Professionalism and Physician Leadership in Healthcare

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Understanding the importance of professionalism and physician leadership in healthcare settings is crucial for ensuring patient safety and maintaining the trust of the community. This content covers key traits of professionalism, the role of physician leadership, reporting mechanisms for behavioral concerns, and the cultural shift towards a just and safety-focused environment. Emphasizing ethics, integrity, and continuous improvement, healthcare professionals are encouraged to uphold standards of excellence and prioritize patient well-being above all else.


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  1. UMMC Safety Event and Professionalism Reporting April 2023 Jason W. Custer, MD Associate Professor of Pediatrics Vice Chair Pediatrics, Division Head Pediatric Critical Care University of Maryland School of Medicine Director of Patient Safety University of Maryland Medical Center jcuster@som.umaryland.edu 1

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  3. UMMSafe Event Reporting Select UMMS from drop down Log in with Epic username and password 3

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  5. Patient Safety and Professionalism Patient Safety Professionalism 5

  6. Professionalism Key Traits Primary orientation to public and community interest High degree of self-control and ethical standards; seldom lose their cool Heavy emphasis on excellence and good service - consistently Clear commitment to honesty and integrity Commitment to improving skills and staying current in their fields Active role in developing standards for the practice; professionals are leaders among fellow employees Exemplary representative of the practice and the medical profession You are future physicians and are right on the front line! Your observations and voice count a great deal. 6

  7. Physician Leadership and Professionalism Professionalism Part of compact between the medical profession and society: Professionalism is the basis of medicine's contract with society. It demands placing the interests of patients above those of the physician, setting and maintaining standards of competence and integrity, and providing expert advice to society on matters of health. (ACP Ethics and Professionalism) Culture change Just culture Safety culture ACGME Professionalism Enhancement Committee The concept of professionalism should permeate everything that ABMS and its Member Boards do. 7

  8. Use of UMMSafe/RL6 To report a professionalism/behavioral concern Professionalism Oversight Committee o Confidential, not anonymous o No retribution tolerated Process put in place about 4+ years ago Anyone can enter a concern HR processes for non-physicians Disruptive Practitioner policy for physicians o Similar to Vanderbilt University Medical Center o Addressed quickly o Escalated approach o Recurrent patterns are addressed o Awareness intervention o Prescriptive 8

  9. UMMSafe Event Reporting 9

  10. Professional Conduct Event Reporting Professional Conduct Event Reporting 6 Month Period (December 2022 April 2023): Total events during this timeframe pertaining to ALL roles: Total events pertaining to physicians (residents/fellows/attendings): 197 73 10

  11. Questions or Concerns please reach out Dr. Jason Custer Associate Professor of Pediatrics Vice Chair Pediatrics, Division Head Pediatric Critical Care University of Maryland School of Medicine Director of Patient Safety University of Maryland Medical Center jcuster@som.umaryland.edu Dr. Mangla Gulati - Associate Professor of Medicine University of Maryland School of Medicine Chief Quality Officer Associate Chief Medical Officer Vice President, Patient Safety and Clinical Effectiveness mgulati@som.umaryland.edu 11

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