Council or Board notification · All 18 responsible authorities
Social Media Professionalism and Boundaries for Healthcare Professionals for Health Practitioners facing a Council or Board investigation, complaint or allegation
The allegation is about something you posted, shared, liked or sent online — on a personal account or a professional one.
- Identifiable — a patient recognisable in a post that named no one
- Images — a photograph or a screenshot from a clinical setting
- Unprofessional — a comment about a patient, a colleague or an employer
- Boundaries — a boundaries breach with a patient or a colleague online
- Misleading — health information or claims not supported by evidence
- Views — a personal view read as bias, or as the profession speaking
- Advertising — a testimonial, or a claim about your own results
- Any other — concern about something posted, shared or sent online
Facing an allegation of unprofessional online conduct or misconduct like these — from the Council or Board, a Professional Conduct Committee or the Health Practitioners Disciplinary Tribunal?
Help with a Council or Board investigation, complaint or allegation starts here. This CPD course helps you remediate — and demonstrate the remediation, with a dated certificate for your written response, your portfolio or a Committee or Tribunal direction.
Immediate access · certificate on completion · twelve months' access
- 2 CPD hours
- Self-paced
- Every registered profession
- CPD certificate
- Bulk buy: any 5 for NZ$850 · any 10 for NZ$1,400
At a glance
- Who it is for
- Any registered practitioner facing a Council or Board notification, complaint or allegation, an employer’s investigation or a Professional Conduct Committee investigation about something posted, shared, liked or sent online — a patient identifiable, an image, a comment, a boundary, a claim or a view
- Authorities covered
- All 18 responsible authorities under the Health Practitioners Competence Assurance Act 2003, their Professional Conduct Committees and the Health Practitioners Disciplinary Tribunal
- Length
- 10 sections, 95 lessons, 2 CPD hours
- Format
- Self-paced, online, immediate access, twelve months from purchase
- Certificate
- Issued by Healthcare Ethics Courses on completion, dated, with the course title and 2 CPD hours
- Price
- NZ$200 · any 5 for NZ$850 · any 10 for NZ$1,400
Certificate issued by Healthcare Ethics CoursesRemediation courses for regulatory processes.
Who this course is for
A patient was recognisable in something you posted
A case described without a name that the patient, the whānau or a colleague recognised; a photograph with a wristband, a whiteboard or a face in the background; a screenshot. A privacy matter as well as a conduct one, and the course’s third section is confidentiality, privacy and digital risk.
An allegation of unprofessional behaviour or conduct online
A comment about a patient, a workplace or a colleague; sarcasm that read as contempt; a frustration shared in a group chat that left the group; an argument carried on in public. Sharing frustrations about work or patients, online arguments, and bullying and harassment online each have a lesson.
A patient, or a former patient, has been in contact online
A friend request accepted, a follow returned, a direct message answered, advice or reassurance given in a chat. The course’s fourth section is professional boundaries with patients online, from the first connection to boundary drift over time, and how to step back from a contact that has gone too far.
A post, a view or a claim has reached the public
Health information that was wrong or out of date, a claim the evidence does not support, an opinion patients read as the profession speaking, advertising that promised more than it could. Accuracy is a professional standard online as it is in the room, and the course covers public commentary, personal views and the correction that remediates a misleading post.
Your employer has acted, and the authority may follow
A workplace investigation, a warning, a dismissal for something posted. An employer can notify the authority of a conduct concern, and must where a practitioner is dismissed or resigns for reasons of competence. The course covers the employer’s first response, when a social media issue becomes misconduct, and professional behaviour during both processes.
Before a Professional Conduct Committee
Members of your own profession and a layperson, with a legal adviser, investigate independently, read your response beside the record, and usually meet you. They can recommend counselling or a review, decide on no further action or conciliation, or lay a charge before the Tribunal.
The concerns this course speaks to
A patient identifiable in a post that named no one
A case told as a story, a date, a place, a rare condition, a detail a whānau member or a neighbour recognised. The Nursing Council’s guideline says plainly that a patient can be identified even when no names are used, and a post that identifies a patient is a disclosure of health information under the Health Information Privacy Code 2020 as well as a conduct matter. Remediation is the post removed, the disclosure reported, and a practice that now treats every detail as a possible identifier.
