Council on Medical Student Education in Pediatrics


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Papadakis calls for action!
Perspective: The education community must develop best practices informed by evidence-based research to remediate lapses of professionalism. Papadakis MA et al. Academic Medicine. 2012;87(12):1694-1698.

Reviewed by Paola Palma Sisto

What is this report about?
In 2011, the Alpha Omega Alpha Honor Medical Society sponsored a think tank of experts in the field of professionalism to focus on interventions and remediation strategies for those who exhibit one or multiple lapses in professional behavior. Their discussion resulted in consensus recommendations on how to develop best practices for remediation of unprofessional behavior.

What were their conclusions?
Their main recommendations include:
• gather existing best practices regarding assessing and remediating unprofessionalism
• evaluate the effectiveness of those practices
• use non medical frameworks of cognitive behavioral methods to determine the best ways to assist in developing remediation interventions
• understand the situations and environments that may foster unprofessional behavior or allow it to go unrecognized or unrestricted
• develop feasible outcome measures to determine valid and effective methods for remediation

What are the implications of this report?
Their goal is not only to have a best-practiced model of remediation, but to have a best-evidenced model of remediation.

Editor's note: This is an important report for many reasons: it is written by Dr. Maxine Papadakis whose landmark study about professionalism ignited the medical community, its call for funding, national conferences, and considerable more research has the potential to change which studies are funded, and it inspires us to search for answers to the very difficult questions of why some people act unprofessionally and how can we assist them in getting "back on track" (SLB).

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