<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1981-5271</journal-id>
<journal-title><![CDATA[Revista Brasileira de Educação Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. bras. educ. med.]]></abbrev-journal-title>
<issn>1981-5271</issn>
<publisher>
<publisher-name><![CDATA[Associação Brasileira de Educação Médica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1981-52712017000400564</article-id>
<article-id pub-id-type="doi">10.1590/1981-52712015v41n3RB20160096</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[&#201;tica e Profissionalismo nas Redes Sociais: Comportamentos On-Line de Estudantes de Medicina]]></article-title>
<article-title xml:lang="en"><![CDATA[Ethics and Professionalism in Social Media: The Online Behaviour of Medical Students]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Souza]]></surname>
<given-names><![CDATA[Edvaldo da Silva]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lorena]]></surname>
<given-names><![CDATA[Suélem Barros de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[Carolina Cavalcanti Gonçalves]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Amorim]]></surname>
<given-names><![CDATA[Anderson Felipe Cavalcante]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Peter]]></surname>
<given-names><![CDATA[João Vitor Sóstenes]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Faculdade Pernambucana de Saúde  ]]></institution>
<addr-line><![CDATA[Pernambuco RE]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade Federal de Pernambuco  ]]></institution>
<addr-line><![CDATA[Pernambuco RE]]></addr-line>
<country>Brasil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<volume>41</volume>
<numero>4</numero>
<fpage>564</fpage>
<lpage>575</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://educa.fcc.org.br/scielo.php?script=sci_arttext&amp;pid=S1981-52712017000400564&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://educa.fcc.org.br/scielo.php?script=sci_abstract&amp;pid=S1981-52712017000400564&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://educa.fcc.org.br/scielo.php?script=sci_pdf&amp;pid=S1981-52712017000400564&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO Novo tipo de rela&#231;&#227;o entre m&#233;dicos e pacientes vem surgindo ap&#243;s a expans&#227;o e abrang&#234;ncia das redes sociais. Assim, &#233; necess&#225;rio rever aspectos da forma&#231;&#227;o de estudantes de Medicina, al&#233;m de avaliar os benef&#237;cios e riscos da utiliza&#231;&#227;o dessas redes, no intuito de preservar a confian&#231;a e cumplicidade na rela&#231;&#227;o m&#233;dico-paciente.  Objetivos: Descrever o comportamento on-line de estudantes de Medicina, bem como suas opini&#245;es sobre o uso de redes sociais, al&#233;m de conhecer aspectos da forma&#231;&#227;o m&#233;dica sobre &#233;tica e profissionalismo.   M&#233;todos: Estudo transversal realizado em hospitais de ensino de tr&#234;s escolas m&#233;dicas em Recife (PE)entre 2015 e 2016. Um question&#225;rio autoaplic&#225;vel elaborado pelos pesquisadores foi respondido por 260 estudantes de Medicina dos dois &#250;ltimos anos do curso (internato). Ao mesmo tempo, os planos de ensino de cada institui&#231;&#227;o foram analisados separadamente. Os dados obtidos foram analisados por meio dos testes estat&#237;sticos: Qui-Quadrado de Pearson, teste Exato de Fisher, Kruskal-Wallis e McNemar. Para a parte do question&#225;rio do tipo escala Likert foi calculado o ranking m&#233;dio das respostas dos participantes, assim como o Alpha de Cronbach. O projeto foi submetido &#224; aprecia&#231;&#227;o &#233;tica com posterior aprova&#231;&#227;o e todos os participantes concordaram com o Termo de Consentimento Livre e Esclarecido.   Resultados: Entre os estudantes, 41,5% (108) afirmaram ter postado fotos ou videos mostrando consumo de bebidas alco&#243;licas ou cigarro e 32,3% (84) postaram fotos ou videos com pacientes em rede social. Foi observada diferen&#231;a estatisticamente significativa (p&lt;0,001) entre as institui&#231;&#245;es pesquisadas quanto &#224; postagem de fotos ou videos com pacientes, uma vez que os estudantes da institui&#231;&#227;o III relataram menor postagem (14,3% ou 12 participantes). Na an&#225;lise das respostas dos estudantes das tr&#234;s institui&#231;&#245;es, foi observada rela&#231;&#227;o de tend&#234;ncia inversa entre &#8220;postagem de fotos ou v&#237;deos com pacientes&#8221; e &#8220;abordagem de profissionalismo on-line na gradua&#231;&#227;o&#8221;. Na institui&#231;&#227;o III, onde menor quantidade de estudantes relatou postagens em rede social com pacientes, maior quantidade deles relatou abordagem de quest&#245;es sobre profissionalismo on-line na gradua&#231;&#227;o (26,2% ou 22 participantes). Entre os pesquisados, 79% (205) concordaram em que certos conte&#250;dos do perfil pessoal do Facebook do m&#233;dico podem difamar a reputa&#231;&#227;o deste. Em rela&#231;&#227;o &#224; abordagem de quest&#245;es sobre profissionalismo on-line na gradua&#231;&#227;o m&#233;dica, 80,8% (210) dos participantes disseram que n&#227;o tiveram essa abordagem. Na an&#225;lise dos planos de ensino, apenas a institui&#231;&#227;o III apresentou um eixo curricular de desenvolvimento profissional e abordagem te&#243;rica formal sobre conceitos de &#233;tica durante o internato.   Conclus&#227;o: Um n&#250;mero expressivo de estudantes pesquisados teve comportamentos contr&#225;rios ao preconizado pelo C&#243;digo de &#201;tica M&#233;dica, resolu&#231;&#245;es do Conselho Federal de Medicina e guidelines estrangeiras de comportamento em rede social. &#201; poss&#237;vel que a abordagem do profissionalismo e da &#233;tica na forma&#231;&#227;o acad&#234;mica tenha repercuss&#227;o nos comportamentos de estudantes de Medicina na rede social. Estudos que poderiam estabelecer rela&#231;&#227;o de causa e efeito s&#227;o necess&#225;rios para confirmar se h&#225; rela&#231;&#227;o entre comportamentos on-line de estudantes e abordagem de &#233;tica e profissionalismo na gradua&#231;&#227;o. Por fim, observa-se, nas escolas m&#233;dicas pesquisadas, escassez da abordagem do tema profissionalismo on-line. ]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT A new type of doctor-patient relationship is emerging due to the widespread use of social media. Therefore, a review of certain aspects of medical education is needed in order to preserve the trust and cooperation of the doctor-patient relationship.  