Professionalism and clinical excellence among anesthesiology residents

Rhoton, M. F.

doi:10.1097/00001888-199404000-00018

Cited by 33 publications

(14 citation statements)

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“…20 Fifteen residents (21%) received comments about unprofessional behaviour, predominantly involving unacceptable behaviour, abdication of responsibility, and fabrications. These same residents demonstrated problems regarding perceived conscientiousness, composure, critical incidents, efficiency/organization, taking instruction, and knowledge.…”

Section: Physician Behaviour Patterns and Patient Complaints And Litimentioning

confidence: 99%

Physician professional behaviour affects outcomes: A framework for teaching professionalism during anesthesia residency

Bahaziq

Crosby

2011

Can J Anesth/J Can Anesth

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Purpose In this review, we examine the association between physician professional behaviour and indicators measuring patient outcomes and satisfaction with care as well the potential for complaints, discipline, and litigation against physicians. We also review issues related to the structured teaching of professionalism to anesthesia residents, including resident evaluation. Source A search of the OVID Medline and PubMed databases was carried out using keywords relevant to the topics under consideration. Program directors of Canadian anesthesiology training programs were also surveyed to assess the current state of professionalism training and evaluation in their programs. Principal findings Unprofessional behaviour is frequently manifested in practice by medical students, residents, and physicians, and it is associated with personality characteristics that are evident early in training. There is a correlation between unprofessional physician behaviours and patient dissatisfaction, complaints, and lawsuits as well as adverse outcomes of care. Physician health and workplace relationships are negatively impacted by such behaviours. Canadian program directors recognize the need to approach the teaching of professionalism in an organized fashion during physician training. Conclusions A framework is provided for defining behavioural expectations, and mechanisms are offered for teaching and evaluating behaviours and responding to individuals with behaviours that persistently breach defined expectations. There is a need to define explicitly not only the expectations for behaviour but also the processes by which the behaviours will be assessed and documented. In addition, emphasis is placed on the nature, order, and magnitude of the responses to behaviours that do not meet expectations.

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Section: Physician Behaviour Patterns and Patient Complaints And Litimentioning

confidence: 99%

Physician professional behaviour affects outcomes: A framework for teaching professionalism during anesthesia residency

Bahaziq

Crosby

2011

Can J Anesth/J Can Anesth

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“…The MSPE is designed to describe the total performance of the student in medical school, including objective records of grades and descriptions of other achievements, as well as subjective information about the student's professional development and behavior. Rhoton [14] published a report of 71 anesthesiology residents and found that 15 (21%) had received comments about unprofessional behaviors. These 15 residents had significant problems in many areas of practice, including diminished eagerness to learn, multiple critical incidents, and poor knowledge base.…”

Section: Discussionmentioning

confidence: 99%

“…In contrast, 21 residents had excellent performance overall and no comments describing unprofessional behavior. The study concluded "that clinical excellence and unprofessional behavior rarely coexist" [14]. In addition, Papadakis et al found that physicians disciplined by the state medical board were significantly more likely to have had professionalism concerns raised in medical school [15].…”

Section: Discussionmentioning

confidence: 99%

Perceived predictive value of the Medical Student Performance Evaluation (MSPE) in anesthesiology resident selection

Swide

Lasater

Dillman

2009

Journal of Clinical Anesthesia

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“…Rhoton [12] performed a study in the late 1980s to identify anesthesia residents who received undesirable scores regarding professional behavior. Rhoton determined the frequency and nature of comments regarding this behavior, assessed predictive relationships for receiving undesirable scores, and identified consistent patterns of performance associated with these scores.…”

Section: Anesthesiologymentioning

confidence: 99%

Teaching professionalism during anesthesiology training

Edelstein

Stevenson

Broad

2005

Journal of Clinical Anesthesia

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Professionalism and clinical excellence among anesthesiology residents

Abstract: The results expose a pattern of performance associated with unprofessional behavior, and suggest that clinical excellence and unprofessional behavior rarely coexist.

Cited by 33 publications

References 0 publications

Physician professional behaviour affects outcomes: A framework for teaching professionalism during anesthesia residency

Physician professional behaviour affects outcomes: A framework for teaching professionalism during anesthesia residency

Perceived predictive value of the Medical Student Performance Evaluation (MSPE) in anesthesiology resident selection

Teaching professionalism during anesthesiology training

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