好色先生

好色先生

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Abstract Details

Teaching neurology residents to manage gendered and sexual harassment using an objective structured clinical examination: a pilot curriculum
Research Methodology, 好色先生, and History
Research Methodology and 好色先生 Posters (7:00 AM-5:00 PM)
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To develop and implement an educational program regarding bystander interventions for harassment for neurology residents.
Harassment in medicine is a disruptive and pervasive problem and is associated with negative impact on learners and quality of care delivery. Despite the scope and magnitude of this issue, there is very little educational programming geared towards teaching learners to manage harassment in a clinical setting.

We designed an educational program about management of harassment, which included an educational workshop that taught learners about harassment and intervention strategies, followed by objective structured clinical examination (OSCE) to assess the learners’ ability to manage harassment in real-time scenario using standardized patient (SP) with debrief. The OSCE scenario was based on a routine clinic visit, in which the learner (neurology resident) managed an SP who made harassing statements (specifically, gendered and sexual harassment) towards a medical student confederate (MSC) in an escalating (mild, moderate, severe) fashion. Primary outcome was learner performance in managing harassment using OSCE checklist, and secondary outcome was learner assessment about the efficacy of the case in achieving its objectives and qualitative feedback about the experience. Data were described using descriptive statistics.
A total of 14 neurology residents completed the educational curriculum, and 42 evaluators (faculty, SP, and MSC) completed OSCE checklists. A majority of the evaluators felt the learners completed the elements of the checklist, though 26% exhibited avoidance or aggravating behaviors towards harassment. All learners intervened in harassment to varying degrees including mild (24%), moderate (43%) or severe (33%). Learners largely agreed that the OSCE achieved its objectives.
Neurology residents were taught to intervene in harassment using a tailored approach, then they were evaluated on their ability to implement this intervention using OSCE. This study suggests that teaching antiharassment interventions to trainees is feasible and effective.
Authors/Disclosures
Roshni A. Patel, MD (Jesse Brown VA)
PRESENTER 		Dr. Patel has nothing to disclose.
Aubree Bruhnding, DO Dr. Bruhnding has nothing to disclose.
No disclosure on file
No disclosure on file
Ezgi Tiryaki, MD, FAAN (Minneapolis VA Healthcare System) Dr. Tiryaki has stock in HITIT Leadership Coaching. Dr. Tiryaki has a non-compensated relationship as a Professor of Neurology with University of Minnesota that is relevant to AAN interests or activities. Dr. Tiryaki has a non-compensated relationship as a Clinic Director of a Center of Excellence with The ALS Association that is relevant to AAN interests or activities.