Year Three OrientationClass of 2014 -- July 6, 2012

• Log Books and the LCME– Types of patients students see must be stated and

monitored

• Option Periods• Radiology Conferences

siumed.edu/oec/Year3/2014/radiology_conferences.htm

• Time off in the clerkships– Requests in writing 3 weeks prior to beginning of

clerkship– Assume weekend duties

• Read the syllabus

Kirk ThompsonYour Representative to the Year Three Curriculum Committee

Policies

• Grade Review Process• Work Hours

http://www.siumed.edu/oec/curriculum/Grade_Review_Process.html

http://www.siumed.edu/oec/Year3/policy_work_hours_clerkship.htm

p. 22

p. 31

Professional Conduct

A group of practitioners with a specialized body of knowledge that is given distinctive status by society or government. In return, the group and its members are obligated to advance their area of expertise and assure their profession serves lay people and society. Typically, members of a profession adhere to a high ethical standard are allowed to manage and regulate themselves.

Profession:

A group of practitioners with a specialized body of knowledge that is given distinctive status by society or government. In return, the group and its members are obligated to advance their expertise and assure that their profession serves lay people and society. Typically, members of a profession adhere to a high ethical standard and are allowed to manage and regulate themselves.

Profession:

Three Fundamental Principles of Professionalism

• Primacy of Patient Welfare– trust, built on altruism, is central to care– Patient interest always outweighs social, administrative,

financial pressures

• Patient Autonomy– Physicians must openly share information with patients

and provide guidance regarding the optimal course of action

– Patients have the right to make decisions about their care and may accept or refuse any recommended treatment

• Social Justice– Promote fair distribution of resources and eliminate

health care discriminationCharter on Medical Professionalism, Annals of Internal Medicine, February, 2002

Ten Professional Responsibilities

• Professional Competence• Honesty (with patients)• Patient Confidentiality• Appropriate Relations with Patients• Improving Quality of Care• Improving Access to Care• Just Distribution of Finite Resources• Scientific Knowledge• Maintain Trust/Manage Conflicts of Interest• Commitment to Professional Responsibilities

Professionalism in Medicine

– Altruism– Accountability-- to patients, society, the

profession– Inform, be honest, acknowledge mistakes– Reduce error and minimize over-use of

resources– Participate in self-regulation

– Excellence– Duty

• acceptance of a commitment to service– Honor and Integrity– Respect for others

ABIM, Project Professionalism, 1995

http://www.siumed.edu/oec/HANDBOOK/student_handbook/html/honor_code.html

Signs and Symptoms of Suboptimal Professionalism

• Abuse of PowerConfidentialityBias and harassment

• Arrogance• Greed• Misrepresentation• Impairment• Conflicts of Interest

Self-referral Relationships with IndustryUtilization of services Acceptance of gifts

• Lack of conscientiousness

Professional Conduct in Practice• Be respectful to everyone

• Honor patient confidentiality • Adhere to dress code and hygiene• Address patients and families by title and surname• Be tolerant of lifestyle, cultural, religious, & racial

characteristics• Do not eat, drink, chew gum in presence of patients• With patients:

– Knock & ask permission to enter room, introduce yourself showing ID badge, sit down, smile if appropriate, explain your role, wash hands, appropriately drape, avoid loud talking or joking

Professional Conduct in Practice

• Arrive early• Volunteer to help… anyone• Be resourceful; take initiative• Stay late – leave only when the work is done• Ask Questions• Don’t be afraid to say “I don’t know”• Be prepared to make mistakes

– Acknowledge them– Learn from them

• Be a TEAM PLAYER– pull your own weight

Professional Dress - Faculty Comments

• Scrubs are for the OR– not for clinic, conferences– ok for after hours call

• Hygiene: body odor

long nails

perfumes

• Absent socks• Jeans, shorts,

Sweats• No tie

Professional Dress - Faculty Comments

• Absent white jacket• Dirty white jacket• Hair not pulled back• Revealing clothes• “Alternative”

accessories

Professional Dress - Other Institutions

• Flip-Flops• High heels• Jeans• Hair of Natural human color• Body hardware, visible tattoos• Tight dresses, low necklines, short hems• See-through blouses, exposed midriffs• Up to four rings• Heavy makeup, false fingernails

SIU HealthCare

• No midriff or cleavage• Sleeveless garments in non-clinical areas only• Lab coats & closed-toe shoes in clinical areas• Limit perfumes, after shaves, hair products• NO: sweats, miniskirts, halter/tube tops, t-

shirts, tank tops, shorts, see-throughs, leggings, jeans, low cut garments

Professional Dress – Operating Room Restrictions

• No jewelry (wedding rings, bracelets, necklaces) -- except Anesthesia can wear watch

• A tee shirt can be worn only if completely covered by scrubs– Warm up jackets available

• No nail polish of any kind• No acrylic nails

Professional Dress

• Patients prefer physicians who dress traditionally– White coat, visible stethoscope, name tag,

dress pants/skirt, shirt, tie, stockings• Patients don’t care for physicians who dress

casually– sandals, clogs, blue jeans, and men with long

hair and earrings

Keenum, Wallace and Stevens. Southern Med J. 2003, 96:1190-94

November 21, 2006

When Young Doctors Strut Too Much of Their Stuff

Rehman, et al. American Journal of medicine (2005) 118, 1279-1286

What to wear today? Effect of doctor’s attire on the trust and confidence of patients

Professional Conduct - More Faculty Comments

• Personal use of pagers and cell phones• Noisy pagers• Paging “out”• Texting during rounds,

conferences and clinics

• Food or drinks on rounds and in clinical areas

The Commandments of Professional Behavior

1. Thou shalt behave as a professional at all times

2. Thou shalt always be garbed within a white coat

3. Thou shalt be on time for conferences, meetings and clinics

4. Thou shalt be prompt with thy notes and letters

5. Thou shalt write progress notes, even if no progress has been

made

6. Thou shalt comport thyself with modesty and humility

7. Thou shalt acknowledge knowledge deficits, not attempt to

confound

others with baloney

8. Thou shalt speak thy mind, provided it is engaged fully before

opening

thy mouth

9. Thou shalt not sleep with thy patient

D. S. Resch,

MD

Attire References

• Douse J et al. Postgrad Med J. 2004 May; 80(943): 284–286. • Rehman SU et al. American Journal of Medicine 2005;

118(11):1279-1286• Kazory A. American Journal of Medicine 2008;121(9):825-828• www.news.bbc.co.uk/2/hi/uk_news/scotland/7784552.stm• www.slate.com/id/2220925

SIU School of Medicine Year Three Curriculum Academic Year 2012-2013

(Class of 2014)