Psychiatric Quarterly

, Volume 88, Issue 2, pp 263–270 | Cite as

Training Psychiatry Residents in Professionalism in the Digital World

  • Nadyah Janine John
  • P.G. Shelton
  • Michael C. Lang
  • Jennifer Ingersoll
Review Article

Abstract

Professionalism is an abstract concept which makes it difficult to define, assess and teach. An additional layer of complexity is added when discussing professionalism in the context of digital technology, the internet and social media – the digital world. Current physicians-in-training (residents and fellows) are digital natives having been raised in a digital, media saturated world. Consequently, their use of digital technology and social media has been unconstrained – a reflection of it being integral to their social construct and identity. Cultivating the professional identity and therefore professionalism is the charge of residency training programs. Residents have shown negative and hostile attitudes to formalized professionalism curricula in training. Approaches to these curricula need to consider the learning style of Millennials and incorporate more active learning techniques that utilize technology. Reviewing landmark position papers, guidelines and scholarly work can therefore be augmented with use of vignettes and technology that are available to residency training programs for use with their Millennial learners.

Keywords

Professionalism Internet Social media Digital world Resident Psychiatrist 

References

  1. 1.
    ACGME Outcome Project. Advancing education in medical professionalism. Chicago IL: Accreditation Council for Graduate Medical Education; 2004. Available at: http://tinyurl.com/nff3w2s. Accessed 24 July 2016.
  2. 2.
    Project of the ABIM Foundation, ACP–ASIM Foundation, and European Federation of Internal Medicine*. Medical Professionalism in the New Millennium: A Physician Charter. Ann Intern Med. 2002;136:243–246. doi:10.7326/0003-4819-136-3-200202050-00012.
  3. 3.
    Mueller PS. Teaching and Assessing Professionalism in Medical Learners and Practicing Physicians. Davidson JH, ed. Rambam Maimonides Medical Journal. 2015;6(2):e0011. doi:10.5041/RMMJ.10195.
  4. 4.
    Professionalism and Professional Standing. American Board of Psychiatry and Neurology Web site. http://www.abpn.com/professionalism-professional-standing/ Accessed 24 July 2016.
  5. 5.
    Improvement in Medical Practice. American Board of Psychiatry and Neurology Web site. http://www.abpn.com/maintain-certification/moc-activity-requirements/improvement-in-medical-practice-pip/ Accessed 24 July 2016.
  6. 6.
    Evans KH, Ozdalga E, Ahuja N. The medical education of generation Y. Acad Psychiatry. 2016;40(2):382–5.CrossRefPubMedGoogle Scholar
  7. 7.
    Millennials as Digital Natives: Myths and Realities. Nielsen Norman Group Web site. https://www.nngroup.com/articles/millennials-digital-natives/ Published January 3, 2016. Accessed 24 July 2016.
  8. 8.
    Gorrindo T, Brendel D. Avatars, cybercoaches, and search engines: internet technology’s value in modern psychiatry. Harvard Review of Psychiatry. 2010;18:77.CrossRefPubMedGoogle Scholar
  9. 9.
    The Internet in Clinical Psychiatry. APA Joint Reference Committee. The American Psychiatric Association Website. https://www.psychiatry.org/psychiatrists/search-directories-databases/library-and-archive/resource-documents Published October 2009. Accessed 24 July 2016.
  10. 10.
    Markgren S. Ten simple steps to create and manage your professional online identity: How to use portfolios and profiles. College & Research Libraries News. Chicago: Association of College and Research Libraries; 2011;72:31.Google Scholar
  11. 11.
    Guseh JS, Brendel RW, Brendel DH. Medical professionalism in the age of online social networking. Journal of Medical Ethics. 2009;35:584–586.CrossRefPubMedGoogle Scholar
  12. 12.
    Chretien KC, Greysen SR, Chretien J, Kind T. Online posting of unprofessional content by medical students. JAMA. 2009;302:1309–1315.CrossRefPubMedGoogle Scholar
  13. 13.
    Krain LP, Lavelle E. Residents’ perspectives on professionalism. Journal of graduate medical education. 2009;1:221–224.CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Brainard AH, Brislen HC. Viewpoint: learning professionalism: a view from the trenches. Academic medicine: journal of the Association of American Medical Colleges. 2007;82:1010–1014.CrossRefGoogle Scholar
