Responding to unprofessional behaviours

Worthington, Roger; Hays, Richard

doi:10.1111/j.1743-498x.2011.00516.x

Cited by 3 publications

(3 citation statements)

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“…Such reactions can be a reflection of the student’s maturity, insight, and adaptability to the professional challenges faced by all physicians, making these relevant skills to cultivate [16]. Students with diminished capacity to adapt to behavioral expectations or to accept responsibility for them appear to be at highest risk of future reports of unprofessional behavior, reinforcing the importance of insight in professional performance [18–20]. …”

Section: Discussionmentioning

confidence: 99%

Student response to reports of unprofessional behavior: assessing risk of subsequent professional problems in medical school

Ainsworth

Szauter

2018

Medical Education Online

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Background: An early concern note (ECN) program is used by some medical schools to identify, counsel, and intervene when students exhibit unprofessional behavior. Student maturity, insight, propensity for reflection, and receptiveness to feedback have been suggested as predictors of future behavior. Objective: We hypothesized that (a) classifying students with a first ECN based on their response to the report would identify students at risk of repeat ECNs better than the action that prompted it and (b) receipt of multiple ECNs would identify students at risk of adverse academic events.Design: For this study, 459 ECNs were classified based on students’ (1) recognition that their behavior was inappropriate and (2) acceptance of responsibility for the behavior. Student academic progress and receipt of subsequent ECNs were tracked.Results: Students who recognized their behavior was inappropriate and accepted responsibility after an initial ECN received subsequent ECNs at lower rates (14–19%) than students who disagreed with the significance of their behavior or were resistant to accepting responsibility (36–59%). Students with limited insight and adaptability appeared to be at highest risk. Seventy-one percent of students with three or more ECNs encountered adverse academic events during enrollment.Conclusion: Student reactions to reports of unprofessional behavior may be useful as a tool to help assess risk of recurrent lapses. Students with diminished capacity to recognize behaviors as unprofessional or accept responsibility for them appear to be at highest risk for additional adverse academic and professionalism events while in medical school.

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Section: Discussionmentioning

confidence: 99%

Student response to reports of unprofessional behavior: assessing risk of subsequent professional problems in medical school

Ainsworth

Szauter

2018

Medical Education Online

View full text Add to dashboard Cite

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“…Effective performance management of doctors is important not only for the individual undergoing remediation, but also for patient safety. The public reasonably expects that trainees are able to provide safe and professional care …”

Section: Introductionmentioning

confidence: 99%

“…The public reasonably expects that trainees are able to provide safe and professional care. 2 Identifying a trainee in difficulty and effectively and appropriately managing their performance is one of the more challenging tasks a Director of Emergency Medicine Training (DEMT) will face. Remediation is required when trainee performance deviates significantly from that expected for the stage of training as determined by ACEM workplace-based assessment (WBA) panels.…”

Section: Introductionmentioning

confidence: 99%