'Should I Say Something?': A Simulation Curriculum on Addressing Lapses in Professionalism to Improve Patient Safety

Autor: Lydia A. Flier, Jeremy B. Richards, Michele R. Hacker, Alexandra Hovaguimian, Anita Vanka, Amy Sullivan, Celeste S. Royce
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: MedEdPORTAL, Vol 19 (2023)
Druh dokumentu: article
ISSN: 2374-8265
DOI: 10.15766/mep_2374-8265.11359
Popis: Introduction Medical students may witness lapses in professionalism but lack tools to effectively address such episodes. Current professionalism curricula lack opportunities to practice communication skills in addressing professionalism lapses. Methods We designed a simulation curriculum to introduce professionalism expectations, provide communication tools using elements of the Agency for Healthcare Research and Quality TeamSTEPPS program, and address observed professionalism lapses involving patient safety in hierarchical patient care teams. Students were surveyed on knowledge, skills, and attitude regarding professionalism before, immediately after, and 6 months after participation. Results Of 253 students, 70 (28%) completed baseline and immediate postsurveys, and 39 (15%) completed all surveys. In immediate postsurveys, knowledge of communication tools (82% to 94%, p = .003) and empowerment to address residents (19% to 44%, p = .001) and attendings (15% to 39%, p < .001) increased. At 6 months, 96% of students reported witnessing a professionalism lapse. Discussion The curriculum was successful in reported gains in knowledge of communication tools and empowerment to address professionalism lapses, but few students reported using the techniques to address witnessed lapses in real life.
Databáze: Directory of Open Access Journals