Objectives: To describe the online behaviour of medical students, their opinions the use of social media and to understand aspects of undergraduate medical training regarding ethics and professionalism.   Methods: This was a cross-sectional study with a sample of 260 medical students enrolled in the fifth and sixth years at three medical schools in Recife, Pernambuco, Brazil. The data were collected between August 2015 and July 2016 at the teaching hospitals of each medical school. This paper reports the results from a structured questionnaire composed by the authors about online ethics and professionalism and answered by the students. The obtained data were analysed by means of the following statistical tests: Pearson&#8217;s Chi-square, Fisher&#8217;s exact test, Kruskal-Wallis and McNemar tests. For the Likert scale-type part of the questionnaire average ranking was calculated for student responses. Cronbach Alpha was also calculated. The study was approved by the Ethics on Research Committee. Informed consent was obtained from all participants. In order to ensure the confidentiality of the results, the medical schools had their names omitted.   Results: A total of 84 students (32.3%) reported that they had posted pictures or videos with patients and 108 (41.5%) had posted pictures or videos with alcoholic drinks or cigarettes. A statistically significant difference (p&lt;0.001) was found between the three medical schools relative to students posting pictures or videos with patients. The students from institution number III were the least likely to post photos or videos with patients or with alcoholic drinks or cigarettes, according to their answers to the questionnaire. Furthermore, institution number III also had the highest number of students that reported having addressed issues of online professionalism in medical training(262%/22). Analysing the three institutions separately an inverse relationship was found between &#8220;posting photos or videos with patients&#8221; and &#8220;online professionalism during undergraduate training&#8221;. Among those surveyed, 79% (205) agreed that some content published by doctors on Facebook might harm the doctor&#8217;s reputation. Students reported having had no discussions concerning online professionalism during their undergraduate course in 80.8% of the cases. Analysing the curriculum from the three medical schools, only institution number III was found to offer specific content regarding professional development and formally addressed theories regarding concepts of ethics during the medical residency.   Conclusion: When we consider the recommendations found in the Code of Medical Ethics, resolutions published by the Brazilian Federal Medical Council (BFMC), and foreign guidelines, it was evident that a large number of students had posted inappropriate content online. A failure to adequately address ethics and professionalism as part of academic training may well play a part in issues related to the behaviour of medical students on social meda. More research into online behaviour and ethics/professionalism taught as part of undergraduate training is needed to infer causal relationships. Finally, it could be concluded that online professionalism was a topic that was scarcely addressed in the curricula of the surveyed medical schools. ]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Ética Médica]]></kwd>
<kwd lng="pt"><![CDATA[Profissionalismo]]></kwd>
<kwd lng="pt"><![CDATA[Rede Social]]></kwd>
<kwd lng="pt"><![CDATA[Educação Médica]]></kwd>
<kwd lng="en"><![CDATA[Medical Ethics]]></kwd>
<kwd lng="en"><![CDATA[Professionalism]]></kwd>
<kwd lng="en"><![CDATA[Social Media]]></kwd>
<kwd lng="en"><![CDATA[Medical Education]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<collab>Brasil. Secretaria de Comunicação Social</collab>
<collab>Brasil. Secretaria de Comunicação Social</collab>
<source><![CDATA[Pesquisa brasileira de mídia 2015: hábitos de consumo de mídia pela população brasileira [on-line]]]></source>
<year></year>
<publisher-loc><![CDATA[Brasília ]]></publisher-loc>
<publisher-name><![CDATA[Secom]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[JF]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[The effect of the internet on the patient-doctor relationship in a hospital in the city of São Paulo]]></article-title>
<source><![CDATA[JISTEM &#8211; Journal of Information Systems and Technology Management [on-line].]]></source>
<year></year>
<volume>11</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>327-44</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moubarak]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Guiot]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Benhamou]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Benhamou]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Hariri]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Facebook activity of residents and fellows and its impact on the doctor-patient relationship]]></article-title>
<source><![CDATA[J Med Ethics.]]></source>
<year></year>
<volume>37</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>101-04</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chretien]]></surname>
<given-names><![CDATA[KC]]></given-names>
</name>
<name>
<surname><![CDATA[Greysen]]></surname>
<given-names><![CDATA[SR]]></given-names>
