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ROLE MODELING

ROLE MODELING. “The process whereby faculty members exhibit knowledge, attitudes, and skills , demonstrate and articulate expert thought processes , and manifest positive professional behaviours and characteristics” (After Irby, J Med Ed, 1986). ROLE MODELING.

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ROLE MODELING

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  1. ROLE MODELING • “The process whereby faculty members exhibit knowledge, attitudes, and skills, demonstrate and articulateexpert thought processes, and manifest positive professional behaviours and characteristics” (After Irby, J Med Ed, 1986)

  2. ROLE MODELING • “being a role model is what happens when you are busy doing other things”John Lennon

  3. WHY DO ROLE MODELS MATTER? Major Influence in the Creation of a Health Professional • Part of the formal & informal curriculum (influenced by the hidden curriculum) • Can affect career choice • Significant influence on peers Negative role modeling is common and can be destructive

  4. ROLE MODEL - ATTRIBUTES • expertise/clinical skills • humanism/self awareness, empathy, respect • communication/patient & student • personal qualities/lifestyle • collaborative practice • advocacy

  5. Attributes Competence Commitment Confidentiality Altruism Trustworthy Integrity / Honesty Codes of ethics Morality / Ethical Behavior Responsibility to profession Caring/compassion Insight Openness/ transparency Respect for the healing function Respect patient dignity/autonomy Presence Autonomy Self-regulation Associations Institutions Responsibility to society Team work Healer Professional

  6. What Makes a Good Role Model? • Competence • TIME: total hours & % of time spent teaching • Being aware of being a role model • Being explicit about what is being modeled and why • Communicating enthusiasm • (Generalist vs specialist) Wright et al: NEJM,1998 Côté & Leclère: Acad Med, 2000

  7. What Makes a Good Role Model? • Demonstrating sensitivity to student’s needs • Being aware of power difference • Giving feedback • Stressing importance of patient relationship • Stressing psychosocial aspects of medicine • Reflecting and encouraging reflection in students • Institutional support Wright et al: NEJM,1998 Côté & Leclère: Acad Med, 2000

  8. What Makes a Poor Role Model? • Disrespect- patients/students/team members • Insensitivity- patients/students/team members • Professional dissatisfaction • Lack of collegiality • Culture accepting of poor relationships • Lack of institutional support

  9. Time/overwork Impatience Overly opinionated Hostile attitude Lack of enthusiasm Poor interpersonal skills Impersonal approach Too reserved/quiet Barriers to Good Role Modeling

  10. TAKE HOME MESSAGE • Attention - to the patient - to the student • Retention - use Socratic methods to involve the student and promote retention • Production - getting the student to use knowledge in order to embed it • Motivation - make the event enjoyable (Bandura: 1986)

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