University of Jacksonville Emergency Residency Program Review Sdn

AEM Educ Railroad train. 2020 April; 4(2): 168–170.

The Irresponsible Use of Social Media Amidst Medical Students

Mark Curato, DO, ^ane Abbas Husain, Physician,² Kaushal Shah, MD,^three Marc Kanter, Md,^four Daniel Egan, MD,^five Holly Thompson, Md,⁶ Mark Silverberg, MD,⁷ Michael Jones, Doctor,^viii Laura Melville, Physician,⁹ Sally Bogoch, MD,^ten Anand Swaminathan, Medico,^eleven Jennifer Beck‐Esmay, Md,¹² Thomas Nguyen, Medico,¹³ Tina Dulani, Md,¹⁴ Elizabeth Fernandez, Physician,¹⁵ Frosso Adamakos, Doctor,^xvi Geoff Jara‐Almonte, MD,¹⁷ and Pinaki Mukherji, Dr.¹⁸

Marking Curato

ⁱ St. Barnabas Hospital, Bronx NY,

Abbas Husain

ⁱⁱ Northwell–Staten Island University Medical Center, Staten Island NY,

Kaushal Shah

^three Weill Cornell Medical Center, New York NY,

Marc Kanter

⁴ Lincoln Medical Center, Bronx NY,

Daniel Egan

⁵ NYP–Columbia, New York NY,

Holly Thompson

⁶ Brooklyn Infirmary Center, Brooklyn NY,

Mark Silverberg

^vii SUNY Downstate–Kings County Infirmary, Brooklyn NY,

Michael Jones

^viii Jacobi/Montefiore Medical Heart, Bronx NY,

Laura Melville

⁹ NYP–Brooklyn Methodist Hospital, Brooklyn NY,

Sally Bogoch

^x Maimonides Medical Center, Brooklyn NY,

Anand Swaminathan

¹¹ St. Joseph's Medical Centre, Patterson NJ,

Jennifer Beck‐Esmay

¹² Mt. Sinai–St. Luke's, New York NY,

Thomas Nguyen

¹³ Mt. Sinai Beth State of israel, New York NY,

Tina Dulani

^xiv Northwell–North Shore University Infirmary, Manhasset NY,

Elizabeth Fernandez

¹⁵ St. John's Riverside Medical Center, Yonkers NY,

Frosso Adamakos

^xvi Metropolitan Hospital, New York NY,

Geoff Jara‐Almonte

¹⁷ Mt. Sinai–Elmhurst, Queens NY,

Pinaki Mukherji

¹⁸ Northwell–Long Island Jewish Medical Middle, New Hyde Park NY,

Received 2019 Jun nine; Revised 2019 Aug nine; Accepted 2019 Aug 12.

Emergency medicine (EM) remains a competitive specialty,1 and the residency application process is backbreaking. Medical students are applying to and interviewing at a record number of programs,2 and an additional stressor has been added with the introduction of the standardized video interview.3 Students accept, for years, perceived the residency match procedure as opaque and high‐stakes, and the competitiveness of our specialty in tandem with the novel facets of the process may exist increasing that stress. The informal sharing of rotation and interview experiences and unpublished program information has always been a source of condolement and clarity to the applicant during this challenging time. The current generation of students is unique relative to their predecessors in that they expect program information to exist transparent, detailed, and easily available. Indeed, a gap may exist betwixt what is expected by these applicants and what is provided by the AAMC, medical schools, hospitals, and residency programs. Nosotros doubtable that such a disconnect between expectations and reality in the midst of a stress‐laden procedure has resulted in unprofessional coping mechanisms by some students, and these have been immortalized in online digital media.

In recent years, as digital media have permeated many segments of our daily lives, students have turned to online forums such every bit Student Physician Network (SDN)4 and Reddit5 to seek crowdsourced data and a supportive community. During the 2018 to 2019 application season, a shared open up‐access and freely editable online spreadsheet was utilized by medical students applying for postgraduate grooming in the United States. The document independent candid reflections on rotations, interviews, rank lists, and anecdotal data from presumed applicants. At that place are several examples in which students' opinions, frustrations, and dissatisfaction are expressed with sexually explicit, hateful, misogynistic, fierce, homophobic, racist, crude, and threatening language.5, vi, 7 In add-on, at that place is language that is less vulgar yet still overtly unprofessional and disparaging to schools, residency programs, named individuals, and bearding coposters. While a bulk of these comments were made with "throwaway" accounts, the context in which they announced makes clear that authors are indeed medical students and non imposters purporting to be and then.