Photographs and screenshots from clinical settings
A photograph or a video taken at work with a patient, a record, a wristband or a whiteboard in it; an image shared for teaching without consent; a screenshot of a message. The Nursing Council’s guideline gives the example of a nurse who lost his job after sharing a resident’s photograph and details. The course’s third section covers photographs, images and screenshots.
Unprofessional comments about patients, colleagues or an employer
A frustration about a shift, a patient or a manager shared in a group that did not stay closed; a colleague mocked; a reply to a review that showed the reviewer had been your patient. The Medical Council’s statement on the internet and electronic communication (2021) says inappropriate communication, including on social media, can be unprofessional whether or not it relates to work, and the Tribunal cancelled the registration of a nurse for racist Facebook posts about Māori (2020).
Boundaries with patients or colleagues online
A boundaries breach with a patient or a colleague online: a friend request accepted, a follow returned, a direct message answered after hours, reassurance given outside the consultation, contact that grew over time, a colleague harassed in messages. The Nursing Council’s guideline says a nurse should generally not start or accept friend requests from current or former patients, and the authorities read a boundary crossed online as they read one crossed in the room.
Inaccurate or misleading health information
Health information the evidence does not support, shared by someone who names their profession. The Tribunal cancelled the registration of a doctor whose 23 online videos it found inaccurate and misleading, with a NZ$10,000 fine and costs of NZ$148,450 (2024), and suspended for twelve months a nurse who identified herself as a nurse while making unsupported vaccine claims (2023). Remediation is the post corrected or removed, the correction dated, and a presence that now says only what can be supported.
Personal views, bias and public trust
An opinion on a health, political or social question expressed in a way patients read as the profession speaking, or as bias or discrimination. The Tribunal has accepted that freedom of expression is engaged, and held that it gives way to some extent to a practitioner’s professional obligations where the comments touch on their practice. The course’s fifth section covers freedom of expression and its limits, disclaimers, and bias.
Advertising, testimonials and claims about your practice
A testimonial used in advertising, a before-and-after image, a claim about your own results or a product. The Medical Council’s statement on advertising (2022) says testimonials must not be used and patients must not be encouraged to leave them; the Dental Council’s advertising standard requires written permission for a testimonial, typical results and claims supported by evidence. The course covers advertising and the correction that remediates a misleading post.
Probity, the complaint itself and any other concern
A post deleted after the complaint and described as never made; complainants named online. The Tribunal cancelled the registration of a midwife who posted correspondence from her Council naming the people who had complained. A social media concern becomes a probity matter when the account is not true; any online conduct concern is measured against your own authority’s standard, and the course reads the Nursing Council’s guideline and the Medical Council’s statements in their own words.
Facing a Council or Board investigation, complaint or allegation? This course helps you remediate — and demonstrate it.
Buy this course — NZ$200What the course covers
Ten sections and 95 lessons, with a reflective quiz closing each of the first nine and a post-course assessment at the end.
Introduction to Social Media and Professionalism
Ten lessons
Professional Identity and Online Presence
Ten lessons
Confidentiality, Privacy, and Digital Risk
Ten lessons
Professional Boundaries With Patients Online
Ten lessons
Personal Views, Opinions, and Public Trust
Ten lessons
Social Media Use in the Workplace and With Colleagues
Ten lessons
Social Media Complaints, Investigations, and Misconduct
Eleven lessons
Regulatory Expectations and Fitness to Practise
Eleven lessons
Reflection, Insight, and Remediation After Social Media Concerns
Eleven lessons
Conclusion and Key Takeaways
Key takeaways and the post-course assessment
Show every lesson title
- Section 01 · Introduction to Social Media and Professionalism
- Why Social Media Is a Professional Issue in Healthcare; The Myth of "Personal" Versus "Professional" Accounts; Permanence and Reach of Digital Content; Professional Identity and Public Trust; Regulatory Expectations in New Zealand; Common Ways Social Media Issues Arise; The Blurring of Professional Boundaries Online; Social Media, Insight, and Professional Judgement; Why Social Media Issues Escalate Quickly; The Purpose of This Course.
