AMA Social Media Policy

Professionalism in the Use of Social Media

The Internet and social media in particular, have created the ability for medical students and physicians to communicate and share information quickly and to reach millions of people easily. Participating in social media, social networking and other similar Internet opportunities can support physicians’ personal expression, enable individual physicians to have a professional presence online, foster collegiality and camaraderie within the profession, provide opportunity to widely disseminate public health messages and other health communication. Social media, blogs, and other forms of communication online also create new challenges to the patient-physician relationship. Physicians should weigh a number of considerations when maintaining a presence online:

(a) Physicians should be cognizant of standards of patient privacy and confidentiality that must be maintained in all environments, including online, and must refrain from posting identifiable patient information online.

(b) When using the Internet for social networking, physicians should use privacy settings to safeguard personal information and content to the extent possible, but should realize that privacy settings are not absolute and that once on the Internet, content is likely there permanently. Thus, physicians should routinely monitor their own Internet presence to ensure that the personal and professional information on their own sites and, to the extent possible, content posted about them by others, is accurate and appropriate.

(c) If they interact with patients on the Internet, physicians must maintain appropriate boundaries of the patient-physician relationship in accordance with professional ethical guidelines just, as they would in any other context.

(d) To maintain appropriate professional boundaries physicians should consider separating personal and professional content online.

(e) When physicians see content posted by colleagues that appears unprofessional they have a responsibility to bring that content to the attention of the individual, so that he or she can remove it and/or take other appropriate actions. If the behavior significantly violates professional norms and the individual does not take appropriate action to resolve the situation, the physician should report the matter to appropriate authorities.

(f) Physicians must recognize that actions online and content posted may negatively affect their reputations among patients and colleagues, may have consequences for their medical careers (particularly for physicians-in-training and medical students), and can undermine public trust in the medical profession.

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Social Media Helps Doctors Improve Care And Stay Current

Many doctors turn to social media to to stay on top of the information they need to know to provide quality care.

A recent study (Sept. 24) published in the Journal of Medical Internet Research shows that

  • 85% of oncologists and primary care physicians use social media at least once a week or once a day to scan or explore health information.
  • 60% said social media improves the care they deliver.
  • 25% of doctors use social media daily to scan or explore new medical information.
  • 24.1% said they use social media daily to scan or explore new medical information
  • 14.2% contribute information daily
  • 61% scanned and explored and 46% contributed information weekly
  • 58% perceive social media to be beneficial and a good way to get current, high-quality information

Unlike other studies on physician use of social media that tend to lump professional and personal use together, lead author Brian McGowan, PhD, an education technology consultant, and fellow researchers narrowed the focus to how social media can be used for professional development and lifelong learning.

Many doctors prefer closed communities to open social media platforms but according to Bryan Vartabedian, MD, a pediatric gastroenterologist at Baylor College of Medicine in Houston, physicians who limit themselves to closed networks are missing some of social media’s benefits.

“Democratizing media has completely opened my eyes to the experience of the patient,” said Dr. Vartabedian, a co-author of the study. He said his social media connections with patient advocacy groups have given him “a huge appreciation for how they think.”

McGowan said the attention to the dangers of social media and the widespread circulation of a few horror stories have prevented many from embracing it.

  • 20% of physicians think using social media sites is a bad idea
  • 30% think it’s great
  • 50% are undecided and could move toward social media if more studies highlight its positive side

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Google+ SEO/SEM tool or social media platform?

Google+ vs Facebook use

Since its launch 15 months ago, a big question still remains: Is Google+ a SEO/SEM tool or a social media platform?

Google+ has grown tremendously in the past year (400M users as of September 2012) but the lack of engagement has led to comparing the platform to a ghost town.  Is the comparison fair, if you look at the figures, it certainly seem so.

A study from RJ Metrics shows that

  • The average post on Google+ has less than one reply, reshare and +1.
  • 15% of users will not post publicly again even after posting publicly five times.
  • The average time between posts is 12 days for active users.
  • The average number of public posts per active users declines steadily month after month.

In contrast, a the Pew Internet & American Life Project found that 52% of Facebook users and 33% of Twitter users engage with the platform daily and a ComScore survey shows that Google+ users spent an average of 3.3 minutes on the site in January vs. 7.5 hours for Facebook.

In response to these dismal figures, Google decide to flex its muscle and leverage its strength in searches by weaving Google+ in their search results, forcing businesses in Google+ by shelving Google places and integrating Google+ and +1 in their search algorithm and the approach seems to show some results

According to an August 2012 survey by SEOMoz,

  • 54.9% of online marketers worldwide said Google+ was one of their top five most-used sites for social media marketing, compared to 87.7% who cited Facebook and 82.7% who cited Twitter. Google+ did, however, come in above YouTube, which 48.9% of respondents cited.
  • 63.8% of respondents stated that they had set up a Google+ business profile, compared to 75.8% who set up or ran a Facebook business page.
  • 89.5% cited changes in Google’s algorithm, like Google Panda, and Google+ as likely to make authorship, site and author ownership of content more important in the coming years
  • 56.4% said Google+ was likely to become massively influential in search engine results pages. Adoption and use of mobile and Facebook’s domination were also mentioned by 81.7% and 69.1% of online marketers, respectively.
  • 56.1% use Google+ for SEO
  • 65.9% use Google+ for branding,despite the lack of user numbers and buzz

