Re: social media - couple questions

[Guest guest]

I have a clinic facebook page. I declined to have patients as friends in my personal one. To: " " < > Sent: Monday, December 19, 2011 4:16 PM Subject: RE: social media - couple questions

We do use facbook, but there was an article that says that is not ethical. In NM, it is not ethical to have friends as patients, you can loose your license. WE see this occasionally at the Board when providers have their license restricted. Incrediable

to me.

From: [ ] On Behalf Of pricklyfinger2007 [tagabanawa@...]

Sent: Monday, December 19, 2011 7:15 AM

To:

Subject: social media - couple questions

1. anyone here use facebook and twitter to promote business?

2. do you have patients who are already or want to become facebook friends? how do you politely say no or do you?

grace

[Guest guest]

have office FB, but do not friend any patients on my personal FB, have twitter account and encourage patients to follow on twitter Rakesh C. Patel, M.D.Twitter: @drrcpatelArizona Sun Family Medicine, P.C. and Nexlev Health and FitnessSpecializing in Diabetes, Heart Attack and Stroke Prevention633 E. Ray Road #101Gilbert, AZ 85296www.azsunfm.com and www.nexlev.com To: " " < > Sent: Monday, December 19, 2011 2:22 PM Subject: Re: social media - couple questions

I have a clinic facebook page. I declined to have patients as friends in my personal one. To: " " < > Sent: Monday, December 19, 2011 4:16 PM Subject: RE: social media - couple questions

We do use facbook, but there was an article that says that is not ethical. In NM, it is not ethical to have friends as patients, you can loose your license. WE see this occasionally at the Board when providers have their license restricted. Incrediable

to me.

From: [ ] On Behalf Of pricklyfinger2007 [tagabanawa@...]

Sent: Monday, December 19, 2011 7:15 AM

To:

Subject: social media - couple questions

1. anyone here use facebook and twitter to promote business?

2. do you have patients who are already or want to become facebook friends? how do you politely say no or do you?

grace

[Guest guest]

Seriously??? Hope that is nto the case in CA....I live in a small town and there is a lot of crossover!Dannielle Harwood, MDTo: " " < >Sent: Mon, December 19, 2011 1:16:32 PMSubject: RE: social media - couple questions

We do use facbook, but there was an article that says that is not ethical. In NM, it is not ethical to have friends as patients, you can loose your license. WE see this occasionally at the Board when providers have their license restricted. Incrediable

to me.

From: [ ] On Behalf Of pricklyfinger2007 [tagabanawa@...]

Sent: Monday, December 19, 2011 7:15 AM

To:

Subject: social media - couple questions

1. anyone here use facebook and twitter to promote business?

2. do you have patients who are already or want to become facebook friends? how do you politely say no or do you?

grace

[Guest guest]

Well, that's the silliest thing I've ever heard. Lose their license because patients are friends? Sounds like you need to get a group/petition together and replace that Board!!

Most of my patients are also my friends, and they've been friends much longer than they've been patients. What about the provider working in a small town where everyone knows everyone? Does the provider have to be standoffish, refuse to attend community functions, and snub everyone on the street so no one will consider the provider a friend? The best medicine/nursing/health care is done when the provider is part of the community, can assess the community health needs and work with community leaders to help fill those needs.

Ridiculous nonsense.

Really.

Now whether you want to hang out on Facebook -- that's another story, and all about how much time you have. I don't have time.

Deanna

We do use facbook, but there was an article that says that is not ethical. In NM, it is not ethical to have friends as patients, you can loose your license. WE see this occasionally at the Board when providers have their license restricted. Incrediable to me.

From: [ ] On Behalf Of pricklyfinger2007 [tagabanawa@...]Sent: Monday, December 19, 2011 7:15 AMTo: Subject: social media - couple questions

1. anyone here use facebook and twitter to promote business?2. do you have patients who are already or want to become facebook friends? how do you politely say no or do you?grace

[Guest guest]

why is it unethical? reasoning behind this?

>

> We do use facbook, but there was an article that says that is not ethical. In

NM, it is not ethical to have friends as patients, you can loose your license.

WE see this occasionally at the Board when providers have their license

restricted. Incrediable to me.

