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Ask the expert: What steps can GME leaders take to teach professionalism?

Residency Program Connection, July 27, 2010

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Many believe that organizational change is a prerequisite to improving professionalism education throughout healthcare institutions. How can we create institutionwide organizational change? First, professionalism needs to come up on the radar screen of institutional leaders and educators as an urgent focus, and then action for organizational change can follow.
There are steps that educators and organizational leaders can undertake to manage organizational and cultural change around institutional educational initiatives. Although this model was designed for residency program mergers, the guidelines are relevant for organizational change efforts to enhance professionalism. They are:

• Lead with vision
• Establish and reinforce communication links early to maximize collaboration
• Challenge everyone in the organization to think about and own the process of change
• Acknowledge and consider different cultures and identify shared values
• Start with a clean slate and respect each other
• Develop mechanisms for and solicit stakeholder input
• Listen to and learn from each other
• Maintain equity and fairness
• Delegate and empower teams for action
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This week’s question and answer are from A Practical Guide for Teaching and Assessing the ACGME Core Competencies. Download the rest of the Professionalism Chapter on our Web site by clicking on the Browse the Book icon.
 

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