Year Three Orientation Class of 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 Thompson Your Representative to the Year Three Curriculum Committee

Policies Grade Review Process Work Hours 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:

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 discrimination Charter 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,

Signs and Symptoms of Suboptimal Professionalism Abuse of Power Confidentiality Bias and harassment Arrogance Greed Misrepresentation Impairment Conflicts of Interest Self-referralRelationships with Industry Utilization 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 Dont be afraid to say I dont 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 dont 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:

November 21, 2006 When Young Doctors Strut Too Much of Their Stuff

Rehman, et al. American Journal of medicine (2005) 118, What to wear today? Effect of doctors 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 May; 80(943): 284–286. Rehman SU et al. American Journal of Medicine 2005; 118(11): Kazory A. American Journal of Medicine 2008;121(9):

SIU School of Medicine Year Three Curriculum Academic Year (Class of 2014)