  15. 15.
    Leo T, Eagen K. Professionalism education: the medical student response. Perspectives in Biology and Medicine. 2008;51:508–516.CrossRefPubMedGoogle Scholar
  16. 16.
    Thompson LA, Dawson K, Ferdig R, et al. The intersection of online social networking with medical professionalism. Journal of General Internal Medicine. 2008;23:954–957.CrossRefPubMedPubMedCentralGoogle Scholar
  17. 17.
    Jain SH. Practicing medicine in the age of Facebook. The New England Journal of Medicine. 2009;361:649–651.CrossRefPubMedGoogle Scholar
  18. 18.
    Kane B, Sands DZ, For the AMIA internet working group, task force on guidelines for the use of clinic-patient electronic mail. Guidelines for the clinical use of electronic mail with patients. Journal of the American Medical Informatics Association. 1998;5:104–111.CrossRefPubMedPubMedCentralGoogle Scholar
  19. 19.
    Recupero P. Email and the psychiatrist-patient relationship. J Am Acad Psychiatry Law. 2009;33:465–7.Google Scholar
  20. 20.
    Clinton BK, Silverman BC, Brendel DH. Patient-targeted googling: the ethics of searching online for patient information. Harvard Review of Psychiatry. 2010;18:103–112.CrossRefPubMedGoogle Scholar
  21. 21.
    Recupero P, Fisher CE. Resource Document on Telepsychiatry and Related Technologies in Clinical Psychiatry. APA Council on Psychiatry & Law. The American Psychiatric Association Website. https://www.psychiatry.org/psychiatrists/search-directories-databases/library-and-archive/resource-documents Published January 2014. Accessed 2 Sept 2016.
  22. 22.
    American Medical Association’s Opinion 9124 Professionalism in the Use of Social Media. Nov. 2010. Available at: http://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/code-medical-ethics/opinion9124.page.
  23. 23.
    Guidelines for appropriate use of the internet, electronic networking and other media. The University of Toronto Faculty of Medicine Web site. http://medicine.utoronto.ca/sites/default/files/Appropriate%20Use%20of%20The%20Internet.pdf Accessed 24 July 2016.
  24. 24.
    VUMC Social Media Policy. Vanderbilt University Medical Center Web Site. http://www.mc.vanderbilt.edu/root/vumc.php?site=socialmediatoolkit&doc=26923 Updated March 9 2016. Accessed 24 July 2016.
  25. 25.
    Skochelak SE. A decade of reports calling for change in medical education: what do they say? Academic medicine: Journal of the Association of American Medical Colleges. 2010;85:S26-S33.CrossRefGoogle Scholar
  26. 26.
    Social Media Professionalism in the Medical Community. ACOGNews. https://www.youtube.com/watch?v=3N8A5LMlego Published September 26, 2013. Accessed 24 July 2016.
  27. 27.
    DeJong SM, Benjamin S, Anzia JM, et al. Professionalism and the internet in psychiatry: what to teach and how to teach it. Academic Psychiatry. 2012;36:356–362.CrossRefPubMedGoogle Scholar
  28. 28.
    Professionalism and the Internet. American Psychiatric Association Learning Center. http://education.psychiatry.org/Users/ProductDetails.aspx?ActivityID=445 Published July, 2013. Accessed 24 July 2016.
  29. 29.
    Addressing a Colleague’s Sexually Explicit Facebook Post. Medscape CME and Education Web site. Restricted to member access. http://www.medscape.org/viewarticle/845411 Accessed 24 July 2016.
  30. 30.
    Maintaining Medical Professionalism Online: Posting of Patient Information. Medscape CME and Education Web site. Restricted to member access. http://www.medscape.org/viewarticle/857101 Accessed 24 July 2016.
  31. 31.
    The American Board of Pediatrics and The Association of Pediatric Program Directors. Teaching and Assessing Professionalism: A Program Director’s Guide. Chapel Hill, NC: ABP Foundation; 2008.Google Scholar

Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Nadyah Janine John
    • 1
  • P.G. Shelton
    • 1
  • Michael C. Lang
    • 1
  • Jennifer Ingersoll
    • 2
  1. 1.Department of Psychiatry and Behavioral MedicineBrody School of Medicine, East Carolina UniversityGreenvilleUSA
  2. 2.Brody School of Medicine at East Carolina University/Vidant Behavioral HealthGreenvilleUSA

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