In that respect, it looks like the arm twisting is working, boosting the numbers in terms of new accounts, but the growth in new account still has not translated into engagement.
The question still is:  Is Google+ a social media platform or a SEO/SEM tool

Social Media Influencial in Food Decision

According to a new survey by eMarketer, social media influences purchasing decision when it comes to food:  36% bought a new brand after seeing a close friend’s recommendation, 30% after not so close friend recommended it, 20% after they saw products highly rated by users in their network and 17% after they read highly rated reviews from people they do not know

Leading Sources that Influence US Internet Users

In addition, the survey shows that when it comes to food, users are primarily sharing two thing: photos and recipes.

A May Blogher survey shows that recipes are one of the most sought-after pieces of food content online with 89% of internet users interested in food content going online for recipes.

Ina another survey, Allrecipes.com found that 65% of females who regularly used recipe sites bought branded ingredients called for in the recipes at least sometimes. 21% said they “usually” did this.

In yet another May survey, Compete found that food was by far the leading topic category for interactions on Pinterest leading to conversion.  25% overall had bought a product after discovering it on Pinterest, and surprisingly, considering Pinterest’s reputation as a female stronghold, 37% of male users were spurred to buy, compared to just 17% of female users.

US Female Bloggers* vs. Internet Users Who Go Online for Select Food-Related Content, May 2012

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Small and Medium Size Businesses Struggle to Adopt, Integrate Social Media

Small and medium-sized businesses still lag behind when it comes to using social media and integrating it throughout the business.

In a March 2012 study from SMB Group, only 24% of US small businesses, those with between 20 and 99 employees, said they used social media to engage with customers and prospects in a strategic and structured way. An additional 20% said they used social media, but in an ad hoc, informal way. US medium-sized businesses, with 100 to 999 employees, were slightly more active, as 33% said they used social media in a strategic way and 19% in an ad hoc way.

Current Use of Social Media to Engage with Their Customers and Prospects According to US SMBs, by Business Size, March 2012 (% of respondents)

When it comes to the specific social channels SMBs are using, Facebook, not surprisingly, tops the list, with 26% of small businesses and 38% of medium-sized businesses saying they used a company Facebook page. Additionally, 20% of small businesses and 32% of medium-sized ones said they also engaged and posted content on relevant Facebook groups. Small businesses were least likely to use geolocation services, with only 3% saying they used them. But for medium-sized businesses, only 6% said they used social bookmarking sites like Digg.

Social Media Channels Used by US SMBs, by Business Size, March 2012 (% of respondents)

Integration of social media within company processes is one of the latest trends, as larger companies work to incorporate social beyond marketing and into customer service, sales, and research and development. SMBs are also working to do so, but still have a ways to go. Of those respondents that used or planned to use social media, 37.7% already integrated social media into the company website and 22.2% did so within marketing processes. However, more than half (55.1%) of respondents had no plans to integrate social media into the product development process, and 43.9% said they had no plans to do so within a company mobile-friendly website.

Integration of Social Media With Their Company Processes According to US SMBs, March 2012 (% of respondents)

A separate May 2012 study from Constant Contact found the majority of US SMBs (60%) were holding their marketing budgets steady in 2012, and that social media marketing was considered effective by only 49% of US small businesses. These smaller companies are holding out, on budgets as well as social media integration, but they would be well-served to follow in the footsteps of larger companies and get involved.

Visual outperforms text when it comes to social media engagement

According to a new study from M Booth and  Simply Measured, visual content is not only taking over the digital and social media landscape, it’s also outperforming all other mediums when it comes to engagement!

  1. Videos are shared 12X more than links and text posts combined on Facebook
  2. Photos are liked 2X more than text posts on Facebook
  3. 48% of all Tumblr posts are photos.
  4. On YouTube, 100 million users are liking, sharing or commenting on videos every week.
  5. Pinterest refers more traffic than Twitter, StumbleUpon, LinkedIn, and Google+ combined
Graphics and videos drive engagement in social media

Google + vanity urls are here… for some

Google +Google+ is finally rolling out custom urls (vanity urls), something that should be old story.  Don’t get too excited though, only a few selected verified accounts (read celebrities and big brands) have access to the feature.

Google plans a worldwide roll out, eventually, but no time frame has been announced.

The new url will look like this  www.google.com/+your username

 

 

Reviews Are Key To Build Consumer Trust

Gaining consumer trust is an important issue for marketers seeking to ensure that they’re not scaring prospective customers away. In fact, a March to June survey of US adults conducted by About.com found that 84% of respondents felt that brands needed to prove themselves trustworthy before they would interact with them or other information sources. Moreover, the study found that there were 10 primary trust “elements,” or cues, that brands must establish in order to engender trust, including accuracy, expertise and transparency.

