Impact of a Video-Based Interactive Workshop on Unprofessional Behaviors Among Internal Medicine Residents

Autor: Kevin J. O'Leary, Holly J. Humphrey, Jeanne M. Farnan, Shashi Bellam, Mark Saathoff, Diane B. Wayne, Vineet M. Arora, Liza Icayan, Aashish Didwania
Rok vydání: 2016
Předmět:
Zdroj: Journal of graduate medical education. 9(2)
ISSN: 1949-8357
Popis: Background Unprofessional behaviors undermine the hospital learning environment and the quality of patient care. Objective To assess the impact of an interactive workshop on the perceptions of and self-reported participation in unprofessional behaviors. Methods We conducted a pre-post survey study at 3 internal medicine residency programs. For the workshop we identified unprofessional behaviors related to on-call etiquette: “blocking” an admission, disparaging a colleague, and misrepresenting a test as urgent. Formal debriefing tools were utilized to guide the discussion. We fielded an internally developed 20-item survey on perception and participation in unprofessional behaviors prior to the workshop. An online “booster” quiz was delivered at 4 months postworkshop, and the 20-item survey was repeated at 9 months postworkshop. Results were compared to a previously published control from the same institutions, which showed that perceptions of unprofessional behavior did not change and participation in the behaviors worsened over the internship. Results Of 237 eligible residents, 181 (76%) completed both pre- and postsurvey. Residents perceived blocking an admission and the misrepresentation of a test as urgent to be more unprofessional at a 9-month follow-up (2.0 versus 1.74 and 2.63 versus 2.28, respectively; P Conclusions The results of this multi-site study indicate that an interactive workshop can change perception and may lower participation in some unprofessional behaviors.
Databáze: OpenAIRE