- Section 02 · Professional Identity and Online Presence
- Understanding Professional Identity in the Digital Age; How Online Presence Is Interpreted by the Public; Identification as a Healthcare Professional Online; The Illusion of Anonymity and Privacy; Blurring of Personal and Professional Personas; Professional Values Reflected Online; Social Media as a Window Into Professional Insight; Regulatory Expectations in New Zealand; Managing Your Online Presence Proactively; Professional Identity as an Ongoing Responsibility.
- Section 03 · Confidentiality, Privacy, and Digital Risk
- Why Confidentiality Applies Online as Much as Offline; What Counts as Identifiable Patient Information Online; "De-Identified" Stories and Educational Posts; Photographs, Images, and Screenshots; Privacy Settings and Closed Groups; Digital Footprints and Data Persistence; Confidentiality Beyond Patients; Responding to Online Breaches or Near Misses; Regulatory Expectations in New Zealand; Protecting Confidentiality in Digital Practice.
- Section 04 · Professional Boundaries With Patients Online
- Why Professional Boundaries Matter Online; Blurred Boundaries in Digital Spaces; Friend Requests, Follows, and Connections; Direct Messaging and Private Communication; Providing Advice or Reassurance Online; Boundary Risks in Closed Groups and Forums; Boundary Drift Over Time; Cultural Sensitivity and Boundaries; Regulatory Expectations in New Zealand; Responding to Boundary Concerns.
- Section 05 · Personal Views, Opinions, and Public Trust
- Why Personal Opinions Online Are a Professional Issue; How Personal Views Are Interpreted by Patients and the Public; Expressing Views on Controversial or Sensitive Topics; Freedom of Expression and Professional Responsibility; Bias, Discrimination, and Online Content; Sharing Frustrations About Work or Patients; Disclaimers and Their Limitations; Online Arguments and Public Conflict; Regulatory Expectations in New Zealand; Practical Risk-Reduction Strategies.
- Section 06 · Social Media Use in the Workplace and With Colleagues
- Why Workplace Social Media Use Carries Professional Risk; Posting About the Workplace or Work Experiences; Relationships With Colleagues on Social Media; Bullying, Harassment, and Inappropriate Conduct Online; Group Chats, Messaging Apps, and Informal Platforms; Discussing Workplace Issues or Investigations Online; Employer Policies and Codes of Conduct; Regulatory Expectations in New Zealand; Managing Conflict and Disagreements Professionally Online; Practical Strategies to Reduce Workplace Social Media Risk.
- Section 07 · Social Media Complaints, Investigations, and Misconduct
- How Social Media Concerns Commonly Come to Light; Common Triggers for Social Media Complaints; Initial Employer Response to Social Media Concerns; When Social Media Issues Become Misconduct; Social Media and Fitness to Practise Investigations; Evidence Used in Social Media Investigations; The Importance of Insight and Response; Common Mistakes That Escalate Social Media Investigations; Outcomes of Social Media Investigations; Learning From Social Media Misconduct Cases; Social Media Misconduct as a Preventable Risk.
- Section 08 · Regulatory Expectations and Fitness to Practise
- Why Regulators Take Social Media Conduct Seriously; Professional Standards Apply Online and Offline; When Social Media Issues Escalate to Regulators; What "Fitness to Practise" Means in Social Media Cases; How Regulators Assess Social Media Conduct; Insight as a Decisive Regulatory Factor; Professional Behaviour During Regulatory Processes; Possible Regulatory Outcomes in Social Media Cases; Early Action and Risk Reduction; Social Media and Public Confidence; Regulatory Expectations in New Zealand.
