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Mazzeffi M, Strickland L, Coffman Z, Miller B, Hilton E, Kohan L, Keneally R, McNaull P, Elkassabany N. Cross sectional study of Twitter (X) use among academic anesthesiology departments in the United States. PLoS One 2024; 19:e0298741. [PMID: 38330078 PMCID: PMC10852312 DOI: 10.1371/journal.pone.0298741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2023] [Accepted: 01/29/2024] [Indexed: 02/10/2024] Open
Abstract
Twitter (recently renamed X) is used by academic anesthesiology departments as a social media platform for various purposes. We hypothesized that Twitter (X) use would be prevalent among academic anesthesiology departments and that the number of tweets would vary by region, physician faculty size, and National Institutes of Health (NIH) research funding rank. We performed a descriptive study of Twitter (X) use by academic anesthesiology departments (i.e. those with a residency program) in 2022. Original tweets were collected using a Twitter (X) analytics tool. Summary statistics were reported for tweet number and content. The median number of tweets was compared after stratifying by region, physician faculty size, and NIH funding rank. Among 166 academic anesthesiology departments, there were 73 (44.0%) that had a Twitter (X) account in 2022. There were 3,578 original tweets during the study period and the median number of tweets per department was 21 (25th-75th = 0, 75) with most tweets (55.8%) announcing general departmental news and a smaller number highlighting social events (12.5%), research (11.1%), recruiting (7.1%), DEI activities (5.2%), and trainee experiences (4.1%). There was no significant difference in the median number of tweets by region (P = 0.81). The median number of tweets differed significantly by physician faculty size (P<0.001) with larger departments tweeting more and also by NIH funding rank (P = 0.005) with highly funded departments tweeting more. In 2022, we found that less than half of academic anesthesiology departments had a Twitter (X) account, and the median number of annual tweets per account was relatively low. Overall, Twitter (X) use was less common than anticipated among academic anesthesiology departments and most tweets focused on promotion of departmental activities or individual faculty. There may be opportunities for more widespread and effective use of Twitter (X) by academic anesthesiology departments including education about anesthesiology as a specialty.
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Affiliation(s)
- Michael Mazzeffi
- Department of Anesthesiology, University of Virginia School of Medicine, Charlottesville, Virginia, United States of America
| | - Lindsay Strickland
- Public Health Sciences, University of Virginia School of Medicine, Charlottesville, Virginia, United States of America
| | - Zachary Coffman
- Department of Anesthesiology, University of Virginia School of Medicine, Charlottesville, Virginia, United States of America
| | - Braden Miller
- Public Health Sciences, University of Virginia School of Medicine, Charlottesville, Virginia, United States of America
| | - Ebony Hilton
- Department of Anesthesiology, University of Virginia School of Medicine, Charlottesville, Virginia, United States of America
| | - Lynn Kohan
- Department of Anesthesiology, University of Virginia School of Medicine, Charlottesville, Virginia, United States of America
| | - Ryan Keneally
- Department of Anesthesiology and Critical Care Medicine, George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, United States of America
| | - Peggy McNaull
- Department of Anesthesiology, University of Virginia School of Medicine, Charlottesville, Virginia, United States of America
| | - Nabil Elkassabany
- Department of Anesthesiology, University of Virginia School of Medicine, Charlottesville, Virginia, United States of America
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Juliebø-Jones P, Emiliani E, Sierra A, Esperto F, Ventimiglia E, Pietropaolo A, Tzelves L, Beisland C, Somani BK. Patient Perspectives on Kidney Stone Surgery: A Content Analysis of Instagram Posts by Patients Versus Surgeons. EUR UROL SUPPL 2023; 58:82-86. [PMID: 38152483 PMCID: PMC10751542 DOI: 10.1016/j.euros.2023.10.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/25/2023] [Indexed: 12/29/2023] Open
Abstract
Background Both clinicians and patients use social media to post about health care issues such as kidney stone disease, but their perspectives may differ. Objective To evaluate content and themes regarding kidney stone surgery shared by patients and urologists on Instagram. Design setting and participants A search was performed on Instagram using the term "kidney stone surgery". The first 100 posts from individuals who were clearly identified as a patient were assessed. We also assessed 100 posts from self-identified urologists. Outcome measurements and statistical analysis A previously published system was applied as a framework for categorizing the information collected. Outcomes of interested included pain, recovery, and costs. Results and limitations Some 71% of the patients were female and most of their posts (52%) were shared postoperatively. The most common themes covered in patient posts were the need for multiple operative sessions (45%), pain (43%), and recovery (42%). Other themes included activities of daily life (18%), return to work (11%), nervousness (16%), stent issues (31%), stent on a string (5%), diet and prevention (9%), gratitude for health care services (10%), disease recurrence (18%), and costs (10%). Some 94% of the urologists were male and their posts covered the following domains: recovery (11%), stent issues (3%), pain (1%), stent on a string (1%), gratitude for health care services (1%), and recurrence 1%. Among the posts from urologists, 79% included self-promotion and 52% covered new technology. Overall, 10% contained false information. The majority of the posts with surgical images had no clear statement regarding patient consent (97%). Conclusions Kidney stone surgery can affect many areas of a patient's quality of life. Most of the posts shared by patients were negative. Posts shared by urologists do not reflect the same themes. Moreover, there appears to be poor adherence to European Association of Urology recommendations regarding online professional conduct. Patient summary Many patients use social media to share their experiences of kidney stone surgery. Posts are largely related to quality-of-life issues and are mostly negative. While urologists also use social media, the content they post on professional accounts is mostly focused on new technology and career promotion.
