1. Interprofessional Systems to Enhance Professionalism
AA Professionalism Meeting
July 1-2, 2013
Rebecca Saavedra, EdD
Vice President Strategic Management
Co-Chair President’s Professionalism Committee

2. UTMB Legacy of Professionalism
Student Honor Education Council SOM (1990)
Professionalism Committee (1997)
Student Honor Pledge (2001)
John P. McGovern Academy of Oslerian Medicine (2001)
ABIM Grant Putting the Charter into Practice (2002)
UTMB Professionalism Charter ( )
John P. McGovern Chapter of the Gold Humanism Honor Society (2005)
Rebecca Saavedra, Ed.D. Co-Chair Professionalism Committee

3. Creating a Strategic Focus
Gap Analysis
Rebecca Saavedra, Ed.D. Co-Chair Professionalism Committee

4. Promoting a Culture of Respect
An Enterprise Wide Approach: Professionalism is everyone’s responsibility.
Represents the Culture
Based on ABIM Physician’s Charter
Provided at orientation
Refreshed every five years
Available on line
Rebecca Saavedra, Ed.D. Co-Chair, Professionalism Committee

5. Aligning Goals and Measures
Culture
Metrics
Student Survey
Employee Survey
Patient Survey
Voice of the Patient
Culture of Trust
Rebecca Saavedra, Ed.D. Co-Chair Professionalism Committee

6. Key Processes and Measures
Climate
Rebecca Saavedra, Ed.D. Co-Chair Professionalism Committee

7. Remediating Student Behaviors
Early Concern Note (ENC Process)
Receive 1-2 reports/month
Most students receive no ECN
Most students with an ECN receive only 1
Med school behavior relates to future behavior
Multiple ECNs correlate with increased adverse events
Highest risk students may have least insight
Reinforce that professional behavior matters
Provide progressive levels of intervention
Allow flexibility in intervention formality and consequence
designed in 2000 within SOM
emphasizes career-long importance of professionalism
longitudinal tracking system
methods to assist students
confidential, voluntary and separate from academic record (up to a point)
1st ECN – meet with ENC Administrator
2nd ECN – meet with oversight committee
3rd ECN – meet with Academic Progress Committee
has been adapted/adopted by SON and SHP
Professional responsibility, integrity
(e.g. fails to fulfill responsibilities)
Failure to attend a required activity
Overstates level of abilities
Pursuit of excellence, insight
(e.g. seeks minimum standard of performance)
Limited awareness of, or judgment regarding limits
Seeks least level of effort
Personal interactions
(e.g. unable to establish rapport or empathy)
Poor function in student groups
Arrogant/abusive with staff
For more information contact Dr. Michael Ainsworth
Rebecca Saavedra, Ed.D. Co-Chair Professionalism Committee

8. Professional Concern Note
Remediation
On line report anonymous (unless student wishes to id self or nature of complaint is sexual harassment)
Outcome measure
Follow up with Dean or Clinical Chair
Closure
Rebecca Saavedra, Ed.D. Co-Chair Professionalism Committee

9. IPE Curriculum & Competencies
Knowledge Acquisition students will acquire insight into the knowledge skills and roles of healthcare related disciplines Observational Skills students will observe interprofessional teamwork and identify barriers and facilitating mechanisms for the development and operation of such teams Participatory Learning students will practice optimal interprofessional teamwork Innovation Development students will acquire the skills to develop, implement and evaluate interprofessional projects aimed at enhancing health and wellness. Leadership Building will learn to provide leadership in formulation of interprofessional teams including the elimination of barriers to success
interprofessional education “whole is greater than the sum of its parts”
Interprofessional education is expected to become an educational way of life at UTMB.
Rebecca Saavedra, Ed.D. Co-Chair Professionalism Committee

10. IPE Initiatives Family Home Visits – Fall 2012 – Spring 2013
Global Health Interprofessional Core Course- Fall 2012-Spring 2013
The Spirituality and Clinical Care Module – Spring 2013
Interprofessional Education Day – Spring 2013
Pediatric End of Life Simulation – Fall 2012
Rebecca Saavedra, Ed.D. Co-Chair Professionalism Committee

11. Advancing Professionalism
Next Steps
Develop a training and mentoring process for physicians to address and remediate disruptive behaviors
Link compensation to performance
Provide training for all employees aligning expectations and values
IPE Program Review
Measure and Improve Key Performance Indicators (KPIs) of professionalism and interprofessionalism
Brown Bags
Ethics Seminars
Patient Simulations
Rebecca Saavedra, Ed.D. Co-Chair, Professionalism Committee

12. Contacts For more information about Professionalism at UTMB
or call Sheryl Lashway at
For more information on the Synergy curriculum
Rebecca Saavedra, Ed.D. Co-Chair, Professionalism Committee