DEALING WITH DISRUPTIVE FACULTY BEHAVIOR
-
Upload
xuefang-jun -
Category
Documents
-
view
16 -
download
0
description
Transcript of DEALING WITH DISRUPTIVE FACULTY BEHAVIOR
![Page 1: DEALING WITH DISRUPTIVE FACULTY BEHAVIOR](https://reader035.fdocuments.in/reader035/viewer/2022062721/56813654550346895d9ddbcc/html5/thumbnails/1.jpg)
Sandra L. Frazier, MD
UABHS Physician Health Officer
DEALING WITH DISRUPTIVE
FACULTY BEHAVIOR
![Page 2: DEALING WITH DISRUPTIVE FACULTY BEHAVIOR](https://reader035.fdocuments.in/reader035/viewer/2022062721/56813654550346895d9ddbcc/html5/thumbnails/2.jpg)
Oakland, CA March 26, 2006
A neurosurgeon was wrestled to the floor by sheriff’s deputies outside the operating room after he threw a fit because he had to wait for instruments to be sterilized, authorities say.
USAToday.com
“Surgeon Arrested After Throwing Fit”
![Page 3: DEALING WITH DISRUPTIVE FACULTY BEHAVIOR](https://reader035.fdocuments.in/reader035/viewer/2022062721/56813654550346895d9ddbcc/html5/thumbnails/3.jpg)
OBJECTIVES1. to explore the impact of and possible
causes of difficult behavior
2. to describe the process of intervention
3. to identify resources to assist in managing challenging faculty
4. to discuss possible prevention/proactive strategies
![Page 4: DEALING WITH DISRUPTIVE FACULTY BEHAVIOR](https://reader035.fdocuments.in/reader035/viewer/2022062721/56813654550346895d9ddbcc/html5/thumbnails/4.jpg)
Measure performance
Set and communicate expectations
Appoint excellent faculty/staff
2
1
Sheff, MD and Sagin, MD
3
Provide feedback4
5 Manageperformance
6 TakeCorrective Action
THE PYRAMID
APPROACH
![Page 5: DEALING WITH DISRUPTIVE FACULTY BEHAVIOR](https://reader035.fdocuments.in/reader035/viewer/2022062721/56813654550346895d9ddbcc/html5/thumbnails/5.jpg)
DISRUPTIVE BEHAVIOR
“personal conduct, whether verbal or physical, that negatively affects or that potentially may negatively affect patient
care”.
![Page 6: DEALING WITH DISRUPTIVE FACULTY BEHAVIOR](https://reader035.fdocuments.in/reader035/viewer/2022062721/56813654550346895d9ddbcc/html5/thumbnails/6.jpg)
EXAMPLES OF UNACCEPTABLE BEHAVIOR Profane/disrespectful language Outbursts of rage Racial or ethnic jokes Demeaning/intimidating behavior Sexual comments or innuendo Throwing objects Criticizing other professionals in public
![Page 7: DEALING WITH DISRUPTIVE FACULTY BEHAVIOR](https://reader035.fdocuments.in/reader035/viewer/2022062721/56813654550346895d9ddbcc/html5/thumbnails/7.jpg)
UAB
Code of Conduct for
Professional Behavior
![Page 8: DEALING WITH DISRUPTIVE FACULTY BEHAVIOR](https://reader035.fdocuments.in/reader035/viewer/2022062721/56813654550346895d9ddbcc/html5/thumbnails/8.jpg)
2004 SURVEY
>95% of physician execs encounter disruptive behavior on a regular basis
Of the 1600 respondents, 1 in 3 said they observe problems with physician behavior either weekly (14%) or monthly (18%)
Weber, D.O. (2004) Poll Results: Doctors’ disruptive behavior disturbs physician leaders. The Physician Executive, 30, 4, 6-10
![Page 9: DEALING WITH DISRUPTIVE FACULTY BEHAVIOR](https://reader035.fdocuments.in/reader035/viewer/2022062721/56813654550346895d9ddbcc/html5/thumbnails/9.jpg)
IMPACT Affects patient care and safety
Disrupts facility operations
Creates hostile work environment
Lowers community’s confidence
![Page 10: DEALING WITH DISRUPTIVE FACULTY BEHAVIOR](https://reader035.fdocuments.in/reader035/viewer/2022062721/56813654550346895d9ddbcc/html5/thumbnails/10.jpg)
WHY ARE SOME FACULTY CHALLENGING?
System level issues
Personality Issues
Lack of Skills
Medical/Mental Illness
Work Stress Syndromes
Remember: Difficult docs are often docs in
difficulty
![Page 11: DEALING WITH DISRUPTIVE FACULTY BEHAVIOR](https://reader035.fdocuments.in/reader035/viewer/2022062721/56813654550346895d9ddbcc/html5/thumbnails/11.jpg)
WHAT CAN WE DO?
Undertake a cultural transformation
Devote adequate time/resources
Provide extensive education/training
Develop thorough policies/bylaws
Enforce policies
![Page 12: DEALING WITH DISRUPTIVE FACULTY BEHAVIOR](https://reader035.fdocuments.in/reader035/viewer/2022062721/56813654550346895d9ddbcc/html5/thumbnails/12.jpg)
INTERVENTION
Goal is to ensure that faculty
a. Owns responsibility for behavior
b. Commits to improve it
c. Takes active steps
Schedule follow up visit
![Page 13: DEALING WITH DISRUPTIVE FACULTY BEHAVIOR](https://reader035.fdocuments.in/reader035/viewer/2022062721/56813654550346895d9ddbcc/html5/thumbnails/13.jpg)
ESCALATING INTERVENTIONS
Collegial “doc in the box”
![Page 14: DEALING WITH DISRUPTIVE FACULTY BEHAVIOR](https://reader035.fdocuments.in/reader035/viewer/2022062721/56813654550346895d9ddbcc/html5/thumbnails/14.jpg)
PLANNING THE INTERVENTION
Who? 1-2 people
Where? Private setting
When? As close to event as possible
What are faculty’s likely responses?
