How Social Media Can Advance Humanism in Medicine

This article was originally published on February 28, 2019 on It can be found at

Image credit Rahul Chakraborty

Image credit Rahul Chakraborty

“In any given moment we have two options: to step forward into growth or step back into safety.”
– Abraham Maslow.

The New York Times recently published the op-ed “Dr. Google is a Liar,” written by cardiologist Haider Warraich, MD. Dr. Warraich describes the rise of fake medical news and the adverse consequences of a population who gets their medical information from social media. He shares that when countering these cultural memes of medical misinformation, which stir up strong emotions in our patients, stating dry medical jargon is not effective. He found that his patient was more open to his advice when he also shared about his own father’s heart attack. Dr. Warraich wisely argues for physicians to take back control of medical news by harnessing the power of humanism and narrative medicine to become effective storytellers.

Image via Sara Kurfeß

Image via Sara Kurfeß

I wholeheartedly agree with him. Let’s stop burying our heads in the sand and pretending we can convince our patients to resist Dr. Google. Let’s put ourselves back in the driver’s seat. I believe that the next generation of great doctors will be those who communicate on the Internet effectively and in a compelling enough way to sustain an audience and engender trust. In a time when trust in doctors is eroding, our patients want to see that we are human too and to do that we need to overcome our fears of showing our humanity. We know that when doctors and nurses are burnt out, patient outcomes decline. Literature also supports that when doctors display more empathy for their patients, outcomes improve. Humanism in medicine works best when it is a two-way street, wherein our health care system treats both patients and health care workers as human beings.

I believe there’s a natural link between humanism in medicine and social media. While there has been a core group of physicians on social media for the past decade, we are now seeing it become mainstream. Through this increased visibility, physicians are using social media mobilization to organize and to advocate for better patient care and better work conditions. Last November, as a criticism to the American College of Physicians’ position paper describing a public health approach to tackling gun-related deaths, the National Rifle Association tweeted that “self-important anti-gun doctors” should stay in their lane. The medical community swiftly responded with the #ThisIsMyLane campaign, rallying around their first-person, often harrowing accounts, of caring for the gunshot victims in ERs and operating rooms. Dr. Dave Morris, MD, a trauma surgeon in Utah posted a photo of his blood-soaked scrubs and said “Can’t post a patient photo, so this is a selfie. This is what it looks like to #stayinmylane.” The tweets and hashtags went viral, garnering national media attention, and physicians effectively steered the conversation.

Leo Eisenstein, a Harvard Medical Student, wrote about this in a New England Journal of Medicine Catalyst piece. He reminds us that the term burnout was coined by a psychologist who was caring for marginalized patients. In today’s broken health care system, clinicians are burdened by the reality that their patients are fighting socioeconomic and structural barriers that “no medicines can touch.” If both physicians and patients feel powerless against these forces, it’s not a big leap to envision physician advocacy as part of the antidote.

Part of makes what makes social media appealing is that it allows unheard voices to become public. This is crucial particularly for physicians, with many of us working long hours providing direct face to face patient care, and thus not having the time for community engagement. Social media platforms have become a watering hole of sorts, where it’s okay to share your perspective as a physician. Every Sunday night, @womeninmedchat (run by Dr. Petra Dolman, MD) hosts an hour-long Twitter chat, with guest moderators facilitating conversations ranging from how to negotiate pay, navigating residency interviews, and countering burn out, all searchable under the hashtag #womeninmedicine. The Facebook group SoMeDocs (Social Media Docs), founded by Dr. Dana Corriel, MD, has provided an engaging forum for physicians to discuss a variety of issues related to social media. #SoMeDocs is branching out to in-person live meetups aimed at building community, and advancing shared goals. For example, when Dr. Monique Tello, MD, MPH spoke out in support of vaccinations, she was targeted by anti-vaxxers online. Through the support of #SoMeDocs, Dr. Tello wrote a widely circulated blog post about online harassment and intimidation against doctors and successfully had the fake one-star online reviews removed.

Image credit Elena Koycheva

Image credit Elena Koycheva

With all of this momentum, it is important to remember that social media is a public space, and it should not be used to share protected health information or sensitive personal material. Some physicians argue that these risks mean we physicians should stay away from social media. However, with the next generation of doctors spending at least a decade of their life on Instagram and Snapchat before medical school, we cannot simply ignore the fact the social media has its own place in health care. Universities have been taking notice and creating positions to legitimize social media. My alma mater, Sidney Kimmel Medical College of Thomas Jefferson University in Philadelphia has named Dr. Austin Chiang MD, MPH as their Chief Social Media Officer. Likewise, the newly established Association for Healthcare Social Media aims to create best practices by which all health care professionals can be guided and protected in this emerging field.

I’ve met quite a few physicians who are even just one generation older than I am that are suspicious of social media. To them, it’s extra, and it’s dangerous. I can’t help but wonder if there is an underlying fear that the next generation is going about things differently? It seems there is denial and wishful thinking; as if we can turn back the clock in time and go back to the good old days when physicians could practice medicine without the burdens of out of control billing and EMR demands. My generation has inherited the reigns, and in my opinion, we got into this mess by physicians keeping themselves separate from other industries. Insurance companies took over medicine, and meanwhile, physicians were seeing patients, writing notes and faxing orders. We assumed that if we were providing excellent patient care, the rest would fall in line, and the work would speak for itself. Fast forward, and here we are.

Part of what’s gotten us off track in medicine is the dehumanization of patients and doctors. By sharing our stories, we remind the public that we are human too. We have successes and failures, tragedies and triumphs. We are human. I believe that doctors can serve patients, be professional, and make our opinions known. In fact, it’s our duty, and our profession depends on it.

the society for the study of psychiatry and culture


I had a great time at the annual Society for the Study of Psychiatry and Culture meeting at the Joan B. Kroc Institute for Peace and Justice at University of San Diego . The best part of being in this organization its getting together with like minded folks (including anthropologists, social workers, psychologists, and physicians) to have open dialogue about psychiatry, the meaning of psychiatry, how we define what's "normal" and how these definitions vary from culture to culture. I love that in this group there is a curiosity for really looking at ourselves and our work from so many angles, and not just the standard medical model. 


Here's a picture of my talk on my work in Bangalore in collaboration with the National Institute of Mental Health and Neurosciences (NIMHANS). For this project, I partnered with my colleagues from NIMHANS - Dr. Srikala Bharath MD and Dr. N Manjunatha MD, as well as Dr. Allen Dyer MD PhD at GWU. Our field work was done at Sakalawara Community Mental Health Center, which serves as a psychiatric clinic for villages surrounding Bengaluru.  Using an ethnographic approach, we interviewed women from the villages who were being treated for depression and anxiety. Our interviews focused on understanding what it felt like to be living with depression as a woman in Bangalore, and how each woman made sense of her condition, with a goal of gaining a more nuanced understanding of how culture and mental health affect each other. Some of the most compelling themes of these rich interviews came out around motherhood, and how tapping into their core identity as mothers was a socially acceptable means for activating agency and assertive thinking for these women. In my talk, I discussed how assertive coping in this manner can fit into the Hindu belief structure of karma.