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"As a result, I am taking the liberty of making some suggestions as to what I think are important guiding principles for effective physician use of social media. This will include some cautions that I feel are especially useful, but I would also like to explain how and why I think physicians can use social media in positive and useful ways."

"The Mayo Clinic Center for Social Media, a first-of-its-kind social media center focused on health care, builds on Mayo Clinic's leadership among health care providers in adopting social media tools, which began with podcasting in 2005. Mayo Clinic has the most popular medical provider channel on YouTube and more than 60,000 "followers" on Twitter, as well as an active Facebook page with well over 20,000 connections. With its News Blog, Podcast Blog and Sharing Mayo Clinic, a blog that enables patients and employees to tell their Mayo Clinic stories, Mayo has been a pioneer in hospital blogging. MayoClinic.com, Mayo's consumer health information site, also hosts a dozen blogs on topics ranging from Alzheimer's to The Mayo Clinic Diet."

Based on the results of this study, the use of social media applications may be seen as an efficient and effective method for physicians to keep up-to-date and to share newly acquired medical knowledge with other physicians within the medical community and to improve the quality of patient care. Future studies are needed to examine the impact of the meaningful use of social media on physicians' knowledge, attitudes, skills, and behaviors in practice.

A social contract does exist between medicine and society. Because society has chosen to use the concept of the profession as a means of organizing the services of the healer, professionalism has come to serve as the basis of this social contract. What is expected of the physician as healer is largely determined by what it means to be a professional in contemporary society.

"Chapter 2 also discusses a series of clinical implications and recommendations for stakeholders wishing to engage these dynamic spaces. Chapter 3 reviews three recent administrative and judicial cases that have emerged from the inappropriate use of social media and Chapter 4 concludes with the main implications of and significance of the findings. Further research is clearly required to solidify the evidence on the use of social media in health care and to explore and document its economic, clinical, governance and tactical impact and utility."

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This study underscores the need for greater emphasis on the social determinants of health in medical education in the context of homelessness. These insights may help to inform the development and design of service-learning initiatives that integrate understandings of the social determinants of health, and thus potentially improve the readiness of clinicians to address the complex factors that shape the health of homeless populations.

"When we are online, just as when we are offline, we must always respect the dignity of our patients and colleagues. If we recognise that 'becoming a professional is an interpersonal and complex activity'(3) then we should aspire to research and guidance on social media and professionalism which reflects this. "

Best practices social media usage by hospitals

"Taking a comprehensive social history is time-consuming. It's easy to dismiss the task as outside the doctor's purview, especially when there's precious little time to get through a sea of investigations and treatment options. But every patient is a person, and illness occurs in the context of multifaceted lives. We need to listen to our patients with the recognition that the most important information they can give us about their illness often lies in the folds of their social circumstances. And it's our obligation to tailor our prescriptions to an illness in its full context."

This week when I lead a faculty development workshop* I'll ask participants to consider their readiness to make use of social media. Are you feeling ready, but you wonder how to take the first (or next) steps? Do you want to find out what all the fuss is about? Are you skeptical about mixing social media with your career as a health care professional, medical educator, trainees, and/or student?

"Social media use in medical education is an emerging field of scholarship that merits further investigation. Educators face challenges in adapting new technologies, but they also have opportunities for innovation."

"Social accountability in medical education was defined by the World Health Organization in 1995, and an international movement for change is gathering momentum."

"But should all social determinants be treated with equal concern? In other words, are certain determinants more important than others in influencing the health of populations?"

"In conclusion, this study shows that life satisfaction decreased somewhat during medical school. The medical students were initially as satisfied as other students, but the level of life satisfaction in their final year was lower than that of other comparable students. Medical students who sustained high levels of life satisfaction perceived medical school as interfering less with their social and personal life, and made less use of passive, emotion focused coping, such as wishful thinking, than did their peers. Medical schools should encourage students to try to achieve a balance between schoolwork and their social and personal lives, and emphasise the importance of healthy coping strategies, for instance, by providing stress management courses. "

"the encyclopaedia of informal education exploring informal education, lifelong learning, social pedagogy and social action"

The usefulness of online social networking is undeniable and it's no surprise that physicians are embracing it. But…these tools present a minefield of legal and professional hazards for medical professionals who don't take the utmost care in how, what and where they post.

AMA's social media guidelines