ÉTICA MÉDICA E AS REDES SOCIAIS: UMA AVALIAÇÃO DO USO DO INSTAGRAM POR MÉDICOS PROFESSORES DO CURSO DE MEDICINA

Diego Ferreira de  Melo; José Antonio da Silva Júnior; Ysabele Yngrydh Valente Silva; Ellany Gurgel Cosme do  Nascimento

doi:10.4025/imagenseduc.v16i1.72686

Authors

Diego Ferreira de Melo Universidade do Estado do Rio Grande do Norte - UERN Author https://orcid.org/0009-0007-3633-0932
José Antonio da Silva Júnior Universidade do Estado do Rio Grande do Norte Author https://orcid.org/0000-0001-7965-3095
Ysabele Yngrydh Valente Silva Universidade do Estado do Rio Grande do Norte - UERN Author https://orcid.org/0000-0002-8500-1525
Ellany Gurgel Cosme do Nascimento Universidade do Estado do Rio Grande do Norte Author https://orcid.org/0000-0003-4014-6242

DOI:

https://doi.org/10.4025/imagenseduc.v16i1.72686

Keywords:

ethics, social media, medicine, internet

Abstract

The increasing use of social media by physicians has led them to reflect on their online presence and how to apply the Medical Code of Ethics while maintaining professionalism. In this regard, this study aimed to analyze profiles of physicians on the social media platform Instagram®, comparing their online behavior with the standards set by the Medical Code of Ethics. A descriptive cross-sectional study was conducted with a sample of medical professionals and faculty members of medical schools in Rio Grande do Norte, who maintained public and professional profiles on the social media platform. The outcome variable was the adherence or non-adherence to the Medical Code of Ethics of 2018 and Federal Council of Medicine resolutions No. 1,974/11 and No. 2,126/15, along with the identification of infractions in their posts. Results revealed issues such as patient exposure, lack of identification of the physician's professional registration number with the Regional Council of Medicine (CRM) and Specialist Qualification Registry (RQE), informal consultations, commercialization of medical practice, and guaranteeing results as the most prevalent infractions among professionals' accounts. It was concluded that by identifying the weaknesses in online medical practice, measures can be developed to alert these professionals about necessary adjustments in their online presence. Medical educators also bear the responsibility of imparting the need for adherence to the Code of Ethics to their students, serving as examples for future physicians who will likely use social media for professional marketing and societal education.

Downloads

Download data is not yet available.

Author Biographies

Diego Ferreira de Melo, Universidade do Estado do Rio Grande do Norte - UERN

Granduando em Medicina pela Universidade do Estado do Rio Grande do Norte (UERN).
José Antonio da Silva Júnior, Universidade do Estado do Rio Grande do Norte

Doutorando no Programa de Pós-Graduação Multicêntrico em Ciências Fisiológicas pela Universidade do Estado do Rio Grande do Norte (UERN).
Ysabele Yngrydh Valente Silva, Universidade do Estado do Rio Grande do Norte - UERN

Mestranda do Programa de Pós-Graduação em Saúde e Sociedade da Universidade do Estado do Rio Grande do Norte (UERN). Nutricionista pelo Instituto Federal de Ciência e Tecnologia do Ceará (IFCE).
Ellany Gurgel Cosme do Nascimento, Universidade do Estado do Rio Grande do Norte

Doutora em Ciências da Saúde pela Universidade Federal do Rio Grande do Norte (UFRN). Docente no Curso de Graduação em Medicina na Universidade do Estado do Rio Grande do Norte (UERN), no PPGSS e no PROFSAUDE, da UERN.

