Early Career

Lessons learned as a gastroenterologist on social media


I have always been a strong believer in meeting patients where they obtain their health information. Early in my clinical training, I realized that patients are exposed to health information through traditional media formats and, increasingly, social media, rather than brief clinical encounters. Unlike traditional media, social media allows individuals the opportunity to post information without a third-party filter. However, this opens the door for untrained individuals to spread misinformation and disinformation. In health care, this could potentially disrupt public health efforts. Even innocent mistakes like overlooking the appropriate clinical context can cause issues. Traditional media outlets also have agendas that may leave certain conditions, therapies, and other facets of health care underrepresented. My belief is that experts should therefore be trained and incentivized to be spokespeople for their own areas of expertise. Furthermore, social media provides a novel opportunity to improve health literacy while humanizing and restoring fading trust in health care.

Dr. Austin L. Chiang, Jefferson Health, Philadelphia

Dr. Austin L. Chiang

There are several items to consider before initiating on one’s social media journey: whether you are committed to exploring the space, what one’s purpose is on social media, who the intended target audience is, which platform is most appropriate to serve that purpose and audience, and what potential pitfalls there may be.

The first question to ask oneself is whether you are prepared to devote time to cultivating a social media presence and speak or be heard publicly. Regardless of the platform, a social media presence requires consistency and audience interaction. The decision to partake can be personal; I view social media as an extension of in-person interaction, but not everyone is willing to commit to increased accessibility and visibility. Social media can still be valuable to those who choose to observe and learn rather than post.

Next is what one’s purpose is with being on social media. This can vary from peer education, boosting health literacy for patients, or using social media as a news source, networking tool, or a creative outlet. While my social media activity supports all these, my primary purpose is the distribution of accurate health information as a trained expert. When I started, I was one of few academic gastroenterologists uniquely positioned to bridge the elusive gap between the young, Gen Z crowd and academic medicine. Of similar importance is defining one’s target audience: patients, trainees, colleagues, or the general public.

Because there are numerous social media platforms, and only more to come in the future, it is critical to focus only on platforms that will serve one’s purpose and audience. Additionally, some may find more joy or agility in using one platform over the other. While I am one of the few clinicians who are adept at building communities across multiple rapidly evolving social media platforms, I will be the first to admit that it takes time to fully understand each platform with its ever-growing array of features. I find myself better at some platforms over others and, depending on my goals, I often will shift my focus from one to another.


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