REVISE - a restorative and behavioural approach to prevent unethical behaviours amongst medical interns
Refereed conference paper presented and published in conference proceedings


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AbstractBackground: The mere teaching of ethics does not reduce unethical behaviours in the workplace. A behavioural & restorative approach enables us to understand the underlying reasons and conditions thereby providing opportunities for strategic and preventive interventions. The support of offenders may have a lasting impact on their future careers.
Summary of work: We engage our interns using a framework defining Moral-Ethical Behavioural expectations proactively. REVISE is a preventive intervention primarily Reminding(RE) interns of their ethical responsibilities vulnerabilities. Visibility(VI) is a structured workplace intervention to support guide and monitor behaviours. Self-engagement(SE) is a professional commitment from interns that fosters ethical behaviour.
Summary of results: This intervention has reduced unethical behaviours by 30% over a 5-year period and has also increased self reported lapses and possible errors by 15 %. The REVISE strategy supported 38 interns who had been flagged for unethical behaviours allowing them to reflect on their actions and complete their internship successfully.
Discussion: We intuitively judge people for their ethical transgressions without realising that environmental structural organisational and situational factors may have contributed. A preventive approach succeeds in identifying possible vulnerabilities and constant and timely reminders of one's ethical responsibilities along with heightened visibility may reduced such behaviours in large organisations.
Conclusion: Environmental conditions and lack of support often pushes junior doctors to indulge in unethical behaviours. Our strategy enables us to address the offender and the structural conditions partly responsible. The framework of behaviours expected is generic and easy to understand. The non-punitive approach has improved self-reporting of undesirable behaviours. Take-home message: The mere teaching of ethics does not reduce unethical behaviours.
Systemic and environmental factors may be partly responsible. A proactive and strategic intervention has preventive
effects. A generic framework to identify moral-ethical behavioural expectations promotes such behaviours. A restorative approach has reduced unethical behaviours and increased self-reported violations.
All Author(s) ListShekhar Kumta, HK Ng, Paul Lai, Yan Jin
Name of ConferenceAn International Association for Medical Education (AMEE) Annual Meeting 2017
Start Date of Conference26/08/2017
End Date of Conference30/08/2017
Place of ConferenceHelsinki
Country/Region of ConferenceFinland
Proceedings TitleThe Proceeding of An International Association for Medical Education (AMEE) Annual Meeting 2017
Year2017
Month8
LanguagesEnglish-United Kingdom

Last updated on 2018-22-11 at 14:41