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Respect the Bubble! How am I as Respect the Bubble! How am I as
Respect the Bubble! How am I as Respect the Bubble! How am I as a a
a a Professional with Social MediaProfessional with Social
MediaProfessional with Social MediaProfessional with Social Media,
, , ,
Personal Boundaries Personal Boundaries Personal Boundaries
Personal Boundaries &&&&Cell PhonesCell PhonesCell
PhonesCell Phones????
PRESENTED BY:
Lisa Kohler PT
Truly Moore PT, Cert. MDT, TPS
Jill Dubbs PT, DPT
Alexia Lairson PT, DPT, GCS
Dawn Bookshar PT, DPT GCS
Objectives
• Distinguish between personal and professional boundaries in
clinical practice and be able to operate within those
boundaries
• Understand acceptable patient and practitioner use of cell
phones in the clinic while maintaining professionalism and patient
privacy
• Identify appropriate use of social media in communicating with
patients and promoting the practice of physical therapy
2018 OPTA Survey “HOT TOPICS IN ETHICS”
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Real Life Scenarios
• Noticing other therapists spending more hands on time with
massaging a patient then necessary and spending more time for
additional billing
• A STNA kissing a patient on the lips and stating that she was
caught off guard.
• During home health- I had an old man try to grope me several
times during 2 visits – including trying to kiss me.
• Patient wanted to take her therapist out to from after
discharge from therapy
Professional and Personal BoundariesProfessional and Personal
BoundariesProfessional and Personal BoundariesProfessional and
Personal Boundaries
•Why are we talking about this?
• New PT articles re: Inappropriate Patient Sexual Behavior
(IPSB)
•Me Too Movement
• Consent during treatment
• Sexual harassment / Sexual banter
• Professional Distance vs Therapeutic Alliance
Physical Therapist, Physical Therapist Physical Therapist,
Physical Therapist Physical Therapist, Physical Therapist Physical
Therapist, Physical Therapist Assistant, and Student Response to
Assistant, and Student Response to Assistant, and Student Response
to Assistant, and Student Response to Inappropriate Patient Sexual
Behavior: Inappropriate Patient Sexual Behavior: Inappropriate
Patient Sexual Behavior: Inappropriate Patient Sexual Behavior:
Results Results Results Results of a National Survey of a National
Survey of a National Survey of a National Survey
•Physical Therapy Journal – September 2018
• Ziádee Cambier, Jill S. Boissonnault, Scott J. Hetzel,
Margaret M. Plack
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Inappropriate Inappropriate Inappropriate Inappropriate Patient
Sexual Patient Sexual Patient Sexual Patient Sexual Behavior
(IPSB): Behavior (IPSB): Behavior (IPSB): Behavior (IPSB): What is
it? What is it? What is it? What is it?
•includes any “verbal or physical act of an explicit, or
perceived, sexual nature, which is unacceptable within the social
context in which it is carried out,” such as leering, sexual
remarks, deliberate touch, indecent exposure, and sexual
assault.
Inappropriate Inappropriate Inappropriate Inappropriate Patient
Sexual Behavior: Patient Sexual Behavior: Patient Sexual Behavior:
Patient Sexual Behavior: What is it? What is it? What is it? What
is it?
•Mild (stares, suggestive comments, date requests, romantic
gifts)
•Moderate (explicit sexual comments, propositions, obscene
gestures)
•Severe categories (flashing, masturbating, stalking, groping,
threats, and assault and rape)
General Research on Sexual Harassment and General Research on
Sexual Harassment and General Research on Sexual Harassment and
General Research on Sexual Harassment and Rape PreventionRape
PreventionRape PreventionRape Prevention
•Assertive Response is most effective in ending sexual
harassment and preventing sexual assault
•BUT ignoring the problem or avoiding the perpetrator is a much
more common response
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Ethical Ethical Ethical Ethical CCCConsiderations onsiderations
onsiderations onsiderations
•Patient-Clinician relationship
•Therapeutic Alliance
•We have legal and ethical obligations to meet patients’ medical
needs
•Balanced against rights to a workplace free of Sexual
Harassment
Who is at Higher Risk for IPSB? Who is at Higher Risk for IPSB?
