Navigation Links
3-center study identifies main causes of unprofessional behavior among hospitalists
Date:6/12/2012

Unprofessional behavior among hospitalists is rare, but those who do behave poorly share common features, according to research published in the Journal of Hospital Medicine.

American researchers spoke to 77 Illinois hospitalists - doctors who provide care tailored to the needs of hospitalized patients as a general internist, rather than focusing on an organ, disease or a specific patient age-group.

The three-center study found four key factors or patterns underlying unprofessional behavior: making fun of others, conduct in the learning environment (i.e. texting during educational conferences), workload management (i.e. celebrating transferring a patient) and time pressures (i.e. signing out early).

"The discrepancy between what is taught about professionalism in formal medical education and what is witnessed in hospitals has received increasing attention" says co-author Dr Vineet M Arora from the Department of Medicine at the University of Chicago, USA.

"As a result, regulatory agencies require training programs and medical schools to evaluate the learning environment and its impact on professionalism. Our research suggests that educational interventions could be tailored towards hospitalists with certain job types or personal characteristics."

Most of the hospitalists who took part in the study (79%) completed their residency after the year 2000. More than half (57%) were male and had worked with their current hospital group for one to four years (61%). They were asked to grade more than 30 unprofessional behaviours on a simple, five-point scale commonly used in research to measure attitudes or opinions. Hospitalists reported witnessing unprofessional behaviour more frequently than taking part in it.

The most common unprofessional behaviors that hospitalists reported participating in were: having non-medical or personal conversations in patient corridors (67%), ordering a routine test as urgent to expedite care (62%), signing out a patient over the phone when it could have been done in person (41%) and making fun of other physicians to colleagues (40%). But when the researchers looked at how many observed those same behaviours in colleagues, the figures were much higher, at 80%, 80.5%, 66% and 67.5% respectively.

The four key factors or patterns underlying unprofessional behavior accounted for 76% of the variations in the survey responses and had the greatest impact on the overall findings.

Job characteristics - such as clinical time, administrative time and night work - together with age and hospital site were all associated with different patterns of unprofessional behavior.

For example, hospitalists with less clinical time were more likely to report behaviors relating to making fun of others. Young hospitalists and those who had any administrative duties were more likely to participate in behaviors related to workload management. And hospitalists who worked nights were more likely to report behaviors related to time pressures.

"Interventions to promote professionalism should take institutional culture into account and should focus on behaviors with the highest participation rates" concludes Dr Arora.

Dr. Kevin O'Leary, a co-investigator from Northwestern University summarized "Although this study found that unprofessional behavior was thankfully rare, such behavior is unacceptable in a professional hospital setting and needs to be addressed."


'/>"/>

Contact: Amy Molnar
healthnews@wiley.com
Wiley-Blackwell
Source:Eurekalert

Related medicine news :

1. Multi-center clinical study intensifies first strike at high-risk cancer in kids
2. A study shows that mosaicism is gaining ground in cancer research
3. Sleep apnea persisting into teens can impact life skills, study finds
4. WSU study finds overwhelming evidence of hidden heart disease in hypertensive African-Americans
5. Docs Arent Coaching Overweight Kids on How to Slim Down: Study
6. Study sheds new light on role of genetic mutations in colon cancer development
7. Two-Thirds of Osteo Hip Fractures Occur After 80: U.S. Study
8. Study links teamwork, communication with quality of nursing home care
9. HIV superinfection in Uganda may be more common than previously thought, study finds
10. Many Kids on Medicaid Dont See Dentist: Study
11. Reach2HD, a Phase II study in Huntingtons disease, launched
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/9/2016)... ... 09, 2016 , ... Sir Grout, the leading hard surface ... announce that many of their franchises have received the Super Service Award from ... franchises received customer recognition through positive reviews and testimonials, as well as evaluations ...
(Date:2/9/2016)... ... February 09, 2016 , ... The Brain Preservation Foundation’s (BPF) ... from 21st Century Medicine (21CM) ( http://www.21cm.com/ ), spearheaded by recent MIT ... of an intact rabbit brain for extremely long-term storage using a combination of ...
(Date:2/8/2016)... ... February 08, 2016 , ... ... Nutrition into the Food & Beverage and Dietary Supplement ... partner throughout Canada and USA geographies east of the Rocky Mountains since 2012. ...
(Date:2/8/2016)... ... February 08, 2016 , ... The Valentine’s Season is famous for gift giving with flowers, chocolates ... they are loved. This year, for more than 5.6 million Americans suffering with Alzheimer’s, ... be enough to remind them of the lives they’ve led and the people they’ve touched. ...
(Date:2/8/2016)... York, NY (PRWEB) , ... February 08, 2016 , ... ... are too much to handle, you are not alone. According to the Center for ... include heart disease, stroke, type 2 diabetes and certain types of cancer, some of ...
Breaking Medicine News(10 mins):
(Date:2/9/2016)... 2016 The global prefilled syringes market accounted ... expected to grow with a CAGR of 12.9% during ... segment dominated the global prefilled syringes market, with 90.1% ... --> The global market of prefilled syringes is ... geriatric population, increasing demand for vaccines, increasing prevalence of ...
(Date:2/9/2016)... 9, 2016 The life of Dr. Jan ... been anything but ordinary.  Twists of fate, combined with sheer ... and the constraints of communist Czechoslovakia to New ... go on to make history by playing a key role ... in the world, Remicade.  Dr. Vilcek brings readers along his ...
(Date:2/9/2016)... N.J. , Feb. 9, 2016  Bluestar Silicones ... (LSR) product line for long-term implant applications and ... Medical Design & Manufacturing (MD&M) West Conference (Booth ... --> --> ... Silbione® Biomedical LSRs offer outstanding physical properties enabling ...
Breaking Medicine Technology: