Summary of LEAC concerns and actions - 4/1/2023 - 6/30/23

During the 2022-23 academic year, the LEAC committee used a process for reviewing and addressing reports received by the LEAC committee. The committee categorizes learning environment concerns into five categories:

• Mistreatment or unprofessional behaviors were reviewed, and found egregious.
• Mistreatment or unprofessional behaviors were reviewed and found not egregious.
• Mistreatment or unprofessional behaviors were not found.
• Insufficient information to follow up on the incident.
• Unprofessional behaviors that are not a learning environment violation were reported.

For April 1, 2023 – June 30, 2023, the LEAC committee reviewed and acted on concerns received through ONE 45 or BEACON. The summary of concerns includes 0 Category A concerns, 2 Category B concerns, 1 Category C concern, 0 Category D concerns, and 0 Category E concerns. The learning environment where the concerns occurred included: clinical rotations or clinical skill instruction in Anesthesia (1), Internal Medicine (1), and Surgery (1).

1. One concern related to residents’ conversations in the presence of students in the residents’ workroom. They were thought to be describing patients in what was a less than professional and unempathetic manner. Feedback was given to the residents after evaluating the situation by the Program Director and the Clerkship Director. This was the second separate incident related to this resident workroom. Follow up from the Program Director and Department Chair will occur. Additional resources on Learning Environment and effective teaching will be explored with the TEACH program to provide professional development to resident and fellows in training.
   
2. One concern was about a student feeling humiliated based on the style of questioning from an attending on an elective. The student expressed being tearful and uncomfortable when quizzed. The Department Chair after receiving this report from Dr. Criss spoke with the attending. The attending expressed frustration that the student appeared unprepared. The attending reflected that his/her style could have been kinder and would make changes for the future.
3. One concern was reported about the language used to describe a patient’s body habitus by a resident. The Residency Program Director and the Clerkship Director received the report from Dr. Criss. The Program Director spoke with the resident expressing that this type of language was entirely inappropriate. The faculty member acknowledged.