What is plan B?
How will you monitor any changes?
![Page 15: DEALING WITH DISRUPTIVE FACULTY BEHAVIOR](https://reader035.fdocuments.in/reader035/viewer/2022062721/56813654550346895d9ddbcc/html5/thumbnails/15.jpg)
PRACTICE THE INTERVENTION
Identify the problem behavior
Refer to policy
Deflect excuses
Constantly refer to data
Be persistent
Keep time limited
Close with faculty commitment
Explain documentation procedure
![Page 16: DEALING WITH DISRUPTIVE FACULTY BEHAVIOR](https://reader035.fdocuments.in/reader035/viewer/2022062721/56813654550346895d9ddbcc/html5/thumbnails/16.jpg)
2 FORMULAS
I. F – State FactsI - State ImpactR - Give RespectR – Make Request
II. U - Understand other’s point of view 1st
S - State your SituationA - Alternative Action
![Page 17: DEALING WITH DISRUPTIVE FACULTY BEHAVIOR](https://reader035.fdocuments.in/reader035/viewer/2022062721/56813654550346895d9ddbcc/html5/thumbnails/17.jpg)
Resources
a. professional assessment
b. human resources
c. legal/administrative counsel
d. educational materials
![Page 18: DEALING WITH DISRUPTIVE FACULTY BEHAVIOR](https://reader035.fdocuments.in/reader035/viewer/2022062721/56813654550346895d9ddbcc/html5/thumbnails/18.jpg)
PHYSICIAN RESOURCE OFFICE
Assessment/ Counseling/
Consultation
Referral Assistance/Monitoring
Education/ Prevention/ Workshops
UAB Highlands 930-7680
![Page 19: DEALING WITH DISRUPTIVE FACULTY BEHAVIOR](https://reader035.fdocuments.in/reader035/viewer/2022062721/56813654550346895d9ddbcc/html5/thumbnails/19.jpg)
RESOURCES AVAILABLE THROUGH HR HR Relations – consultation, policy
interpretation
Dr. Pam Burks – facilitated conversations
The Resource Center – free, confidential counseling for faculty and their family members
![Page 20: DEALING WITH DISRUPTIVE FACULTY BEHAVIOR](https://reader035.fdocuments.in/reader035/viewer/2022062721/56813654550346895d9ddbcc/html5/thumbnails/20.jpg)
LEGAL COUNSEL
![Page 21: DEALING WITH DISRUPTIVE FACULTY BEHAVIOR](https://reader035.fdocuments.in/reader035/viewer/2022062721/56813654550346895d9ddbcc/html5/thumbnails/21.jpg)
Educational Materials
1. Difficult Conversations, by Douglas Stone, et al
2. Crucial Conversations, by Kerry Patterson, et al
3. Dealing With Different, Diverse, and Difficult People, -audio series, by Barbara Braunstein
![Page 22: DEALING WITH DISRUPTIVE FACULTY BEHAVIOR](https://reader035.fdocuments.in/reader035/viewer/2022062721/56813654550346895d9ddbcc/html5/thumbnails/22.jpg)
Possible Recommendations Individual counseling/coaching Educational event/workshop Workplace “monitor” Regular feedback meetings 360° surveys for all faculty Psychological testing Inpatient evaluation Corrective action
![Page 23: DEALING WITH DISRUPTIVE FACULTY BEHAVIOR](https://reader035.fdocuments.in/reader035/viewer/2022062721/56813654550346895d9ddbcc/html5/thumbnails/23.jpg)
PREVENTION/PROACTIVE STRATEGIES
New faculty orientation
Educate regarding Code of Conduct
Annual performance evaluation
360° feedback surveys
Clearly communicate goals/expectations for Dept/Div/faculty member
Be consistent
![Page 24: DEALING WITH DISRUPTIVE FACULTY BEHAVIOR](https://reader035.fdocuments.in/reader035/viewer/2022062721/56813654550346895d9ddbcc/html5/thumbnails/24.jpg)
IN SUMMARY Universal Code of
Conduct
Planned Implementation
Compliance Monitoring
Non Retaliation Provisions
Code Enforcement
Resources/Options
Oversight Committee
Preventive Strategies
![Page 25: DEALING WITH DISRUPTIVE FACULTY BEHAVIOR](https://reader035.fdocuments.in/reader035/viewer/2022062721/56813654550346895d9ddbcc/html5/thumbnails/25.jpg)
A faculty member constantly interrupts you during meetings and openly criticizes your suggestions.
• How would you handle this?
Case 1
![Page 26: DEALING WITH DISRUPTIVE FACULTY BEHAVIOR](https://reader035.fdocuments.in/reader035/viewer/2022062721/56813654550346895d9ddbcc/html5/thumbnails/26.jpg)
Case 2
QZ has been a productive faculty member in your division for 5 years. However you have received numerous complaints from both staff and patients that he is rude and demeaning, and the complaints are increasing.
• What would you do?• Would it make a difference if he is tenured vs
non tenured?