Personal and Professional Risk of Social Media Utilization by Emergency Medicine Residents and Faculty Manish Garg MD 1, David Pearson MD 2, Michael Bond MD 3, Michael Runyon MD 2, Jason Kegg MD 4, Tyson Pillow MD 5, Laura Hopson MD 6, Robert Cooney MD 7, Jay Khadpe MD 8, Leigh Patterson MD 9, on behalf of Council of Residency Director’s (CORD) Social Media Committee 1 Temple University, Philadelphia, Pennsylvania, 2 Carolinas Medical Center, Charlotte, North Carolina, 3 University of Maryland, Baltimore, Maryland, 4 Southern Illinois University, Carbondale, Illinois, 5 Baylor College of Medicine, Houston, Texas, 6 University of Michigan, Ann Arbor, Michigan, 7 Conemaugh Memorial Medical Center, Johnstown, Pennsylvania, 8 SUNY Downstate Medical Center, Brooklyn, New York, 9 East Carolina University, Greenville, North Carolina BACKGROUND AND OBJECTIVES METHODS RESULTS There were 1,314 responses (63% male, 36% female; 40% age 40) with 772 residents and 542 faculty [15% Program Directors (PDs), 85% other faculty]. PDs noted the following SM postings at least once a year: 64% of non- resident peers or nursing colleagues (NRPONC) and 57% of residents in an intoxicated state; 63% of NRPONC and 57% of residents in inappropriate photographs; 76% of NRPONC and 67% of residents with inappropriate posts; and 30% of NRPONC and 22% of residents terminated or reprimanded. Residents noted the following SM postings at least once a year: 84% of peers or nursing colleagues (PONC) in an intoxicated state; 66% of PONC in inappropriate photographs; and 73% of PONC with inappropriate posts. Residents were more likely to post PONC in an intoxicated state compared to PD-noted NRPONC (p=0.0004). PD-noted NRPONC were more likely to post inappropriately compared to residents (p=0.04). There was no difference for inappropriate photographs (p=0.28). We included residents in the survey if they were enrolled in one of the 14 EM programs with a leader on the CORD SM Task Force. The number of contacts at the 14 institutions totaled 432 residents. Our goal was a 70% response rate (approximately 302 resident respondents). Additionally, residents outside this core group of 14 institutions were included if a faculty member from another institution forwarded the survey to them; the proportion from each resident group is unknown. Background: The use of social media (SM) platforms in emergency medicine (EM) residency programs is on the rise, yet many residents and faculty are unaware of the risk due to inappropriate SM use. Objective: We sought to identify frequency and differences of observed SM behavior with potential personal and professional risk to EM residents and faculty.

Personal and Professional Risk of Social Media Utilization by Emergency Medicine Residents and Faculty Manish Garg MD 1, David Pearson MD 2, Michael Bond MD 3, Michael Runyon MD 2, Jason Kegg MD 4, Tyson Pillow MD 5, Laura Hopson MD 6, Robert Cooney MD 7, Jay Khadpe MD 8, Leigh Patterson MD 9, on behalf of Council of Residency Director’s (CORD) Social Media Committee 1 Temple University, Philadelphia, Pennsylvania, 2 Carolinas Medical Center, Charlotte, North Carolina, 3 University of Maryland, Baltimore, Maryland, 4 Southern Illinois University, Carbondale, Illinois, 5 Baylor College of Medicine, Houston, Texas, 6 University of Michigan, Ann Arbor, Michigan, 7 Conemaugh Memorial Medical Center, Johnstown, Pennsylvania, 8 SUNY Downstate Medical Center, Brooklyn, New York, 9 East Carolina University, Greenville, North Carolina RESULTS (CONTINUED) CONCLUSIONS RESULTS(CONTINUED) EM faculty and residents are at personal and professional risk with use of SM occasionally leading to termination or reprimand. Awareness of this risk should prompt responsible SM utilization and use of CORD’s SM guidelines. Reported HRTPE by residents and PDs involving the posting of identifiable (1) patient information and (2) radiographs or other clinical images. Series 1 = Resident responses regarding use of SM by residents and nurses. Series 2 = PD responses regarding NRP (faculty members and nurses). Series 3 = PD responses regarding residents. PDs responses regarding (1) NRPs and (2) residents who were either reprimanded or terminated within the past year. HRTPE = high-risk-to-professionalism events NRP = non resident provider