Texting or Friending Patients Frowned Upon in New Professional Guidelines

By Robert Preidt

Doctors Urged to Refrain from Social Media Contacts With PatientsIn this age of texting, tweets and Facebook “friends,” doctors should show restraint when it comes to reaching out to patients through social media, new guidelines say.

Updated recommendations for online ethics from the American College of Physicians (ACP) and the Federation of State Medical Boards (FSMB) say the key is drawing a clear line between professional life and social life.

If physicians fail to do so, the “potential dangers are confidentiality concerns, replacement of face-to-face or phone interaction, and ambiguity or misinterpretation of digital interactions,” the American College of Physicians said in a news release.

Some of the key recommendations:

  • Doctors should not contact or “friend” patients through personal social media such as Facebook.
  • Text-messaging should not be used for passing along medical information except when there is patient consent. Even then, doctors should use “extreme caution,” the guidelines said.
  • Careful judgment is needed when a doctor is contacted through email or other electronic communications by someone who is seeking medical advice but has had no previous contact with the doctor. In such situations, it is usually best for the doctor to encourage the person to schedule an office visit, or, in the case of an urgent concern, to go to the nearest emergency department.
  • Doctors should establish an online professional profile so that it appears first during an online search, instead of a review of the doctor from a physician ranking site. This can provide more control, so that the information read by patients is accurate.
  • Medical trainees need to be careful about what they post online, or they could damage their future careers.

“It is important for physicians to be aware of the implications for confidentiality and how the use of online media for non-clinical purposes impacts trust in the medical profession,” Dr. Humayun Chaudhry, president and CEO of the FSMB, said in the news release.

The policy paper appears online and in the April 16 print issue of the journal Annals of Internal Medicine.

SOURCE: American College of Physicians, news release, April 11, 2013

http://www.nlm.nih.gov/medlineplus/news/fullstory_135870.html

Related Online CEU Course:

Ethics and Social MediaEthics and Social Media is a 2-hour online continuing education course for psychologists, counselors, social workers, and MFTs. Is it useful or appropriate (or ethical or therapeutic) for a therapist and a client to share the kinds of information that are routinely posted on Social Networking Services (SNS) like Facebook, Twitter, and others? How are psychotherapists to handle “Friending” requests from clients? What are the threats to confidentiality and therapeutic boundaries that are posed by the use of social media sites, texts, or tweets in therapist-client communication? The purpose of this course is to offer psychotherapists the opportunity to examine their practices in regard to the use of social networking services in their professional relationships and communications. Included are ethics topics such as privacy and confidentiality, boundaries and multiple relationships, competence, the phenomenon of friending, informed consent, and record keeping. A final section offers recommendations and resources for the ethical use of social networking and the development of a practice social media policy.

CE Information:

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