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Affiliation(s)
- Patrick Juliebø-Jones
- Department of Urology, Haukeland University Hospital, Bergen, Norway
- Department of Clinical Medicine, University of Bergen, Bergen, Norway
- European Association of Urology Young Academic Urologists Urolithiasis Group, Arnhem, The Netherlands
| | - Esteban Emiliani
- European Association of Urology Young Academic Urologists Urolithiasis Group, Arnhem, The Netherlands
- Department of Urology, Puigvert Foundation, Autonomous University of Barcelona, Barcelona, Spain
| | - Alba Sierra
- European Association of Urology Young Academic Urologists Urolithiasis Group, Arnhem, The Netherlands
- Department of Urology, Hospital Clinic, University of Barcelona, Barcelona, Spain
| | - Francesco Esperto
- European Association of Urology Young Academic Urologists Urolithiasis Group, Arnhem, The Netherlands
- Department of Urology, Campus Biomedico University of Rome, Rome, Italy
| | - Eugenio Ventimiglia
- European Association of Urology Young Academic Urologists Urolithiasis Group, Arnhem, The Netherlands
- Division of Experimental Oncology, Unit of Urology, Urological Research Institute, IRCCS San Raffaele Hospital, Milan, Italy
| | - Amelia Pietropaolo
- European Association of Urology Young Academic Urologists Urolithiasis Group, Arnhem, The Netherlands
- Department of Urology, University Hospital Southampton, Southampton, UK
| | - Lazaros Tzelves
- European Association of Urology Young Academic Urologists Urolithiasis Group, Arnhem, The Netherlands
- Second Department of Urology, National and Kapodistrian University of Athens, Sismanogleio General Hospital, Athens, Greece
| | - Christian Beisland
- Department of Urology, Haukeland University Hospital, Bergen, Norway
- Department of Clinical Medicine, University of Bergen, Bergen, Norway
| | - Bhaskar K. Somani
- Department of Urology, University Hospital Southampton, Southampton, UK
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Pineau I, Pineau M, Selim J, Compère V, Besnier E, Zoé D, Popoff B, Clavier T. Evaluation of Medical Confidentiality Breaches on Twitter Among Anesthesiology and Intensive Care Health Care Workers. Anesth Analg 2023; 137:418-425. [PMID: 37227950 DOI: 10.1213/ane.0000000000006540] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
BACKGROUND With the generalization of social network use by health care workers, we observe the emergence of breaches in medical confidentiality. Our objective was to determine, among anesthesiology and intensive care health care workers, the rate of medical confidentiality breaches among professional tweets. METHODS We performed a retrospective analysis of public Twitter data available through the official Twitter application program interface. The profiles of anesthesiology and intensive care professionals were identified thanks to keywords in their biography. All the tweets with a photograph and all the text-only tweets containing at least one specific keyword related to anesthesiology or intensive care were extracted. We selected only the tweets with a health care-related character. Then, we analyzed 10% of the tweets with a photograph and 10% of the text-only tweets extracted and noted those presenting a breach of medical confidentiality. RESULTS After a first screening of 12,705 accounts, we manually analyzed 431 tweets with photograph(s) and 9000 text-only tweets from 1831 accounts. We found 44 (10.2%) breaches of medical confidentiality among the photographs and 76 (0.8%) among text-only tweets. These 120 problematic tweets came from 96 profiles (96/1831; 5.2%); 3.7% of North American profiles breached medical confidentiality versus 6.3% of profiles from other areas; P = .03. When comparing the distribution of the number of followers and tweets, accounts with breach of medical confidentiality tweets had more tweets and followers than profiles without (both P < .0001). CONCLUSIONS We found a significant proportion of tweets with breach of medical confidentiality among anesthesiology and intensive care professionals accounts.
