#Surgery on Twitter: A Word of #Caution

      “I never want to have surgery.” The first time I heard those six words come from a surgeon, which I've now heard unprompted many times, it was shocking. Yet, it makes sense: surgery is a tool wielded to fix a detrimental problem for which there is conceivably no alternative solution. With this tool comes the distinct possibility of negative consequences ranging from cost, to pain, to unintended complications. The surgeon is not alone when it comes to desire to avoid one's own product – there is a tool that is being utilized by surgeons at an exponential rate whose creators speak with similar sentiments: designers of social media. They often avoid their own inventions, even campaigning against these tools that are “exploiting a vulnerability in human psychology” and designed to “consume as much of your time and conscious attention as possible.”
      • Hari J.
      Stolen Focus.
      Over the years there has been significant growth in the use of Twitter as a tool for communication by surgeons. But just as surgery can come with unexpected consequences the use of Twitter can come with hidden costs that need to be stated.
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        • Hari J.
        Stolen Focus.
        Crown, an imprint of Random House, New York, NY2022
        • Ansari H.
        • Pitt S.C.
        #ILookLikeASurgeon: or do I? The local and global impact of a hashtag.
        Am J Surg. 2021; 221: 908-909
        • Luc J.G.Y.
        • Stamp N.L.
        • Antonoff M.B.
        Social media in the mentorship and networking of physicians: important role for women in surgical specialties.
        Am J Surg. 2018; 215: 752-760
        • Hill S.S.
        • Dore F.J.
        • Em S.T.
        • et al.
        Twitter use among departments of surgery with general surgery residency programs.
        J Surg Educ. 2021; 78: 35-42
        • Sagioglou C.
        • Greitemeyer T.
        Facebook's emotional consequences: why Facebook causes a decrease in mood and why people still use it.
        Comput Hum Behav. 2014; 35: 359-363
        • Kibbe M.R.
        • Chhaya V.
        Professionalism must prevail: a call to stop cyberbullying [published online ahead of print, 2022 Feb 3].
        Surgery. 2022; S0039–6060 (00005-8)
        • Baird B.
        • Smallwood J.
        • Mrazek M.D.
        • Kam J.W.
        • Franklin M.S.
        • Schooler J.W.
        Inspired by distraction: mind wandering facilitates creative incubation.
        Psychol Sci. 2012; 23: 1117-1122
      1. Bossio D, Holton AE. Burning out and turning off: journalists' disconnection strategies on social media. Journalism. 202;22(10):2475-2492.

        • Stolarski A.
        • Moseley J.M.
        • O'Neal P.
        • Whang E.
        • Kristo G.
        Retired surgeons' reflections on their careers.
        JAMA Surg. 2020; 155: 359-361