Who is at Higher Risk for IPSB? Who is at Higher Risk for IPSB?
•Fewer years of direct patient care
•Routinely work with patients with cognitive impairments
•Female treating mostly male patients
•Younger clinician (for mild IPSB)
Results of a National Survey Results of a National Survey
Results of a National Survey Results of a National Survey
•1027 Respondents
• 84% of PTs, PTAs, and students experienced inappropriate
patient sexual behavior (IPSB) over their careers and 47% over the
prior 12 months
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Informal ResponsesInformal ResponsesInformal ResponsesInformal
Responses• Distract/redirect
• Ignore (pretend it did not happen)
• Avoid (treat in a more public space/ use less physical
contact)
• Joke
• Direct (speak directly to pt about the behavior)
• Aggressive (express disgust, criticize, verbally threaten)
Formal ResponsesFormal ResponsesFormal ResponsesFormal
Responses• Contract
• Document
• Chaperone
• Transfer
• Terminate
• Report
• Lawsuit
• Police
Response Impact – SuccessfulSuccessfulSuccessfulSuccessful if
strategy improved behaviors significantly > 50% of the time
• INFORMAL:
• distraction / redirection
• avoidance (more public space/ less physical contact)
• direct confrontation
• FORMAL
• behavioral contracts
• transfer of care
• chaperone use
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Unsuccessful Unsuccessful Unsuccessful Unsuccessful strategies -
improved the situation significantly < 50% of the time
•Ignoring the behavior
•Joking
•Documenting the behavior
•Reporting to supervisor
Results of a National Survey Results of a National Survey
Results of a National Survey Results of a National Survey
• Experienced clinicians were more likely to be direct
•Novice clinicians were more likely to engage in unsuccessful
actions of ignoring and joking
• Results: need for clear workplace policies coupled with
training for managers and supervisors to support clinicians in
resolving IPSB
Inappropriate Patient Sexual Inappropriate Patient Sexual
Inappropriate Patient Sexual Inappropriate Patient Sexual behavior
when working in behavior when working in behavior when working in
behavior when working in Sensitive areas of the Body: Sensitive
areas of the Body: Sensitive areas of the Body: Sensitive areas of
the Body: Results from a National Physical Results from a National
Physical Results from a National Physical Results from a National
Physical Therapy SurveyTherapy SurveyTherapy SurveyTherapy
SurveyJournal of Women’s Health Physical Therapy Volume 43 Number 1
Jan/March 2019
Jill S. Boissonnault PT, PhD, WCS
Ziadee Cambier, PT, MSPT, DPT
Scott Hetzel, MS
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IPSB: Working in Sensitive AreasIPSB: Working in Sensitive
AreasIPSB: Working in Sensitive AreasIPSB: Working in Sensitive
Areas
• Most IPSB events were unrelated to working in sensitive body
areas for general respondents]
• Occurred significantly more often for pelvic health
practitioners (13.8% vs 3.8%; P = .036)
• Performing internal examinations was not a significant risk
factor for IPSB.
• Pelvic health PTs were mostly experienced female
practitioners, treating mostly women
• They terminated and transferred care to others more often in
the face of IPSB
Do We Date Our Patients? Do We Date Our Patients? Do We Date Our
Patients? Do We Date Our Patients?
• APTA has a view on this:
•
http://www.apta.org/EJCOpinions/2001/8/3/#.XH6LlLA7pC4.email
• Not an issue that you would think we need to discuss but….
• Clearly should not date active patients – breach the Code of
Ethics
• What about transferring care?
• What is the appropriate length of time after transfer or
discharge?
• Other professions?
