Surgical Endoscopy

, Volume 33, Issue 1, pp 1–7 | Cite as

A Society of Gastrointestinal and Endoscopic Surgeons (SAGES) statement on closed social media (Facebook®) groups for clinical education and consultation: issues of informed consent, patient privacy, and surgeon protection

  • James G. BittnerIV
  • Heather J. Logghe
  • Erica D. Kane
  • Ross F. Goldberg
  • Adnan Alseidi
  • Rajesh Aggarwal
  • Brian P. JacobEmail author
SAGES Statement



Closed social media groups (CSMG), including closed Facebook® groups, are online communities providing physicians with platforms to collaborate privately via text, images, videos, and live streaming in real time and optimize patient care. CSMG platforms represent a novel paradigm in online learning and education, so it is imperative to ensure that the public and patients trust the physicians using these platforms. Informed consent is an essential aspect of establishing this trust. With the launch of several of its own CSMG, Society of Gastrointestinal and Endoscopic Surgeons (SAGES) sought to define its position on CSMG platforms and provide an informed consent template for educating and protecting patients, surgeons, and institutions.


A review of the literature (2012–2018) discussing the informed consent process for posting clinical scenarios, photography, and/or videography on social media was performed. Pertinent articles and exemplary legal counsel-approved CSMG policies and informed consent forms were reviewed by members of the SAGES Facebook® Task Force.


Eleven articles and two institutional CSMG policies discussing key components of the informed consent process, including patient transparency and confidentiality, provider-patient partnerships, ethics, and education were included. Using this information and expert opinion, a SAGES-approved statement and informed consent template were formulated.


SAGES endorses the professional use of medical and surgical CSMG platforms for education, patient care optimization, and dissemination of clinical information. Despite the growing use of social media as an integral tool for surgical practice and education, issues of informed consent still exist and remain the responsibility of the physician contributor. Responsible, ethical, and compliant use of CSMG platforms is essential. Surgeons and patients embracing CSMG for quality improvement and optimized outcomes should be legally protected. SAGES foresees the use of this type of platform continuing to grow.


Facebook Social media Closed groups Informed consent Surgery Education 



The authors wish to acknowledge members of the SAGES Facebook® Group Task Force.

Compliance with ethical standards


Dr. Bittner receives honoraria for speaking/teaching from Intuitive Surgical, Inc., and consulting fees from BD, Inc. and CMR Surgical Limited. Dr. Alseidi receives honoraria for speaking/teaching from Ethicon, Inc. Dr. Aggarwal receives consulting fees from Applied Medical, Inc. Dr. Jacob receives grant support, honoraria for speaking/teaching, and consulting fees from Medtronic, Inc., consulting fees from Ethicon, Inc., and serves as Founder and President, International Hernia Collaboration, Inc. Drs. Logghe, Kane, and Goldberg have no conflicts of interest or financial ties to disclose.

Supplementary material

464_2018_6569_MOESM1_ESM.docx (102 kb)
Supplementary material 1 (DOCX 101 KB)
464_2018_6569_MOESM2_ESM.docx (72 kb)
Supplementary material 2 (DOCX 72 KB)