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Affiliation(s)
- Iris Pineau
- From the Department of Anesthesiology, Critical Care and Perioperative Medicine, Rouen University Hospital, Rouen, France
| | | | - Jean Selim
- From the Department of Anesthesiology, Critical Care and Perioperative Medicine, Rouen University Hospital, Rouen, France
- Normandie Univ, UNIROUEN, INSERM U1096, Rouen, France
| | - Vincent Compère
- From the Department of Anesthesiology, Critical Care and Perioperative Medicine, Rouen University Hospital, Rouen, France
| | - Emmanuel Besnier
- From the Department of Anesthesiology, Critical Care and Perioperative Medicine, Rouen University Hospital, Rouen, France
- Normandie Univ, UNIROUEN, INSERM U1096, Rouen, France
| | - Demailly Zoé
- From the Department of Anesthesiology, Critical Care and Perioperative Medicine, Rouen University Hospital, Rouen, France
- Normandie Univ, UNIROUEN, INSERM U1096, Rouen, France
| | - Benjamin Popoff
- From the Department of Anesthesiology, Critical Care and Perioperative Medicine, Rouen University Hospital, Rouen, France
| | - Thomas Clavier
- From the Department of Anesthesiology, Critical Care and Perioperative Medicine, Rouen University Hospital, Rouen, France
- Normandie Univ, UNIROUEN, INSERM U1096, Rouen, France
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Gadelkarim M, Alrahmani L, Tonelli C, Freeman R, Raad W, Lubawski J Jr, Vigneswaran WT, Abdelsattar ZM. Increased social media utilization and content creation by cardiothoracic surgery programs during the coronavirus disease 2019 pandemic. JTCVS Open 2022; 12:315-28. [PMID: 36277138 DOI: 10.1016/j.xjon.2022.09.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/03/2022] [Revised: 09/15/2022] [Accepted: 09/19/2022] [Indexed: 01/03/2023]
Abstract
Objectives The coronavirus disease 2019 (COVID-19) pandemic has changed the landscape of professional activities, emphasizing virtual meetings and social media (SoMe) presence. Whether cardiothoracic programs increased their SoMe presence is unknown. We examined SoMe use and content creation by cardiothoracic surgery programs during the COVID-19 pandemic. Methods We searched the Accreditation Council for Graduate Medical Education to identify all cardiothoracic surgery residency programs (n = 122), including independent (n = 74), integrated (n = 33), and congenital (n = 15) training programs at 78 US cardiothoracic surgery teaching institutions. We then manually searched Google, Facebook, Instagram, LinkedIn, and Twitter to identify the associated residency and departmental accounts. The timeline for our search was between 10/2021 and 4/2022. March 2020 was used as the starting point for the COVID-19 pandemic. We also contacted the account managers to identify account content creators. The data are descriptively reported and analyzed. Results Of 137 SoMe accounts from 78 US cardiothoracic surgery teaching institutions, 72 of 137 (52.6%) were on Twitter, 34 of 137 (24.8%) on Facebook, and 31 of 137 (22.6%) on Instagram. Most accounts were departmental accounts (105/137 = 76.6%) versus 32 of 137 (23.4%) training program accounts. Most training program-specific SoMe accounts across all platforms were created after the COVID-19 pandemic, whereas departmental accounts were pre-existing (P < .001). The most pronounced SoMe growth was on Instagram at the training program level, with 91.7% of Instagram accounts created after the pandemic. Trainees are the content creators for 94.4% of residency accounts and 33.3% of departmental accounts. Facebook's presence was stagnant. Congenital training programs did not have a specific SoMe presence. Conclusions SoMe presence by cardiothoracic surgery training programs and departments has increased during the pandemic. Twitter is the most common platform, with a recent increased trend on Instagram. Trainees largely create content. SoMe education and training pathways may be needed for involved trainees to maximize their benefits.
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Chidharla A, Utengen A, Attai DJ, Drake EK, van Londen GJ, Subbiah IM, Henry E, Murphy M, Barry MM, Manochakian R, Moerdler S, Loeb S, Graff SL, Leyfman Y, Thompson MA, Markham MJ. Social Media and Professional Development for Oncology Professionals. JCO Oncol Pract 2022; 18:566-571. [PMID: 35312343 PMCID: PMC9377722 DOI: 10.1200/op.21.00761] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
The use of social media continues to increase in health care and academia. Health care practice, particularly the oncologic field, is constantly changing because of new knowledge, evidence-based research, clinical trials, and government policies. Therefore, oncology trainees and professionals continue to strive to stay up-to-date with practice guidelines, research, and skills. Although social media as an educational and professional development tool is no longer completely new to medicine and has been embraced, it is still under-researched in terms of various outcomes. Social media plays several key roles in professional development and academic advancement. We reviewed the literature to evaluate how social media can be used for professional development and academic promotion of oncology professionals.
