Impact of a Video-Based Interactive Workshop on Unprofessional Behaviors Among Internal Medicine Residents.

ABSTRACT:

Background

Unprofessional behaviors undermine the hospital learning environment and the quality of patient care.

Objective

To assess the impact of an interactive workshop on the perceptions of and self-reported participation in unprofessional behaviors.

Methods

We conducted a pre-post survey study at 3 internal medicine residency programs. For the workshop we identified unprofessional behaviors related to on-call etiquette: "blocking" an admission, disparaging a colleague, and misrepresenting a test as urgent. Formal debriefing tools were utilized to guide the discussion. We fielded an internally developed 20-item survey on perception and participation in unprofessional behaviors prior to the workshop. An online "booster" quiz was delivered at 4 months postworkshop, and the 20-item survey was repeated at 9 months postworkshop. Results were compared to a previously published control from the same institutions, which showed that perceptions of unprofessional behavior did not change and participation in the behaviors worsened over the internship.

Results

Of 237 eligible residents, 181 (76%) completed both pre- and postsurvey. Residents perceived blocking an admission and the misrepresentation of a test as urgent to be more unprofessional at a 9-month follow-up (2.0 versus 1.74 and 2.63 versus 2.28, respectively; P?P?=?.019).

Conclusions

The results of this multi-site study indicate that an interactive workshop can change perception and may lower participation in some unprofessional behaviors.

SUBMITTER: Didwania A 

PROVIDER: S-EPMC5398139 | biostudies-literature | 2017 Apr

REPOSITORIES: biostudies-literature