Med Students Tweeting and Blogging Patient Details

Medical students learn a lot of things at school, but apparently, discretion may not be one of them. Fox News reports that a number of recently surveyed medical school deans said they know of students posting "unprofessional content" on sites like Facebook, Youtube and even personal blogs.
Whether intentional or not, this content ranges from alarming examples (identifying patient details on Facebook) to more minor ones (use of profanity). The survey's leader, Dr. Katherine Chretien of the Washington, D.C., VA Medical Center, told Fox News that the real problem is that most medical schools lack guidelines on what's acceptable for students to post online. According to the survey, 47 of the 78 participating deans were aware of such conduct, but only 38-percent of participating schools have a set of guidelines in place.
A trip to the doctor is nerve-racking enough, without having to worry about your private health information appearing on the Web. One thing's for sure. If we find a blog post with details from our latest exam, even a doctor won't be able to help the medical student responsible. [From: Fox News]





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Comments
11
Subscribe to commentsmarySep 25th 2009 8:26PM
Most medical schools lack guidelines? BS There are laws regarding this, it is called HIPPA and you can get fired or lose your license if you access or post patient information. This should also apply to medical students working in a hospital since it applies to all people working in health care, from administrators to the housekeeping staff and everyone inbetween. the medical schools just don't want to enforce this among their students. sure the students work hard and they are smart but historically they get lots and lots of leeway to do whatever they want. Its up to the teachers to enforce this-but if the doctors themselves do this themselves how can they teach the students not to.
MarkSep 25th 2009 5:34PM
I highly doubt they are posting "patient details". More probably they are just venting about their day or sharing something particularly interesting about something they saw.
Certainly it might be possible for someone with an extra interest to maybe track down their schedule, correlate times, and determine which patient they are talking about, and this is something that should be watched out for, but its also extremely unlikely.
Doctors are people, albiet for the most part very well trained and discreet people, and sharing something interesting from their day is going to happen. Who cares. Maybe you should take better care of yourself instead of complaining about people being people.
John HuckleberrySep 26th 2009 8:13AM
Mark, I hope you're not a Doctor or in the medical industry. "Take better care of your self"? Sure... tell that to a victim of a drunk driver, someone with breast cancer, MS, OCD, Spinal Biffada (sp) or a host of other ills people don't do to themselves. You're a thin skinned sick puppy kid. If I ever found my medical information on the Internet I'd sue the hell out of the student. If it stopped them from ever being a Doctor good. There's enough Doctors in it just for themselves. mho. I've been taken care of in teaching hospitals and they're a nightmare full of loose cannons acting like kids but being Doctors with Teachers who back them up.
Shawn G.Sep 25th 2009 6:24PM
I agree for the most part. I mean, a lot of the students are probably ranting and raving about their day but if they are putting patient details in their blogs, this could be a major problem. Not only is it violating the privacy laws that the practice has, but it is not fair to the patient, as well. If you are going to rant and rave that is fine, but don't bring the patients into it, as hard as that is to do.
sashaySep 25th 2009 7:24PM
hey, mark, in case you are not aware, the confidentiality of medical information is protected by federal law. "people being people" can end up in jail...and the hospital/clinic that employs them can be fined. Thank god YOU are not a medical professional..."take better care of themselves". Aren't you just the charming little sociopath. Not all doctor/hospital visits are because someone did not take care of them....and even if that is the cause, no one deserves to have some punk ass resident posting their medical information on line. Of course most residents these days are too stupid to create a coherent sentence anyway...but still...everyone deserves privacy.
MarkSep 26th 2009 4:21PM
You are absolutely correct in the instances you are talking about. When a doctor tweets "Sashay (or whoever) was in my office today and man he had a gross tumor on his face" thats illegal and downright unethical.
A doctor tweeting "Had a long day, a couple colonoscopies and an ugly tumor removal that exhausted me" is TOTALLY acceptable. Granted we might not want to hear about that stuff but no patient information is revealed and the focus is really on the doctor is worn out.
Linda states my point again in a very clear way.
And for the most part, doctors are good people who are very overworked.
SoCoolCurt (PSN: KillaKornbread - XBL: SoCoolCurt)Sep 25th 2009 8:38PM
they had me up until "Fox News reports"......
KatyDSep 25th 2009 10:42PM
A few major lawsuits and/or arrests will nip this problem in the bud.
LindaSep 26th 2009 1:12AM
Posting about cases in which the identify of a patient is not disclosed and cannot be determined by the facts of the case is not a violation of confidentiality. It is also not a violation of HIPPA or confidentiality to vent or discuss situations as long as patient privacy is protected. I would thnk med students and grad students would know how to engage in this sort of communication without violating any laws, ethics or patient conficientialty. If students break the rules or disclose information which can be traced to a person by posting identifying information, they should be punished accordingly.
henrySep 26th 2009 10:24PM
It is not "HIPPA" but rather "HIPAA" (Health Insurance Portability and Accountability Act of 1996 )
"If it stopped them from ever being a Doctor good. There's enough Doctors in it just for themselves. mho. I've been taken care of in teaching hospitals and they're a nightmare full of loose cannons acting like kids but being Doctors with Teachers who back them up."
Wow!, that's a lot of vehemence. Apparently you had a bad experience, but I've found most (not all, but a definite majority of) doctors work incredibly hard, take enormous abuse from (understandably) stressed patients and families. The legal, financial and administrative pressures on physicians is amazing, and students are under similar pressures. As they say "Before you criticize someone, you should walk a mile in their shoes"
nrJan 27th 2012 11:46PM
Great post , Thank you for writing so well on such a difficult but important subject. It was really helpful to solve my confusion,
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