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J Hosp Med. 2013 Jul;8(7):386-9. doi: 10.1002/jhm.2056. Epub 2013 Jun 18.

Promoting professionalism via a video-based educational workshop for academic hospitalists and housestaff.

Journal of hospital medicine

Jeanne M Farnan, Kevin J O'Leary, Aashish Didwania, Liza Icayan, Mark Saathoff, Shashi Bellam, Andy Anderson, Shalini Reddy, Holly J Humphrey, Diane B Wayne, Vineet M Arora

Affiliations

  1. Department of Medicine and Pritzker School of Medicine, The University of Chicago, Chicago, Illinois, USA. [email protected]

PMID: 23780912 DOI: 10.1002/jhm.2056

Abstract

BACKGROUND: Unprofessional behavior can compromise care and detract from the hospital learning environment. Discrepancy between professional behaviors formally taught and what is witnessed has become increasingly evident.

METHODS: With funding from the American Board of Internal Medicine Foundation, a workshop was developed to address unprofessional behaviors related to inpatient care previously identified in a multi-institution survey. The aims were to utilize video-based education to illustrate unprofessional behaviors, how faculty play a role in promoting such behaviors, and facilitate reflection regarding motivation for and prevention of these behaviors. Hospitalists and housestaff at 3 Chicago-area academic hospitals and 1 community teaching affiliate participated. Videos were debriefed, identifying barriers to professional behavior and improvement strategies. A postworkshop survey assessed beliefs on behaviors and intent to change practice.

RESULTS: Forty-four (53%) faculty and 244 (68%) residents (postgraduate year 1 and greater) participated. The workshop was well received, with 89% reporting it "useful and effective." Two-thirds expressed intent to change behavior. Most (86%) believed videos were realistic and effective. Those who perceived videos as "very realistic" were more likely to report intent to change behavior (93% vs 53%, P = 0.01).

CONCLUSIONS: Video-based education is a feasible way to promote reflection and address unprofessional behaviors among providers and may positively impact the learning environment.

© 2013 Society of Hospital Medicine.

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