Professionalism Program

Providing excellent patient care requires the highest levels of professionalism, which we define as behavior that shows respect, compassion, integrity, competence, and accountability. BWH leaders have made a commitment to provide high quality compassionate patient care with a strong focus on patient safety. Integral to this commitment is the creation and support of a culture in which health care team members communicate with each other respectfully and honestly.  Our professionalism program includes education, assessment, conflict resolution and remediation regarding interpersonal & teamwork communication.

  • Professionalism Training
    An interactive workshop required for all physicians. If you are a BWH physician, PA or NP click here for more information about the Professionalsim Training Sessions.
  • Professionalism Concerns
    A confidential resource for any BWH employee to raise concerns regarding unprofessional behavior on the part of any physician.
  • Professionalism Assessment
    360 degree evaluation to assess a clinician’s skills in teamwork and interpersonal communication with the healthcare team.
  • Professionalism Remediation
    We help connect clinicians with reresources -- such as professional coaching -- that can be helpful in addressing professionalism stumbling blocks.
  • Professionalism Research
    We continue to collaborate with colleagues to explore issues of medical professionalism. Some of our published findings appear in the references section below.

Professionalism Program

Professionalism Bibliography
  • Alpha Omega Alpha Honor Medical Society, Medical Professionalism Best Practices, 2015
  • Shapiro J, Whittemore AW, Tsen LC. Instituting a culture of professionalism: the establishment of a center for professionalism and peer support. Jt Comm J Qual Patient Saf. 2014;40(4):168-177.
  • Rudolph J, Raemer D, Shapiro J. We know what they did wrong, but not why: the case for 'frame-based' feedback. Clin Teach. 2013 Jun;10(3):186-9.
  • Mullan C, Shapiro J, McMahon G. Interns' experience in an academic hospital. J Grad Med Educ 2013, In Press.
  • Jones TW. Creating a Longitudinal Environment of Awareness: Teaching Professionalism Outside the Anatomy Laboratory. Acad Med 2013.
  • Stevens FC, Simmonds Goulbourne JD. Globalization and the modernization of medical education. Med Teach 2012; 34: e684-9.
  • Shapiro J, Steinberg SM, Souba WW. Professionalism in Surgery, ACS Surgery:  Principles and Practice, 2012.
  • Papadakis MA, Paauw DS, Hafferty FW, Shapiro J, Byyny RL. Perspective: the education community must develop best practices informed by evidence-based research to remediate lapses of professionalism. Acad Med 2012; 87: 1694-8.
  • Leape LL, Shore MF, Dienstag JL, Mayer RJ, Edgman-Levitan S, Meyer GS, Healy GB. Perspective: A Culture of Respect, Part 1: The Nature and Causes of Disrespectful Behavior by Physicians. Acad Med 2012; 87: 845-852.
  • Hultman CS, Halvorson EG, Kaye D, Helgins R, Meyers MO, Rowland PA, Meyer AA. Sometimes you can't make it on your own: the impact of a professionalism curriculum on the attitudes, knowledge, and behaviors of an academic plastic surgery practice. J Surg Res 2012.
  • Arora VM, Farnan JM, Humphrey HJ. Professionalism in the era of duty hours: time for a shift change? JAMA 2012; 308: 2195-6.
  • Schouten R, Silver J. Almost a Psychopath: Do I (or Does Someone I Know) Have a Problem with Manipulation and Lack of Empathy? Center City, MN: Hazelden Publishing, 2012.
  • Fisher R, Ury WL. Getting to Yes: Negotiating Agreement Without Giving In. New York, NY: Penguin Books, 2011.
  • Rosenstein AH. The quality and economic impact of disruptive behaviors on clinical outcomes of patient care. Am J Med Qual 2011; 26: 372-9.
  • Rosenstein AH. Managing disruptive behaviors in the health care setting: focus on obstetrics services. Am J Obstet Gynecol 2011; 204: 187-92.
  • Patel P, Robinson BS, Novicoff WM, Dunnington GL, Brenner MJ, Saleh KJ. The disruptive orthopaedic surgeon: implications for patient safety and malpractice liability. J Bone Joint Surg Am 2011; 93: e1261-6.
  • McLaren K, Lord J, Murray S. Perspective: delivering effective and engaging continuing medical education on physicians' disruptive behavior. Acad Med 2011; 86: 612-7.
  • Dupree E, Anderson R, McEvoy MD, Brodman M. Professionalism: a necessary ingredient in a culture of safety. Jt Comm J Qual Patient Saf 2011; 37: 447-55.
  • Ten Cate TJ, Kusurkar RA, Williams GC. How self-determination theory can assist our understanding of the teaching and learning processes in medical education. AMEE guide No. 59. Med Teach. 2011;33(12):961–973.
  • Lesser CS, Lucey CR, Egener B, Braddock CH, 3rd, Linas SL, Levinson W. A behavioral and systems view of professionalism. JAMA 2010; 304: 2732-7.
  • Kirch DG. A Future That Inspires, AAMC 121st Annual Meeting. Washington, D. C., Association of the American Medical Colleges, 2010.
  • Irby DM, Cooke M, O'Brien BC. Calls for reform of medical education by the Carnegie Foundation for the Advancement of Teaching: 1910 and 2010. Acad Med 2010; 85: 220-7.
  • Havens DS, Vasey J, Gittell JH, Lin WT. Relational coordination among nurses and other providers: impact on the quality of patient care. J Nurs Manag 2010; 18: 926-37.
  • Sutton RI. The No Asshole Rule: Building a Civilized Workplace and Surviving One That Isn't. New York, NY : Business Plus, Hachette Book Group, 2010.
  • The Joint Commission: Joint Commission Leadership Standard (LD.03.01.01). Oak Brook, IL, 2009.
  • Leiker M. Sentinel events, disruptive behavior, and medical staff codes of conduct. WMJ 2009; 108: 333-4.
  • Forsetlund L, Bjorndal A, Rashidian A, Jamtvedt G, O'Brien MA, Wolf F, Davis D, Odgaard-Jensen J, Oxman AD. Continuing education meetings and workshops: effects on professional practice and health care outcomes. Cochrane Database Syst Rev 2009: CD003030.
  • Palmer PJ. Leading from Within. Reflections on Spirituality & Leadership. Washington D.C.: The Servant Leadership School, 2009.
  • Eddy B. It's All Your Fault 12 Tips for Managing People Who Blame Others for Everything. Scottsdale, AZ: HCI Press, 2009.
  • Geirsson AJ, Statkevicius S, Vikingsson A. Septic arthritis in Iceland 1990-2002: increasing incidence due to iatrogenic infections. Ann Rheum Dis 2008; 67: 638-43.
  •  The Joint Commission. Sentinel Event Alert. Issue 40, Jul 9, 2008. Behaviors that undermine a culture of safety.
  • Whittemore AD. The impact of professionalism on safe surgical care. J Vasc Surg 2007; 45: 415-9.
  • Kumar AS, Shibru D, Bullard MK, Liu T, Harken AH. Case-based multimedia program enhances the maturation of surgical residents regarding the concepts of professionalism. J Surg Educ 2007; 64: 194-8.
  • Hickson GB, Pichert JW, Webb LE, Gabbe SG. A complementary approach to promoting professionalism: identifying, measuring, and addressing unprofessional behaviors. Acad Med 2007; 82: 1040-8.
  • Walsh DC: Trustworthy leadership: can we be the leaders we need our students to become? , 2006.
  • Drucker PF. What executives should remember. Harvard Business Review 2006.
  • Hickson GB, et al. Balancing systems and individual accountability in a safety culture. In: From Front Office to Front Line: Essential Issues for Health Care Leaders. Berman S, editor. Chicago, IL: Joint Commission Resources and the Institute for Healthcare Improvement, 2005.
  • Drucker PF. What makes an effective executive.  Harv Bus Rev. 2004;82(6):58­63.
  • Brennan TA, Leape LL, Laird NM, Hebert L, Localio AR, Lawthers AG, Newhouse JP, Weiler PC, Hiatt HH. Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I. 1991. Qual Saf Health Care 2004; 13: 145-51; discussion 151-2.
  • Barry L, Blair PG, Cosgrove EM, Cruess RL, Cruess SR, Eastman AB, Fabri PJ, Kirksey TD, Liscum KR, Morrison R, Sachdeva AK, Svahn DS, Russell TR, Dickey J, Ungerleider RM, Harken AH. One year, and counting, after publication of our ACS "Code of Professional Conduct". J Am Coll Surg 2004; 199: 736-40.
  • Palmer, PJ. A Hidden Wholeness: The Journey toward an Undivided Life. 1st ed. San Francisco, CA: Jossey-Bass, 2004.
  • Sheff RA, Sagin T. A Practical Guide to Preventing and Solving Disruptive Physician Behavior. Marblehead, MA: HCPro, Inc, 2004.
  • Inui TS. A Flag in the Wind:  Educating for Professionalism in Medicine. Association of American Medical Colleges, Indiana University School of Medicine, 2003.
  • Block P. The Answer to How is Yes:  Acting on What Matters, 1st edition. San Francisco, Berrett-Kochler Publishers, 2003.
  • Bennis W. On Becoming a Leader. New York, NY: Basic Books, 2003.
  • Shanafelt TD, Bradley KA, Wipf JE, Back AL. Burnout and self-reported patient care in an internal medicine residency program. Ann Intern Med 2002; 136: 358-67.
  • Medical professionalism in the new millennium: a physician charter. Ann Intern Med 2002; 136: 243-6
  • Darosa DA. It takes a faculty. Surgery 2002; 131: 205-9.
  • Prusak L, Cohen D. How to invest in social capital. Harv Bus Rev. 2001;79(6):86–93.
  • Gittell JH, et al. Impact of relational coordination on quality of care, postoperative pain and functioning, and length of stay: a nine-hospital study of surgical patients. Med Care. 2000;38(8):807–819.
  • Davis DA, Thomson MA, Oxman AD, Haynes RB. Changing physician performance. A systematic review of the effect of continuing medical education strategies. JAMA 1995; 274: 700-5.
  • Ury W. Getting Past No. New York, NY: Bantam,1993.


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