Skits
•SI dysfunction/ low back pain/ piriformissyndrome
•SNF/ acute care treatment session
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Our Responsibilities
• We are a hands on profession which means we are professional
and respectful
• We treat everyone with dignity and respect
• Clearly Explain everything that you are going to be doing
• Avoid sexual banter – can get complicated quickly
• Set clear boundaries with good education to the patient
• Avoid placing yourself in a compromised position
• Report sexual harassment immediately – Don’t ignore
• Transfer care if it becomes difficult
Cell Cell Cell Cell phonesphonesphonesphones
Professional Use and Pit Falls
Percent of U.S. Adults Who Own a Cell PhoneSource: Pew Research
Center, 2018
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Productive and Professional UseProductive and Professional
UseProductive and Professional UseProductive and Professional
Use
• Finger tip access to professional content
• Journal articles to support evidence based practice
• Digital subscriptions
• APTA/OPTA website
• Resources for practice, patient care, payment, legal and
ethical concerns, advocacy
• Practice act
Productive and Professional UseProductive and Professional
UseProductive and Professional UseProductive and Professional
Use
• Rapid research
• Drug interactions
• Diagnoses
• Medical interventions & procedures
• Precautions and protocols
• Special tests/standardized tests
• Documentation guidelines
• OASIS, FIM
• DME
Productive and Professional UseProductive and Professional
UseProductive and Professional UseProductive and Professional
Use
• Provide quick answers to patient questions
• Being connected on the job
• Interdisciplinary communication
• Assistance
• Readily available
• Safety in home health
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Productive and Professional UseProductive and Professional
UseProductive and Professional UseProductive and Professional
Use
• Apps
• Cell phones carried everywhere
• Numerous censors to track HR, activity, location
• Apps log exercise, diet
• More than 100,000 health related apps available
• Education of clinician and patient
• Anatomy
• Mobility techniques
• Exercises
• Evidence based research
Productive and Professional UseProductive and Professional
UseProductive and Professional UseProductive and Professional
Use
• Apps
• Clinical application
• Stopwatch
• Timer
• Gait speed
• Goniometer
• Ortho special tests and manual technique
• Develop and send home exercise programs by email
• Language translation
• ICD10 coding
How can patients benefit from How can patients benefit from How
can patients benefit from How can patients benefit from mobile
technology?mobile technology?mobile technology?mobile
technology?
• Telehealth
• Live video
• Ideal for evaluations and treatments
• Remote monitoring
• Vitals, blood sugar
• Mobile health (mHealth)
• Healthcare services, education, and public health
notifications delivered over cellphones, tablets, and other
electronic devices (HEP, activity encouragement, appointment
reminders)
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Benefits of Benefits of Benefits of Benefits of
TelehealthTelehealthTelehealthTelehealth
• Ideal in reaching isolated geographic areas or homebound
patients
• Monitoring of program/increase activity compliance
• Decrease appointment wait time
• Post discharge check ups, quick screens, wellness or
preventative services
ResearchResearchResearchResearch
ImplementationImplementationImplementationImplementation
• Who Uses Mobile Phone Health Apps and Does Use Matter? A
Secondary Data Analytics Approach
• Carroll et al 2017
• Aimed to identify social demographic and health
characteristics, intentions to change, and actual health
behaviors
• 3677 respondents
• Found:
• App users significantly more likely to report intentions to
improve fruit and vegetable consumption, physical activity and
weight loss
• App users more likely to meet recommendations for physical
activity
• Least likely to adopt apps: age older than 45, males, less
education
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ImplementationImplementationImplementationImplementation
• Health app use among US mobile phone owners
• Krebs and Duncan 2015
• Survey of 1604 mobile phone users revealed that 58.23% had
downloaded a health related mobile app
• Fitness and nutrition most common, most respondents reported
using daily
• Those who did not use cited no interest, cost and concern
about data collection
• High use individuals were younger, higher income, higher
education level and obese BMI
• Most indicated not willing to pay for a health app
• Those who used reported feeling the app had improved their
health
• 45.7% of respondents who downloaded apps had stopped using due
to data entry burden, loss of interest and hidden costs
TelehealthTelehealthTelehealthTelehealth
• A UC Irvine School of Medicine study revealed that telehealth
PT was as effective as in-clinic therapy for improving upper
extremity motor control post-CVA.
