Jerad M. Gardner and Timothy C. Allen (2019) Keep Calm and Tweet On: Legal and Ethical Considerations for Pathologists Using Social Media. Archives of Pathology & Laboratory Medicine: January 2019, Vol. 143, No. 1, pp. 75-80.

https://doi.org/10.5858/arpa.2018-0313-SA

SPECIAL ARTICLE

Keep Calm and Tweet On: Legal and Ethical Considerations for Pathologists Using Social Media

Jerad M. Gardner, MD; Timothy C. Allen, MD, JD

From the Department of Pathology, University of Arkansas for Medical Sciences, Little Rock (Dr Gardner); and Department of Pathology, University of Mississippi Medical Center, Jackson (Dr Allen).

The authors have no relevant financial interest in the products or companies described in this article.

Corresponding author: Jerad M. Gardner, MD, Department of Pathology, University of Arkansas for Medical Sciences, 4301 W Markham St, Slot 517, Little Rock, AR 72205 (email: JMGardnerMD@gmail.com; Twitter: @JMGardnerMD).

Recent privacy breaches by a major social media company have again raised questions from some pathologists regarding the legality and ethics of sharing pathology images on social media. The authors examined ethical principles as well as historic and legal precedents relevant to pathology medical photography. Taking and sharing photographs of pathology specimens is embedded into the culture of the specialty of pathology and has been for more than a century. In general, the pathologist who takes the photograph of a gross or microscopic specimen owns the copyright to that photograph. Patient consent is not legally or ethically required to take or use deidentified photographs of pathology specimens. Current US privacy laws (Health Insurance Portability and Accountability Act [HIPAA] of 1996) permit public sharing of deidentified pathology photographs without specific patient consent, even on social media. There is no case law of action taken against pathologists for sharing deidentified pathology images on social media or elsewhere. If there is any legal risk for pathologists or risk of patient harm in sharing pathology photographs, it is very small. The benefits of professional social media use for pathologists, patients, and society are numerous and well documented in the literature.