acgme competency review: professionalism: how do i measure it in a resident?

Faculty Development Seminar

Sept. 20, 2007

Residents must demonstrate a commitment to carrying out professional responsibilities, adherence to ethical principles, and a sensitivity to a diverse patient population.

Residents are expected to:◦ Demonstrate respect, compassion and integrity◦ A responsiveness to the needs of patients and

society that supercedes self interest◦ Be Accountable to patients, society and the

profession◦ Demonstrate a commitment to excellence and

ongoing professional development

Residents are expected to:◦ Demonstrate a commitment to ethical principles◦ Demonstrate sensitivity and responsiveness to

patient’s culture, age, gender and disabilities

Introduces self Speaks to patient as an equal, maintains

eye-contact Avoids medical-ese Responds positively to faculty during

teaching Respects dignity of patient (knocks on door,

drapes as appropriate, respects privacy)

Comforts patient, makes empathetic comments

Slow to interrupt Uses appropriate pain relief Avoids derogatory comments of patient Touches patient

Admits errors Admits omissions (“I did not ask that) Follows through on commitments Is accurate in time commitments and calls

when detained Answers pages promptly Informs others when unavailable and

secures coverage Does not withhold information from patients

Involved in the community Graciously cares for the socially

disadvantaged Attentive to needs of their own family

Follows up on promises to patient Tells the truth Makes certain patient understands them

Personal life reflects moral integrity

Does not cut corners Neat handwriting Committed to reading core material in

discipline

Explains what will happen to patients Family involved in decisions Does not talk about patients in open areas Does not shout or talk slowly to non-english

speaking persons Avoids sexist and racial jokes Asks for help when needed Does not inflate billing Calls elderly by last name

When you see this done right-Comment immediately

When you see this done wrong-Comment immediately

Both are teachable moments