>

> ________________________________

> From:

[ ] On Behalf Of pricklyfinger2007

[tagabanawa@...]

> Sent: Monday, December 19, 2011 7:15 AM

> To:

> Subject: social media - couple questions

>

>

>

> 1. anyone here use facebook and twitter to promote business?

> 2. do you have patients who are already or want to become facebook friends?

how do you politely say no or do you?

>

> grace

>

[Guest guest]

So does anyone even accept friends in their community as patients?

Many of my patients are friends. I have been on camping trips with them

and to parties. I was the President of a Jewish group in town and a bunch

of folks from the group are now patients. So would others not accept friends

as patients? Or friends on Facebook?

Who out there has friends as patients in their practice?

Just curious. . .

Pamela

>

> I have a clinic facebook page. I declined to have patients as friends in my

personal one.

>

>

>

> ________________________________

>

> To: " "

< >

> Sent: Monday, December 19, 2011 4:16 PM

> Subject: RE: social media - couple questions

>

>

>  

> We do use facbook, but there was an article that says that is not ethical. In

NM, it is not ethical to have friends as patients, you can loose your license.

WE see this occasionally at the Board when providers have their license

restricted. Incrediable to me.

>  

>

> ________________________________

> From:

[ ] On Behalf Of pricklyfinger2007

[tagabanawa@...]

> Sent: Monday, December 19, 2011 7:15 AM

> To:

> Subject: social media - couple questions

>

>

>  

> 1. anyone here use facebook and twitter to promote business?

> 2. do you have patients who are already or want to become facebook friends?

how do you politely say no or do you?

>

> grace

>

[Guest guest]

Yay! I knew there had to be someone else who thinks it is okay to

have friends as patients. If Patch were on the Internet (he's not)

an had an active medical license (he doesn't) and a real free hospital

(not yet) I am sure he would be friends with every patient.

I think our fear-based society has really gone too far.

Ridiculous that you can not be friends & dr/pt.

If anything, I have found it strengthens both relationships.

What are people actually afraid of here? Curious. . .

Pamela

>

> Well, that's the silliest thing I've ever heard. Lose their license

> because patients are friends? Sounds like you need to get a group/petition

> together and replace that Board!!

>

> Most of my patients are also my friends, and they've been friends much

> longer than they've been patients. What about the provider working in a

small

> town where everyone knows everyone? Does the provider have to be

> standoffish, refuse to attend community functions, and snub everyone on the

street

> so no one will consider the provider a friend? The best

> medicine/nursing/health care is done when the provider is part of the

community, can assess

> the community health needs and work with community leaders to help fill

> those needs.

>

> Ridiculous nonsense.

>

> Really.

>

> Now whether you want to hang out on Facebook -- that's another story, and

> all about how much time you have. I don't have time.

>

> Deanna

>

>

> In a message dated 12/19/2011 2:18:47 P.M. Mountain Standard Time,

> jim.kennedy@... writes:

>

>

>

>

>

> We do use facbook, but there was an article that says that is not ethical.

> In NM, it is not ethical to have friends as patients, you can loose your

> license. WE see this occasionally at the Board when providers have their

> license restricted. Incrediable to me.

>

>

> ____________________________________

> From:

> [ ] On Behalf Of pricklyfinger2007

[tagabanawa@...]

> Sent: Monday, December 19, 2011 7:15 AM

> To:

> Subject: social media - couple questions

>

>

>

>

>

>

>

> 1. anyone here use facebook and twitter to promote business?

> 2. do you have patients who are already or want to become facebook

> friends? how do you politely say no or do you?

>

> grace

>

[Guest guest]

Of course we do, most of our patients are friends of ours, come to our house and party. It is way out of lime to have a rule like that, Last time I checked we were all adults

From: [ ] On Behalf Of roxywible [roxywible@...]

Sent: Tuesday, December 20, 2011 10:57 AM

To:

Subject: Re: social media - couple questions

So does anyone even accept friends in their community as patients?

Many of my patients are friends. I have been on camping trips with them

and to parties. I was the President of a Jewish group in town and a bunch

of folks from the group are now patients. So would others not accept friends

as patients? Or friends on Facebook?

Who out there has friends as patients in their practice?

Just curious. . .

