A practical framework for remediating unprofessional behavior and for developing professionalism competencies and a professional identity

References

• Arnold L, Sullivan C, Quaintance J. 2016. Remediation of unprofessional behavior. Teaching medical professionalism: supporting the development of a professional identity. New York (NY): Cambridge University Press. p. 169–185.
   Google Scholar
• Barnhoorn PC, Bolk JH, Ottenhoff-de Jonge MW, van Mook WN, de Beaufort AJ. 2017. Causes and characteristics of medical student referrals to a professional behaviour board. Int J Med Educ. 8:19–24.
   PubMed Web of Science ®Google Scholar
• Barnhoorn PC, Domen RE. 2015. Resident remediation: start from scratch. Am J Clin Pathol. 144:525.
   PubMed Web of Science ®Google Scholar
• Barnhoorn PC, van Mook WN. 2015. Professionalism or professional behaviour: no reason to choose between the two. Med Educ. 49:740.
   PubMed Web of Science ®Google Scholar
• Barnhoorn PC, Youngson CC. 2014. Defining professionalism: simplex sigillum veri! Med Teach. 36:545.
   PubMed Web of Science ®Google Scholar
• Bebeau MJ, Faber-Langendoen K. 2014. Remediating lapses in professionalism. Remediation in medical education. Berlin, Germany: Springer. p. 103–127.
   Google Scholar
• Birden H, Glass N, Wilson I, Harrison M, Usherwood T, Nass D. 2014. Defining professionalism in medical education: a systematic review. Med Teach. 36:47–61.
   PubMed Web of Science ®Google Scholar
• Boileau E, St-Onge C, Audetat MC. 2017. Is there a way for clinical teachers to assist struggling learners? A synthetic review of the literature. Adv Med Educ Pract. 8:89–97.
   PubMed Web of Science ®Google Scholar
• Buchanan AO, Stallworth J, Christy C, Garfunkel LC, Hanson JL. 2012. Professionalism in practice: strategies for assessment, remediation, and promotion. Pediatrics. 129:407–409.
   PubMed Web of Science ®Google Scholar
• Crigger N, Godfrey N. 2014. From the inside out: a new approach to teaching professional identity formation and professional ethics. J Prof Nurs. 30:376–382.
   PubMed Web of Science ®Google Scholar
• Cruess RL, Cruess SR, Boudreau JD, Snell L, Steinert Y. 2014. Reframing medical education to support professional identity formation. Acad Med. 89:1446–1451.
   PubMed Web of Science ®Google Scholar
• Cruess RL, Cruess SR, Boudreau JD, Snell L, Steinert Y. 2015. A schematic representation of the professional identity formation and socialization of medical students and residents: a guide for medical educators. Acad Med. 90:718–725.
   PubMed Web of Science ®Google Scholar
• Cruess RL, Cruess SR, Steinert Y. 2015. Amending Miller’s pyramid to include professional identity formation. Acad Med. 91:180–185.
   Web of Science ®Google Scholar
• Cruess RL, Cruess SR, Steinert Y. 2016. In reply to barnhoorn. Acad Med. 91:291.
   PubMed Web of Science ®Google Scholar
• Domen RE. 2014. Resident remediation, probation, and dismissal basic considerations for program directors. Am J Clin Pathol. 141:784–790.
   PubMed Web of Science ®Google Scholar
• Ellaway RH, Chou CL, Kalet AL. 2017. Situating remediation: accommodating success and failure in medical education systems. Acad Med. 93:391–398.
   Web of Science ®Google Scholar
• Franco RS, Franco CA, Kusma SZ, Severo M, Ferreira MA. 2017. To participate or not participate in unprofessional behavior – Is that the question? Med Teach. 39:212–219.
   PubMed Web of Science ®Google Scholar
• Goldie J. 2012. The formation of professional identity in medical students: considerations for educators. Med Teach. 34:e641–e648.
   PubMed Web of Science ®Google Scholar
• Guerrasio J, Garrity MJ, Aagaard EM. 2014. Learner deficits and academic outcomes of medical students, residents, fellows, and attending physicians referred to a remediation program, 2006-2012. Acad Med. 89:352–358.