- Section 09 · Reflection, Insight, and Remediation After Social Media Concerns
- Why Reflection Is Essential After Social Media Concerns; What Regulators Mean by "Insight" in Social Media Cases; Reflecting on Why the Social Media Boundary Was Crossed; Reflecting on Impact Rather Than Intention; Linking Online Behaviour to Professional Standards; From Reflection to Remediation: Why Action Is Required; Examples of Effective Remediation After Social Media Concerns; Demonstrating Remediation to Employers and Regulators; Timing and Proactivity in Remediation; Rebuilding Trust After Social Media Concerns; Reflection and Remediation as Ongoing Professional Skills.
- Section 10 · Conclusion and Key Takeaways
- Conclusion; Key Takeaways.
How to respond to a Council or Board notification, complaint or allegation
Every Council or Board, a Professional Conduct Committee and the Tribunal read a social media response with the post in front of them. The course teaches the four parts, in the order they are read.
The Committee reads the post, not your account of it.
- The postWhat was posted, sent, shared or liked, and when — quoted or described exactly, without softening the wording, because the reader has the screenshot.The course shows the account that matches the evidence.
- The reach and the impactWho could see it and who did: the patient who recognised themselves, the colleague who was mocked, the public who read it — described in their terms, impact rather than intention.The course’s ninth section is built around impact rather than intention.
- The standardThe requirement in your authority’s own document, by its heading — confidentiality, boundaries, respect, accuracy, public trust — and the privacy code where a patient was identifiable.The course reads the Nursing Council’s guideline and the Medical Council’s statements in their own words.
- The changeThe post removed and the removal dated; the accounts reviewed; a disclosure reported where one occurred; a reflection; a presence that now shows the standards being kept — done early and without being asked.This course is the dated item you attach — and it names the other evidence.
Impact, not intention, is what a social media response is read for.
Take advice from your indemnity insurer, your union or a lawyer before you respond to anyone.
Facing a Council or Board investigation, complaint or allegation? This course helps you remediate — and demonstrate it.
Buy this course — NZ$200How this course helps with a Council or Board investigation
Social media as conduct: professional identity, confidentiality, boundaries, personal views, the workplace, the complaint, the authority, and the remediation that produces its own evidence.
It works through confidentiality and digital risk
Why confidentiality applies online as it does offline; what counts as identifiable patient information online; “de-identified” stories and educational posts; photographs, images and screenshots; privacy settings and closed groups; digital footprints and data persistence; confidentiality beyond patients; responding to a breach or a near miss; and protecting confidentiality in digital practice.
It covers boundaries with patients online, and personal views
Why boundaries matter online; blurred boundaries in digital spaces; friend requests, follows and connections; direct messaging; providing advice or reassurance online; closed groups and forums; boundary drift; cultural sensitivity; and responding to a boundary concern. Then personal views: how they are interpreted, controversial and sensitive topics, freedom of expression and professional responsibility, bias and discrimination, sharing frustrations about work or patients, disclaimers, online arguments, and practical risk reduction.
It handles the workplace, colleagues and the complaint
Posting about the workplace; relationships with colleagues online; bullying, harassment and inappropriate conduct; group chats and messaging apps; discussing workplace issues or investigations online; employer policies; and managing disagreement professionally. Then how concerns come to light, the employer’s first response, when an issue becomes misconduct, the evidence used, the mistakes that escalate an investigation, and the outcomes.
It brings it to the authority and the remediation
Why the authorities take online conduct seriously; standards that apply online and offline; when an issue reaches the authority; how conduct is assessed; insight; behaviour during the process; possible outcomes; early action; and public confidence. Then reflection on why the boundary was crossed and on impact rather than intention, effective remediation with examples, and rebuilding trust. Counts: the post removed and the removal dated; the accounts reviewed and the review documented; a disclosure reported where one occurred; a reflection on why it was posted and on impact rather than intention; this course’s dated certificate; a presence that now shows the standards being kept. Counts for little: a post deleted and described as never made, a defence of what was meant, a reply online, hours on another subject. For the stages from the first letter to the Tribunal, see the Council and Board investigation process, explained.