Pamela

>

> I have a clinic facebook page. I declined to have patients as friends in my personal one.

>

>

>

> ________________________________

>

> To: " " < >

> Sent: Monday, December 19, 2011 4:16 PM

> Subject: RE: social media - couple questions

>

>

> Â

> We do use facbook, but there was an article that says that is not ethical. In NM, it is not ethical to have friends as patients, you can loose your license. WE see this occasionally at the Board when providers have their license restricted. Incrediable to

me.

> Â

>

> ________________________________

> From: [ ] On Behalf Of pricklyfinger2007 [tagabanawa@...]

> Sent: Monday, December 19, 2011 7:15 AM

> To:

> Subject: social media - couple questions

>

>

> Â

> 1. anyone here use facebook and twitter to promote business?

> 2. do you have patients who are already or want to become facebook friends? how do you politely say no or do you?

>

> grace

>

[Guest guest]

I assume you mean the NM State medical board, this is not the ABFM. We throw the license restriction and don;t count it for ABFM cert.

From: [ ] On Behalf Of tolpeople@... [tolpeople@...]

Sent: Monday, December 19, 2011 5:17 PM

To:

Subject: Re: social media - couple questions

Well, that's the silliest thing I've ever heard. Lose their license because patients are friends? Sounds like you need to get a group/petition together and replace that Board!!

Most of my patients are also my friends, and they've been friends much longer than they've been patients. What about the provider working in a small town where everyone knows everyone? Does the provider have to be standoffish, refuse to attend community

functions, and snub everyone on the street so no one will consider the provider a friend? The best medicine/nursing/health care is done when the provider is part of the community, can assess the community health needs and work with community leaders to help

fill those needs.

Ridiculous nonsense.

Really.

Now whether you want to hang out on Facebook -- that's another story, and all about how much time you have. I don't have time.

Deanna

We do use facbook, but there was an article that says that is not ethical. In NM, it is not ethical to have friends as patients, you can loose your license. WE see this occasionally at the Board when providers have their license restricted. Incrediable

to me.

From: [ ] On Behalf Of pricklyfinger2007 [tagabanawa@...]

Sent: Monday, December 19, 2011 7:15 AM

To:

Subject: social media - couple questions

1. anyone here use facebook and twitter to promote business?

2. do you have patients who are already or want to become facebook friends? how do you politely say no or do you?

grace

[Guest guest]

Yes, we have friends as patients. I friend them on FB because they are personal friends. And they were friends before becoming patients.

So does anyone even accept friends in their community as patients?

Many of my patients are friends. I have been on camping trips with them

and to parties. I was the President of a Jewish group in town and a bunch

of folks from the group are now patients. So would others not accept friends

as patients? Or friends on Facebook?

Who out there has friends as patients in their practice?

Just curious. . .

Pamela

>

> I have a clinic facebook page. I declined to have patients as friends in my personal one.

>

>

>

> ________________________________

>

> To: " " < >

> Sent: Monday, December 19, 2011 4:16 PM

> Subject: RE: social media - couple questions

>

>

> Â

> We do use facbook, but there was an article that says that is not ethical. In NM, it is not ethical to have friends as patients, you can loose your license. WE see this occasionally at the Board when providers have their license restricted. Incrediable to me.

> Â

>

> ________________________________

> From: [ ] On Behalf Of pricklyfinger2007 [tagabanawa@...]

> Sent: Monday, December 19, 2011 7:15 AM

> To:

> Subject: social media - couple questions

>

>

> Â

> 1. anyone here use facebook and twitter to promote business?

> 2. do you have patients who are already or want to become facebook friends? how do you politely say no or do you?