• According to Mani et al., there is a high level of agreement
between an in-clinic PT diagnosis and a diagnosis obtained via
telehealth using a remote diagnosis and a functional movement
screen (FMS)
• A review of 75 systematic reviews and 71 Cochrane reviews
revealed that the most effective interventions for low back pain
(LBP) are patient self management, psychosocial interventions, and
therapeutic exercise
mHealthmHealthmHealthmHealth
• mActive: A Randomized Clinical Trial of an Automated mHealth
Intervention for Physical Activity Promotion• Martin et al 2015
• 48 Smartphone users ages 18-69
• Goal set for reaching 10,000 steps/day
• 3 groups• Blinded to step count
• Aware of step count
• Aware of step count plus “smartphone delivered coaching” texts
3x/day
• Participants receiving texts increased their steps by 2534/day
compared to those that did not and took 3376 more steps than those
unaware of steps
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Cell phones are great!.... Right?Cell phones are great!....
Right?Cell phones are great!.... Right?Cell phones are great!....
Right?
Pit FallsPit FallsPit FallsPit Falls
• HIPPA
• Reluctant to adopt mHealth due to compliance
• At all times must protect PHI, which includes:
• patient demographic information
• medical history
• test and laboratory results
• insurance information
• other data used to identify individual patients and develop
plans of care
• Use password protected device
• Never text patient information/identifiers from or to a
personal cell phone
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Pit FallsPit FallsPit FallsPit Falls
• Pictures and video
• Can be used for immediate feedback and analysis
• Requires patient authorization
• Written versus verbal
• Consider using patient’s phone/camera
• Avoid taking pictures/video in work environment where other
patients/staff may be in the background
Pit FallsPit FallsPit FallsPit Falls
• Take care to maintain professional appearance at all times•
Smartphones and Generational Differences
• Lorio et al. 2018 aimed to identify perceptions of older
adults toward technology usage and observe how cell phones are
being used during clinical practice
• Results showed that older adults are not comfortable with
health care providers using smartphones during appointments
• Observations revealed that clinicians are using their
technology for personal reasons (61% of uses) more often than
professional reasons (8%)
• Explain to patients why use of your cell phone during a
session is pertinent/important and make it patient oriented
• Avoid using cell phone for personal reasons• Be mindful of who
can overhear your phone calls
• Keep the workplace professional!
What about when patient’s have a cell phone?What about when
patient’s have a cell phone?What about when patient’s have a cell
phone?What about when patient’s have a cell phone?
• Ensure that patients have given permission to receive text
alerts
• Maintain professional boundaries
• Best not to give out your personal cell phone number
• Consider facility policy regarding:
• Patient/family taking photos or recording videos during
session
• If allowed, ensure no other patients are being recorded
• Patients interrupting session to take a phone call or send
texts
• Results in ineffective treatment, reduced focus on education
being provided, delay in delivery of care due to interruptions,
therapist running behind schedule
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In conclusion…In conclusion…In conclusion…In conclusion…
Cell phones have many advantages, but excellent patient care and
personalized interaction should be your focus.
Know your client
Abide by HIPPA regulation at all times
Respect the boundaries
SOCIAL MEDIA
Social MediaSocial MediaSocial MediaSocial Media
• https://twitter.com/MegLowryPT/status/1086019845701853185
Was there informed consent?
