Resident Professionalism

DEPT: MEDICAL EDUCATION
POLICY #: 8240.29

GOAL

1. Santa Barbara Cottage Hospital, in partnership with the program director(s) of its ACGME-accredited program(s), must provide a culture of professionalism that supports patient safety and personal responsibility.

2. Santa Barbara Cottage Hospital, in partnership with its ACGME-accredited program(s), must educate residents and faculty members concerning the professional responsibilities of physicians, including their obligation to be appropriately rested and fit to provide the care required by their patients.

POLICY

1. The learning objectives of the Residency Program(s) must:

a) Be accomplished through an appropriate blend of supervised patient care responsibilities, clinical teaching, and didactic educational events;

b) Be accomplished without excessive reliance on residents to fulfill non-physician obligations; and

c) Ensure manageable patient care responsibilities.

2. The Residency Program(s), in partnership with Santa Barbara Cottage Hospital, must provide a culture of professionalism that supports patient safety and personal responsibility. This includes ensuring residents and faculty members demonstrate an understanding of their personal role in the:

a) Provision of patient- and family-centered care;

b) Safety and welfare of patients entrusted to their care, including the ability to report unsafe conditions and adverse events;

c) Assurance of their fitness for work including:

i) Management of their time before, during, and after clinical assignments; and,

ii) Recognition of impairment, including from illness, fatigue, and substance use, in themselves, their peers, and other members of the health care team.

d) Commitment to lifelong learning;

e) Monitoring of their patient care performance improvement indicators; and,

f) Accurate reports of clinical and education work hours, patient outcomes, and clinical experience data.

3. All residents and faculty members must demonstrate responsiveness to patient needs that supersedes self-interest. This includes the recognition that under certain circumstances, the best interests of the patient may be served by transitioning that patient’s care to another qualified and rested provider.

4. The Residency Program(s) must provide a professional, respectful, and civil environment that is free from mistreatment, abuse, or coercion of students, residents, faculty, and staff. The Residency Programs, in partnership with Santa Barbara Cottage Hospital, have a process for education of residents and faculty regarding unprofessional behavior and have a confidential process for reporting, investigating, and addressing such concerns.

a) This process includes:

i) Education of residents and faculty at their respective orientation(s). The education on Code of Conduct includes: Standards of Behavior (Attitude, Communication, Appearance, Privacy/Confidentiality, Commitment to Co-Workers), Unacceptable Behaviors, Procedures for Conflict Management and Resolution (In the Moment Response and Documentation Procedures with Follow-up), and Consequences for Non-Compliance.

ii) Detailed processes are outlined in the “Physician Code of Conduct,” “Code of Conduct and Conflict Resolution Management,” and “Corrective Action” policies available on the Employee Portal. COTTAGE HEALTH POLICY

ORIGINAL POLICY EFFECTIVE DATE: 1/18
APPROVED BY: E. Wroblewski, M.D. (CMO) DATE: 12/17
DATE REVISED: 12/17
DATE REVIEWED: 12/17