussion NRMP communication rules are intended to minimize pressure on residency candidates. Our findings suggest they may be leading to unforeseen stresses on program directors and candidates. Conclusions As educational leaders in medicine, we must consider what professional communications are acceptable without increasing the pressure on candidates during the ranking and match process.

scholarly journals #SocialMedia: Exploring the Relationship of Social Networking Sites on Body Image, Self-Esteem, and Eating Disorders

2017 ◽  
Vol 3 (2) ◽  
pp. 205630511770440 ◽  
Author(s):  
Sara Santarossa ◽  
Sarah J. Woodruff
Keyword(s):  
Body Image ◽  
Eating Disorder ◽  
Social Networking ◽  
Social Networking Sites ◽  
Online Survey ◽  
Self Esteem ◽  
Social Networking Site ◽  
Dependent Relationship ◽  
Relationship Of ◽  
The Relationship

The aim of this study was to investigate whether problematic social networking site (SNS) use (i.e., degree of dependent relationship with SNSs), total SNS time/day, total SNS friends, and specific SNS activities were related to body image (BI), self-esteem (SE), and eating disorder (ED) symptoms/concerns. A sample of young adults ( N = 147) completed an online survey which measured SNS usage, problematic SNS use, BI, SE, and ED symptom/concerns. The findings revealed that females and males spent 4.1 ± 3.9 and 2.9 ± 2.8 hr on SNS, respectively, with the majority of time spent lurking (i.e., looking at another users’ profile but not actually communicating with them). Furthermore, problematic SNS use was found to be related to BI, SE, and ED symptoms/concerns. Moreover, SNS activities, such as lurking and posting comments on others’ profiles, were found to be related to BI, whereas SNS total time was found to be related to ED symptoms/concerns. Overall, this study demonstrates the possible correlational influence of SNSs on BI, SE, and ED symptoms/concerns.

Using Instagram as a Preparation Tool for Study Abroad

2020 ◽  
Vol 13 (2) ◽  
pp. 20-37
Author(s):  
Simon Park
Keyword(s):  
Study Abroad ◽  
Social Networking ◽  
Social Networking Sites ◽  
The United States ◽  
Language Teachers ◽  
Study Abroad Programs ◽  
Daily Lives ◽  
English Classes ◽  
The Social ◽  
Group Members

This paper describes the usage of Instagram (the social networking platform) in sophomore English classes at a private Japanese university. Instagram was used to help students prepare for their study abroad semester. Students created private Instagram accounts and used this platform for group exercises with a mixed group of students and staff at potential study abroad sites in the United States of America. The participants posted images and video of their daily lives and routines at their schools, and created posts based on tasks set by the instructor. Group members were then encouraged to ask each other questions and communicate through Instagram. The study found that Instagram usage has the potential to help students prepare linguistically and culturally for study abroad semesters. The paper recommends follow-up studies that use Instagram and other social networking sites to help students prepare culturally and linguistically for study abroad semesters. This has implications for language teachers who are teaching prospective study abroad students or are interested in incorporating technology into their classes, as well as coordinators of study abroad programs interested in modernizing their study abroad orientation programs. この論文では、日本の私立大学の 2 年生の英語クラスでの Instagram（SNS）の使 用法について説明します。 Instagram は、学生が留学の準備をするのを助けるため に使用されました。学生はプライベート Instagram アカウントを作成し、このプラ ットフォームを使用して、米国の潜在的な留学サイトで学生とスタッフの混合グル ープとのグループ演習を行いました。参加者は、学校での日常生活の画像や動画を 投稿し、講師が設定したタスクに基づいて投稿を作成しました。その後、グループ のメンバーはお互いに質問し、Instagram を介してコミュニケーションすることが 奨励されました。調査では、Instagram の使用により、学生が留学学期に向けて言 語的および文化的に準備するのに役立つ可能性があることがわかりました。この論 文では、Instagram やその他の SNS を使用して、学生が留学に向けて文化的および 言語的に準備するのに役立つ追跡調査を推奨しています。これは、将来の留学学生 を教えている、またはクラスにテクノロジーを組み込むことに関心のある語学教 師、および留学オリエンテーションプログラムの近代化に関心のある留学プログラ ムのコーディネーターに影響を及ぼします。

