RESUMO
SUMMARY: Social media are a powerful tool that creates a unique opportunity for the young plastic surgeon and trainee to share content, brand oneself, educate the public, and develop one's own professional voice early. The majority of all plastic surgery programs and particularly those that are highly ranked have social media opportunities for their residents, yet clear rules to guide implementation of social media programming in residency have remained unspecified. These guidelines and pitfalls can be used to inform a productive and professional entry into plastic surgery social media use for the resident and young plastic surgeon. Details regarding specific platform use to maximize exposure are provided. The core principles of patient safety and privacy, authentic photography, plastic surgery education and advocacy, and professionalism inform these guidelines. Pitfalls include establishment of an online physician-patient relationship, engaging in debate by means of online reviews, providing medical entertainment, and engaging in non-plastic surgery politics. Use of these guidelines will allow the young plastic surgeon and trainee to succeed by means of social media platforms in an ethical and professional manner.
Assuntos
Internato e Residência/métodos , Guias de Prática Clínica como Assunto , Mídias Sociais/normas , Cirurgiões/normas , Cirurgia Plástica/normas , Humanos , Internato e Residência/normas , Marketing de Serviços de Saúde/ética , Marketing de Serviços de Saúde/métodos , Marketing de Serviços de Saúde/normas , Educação de Pacientes como Assunto/ética , Educação de Pacientes como Assunto/métodos , Educação de Pacientes como Assunto/normas , Relações Médico-Paciente/ética , Profissionalismo , Procedimentos de Cirurgia Plástica/economia , Procedimentos de Cirurgia Plástica/educação , Mídias Sociais/ética , Cirurgiões/economia , Cirurgia Plástica/economiaAssuntos
Técnicas Cosméticas/economia , Dermatologia/economia , Internet/ética , Marketing de Serviços de Saúde/ética , Médicos/ética , Temas Bioéticos , Técnicas Cosméticas/ética , Técnicas Cosméticas/normas , Dermatologia/ética , Dermatologia/normas , Ética Médica , Humanos , Internet/normas , Marketing de Serviços de Saúde/normas , Estados Unidos , United States Federal Trade Commission/normasAssuntos
Consenso , Anormalidades Craniofaciais/cirurgia , Ética Médica , Mídias Sociais/ética , Cirurgia Plástica/ética , Fatores Etários , Criança , Humanos , Consentimento Livre e Esclarecido/normas , Marketing de Serviços de Saúde/ética , Educação de Pacientes como Assunto/ética , Guias de Prática Clínica como Assunto , Privacidade , Mídias Sociais/economia , Mídias Sociais/normas , Sociedades Médicas/ética , Sociedades Médicas/normas , Cirurgia Plástica/economia , Cirurgia Plástica/normas , Estados UnidosRESUMO
LEARNING OBJECTIVES: After studying this article, the participant should be able to: 1. Identify the key social media platforms to use. 2. Recall the primary components of the code of conduct when using social media. 3. Recognize how to build a social media presence and brand. 4. Summarize the primary applications of social media in plastic surgery. SUMMARY: Social media are a growing new tool that has emerged in recent years, with numerous applications that have allowed for an effective means to rapidly disseminate information. Plastic surgeons must gain an understanding of the technology to both grow their practices and the specialty as a whole in an ethical and responsible way. The different platforms available; code of conduct; how to build a social media presence; and the main applications of advertising, education, and research, as based on evidence-based recommendations, are presented.
