Why this medical student doesn’t blog anonymously

I started writing a blog when I began medical school, knowing that even though I was close to home I might not have as much time for keeping in touch with family and friends as I was used to.  Writing it anonymously, or under a pseudonym, was a possibility that never even crossed my mind – it seemed it would defeat the purpose of being able to share my personal experiences in medical school.

But as I continued blogging through my first year and as I kept up with more medical blogs, I started to see the appeal of writing anonymously.  Sometimes you want to be able to express your frustration with a professor, complain about a friend, share a funny story from the student-run-clinic – none of which is possible if your name, picture, and life story are attached to your blog, and if you still want to be able to garner respect as a future physician (or keep your friends…).

Because I write with my real identity, I double- and triple-check every single word that I put in my blog – in 30 years, will I still be proud of what I wrote?  If my own doctor wrote this, would I still trust her to treat me or my family?  How will I feel when residency directors read this as I’m applying for positions?

If I wrote anonymously so that I could whine, or so that I could publicly laugh at a patient experience, what would that say about me?  Each post that I now write, I write with the assumption that every person I will meet for the rest of my life will read it.  If it’s something that I don’t want associated with my name, or something that I’m not proud of, then why write it at all?

Elena Welt is a medical student who blogs at a med student walks into a bar…

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  • http://www.facebook.com/people/Craig-Koniver/100001463176810 Craig Koniver

    Good for you! I think more doctors need to get their own opinions out there and do the same!

  • http://bioscientificediting.wordpress.com/ Nicky

    What a great post! Very poignant comments.

  • http://www.facebook.com/brianpcurry Brian Curry

    I think it can go either way. As a matter of branding, I suppose, ensuring that your posts are reflective of who you are and what you stand for, while maintaining professionalism, is a great way to give others a view from the inside, as it were. If nothing else, it humanizes you to others, be they potential patients, colleagues, or employers. But I see the potential for circumstance in which anonymous blogging is not just preferable, but in fact an asset, and a means of allowing one to share views that may be valid but underrepresented, if not unpopular or insubordinate.

    Perhaps it wasn’t entirely reflective of your views on the matter, but it seems you only consider that folks who prefer to blog anonymously do so because they’re either A) whining, or B) mocking others.

    • Elena Welt

      Thanks for this comment.

      I certainly do not think that people
      only blog anonymously to whine or mock others, but I do believe that
      anonymity and the lack of accountability that comes with it can lead
      people to say or post things that would be inappropriate if it was known
      who those comments were coming from.

      Protecting patient privacy
      is a legitimate reason for wanting to post anonymously, but I fear that
      not using your name leads to a false sense of security.  If you
      accidentally give away too many details about the area or hospital you
      work in, a patient may be able to recognize himself in a story you’ve
      told, especially if it’s a unique one.

      In regards to remaining
      anonymous to be able to share unpopular views, I believe that using your
      name would give more credibility to your viewpoint.  Without a name,
      anyone can claim expertise and there’s no way to fact-check that.  I
      also hope that I would have the guts to stand behind any opinions I have
      even if they are unpopular.

  • Shara Yurkiewicz

    Amen.
    Signed,
    A fellow non-anonymous med student blogger

  • http://rk.md Rishi

    Elena, you speak my mind perfectly! Sharing one’s experiences on this incredible journey of becoming a doctor shouldn’t be anonymous, but at the same time, carefully expressing one’s views while maintaining patient privacy is an absolute must. Being public with who I am on the Internet has brought me so many opportunities from pre-med groups to larger med-tech companies, and I’m grateful I chose that route when I initially started writing.

  • RonClarkMD

    If you are in medicine and feel compelled to blog, attaching your name to your thought or opinion provides credibility.  As a practicing Emergency Physician and author of Surviving the Emergency Room (Amazon.com), I am heartened to know that the future of medicine has the confidence and respect for themselves that you exhibit when you take responsibility for your opinion.  I agree with you that you should always be proud of what you write. 
    http://www.survivingtheemergencyroom.blogspot.com/

  • Anonymous

    Thanks for this sound perspective, Elena.  I feel the same about anonymous health care/doctor/med student blog posts as I do about anonymous online posters in general: there must be some reason this person is unwilling to be accountable for opinions/comments here.  And lack of personal accountability means lack of credibility.  Period. 

    Trouble is, there are some very high-profile public cases of health care professionals facing severe and career-limiting consequences for acting like idiots on social media (med students posting photos of themselves with dead bodies in the hospital on their Facebook pages, for example)  which may somehow convince others it’s best to write anonymously to avoid these consequences  (More on this at: “Why Some People Should Avoid Social Media Completely” at http://ethicalnag.org/2011/08/15/friday-faux-pas-social-media/ )  

    Better option: just don’t be an idiot.