Ethical Concerns and Recommendations for Sharing Anatomic Pathology Images in Online Social Media Networks




pathology, social media, digital pathology, ethics, policy


Anatomic pathology is a field that relies on visual examination to provide diagnosis. Photos of specimens and microscopic slides play an important role in pathology education. With the internet, sharing and seeing images from different patient cases has become efficient and accessible. However, ethical concerns may be raised since patient images are used for academic purposes in a public setting. Proper de-identification, informed consent and setting professional guidelines for sharing pathology images are suggested.


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Author Biography

Christine Mae Olivar, University of the Philippines Manila

Department of Pathology, College of Medicine

Medical Informatics Unit, College of Medicine


Gardner JM, Allen TC. Keep calm and tweet on: legal and ethical considerations for pathologists using social media. Arch Pathol Lab Med. 2019;143(1):75–80.

Discord servers tagged with medicine. Disboard. Accessed November 23, 2023.

Gardner JM, McKee PH. Social media use for pathologists of all ages. Arch Pathol Lab Med. 2019;143(3):282–6.

Bhattacharya S. Clinical photography and our responsibilities. Indian J Plast Surg. 2014;47(3):277–80.

Antonio CAT, Patdu ID, Marcelo AB. Health information privacy in the Philippines: trends and challenges in policy and practice. Acta Med Philipp. 2016;50(4):233-6.

Health Insurance Portability and Accountability Act of 1996 (HIPAA). Public Health Professionals Gateway. Public health law. CDC. Accessed November 23, 2020.

Tranberg HA, Rous BA, Rashbass J. Legal and ethical issues in the use of anonymous images in pathology teaching and research. Histopathology. 2003;42(2):104–9.

Republic Act 10173 – Data Privacy Act of 2012. National Privacy Commission. Accessed November 20, 2023.

Hirose A. 24 Twitter demographics that matter to marketers in 2023. Hootsuite. September 20, 2022. Accessed November 23, 2020.

Number of daily active Facebook users worldwide as of 3rd quarter 2023. Statista. Accessed December 6, 2020.

Bennett KG, Berlin NL, MacEachern MP, Buchman SR, Preminger BA, Vercler CJ. The Ethical and professional use of social media in surgery—a systematic review of the literature. Plast Reconstr Surg. 2018;142(3):388e–98e.

#TVPatrol EXCLUSIVE: Ilang doktor ng Batangas regional hospital na nag-autopsy sa isang vaccinee, balak kasuhan. 2021. Accessed November 23, 2020.

Thinking Pinoy. DOH doctors put part of his brain in his chest, and sliced his liver into 17 pieces. April 14, 2018. Accessed November 23, 2020.

Connolly A, Finkbeiner W, Ursell P, Davis R. Autopsy pathology: a manual and atlas, 3rd ed. Elsevier; 2015.

Guidance regarding methods for de-identification of protected health information in accordance with the Health Insurance Portability and Accountability Act (HIPAA) privacy rule. US Department of Health and Human Services.

Crane GM, Gardner JM. Pathology Image-sharing on social media: recommendations for protecting privacy while motivating education. AMA J Ethics. 2016;18(8):817-25.

Nettrour JF, Burch MB, Bal BS. Patients, pictures, and privacy: managing clinical photographs in the smartphone era. Arthroplast Today. 2018;5(1):57–60.

Ethics and the role of guidelines in medical practice. AMA J Ethics. 2011;13(1):1–73.

Hennessy CM, Royer DF, Meyer AJ, Smith CF. Social media guidelines for anatomists. Anat Sci Educ. 2020;13(4):527–39.




How to Cite

Olivar, C. M. (2023). Ethical Concerns and Recommendations for Sharing Anatomic Pathology Images in Online Social Media Networks . PJP, 8(2), 6–11.



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