>

> grace

>

[Guest guest]

Pam,Here are some links to articles which argue why physicians being "friends" with patients on social media such as Facebook might not be a good idea. The main points are:1. Risk of breaching patient confidentiality.2. Risk of lack of professionalism and not maintaining appropriate patient-physician boundaries.3. Risk of damage to physician reputation and undermining of public trust in our profession.4. Risk of loss of objectivity between physician and patient.http://www.guardian.co.uk/uk/2011/jul/14/facebook-doctor-patienthttp://mdwhistleblower.blogspot.com/2009/09/should-doctors-use-facebook-with.htmlhttp://www.ama-assn.org/ama/pub/news/news/social-media-policy.pagehttp://www.massmed.org/AM/Template.cfm?Section=Legal_and_Regulatory & TEMPLATE=/CM/ContentDisplay.cfm & CONTENTID=55126I think this is a separate issue from having friends as patients (or patients as friends). Here are some ethical issues related to that:http://www.ama-assn.org/amednews/2011/06/06/prca0606.htmScenario: Can a doctor be friends with a patient and still maintain the correct relationship?Though permissible in some circumstances, caring for patients on the borderline between friend-acquaintance and patient is fraught with ethical land mines. On the other hand, friends come to us voluntarily for care. What are we to do? Because it is a common problem, I'd like to try to examine some of the issues involved and seek a sensible resolution.Personally I have declined all requests from patients who ask me to friend them on Facebook because I want to keep my personal and professional life as separate as possible online. But I also have some friends who are also my patients, and it gets a little tricky sometimes trying to stay objective. SetoSouth Pasadena, CA

why is it unethical? reasoning behind this?

>

> We do use facbook, but there was an article that says that is not ethical. In NM, it is not ethical to have friends as patients, you can loose your license. WE see this occasionally at the Board when providers have their license restricted. Incrediable to me.

>

> ________________________________

> From: [ ] On Behalf Of pricklyfinger2007 [tagabanawa@...]

> Sent: Monday, December 19, 2011 7:15 AM

> To:

> Subject: social media - couple questions

>

>

>

> 1. anyone here use facebook and twitter to promote business?

> 2. do you have patients who are already or want to become facebook friends? how do you politely say no or do you?

>

> grace

>

[Guest guest]

why i asked...

i want to keep my personal life separate from business life though i have

friends who are my patients... my patients do call me and treat me as if i were

their friends which i dont mind.

i dont look away or get annoyed when they ask me for something at the grocery

store. i do end up telling them they call the office to remind me because truly

i dont remember anything beyond these four walls.

just wanted to see what you guys are doing out there... even high school friends

who i barely know i dont accept as friends on fb... all the more for patients

across the board... i draw that line.

thanks everyone.

grace

> > >

> > > I have a clinic facebook page. I declined to have patients as friends in

my personal one.

> > >

> > >

> > >

> > > ________________________________

> > > From: " Kennedy, Jim " <jim.kennedy@>

> > > To: " "

< >

> > > Sent: Monday, December 19, 2011 4:16 PM

> > > Subject: RE: social media - couple questions

> > >

> > >

> > > Â

> > > We do use facbook, but there was an article that says that is not ethical.

In NM, it is not ethical to have friends as patients, you can loose your

license. WE see this occasionally at the Board when providers have their

license restricted. Incrediable to me.

> > > Â

> > >

> > > ________________________________

> > > From:

[ ] On Behalf Of pricklyfinger2007

[tagabanawa@]

> > > Sent: Monday, December 19, 2011 7:15 AM

> > > To:

> > > Subject: social media - couple questions

> > >

> > >

> > > Â

> > > 1. anyone here use facebook and twitter to promote business?

> > > 2. do you have patients who are already or want to become facebook

friends? how do you politely say no or do you?

> > >

> > > grace

> > >

> >

> >

>

[Guest guest]

Here are my general timesheets for 2011 and 2012.  We have 2 pay periods, so they are color-coded that way.

 

Thank you all for the ideas.

 

,

Would you mind sending me your excel spreadsheet?

 

Wen ( a woman )

 

San Mateo, CA

www.baylifemedical.com

 

My Quickbooks has an online time card app but it probably does cost. 

 

I don’t know if you will find anything free but you can probably buy a pretty cheap time clock for people to punch in and out.

 

 

Kathy Saradarian, MD

Branchville, NJ

www.qualityfamilypractice.com

Solo 4/03, Practicing since 9/90

Practice Partner 5/03

Low staffing

 

 

 

From: [mailto: ] On Behalf Of Wen Liang

Sent: Wednesday, December 21, 2011 10:34 AMTo: Subject: Re: Re: social media - couple questions

 

 

I will attach a question here, semi-related.

