2/08/2008

How to write a medical blog and not get fired?

I have covered the topic before but there is a new example of a sensible approach to medical blogging.

Kevin, MD linked to the blog Boston EMT which was the subject of an article in Boston Globe. Kevin wondered if the Boston EMT's employer was aware of the blog and the question was answered in the comments by the blog author himself:

"Yes, my employer, Boston EMS, has seen the blog. The Chief of Department has seen it, and, in fact, he has given reporters permission to interview me and write about the blog. In fact, two high-ranking members of the department have participated in it, by telling stories of their own in the form of comments left on the site.

Consent to write the blog was given on two conditions: (1) That I make clear that my views do not necessarily reflect those of the city or of Boston EMS, and (2) that I adhere to the privacy requirements of HIPAA.

I've been careful to do both."

This is one of the "right ways" to do medical blogging.

Tips for Medical Bloggers

- Write as if your boss and your patients are reading your blog every day
- Comply with HIPAA
- Do not blog anonymously. List your name and contact information.
- If your blog is work-related, it is probably better to let your employer know.
- Inquire if there are any blogging guidelines. If there are, comply with them strictly.
- Use a disclaimer, e.g. " All opinions expressed here are those of their authors and not of their employer. Information provided here is for medical education only. It is not intended as and does not substitute for medical advice."
- Get your blog accredited by the Heath on the Net Foundation


This Google video shows that it takes about 2 minutes to start a blog on Blogger.com. Creating a web site has never been easier.

References:
Simply Fired - How NOT to Blog About Your Job. Especially If You Are a Doctor. Clinical Cases and Images - Blog, 08/2005.
Dr Flea Blogged His Malpractice Trial, Settles When Outed. Clinical Cases and Images - Blog, 05/2007.
Anonymous Medical Blogger? Not Anymore. Clinical Cases and Images - Blog, 02/2007.

Related:
How to blog - and keep your job. BBC, 2006.
Twitter, HIPAA, Privacy and Freedom of Speech. Phil Baumann, 07/2008.
When Blogging Gets You Fired. David Bradley, 2009.
On blogging. DB’s Medical Rants, 2009.

Updated: 04/07/2009

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4 Comments:

Blogger henmen said...

sounds cool...only that asks for too much care and caution

8/2/08  
Blogger Allen said...

Ca we/you please stop advising people against blogging anonymously? There's no factual basis for that recommendation.

If you want to say "even if you blog anonymously you're not anonymous and act accordingly" that would seem to make some sense, but a blanket prohibition against blogging anon makes little sense.

I give myself as an example. While I'm not exactly anonymous, my full name doesn't appear anywhere on my blog. I do have contact information, and my 'About' page tells people more than they want to know about me. My bosses know about it, my colleagues know about it, and a lot of them read the blog. Not one has said "gee, I'd really read it more / find it more believable if you weren't blogging anonymously".

Blogging is personal, and there are a lot of approaches to it. All are valid as long as they don't cross the HIPAA lines.

GruntDoc

8/2/08  
Blogger Dalai said...

I have experienced an intermediate situation. As a radiologist interested in PACS and so on, I publish Dalai's PACS Blog, http://www.doctordalai.com. I had included several negative OPINIONS on a certain brand of equipment. Apparently a competing vendor got hold of the postings and used them for sales material. The scorned company went to the clinic that uses the equipment in question and told them that my postings were making the clinic look bad. The clinic's business manager told one of my partners (who told me) that the posts needed to come down, and that if I was so uncomfortable with the equipment, perhaps I shouldn't work there. My group took this as a threat to our contract and told me to remove the posts. I told my group that I would check with my attorney, which I did, and I was advised not to fight this huge company. The posts came down. I did have a bit of a pyrrhic victory in that many of my readers became quite angry that I had been dealt with in this manner, and promised to take the big company to task. So far, that doesn't seem to have happened. My blog is now a "kinder and gentler" place, sad to say.

9/2/08  
Blogger Y. S. said...

Why not blog anonymously? I thought that might be a good solution.

10/2/08  

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