   PubMed Web of Science ®Google Scholar
• Hafferty FW. 1998. Beyond curriculum reform: confronting medicine's hidden curriculum. Acad Med. 73:403–407.
   PubMed Web of Science ®Google Scholar
• Hauer KE, Ciccone A, Henzel TR, Katsufrakis P, Miller SH, Norcross WA, Papadakis MA, Irby DM. 2009. Remediation of the deficiencies of physicians across the continuum from medical school to practice: a thematic review of the literature. Acad Med. 84:1822–1832.
   PubMed Web of Science ®Google Scholar
• Hawick L, Cleland J, Kitto S. 2017. Sending messages: how faculty influence professionalism teaching and learning. Med Teach. 39:987–994.
   PubMed Web of Science ®Google Scholar
• Hickson GB, Federspiel CF, Pichert JW, Miller CS, Gauld-Jaeger J, Bost P. 2002. Patient complaints and malpractice risk. JAMA. 287:2951–2957.
   PubMed Web of Science ®Google Scholar
• Holden MD, Buck E, Luk J, Ambriz F, Boisaubin EV, Clark MA, Mihalic AP, Sadler JZ, Sapire KJ, Spike JP, et al. 2015. Professional identity formation: creating a longitudinal framework through TIME (Transformation in Medical Education). Acad Med. 90:761–767.
   PubMed Web of Science ®Google Scholar
• Hunderfund ANL, Havyer RD, Reed D, Starr S, Lang T, Norby SM. 2017. Ways to write a milestone: approaches to operationalizing the development of competence in graduate medical education. Acad Med. 92:1328–1334.
   PubMed Web of Science ®Google Scholar
• Irby DM, Hamstra SJ. 2016. Parting the clouds: three professionalism frameworks in medical education. Acad Med. 91:1606–1611.
   PubMed Web of Science ®Google Scholar
• Jenkins V, Fallowfield L. 2002. Can communication skills training alter physicians’ beliefs and behavior in clinics? J Clin Oncol. 20:765–769.
   PubMed Web of Science ®Google Scholar
• Jha V, Brockbank S, Roberts T. 2016. A framework for understanding lapses in professionalism among medical students: applying the theory of planned behavior to fitness to practice cases. Acad Med. 91:1622–1627.
   PubMed Web of Science ®Google Scholar
• Kalet A, Guerrasio J, Chou CL. 2016. Twelve tips for developing and maintaining a remediation program in medical education. Med Teach. 38:787–792.
   PubMed Web of Science ®Google Scholar
• Korszun A, Winterburn PJ, Sweetland H, Tapper-Jones L, Houston H. 2005. Assessment of professional attitude and conduct in medical undergraduates. Med Teach. 27:704–708.
   PubMed Web of Science ®Google Scholar
• Korthagen FA. 2004. In search of the essence of a good teacher: towards a more holistic approach in teacher education. Teaching Teach Educ. 20:77–97.
   Web of Science ®Google Scholar
• Mak-van der Vossen M, Peerdeman S, Kleinveld J, Kusurkar R. 2013. How we designed and implemented teaching, training, and assessment of professional behaviour at VUmc School of Medical Sciences Amsterdam. Med Teach. 35:709–714.
   PubMed Web of Science ®Google Scholar
• Mak-van der Vossen MC, van Mook WN, Kors JM, van Wieringen WN, Peerdeman SM, Croiset G, Kusurkar RA. 2016. Distinguishing three unprofessional behavior profiles of medical students using latent class analysis. Acad Med. 91:1276–1283.
   PubMed Web of Science ®Google Scholar
• Mason DJ. 2017. Professionalism in health care organizations. JAMA. 317:1203–1204.
   PubMed Web of Science ®Google Scholar
• Papadakis MA, Arnold GK, Blank LL, Holmboe ES, Lipner RS. 2008. Performance during internal medicine residency training and subsequent disciplinary action by state licensing boards. Ann Intern Med. 148:869–876.
