Hot Topics

Professionalism and the Internet
by Peter Ash, M.D. and Sandra DeJong, M.D.

The whole world seems to be blogging, tweeting, texting, and friending these days, including patients and doctors. This webinar looks at the potential clinical, ethical and legal issues that can arise with the use of technology in clinical child psychiatry practice and offer some suggestions about how to solve problems and manage dilemmas. Specific case examples are discussed.

Click here for the webinar

Internet Use: What to Do?
Psychopharmacology with Children and Adolescents: Considering and Managing Ethical and Clinical Issues

Internet use increasingly has become the norm, for all age groups. Learning to manage the challenges of the internet as it pertains to clinical care is personally and professionally an essential aspect of practice. These presentations and articles discuss some of the clinical, ethical and professional issues with suggestions on how to approach and manage these concerns.

AACAP Presentation, 2011 Annual Meeting
Professionalism and the Internet: How to Get Along; Dingle, DeJong & Stansifer (Link coming soon)

  • This presentation covers recent data on physician use of the Internet in clinical practice and clinical, generational, and ethical issues related to the Internet and social networking sites. It concludes with some recommendations on how psychiatrists should approach working with this type of media.

Relevant Resources

AMA Policy: Professionalism in the Use of Social Media
(Accessed 1.14.2011)

  • Brief introductory paragraph detailing some of the benefits of social media for communication by and with physicians followed by a list of considerations for physicians should consider when utilizing these types of media.

AADPRT Curriculum on Professionalism and the Internet

  • A set of vignettes developed for teaching and discussing professionalism related to the internet and digital media that can be useful for practitioners at any level.

The use of information technology in medicine: Defining its role and limitations.

Medical professionalism in the Internet age.

The author reviews some of the ethical and clinical concerns raised by physician use of information technology such as social networking sites, e-mails, patient education websites, and online forums.

Patient-targeted Googling: The ethics of searching online for patient information.

This article provides an overview of the issues related to physicians searching on-line for information on their patients.

The YouTube generation implications for medical professionalism.

The relationship status of digital media and professionalism: It's complicated.

These articles review some of the issues related to professionalism and the use of digital media as related to trainees.

Online professionalism and the mirror of social media.

This article reviews ethical issues related to physician behavior on the Internet and the possible consequences and impact.

Medical professionalism in the age of online social networking.

The authors review ethical issues related to physician use of social networking websites.

Psychopharmacology with Children and Adolescents: Considering and Managing Ethical and Clinical Issues
With biological advances, pharmacotherapy represents an often essential aspect of effective psychiatric treatment for children and adolescents. Nevertheless, our knowledge of the true benefits and actual risks continue to be evolving and therefore significant clinical and ethical concerns about the use of psychopharmacology in children and adolescents persist.

AACAP Presentations, 2011 Annual Meeting
Medicolegal Issues in Prescribing Medications to Children and Adolescents (Link coming soon)

  • Advances in Treatment: Implications for Clinical Practice
    Ash

Overview and discussion of some of the ethical and legal issues related to prescribing medications for children and adolescents.

  • Psychotropic Medication Use in Vulnerable Child and Adolescent Populations: Making Appropriate Clinical and Ethical Treatment Decisions (Link coming soon)
    Dingle, Varley, Sharma, VanWattum

Overview and discussion of psychotropic medication prescribing practices in vulnerable pediatric populations with an emphasis on the relevant clinical and ethical issues that occur with youth who have state involvement and where resources are limited.

Relevant Articles

Understanding the agreements and controversies surrounding childhood psychopharmacology.

This article reviews and discusses issues related to the increased use of psychotropic medications to treat children and adolescents. Some of the general areas covered include: beneficence, systems of care, the appropriate use of the DSM and its limitations, problems with misdiagnosis, importance of multi-modal treatment.

Pharmacoepidemiology: Recent findings and challenges for child and adolescent psychopharmacology

Second opinions Improve ADHD prescribing in a Medicaid-insured community population.

  • Journal of American Academy of Child and Adolescent Psychiatry. 2009;48(7):740-748 (Link coming soon)
    Thompson JN, Varley CK, McClellan J, et al.

Psychotrophic medication management for youth in state care: Consent, oversight, and policy considerations.

Description of program implemented in the state of Illinois to improve the administration of informed consent for children and adolescents in state custody.

Psychotropic medication management in a residential group care program.

Description and discussion of some of the relevant issues related to the use of psychotropic medication with youth being treated in residential treatment program.

Psychotropic medication practices for youth in systems of care.

Description and discussion of some of the relevant issues related to the use of psychotropic medication with youth being treated in various systems of care.