The Plastic Surgery Social Media Influencer: Ethical Considerations and a Literature Review

Gupta, Nisha; Dorfman, Robert; Saadat, Sean; Roostaeian, Jason

doi:10.1093/asj/sjz329

Cited by 47 publications

(37 citation statements)

References 42 publications

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“…The topic of social media and influence in medicine has been discussed in other domains of healthcare. A review of the literature shows many fields, ranging from epilepsy, cardiovascular medicine, and plastic surgery as well as pathology [12][13][14][15], have investigated this area and come to varying [15]. The authors concluded that the while social media can be beneficial, the role of an influencer in medicine must be delicately balanced within the ethics of medicine, and this balance has not yet been fully addressed in terms of best practices [15].…”

Section: Discussionmentioning

confidence: 99%

“…A review of the literature shows many fields, ranging from epilepsy, cardiovascular medicine, and plastic surgery as well as pathology [12][13][14][15], have investigated this area and come to varying [15]. The authors concluded that the while social media can be beneficial, the role of an influencer in medicine must be delicately balanced within the ethics of medicine, and this balance has not yet been fully addressed in terms of best practices [15]. An analysis of the use of social media platforms (Twitter, Facebook, Instagram, LinkedIn, and Doximity) and their associated use within academic Pathology programs showed high utilization with opportunities for networking and employment but had similar cautions of potential patient privacy issues.…”

Section: Discussionmentioning

confidence: 99%

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Infertility influencers: an analysis of information and influence in the fertility webspace

Blakemore

Smith

Grifo

2020

J Assist Reprod Genet

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Purpose To examine fertility-related social media accounts and influencers on two social media platforms. Methods The search function of Twitter (TW) and Instagram (IG) was used to generate a list of accounts with the terms: fertility, infertility, ttc, egg freezing, ivf, endometriosis, and reproductive. Accounts not in English, in private, with no posts in > 1 year, or with content unrelated to search terms were excluded. Accounts were assessed for author type; REI board certification (REI-BC); influencer (INF) status (> 10 K followers on IG; verified check mark on TW); account demographics; and content in last 5 posts. Statistical analysis included unpaired t tests, a classification and regression tree (CART) analysis, and stepwise multiple logistic regression.Results Seven hundred ten accounts were identified and 537 (278 TW, 259 IG) were included. Account types included societies, clinics, physicians, patients, groups, and "other." Instagram content (1290 posts reviewed) was primarily personal stories (31.7%) or inspiration/support (23.7%). Twitter content (1390 posts reviewed) was mostly promotion (28.2%) and research/education (20.2%). Thirty-nine accounts (12.5%) were influencers. Fertility influencers were most often awareness/support accounts (59.8% TW, 25.0% IG), patients (12.8% TW, 25% IG), or other (17.9% TW, 21.0% IG). Only 7.7% TW and 7.1% IG INFs were board-certified REI physicians. The best predictor for classification as an influencer was high activity (> 50 posts/month TW, > 10 posts/month IG). Conclusion As patients increasingly utilize social media to obtain and engage with health information, it is critical to understand the fertility-related SM landscape. This understanding may help to successfully enhance relationships with patients and ensure dissemination of accurate information.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Infertility influencers: an analysis of information and influence in the fertility webspace

Blakemore

Smith

Grifo

2020

J Assist Reprod Genet

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“…Non-maleficence refers to a physician's obligation not to cause harm or adverse effects to a patient as a result of ineffective or absent care. Last but not least, justice entails distributing benefits, risks, and costs fairly, equitably, and appropriately, as well as treating patients with similar cases in the same way [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Clinical ethical practice and associated factors in healthcare facilities in Ethiopia: a cross-sectional study