Merely asking permission is not obtaining a valid consent
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Social MediaSocial MediaSocial MediaSocial Media
•Public forum – everything recorded and shared, reaching
potentially millions of people
•Can not be deleted – screen shot/server storage, has been
discoverable in court of law even when long deleted
• Immediate access and responsiveness
•Misunderstanding - intended versus perceived meaning
Social MediaSocial MediaSocial MediaSocial Media
•Exciting and valuable tool when used wisely
•Useful for:
Emotional support
Education of fitness, wellness and rehabilitation
information
Fostering professional connections
Staggering StatisticsStaggering StatisticsStaggering
StatisticsStaggering Statistics
• 2013 – Facebook (social) 1 billion users Linked In
(professional) 200 million users
• Facebook of surgical residents –
14.1% potentially unprofessional posts12.2% definitive
unprofessional posts, included HIPAA
violations
• 26 of 33 board of nursing violations were related to patient
privacy
• In most cases, inappropriate disclosure is unintentional
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PrivacyPrivacyPrivacyPrivacy
• Rules based on HIPAA and HITECH (Health Information Technology
for Economic and Clinical Health) Act that apply to covered
entities that handle PHI (anything used to identify a patient) –
doesn’t cover patient produced content
• Focus on the person (patient centered) - what patient wants to
share about illness
• Patient‘s expectation and right to be treated with dignity and
respect
• Platforms terms of service addresses both privacy and
security
• Content not private
• If violation, decline in public trust of profession
Case StudyReference: Why Can’t We Be Friends? A CaseReference:
Why Can’t We Be Friends? A CaseReference: Why Can’t We Be Friends?
A CaseReference: Why Can’t We Be Friends? A Case----Based Analysis
of Ethical Based Analysis of Ethical Based Analysis of Ethical
Based Analysis of Ethical Issues with Social Media in Health
CareIssues with Social Media in Health CareIssues with Social Media
in Health CareIssues with Social Media in Health Care
“A physician treating an elderly woman for shortness of breath
began looking for the cause of her worsening condition. He sent for
a drug screen, on which she tested positive for cocaine. She told
him she had no idea how cocaine could be in her system, which made
him concerned she might be a victim of abuse. One of the nurses
involved in her care Googled her and discovered that she had a
previous police record for cocaine possession [22].”
What is the ethical issue?
StorytellingReference: Sounding Off on Social Media: The Ethics
of Patient Reference: Sounding Off on Social Media: The Ethics of
Patient Reference: Sounding Off on Social Media: The Ethics of
Patient Reference: Sounding Off on Social Media: The Ethics of
Patient Storytelling in the Modern Era Storytelling in the Modern
Era Storytelling in the Modern Era Storytelling in the Modern
Era
“A student on her surgery rotation at a well-known hospital
encounters a patient with a severe injury that occurred while the
patient was intoxicated. Part of the student’s posting on Facebook
includes “Note to everybody: don’t get drunk and fall asleep on
train tracks.…
What is the ethical issue?
• Can be HIPAA compliant but ethically questionable
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FacebookFacebookFacebookFacebookReference: FierceHealthcare
• A CNA at Kindred Transitional Care and Rehab in IN took a
photo of a paraplegic’s butt after he had a bowel movement and
posted in May 2011 telling her coworker – “This is too funny. I
need to take a picture of this” RTV6, an ABC affiliate, previously
reported. The medical facility fired her and she was faced a
voyeurism charge.
• At Providence Holy Cross Medical Center in CA in December
2011, employee posted picture of medical record making fun of woman
stating “Funny, but this patient came in to cure her VD and get
birth control” according to Daily News of LA. His response –
“People, it’s just Facebook…It’s just a name out of millions and
millions of names….If you don’t like it, too bad because it’s my
wall, and I’ll post what I want to.”
TwitterTwitterTwitterTwitter
https://www.bing.com/videos/search?q=cleveland+clinic+resident+fired&view=detail&mid=5B6D78188408D3D30D1D5B6D78188408D3D30D1D&FORM=VIRE
Which one violates HIPAA?Which one violates HIPAA?Which one
violates HIPAA?Which one violates HIPAA?
Med Student – Public Blog
• “Mr. Z is a charming 94-year-old man who’s lived a good life
and made a living working as a mechanical engineer back in the
1940s. He has a family, grandkids, and now great-grandkids. He’s
more than just a guy with COPD [chronic obstructive pulmonary
disease], aspiration pneumonia, and renal failure. He’s my patient.
His two grown children are the ones who have now opted for
palliative care given his worsening condition.” The student goes on
to specify the small, community-based hospital at which he is
caring for the patient.