   PubMed Web of Science ®Google Scholar
• Papadakis MA, Hodgson CS, Teherani A, Kohatsu ND. 2004. Unprofessional behavior in medical school is associated with subsequent disciplinary action by a state medical board. Acad Med. 79:244–249.
   PubMed Web of Science ®Google Scholar
• Papadakis MA, Paauw DS, Hafferty FW, Shapiro J, Byyny RL. 2012. Perspective: the education community must develop best practices informed by evidence-based research to remediate lapses of professionalism. Acad Med. 87:1694–1698.
   PubMed Web of Science ®Google Scholar
• Papadakis MA, Teherani A, Banach MA, Knettler TR, Rattner SL, Stern DT, Veloski JJ, Hodgson CS. 2005. Disciplinary action by medical boards and prior behavior in medical school. N Engl J Med. 353:2673–2682.
   PubMed Web of Science ®Google Scholar
• Rosenstein AH. 2011. The quality and economic impact of disruptive behaviors on clinical outcomes of patient care. Am J Med Qual. 26:372–379.
   PubMed Web of Science ®Google Scholar
• Rosenstein AH. 2015. Physician disruptive behaviors: five year progress report. World J Clin Cases. 3:930–934.
   PubMed Web of Science ®Google Scholar
• Royal College of Physicians and Surgeons in Canada. 2017. The CanMEDS 2015. [accessed 2017 Nov 9]. http://wwwroyalcollegeca/rcsite/canmeds/framework/canmeds-role-professional-e
   Google Scholar
• Smith JL, Lypson M, Silverberg M, Weizberg M, Murano T, Lukela M, Santen SA. 2017. Defining uniform processes for remediation, probation and termination in residency training. West J Emerg Med. 18:110–113.
   PubMed Web of Science ®Google Scholar
• Stoof A, Martens RL, van Merrienboer JJ, Bastiaens TJ. 2002. The boundary approach of competence: a constructivist aid for understanding and using the concept of competence. Hum Resour Dev Rev. 1:345–365.
   Google Scholar
• van Mook WN, de Grave WS, Wass V, O'Sullivan H, Zwaveling JH, Schuwirth LW, van der Vleuten CP. 2009. Professionalism: evolution of the concept. Eur J Intern Med. 20:e81–e84.
   PubMedGoogle Scholar
• van Mook WN, Van Luijk SJ, Fey-Schoenmakers MJ, Tans G, Rethans JJ, Schuwirth LW, van der Vleuten CP. 2010. Combined formative and summative professional behaviour assessment approach in the bachelor phase of medical school: a Dutch perspective. Med Teach. 32:e517–e531.
   PubMed Web of Science ®Google Scholar
• van Mook WN, van Luijk SJ, O'Sullivan H, Wass V, Harm Zwaveling J, Schuwirth LW, van der Vleuten CP. 2009. The concepts of professionalism and professional behaviour: conflicts in both definition and learning outcomes. Eur J Intern Med. 20:e85–e89.
   PubMedGoogle Scholar
• Warren AE, Allen VM, Bergin F, Hazelton L, Alexiadis-Brown P, Lightfoot K, McSweeney J, Singleton JF, Sargeant J, Mann K. 2014. Understanding, teaching and assessing the elements of the CanMEDS Professional Role: Canadian Program directors’ views. Med Teach. 36:390–402.
   PubMed Web of Science ®Google Scholar
• Zbieranowski I, Takahashi SG, Verma S, Spadafora SM. 2013. Remediation of residents in difficulty: a retrospective 10-year review of the experience of a postgraduate board of examiners. Acad Med. 88:111–116.
   PubMed Web of Science ®Google Scholar
• Ziring D, Danoff D, Grosseman S, Langer D, Esposito A, Jan MK, Rosenzweig S, Novack D. 2015. How do medical schools identify and remediate professionalism lapses in medical students? A study of US and Canadian medical schools. Acad Med. 90:913–920.
   PubMed Web of Science ®Google Scholar