Assuntos
Comunicação , Mídias Sociais , Cirurgiões/psicologia , Cirurgia Plástica/métodos , Códigos de Ética , Humanos , Marketing de Serviços de Saúde/ética , Marketing de Serviços de Saúde/métodos , Educação de Pacientes como Assunto , Seleção de Pacientes , Projetos de Pesquisa , Cirurgiões/economia , Cirurgiões/ética , Cirurgia Plástica/economia , Cirurgia Plástica/ética , Cirurgia Plástica/tendênciasAssuntos
Publicidade Direta ao Consumidor , Marketing de Serviços de Saúde , Transplante de Células-Tronco/efeitos adversos , Publicidade Direta ao Consumidor/ética , Publicidade Direta ao Consumidor/legislação & jurisprudência , Humanos , Marketing de Serviços de Saúde/ética , Marketing de Serviços de Saúde/legislação & jurisprudência , Segurança do Paciente , Medição de Risco , Transplante de Células-Tronco/ética , Transplante de Células-Tronco/legislação & jurisprudência , Estados Unidos , United States Food and Drug AdministrationAssuntos
Implante Mamário/efeitos adversos , Implantes de Mama/efeitos adversos , Neoplasias da Mama/cirurgia , Contratura Capsular em Implantes/cirurgia , Má Conduta Profissional , Mama/cirurgia , Implante Mamário/instrumentação , Ética Médica , Feminino , Humanos , Contratura Capsular em Implantes/etiologia , Marketing de Serviços de Saúde/ética , Mastectomia/efeitos adversos , Mídias Sociais/éticaAssuntos
Hérnia Inguinal/diagnóstico , Hérnia Inguinal/economia , Marketing de Serviços de Saúde , Doenças Assintomáticas , Hérnia Inguinal/cirurgia , Herniorrafia/métodos , Humanos , Marketing de Serviços de Saúde/ética , Programas de Rastreamento , Uso Excessivo dos Serviços de Saúde , Medição de Risco , Procedimentos Cirúrgicos RobóticosRESUMO
Recently, stem cells in aesthetics have attracted increased attention, especially as they have become a popular trend that is being mass-marketed to consumers on the Internet and social media. Unfortunately, studies have shown this marketing to be misleading as it portrays many purported benefits of stem cells that have yet to be proven in the limited studies that are available. It is important for clinicians to understand the evidence and marketing behind any new trends, especially in the fast-paced world of aesthetics, where treatments often outpace current medical understanding. As clinicians, we have bioethical and professional obligations to educate ourselves on current trends, ensure adequate patient safety, and advocate for continued consumer education.
Assuntos
Temas Bioéticos , Técnicas Cosméticas/ética , Dermatologia/ética , Ética Médica , Transplante de Células-Tronco/ética , Técnicas Cosméticas/efeitos adversos , Técnicas Cosméticas/economia , Dermatologia/economia , Dermatologia/métodos , Estética , Medicina Baseada em Evidências/economia , Medicina Baseada em Evidências/ética , Medicina Baseada em Evidências/métodos , Humanos , Marketing de Serviços de Saúde/ética , Educação de Pacientes como Assunto , Segurança do Paciente , Transplante de Células-Tronco/efeitos adversos , Transplante de Células-Tronco/economiaAssuntos
Técnicas Cosméticas/economia , Marketing de Serviços de Saúde/ética , Procedimentos de Cirurgia Plástica/economia , Propaganda , Cirurgiões/ética , Técnicas Cosméticas/ética , Ética Médica , Humanos , Marketing de Serviços de Saúde/economia , Procedimentos de Cirurgia Plástica/ética , Mídias Sociais/economia , Mídias Sociais/ética , Cirurgiões/economiaRESUMO
Similar to the outcry over the ethics of website marketing by physicians in the 1990s, the resistance to plastic surgeons' use of social media has been loud and vehement. Many physicians, although receptive to website marketing, view social media as too radical or unprofessional. Despite the controversy, the value of social media as a communication tool for interacting with and educating patients is supported by studies showing that 65 percent of Americans and 90 percent of young adults use social media. Many plastic surgeons have been early adopters, as reflected by the articles written to help board-certified plastic surgeons use social media in academic medicine and for their practice. However, there is little guidance for young plastic surgeons who wish to use social media for professional purposes. In this study, the authors discuss the ethics and current literature on social media use by young plastic surgeons and make recommendations for how to use social media during training and after residency graduation.
Assuntos
Marketing de Serviços de Saúde/ética , Mídias Sociais/estatística & dados numéricos , Cirurgiões/ética , Cirurgia Plástica/ética , Humanos , Marketing de Serviços de Saúde/legislação & jurisprudência , Marketing de Serviços de Saúde/normas , Marketing de Serviços de Saúde/estatística & dados numéricos , Guias de Prática Clínica como Assunto , Mídias Sociais/ética , Sociedades Médicas/legislação & jurisprudência , Sociedades Médicas/normas , Cirurgiões/estatística & dados numéricos , Cirurgia Plástica/legislação & jurisprudência , Cirurgia Plástica/normas , Cirurgia Plástica/estatística & dados numéricos , Estados Unidos , United States Federal Trade Commission/legislação & jurisprudênciaAssuntos
Congressos como Assunto , Procedimentos de Cirurgia Plástica/métodos , Cirurgia Plástica/tendências , Ética Profissional , Marketing de Serviços de Saúde/ética , Procedimentos de Cirurgia Plástica/economia , Sociedades Médicas , Cirurgia Plástica/economia , Cirurgia Plástica/ética , Cirurgia Plástica/métodosRESUMO
Advertising a plastic surgery practice on social media is fraught with both practical and ethical challenges. We use an institutional betrayalframework to explore the range of potential harms to patient well-being while also considering the pitfalls of social media activity, especially marketing, for practitioners. We also give consideration to the relative benefits that such online patient-clinician relationships can provide. In our analysis, we draw on specific examples of plastic surgery procedures prominently featured on social media, including the Vampire Facelift®.