After reading this strong and hurtful language, our community of GME and UME educators in NYC felt shock, disappointment, anger, and embarrassment. The AMA has a clear statement on "professionalism in the apply of social media."eight In addition, the Federation of State Medical Boards has gear up guidelines for social media use.nine The students in these forums are clearly in breach of these guidelines. Collectively, we felt a sense of betrayal by individuals whom we will soon welcome into our profession and specialty.

Every bit emergency physicians, we develop a sacred doctor–patient relationship with vulnerable individuals whose circumstances take denied them the benefit of vetting and selecting united states. We inquire as a foundation of our profession to be regarded by the public as honest, altruistic, kind, caring, and competent, and by the nature of our doctor–patient relationships we are usually afforded those assumptions prima facie. Sentiments and linguistic communication such equally those cited in the above document threaten irreparable damage to the foundation of trust upon which our house of medicine rests. While our initial instinct was to defend our venerated profession confronting the threat posed by the authors of these reprehensible posts (including punitive measures in the upshot that any authors were actually identified), this reaction gave way to deeper idea and an evolved assessment of the fashion forward.

The outset footstep is to admit that nosotros take a problem, all of us. The medical students at issue are non aberrations. Their aspirations and ideals too as their anxieties and flaws are no different than ours were. As educators, nosotros are an amalgam of teacher, mentor, parent, and boss. Possibly, more importantly, we are their vision of their futurity selves and the models of what they are working to become. Information technology should be no surprise that they pay attention to everything nosotros do and say. They notice every eye roll and every disparaging or otherwise dehumanizing thing we say about unsavory patients or unliked colleagues and bosses likewise as our freewheeling and uncensored opinions on our departments, hospitals, and health care organization. Our sense of decorum and professionalism dictates that such venting, gallows humor, and other statements and behaviors not fit for public consumption occur in condom places. For the states, this has meant call rooms, secluded hallways, "doc boxes,", and other situations where information technology is "just us." The electric current generation of medical student doesn't communicate like that. They tweet, post, and blog. The 21st century analog of speaking at depression jiff in closed visitor is the "bearding mail." We admit that the anonymous authors of the offensive material take "turned the lights on in the room" and exposed the dark secrets that have been the "gallows humor" and ugly underbelly of medicine. Their actions have caused us to admit that none of u.s. are the flawless beings that order presumes u.s. to be. Nosotros resolve that each of u.s. need to be better: better in the way nosotros speak to and almost our patients, amend in the way nosotros speak to and nigh each other, and better in the ways we accept frustrations, prejudices, and injustices as the price of admission into this honored profession.

We accept that lashing out is a function of the anxiety brought about by being involved in a match procedure that seems inherently flawed, unfair, and arbitrary. While unthinkable upon our initial discovery of the document, our dominant reaction now is ane of reflection and a path forwards. Nosotros recommend the inclusion of social media professionalism in medical pupil curricula with a specific focus on such behavior during the match process. We urge all those in medical student and residency leadership not merely to actively discourage such conversation but also to directly address issues of professionalism with trainees. This type of language should non exist tolerated at any level. Nosotros telephone call upon medical schools, residency programs, and other stakeholders to actively seek out evidence of betrayal of professional standards and basic virtue within their spheres of influence. Once discovered, we further call on that righteous majority to aggressively condemn such content and too to identify, understand, brainwash, and reform those who create it, for there is no place for detest, xenophobia, or vitriol in a merely society, allow solitary among our venerated profession.

The ALL NYC EM Lath is composed of Mark Curato, Abbas Husain, Kaushal Shah, Marc Kanter, Daniel Egan, Holly Thompson, Marker Silverberg, Michael Jones, Laura Melville, Emerge Bogoch, Anand Swaminathan, Jennifer Beck‐Esmay, Thomas Nguyen, Tina Dulani, Elizabeth Fernandez, Frosso Adamakos, Geoff Jara‐Almonte, and Pinaki Mukherji. All NYC Emergency Medicine Conference, Inc., is a 501© nonprofit organization dedicated to the didactics of emergency medicine residents and is managed by our board of dedicated EM educators from the greater NYC area.

Notes

AEM Education and Grooming 2020;iv:168–170. [Google Scholar]

The authors have no relevant fiscal information or potential conflicts of interest to disclose.

Author contributions: drafting of the manuscript—MC, AH, and KS; critical revision of the manuscript for important intellectual content—all authors.

A related commodity appears on folio https://doi.org/x.1002/aet2.10393.

Supervising Editor: Wendy C. Coates, Md.

References

Manufactures from AEM Education and Training are provided here courtesy of Wiley-Blackwell

josephhishmad.blogspot.com

Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7163194/