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Engaging All Stakeholders to Create a Trusted, Data-Driven, Process Improvement Approach to Addressing Learner

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Summary
This summary is machine-generated.

Academic medicine faces persistent learner mistreatment. This study details a comprehensive system to improve reporting and trust, showing increased awareness and satisfaction with mistreatment policies.

Keywords:
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Area of Science:

  • Medical Education
  • Healthcare Professional Development
  • Patient Safety & Quality Improvement

Background:

  • Learner mistreatment is a persistent challenge in academic medicine, despite accreditation standards.
  • Existing systems for preventing and responding to mistreatment vary, with limited best practice literature.
  • External stressors like the COVID-19 pandemic may exacerbate learning environment challenges.

Purpose of the Study:

  • To describe a comprehensive mistreatment prevention and response system implemented in academic medicine.
  • To evaluate process and outcome measures related to learner mistreatment reporting and awareness.
  • To provide lessons learned for other institutions seeking to improve their mistreatment systems.

Main Methods:

  • Implementation of an expanded policy on teacher-learner conduct and a graduated response protocol.
  • Introduction of an online reporting system and a graduate medical education exit survey.
  • Development of a communication campaign, professional development, data dashboard, and dissemination plan.

Main Results:

  • An increasing trend in reported mistreatment incidents, including confidential reports indicating growing learner trust.
  • Consistent improvements in learners' awareness of mistreatment policies and procedures.
  • Demonstrated increases in learner satisfaction with the reporting process.

Conclusions:

  • A multi-faceted approach involving clear policies, accessible reporting, and robust communication can enhance learner trust and reporting of mistreatment.
  • Continuous improvement strategies informed by data are crucial for addressing mistreatment in academic medicine.
  • Lessons learned emphasize the importance of stakeholder partnerships, transparency, and feedback mechanisms.