PT Student - Tweet
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Scenario 1 (of 7)Reference Reference Reference Reference ––––
White Paper: A nurse’s guide to the use of social mediaWhite Paper:
A nurse’s guide to the use of social mediaWhite Paper: A nurse’s
guide to the use of social mediaWhite Paper: A nurse’s guide to the
use of social media
• Bob, a licensed practical/vocational (LPN/ VN) nurse with 20
years of experience used his personal cell phone to take photos of
a resident in the group home where he worked. Prior to taking the
photo, Bob asked the resident's brother if it was okay for him to
take the photo. The brother agreed. The resident was unable to give
consent due to her mental and physical condition. That evening, Bob
saw a former employee of the group home at a local bar and showed
him the photo. Bob also discussed the resident's condition with the
former coworker. The administrator of the group home learned of
Bob's actions and terminated his employment. The matter was also
reported to the BON. Bob told the BON he thought it was acceptable
for him to take the resident's photo because he had the consent of
a family member. He also thought it was acceptable for him to
discuss the resident's condition because the former employee was
now employed at another facility within the company and had worked
with the resident. The nurse acknowledged he had no legitimate
purpose for taking or showing the photo or discussing the
resident's condition. The BON imposed disciplinary action on Bob's
license requiring him to complete continuing education on patient
privacy and confidentiality, ethics and professional
boundaries.
Real Life ExamplesReal Life ExamplesReal Life ExamplesReal Life
Examples
• Employees “friending” patients on Facebook/Instagram, sharing
cell phone numbers
• You are being watched – patient’s “googling” us, tweeting
about us/Facebook comments
• Education on their phone
• Patient/family recording during transport to/from surgery,
therapy without asking or regards to who is in background
• Facebook comments from a nurse about someone missing important
diagnosis and delayed treatment to detriment of patient. Another
comment about “crazy day” on unit with details.
ConsequencesConsequencesConsequencesConsequences
• Disciplinary action by board
• Violation of state and federal laws/regulations, including
ones focused not only on privacy and confidentiality but also
preventing patient abuse or exploitation
• Civil and criminal penalties, including fines and possible
jail time
• Personal liability
• Employment consequences
• Damage of reputation of health care organization and/or
subjecting facility to lawsuit/regulatory issues
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Health Care Provider GuidelinesHealth Care Provider
GuidelinesHealth Care Provider GuidelinesHealth Care Provider
Guidelines
• Goals, purpose and objectives for a defined audience
• Protect patient privacy and confidentiality
• Know your facility policies and procedures, especially social
media or privacy policy – usually address reputation and
productivity
• Awareness of local, state and national laws related to
privacy
• Own your views and be responsible for what you post - pause
before posting and consider how patient and public will perceive
the post
Health Care Provider Guidelines Health Care Provider Guidelines
Health Care Provider Guidelines Health Care Provider Guidelines
cont’d
• Think carefully before having a personal and professional
image
• Maintain professionalism – conduct in profession in real world
should correlate with on-line world
• Control information sharing – such as privacy settings
• Stay current in advances in social media and which platform
best for your goals
• Monitor your online identity
PT PT PT PT standards of standards of standards of standards of
conduct conduct conduct conduct
Reference:https://www.apta.org/uploadedFiles/APTAorg/About_Us/Policies/Ethics/StandrdsConductSocialMedia.pdf
STANDARDS OF CONDUCT IN THE USE OF SOCIAL MEDIA HOD P06-12-17-16
[Position]
• Whereas, social media creates opportunities to communicate in
a public forum;
• Whereas, Physical therapists (PT), physical therapist
assistants (PTA) and physical therapy students (students) must be
knowledgeable and respectful of the principles of patient/client
privacy and confidentiality in safeguarding identifiable
patient/client information as it relates to social media;
• Whereas, PTs, PTAs, and students who use social media should
represent their own views and be professional and accurate in their
communications;
• Whereas, errors and omissions in communication, harassing
statements, and unprofessional language presented via social media
may have a long-lasting and possibly negative impact on the
individual or the physical therapy profession;
• Whereas, PTs, PTAs, and students shall consider when and how
to separate their personal and professional lives on social media;
and,
• Whereas, PTs, PTAs, and students should be knowledgeable about
employers’, educational institutions’, or clinical training sites’
published policies on social media;
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PT PT PT PT standards of standards of standards of standards of
conduct conduct conduct conduct cont’d Last Updated: 08/22/12
• Resolved, Physical therapists (PT), physical therapist
assistants (PTA) and physical therapy students (students) shall
consider whether to interact with patients on social media or
create separate personal and professional social media
profiles;
• Resolved, PTs, PTAs, and students shall not misrepresent when
they are speaking for themselves or the American Physical Therapy
Association (APTA), other organizations, educational institutions,
clinical sites, or employers; and
• Resolved, if an individual identifies content posted to social
media by a colleague that appears unprofessional, s/he has a
responsibility to bring that to the attention of the individual
that has posted the content so that s/he can remove it or take
other appropriate action;
• Resolved, PTs, PTAs, and students engaging in social media
activities shall demonstrate appropriate conduct in accordance with
the Code of Ethics for the Physical Therapist and Standards of
Ethical Conduct for the Physical Therapist Assistant.
