Facebook activity of residents and fellows and its impact on the doctor–patient relationship

Aim Facebook is an increasingly popular online social networking site. The purpose of this study was to describe the Facebook activity of residents and fellows and their opinions regarding the impact of Facebook on the doctor–patient relationship. Methods An anonymous questionnaire was emailed to 405 residents and fellows at the Rouen University Hospital, France, in October 2009. Results Of the 202 participants who returned the questionnaire (50%), 147 (73%) had a Facebook profile. Among responders, 138 (99%) displayed their real name on their profile, 136 (97%) their birthdates, 128 (91%) a personal photograph, 83 (59%) their current university and 76 (55%) their current position. Default privacy settings were changed by 61% of users, more frequently if they were registered for >1 year (p=0.02). If a patient requested them as a ‘friend’, 152 (85%) participants would automatically decline the request, 26 (15%) would decide on an individual basis and none would automatically accept the request. Eighty-eight participants (48%) believed that the doctor–patient relationship would be altered if patients discovered that their doctor had a Facebook account, but 139 (76%) considered that it would change only if the patient had open access to their doctor's profile, independent of its content. Conclusions Residents and fellows frequently use Facebook and display personal information on their profiles. Insufficient privacy protection might have an impact the doctor–patient relationship.

[1]  Katherine A. Karl,et al.  Social Networking Profiles: An Examination of Student Attitudes Regarding Use and Appropriateness of Content , 2008, Cyberpsychology Behav. Soc. Netw..

[2]  D. Silber.  [The Internet and shared decision-making between patients and healthcare providers]. , 2009, Presse medicale.

[3]  K. Dawson,et al.  The Intersection of Online Social Networking with Medical Professionalism , 2008, Journal of General Internal Medicine.

[4]  Elinore J. Kaufman,et al.  Content of Weblogs Written by Health Professionals , 2008, Journal of General Internal Medicine.

[5]  Ronald M Epstein,et al.  Physician self-disclosure in primary care visits: enough about you, what about me? , 2007, Archives of internal medicine.

[6]  Craig Ross,et al.  The Influence of Shyness on the Use of Facebook in an Undergraduate Sample , 2009, Cyberpsychology Behav. Soc. Netw..

[7]  Sachin H. Jain,et al.  Practicing medicine in the age of Facebook. , 2009, The New England journal of medicine.

[8]  D. Silber.  Médecine 2.0 : les enjeux de la médecine participative , 2009 .

[9]  C. Dube,et al.  Untangling the Web--the impact of Internet use on health care and the physician-patient relationship. , 2007, Patient education and counseling.

[10]  D. Silber.  L’Internet et le partage de la décision médicale entre patients et professionnels de santé , 2009 .

[11]  D. Arkfeld,et al.  Facebook Medicine , 2009, The Journal of Rheumatology.

[12]  S. A. Iverson,et al.  Impact of Internet Use on Health-Related Behaviors and the Patient-Physician Relationship: A Survey-Based Study and Review , 2008, The Journal of the American Osteopathic Association.

[13]  A. Farmer,et al.  Social networking sites: a novel portal for communication , 2009, Postgraduate Medical Journal.

[14]  E. Murray,et al.  Information from the Internet and the doctor-patient relationship: the patient perspective – a qualitative study , 2007, BMC family practice.

[15]  Jeff Cain,et al.  Pharmacy students' Facebook activity and opinions regarding accountability and e-professionalism. , 2009, American journal of pharmaceutical education.

[16]  D. Brendel,et al.  Medical professionalism in the age of online social networking , 2009, Journal of Medical Ethics.

[17]  John Raacke,et al.  MySpace and Facebook: Applying the Uses and Gratifications Theory to Exploring Friend-Networking Sites , 2008, Cyberpsychology Behav. Soc. Netw..

[18]  Jeff Cain,et al.  Web 2.0 and pharmacy education. , 2009, American journal of pharmaceutical education.

[19]  J. Cain.  Online social networking issues within academia and pharmacy education. , 2008, American journal of pharmaceutical education.

[20]  Emily Christofides,et al.  Information Disclosure and Control on Facebook: Are They Two Sides of the Same Coin or Two Different Processes? , 2009, Cyberpsychology Behav. Soc. Netw..