In a social media context, customers wanted to see that brands had a significant number of positive reviews, and that they didn’t go out of their way to hide the negative ones. The survey found that 41% of respondents said the ability to see reviews on social networks added to their feeling of trust in a brand. Reviews played a bigger role in cultivating trust than seeing that friends had “liked” or recommended a brand, or that the brand had accumulated a large tally of “likes.”

Video was found to improve trust the most when it served as a complement to other types of content. This ties back in to consumers’ hunger for useful information. Brands can build trust with potential customers by demonstrating expertise through quality owned content that is also devoid of a hard sales message.

Social Media Marketers Must Provide Disclosure

Advertisers who make claims about their products on social media sites like Twitter, Facebook and Pinterest need to be mindful of the fine print they use, or forget to use, in their postings and provide disclosure.

Last week, the National Advertising Division, an investigative unit of the Advertising Self-Regulatory Council, reviewed photographs that Nutrisystem had “pinned” on Pinterest boards and determined that the photos were testimonials requiring disclosures. The photographs in question showed people who said they had lost weight by using Nutrisystem, but there was no disclosure that the people had been paid or that the results of their weight loss were not typical. Instead, the photos simply said, for example, “Christine B. lost 46 lbs on Nutrisystem.”

The self-regulatory council conducts independent reviews of marketing and advertising on all platforms, including social media. The group often responds to complaints brought by competing marketers who accuse others of violating advertising guidelines, like making unsubstantiated claims. Following a review, marketers often comply with requests to modify or settle the claim. If they refuse, the claim can be sent to the Federal Trade Commission for further review.

Andrea Levine, the director of the National Advertising Division, said the organization tends to monitor advertising in categories like health and nutrition, dietary supplements and cosmetics closely. “Those are categories where companies are not watching each other as closely and bringing their own challenges,” Ms. Levine said.

In the Nutrisystem case, the company immediately agreed to add disclosure statements to its photographs, Ms. Levine said. “As long as their stories are truthful and as long as the advertiser discloses what is the normal weight loss range, which is 1 to 2 pounds a week, that lets the consumers put the success story in context,” Ms. Levine said.

Advertising on Twitter and Facebook is also monitored closely by the investigative units in the Advertising Self-Regulatory Council. In November 2011, for example, 1-800 Contacts challenged claims made on Facebook by a competitor, Coastal Contacts.

Coastal Contacts encouraged Facebook users to “like” its page and in doing so, promised them a free pair of glasses. It also promised discounts of 70 percent on contact lenses. The rival, 1-800 Contacts, said that Coastal Contacts did not disclose the shipping and handling fees associated with the offer for free glasses and that not all styles of glasses or lenses were available in the offer.

In addition, the company contended that users who “liked” the Coastal Contacts page in order to get the free glasses were inadvertently endorsing the company.

The National Advertising Division ruled that all claims for free merchandise must clearly disclose any hidden fees and conditions at the outset of the offer, including increasing the font size of the message that “conditions apply.” Facebook likes can be interpreted as “conveying a message of general social endorsement,” the ruling said.

“If what you are offering them in exchange for likes is not real, then those likes were obtained through deceptive advertising,” Ms. Levine said of the ruling.

One of the first social media cases taken up by a related organization, the Electronic Retailing Self-Regulation Program, involved Twitter. In July 2010, the program recommended that Liquid HCG Diet discontinue using testimonials that it made on Twitter — such as, “Becky and husband lost 14 lbs in 2 days!” — and claims on Facebook that said “Lose around a pound a day” and “Lose 30 lbs in a month, it’s easy and quick!”

Twitter now offers advertisers options like promoted tweets that make it more clear to users which posts are advertisements and which are authentic content.

“It’s kind of a reminder to advertisers that even though the medium changes the rules stay the same,” Ms, Levine said.

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Social Media In Fortune 100 Companies

The third annual Burson-Marsteller Global Social Media Check-Up analyzed the social media activity of Fortune Global 100 firms – which includes such luminaries as Ford, Sony, AT&T, Honda and Walmart – on Twitter, Facebook, YouTube, Google+ and Pinterest in February 2012. The survey discovered that 87 percent of these companies are active on at least one social media channel, with Twitter leading the way.

Since 2011, the average number of followers for a corporate Twitter account has almost tripled, from 5,076 to 14,709.

Perhaps surprisingly, YouTube finished second in the poll, with 79 percent of Fortune Global 100 corporates now using a branded YouTube channel, compared to just 57 percent in 2010.

Facebook placed third, with 74 percent of companies having an active Facebook Page. 93 percent of corporate Facebook Pages are updated at least weekly, and the average number of Likes per Page has increased by a heady 275 percent since 2010 to 156,646.

A little under half (48 percent) of firms are now using Google+. A quarter (25 percent) of these companies have Pinterest accounts.

Overall, Fortune Global 100 organizations have an average of 10.1 Twitter accounts, 10.4 Facebook Pages, 8.1 YouTube channels, 2.6 Google+ pages and 2.0 Pinterest accounts.

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