Assuntos
Publicidade Direta ao Consumidor/ética , Relações Médico-Paciente/ética , Procedimentos de Cirurgia Plástica/ética , Mídias Sociais/ética , Cirurgia Plástica/ética , Atitude do Pessoal de Saúde , Técnicas Cosméticas/normas , Publicidade Direta ao Consumidor/métodos , Humanos , Marketing de Serviços de Saúde/ética , Cirurgia Plástica/normasRESUMO
Plastic surgeons have evolved their methods of reaching potential patients by using various forms of social media. Such platforms can educate, inform, and, for some, entertain. Social media now allows consumers to compare themselves to a much wider, if not global, set of peers that might further exacerbate their anxiety regarding their appearance. Plastic surgeons should ensure that use of patient images does not violate privacy or create unreasonable expectations about the results that can be obtained; nor should plastic surgeons' marketing objectify women. Professionalism on the part of plastic surgeons, along with the utmost respect for patients, must remain paramount.
Assuntos
Marketing de Serviços de Saúde/ética , Profissionalismo/ética , Mídias Sociais/ética , Cirurgiões/ética , Cirurgia Plástica/ética , Atitude do Pessoal de Saúde , Blogging/ética , Humanos , Estados UnidosRESUMO
BACKGROUND: Ethical guidelines for appropriate use of social media are beginning to be delineated. As social media becomes ingrained in plastic surgery culture, education of residents on appropriate use of social media is increasingly important. Recently, plastic surgery residency programs have begun to utilize social media. OBJECTIVES: This study characterized the trends and content of plastic surgery residency-associated Instagram accounts. METHODS: Active individual residency program Instagram accounts were identified for integrated plastic surgery programs. Metrics for each account were retrieved on September 16, 2017, including date of first post, number of posts, and followers. Individual posts were analyzed for content of post. RESULTS: Fourteen of 67 (21%) integrated plastic surgery programs were found to have active Instagram accounts. There has been an exponential growth of programs adopting Instagram since August 2015. A total of 806 posts were created. Thirty-two (3.97%) posts had intraoperative photos and only one (0.12%) showed a patient image. There were 4466 followers of plastic surgery residency programs. A linear correlation was found between number of posts and number of followers, while there was no correlation of number of followers and time since account start. CONCLUSIONS: Instagram use by plastic surgery integrated programs continues to grow exponentially, and programs are appropriately using the platform. Active use of the resident social media results in increased influence. Resident use of social media has many benefits. We propose social media guidelines for plastic surgery trainees and advocate for continued appropriate use and autoregulation by plastic surgery trainees.
Assuntos
Códigos de Ética , Internato e Residência/ética , Mídias Sociais/ética , Cirurgia Plástica/educação , Humanos , Internato e Residência/legislação & jurisprudência , Marketing de Serviços de Saúde/ética , Marketing de Serviços de Saúde/legislação & jurisprudência , Mídias Sociais/legislação & jurisprudência , Cirurgia Plástica/ética , Cirurgia Plástica/legislação & jurisprudênciaRESUMO
Abstract: This paper analyses the efficacy data from assisted reproduction clinics, obtained from both scientific society reports and from studies published in specialised journals, in order to compare them with information published by Spanish assisted reproduction clinics on their websites. It aims to verify whether this information matches the reality of the findings in the media analysed or, in contrast, differs from the aforementioned scientific evidence. Our study shows marked discrepancies between the evidence of existing statistical data, and figures published by most of the clinics on their websites, which could constitute false advertising.
Resumen: Este estudio analiza los datos de eficacia de clínicas de reproducción asistida, obtenidos tanto de informes de sociedades científicas como de estudios publicados en revistas especializadas, para compararlos con la información publicada por las clínicas de reproducción asistida de España en sus sitios web. El objetivo es verificar si esta información es conforme a los hallados en informes y revistas o, por el contrario, difiere de la evidencia científica mencionada. Nuestro estudio demuestra marcadas discrepancias entre la evidencia de datos estadísticos existentes y las cifras publicadas por la mayoría de los sitios web de las clínicas, lo cual constituye falsa publicidad.
Resumo: Este artigo analisa os dados de eficácia de clínicas de reprodução assistida, obtidas de relatórios da sociedade científica e de estudos publicados em revistas especializadas, a fim de compará-los com informações publicadas por clínicas de reprodução assistida espanholas em seus websites. O artigo visa verificar se esta informação coincide com a realidade dos resultados encontrados nos meios de comunicação analisados ou, por outro lado, difere da evidência científica acima mencionada. Nosso estudo mostra discrepâncias entre a evidência dos dados estatísticos existentes e indicadores publicados pela maioria das clínicas em seus sites, que podem constituir falsa publicidade.
