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• W2326468909 abstract "OPEN ACCESSMay 2, 2012Fostering an Atmosphere of Professionalism in a Residency Program: Learning How to Address the Unprofessional Behavior of Colleagues Through OSCEs Lita Aeder, MD, Lisa Altshuler, PhD, Elizabeth Kachur, PhD, Erik Langenau, DO Lita Aeder, MD Brookdale University Hospital and Medical Center Google Scholar More articles by this author , Lisa Altshuler, PhD Maimonides Infants and Children's Hospital of Brooklyn Google Scholar More articles by this author , Elizabeth Kachur, PhD Maimonides Infants and Children's Hospital of Brooklyn Google Scholar More articles by this author , Erik Langenau, DO National Center for Clinical Skills Testing Google Scholar More articles by this author https://doi.org/10.15766/mep_2374-8265.9168 SectionsAbout ToolsDownload Citations ShareFacebookTwitterEmail Abstract Introduction: Professionalism training and assessment have received much attention. Multiple strategies have been devised to help educational programs deal with unprofessional behavior, which is not always detected by attending staff. Trainees are in a unique position to address unprofessional behavior in their colleagues because of their supervisory role and overlapping working hours. To underline the importance of addressing unprofessional behavior, we created two professionalism objective structured clinical exam (OSCE) stations that focused on confronting a junior level trainee's unprofessional behavior. These two activities are termed the Communications OSCE, for first-year pediatric residents, and the Culture OSCE, for second-year pediatric residents. Methods: Prior to the encounter, participants read an instruction sheet and view a short video. In the “Communication with a Colleague” OSCE, participants must confront a junior colleague who treated an ambulance driver disrespectfully. In the “Pediasure Please!” OSCE they have to address a junior colleague who made racist comments about a patient to a medical student. OSCE participants have 10 minutes to complete the task and receive immediate feedback from an observing faculty member and the standardized resident. Post-OSCE group debriefing reinforces the teaching objectives. Following the completion of the OSCE, residents were surveyed anonymously and again 6 to 10 months later to evaluate the effects of the OSCE learning experience. Results: The residents were surveyed immediately after the completion of the OSCE. The educational value of the stations was rated moderate to high by 100% and 96% of the first- and second-year students (N = 96), respectively. Six to 10 months after the completion of the exercise, 88% and 76% of the residents still felt that they were to some degree comfortable in dealing with a similar unprofessional encounter as depicted in the OSCE and 88% and 65% in a dissimilar unprofessional encounter. Discussion: Our professionalism OSCE station only addresses residents confronting junior residents' unprofessional behaviour. It does not deal with unprofessional behaviour in senior residents, attending staff, or ancillary staff. Our hope is that as the residents graduate to become attending staff, they will take the lessons learned with them and apply them at a higher level of leadership. Educational Objectives By the end of this session, learners will be able to: Describe the challenges in defining professionalism.Recognize professionalism as a competency.Use the Professionalism Matrix to critically analyze and think about professional and potentially unprofessional behaviors. ReferencesAguilar A.E., Stupans L., Scutter S.Assessing Students' Professionalism: Considering Professionalism's Diverging Definitions. Educ for Health11 (online), 2011: 599.Google ScholarArnold L. Assessing Professional Behavior: Yesterday, Today, and Tomorrow. Acad Med.2002;77:502–515. http://dx.doi.org/10.1097/00001888-200206000-00006Medline, Google ScholarShort M.W., Jorgensen J.E., Edwards J.A., Blankenship R.B., Roth B.J.Assessing Intern Core Competencies With an objective Structured Clinical Examination. J Grad Med Educ.2009; (1):30–36. http://dx.doi.org/10.4300/01.01.0006Medline, Google ScholarShrank W.H., Reed V.A., Jernstedt G.C.Fostering Professionalism in Medical Education: A Call for Improved Assessment and Meaningful Incentives. J Gen Intern Med.2004;19(8):887–892. http://dx.doi.org/10.1111/j.1525-1497.2004.30635.xMedline, Google ScholarHochberg M.S., Kalet A., Zabar S., Kachur E., Gillespie C., Berman R.S.Can professionalism be taught? Encouraging evidence. Am J Surg.2010;199:86–93. http://dx.doi.org/10.1016/j.amjsurg.2009.10.002Medline, Google ScholarHickson G.B., Pichert J.W., Webb L.E., Gabbe S.G.A Complimentary Approach to promoting Professionalism: Identifying, Measuring, and Addressing Unprofessional Behaviors. Acad Med.2007;82(11):1040–1048. http://dx.doi.org/10.1097/ACM.0b013e31815761eeMedline, Google Scholar Sign up for the latest publications from MedEdPORTAL Add your email below FILES INCLUDEDReferencesRelatedDetails FILES INCLUDED Included in this publication: Instructor's Guide.doc Colleague.wmv Pediasure.wmv Professionalism Communication with Colleague Case.doc Professionalism Educational Value of Communication with Colleague.doc Professionalism Educational Value of Pediasure Please.doc Professionalism Level of Comfort Survey.doc Professionalism Pediasure Please Case.doc Professionalism Unprofessional Events Witnessed Part 1.doc Professionalism Unprofessional Events Witnessed Part 2.ppt To view all publication components, extract (i.e., unzip) them from the downloaded .zip file. Download editor’s noteThis publication may contain technology or a display format that is no longer in use. CitationAeder L, Altshuler L, Kachur E, Langenau E. Fostering an Atmosphere of Professionalism in a Residency Program: Learning How to Address the Unprofessional Behavior of Colleagues Through OSCEs. MedEdPORTAL. 2012;8:9168. https://doi.org/10.15766/mep_2374-8265.9168 Copyright & Permissions© 2012 Aeder et al. This is an open-access publication distributed under the terms of the Creative Commons Attribution-NonCommercial-Share Alike license.KeywordsUnprofessional BehaviorAddressing ColleaguesOSCE Disclosures None to report. Funding/Support None to report. Prior Presentations Kachur E, Altshuler L, Aeder L, Venkataraman A, Vargas I, Hilfer A, Sullivan D, Krinshpun S, Walker-Descartes I. Professionalism Stations with Standardized Healthcare Providers: Are they worth including in an Objective Structured Clinical Exam? Presented at: International Conference on Residency Education; September 2010; Ottawa, Ontario, Canada. Aeder L, Venkataraman A, Langenau E, Kachur E, Altshuler L. Teaching Residents to Address Unprofessional Behavior in Peers. Workshop presented at: Northeast Group on Educational Affairs; June 2007; Stoneybrook, New York. Aeder L, Venkataraman A, Langenau E, Kachur E, Altshuler L. Teaching How to Address Unprofessional Behaviors in Peers with the Help of OSCEs. Presented at: Pediatric Academic Societies (PAS); May 2007; Toronto, Ontario, Canada. Venkataraman A, Langenau E, Aeder L, Hilfer A, Sullivan D, Vargas I, Kachur E, Altshuler L, Schaeffer H, Shelov S. Creating OSCE stations for teaching residents how to deal with unprofessional colleagues. Presented at: Mount Sinai School of Medicine Second Annual Educational Research Day; October 2006; New York, NY. Loading ..." @default.
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