Professionalism for Physicians and Scientists Washington University Medical

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+ Professionalism for Physicians and Scientists Washington University Medical School 2015

+ Professionalism for Physicians and Scientists Washington University Medical School 2015

+ Welcome!

+ Welcome!

Why study professionalism? Prevention: -vital concept in health care: + prevent rather than deal

Why study professionalism? Prevention: -vital concept in health care: + prevent rather than deal with consequences of disease -equally important for adverse workplace behaviors

Simple behaviors can make mutual respect and teamwork function in your workplace + Failure

Simple behaviors can make mutual respect and teamwork function in your workplace + Failure to deal with unprofessional behavior? -legal liability -impaired ability to achieve missions of the school

+ Course objectives n Turn to page 1 and chart 1

+ Course objectives n Turn to page 1 and chart 1

+ What are the business objectives of WUSM?

+ What are the business objectives of WUSM?

+ What qualities are needed in employees to meet WUSM’s business objectives?

+ What qualities are needed in employees to meet WUSM’s business objectives?

Video: co-worker interaction. Note thoughts on Page 2. +

Video: co-worker interaction. Note thoughts on Page 2. +

+ Thoughts? Benefit to WUSM of these behaviors? Detriments to WUSM of these behaviors?

+ Thoughts? Benefit to WUSM of these behaviors? Detriments to WUSM of these behaviors?

+ Exercise: page 3 n Group 1: How should the employees in the video

+ Exercise: page 3 n Group 1: How should the employees in the video handle this behavior n Group 2: How should their manage handle this behavior?

+ Real quotes n n “We work together like 3 -yearolds play together. We

+ Real quotes n n “We work together like 3 -yearolds play together. We work NEXT to each other but not WITH each other…People are minimally cooperative…but not collaborative at all. ” “For 12 hours a day, we take care of their patients, and we’re disrespected and degraded in front of each other. ” n “When four out of five people on your team are scared of you, they’ll start to make mistakes…” n “We’re losing our best…residents because they don’t want to put up with it. ” n “The fear is terrible for patient care. ”

+ What are the consequences of unprofessional behavior?

+ What are the consequences of unprofessional behavior?

+ Uncivil Behavior Triangle (Page 4, poster)

+ Uncivil Behavior Triangle (Page 4, poster)

+ How prevalent is bad behavior in health care? very What is the impact

+ How prevalent is bad behavior in health care? very What is the impact on patient care? threat Page 5

+ Joint Commission standards page 6 Statement regarding Disruptive Behavior (page 6) n To

+ Joint Commission standards page 6 Statement regarding Disruptive Behavior (page 6) n To assure quality and to promote a culture of safety, health care organizations must address the problem of behaviors that threaten the performance of the health care team. Leadership Standards for Inappropriate Behavior: n Organization must have a code of conduct n Leaders must create and implement a process for managing disruptive and inappropriate behaviors.

+ ACGME expectations/WUSM Mission Statement (page 7) n One of six core competencies is

+ ACGME expectations/WUSM Mission Statement (page 7) n One of six core competencies is “interpersonal and communications skills that result in effective information exchange and teaming with patients, their families, and other health professionals. ” n WUSM will lead in advancing human health…in a culture that supports diversity, inclusion, critical thinking, and creativity. ”

+ How can we maintain these standards? (page 8) n Civil Treatment Leader Actions

+ How can we maintain these standards? (page 8) n Civil Treatment Leader Actions n (see poster)

+ Prescriptive Rules (page 9, poster) n 1. Model Professional Behavior Consistently n 2.

+ Prescriptive Rules (page 9, poster) n 1. Model Professional Behavior Consistently n 2. Be Mindful of the Impact of Words and Actions n 3. Focus on Behavior n 4. Document n 5. Get Help

+ How to Model Professional Behavior? (page 10) n Lead by example n Be

+ How to Model Professional Behavior? (page 10) n Lead by example n Be mindful of what you say, how you say it, where you say it. n Mistake? Admit and apologize

+ How to Be Mindful of Words and Actions? (page 11) n NO JOKES

+ How to Be Mindful of Words and Actions? (page 11) n NO JOKES or COMMENTS about race, color, sex, religion, national origin, disability, pregnancy, genetic information, age, sexual orientation or any other personal characteristic. n Treat co-workers the same way you treat you would like to be treated and the same way you treat your patients. n Do not participate in offensive or unwelcome activities. n Physicians are seen as leaders: be mindful of words and actions of others to ensure a productive workplace

+ Focus on Behavior – (page 12) n Your own n Others Document –

+ Focus on Behavior – (page 12) n Your own n Others Document – (page 13) n Only facts

+ Get Help (page 14) n Call HR n Call Research Administration n Call

+ Get Help (page 14) n Call HR n Call Research Administration n Call Compliance hotline n Refer to WUSM Code of Conduct (page 45)

+ Video scenario: Inappropriate Mutual Banter (page 15) n Why is this banter a

+ Video scenario: Inappropriate Mutual Banter (page 15) n Why is this banter a problem? n Still a problem if no one else can hear? n Ever been offended but not say anything? n How can this contribute to medical errors?

+ Minimizing Risk (page 16) Prescriptive Rules CT leader actions

+ Minimizing Risk (page 16) Prescriptive Rules CT leader actions

+ Thank you!

+ Thank you!