'Tweeting' medics expose patients 医学工作者使用Twitter可能
文章来源:未知 文章作者:meng 发布时间:2009-09-24 02:26 字体: [ ]  进入论坛

Medics posting messages on networking websites like Facebook and Twitter are breaching1 patient confidentiality2, a leading journal reveals.


Twitter content is user-generated
Twitter content is user-generated

Research in the Journal of the American Medical Association found examples of web gossip by trainee3(练习生,新兵) doctors sharing private patient stories and details.

Over half of 78 US medical schools studied had reported cases of students posting unprofessional content online.

One in 10 of these contained frank violations5 of patient confidentiality.

Most were blogs, including one on Facebook, containing enough clinical detail that patients could potentially be identified.

'Blue' blogs

Many postings included profanity(亵渎) and discriminatory language.

Sexually suggestive material and photos showing drunkenness(醉态,放荡) or illicit6(非法毒品,违禁药物) drug use were also commonplace.

While most incidents resulted in informal warnings, some were deemed serious enough to lead to dismissal from medical school.

But few of the medical schools had policies that covered online social networking and blogging.

The investigators7, led by Dr Katherine Chretien of the Washington DC VA Medical Center, said medical students may not be aware of how online posting can reflect negatively on medical professionalism or jeopardise(使……遭遇危险) their careers.

Similarly, patient confidentiality breaches8 may be unintentional.

"Sharing patient stories that are de-identified and respectful, as health professionals might do on personal blogs, can encourage reflection, empathy and understanding.

"However, content may risk violation4 of patient privacy, even without using names or other identifiers," they warned.

Also, the line separating freedom of speech and inappropriate postings can be unclear - for example, derisive9(嘲弄的) comments about a student's institution or profession might not be considered unprofessional by some, they said.

Dr Chretien's team say medical students should be taught as part of their training about the risks associated with making postings on the Internet.

As a matter of course, students should be shown how to elect privacy settings on social networking sites and should be told to perform periodic(周期的,定期的) Web searches of their own name to vet10(诊疗) listed online content.

A spokesman for the British Medical Association said: "Patient confidentiality is paramount11(极为重要的) and medical students and doctors obviously need to be very careful about any information they post online."

The UK's regulator of doctors, the General Medical Council, does not have guidance that covers medics' blogging.

But a spokeswoman advised doctors: "You must make sure that your conduct at all times justifies12 your patients' trust in you and the public's trust in the profession."


1 breaching 14143775ae503c20f50fd5cc052dd131     
攻破( breach的过去式 ); 破坏,违反
  • The company was prosecuted for breaching the Health and Safety Act. 这家公司被控违反《卫生安全条例》。
  • Third, an agency can abuse its discretion by breaching certain principles of judge-made law. 第三,行政机关会因违反某些法官制定的法律原则而构成滥用自由裁量权。
2 confidentiality 7Y2yc     
  • They signed a confidentiality agreement. 他们签署了一份保守机密的协议。
  • Cryptography is the foundation of supporting authentication, integrality and confidentiality. 而密码学是支持认证、完整性和机密性机制的基础。
3 trainee 9ntwA     
  • The trainee checked out all right on his first flight.受训者第一次飞行完全合格。
  • Few of the trainee footballers make it to the top.足球受训人员中没有几个能达到顶级水平。
4 violation lLBzJ     
  • He roared that was a violation of the rules.他大声说,那是违反规则的。
  • He was fined 200 dollars for violation of traffic regulation.他因违反交通规则被罚款200美元。
5 violations 403b65677d39097086593415b650ca21     
违反( violation的名词复数 ); 冒犯; 违反(行为、事例); 强奸
  • This is one of the commonest traffic violations. 这是常见的违反交通规则之例。
  • These violations of the code must cease forthwith. 这些违犯法规的行为必须立即停止。
6 illicit By8yN     
  • He had an illicit association with Jane.他和简曾有过不正当关系。
  • Seizures of illicit drugs have increased by 30% this year.今年违禁药品的扣押增长了30%。
7 investigators e970f9140785518a87fc81641b7c89f7     
n.调查者,审查者( investigator的名词复数 )
  • This memo could be the smoking gun that investigators have been looking for. 这份备忘录可能是调查人员一直在寻找的证据。
  • The team consisted of six investigators and two secretaries. 这个团队由六个调查人员和两个秘书组成。 来自《简明英汉词典》
8 breaches f7e9a03d0b1fa3eeb94ac8e8ffbb509a     
破坏( breach的名词复数 ); 破裂; 缺口; 违背
  • He imposed heavy penalties for breaches of oath or pledges. 他对违反誓言和保证的行为给予严厉的惩罚。
  • This renders all breaches of morality before marriage very uncommon. 这样一来,婚前败坏道德的事就少见了。
9 derisive ImCzF     
  • A storm of derisive applause broke out.一阵暴风雨般的哄笑声轰然响起。
  • They flushed,however,when she burst into a shout of derisive laughter.然而,当地大声嘲笑起来的时候,她们的脸不禁涨红了。
10 vet 2HfyG     
  • I took my dog to the vet.我把狗带到兽医诊所看病。
  • Someone should vet this report before it goes out.这篇报道发表之前应该有人对它进行详查。
11 paramount fL9xz     
  • My paramount object is to save the Union and destroy slavery.我的最高目标是拯救美国,摧毁奴隶制度。
  • Nitrogen is of paramount importance to life on earth.氮对地球上的生命至关重要。
12 justifies a94dbe8858a25f287b5ae1b8ef4bf2d2     
证明…有理( justify的第三人称单数 ); 为…辩护; 对…作出解释; 为…辩解(或辩护)
  • Their frequency of use both justifies and requires the memorization. 频繁的使用需要记忆,也促进了记忆。 来自About Face 3交互设计精髓
  • In my judgement the present end justifies the means. 照我的意见,只要目的正当,手段是可以不计较的。
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