E-Professionalism in Medical Education: Assessing Social Media Practices and Ethical Awareness among Students

Abstract

Background: social media is widely used by medical students for communication, learning, and networking. However, it can blur personal–professional boundaries, posing ethical challenges related to con𿿿dentiality and professionalism. Aim: To assess patterns of social media use, awareness of e-professionalism, and prevalence of unprofessional behaviour among clinical-year MBBS students. Objectives: To assess social media usage, awareness of e-professionalism guidelines, and prevalence of unprofessional conduct, and to explore associations between privacy practices and professionalism breaches. Materials and Methods: A cross-sectional online survey was conducted among 334 clinical-year MBBS students at Chettinad Hospital and Research Institute using a pre-validated questionnaire. Data included demographics, usage patterns, posting behaviours, and policy awareness. Results: Most participants (58.1%) were aged 21–23 years and female (62.9%). WhatsApp (97.3%), Instagram (93.4%), and YouTube (89.5%) were the most used platforms. Daily use was 3–4 hours for 38.6% of students. Entertainment (100%), networking (78.4%), and academic learning (76.6%) were the main purposes. Unprofessional postings included clinical images (18.9%), colleague-related content (15.6%), and classroom material (8.1%). Most (94.9%) refrained from offering unsolicited medical advice. Conclusion: Social media is integral to students’ academic and social lives. While most demonstrate responsible online behaviour, lapses in digital professionalism remain. Incorporating structured training on e-professionalism into medical curricula can strengthen ethical awareness and online conduct.