BACKGROUND Unprofessional behaviors undermine the hospital learning environment and quality of patient care. OBJECTIVE To quantify perceptions of, and participation in, unprofessional behaviors among hospitalists. DESIGN Observational survey study. SETTING Three academic health centers. SUBJECTS Hospitalists. MEASUREMENTS Observation, participation in, and perceptions of unprofessiona...

The Bureaucracy pattern is a recurring design theme used to implement hierarchical object or component structures which allow interaction with every level of the hierarchy and maintain their inner consistency themselves. It is a composite pattern that is based on the Composite, Mediator, Chain of Responsibility and Observer pattern. Composite patterns require new presentation and modeling techn...

We aimed to compare reported observations, participation in, and perceptions of unprofessional behaviors across preclinical and clinical medical students using a 23-item questionnaire that asked participants whether they witnessed or participated in the behavior and considered it unprofessional. Overall, 111 preclinical (year 3) and 104 clinical (year 4) students responded. For all of the behav...

BACKGROUND This study explored the use of virtual patient generated data by investigating the association between students' unprofessional patient summary statements, which they entered during an on-line virtual patient case, and detection of their future unprofessional behavior. METHOD At the USUHS, students complete a number of virtual patient encounters, including a patient summary, to mee...

OBJECTIVE This study compares the instruments and interventions utilized to identify and remediate unprofessional behaviors in medical students across U.S. psychiatry clerkships. METHODS A 20-item questionnaire was distributed to 120 psychiatry clerkship directors and directors of medical student education, in the U.S., inquiring into the procedures utilized for identifying, monitoring, and r...