Role of Social Media for Medical Oncologists and Medical Oncology Fellows (SMARTY): An Italian Cross-Sectional Study

Purpose: The use of social media is transforming physician-patient communication, mainly in the field of medical oncology. The pattern of social media use by medical oncologists is poorly studied. Therefore, we developed a survey to understand the preferences, experiences, opinions, and expectations of Italian medical oncologists and oncology fellows regarding the use of social media in cancer medicine to identify the different profiles of social media users. Materials and methods: This multicentric, cross-sectional, observational study included oncologists or oncology fellows from Italy, who were surveyed from July to December 2023 on their use of social media. Data were analyzed through K-means clustering, and the Hartigan-Wong algorithm was applied to identify different profiles of social media users among the participants. Results: Of the 245 participants who accepted the invitation, 116 completed the entire survey and were included in the cluster analysis. Three profiles of social media users were identified through clustering: the highly social, the social skeptic, and the moderately social, accounting for 31%, 31%, and 38% of the participants, respectively. In general, older age (P = .0001), being a specialized oncologist (P = .003), and a higher mean time spent on social media (P = .0001) were associated with a greater consideration of the professional use of social media. Conclusion: The use of social media among medical oncologists and oncology fellows represents a spectrum ranging from the social skeptic user to the highly social. Age, professional status (specialist or fellow), and frequency on social media use were associated with different patterns, opinions, and behaviors related to social media use.