title: The intersection of online social networking with medical professionalism.
abstract: OBJECTIVE
  To measure the frequency and content of online social networking among medical students and residents.
  
  
  METHODS
  Using the online network Facebook, we evaluated online profiles of all medical students (n = 501) and residents (n = 312) at the University of Florida, Gainesville. Objective measures included the existence of a profile, whether it was made private, and any personally identifiable information. Subjective outcomes included photographic content, affiliated social groups, and personal information not generally disclosed in a doctor-patient encounter.
  
  
  RESULTS
  Social networking with Facebook is common among medical trainees, with 44.5% having an account. Medical students used it frequently (64.3%) and residents less frequently (12.8%, p < .0001). The majority of accounts (83.3%) listed at least 1 form of personally identifiable information, only a third (37.5%) were made private, and some accounts displayed potentially unprofessional material. There was a significant decline in utilization of Facebook as trainees approached medical or residency graduation (first year as referent, years 3 and 4, p < .05).
  
  
  CONCLUSIONS
  While social networking in medical trainees is common in the current culture of emerging professionals, a majority of users allow anyone to view their profile. With a significant proportion having subjectively inappropriate content, ACGME competencies in professionalism must include instruction on the intersection of personal and professional identities.
authors.affiliation: Department of Pediatrics, College of Medicine, University of Florida, Gainesville, FL, USA. lathompson@peds.ufl.edu
authors.forename: Lindsay A
authors.initials: LA
authors.lastname: Thompson
authors.forename: Kara
authors.initials: K
authors.lastname: Dawson
authors.forename: Richard
authors.initials: R
authors.lastname: Ferdig
authors.forename: Erik W
authors.initials: EW
authors.lastname: Black
authors.forename: J
authors.initials: J
authors.lastname: Boyer
authors.forename: Jade
authors.initials: J
authors.lastname: Coutts
authors.forename: Nicole Paradise
authors.initials: NP
authors.lastname: Black
mesh_terms: D001519:Behavior; D005260:Female; D006801:Humans; D020407:Internet / Q000706:statistics & numerical data*; D007396:Internship and Residency; D008297:Male; D012944:Social Support; D013337:Students, Medical