Scholarlink

Background <p>Physicians are often challenged with navigating patient bias and mistreatment, contributing to burnout and decreasing psychological safety and trust. We sought to determine the effectiveness of a resident workshop series supported by faculty coaches on the ability to navigate mistreatment by patients.</p> Methods <p>We implemented an educational program and coaching series in our internal medicine (IM) residency program at an academic teaching hospital. The participants included 48 PGY2 and PGY3 IM residents and 10 faculty coaches. We created a large-group four-part workshop series for residents over a 10-month period, a small-group faculty coaching skills development series, and small-group resident coaching sessions by faculty. Residents were surveyed before and after the intervention evaluating instances of and response to mistreatment from patients.</p> Results <p>Forty-eight PGY2 and PGY3 IM residents (100% of each class) completed the curriculum, 42 (87.5%) of whom completed the presurvey and 33 (68.8%) of whom completed the postsurvey. At baseline, 34/42 residents (81.0%) reported experiencing and 39/42 (92.9%) witnessed some form of verbal mistreatment. The postsurvey results demonstrated increased confidence in responding to mistreatment, with a response of “Often” for direct verbal comments increasing from 14.7% preworkshop to 30.0% postworkshop (<i>p</i> &lt; 0.0001 for trend). They also reported an increase in the willingness of upstanders engaging against mistreatment when witnessed, with the “Maybe” category changing from 28.2% to 11.8% and the “Always” category changing from 23.1% to 41.2% (<i>p</i> = 0.0023 for trend).</p> Conclusions <p>Our intervention increased confidence in responding to mistreatment experienced by residents. The program, incorporating skill-building along with coaching, is a novel approach to empowering both residents and faculty to address various forms of patient mistreatment. The ability to effectively navigate mistreatment may positively impact psychological safety and build trust.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Navigating patient bias and mistreatment: a cross-sectional study of a workshop and coaching series for internal medicine residents

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年10月21日

查看全文
  • Julie Nguyen,
  • Melisa Celaya,
  • Donna Holland,
  • Cheryl O’Malley,
  • Emily Mallin

摘要

Background

Physicians are often challenged with navigating patient bias and mistreatment, contributing to burnout and decreasing psychological safety and trust. We sought to determine the effectiveness of a resident workshop series supported by faculty coaches on the ability to navigate mistreatment by patients.

Methods

We implemented an educational program and coaching series in our internal medicine (IM) residency program at an academic teaching hospital. The participants included 48 PGY2 and PGY3 IM residents and 10 faculty coaches. We created a large-group four-part workshop series for residents over a 10-month period, a small-group faculty coaching skills development series, and small-group resident coaching sessions by faculty. Residents were surveyed before and after the intervention evaluating instances of and response to mistreatment from patients.

Results

Forty-eight PGY2 and PGY3 IM residents (100% of each class) completed the curriculum, 42 (87.5%) of whom completed the presurvey and 33 (68.8%) of whom completed the postsurvey. At baseline, 34/42 residents (81.0%) reported experiencing and 39/42 (92.9%) witnessed some form of verbal mistreatment. The postsurvey results demonstrated increased confidence in responding to mistreatment, with a response of “Often” for direct verbal comments increasing from 14.7% preworkshop to 30.0% postworkshop (p < 0.0001 for trend). They also reported an increase in the willingness of upstanders engaging against mistreatment when witnessed, with the “Maybe” category changing from 28.2% to 11.8% and the “Always” category changing from 23.1% to 41.2% (p = 0.0023 for trend).

Conclusions

Our intervention increased confidence in responding to mistreatment experienced by residents. The program, incorporating skill-building along with coaching, is a novel approach to empowering both residents and faculty to address various forms of patient mistreatment. The ability to effectively navigate mistreatment may positively impact psychological safety and build trust.