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Our demographics and results parallel existing general population trends30 and Canadian reports on OSM use by physicians.2 Additionally, the demographics of our staff group of respondents are similar to those reported by the CMA.31 Our trainee data comes from a single academic center. However, our medical school and residency training programs are the largest in Canada and trainees come from across the world and should represent a diversity of backgrounds and perspectives. While the survey was anonymous, since survey data is self-reported, the prevalence found may not represent the true prevalence of this practice. Lastly, the response rate was lower than intended, even after numerous reminders, likely due to ��survey fatigue�� and a long Pentamorphone survey (25 items) among physicians.32 Nonetheless, the response rate is higher than that of previously published surveys on physician use of social media.1,2 Additionally, the nature of survey studies is that results are self-reported and often difficult to validate, unless more complexe and resource-intensivemethods are employed. Given all our limitations, compared with previous studies,1,2 ours is still strengthened by a good response rate from a representative population in an ED clinical setting. CONCLUSION Our findings suggest that although some emergency physicians and trainees use OSM and Google to research their patients, many consider it unethical. Furthermore, LBH589 molecular weight we found no age or training-level differences in the likelihood of using Facebook to research patients. Future work should focus on exploring patients�� views on whether this act is desirable and permissible. Research should also explore the nature and content of online searches performed on patients, and the usefulness of information obtained. As the prevalence of social media use by patients increases steadily, individuals, institutions, and professional bodies will need to ethically integrate social media into patient care and medical education.33 Autonomy and beneficence should be guiding principles so that we benefit, rather than harm, our patients and profession. Footnotes Supervising Section Editor: Christopher N. Mills, MD Full text available through open access at http://escholarship.org/uc/uciem_westjem Conflicts of Interest: By the WestJEM article submission Adriamycin clinical trial agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none.""The self-pay group was more likely to suffer from penetrating trauma (18.2%) than the privately insured group (6.0%), p