How The Experts Visualize Professionalism Remediation

Professionalism: In this qualitative study, the authors interviewed experienced educators about their professionalism remediation processes.  These experts visualized a 3-stage process, with all 3 stages not being necessary in every case.  During the first phase, “explore and understand”, the main object was to obtain the student’s viewpoint regarding the professionalism complaint.  Often, the process could end there if there was a clear miscommunication or “one-off” incident.  The second phase was focused on “remediation”, with the faculty member acting as a coach to try to help the student meet professional expectations.  Some concerns were expressed that some students could “game” the system during this phase by expressing socially appropriate comments without changing attitudes.  The third phase, “gather evidence for dismissal”, was entered for a small minority of students identified by professionalism complaints, only after a decision was reached that remediation was unlikely to be effective.  Evidence was gathered to bring before duly constituted committees of the medical school.  This structure will be useful for educators working with students reported for professionalism concerns. — Laura Willett, MD

Mak-van der Vossen, Marianne C., MD; Croix, Anne de la, MA, MEd, PhD; Teherani, Arianne, Ms Ed, PhD; Mook, Walther N.K.A. van, MD, PhD; Croiset, Gerda, MD, PhD; Kusurkar, Rashmi A., MD, PhDA Roadmap for Attending to Medical Students’ Professionalism Lapses Academic Medicine: November 27, 2018

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