Pathology Image-Sharing on Social Media: Recommendations for Protecting Privacy While Motivating Education

Crane, Genevieve M.; Gardner, Jerad M.

doi:10.1001/journalofethics.2016.18.8.stas1-1608

Cited by 85 publications

(24 citation statements)

References 14 publications

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“…Although academic journals increasingly require direct patient consent to publish case reports, pathologists are encouraged to post interesting histopathology, gross tissue, or laboratory medicine (e.g. Gram stain, blood smear) images on social media to enhance their own personal brand as well as that of a profession that is often found in the hospital basement ( Crane and Gardner 2016 ; Brissette et al. 2017 ; Isom, Walsh, and Gardner 2017 ).…”

Section: Discussionmentioning

confidence: 99%

Private collection: high correlation of sample collection and patient admission date in clinical microbiological testing complicates sharing of phylodynamic metadata

Shean

Greninger

2018

Virus Evolution

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Infectious pathogens are known for their rapid evolutionary rates with new mutations arising over days to weeks. The ability to rapidly recover whole genome sequences and analyze the spread and evolution of pathogens using genetic information and pathogen collection dates has lead to interest in real-time tracking of infectious transmission and outbreaks. However, the level of temporal resolution afforded by these analyses may conflict with definitions of what constitutes protected health information (PHI) and privacy requirements for de-identification for publication and public sharing of research data and metadata. In the United States, dates and locations associated with patient care that provide greater resolution than year or the first three digits of the zip code are generally considered patient identifiers. Admission and discharge dates are specifically named as identifiers in Department of Health and Human Services guidance. To understand the degree to which one can impute admission dates from specimen collection dates, we examined sample collection dates and patient admission dates associated with more than 270,000 unique microbiological results from the University of Washington Laboratory Medicine Department between 2010 and 2017. Across all positive microbiological tests, the sample collection date exactly matched the patient admission date in 68.8% of tests. Collection dates and admission dates were identical from emergency department and outpatient testing 86.7% and 96.5% of the time, respectively, with >99% of tests collected within 1 day from the patient admission date. Samples from female patients were significantly more likely to be collected closer to admission date that those from male patients. We show that PHI-associated dates such as admission date can confidently be imputed from deposited collection date. We suggest that publicly depositing microbiological collection dates at greater resolution than the year may not meet routine Safe Harbor-based requirements for patient de-identification. We recommend the use of Expert Determination to determine PHI for a given study and/or direct patient consent if clinical laboratories or phylodynamic practitioners desire to make these data available.

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Section: Discussionmentioning

confidence: 99%

Private collection: high correlation of sample collection and patient admission date in clinical microbiological testing complicates sharing of phylodynamic metadata

Shean

Greninger

2018

Virus Evolution

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“…One needs to balance the benefits of sharing certain information (such as pathology or imaging findings, urinary sediment images) for educational or learning purposes, with the risk of infringing on patient privacy. 57 Although a tweet or blog may be aimed at a clinician audience, other readers such as patients, family members, and lawyers could be following as well. Although it is common to use disclaimers such as “opinions personal and do not represent institution,” one is always, either formally or informally, representing one’s institution and profession.…”

Section: Foamed Platforms and Toolsmentioning

confidence: 99%

The Social Media Revolution in Nephrology Education

Colbert

Topf²,

Jhaveri

et al. 2018

Kidney International Reports

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The past decade has been marked by the increasing use of social media platforms, often on mobile devices. In the nephrology community, this has resulted in the organic and continued growth of individuals interested in using these platforms for education and professional development. Here, we review several social media educational resources used in nephrology education and tools including Twitter, videos, blogs, and visual abstracts. We will also review how these tools are used together in the form of games (NephMadness), online journal clubs (NephJC), interactive learning (GlomCon), and digital mentorship (Nephrology Social Media Collective [NSMC] Internship) to build unique educational experiences that are available globally 24 hours per day. Throughout this discussion, we focus on specific examples of free open-access medical education (FOAMed) tools that provide education and professional growth at minimal or no cost to the user. In addition, we discuss inclusion of FOAMed resource development in the promotion and tenure process, along with potential pitfalls and future directions.

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“…Respect patient privacy at all times-be especially cautious about this in conference/case discussion formats as protected health information may be visible on white board, radiographs, or other image content. Resources provide guidance for being intentionally vague to protect patient privacy without diluting the educational value (Crane and Gardner, 2016). Respect for all members of the healthcare teams, regardless of degrees or training, must also be respected and modeled on social media.…”

Section: Tip 9: Utilize Twitter Analyticsmentioning

confidence: 99%

Twelve Tips for Tweeting as a Residency Program

O’Glasser¹,

Desai²,

Cooney³

2019

MedEdPublish

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Physicians have dramatically increased social media use in recent years. Twitter has been heralded as a means to connect a broader learning community, engage with colleagues, initiate mentorship and sponsorship, and to amplify trainees. A residency program-linked Twitter account affords unique opportunities to champion residents while promoting the program and its affiliated faculty and institutions. However, while the scholarship of Twitter usage is expanding, the current literature specific to residency programs is limited. We draw from our experience tweeting as an internal medicine program to share more broadly applicable advice. With these practical tips, creating, maintaining, and sustaining a residency program twitter account can be feasible, fulfilling, and successful.

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Pathology Image-Sharing on Social Media: Recommendations for Protecting Privacy While Motivating Education

Abstract: There is a rising interest in the use of social media by pathologists.

Cited by 85 publications

References 14 publications

Private collection: high correlation of sample collection and patient admission date in clinical microbiological testing complicates sharing of phylodynamic metadata

Private collection: high correlation of sample collection and patient admission date in clinical microbiological testing complicates sharing of phylodynamic metadata

The Social Media Revolution in Nephrology Education

Twelve Tips for Tweeting as a Residency Program

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