Journal article
Using a Modified A3 Lean Framework to Identify Ways to Increase Students' Reporting of Mistreatment Behaviors
Academic medicine, Vol.93(4), pp.606-611
04/01/2018
DOI: 10.1097/ACM.0000000000002033
PMID: 29076825
Abstract
Problem The proportion of students who experience mistreatment is significantly higher than the proportion of students who report mistreatment. Identifying ways to improve students' reporting of these incidents is one strategy for increasing opportunities to achieve resolution and prevent future occurrences.
Approach The authors applied a modified A3 Lean framework to examine medical student reporting of mistreatment behaviors at the University of Michigan Medical School (UMMS) in 2013-2016. The A3 Lean framework is a stepwise approach that involves outlining the background to establish the context of the problem, describing the current condition, identifying the goal or desired outcome, analyzing causes of the problem, providing proposed countermeasures for improvement, and creating follow-up plans. The authors identified three reasons for the difference between students' experiences and reporting of mistreatment and developed five countermeasures/action plan items to address this difference.
Outcomes The proportion of students reporting mistreatment at UMMS increased 21.4% between 2013 and 2016. Compared with 2013, more students in 2016 indicated not reporting because the incident did not seem important enough or because they resolved the issue on their own.
Next Steps The authors have enlisted the support of the health system's human resources department and presented the inaugural grand rounds on improving the learning environment in 2016. Among other things, they are also partnering with this team to add questions about student mistreatment and civility to the annual employee engagement survey distributed to all 20,000 employees.
Details
- Title: Subtitle
- Using a Modified A3 Lean Framework to Identify Ways to Increase Students' Reporting of Mistreatment Behaviors
- Creators
- Paula T. Ross - University of MichiganEmily Abdoler - University of California, San FranciscoLeeAnne Flygt - University of North Carolina at Chapel HillRajesh S. Mangrulkar - University of MichiganSally A. Santen - Virginia Commonwealth University
- Resource Type
- Journal article
- Publication Details
- Academic medicine, Vol.93(4), pp.606-611
- DOI
- 10.1097/ACM.0000000000002033
- PMID
- 29076825
- NLM abbreviation
- Acad Med
- ISSN
- 1040-2446
- eISSN
- 1938-808X
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 6
- Language
- English
- Date published
- 04/01/2018
- Academic Unit
- Critical Care; Stead Family Department of Pediatrics
- Record Identifier
- 9984701557602771
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