# Social Media Policies in U.S. Medical Education: An Analysis of Content, Consistency, and Gaps

## TL;DR

Most U.S. medical schools have social media policies, but many are outdated and inconsistent, especially between different regions and types of schools.

## Contribution

This study provides the first comprehensive analysis of social media policy content, consistency, and gaps across U.S. medical schools.

## Key findings

- 85% of U.S. medical schools have a social media policy, with M.D. schools more likely to have one than D.O. schools.
- Many policies reference outdated platforms like Twitter and omit newer ones like TikTok.
- Southern schools were more likely to have social media policies compared to other regions.

## Abstract

Background

Given the increasing prevalence and integration of social media platforms into various aspects of life, it is essential for medical schools to establish clear guidelines for their educational application and appropriate personal use. This study aims to assess the policies developed by medical schools in the United States and its territories addressing the use of social media.

Methods

Between June and July 2024, investigators examined the websites of all medical schools in the United States and its territories to assess their social media policies. The search involved reviewing student handbooks, policy webpages, and related websites. Specific search terms included "social media policy," "social networking policy," "social media," "social network," "social," and "media." Descriptive statistics, chi-squared analysis, and Fisher’s exact tests were utilized to describe and compare the categorical variables.

Results

Of the 199 U.S. medical schools, 166 (85%) had a social media policy (131 allopathic (M.D.) and 35 osteopathic (D.O.) schools). Among these policies, 98 (59%) were found in student handbooks, 45 (27%) on policy webpages, and 23 (14%) on other sites, typically related to technology and student affairs. Specifically, 131 (79%) policies were categorized as dedicated social media policies, while 35 (21%) were primarily included under student professionalism and technology policies. M.D. schools were more likely to have a social media policy than D.O. schools (p < 0.001). Schools in the South were also more likely to have social media policies (37% total policies, p < 0.001). Policy evaluation found that many policies mentioned platform names that are dated, such as Twitter instead of X, or failed to include the names of newer platforms, such as TikTok.

Conclusions

Most U.S. medical schools have social media policies; however, some need updates to reflect evolving platforms and current student use. Updating policies to address the evolving digital landscape will ensure that guidelines remain relevant and effective in promoting professionalism in medical education.