Read the primary sources
- Health Practitioners Competence Assurance Act 2003 — the Act
- Every Council and Board, in one place — Responsible authorities
- Privacy Act 2020 and the Health Information Privacy Code 2020
- Nursing Council — Code of Conduct
- Medical Council — Good medical practice
- Dental Council — Standards Framework for Oral Health Practitioners
- Health Practitioners Disciplinary Tribunal — decisions
Who wrote it
Social Media Professionalism and Boundaries for Healthcare Professionals is a two-hour remediation course, self-paced, for any practitioner facing a notification, investigation, complaint or allegation before one of New Zealand’s 18 responsible authorities. It treats online conduct as every authority does — as conduct — and shows how a social media concern is answered and remediated. It covers social media as a professional issue; professional identity and online presence; confidentiality, privacy and digital risk; professional boundaries with patients online; personal views, opinions and public trust; social media in the workplace and with colleagues; how social media concerns become complaints and investigations; what fitness to practise means in a social media case; and the reflection and remediation that answer a concern. Ten sections with a reflective quiz after each of the first nine, a post-course assessment, and a dated certificate from Healthcare Ethics Courses for your recertification. Remediation, not advice: the course decides no matter, and your indemnity insurer, your union or association or a lawyer should read anything before it goes to your authority.
What New Zealand’s Councils and Boards mean by social media conduct
A post is conduct, read from the post itself. No authority has a separate rule for online behaviour; each applies its standard under section 118 of the Health Practitioners Competence Assurance Act 2003 to it, and several say so in a specific document — the Nursing Council’s Guidelines: Social Media and Electronic Communication, the Medical Council’s statements on the internet and electronic communication (2021) and on advertising (2022), the Dental Council’s advertising standard. A post, a message or an image goes to a Professional Conduct Committee as a conduct concern, and alongside the Act runs the Health Information Privacy Code 2020, under which a post that identifies a patient is a disclosure of health information whatever the platform.
Three things make online conduct different. Reach: a remark in a corridor is heard by those present, a post by anyone. Permanence: a post deleted may already have been kept by someone. And evidence: the screenshot arrives with the complaint. New Zealand adds a fourth: the country is small, its professions are smaller, and a patient described without a name is recognisable to more people than a practitioner expects. Cultural safety applies online too, and a post about a Māori patient or whānau is read against Te Tiriti o Waitangi as well as the privacy code.
What these words mean
The three terms that decide where a matter goes, and the other words the course uses.
Identifiable, health information, closed group, boundary drift, reach and permanence, impact rather than intention, early action and the other terms the course uses
The provisions a social media concern engages
A post is conduct, and conduct is what the Act gives a Professional Conduct Committee and the Tribunal to decide. These are the provisions of the Health Practitioners Competence Assurance Act 2003 a social media concern runs under, the standards the authorities publish on it, and the privacy law that runs alongside.
Section 71 — referral to a Professional Conduct Committee
Where the concern is about conduct the authority refers it to a Professional Conduct Committee — two members of the profession and a layperson, with a legal adviser — which investigates independently and asks for your written response. A post, a message or an image goes to the Committee as a conduct concern, and the Committee reads the post, not your account of it. Read it.
For this course: A post, a message or an online contact is a conduct matter and goes to a Committee; the course explains what the Committee will ask for — the post itself.
Section 100 — the grounds of discipline
The Tribunal may discipline for professional misconduct, including conduct that has brought or was likely to bring discredit to the profession. It has found it in online videos it held inaccurate and misleading, in vaccine claims made by a nurse who named her profession, in racist posts, and in posts that named the people who had complained. Read it.
For this course: Online conduct that brings discredit to the profession is a ground of discipline, and the course explains how the Tribunal has applied it.
Section 101 — the penalties
Censure, conditions, suspension for up to three years, cancellation of registration, a fine of up to NZ$30,000 and costs. In online conduct cases the Tribunal has used every one of them, from censure with conditions to cancellation with costs of more than NZ$148,000, and it weighs insight, remediation and conduct since the events every time. Read it.
For this course: The Tribunal’s penalties in online conduct cases weigh whether the post was removed, whether the patient was told, and whether the practitioner understood the reach.
