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

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

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