65 percent of all adults in the United States and 76 percent of adult Internet users spend time online on at least one social networking site, Pew Research Center says. Despite prevalence of social media usage, clinical investigators and institutional review boards have provided little, if any, concrete guidance on the ethical use of social networks as research tools. There are inherent ethical issues concerning consent, voluntariness, scientific merit and confidentiality that have yet to be addressed by the greater clinical research community. Researchers must ensure that the data doesnt unwillingly compromise a subjects identify, or potentially compromise them legally, financially, or socially.”]