</name>
<name>
<surname><![CDATA[Chretien]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Kind]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Online posting of unprofessional content by medical students]]></article-title>
<source><![CDATA[JAMA.]]></source>
<year></year>
<volume>302</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>1309-315</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ubink-Veltmaat]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Damoiseaux]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Rischen]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Groenier]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Please, let my doctor be obese: associations between the characteristics of general practitioners and their patients with type 2 diabetes]]></article-title>
<source><![CDATA[Diabetes Care [on-line]]]></source>
<year></year>
<volume>27</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>2560-560</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jain]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Practicing medicine in the age of Facebook]]></article-title>
<source><![CDATA[The New England Journal Of Medicine [on-line].]]></source>
<year></year>
<volume>361</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>649-51</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="">
<collab>Conselho Federal de Medicina</collab>
<collab>Conselho Federal de Medicina</collab>
<source><![CDATA[Código de Ética Médica [on-line]]]></source>
<year></year>
<publisher-loc><![CDATA[Brasília ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Blank]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Kimball]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[McDonald]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Merino]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Medical professionalism in the new millennium: a physician charter 15 months later]]></article-title>
<source><![CDATA[Annals Of Internal Medicine [on-line].]]></source>
<year></year>
<volume>138</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>839-41</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jain]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Petty]]></surname>
<given-names><![CDATA[EM]]></given-names>
</name>
<name>
<surname><![CDATA[Jaber]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
<name>
<surname><![CDATA[Tackett]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Purkiss]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Fitzgerald]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[What is appropriate to post on social media? Ratings from students, faculty members and the public]]></article-title>
<source><![CDATA[Med Educ [on-line].]]></source>
<year></year>
<volume>48</volume>
<page-range>157-69</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mayer]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Leis]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Mayer]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Rodriguez-Gonzalez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[How medical doctors and students should use Social Media: a review of the main guidelines for proposing practical recommendations]]></article-title>
<source><![CDATA[Studies In Health Technology And Informatics [on-line].]]></source>
<year></year>
<page-range>180853-80857</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="">
<collab>Brasil. Conselho Federal de Medicina</collab>
<collab>Brasil. Conselho Federal de Medicina</collab>
<article-title xml:lang="en"><![CDATA[Estabelece os critérios norteadores da propaganda em Medicina, conceituando os anúncios, a divulgação de assuntos médicos, o sensacionalismo, a autopromoção e as proibições referentes à matéria]]></article-title>
<source><![CDATA[Diário Oficial da União]]></source>
<year></year>
<page-range>241-44</page-range><publisher-loc><![CDATA[Brasília ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="">
<collab>Brasil. Conselho Federal de Medicina</collab>
<collab>Brasil. Conselho Federal de Medicina</collab>
<article-title xml:lang="en"><![CDATA[Altera as alíneas &#8220;c&#8221; e &#8220;f&#8221; do art. 3º, o art. 13 e o anexo II da Resolução CFM nº 1.974/11, que estabelece os critérios norteadores da propaganda em Medicina, conceituando os anúncios, a divulgação de assuntos médicos, o sensacionalismo, a autopromoção e as proibições referentes à matéria]]></article-title>
<source><![CDATA[Diário Oficial da União]]></source>
<year></year>
<page-range>131-31</page-range><publisher-loc><![CDATA[Brasília ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="">
<collab>Brasil. Conselho Federal de Medicina</collab>
<collab>Brasil. Conselho Federal de Medicina</collab>
<source><![CDATA[Altera o texto do Anexo I &#8211; Critérios para a relação dos médicos com a imprensa (programas de TV e rádio, jornais, revistas), no uso das redes sociais e na participação em eventos (congressos, conferências, fóruns, seminários etc.) da Resolução CFM nº 1.974/11]]></source>
<year></year>
<page-range>248-48</page-range><publisher-loc><![CDATA[Brasília ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rocha]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Castro]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Opinions of students from a Brazilian medical school regarding online professionalism]]></article-title>
<source><![CDATA[Journal Of General Internal Medicine [on-line].]]></source>
<year></year>
<volume>29</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>758-64</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Godoy]]></surname>
<given-names><![CDATA[MF]]></given-names>
</name>
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[HRA]]></given-names>
</name>
<name>
<surname><![CDATA[Pria]]></surname>
<given-names><![CDATA[OAFD]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Avaliação do conhecimento da ética médica dos graduandos de medicina]]></article-title>
