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… when this happens to you, it’s a big problem. When it provides malicious attackers a backdoor into your healthcare delivery system, it’s a much, much bigger problem. Our institution, like many others, implemented a “phishing” training program, complete with online modules and test e-mails sent periodically to our institutional accounts.

But does it work?

Considering we’re starting from the bottom, the answer is a qualified “yes”.

In these authors’ report, they detail their experience with 5,416 unique employees at a single institution undergoing a campaign aimed at education about phishing. Their intervention and program consisted of 20 fake malicious e-mails sent periodically at 2- to 3-month intervals. Only 975 (17.9%) clicked on zero malicious links in e-mails during their educational campaign. An almost equal number, 772, clicked on five or more malicious links. Generally, over the course of the intervention, rates of click-through gradually decreased from highs in the 70% range to well below 10%.

Additionally, after 15 e-mails, those who had clicked on enough e-mails to be labelled “offenders” underwent a mandatory training program. Unfortunately, this training program had no subsequent effect on click-through rates. Those who had been offenders before, remained offenders – with click rates on malicious links of 10-25%, depending on the fake example.

Grim news for security consultants trying to prevent massive data breaches.

“Evaluation of a mandatory phishing training program for high-risk employees at a US healthcare system”
https://academic.oup.com/jamia/advance-article/doi/10.1093/jamia/ocz005/5376646