Protecting the Residency Training Environment: A Resident's Perspective on the Ethical Boundaries in the Faculty-Resident Relationship

Mohamed, Mahmoud Shaaban; Punwani, Manisha; Clay, Marjorie; Appelbaum, Paul S.

doi:10.1176/appi.ap.29.4.368

Cited by 7 publications

(2 citation statements)

References 4 publications

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“…Another concern of this study is the potential for undue influence of faculty over residents due to the inherent power differential of a hierarchical system. 12 The risk for coercion, intimidation, and pressure is high with this type of proposition; therefore, the authors took precautions to minimize or eliminate this risk. First, no communication was made between faculty members and residents to endorse or encourage participation in the PAC.…”

Section: Discussionmentioning

confidence: 99%

Factors Influencing Resident Participation in the AAOS Political Action Committee

Shah¹,

Froelich²,

Weinstein³

et al. 2013

Orthopedics

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Resident participation in the political action committee (PAC) is important for professional advocacy and for ensuring access to quality musculoskeletal care. The following questions were asked: Would faculty contribution-matching increase donation rates and amounts among orthopedic surgery residents at a single institution? What barriers do residents self-identify that prevent or delay PAC participation? How do residents perceive a faculty contribution-matching program? Residents at 1 institution were encouraged to participate in the PAC before and after the introduction of a faculty contribution-matching program. In addition, telephone follow-up was performed and resident perceptions were assessed regarding the program and barriers to participation. Rates of participation, amounts donated, and perceptions are reported. Resident participation in the PAC increased from 10% to 95% following the introduction of a faculty contribution-matching program. The second group of residents contributed 67 cents for every dollar given by the first group. Significant barriers identified included time constraints and an inability to access the PAC Web portal. Ninety-four percent of the initial nonresponders said that they made joining the PAC a priority after learning about the faculty contribution-matching program. They specifically cite giving greater attention to an issue that the faculty value. Four months after the initial e-mail, 100% of residents had contributed. Residents believe that professional activism is important but ascribe it a lower priority than other professional duties. Residency programs might facilitate resident involvement in the PAC by instituting faculty contribution-matching and by assisting junior residents with their American Association of Orthopaedic Surgeons login information.

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Section: Discussionmentioning

confidence: 99%

Factors Influencing Resident Participation in the AAOS Political Action Committee

Shah¹,

Froelich²,

Weinstein³

et al. 2013

Orthopedics

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“…This said, overlapping roles fulfilled by professionals always and without exception introduce new ethical challenges and risks. (p. 115; emphasis in original) Despite this being an area of considerable ambiguity in the healthcare training literature, a review of the literature revealed that it has been given little attention (Mohamed, Punwani, Clay, & Appelbaum, 2005). Healthcare faculty, unlike most of their professional peers, practice their discipline while simultaneously educating and sharing responsibility for patient care with potentially younger and less-experienced clinicians.…”

Section: Historical and Contemporary Perspectives On Multiple Rolesmentioning

confidence: 99%

Multiple role relationships in healthcare education.

Reitz

Simmons

Runyan

et al. 2013

Families, Systems, & Health

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Healthcare training environments, particularly in multidisciplinary training settings, present unique ethical dilemmas as a result of the multiple relationships faculty must balance while working with trainees. The historical and current perspectives on multiple roles in training environments will first be summarized. Evidence of a gap between the extant discipline specific guidelines and the realities of situations that occur in healthcare training will then be revealed, as illustrated in a case example. Primary care medicine training environments are highly nuanced, potentially leading to an infinite number of ambiguous situations that require a generalizable model for managing multiple roles. Rather than recommend specific modifications to existing ethical guidelines, a new model emphasizing role awareness and decision making when challenges in healthcare training settings arise is proposed. Recommendations for the case example using the model are offered. All professionals are prone to boundary transgressions; explicit training about and the maintenance of appropriate role balance will help to ensure high-functioning relationships and maximize the quality of patient care, resident education, faculty and resident satisfaction, and modeling of professional behavior to improve competencies as clinicians and educators.

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Mentoring Profession Part II: Mentoring as a Paradigm for Teaching Medicine

Fleming

Moss

2012

ANN BEHAV SCI MED EDUC

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Protecting the Residency Training Environment: A Resident's Perspective on the Ethical Boundaries in the Faculty-Resident Relationship

Abstract: This article highlights the importance of incorporating education about ethical responsibilities and faculty-resident boundaries into the training curriculum. The authors offer suggestions for understanding faculty members' responsibilities to residents in their training programs.

Cited by 7 publications

References 4 publications

Factors Influencing Resident Participation in the AAOS Political Action Committee

Factors Influencing Resident Participation in the AAOS Political Action Committee

Multiple role relationships in healthcare education.

Mentoring Profession Part II: Mentoring as a Paradigm for Teaching Medicine

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