  1. 1.
    Quality Improvement Through Social Media: an initial look at the International Hernia Collaboration Facebook(tm) Group—SAGES Abstract Archives. In: SAGES. Accessed 14 Sep 2018
  2. 2.
    Colbert JA, Lehmann LS (2015) Partnering with patients to realize the benefits of social media. Am J Obstet Gynecol 212:302–303, 302.e1CrossRefGoogle Scholar
  3. 3.
    Palacios-González C (2015) The ethics of clinical photography and social media. Med Health Care Philos 18:63–70CrossRefGoogle Scholar
  4. 4.
    Steele SR, Arshad S, Bush R, Dasani S, Cologne K, Bleier JIS, Raphaeli T, Kelz RR (2015) Social media is a necessary component of surgery practice. Surgery 158:857–862CrossRefGoogle Scholar
  5. 5.
    Vohra RS, Hallissey MT (2015) Social networks, social media, and innovating surgical education. JAMA Surg 150:192–193CrossRefGoogle Scholar
  6. 6.
    Langenfeld SJ, Vargo DJ, Schenarts PJ (2016) Balancing privacy and professionalism: a survey of general surgery program directors on social media and surgical education. J Surg Educ 73:e28–e32CrossRefGoogle Scholar
  7. 7.
    McLawhorn AS, De Martino I, Fehring KA, Sculco PK (2016) Social media and your practice: navigating the surgeon-patient relationship. Curr Rev Musculoskelet Med 9:487–495CrossRefGoogle Scholar
  8. 8.
    Rapp AK, Healy MG, Charlton ME, Keith JN, Rosenbaum ME, Kapadia MR (2016) YouTube is the most frequently used educational video source for surgical preparation. J Surg Educ 73:1072–1076CrossRefGoogle Scholar
  9. 9.
    Smith RJ, Grande D, Merchant RM (2016) Transforming scientific inquiry: tapping into digital data by building a culture of transparency and consent. Acad Med 91:469–472CrossRefGoogle Scholar
  10. 10.
    Campbell K, Parsi K (2017) A new age of patient transparency: an organizational framework for informed consent. J Law Med Ethics 45:60–65CrossRefGoogle Scholar
  11. 11.
    Dorfman RG, Vaca EE, Fine NA, Schierle CF (2017) The ethics of sharing plastic surgery videos on social media: systematic literature review, ethical analysis, and proposed guidelines. Plast Reconstr Surg 140:825–836CrossRefGoogle Scholar
  12. 12.
    Hanson M, Pitt D (2017) Informed consent for surgery: risk discussion and documentation. Can J Surg 60:69–70Google Scholar
  13. 13.
    Lui DH, McDonald JJ, de Beaux A, Tulloh B, Brady RRW (2017) Contemporary engagement with social media amongst hernia surgery specialists. Hernia 21:509–515CrossRefGoogle Scholar
  14. 14.
    Samuel N, Alotaibi NM, Lozano AM (2017) YouTube as a source of information on neurosurgery. World Neurosurg 105:394–398CrossRefGoogle Scholar
  15. 15.
    Staccini P, Fernandez-Luque L (2017) Secondary use of recorded or self-expressed personal data: consumer health informatics and education in the era of social media and health apps. Yearb Med Inform 26:172–177CrossRefGoogle Scholar
  16. 16.
    Logghe HJ, Boeck MA, Gusani NJ, Hardaway JC, Hughes KA, Mouawad NJ, Kulaylat AN, Hoffman RL, Turner P, Jones C, Leichtle SW (2017) Best practices for surgeons’ social media use: statement of the resident and Associate Society of the American College of Surgeons. J Am Coll Surg. Google Scholar
  17. 17.
    Ghanem O, Logghe HJ, Tran BV, Huynh D, Jacob B (2018) Closed Facebook™ groups and CME credit: a new format for continuing medical education. Surg Endosc. Google Scholar
  18. 18.
    Berg JW, Appelbaum PS, Lidz CW, Parker LS (2001) Informed consent: legal theory and clinical practice. Oxford University Press, New YorkGoogle Scholar

Copyright information

© Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) 2018

Authors and Affiliations

  • James G. BittnerIV
    • 1
  • Heather J. Logghe
    • 2
  • Erica D. Kane
    • 3
  • Ross F. Goldberg
    • 4
  • Adnan Alseidi
    • 5
  • Rajesh Aggarwal
    • 2
    • 6
  • Brian P. Jacob
    • 7
    Email author
  1. 1.Department of SurgerySt. Francis Hospital and Medical CenterHartfordUSA
  2. 2.Department of Surgery, Sidney Kimmel Medical CollegeThomas Jefferson University HospitalsPhiladelphiaUSA
  3. 3.Department of Anesthesia, Perioperative, and Pain MedicineIcahn School of Medicine at Mount SinaiNew YorkUSA
  4. 4.Department of SurgeryMaricopa Integrated Health SystemPhoenixUSA
  5. 5.Department of SurgeryVirginia Mason Medical CenterSeattleUSA
  6. 6.Jefferson Strategic VenturesJefferson HealthPhiladelphiaUSA
  7. 7.Laparoscopic Surgical Center of New YorkIcahn School of Medicine at Mount SinaiNew YorkUSA

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