Privacy Act 2020 and the Health Information Privacy Code 2020
The Privacy Commissioner administers both; the Code sets the rules for health information, from collection to disclosure, and a breach can run alongside a Council or Board process rather than instead of it. A post that identifies a patient is a disclosure of health information under the Code, whatever the platform and whether or not a name was used. Read it.
For this course: A post that identifies a patient is a disclosure under the Health Information Privacy Code, and the course explains when "de-identified" is not enough.
Also engaged: · · · · .
How a social media concern moves
A social media concern can reach an authority fast, because the evidence arrives with the complaint, and it travels the conduct route under the Act with the privacy code alongside.
The screenshot: where it starts
A patient, a whānau member, a colleague or a member of the public sees the post and keeps it, and it goes to the practice, the employer, the authority or the Privacy Commissioner. What you do in the first week counts: the post removed, the accounts reviewed, advice taken, and no reply online.
The employer: a workplace matter first
Many concerns reach the employer first, under its social media policy, and a warning, a process or a dismissal can follow. An employer can notify the authority of a conduct concern, and must where a practitioner is dismissed or resigns for reasons of competence.
The Registrar: conduct, and what has already been done?
The Registrar or a delegated committee sorts the notification. A response that shows early action already taken and a reflection already written can end the matter here with an educational letter; a post that identifies a patient, crosses a boundary or discredits the profession goes to a Committee.
The privacy route, alongside
Where a patient was identifiable, the disclosure is a privacy matter under the Health Information Privacy Code 2020, and the Privacy Commissioner may act on it whatever the authority does. Reporting the disclosure yourself, early, is read well by both.
A Professional Conduct Committee
Members of your profession and a layperson, with a legal adviser, read the post beside your response and meet you. They ask whether you can see the impact on the patient, the colleague or the public, why it was posted, and what has changed; counselling or no further action can follow a single lapse that is understood and remediated.
The Tribunal
A legally qualified chair, three members of your profession and a layperson decide whether the conduct meets a ground and choose the penalty. In online cases it has weighed how far the post reached, whether the practitioner named their profession, and whether they engaged with the process at all.
Facing a Council or Board investigation, complaint or allegation? This course helps you remediate — and demonstrate it.
Buy this course — NZ$200This course is written for every registered profession under the Health Practitioners Competence Assurance Act 2003 — the process is the same for all. Ten professions also have Ethics and Professionalism courses written to their own Council or Board’s standard. Find the courses for your profession →
Frequently asked questions
Courses that work alongside this one
Notifications rarely raise one issue. These are the courses that pair with this one.
Confidentiality in Healthcare Practice
Confidentiality and privacy course for NZ health practitioners facing a notification or privacy concern under the Health Information Privacy Code. 2 hours.
Professional Boundaries Course
A boundary notification in NZ: where the risk comes from, dual relationships, another person in the room, colleagues and online conduct. 2 CPD hours.
Effective Communication for Healthcare Professionals
Communication course for NZ health practitioners facing a notification about manner, omission, honesty, explanation or handover. 2 CPD hours, NZ$200.
Dealing with a Complaint or Investigation Professionally
Responding to a complaint, notification, competence review or conduct committee in NZ: the first letter, the meeting, what to write. 2 CPD hours.
Documentation for Healthcare Professionals
Clinical documentation and health records course for NZ health practitioners facing a notification about records, late entries or amendments. 2 CPD hours.
Insight for Fitness to Practise
Asked to show insight after a notification? The staged model, the four components a Council or Tribunal assesses, and what undermines it. 2 CPD hours.
Remediation for Fitness to Practise
Remediation after a Council or Board notification: root cause not symptom, SMART goals, the seven parts of a written plan, evidence of change. 2 CPD hours.
Social Media Professionalism and Boundaries for Healthcare Professionals
This course. Online conduct as professional conduct: confidentiality, boundaries, personal views, the workplace, and the evidenced remediation that answers a notification.
See all CPD courses for healthcare professionals in New Zealand →
Start today, finish at your own pace
Immediate access on purchase. Twelve months' access, a dated certificate on completion, and 2 CPD hours issued by Healthcare Ethics Courses.