References

1. Almeida, M. I. S., Lima, L. S. B., Neves, M. S., & Moreira, J. B. (2018). Quem lidera sua opinião? Influência dos formadores de opinião digitais no engajamento. RAC, 22(1), 115-137. https://doi.org/10.1590/1982-7849rac2018170028
2. Arancibia, M. (2021). Consideraciones éticas en la práctica médica. Revista Otorrinolaringología Cirugía Cabeza Cuello, 81, 163-166. https://doi.org/10.4067/S0718-48162021000100163
3. Atiyeh, B. S., et al. (2020). Social media and plastic surgery practice building: A thin line between efficient marketing, professionalism, and ethics. Springer Nature and International Society of Aesthetic Plastic Surgery. https://doi.org/10.1007/s00266-020-01961-2
4. Auxier, B., et al. (2021). Social media use in 2021. Pew Research Center. Retrieved from https://www.pewresearch.org/internet/wp-content/uploads/sites/9/2021/04/PI_2021.04.07_Social-Media-Use_FINAL.pdf
5. Conselho Federal de Medicina. (2018). Código de ética médica: Resolução CFM nº 2.217, de 27 de setembro de 2018, modificada pelas Resoluções nº 2.222/2018 e 2.226/2019.
6. Busl, K. M., et al. (2021). Use of social media in health care—opportunities, challenges, and ethical considerations. Neurology, 97, 585-594. https://doi.org/10.1212/WNL.0000000000012557
7. Gauld, R., Williams, S., & Brougton, J. (2009). Use of the internet for health information: A study of Australians and New Zealanders. Informatics for Health & Social Care, 34(3), 149-158. https://doi.org/10.1080/17538150903102448
8. Cenci, A. V. (2009). Ética das profissões e ética da profissão docente universitária. Prima Facie (Faro), n.3, 31-49.
9. Chretien, K. C., et al. (2013). Social media and clinical care: ethical, professional, and social implications. Circulation, 127(13), 1413-1421. https://doi.org/10.1161/CIRCULATIONAHA.112.128017
10. Fayyaz, M. (2019). Social media and ethos of medical practice. Journal of Pakistan Medical Association, 69(04). PMID: 31000860
11. Furtado, A. A. C., et al. (2022). Inobservância da ética médica na publicidade nas redes sociais: Uma análise dos impactos na responsabilidade civil. Revista Ibero-Americana de Humanidades, Ciências e Educação, 8(11). https://doi.org/10.51891/rease.v8i11.7713
12. Grajales III, F. J., et al. (2014). Social media: A review and tutorial of applications in medicine and health care. Journal of Medical Internet Research, 16(2), e13. https://doi.org/10.2196/jmir.2912
13. Guraya, S., et al. (2021). Preserving professional identities, behaviors, and values in digital professionalism using social networking sites; a systematic review. BMC Medical Education, 21, 381. https://doi.org/10.1186/s12909-021-02802-9
14. Instituto Brasileiro de Defesa do Consumidor (IDEC). (2006). Guia sobre erro médico - Orientações ao consumidor. Retrieved from http://www.idec.org.br/uploads/publicacoes/publicacoes/guia_erro_medico.pdf
15. Jain, S. (2009). Practicing medicine in the age of Facebook. The New England Journal of Medicine, 361(7), 661-662. https://doi.org/10.1056/NEJMp0901277
16. Katz, M. (2014). Social media and medical professionalism: The need for guidance. European Urology, 66, 633-634. https://doi.org/10.1016/j.eururo.2014.07.022
17. Low, J. M., et al. (2021). Doctors and social media: Knowledge gaps and unsafe practices. Singapore Medical Journal, 62(11), 604-609. https://doi.org/10.11622/smedj.2020067
18. Macauley, R., et al. (2021). Ethical considerations in pediatricians’ use of social media. American Academy of Pediatrics, 147(3), e2020049685. https://doi.org/10.1542/peds.2020-049685
19. Martorell, L. B., et al. (2016). Social networks, privacy, confidentiality and ethics: Exhibition of pictures of patients on Facebook. Interface (Botucatu), 20(56), 13-23. https://doi.org/10.1590/1807-57622014.0902
20. Mendes, S. G. (2022). Ética e redes sociais: Caminhos para discernir e decidir. Revista de Cultura Religiosa - PUC Rio. https://doi.org/10.17771/PUCRio.CRE.60820
21. Monte, F. Q. (2002). A ética na prática médica. Bioética, 10(2).
22. Militello, M., et al. (2021). Social media and ethical challenges for the dermatologist. Current Dermatology Reports, 10, 120-127. Retrieved from https://revistabioetica.cfm.org.br/index.php/revista_bioetica/article/view/212/213
23. Terrasse, M., et al. (2019). Social media, e-health, and medical ethics. Hastings Center Report, 49(1), 24-33. https://doi.org/10.1002/hast.975
24. Udelmann, A. (2002). Responsabilidade civil, penal e ética dos médicos. Revista da Associação Médica Brasileira, 48(2), 172-182. https://doi.org/10.1590/S0104-42302002000200039
25. Valls, A. L. M. (1994). O que é ética (9ª ed.). São Paulo: Brasiliense. https://doi.org/10.23925/2177-952X.2014v8i14p308-314
26. Wardrope, A., et al. (2019). Medicine and the media: The ethics of virtual medical encounters. Clinical Medicine, 19(1), 11-15. https://doi.org/10.7861/clinmedicine.19-1-11
27. Yruegas, I., et al. (2015). Social networks in medical practice. Medicina Universitária, 17(67), 108-113. https://doi.org/10.1016/j.rmu.2015.01.008
28. Zenha, L. (2017-2018). Redes sociais online: O que são as redes sociais e como se organizam? Caderno de Educação, 20(49), 19-42.
29. Zimba, O., et al. (2019). Social media for research, education and practice in rheumatology. Rheumatology International. https://doi.org/10.1007/s00296-019-04493-4