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Affiliation(s)
- Anusha Chidharla
- Department of Medical Oncology, Kansas University Medical Center, Kansas, KS
| | | | - Deanna J Attai
- Department of Surgery, David Geffen School of Medicine at the University of California, Los Angeles, Los Angeles, CA
| | - Emily K Drake
- Faculty of Health, Dalhousie University, Halifax, Nova Scotia, Canada
| | - G J van Londen
- Department of Medicine, School of Medicine at the University of Pittsburgh, Pittsburgh, PA
| | - Ishwaria M Subbiah
- Division of Cancer Medicine, University of Texas MD Anderson Cancer Center, Houston, TX
| | - Elizabeth Henry
- Division of Hematology/Oncology, Department of Medicine, Loyola University Stritch School of Medicine, Maywood, IL
| | - Martina Murphy
- Division of Hematology and Oncology, Department of Medicine, University of Florida College of Medicine, Gainesville, FL
| | - Maura M Barry
- Division of Hematology and Oncology, The University of Vermont Larner College of Medicine, Burlington, VT
| | - Rami Manochakian
- Division of Hematology and Oncology, Mayo Clinic, Jacksonville, FL
| | - Scott Moerdler
- Rutgers Cancer Institute of New Jersey, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ
| | - Stacy Loeb
- Department of Urology and Population Health, New York University and Manhattan Veterans Affairs, New York, NY
| | | | - Yan Leyfman
- Department of Hematology-Oncology, Icahn School of Medicine at Mount Sinai, New York, NY
| | | | - Merry J Markham
- Division of Hematology and Oncology, Department of Medicine, University of Florida College of Medicine, Gainesville, FL
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Nakagawa K, Yang NT, Wilson M, Yellowlees P. 5-Year Analysis of Twitter Usage Among Physicians: 2016-2020 (Preprint). J Med Internet Res 2022; 24:e37752. [PMID: 36066939 PMCID: PMC9490540 DOI: 10.2196/37752] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2022] [Revised: 06/05/2022] [Accepted: 07/12/2022] [Indexed: 11/21/2022] Open
Abstract
Background Physicians are increasingly using Twitter as a channel for communicating with colleagues and the public. Identifying physicians on Twitter is difficult due to the varied and imprecise ways that people self-identify themselves on the social media platform. This is the first study to describe a reliable, repeatable methodology for identifying physicians on Twitter. By using this approach, we characterized the longitudinal activity of US physicians on Twitter. Objective We aimed to develop a reliable and repeatable methodology for identifying US physicians on Twitter and to characterize their activity on Twitter over 5 years by activity, tweeted topic, and account type. Methods In this study, 5 years of Twitter data (2016-2020) were mined for physician accounts. US physicians on Twitter were identified by using a custom-built algorithm to screen for physician identifiers in the Twitter handles, user profiles, and tweeted content. The number of tweets by physician accounts from the 5-year period were counted and analyzed. The top 100 hashtags were identified, categorized into topics, and analyzed. Results Approximately 1 trillion tweets were mined to identify 6,399,146 (<0.001%) tweets originating from 39,084 US physician accounts. Over the 5-year period, the number of US physicians tweeting more than doubled (ie, increased by 112%). Across all 5 years, the most popular themes were general health, medical education, and mental health, and in specific years, the number of tweets related to elections (2016 and 2020), Black Lives Matter (2020), and COVID-19 (2020) increased. Conclusions Twitter has become an increasingly popular social media platform for US physicians over the past 5 years, and their use of Twitter has evolved to cover a broad range of topics, including science, politics, social activism, and COVID-19. We have developed an accurate, repeatable methodology for identifying US physicians on Twitter and have characterized their activity.
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Affiliation(s)
- Keisuke Nakagawa
- Department of Psychiatry and Behavioral Sciences, University of California, Davis School of Medicine, Sacramento, CA, United States
- Digital CoLab, Innovation Technology, University of California, Davis Health, Sacramento, CA, United States
| | - Nuen Tsang Yang
- Division of Biostatistics, Department of Public Health Sciences, University of California, Davis, Sacramento, CA, United States
| | - Machelle Wilson
- Division of Biostatistics, Department of Public Health Sciences, University of California, Davis, Sacramento, CA, United States
| | - Peter Yellowlees
- Department of Psychiatry and Behavioral Sciences, University of California, Davis School of Medicine, Sacramento, CA, United States
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