<source><![CDATA[Rev.Bras. Educ. Med. [online]]]></source>
<year></year>
<volume>38</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>31-7</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chretien]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Tuck]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Online professionalism: A synthetic review]]></article-title>
<source><![CDATA[International Review Of Psychiatry [on-line]]]></source>
<year></year>
<volume>27</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>106-17</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Black]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Thompson]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Duff]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Dawson]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Saliba]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Black]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Revisiting Social Network Utilization by Physicians-in-Training]]></article-title>
<source><![CDATA[Journal Of Graduate Medical Education [on-line].]]></source>
<year></year>
<volume>2</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>289-93</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Langenfeld]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Cook]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Sudbeck]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Luers]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Schenarts]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[An assessment of unprofessional behavior among surgical residents on Facebook: a warning of the dangers of social media]]></article-title>
<source><![CDATA[Journal Of Surgical Education [on-line].]]></source>
<year></year>
<volume>71</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>28-32</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[MacDonald]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Sohn]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Ellis]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Privacy, professionalism and Facebook: a dilemma for young doctors]]></article-title>
<source><![CDATA[Medical Education [on-line].]]></source>
<year></year>
<volume>44</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>805-13</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Thompson]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Black]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Duff]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Paradise Black]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Saliba]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Dawson]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Protected health information on social networking sites: ethical and legal considerations]]></article-title>
<source><![CDATA[Journal Of Medical Internet Research [on-line].]]></source>
<year></year>
<volume>13</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>8-</page-range></nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Garner]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[O&#8217;Sullivan]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Facebook and the professional behaviours of undergraduate medical students]]></article-title>
<source><![CDATA[The Clinical Teacher [on-line].]]></source>
<year></year>
<volume>7</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>112-15</page-range></nlm-citation>
</ref>
<ref id="B22">
<label>22</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Osman]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Wardle]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Caesar]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Online professionalism and Facebook--falling through the generation gap]]></article-title>
<source><![CDATA[Medical Teacher [on-line].]]></source>
<year></year>
<volume>34</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>549-56</page-range></nlm-citation>
</ref>
<ref id="B23">
<label>23</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[White]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Kirwan]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Lai]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Walton]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Ross]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[&#8216;Have you seen what is on Facebook?&#8217; The use of social networking software by healthcare professions students]]></article-title>
<source><![CDATA[BMJ Open [on-line].]]></source>
<year></year>
<volume>3</volume>
<numero>7</numero>
<issue>7</issue>
</nlm-citation>
</ref>
<ref id="B24">
<label>24</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Houaiss]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Villar]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
</person-group>
<source><![CDATA[Dicionário Houaiss de Língua Portuguesa]]></source>
<year></year>
<publisher-loc><![CDATA[Rio de Janeiro ]]></publisher-loc>
<publisher-name><![CDATA[Objetiva]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B25">
<label>25</label><nlm-citation citation-type="">
<collab>American Medical Association (AMA)</collab>
<collab>American Medical Association (AMA)</collab>
<source><![CDATA[AMA Policy: Professionalism in the Use of Social Media. [on-line]]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B26">
<label>26</label><nlm-citation citation-type="">
<collab>Australian Medical Association (AMA)</collab>
<collab>Australian Medical Association (AMA)</collab>
<source><![CDATA[Social Media and the Medical Profession: A Guide to Online Professionalism for Medical Practitioners and Medical Students.[on-line]]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B27">
<label>27</label><nlm-citation citation-type="">