 

Can anyone share how to keep tracking employees' hours? My FTE is easy. The part time, always 2-3 hours difference/ pay period. My payroll company has online sign in and out, but it has a cost. Suggestion? I thought about paper sign in/out, but wonder if onething easier or more organized.

 

Thank you.

Wen

 

 

Interesting conversations

 

Would anyone have a print ad; that they felt was successful in bringing in new patients; feel free to share it?

  I need to re write my ad and start to advertise again.

Thank you,

Debra

 

Thanks for all the links . I guess it just comes down toindividual preference. while some want to keep personal & professional lives separate I feel more comfortable merging

and " integrating " my life.I try to behave the same with everyone. I wear the same thingto work as I do at home (no white coat and usually in Levis - sometimes even sweatpants). Patients seem to like the informal

stye & I guess that is why they choose me ( & others do not)I have a personal & professional facebook page and would feelcomfortable cross-posting anything from one to the other.Though tend to put more medical stuff on the MD page. . .

They're open to the public and I friend anyone who friendsme. Got tons of patients as friends. . .Issues of concern:1) Confidentiality: I do not post medical information though Ihave posted pics of patients and they have not opposed

(recent book signing party led to many patient pics on FB)2) Not maintaining adequate pt-phy " boundaries " I have boundaries with patients that I maintain regardlessof being FB friends (no refills between appointments, no

sexual relationships. . . etc. . .)3) Lack of Professionalism. Trust in Profession. Again I go for the informal & transparent style of interaction. This may not be the way other docs behave, but I see no ethical issues here.

People seem to be ready for a little less " professionalism " and artificeand more transparency.4) Loss of objectivity. I try to treat all my patients " special " whether they are my friends or not. I don't Rx or refer more

or less because they are friends. If I were a surgeon I may feeldifferently slicing open my friends BUT in the FP realm I feel quitecomfortable.Articles also note the following warnings:1) Do not post derogatory comments about pts on social media.

I can't imagine ever doing that.2) Do not use social networking sites for whistle-blowing.Seems the wrong route for that certainly.I guess I don't care if patients read about my vacation,my family, or see my high school photos. . . I'm an open " face " book.

:)Pamela

> > >> > > We do use facbook, but there was an article that says that is not ethical. In NM, it is not ethical to have friends as patients, you can loose your license. WE see this occasionally at the Board when providers have their license restricted. Incrediable to me.

> > > > > > ________________________________

> > > From: [ ] On Behalf Of pricklyfinger2007 [tagabanawa@]

> > > Sent: Monday, December 19, 2011 7:15 AM> > > To:

> > > Subject: social media - couple questions> > > > > > > > > > > > 1. anyone here use facebook and twitter to promote business?> > > 2. do you have patients who are already or want to become facebook friends? how do you politely say no or do you?

> > > > > > grace> > >> > > >>

 

 

-- Pratt

2 of 2 File(s)

Timesheet 2012 - General.xls

Timesheet 2011 - General.xls

[Guest guest]

jim.

im sorry about your loss.

truly, i want 2012 to be better too.

this year has been particularly hard for me with a lot of depression and a lot

of deaths among my patients.. i figured that if the time comes when i dont get

affected by a patient dying, that's the time ill take down the shingle.

hardest part is the people falling apart this year are the ones holding the

entire town together.

hope truly 2012 is better for everyone... and the world should NOT end until i

get to attend at least one IMP camp...

grace

> > > >

> > > > We do use facbook, but there was an article that says that is not

ethical. In NM, it is not ethical to have friends as patients, you can loose

your license. WE see this occasionally at the Board when providers have their

license restricted. Incrediable to me.

> > > >

> > > > ________________________________

> > > > From:

<mailto:%40yahoogroups.c\

om>

[ <mailto:%40yahoogroups.\

com>] On Behalf Of pricklyfinger2007 [tagabanawa@]

> > > > Sent: Monday, December 19, 2011 7:15 AM

> > > > To:

<mailto:%40yahoogroups.c\

om>

> > > > Subject: social media - couple questions

> > > >

> > > >

> > > >

> > > > 1. anyone here use facebook and twitter to promote business?

> > > > 2. do you have patients who are already or want to become facebook

friends? how do you politely say no or do you?

> > > >

> > > > grace

> > > >

> > >

> > >

> >

>