Professional Behavior


Purpose
It is important during your residency to both model and exhibit professional behavior at all times, particularly in all patient care situations including inpatients and outpatients. Respect for co- workers and other physicians within the hospital and especially to referring physicians is expected. Appropriate dress and language shall be used at all times.
Background
Numerous studies have demonstrated that medical students and residents often believe that they are abused in the setting of medical education. Because the relationship between faculty and student or resident is hierarchical, it remains the ethical responsibility of the faculty to assure that those students and residents are professionally mentored and respectfully treated. A renewed interest in teaching professionalism to medical students and residents has been demonstrated by a variety of organizations such as the ACGME, AAMC, ACP and SAEM.
References
  1. Kassebaum DG. Cutler ER. On the culture of student abuse in medical school. Academic Medicine. 73(11):1149-58, 1998 Nov.
  2. Richardson DA. Becker M. Frank RR. Sokol RJ. Assessing medical students' perceptions of mistreatment in their second and third years. Academic Medicine. 72(8):728-30, 1997 Aug.
  3. Strong C. Wall HP. Jameson V. Horn HR. Black RN. Scott S. Brown SC. A model policy addressing mistreatment of medical students. Journal of Clinical Ethics. 7(4):341-6; discussion 347-8, 1996 Winter.
  4. Nora LM. McLaughlin MA. Fosson SE. Jacob SK. Schmidt JL. Witzke D. Does exposure to gender discrimination and sexual harassment impact medical students' specialty choices and residency program selections? Academic Medicine. 71(10 Suppl):S22-4, 1996 Oct.
  5. Baldwin DC Jr. Daugherty SR. Rowley BD. Residents' and medical students' reports of sexual harassment and discrimination. Academic Medicine. 71(10 Suppl):S25-7, 1996 Oct.
  6. Anonymous. Disputes between medical supervisors and trainees. Council on Ethical and Judicial Affairs, American Medical Association.
  7. Fischer H. Sexual harassment [letter; comment]. New England Journal of Medicine. 330(19):1388; 1389, 1994 May 12.R.
  8. Revicki DA. Whitley TW. Gallery ME. Organizational characteristics, perceived work stress, and depression in emergency medicine residents. Behavioral Medicine. 19(2):74-81, 1993.
  9. Conley FK. Toward a more perfect world-eliminating sexual discrimination in academic medicine [editorial; comment] New England Journal of Medicine. 328(5):351-2, 1993.
  10. Feldman P. Jones S. Shrier I. Eradicating sexual harassment during medical training [letter]. Academic Medicine. 72(12):1026-7, 1997.
  11. McNamara RM, et al. The extent and effects of abuse and harassment of emergency medicine residents. Academic Emergency Medicine. 1995; 2:293-301.
  12. Komaromy et al. Sexual harassment in medical training. NEJM 1993; 321-326.
  13. Richman JA et al. Mental health consequences and correlates of reported medical student abuse. JAMA 1992; 267:692-693.

Adapted from (Indiana University - Methodist Emergency Medicine Residency)

Responsibilities
  1. All patients, ancillary support personnel, co-workers and students are entitled to equitable, respectful, and professional interaction.
  2. Criticism of performance will be discussed in private with the faculty, student or resident.
  3. Discussions about patient care with consulting medical staff or residents will be carried out in a civil tone and volume. Shouting, cursing, or personal attacks have no place in such discussions.
  4. When physically present in the ED, professional conversation and interactions are critical to patient care and ED function.
  5. The EM Residency Committee reserves the right to address any perceived breaches of professional behavior with the medical staff member, resident or their supervisor.
  6. Failure to address the Education Committee's concern may result in reporting the event to the hospital's Vice President of Medical Affairs or appropriate governing body
Policy
Procedures
Date Last Updated
July 23rd, 2001
 
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Emergency Medicine Residency
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