<collab>British Medical Association (BMA)</collab>
<collab>British Medical Association (BMA)</collab>
<source><![CDATA[Using social media: practical and ethical guidance for doctors and medical students. [on-line]]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B28">
<label>28</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Suler]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[The online disinhibition effect]]></article-title>
<source><![CDATA[Cyberpsychology&Behavior: The Impact Of The Internet, Multimedia And Virtual Reality On Behavior And Society [on-line].]]></source>
<year></year>
<volume>7</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>321-26</page-range></nlm-citation>
</ref>
<ref id="B29">
<label>29</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lagu]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Kaufman]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Asch]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Armstrong]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Content of weblogs written by health professionals]]></article-title>
<source><![CDATA[Journal Of General Internal Medicine [on-line].]]></source>
<year></year>
<volume>23</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>1642-646</page-range></nlm-citation>
</ref>
<ref id="B30">
<label>30</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shafer]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Social media and physicians: A good pair, but guidelines for use needed]]></article-title>
<source><![CDATA[Hematology/Oncology Today [on-line].]]></source>
<year></year>
<page-range>1-14</page-range></nlm-citation>
</ref>
<ref id="B31">
<label>31</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Camargo]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Almeida]]></surname>
<given-names><![CDATA[MAS]]></given-names>
</name>
<name>
<surname><![CDATA[Morita]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Ética e bioética: o que os alunos do sexto ano médico têm a dizer]]></article-title>
<source><![CDATA[Rev.Bras. Educ. Med. [on-line]]]></source>
<year></year>
<volume>38</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>182-89</page-range></nlm-citation>
</ref>
<ref id="B32">
<label>32</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Restom]]></surname>
<given-names><![CDATA[AG]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Representação Social das Vivências de Estudantes no Curso de Medicina]]></article-title>
<source><![CDATA[Rev.Bras. Educ. Med. [on-line].]]></source>
<year></year>
<volume>39</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>370-77</page-range></nlm-citation>
</ref>
<ref id="B33">
<label>33</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gomes]]></surname>
<given-names><![CDATA[AMA]]></given-names>
</name>
<name>
<surname><![CDATA[Moura]]></surname>
<given-names><![CDATA[ERF]]></given-names>
</name>
<name>
<surname><![CDATA[Amorim]]></surname>
<given-names><![CDATA[RF]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[O lugar da ética e bioética nos currículos de formação médica]]></article-title>
<source><![CDATA[Rev.Bras. Educ. Med. [on-line].]]></source>
<year></year>
<volume>30</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>56-65</page-range></nlm-citation>
</ref>
<ref id="B34">
<label>34</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ellaway]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Coral]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Topps]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Topps]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Exploring digital professionalism]]></article-title>
<source><![CDATA[Medical Teacher [on line]]]></source>
<year></year>
<volume>37</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>844-49</page-range></nlm-citation>
</ref>
<ref id="B35">
<label>35</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kaczmarczyk]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Chuang]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Dugoff]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Abbott]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Cullimore]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Casey]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[e-Professionalism: a new frontier in medical education]]></article-title>
<source><![CDATA[Teaching And Learning In Medicine [on-line]]]></source>
<year></year>
<volume>25</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>165-70</page-range></nlm-citation>
</ref>
<ref id="B36">
<label>36</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Walton]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[White]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Ross]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[What&#8217;s on YOUR Facebook profile? Evaluation of an educational intervention to promote appropriate use of privacy settings by medical students on social networking sites]]></article-title>
<source><![CDATA[Medical Education Online [on-line].]]></source>
<year></year>
<page-range>2028708-028708</page-range></nlm-citation>
</ref>
<ref id="B37">
<label>37</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lie]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Trial]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Schaff]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Wallace]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Elliott]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[&#8220;Being the best we can be&#8221;: medical students&#8217; reflections on physician responsibility in the social media era]]></article-title>
<source><![CDATA[Academic Medicine: Journal Of The Association Of American Medical Colleges [on-line].]]></source>
<year></year>
<volume>88</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>240-45</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
