Use of Social Media in Orthopaedic Surgery Training and Practice

Aliya G. Feroe · Arthur J. Only · Jerome C. Murray · Lynsey Malin · Nizar Mikhael · Ryan S. Selley +2 more

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Social Media in Health Education Media and Digital Communication History of Medical Practice

Abstract

Background: Social media use has grown across healthcare delivery and practice, with dramatic changes occurring in response to the coronavirus (COVID-19) pandemic. The purpose of this study was to conduct a comprehensive systematic review to determine the current landscape of social media use by (1) orthopaedic surgery residencies/fellowship training programs and (2) individual orthopaedic surgeons and the change in use over time. Methods: We searched 3 electronic databases (PubMed, MEDLINE, and Embase) from their inception to April 2022 for all studies that analyzed the use of social media in orthopaedic surgery. Two reviewers independently determined study eligibility, rated study quality, and extracted data. Methodology was in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Results: Twenty-eight studies were included, of which 11 analyzed social media use by orthopaedic surgery residency and fellowship training programs and 17 examined its use by individual orthopaedic surgeons. Among residency and fellowship programs, Instagram was identified as the most common platform used, with 42% to 88% of programs reporting program-specific Instagram accounts, followed by Twitter/X (20%-52%) and Facebook (10%-38%). Social media was most commonly used by programs for recruitment and information dissemination to prospective residency applicants (82% and 73% of included studies, respectively). After the start of the COVID-19 pandemic, there was a 620% and 177% increase in the number of training programs with Instagram and Twitter/X accounts, respectively. Individual use of social media ranged from 1.7% to 76% (Twitter/X), 10% to 73% (Facebook), 0% to 61% (Instagram), 22% to 61% (LinkedIn), and 6.5% to 56% (YouTube). Conclusions: Instagram, Twitter/X, and Facebook are the premier platforms that patients, residency applicants, and institutions frequent. With the continued growth of social media use anticipated, it will be critical for institutions and individuals to create and abide by guidelines outlining respectful and professional integration of social media into practice. Level of Evidence: Level IV.

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2021The PRISMA 2020 statement: an updated guideline for reporting systematic reviews 2021Social Media Use for Health Purposes: Systematic Review 2021Social Media and Health Care, Part I: Literature Review of Social Media Use by Health Care Providers 2021Social media and its impact on health care 2015The Use of Social Media by State Health Departments in the US: Analyzing Health Communication Through Facebook 2017Social Media in Pediatric Orthopaedics 2020Evaluating the Potential Role of Social Media in Preventive Health Care 2016Social media and Internet usage of orthopaedic surgeons

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