et al. 2022

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Background Clinical ethical practice (CEP) is required for healthcare workers (HCWs) to improve health-care delivery. However, there are gaps between accepted ethical standards and CEP in Ethiopia. There have been limited studies conducted on CEP in the country. Therefore, this study aimed to determine the magnitude and associated factors of CEP among healthcare workers in healthcare facilities in Ethiopia. Method From February to April 2021, a mixed-method study was conducted in 24 health facilities, combining quantitative and qualitative methods. Quantitative (survey questionnaire) and qualitative (semi-structured interviews) data were collected. For quantitative and qualitative data analysis, Stata version 14 and Atlas.ti version 7 were utilized. Multiple logistic regression and thematic analysis for quantative and qualitative respectively used. Results From a total of 432 study participants, 407 HCWs were involved in the quantitative analysis, 36 participants were involved in five focus group discussions (FGDs), and eleven key informant interviews (KIIs) were involved in the qualitative analysis. The score of good CEP was 32.68%. Similarly, the scores of good knowledge and attitude were 33.50% and 25.31%, respectively. In the multiple logistic regression models, satisfaction with the current profession, availability of functional CECs, compassionate leaders, previously thought clinical ethics in pre-service education and good attitude were significant factors associated with CEP. Among these significant factors, knowledge, compassionate leaders, poor infrastructure, a conducive environment and positive attitudes were also determinants of CEP according to qualitative findings. Conclusions The CEP in health care services in Ethiopia is low. Satisfaction with the current profession, functional CECs, positive attitude, compassionate leaders and previously thought clinical ethics were significant factors associated with CEP. The Ministry of Health (MoH) should integrate interventions by considering CECs, compassionate leadership, and positive attitudes and enhance the knowledge of health professionals. Additionally, digitalization, intersectoral collaboration and institutionalization are important for promoting CEP.

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“…This confusion is amplified by social media accounts who falsely claim to be board-certified “cosmetic” or plastic surgeons, making it challenging for patients and the public to navigate social media pages and find qualified surgeons for the conditions and procedures they are seeking. Furthermore, it may be perceived that accounts with the greatest number of followers belong to more qualified or legitimate surgeons [ 11 ]. However, there is no evidence to support that the popularity of a social media account correlates with the highest level of care or surgical expertise.…”

Section: Introductionmentioning

confidence: 99%

“…However, there is no evidence to support that the popularity of a social media account correlates with the highest level of care or surgical expertise. There are many paths to gain popularity on social media including sponsorships, agreements with companies to promote certain products and services, and becoming a social media influencer [ 11 ]. Moreover, not all followers on social media accounts are real.…”

Section: Introductionmentioning

confidence: 99%

Who is talking about #Facelift on Instagram?

et al. 2021

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Background The internet has become a powerful tool for disseminating medical information. Social media platforms have gained popularity among medical professionals to connect with patients and promote their work and practices. We aimed to understand who is posting about facelift procedure on Instagram. Methods Sprinklr, a social listening platform, was used to compile conversations that were posted on Instagram between January 1, 2021, and February 28, 2021, and contained hashtags #facelift, #necklift, #plasticsurgery, #plasticsurgerybeforeandafter, and #platysmabands. English and Spanish language posts were analyzed for positive sentiment. Based on the number of likes, the top 100 English and Spanish posts were selected. Posts were categorized based on primary specialty of the poster as plastic surgeon, non-plastic surgeon, country of active clinical practice, board certification, and members of international plastic surgery societies. Results A total of 5099 posts with a total of 11,918 mentions were collected. Of the top 100 English posts, the countries most represented were the USA (59%), followed by Turkey (6%). Physicians made up 48% of the top English posts, of whom 42% were US board-certified plastic surgeons. By contrast, of the top 100 Spanish posts, the countries most represented were Mexico (29%) and Colombia (25%). Physician posters constituted 78%, of whom 38.5% were plastic surgeons certified by their country of practice. Conclusions Plastic surgeons have become more active in creating popular content related to facelift on Instagram over the past few years. However, a significant percentage of IG content on #facelift, a surgical procedure, was made by non-physicians and non-plastic surgeons in 2021. Level of evidence: Not gradable.

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The Plastic Surgery Social Media Influencer: Ethical Considerations and a Literature Review

Cited by 47 publications

References 42 publications

Infertility influencers: an analysis of information and influence in the fertility webspace

Infertility influencers: an analysis of information and influence in the fertility webspace

Clinical ethical practice and associated factors in healthcare facilities in Ethiopia: a cross-sectional study

Who is talking about #Facelift on Instagram?

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