Questão 63

Over the past 5 years, social-networking sites have
evolved from a preoccupation of high-school and
college students to a mainstream form of social
interaction that spans divisions of age, profession, and
[5] socioeconomic status. At the hospital where I’$m\in$
training, medical students, nurses, residents, fellows,
attending physicians, and service chiefs can all be
found linked to one another as active members of
social-networking sites. The technology facilitates
[10] communication, with personal Web pages that permit
users to post information about events $\in$ their lives,
advertise social activities, and share photographs.
Users are prompted by Facebook to carve out a digital
identity by disclosing their political affiliations, sexual
[15] orientation, and relationship status.

Physicians, medical centers, and medical schools are
trying to keep pace with the potential effects of (such)
networking on clinical practice. In an e-mail to students
and faculty of Harvard Medical School, Dean for
[20] Medical Education Jules Dienstag wrote: Caution is
recommended $\in$ using social networking sites such
as Facebook or MySpace. “Items that represent
unprofessional behavior that are posted by you on
such networking sites reflect poorly on you and the
[25] medical profession. Such items may become public
and could subject you to unintended exposure and
consequences.” At the Drexel University College of
Medicine, medical students are warned about the
possibility that information placed on social-networking
[30] sites might influence the fate of their applications for
postgraduate training. Although legal questions
surrounding the relationship between clinical medicine
and social networking are as yet undefined, there are
obvious concerns for individuals and institutions, since
[35] their Internet presence makes clinicians’ attitudes and
activities increasingly visible.

(Source: The New England Journal of Medicine, Number 7, August 13, 2009)

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