Connecting and being connected: investigating friending practices across multiple social networking sites

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Chien Wen Yuan ◽  
Yu-Hao Lee
Keyword(s):  
Social Capital ◽  
Social Networking ◽  
Social Networking Sites ◽  
Online Survey ◽  
Social Ties ◽  
Relationship Maintenance ◽  
Strong Ties ◽  
Content Type ◽  
Bonding Social Capital ◽  
Amazon's Mechanical Turk

PurposeSocial networking sites (SNSs) offer people the possibility of maintaining larger networks of social ties, which also entails more complex relationship maintenance across multiple platforms. Whom to “friend” and via which platform can involve complex deliberations. This study investigates the relationships between users' perceived friending affordances of five popular SNSs (Facebook, Twitter, Instagram, Snapchat and LinkedIn) and their friending behaviors concerning strong ties, weak ties (existing and latent ties) and parasocial ties.Design/methodology/approachAn online survey using Qualtrics was provided to participants (N = 626) through Amazon's Mechanical Turk (MTurk). The survey asked their SNS use and their friending behaviors with different ties on each of the sites.FindingsUsers' friending decisions are dependent on an interplay of socio-technical affordances of each SNS and specific needs for the ties. The authors found that the affordances of bridging social capital and enjoyment are aligned with friending weak and parasocial ties, respectively. The affordances of bonding social capital were not valued to friend strong ties.Originality/valueThe study extends the affordance and social capital literature by assessing users' perceived, contextualized SNS affordances in relation to actual communication behaviors in friending different social ties. This approach provides contextualized insights to friending decisions and practices on SNSs.

scholarly journals Education Research: Neurology Resident EEG Education: A Survey of US Neurology Residency Program Directors

Neurology ◽  
2020 ◽  
pp. 10.1212/WNL.0000000000011354
Author(s):  
Fábio A. Nascimento ◽  
Jay R. Gavvala
Keyword(s):  
Online Survey ◽  
Program Directors ◽  
Outpatient Setting ◽  
Objective Measures ◽  
Successful Completion ◽  
Residency Programs ◽  
Educational Methods ◽  
The Us ◽  
The Mean ◽  
Residency Program Directors

Objective:To better understand the EEG education provided to adult neurology residents by surveying program directors (PDs) of adult neurology residency programs in the US.Methods:An online survey focused on characteristics of neurology residency programs and their EEG teaching systems was distributed to the 161 adult neurology residency PDs listed in the ACGME website at the time of the study.Results:Forty-seven (29%) out of the 161 PDs completed the survey – most of the participating programs (89%) were academic. The mean number of 1-month EEG rotation(s) required to graduate was 1.7 (range 0-4, median 1.75). EEG rotations involved the inpatient and outpatient setting in 91% and 70% of programs, respectively. The average number of EEGs read during a typical EEG rotation varied from more than 40, in about one-third of programs, to 0-10, in about 14% of programs. There was significant variability in the requirements for successful completion of EEG rotations, and most PDs (64%) reported not utilizing objective measures to assess EEG milestones. The most commonly used educational methods were didactics throughout the year (95%) and EEG teaching during EEG rotations (93%). The most commonly reported barriers to EEG education were insufficient EEG exposure (32%) and ineffective didactics (11%); possible solutions are summarized in table 1.Conclusion:Our study identified a lack of consistency in teaching and evaluating residents during residency and presented EEG education barriers alongside possible solutions. We encourage PDs across the country to re-evaluate their EEG teaching systems in order to optimize EEG education.

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