Navigation Links
Cultural metamorphosis: Better doctors through better relationships
Date:4/15/2008

INDIANAPOLIS Change can be difficult. It also can be rewarding. In the case of a medical school culture, change can have important consequences for what students learn and what type of physicians they ultimately become. Successfully altering an institutions culture can be accomplished without massive amounts of funding or strict administrative edicts, say researchers at the Indiana University School of Medicine.

A study published in an advanced online issue of the Journal of General Internal Medicine reports that dramatic change in the organizational culture of the nations second largest medical school is being achieved through a process called relationship-centered care.

Organizational culture is like the weather everyone complains about it, but unlike the weather you can do something about it. We found that organizational culture at our medical school, and we believe at others, is subject to intentional change, so long as you use appropriate methods, said the studys senior author, Thomas Inui, M.D., associate dean for health services research at the IU School of Medicine and president and CEO of the Regenstrief Institute, Inc.

The momentum to change the organizational culture or informal curriculum of the IU School of Medicine began a decade earlier with the initiation of a curriculum expanded to include nine key competencies that IUSM medical students must achieve before graduation. These include clinical skills; self-awareness, self care and personal growth; professionalism and role recognition; social and community contexts of health care; and moral reasoning and ethical judgment.

As we developed the competency curriculum, we realized that in addition to teaching these abilities, we needed to change the organizational and interpersonal environment of the school the hidden curriculum so our schools informal curriculum and culture supported the values promoted by new curriculum. Unless we did this, we were sending a mixed message, said Ann Cottingham, M.A.R., director of special programs for the Office of Medical Education and Curricular Affairs and first author of the study.

At Indianas only medical school, students, physicians in training (residents and fellows), faculty and staff are exposed to a relationship-centered learning environment which stresses, as Ms. Cottingham puts it, getting to know people as human beings, not just their professional roles.

To measure success, study authors looked at various measures including student satisfaction and application rates.

  • Student satisfaction with the quality of their medical education increased with the initiation of relationship-centered care driven culture change and is higher than the national average. Prior to change in the organizational culture, this measure was consistently lower than the national average even though IUSM graduates consistently had scored above national averages on their professional licensing exams.

  • Students rate responsiveness of administration to student problems higher than the national average. Prior to change in the organizational culture, this measure was consistently lower than the national average.

  • There has been a sharp rise in number of out-of-state students applying to the school which, when added to an increase of in-state applicants, has led to a twofold increase in applications for admission.

  • IU School of Medicine admissions officers seek students who, in addition to having outstanding academic credentials, are the kind of students who would be a good fit in an organization that values relationships as well as the comprehension of scientific principles and outstanding clinical skills.

The study concludes that a culture-change initiative at one medical school succeeded in engaging many faculty and organization leaders within the school, stimulated a remarkable efflorescence of activities, enhanced its environment, and exerted a favorable impact on a variety of organizational performance indicators.


'/>"/>

Contact: Cindy Fox Aisen
caisen@iupui.edu
317-274-7722
Indiana University
Source:Eurekalert

Related medicine news :

1. HCCS Partners With UHC to Deliver Cultural Competency Courses
2. Arizona State bioethicist says mental illness is subject to biological and sociocultural factors
3. Cultural Beliefs May Keep Blacks From Hospice Care
4. DuPont Hosts Meeting of Leading Plant Scientists to Improve World Agricultural Productivity
5. 32-Year-Old Breast Cancer Survivor, Fashion Model Featured in Benefit Concert Music of the Light at Skirball Cultural Center
6. Managing the Service-to-Sales Cultural Transformation - Complimentary Excerpt Available from Best Practices
7. Abbott Donates Cool Globe to Lake County Forest Preserves for Permanent Display at Greenbelt Cultural Center
8. Call Center Excellence: Managing Service-To-Sales Cultural Transformation
9. HealthFitness CEO Supports Move Toward Cultural Shift, and Science-Based Health Management Programming
10. In blood vessel stents, innovative materials allow better control, delivery of gene therapy
11. Computer game helps COPD patients breathe better
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/17/2017)... ... February 17, 2017 , ... For the first time, International ... the exhibit floor for the 2017 HIMSS Conference & Exhibition at ... 2017, more than 40,000 healthcare industry professionals are expected at the conference, where ...
(Date:2/17/2017)... ... 17, 2017 , ... Qualis Health, one of the nation's ... Annual DecisionHealth Platinum Awards in recognition of its innovative healthcare management programs that ... multiple award categories, highlighting four of the organization’s current programs:, ...
(Date:2/17/2017)... Miami, F.L. (PRWEB) , ... February 17, 2017 ... ... geared to clinical operations executives and focusing on all facets of clinical trial ... portfolio management , patient engagement, and more. In addition, attendees stopping by ...
(Date:2/17/2017)... CO (PRWEB) , ... February 17, 2017 , ... Top ... annual International Healing NET Foundation Summit from February 21 - 23 in Beaver Creek, ... Foundation (HNF). This marks the Summit’s second year in Beaver Creek, hosting over 60 ...
(Date:2/16/2017)... ... 2017 , ... For some cancer survivors, the memories and ... researchers at The Marcus Institute of Integrative Health at Thomas Jefferson University ... symptoms of traumatic stress in cancer patients and published their results ...
Breaking Medicine News(10 mins):
(Date:2/17/2017)... 2017 Theravance Biopharma, Inc. (NASDAQ: ... today announced the presentation of positive clinical data ... pan-Janus kinase (JAK) inhibitor designed to be intestinally ... the European Crohn,s and Colitis Organization (ECCO). In ... from its completed Phase 1 study of single-ascending ...
(Date:2/17/2017)... 2017 Research and Markets has announced the addition ... to their offering. ... provides separate comprehensive analytics for the US, Canada , ... Asia-Pacific , Latin America , and Rest of ... 2022. Also, a six-year historic analysis is provided for these markets. Market ...
(Date:2/17/2017)... , Feb. 17, 2017   FormFast , ... announced a new partnership with Engage , one ... United States . FormFast will serve as the ... Engage,s implementations with MEDITECH .  ... essential functionality to complement and enhance the electronic health ...
Breaking Medicine Technology: