Physician employment adds a practice management stakeholder to the patient-physician encounter, a stakeholder whose financial interests differ from those of physicians in solo or group practice.
AMA Journal of Ethics' editor Audiey Kao, MD, PhD, interviewed Kenneth Sands, MD, about harms to patient dignity caused by unintentional disrespect and about initiatives for measuring, tracking, and correcting such harms.
This month, AMA Journal of Ethics editor-in-chief Audiey Kao, MD, PhD, interviewed Wendy Levinson, MD, about the efforts of the Choosing Wisely initiative to foster cultural change in medicine cross-nationally by stimulating dialogue about overuse of tests and treatments
It is the clerkship director's role to advise students labeled gunners when their behavior becomes a problem, but changes in the larger system might help to prevent this behavior from occurring in the first place.
Although not everything on the Choosing Wisely lists is likely to reduce low-value care, it is a good starting point for a conversation about curtailing low-value interventions.
Role-playing exercises, which help participants understand the experience of being harassed, can be helpful in addressing mistreatment in medical education.
The David Geffen School of Medicine at UCLA formed the Gender and Power Abuse Committee in 1995 to address mistreatment of medical students, residents, and junior faculty.
The Association of American Medical Colleges has added and refined questions about mistreatment in medical education to its Graduation Questionnaire, increasing the amount and specificity of information about what kinds of incidents occur and how students feel about them.