Assuntos
Humanos , Marketing de Serviços de Saúde/ética , Publicidade/ética , Técnicas de Reprodução Assistida/ética , Fertilização in vitro/éticaAssuntos
Instituições de Assistência Ambulatorial/ética , Cegueira/etiologia , Degeneração Macular/terapia , Marketing de Serviços de Saúde/ética , Transplante de Células-Tronco/efeitos adversos , Ensaios Clínicos como Assunto , Aprovação de Drogas/legislação & jurisprudência , Humanos , Internet , Injeções Intravítreas , Medição de Risco , Transplante de Células-Tronco/ética , Transplante de Células-Tronco/legislação & jurisprudência , Estados Unidos , United States Food and Drug Administration/legislação & jurisprudênciaRESUMO
Dr N, the chief surgeon at a large private hospital who has been practicing there for decades, has noted recent changes in the administration that are troubling. Multiple advertisements proclaim awards that have not been achieved and various ads employed actors pretending to be patients experiencing miracle cures. Pressures on medical staff to practice more efficiently have become overbearing. Changes in bundling Medicare postoperative care have raised questions about future patient selection. There is a lack of transparency with minimal physician input. The much respected chief-of-staff has moved into the administrative side and no longer advocates for the professionalism of the staff. When Dr N meets with the chief-of-staff and objects to these changes, the chief of staff calls Dr N a complainer and tells him to forget about it. Nothing is done.
Assuntos
Médicos Hospitalares/ética , Prática Institucional/ética , Relações Interpessoais , Grupo Associado , Papel do Médico , Profissionalismo/ética , Atitude do Pessoal de Saúde , Publicidade Direta ao Consumidor/ética , Médicos Hospitalares/psicologia , Humanos , Descrição de Cargo , Marketing de Serviços de Saúde/ética , Cultura Organizacional , Papel do Médico/psicologia , Formulação de Políticas , Revelação da Verdade/éticaRESUMO
Dr C. Lever is the undisputed expert in a new endovascular procedure he developed and brought to fruition over the years. Other professionals publishing their results call it by his name, although he has strictly avoided that nomenclature. Lever is at a medical center with several participating hospitals, which boast aggressive ultracompetitive marketing departments. His hospital wants to concentrate on him as proof that the best care is available at their facility. A successful campaign certainly would add to Lever's and perhaps to his group's referrals. He looks at the first advertisement and a Greek god would have been less vaunted but nothing said is untrue. What should he do? A. Ask that all advertising identifying him be discontinued immediately. B.Tell them to hype it up. C. Ask that marketing stick to the facts completely sans hype. D. Check with the Ethics Committee of the hospital. E. Check with the Ethics Committee of the American Medical Association (AMA) or American College of Surgeons or the appropriate surgical subspecialty professional association.
Assuntos
Publicidade/ética , Procedimentos Endovasculares/ética , Marketing de Serviços de Saúde/ética , Revelação da Verdade/ética , Atitude do Pessoal de Saúde , Comitês de Ética Clínica , Humanos , Papel do MédicoRESUMO
BACKGROUND: The emerging field of stem cell-based aesthetics has raised ethical concerns related to advertising campaigns and standards for safety and efficacy. OBJECTIVES: The authors sought to characterize the attitudes of plastic surgeons regarding the ethics of stem cell-based aesthetics. METHODS: A cross-sectional electronic survey was distributed to 4592 members of the American Society for Aesthetic Plastic Surgery and the American Society of Plastic Surgeons. Statements addressed ethical concerns about informed consent, conflicts of interest, advertising, regulation, and stem cell tourism. An agreement score (AS) from 0 to 100 was calculated for each statement. Majority agreement was designated as ≥60 and majority disagreement as ≤40. RESULTS: A total of 770 questionnaires were received (16.7%). The majority of respondents indicated that knowledge regarding the risks and benefits of stem cell procedures is insufficient to obtain valid informed consent (AS, 29) and that direct-to-consumer advertising for these technologies is inappropriate and unethical (AS, 23). Most respondents reported that patients should be actively warned against traveling abroad to receive aesthetic cell therapies (AS, 86) and that registries and evaluations of these clinics should be made publicly available (AS, 71). Even more respondents noted that financial conflicts of interest should be disclosed to patients (AS, 96) and that professional societies should participate in establishing regulatory standards (AS, 93). CONCLUSIONS: The plastic surgeons surveyed in this study support a well-regulated, evidence-based approach to aesthetic procedures involving stem cells.