Paeds Vivas · professional-practice-and-evidence
Professional boundaries and social media — branching viva
Viva on professional boundaries, the boundary spectrum, social media conduct, digital professionalism and the safeguard toolkit in paediatric practice.
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I would treat each of these as a boundary challenge that requires me to pause, reflect and consult before acting. For the friend request, I would decline it kindly with a brief explanation that I keep my personal and professional lives separate to provide the best care. For the WhatsApp message, I would not respond on the personal app but would redirect the mother to the approved after-hours clinical contact and triage the clinical question through the proper channel. For the colleague's request, I would avoid prescribing and advise her to take her son to his usual clinician. The unifying principle is that the responsibility for the boundary always sits with the clinician, regardless of who initiated the contact. [1] [2]
References7ShowHide
- [1]Ginsburg S Professional Boundaries. JAMA, 2016.PMID 27784099
- [2]Bird S Managing professional boundaries. Australian family physician, 2013.PMID 24024230
- [3]Vukušić Rukavina T Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review. Journal of medical Internet research, 2021.PMID 34662284
- [5]Swartz MK Professional Conduct and Social Media. Journal of pediatric health care, 2016.PMID 27094984
- [8]Ellaway RH Exploring digital professionalism. Medical teacher, 2015.PMID 26030375
- [10]Chaet D Ethical practice in Telehealth and Telemedicine. Journal of general internal medicine, 2017.PMID 28653233
- [13]Hutchison C The ethics of treating family members. Current opinion in anaesthesiology, 2019.PMID 30817390