Social Media Principles for Physiotherapists

Physiotherapists must communicate with patients, those in their professional environment and the public respectfully, honestly, and professionally. This also applies to online communication, including social media. 

A review of the recent case law shows that while healthcare providers have a constitutionally protected right to freedom of expression, this right is subject to limits. Even when PTs are posting in a private capacity, the post can be subject to regulatory action if there is a negative impact on the profession or the public. When considering whether social media posts are appropriate, a regulator will analyze and consider several factors. The regulator must also consider the substance of the posts, such as if they contain misinformation, offensive language, or do not contribute to public discourse. 

Some factors that a regulator will consider when doing a contextual analysis of a registrant’s social media activity include:

  • If there is a connection between the conduct and the practice of the profession that demonstrated a sufficiently negative impact on the profession or the public interest
  • Whether the individual identifies themselves as a healthcare provider
  • An analysis of the substance of the message: 
  • Tone, content or purpose
  • Whether statements made are true or fair
  • Does it contribute to public discourse about an issue
  • Its impact on the reputation of the profession
  • Does it contain misinformation, offensive language, or does not contribute to public discourse
  • The extent of the publication and the size and nature of the audience
  • Whether the posts are in breach of College standards
 
Social Media Dialogue

College Standards and Legislation

PTs must also ensure that their social media posts adhere to College standards and relevant legislation.

Essential Competency Profile for Physiotherapists in Canada
Code of Ethical Conduct
Physiotherapy Act, 1991
Professional Misconduct Regulation

Supporting Education

The College created the following resources to help physiotherapists
understand their professional obligations when using social media.
Be sure to download the documents and review the supporting resources.

Social Media Checklist

There are certain things physiotherapists should remember when using social media. This checklist includes six things that physiotherapists should keep in mind, along with relevant standards and resources.

Download Social Media Checklist

Social Media Scenarios

To help highlight the use of social media in practice, the College created nine scenarios related to social media. The scenarios are based on relevant College Standards, legislation and case law, and based on cases that were considered by College committees.

Download Social Media Scenarios

Before You Post on Social Media

Ask yourself: Would you do this IRL (in real life)?

Physiotherapists are expected to:

  • Communicate online with the same level of professionalism, honesty, integrity, and respect as face-to-face interactions.
  • Maintain professional boundaries.

  • Maintain patient privacy and confidentiality.

Think Before You Post

Physiotherapists are expected to use professional judgement and maintain their professionalism when communicating online. A PT should also recognize the permanence of posting information online. Nothing posted online is truly private… it is “for everyone, forever.”

Case Law

Case law in this area continues to evolve, and this guidance will be updated as new information becomes available.

Consider reviewing the following cases related to healthcare professionals and social media:

Questions? Contact the Practice Advisor at

1-800-583-5885 (extension 241) or email advice@collegept.org