Navigation Links
R-E-S-P-E-C-T: The health of health care depends on it
Date:12/13/2010

INDIANAPOLIS Along with integrity and compassion, respect for patients, colleagues and other team members is an essential attribute of medical professionalism. A new study examines how medical students learn respectful or disrespectful professional behavior.

"Exploring the Meaning of Respect in Medical Student Education: An Analysis of Student Narratives" appears in the December 2010 issue of the Journal of General Internal Medicine. From the observations and conclusions of third-year medical students, the article provides insight into how future physicians acquire knowledge of respectful and disrespectful professional behavior.

Of the 595 narratives on professionalism reviewed by the study authors, one in four focused on the respect category. Two-thirds of these narratives were negative, a high percentage, especially when compared with other aspects of professional behavior, in which the proportion of negative narratives was significantly lower.

Narratives cited as examples of disrespectful behavior by the students include: a physician who brought a doughnut and coffee into a patient room; a physician who continued a personal call while on medical rounds; a physician who patted a patient on the stomach while making a vulgar gesture about how much weight the patient needed to lose; an attending physician making a joke at the students' expense; and a student who surfed the Internet while another student made a presentation.

"Disrespectful behavior was observed to lead to loss of trust, strong negative emotions, and loss of relationships. Respectful behavior was seen as leading to satisfaction, willingness to share information, adherence to treatment and positive emotion," said study first author Orit Karnieli-Miller, Ph.D., of the Department of Community Mental Health at the University of Haifa in Israel. She is a former post-doctoral fellow at the Regenstrief Institute.

In those narratives focusing on the issue of respect, respectful or disrespectful behavior was identified 55 percent of the time in physicians' behavior toward patients; 24 percent of the time in physicians' behavior toward medical students; 11 percent of the time in interactions among other members of the health care team including students with other students and physicians with other physicians; 7.5 percent of the time in nurses' behavior toward medical students; and 2.5 percent of the time in physicians' behavior toward nurses.

"When physicians communicated or behaved disrespectfully toward the medical students, these students expressed loss of motivation to be involved and take an active part in their learning," said Dr. Karnieli-Miller.

"The influence of the informal curriculum is as great or even greater than what students learn in the classroom. These student narratives underscore the major role that both positive and negative role modeling can play in shaping student attitudes and behavior," said senior author Richard M. Frankel. Ph.D., a Regenstrief Institute investigator, Indiana University School of Medicine professor of medicine and an investigator with the Richard L. Roudebush VA Medical Center.

Students perceived respect as important in both public and private settings and with all members of the health care team including patients, family members, nurses, faculty and fellow student, and under varying circumstances such as the classroom and providing patient care at the bedside.

The fact that students view respect as an important aspect of professionalism "suggests that we, as medical educators and role models, have an amazing opportunity to influence the next generation of physicians by embodying respect in every clinical and educational context and interaction," the study concluded.

"It is important to put this study into perspective," study co-author Thomas S. Inui, Sc.M., M.D. past president of the Regenstrief Institute and a professor of medicine at the IU School of Medicine said. "The IU environment is as humane and respectful as any I know, but students like the rest of us expect exemplary behaviors, regret departures from this expectation, and seek to do better themselves. The good news and the challenge for us as educators is that students are learning from everything we do and in every moment."


'/>"/>

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

Related medicine news :

1. Grades in High School Might Influence Adult Health
2. U.S. Failing to Meet Goals for Womens Health: Report
3. Researchers Assess Gay Youths Mental Health
4. New forms of dietary fiber to boost health
5. UTHealth study suggests private insurers control health care spending better than Medicare
6. Good grades in high school lead to better health, study finds
7. Teens Poor Health Linked to Fewer Friends
8. Early physical therapy for low back pain associated with less subsequent health care utilization
9. Littlest Kids in Big Day-Care Centers May Have Better Health Later On
10. Dartmouth receives $2 million grant for childrens health research center
11. Species Extinctions May Spell Trouble for Human Health
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... Creek, Michigan (PRWEB) , ... June 26, 2016 , ... ... joined as sponsor of the 2016 Cereal Festival and World’s Longest Breakfast Table in ... in honor of the city’s history as home to some of the world’s leading ...
(Date:6/26/2016)... Carolina (PRWEB) , ... June 26, 2016 , ... ... of a new product that was developed to enhance the health of felines. The ... centuries. , The two main herbs in the PawPaws Cat Kidney Support ...
(Date:6/26/2016)... , ... June 26, 2016 , ... ... once they have been diagnosed with endometriosis. These women need a treatment plan ... require a comprehensive approach that can help for preservation of fertility and ultimately ...
(Date:6/25/2016)... TX (PRWEB) , ... June 25, 2016 , ... Austin ... of the American College of Mohs Surgery and to Dr. Russell Peckham for medical ... and highly effective treatment for skin cancer. The selective fellowship in Mohs Micrographic Surgery ...
(Date:6/25/2016)... ... June 25, 2016 , ... "With 30 hand-drawn hand gesture animations, FCPX ... Austin - CEO of Pixel Film Studios. , ProHand Cartoon’s package transforms over ... Cut Pro X . Simply select a ProHand generator and drag it above media ...
Breaking Medicine News(10 mins):
(Date:6/26/2016)... OTTAWA, Ontario , June 27, 2016  VMS ... the Company,s Board will take whatever measures required to ... the Company,s stock which is currently listed on the ... S Wexler, Company Chairman and CEO, "We are seeing ... be difficult to understand, not only by the Company, ...
(Date:6/24/2016)... June 24, 2016  Collagen Matrix, Inc., ("Collagen ... and manufacturing of collagen and mineral based medical ... that Bill Messer has joined the ... further leverage the growing portfolio of oral surgery, ... Bill joins the Collagen Matrix executive team ...
(Date:6/24/2016)... DUBLIN , June 24, 2016 ... and Markets has announced the addition of the ... their offering. ... products and provides an updated review, including its applications ... covering the total market, which includes three main industries: ...
Breaking Medicine Technology: