Standards of Conduct

1. Standards of Conduct 2014 Intern and Resident Orientation Barbara C. Cahill, M.D. Associate Dean Professionalism, Evaluation and Learning

2. Professionalism - Where does it fit? Professionalism ? Clinical Competence Ethical and Legal Foundations Medical Knowledge, Communication Skills

3. Professionalism Tenets Excellence Accountability Altruism Humanism

4. School of Medicine Standards of Conduct Everything counts Hierarchy Resident Professional Conduct Policy http://medicine.utah.edu/gme/policies/index.php Social Networking Mistreatment

5. Professional Behavior in the Clinical Educational Environment Examples of behaviors or situations that are unacceptable include, but are not limited to: discrimination based on race, color, religion, national origin, gender, age, sexual orientation, disability, and veteran status sexual harassment unwanted physical contact verbal abuse, profanity, or demeaning comments

6. Inappropriate Behaviors inappropriate or unprofessional criticism which belittles, embarrasses, or humiliates unreasonable requests to perform personal services grading used to punish or reward for nonacademic activities rather than to evaluate performance a pattern of intentional neglect or intentional lack of communication requiring residents to perform tasks beyond their level of competency without adequate supervision work hour expectations that exceed resident work hour guidelines

7. Addressing Mistreatment If you feel you have been mistreated, you have the right to seek remedy This process shall be free of retaliation Seek remedy at the most informal level that will adequately address concerns Meet with the individual involved and come to an informal mutually agreed upon resolution Meet with the Program Director (or other) to formally or informally report an alleged infraction Allegations of illegal discrimination or sexual harassment should be referred to: The Office of Equal Opportunity and Affirmative Action (801-581-8365)

8. Social Networking Beware of what you consider “private” Don’t violate patient confidentiality don’t blog about patients, even anonymously Separate personal and professional content online maintain ethical boundaries and legal obligations The University may take action against you for disclosures of confidential information Program specific policies about social networking – ask!

9. 2013 Graduation Questionnaire Mistreatment Percent who indicated they personally experienced any of the listed types of mistreatment, excluding'publicly embarrassed.' U of U All Schools (n=62)(n=13,146) Yes 57.9 42.1 No 40.3 57.9

10. 2013 AAMC GQ - Types of Mistreatment Reported

11. 2013 AAMC GQ - Sources of Reported MistreatmentPublicly Humiliated

12. If there were any incidents of these behaviors that you did not report, why didn't you report them? UU All Schools (%)(%) Incident not important enough to report 41 57 I resolved the issue myself 19 19 I did not think anything would be done about it 51 37 Fear of reprisal 60 28 I did not know what to do 11 12 Other 19 8 Number of respondents 37 5,538 2013 AAMC Graduation Questionnaire

13. Residents Reporting Some Perceived Mistreatment Learning, Satisfaction, and Mistreatment During Medical Internship:  A National Survey of Working Conditions. JAMA. 1998;279(15):1194-1199.

14. Be that Physician • Your behavior reflects our profession’s contract with society • Adhere to the highest ethical & moral standards • Demonstrate a continuous commitment to clinical excellence and to scholarship • Exercise accountability for yourself and colleagues • Learn to manage stress • Model professional tenets • Lead in a manner that promotes learning