Long-Term Outcomes of a Simulation-Based Remediation for Residents and Faculty With Unprofessional Behavior

ABSTRACT Background There are few studies describing remediation for unprofessional behavior in residents and faculty and none that assess the long-term impact of remediation. Objective We implemented a simulation-based personalized remediation program for unprofessional behavior in residents and faculty and collected assessments from participants and referring supervisors. Methods Residents and faculty were referred for unprofessional behaviors, including aggressive, condescending, and argumentative communication styles as well as an inability to read social cues. We had standardized patients recreate the scenarios that triggered the unprofessional behavior. After each scenario, participants reviewed a videotape of their performance, participated in guided self-reflection and feedback, and then iteratively practiced skills. In 2017, about 2 to 4 years after the intervention, we conducted structured phenomenological qualitative interviews until thematic saturation was reached. Transcripts were analyzed inductively for themes by 2 reviewers (J.G. and research assistant). Results Requests for interviews were sent to 16 residents, 8 faculty members, and 24 supervisors, including program directors. Nine remediation participants (38%) and 19 referring supervisors (79%) were interviewed. Sixteen supervisors reported no recurrence of unprofessional behavior in participants 2 to 4 years after the intervention, and participants identified behavioral strategies to reduce unprofessional behavior. Participants and respective supervisors reported similar themes of behavior changes that resulted in improved professional interaction with others. Conclusions A simulation-based personalized remediation program for unprofessional behavior, where faculty and residents practice behaviors with guided feedback, can lead to sustained positive behavior change in participants.

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The Long-term Impact of Simulation-Based Training for Central Venous Catheter Insertion

CHEST Journal ◽

10.1378/chest.1988518 ◽

2014 ◽

Vol 146 (4) ◽

pp. 492A

Author(s):

Laura Thomas ◽

Jonathan Mahnken ◽

Sally Rigler ◽

Matthew Sharpe ◽

Emily Diederich

Keyword(s):

Central Venous Catheter ◽

Venous Catheter ◽

Catheter Insertion ◽

Central Venous Catheter Insertion ◽

Central Venous ◽

Simulation Based ◽

Long Term Impact

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Retention and transferability of team resource management skills in anaesthetic emergencies: the long-term impact of a high-fidelity simulation-based course

European Journal of Anaesthesiology ◽

10.1097/eja.0b013e32831bc665 ◽

2009 ◽

Vol 26 (1) ◽

pp. 17-22 ◽

Cited By ~ 22

Author(s):

Preeti M Kuduvalli ◽

Christopher JR Parker ◽

Martin Leuwer ◽

Arpan Guha

Keyword(s):

Resource Management ◽

High Fidelity ◽

High Fidelity Simulation ◽

Management Skills ◽

Simulation Based ◽

Long Term Impact ◽

Team Resource Management

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Long-Term Impact of a Low-Cost Paediatric Intussusception Air Enema Reduction Simulation-Based Education Programme in a Low-Middle Income Country

World Journal of Surgery ◽

10.1007/s00268-021-06345-4 ◽

2021 ◽

Author(s):

R. M. Nataraja ◽

Yin Mar Oo ◽

D. Ljuhar ◽

M. Pacilli ◽

Nyo Nyo Win ◽

...

Keyword(s):

Low Cost ◽

Education Programme ◽

Middle Income Country ◽

Income Country ◽

Middle Income ◽

Air Enema ◽

Simulation Based ◽

Long Term Impact ◽

Enema Reduction

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Blogging to Quit Smoking: Sharing Stories from Women of Childbearing Years in Ontario

Substance Abuse Research and Treatment ◽

10.4137/sart.s34551 ◽

2016 ◽

Vol 10s1 ◽

pp. SART.S34551

Author(s):

Nadia Minian ◽

Aliya Noormohamed ◽

Rosa Dragonetti ◽

Julie Maher ◽

Christina Lessels ◽

...

Keyword(s):

Tobacco Smoke ◽

Tobacco Cessation ◽

Online Survey ◽

Qualitative Interviews ◽

Postpartum Women ◽

Evidence Based ◽

Behavioral Strategies ◽

Self Reflection ◽

Quit Smoking ◽

Quitting Smoking

This study examined the degree to which the pregnant or postpartum women, in the process of quitting smoking, felt that writing in a blog about their smoking cessation journeys helped them in their efforts to become or remain smoke free. Five women who blogged for Prevention of Gestational and Neonatal Exposure to Tobacco Smoke (a website designed to help pregnant and postpartum women quit smoking) were interviewed about their experiences as bloggers. Participants were asked to complete an online survey, which had closed-ended questions regarding their sociodemographic and smoking characteristics. Once they completed the survey, semistructured qualitative interviews were conducted over the phone. Findings suggest that blogging might combine several evidence-based behavioral strategies for tobacco cessation, such as journaling and getting support from others who use tobacco. Being part of a blogging community of women who have experienced or are experiencing similar challenges can be therapeutic and help women gain confidence in their ability to quit smoking. In conclusion, blogging may help pregnant and postpartum women quit smoking by increasing their social support and promoting self-reflection.

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Crisis Phones - Suicide Prevention Versus Suggestion/Contagion Effects

Crisis ◽

10.1027/0227-5910/a000313 ◽

2015 ◽

Vol 36 (3) ◽

pp. 220-224 ◽

Cited By ~ 3

Author(s):

Steven Stack

Keyword(s):

Suicide Prevention ◽

Contagion Effects ◽

Long Term Impact

Abstract. Background: There has been no systematic work on the short- or long-term impact of the installation of crisis phones on suicides from bridges. The present study addresses this issue. Method: Data refer to 219 suicides from 1954 through 2013 on the Skyway Bridge in St. Petersburg, Florida. Six crisis phones with signs were installed in July 1999. Results: In the first decade after installation, the phones were used by 27 suicidal persons and credited with preventing 26 or 2.6 suicides a year. However, the net suicide count increased from 48 in the 13 years before installation of phones to 106 the following 13 years or by 4.5 additional suicides/year (t =3.512, p < .001). Conclusion: Although the phones prevented some suicides, there was a net increase after installation. The findings are interpreted with reference to suggestion/contagion effects including the emergence of a controversial bridge suicide blog.

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