ObjectiveTo characterize unprofessional content on public Facebook accounts of contemporary US urology residency graduates.
MethodsFacebook was queried with the names of all urologists who graduated from US urology residency programmes in 2015 to identify publicly accessible profiles. Profiles were assessed for unprofessional or potentially objectionable content using a prospectively designed rubric, based on professionalism guidelines by the American Urological Association, the American Medical Association, and the Accreditation Council for Graduate Medical Education. Content authorship (self vs other) was determined, and profiles were reviewed for selfidentification as a urologist.
ResultsOf 281 graduates, 223 (79%) were men and 267 (95%) held MD degrees. A total of 201 graduates (72%) had publicly identifiable Facebook profiles. Of these, 80 profiles (40%) included unprofessional or potentially objectionable content, including 27 profiles (13%) reflecting explicitly unprofessional behaviour, such as depictions of intoxication, uncensored profanity, unlawful behaviour, and confidential patient information. When unprofessional content was found, the content was self-authored in 82% of categories. Among 85 graduates (42%) who self-identified as a urologist on social media, nearly half contained concerning content. No differences in content were found between men and women, MD and DO degree-holders, or those who did or did not identify as a urologist (all P > 0.05).
ConclusionThe majority of recent residency graduates had publicly accessible Facebook profiles, and a substantial proportion contained self-authored unprofessional content. Of those identifying as urologists on Facebook, approximately half violated published professionalism guidelines. Greater awareness of trainees' online identities is needed.Keywords social media, professionalism, unprofessional behaviour, residency, graduate medical education
IntroductionSocial media encompasses a diverse group of Internet platforms that facilitate the creation and dissemination of original and shared content. The personal and professional use of social media among urologists continues to rise. A 2013 survey of American Urological Association (AUA) members estimated that 74% of respondents had a social media account [1]. Of these, Facebook was the most popular among attending urologists (89%) and urology trainees (98%). Most urologists characterized their social media use as being for personal reasons, rather than professional or business purposes [2].The AUA has encouraged social media engagement and has published Social Media Best Practices [3]. These Best Practices support courteous, professional behaviour online by urologists and specifically indicate that members' online activities 'should be consistent with the AUA's professional Code of Ethics'. AUA members are reminded in the statements that the content urologists generate and share on social media may influence perceptions of the specialty. Non-US societies have also disseminated similar guidelines on urol...