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"Can I post this?"

Excited to share our OFID Perspective re: sharing clinical cases & images on social media!

https://academic.oup.com/ofid/advance-article/doi/10.1093/ofid/ofab084/6144607

What better way to tell you about it than with a tweetorial?

@NNolanMD @LeMiguelChavez @eeeejjjaaaa @MDdreamchaser @WendyStead5
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If you're reading this, we don't need to tell you #MedTwitter is amazing

#IDTwitter is constantly sharing educational patient cases and hot-off-the-press articles. The frequent case-based learning from individuals and ID fellowship programs on Twitter inspired this piece!
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We want to help you with some practical recommendations to:
⭐️ safely de-identify patient cases or use clinical images
⭐️ cite your sources

Hopefully this is a useful guide for those getting started and perhaps evokes questions for those who tweet regularly
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Everyone has done that hospital module (or ten) on HIPAA, but do you know what the "Safe Harbor" method outlined in the HIPAA Privacy Rule is? I can almost guarantee you have used this method on many occasions
5/De-identification may seem simple, but removal of HIPAA identifiers may not be enough. #IDTwitter, details from epi hx can be crucial, but may lead to inadvertent re-identification.

Use this...or get creative & make a composite pt (what I do for tweetorials+ @febrilepodcast )
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Next, we tried to think about how and when to use clinical images. We advocated that collecting images and posting on social media should be discussed with a pt like any other informed consent, which can be easily stored in their EMR.
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What about pathology or radiology images? HIPAA Privacy Rule permits use of de-identified path photographs, but radiology images do not have any specific requirements outlined by law. The key is taking extra care with de-identification of the accompanying vignette!!
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Let's end with a word on responsible referencing. How do we cite source material on SoMe? Which articles are you allowed to freely repost?

I hope this graphic can help you pinpoint the symbols or text to look for to identify open access vs journal copyright
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In this table, we summarize our recs for images/references.
We tried to cover the types of sources you might use in other digital materials

For ex: Did you know most CDC images and papers written by employees of federal government are public domain?
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Whether you are a lurker who wants to leap into content creation....or a seasoned tweetorialist, we hope that this guidance will be helpful. It might not answer every ?, but its a start

Thanks to the OFID editors & reviewers for feedback and seeing value in this topic !
You can follow @swinndong.
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