Social Media to benefit professional careerSocial Media to
benefit professional careerSocial Media to benefit professional
careerSocial Media to benefit professional
careerhttp://www.apta.org/SocialMedia/Tips/Succeeding/.
1. Have a goal
2. Start small – one platform then expand
3. Act professionally – consider everything you post public even
if adjust privacy settings, remember can be shared out of context,
even if use disclaimer still representing profession and employer,
behave as you would at work
4. Improve your brand – who you are, what you stand for
Social Media to benefit professional career Social Media to
benefit professional career Social Media to benefit professional
career Social Media to benefit professional career cont’d
5. Think before you “friend” or “follow” – either accept all
patients (public/transparent) or none (professional boundary, best
practice)
6. Legal counsel – just because everyone does it, doesn’t mean
it is right
7. Learn your platform – intuitive but understand how it works
and what is appropriate behavior
8. Engage with APTA – examples
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Social Media value for Physical TherapistsSocial Media value for
Physical TherapistsSocial Media value for Physical TherapistsSocial
Media value for Physical
Therapistshttp://blog.therapydia.com/the-value-of-social-media-for-physical-therapists/.
1. One place for all information
2. Add to base of knowledge
3. Make professional connections
4. Influence important conversations
5. Educate the public
6. Gain exposure
KEY POINTS
• Maintain personal and professional boundaries in clinical
practice
• In layman's terms describe treatment interventions and obtain
clear informed consent
• Use technology to quickly obtain access to patient care
resources
• Understand acceptable/HIPPA compliant use of cell phone in the
clinic
• Use Social Media Wisely(Education/ Professional
Connections)
• Think before you post!
QUESTIONS ?
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References:
• Cambier Z, Boissonnault JS, Hetzel SJ, Plack MM. Physical
therapist, physical therapist assistant, and student response to
inappropriate patient sexual behavior: results of a national
survey. Phys Ther. 2018;98:804–814
• Cambier Z, Boissonnault JS, Hetzel SJ, Plack MM. Inappropriate
Patient Sexual Behavior When Working in Sensitive Areas of the
Body: Results from a National Physical Therapy Survey. Journal of
Women’s Health Physical Therapy. 43(1):36-43, January/March
2019.
References
• Mobile Fact Sheet. Available at:
http://www.pewinternet.org/fact-sheet/mobile/. Accessed Jan 20,
2019.
• Castin M. Tele-health physical therapy: Everything you need to
know. June 10, 2018. Available at:
https://thenonclinicalpt.com/telehealth-physical-therapy/. Accessed
Mar 3, 2019.
• Krebs P, Duncan DT. Health App Use Among US Mobile Phone
Owners: A National Survey. JMIR MhealthUhealth. 2015;3(4):e101.
Published 2015 Nov 4. doi:10.2196/mhealth.4924
• Carroll JK, Moorhead A, Bond R, LeBlanc WG, Petrella RJ,
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