Volume 4, Issue 4 - March 2021
A newsletter produced jointly for the Academy for Professionalism
Greetings!

Throughout the pandemic, associate editor Cynthia Solomon and Glen Solomon have provided us a valuable series on COVID-19 written from the lens of professionalism. This month’s “Are we there yet?” includes an eloquent reflection on how the opportunity and reality of vaccination is perceived differently amongst health professionals. Previous articles have reflected on our role as educators and epidemiologists. This month’s question essentially encourages thinking about what is a new normal in relation to vaccination? This resonates with a Lancet comment that quoted Arundhati Roy’s words about how pandemics require us as humans to imagine the world in new ways, no longer clinging to past ideas and prejudice (1).
 
During this time, healthcare providers and learners risk burnout. We are grateful to have an article considering ways for educators to support learners’ wellbeing and reduce burnout risk by promoting engagement, meaning and caring by guest contributors Lauren Fine, Kyle Bauckman and Vijay Rajput. Further, a regular contributor Tom Koch provides a valuable reflection on the social contract and how it is or is not enacted. Each article is well-referenced supporting further delving into each subject.

APHC Program Chair Elizabeth Kachur provides a summary of our very successful virtual conference.
 
All the best and stay safe,
Janet

Janet de Groot, MD, FRCPC, MMedSc, is Founding Editor of the APHC-PF Newsletter and Staff Psychiatrist, Tom Baker Cancer Centre and Foothills Medical Centre, Professor, Psychiatry, Oncology and Community Health Sciences, Cumming School of Medicine, University of Calgary. 

References 
1.Patel MS, Phillips C. Covid-19 and the moral imagination. Lancet 2021; 397: 648-649.
 2.Perri M, Dosani N, Hwang SW. Covid 19 and people experiencing homelessness: challenges and mitigation strategies. CMAJ 2020; 192(6): e716-e719
Contents

  1. Resilience Poem
  2. Ignite Caring, Meaning and Engagement in Learners and Physicians to Prevent Burnout
  3. Are We There Yet?
  4. APHC Roundtable - March 12 - sign up
  5. Failing the Metaphorical ‘Social Contract’
  6. ABMS Call for Physician Remediation Programs & Resources
  7. APHC Conference Summary
  8. Professional Formation podcast - Listen Now
  9. Medical Professionalism Project - Module 8
  10. Upcoming Free Webinar - March 18 - based on the article, To Zoom or Not to Zoom
  11. APHC Member Benefits
  12. Contribute to this Newsletter
Resilience
 
Tossed up and down.
Do you notice that
you want to stand up?

Squeezed from all sides.
Do you notice that
you want to pop back out?

Dropped from a height.
Do you notice that
you want to rebound against the floor?

Stretched to the limit.
Do you notice that
you want to snap back?

Pushed and pulled.
Do you notice that
you want to recoil?
 
Exhausted.
Still you want to dance to your song.
You remain hopeful.

Submitted by William Agbor-Baiyee, PhD, Associate Professor and Assistant Dean for Educational Research and Student Learning at Chicago Medical School, Rosalind Franklin University
Ignite Caring, Meaning and Engagement in Learners and Physicians to Prevent Burnout
by Lauren Fine, Kyle Bauckman and Vijay Rajput

Despite the exponential growth of innovative therapies, technologies, and extrinsic motivation, the true meaning of “doctoring” has not changed. To be a modern day physician requires a learner to be a hybrid of a scientist, professional, human being and member of society (Marti-Ibanez, 1970). Recent years have seen a significant loss of the joy in doctoring. The term “burnout,” a chronic response to prolonged professional stressors, was coined in 1986 by psychologist Ron Smith (Smith, 2016). Medical students and health professionals are experiencing burnout because they often lack the emotional, moral, and mental means to overcome the demands of professional work, their careers, and challenges in developing their professional identity (PI) (Wald, 2015). Some of the major reasons for burnout in medicine are (1) the increased clerical or meaningless workload, (2) increased demand for clinical/monetary productivity, (3) moral distress and (4) an unhealthy competition without intrinsic curiosity. These factors have a direct impact on humanistic clinical care, professionalism, PI, and well-being for the clinician and the learner.

As the regulations of institutions grow, the autonomy of the professional is diminished. Moral distress is the result of not being permitted to behave morally in clinical context (Young and Rushton, 2017). Loss of autonomy, moral distress, and stressors can result in anxiety and loss of active engagement. These complex challenges create a sense of moral distress, disengagement, and emotional exhaustion that may contribute to burnout (Rushton, 2017) Young and Rushton, 2017). The continuous rise of burnout has become a major threat to the health care system. The mitigation of those chronic stressors and a moral resiliency can help to overcome burnout (Southwick and Southwick, 2018) (Hartzbrand, Pamela; Groopman, 2020). Regardless of the stages of career or the focus of work, achieving a sense of autonomy, moral resiliency, relatedness and connection with work can improve social and emotional wellness and reduce burnout (Hartzbrand, Pamela; Groopman, 2020)(Panagioti et al., 2017).

Institutional changes including focus on personal meaningful work duties, active learning, peer and superior feedback and advice, collegial and peer social support and active roles in quality improvement, committees, and advisory boards have shown positive effects on reducing burnout. However, these ongoing institutional changes both in academics and practice must continue to expand as burnout is still systemic throughout the field. The physicians caring for their patients and the learner caring for their education, finding meaning in work as physicians and learning allows them to be engaged and exhibit moral resiliency (Hartzbrand, Pamela; Groopman, 2020) (Young and Rushton, 2017). Therefore, a major goal within education should be to encourage the fostering and nurturing of active engagement to their work at all stages in their career and learning. The development and maintenance of a community of practice that embodies these best practices of modern medicine is essential for a sustained and vibrant medical community. The safe, engaging, and meaningful practice of socialization can help in prevention of burnout for both practicing physician and learner in the medical profession.

Vijay Rajput, MD, is chair of the Department of Medical Education and Professor; Lauren Fine, MD, is Assistant Professor of Medical Education and Director of Ethics and Humanities Thread; and Kyle Bauckman, PhD, Assistant Professor of Medical Education and Director of Student Research at Nova Southeastern University, Dr. Kiran C. Patel College of Allopathic Medicine in Fort Lauderdale, Florida.

References
Hartzbrand, Pamela; Groopman, J. (2020) ‘Physician Burnout, Interrupted’, New England Journal of Medicine. Available at: doi: 10.1056/NEJMp2003149.
Marti-Ibanez, F. (1970) ‘To be a doctor’, Nippon Ishikai zasshi. Journal of the Japan Medical Association, 63(1), pp. 91–95.
Panagioti, M., Panagopoulou, E., Bower, P., Lewith, G., Kontopantelis, E., Chew-Graham, C., Dawson, S., van Marwijk, H., Geraghty, K. and Esmail, A. (2017) ‘Controlled Interventions to Reduce Burnout in Physicians’, JAMA Internal Medicine, 177(2), p. 195. doi: 10.1001/jamainternmed.2016.7674.
Rushton, C. H. (2017) ‘Cultivating moral resilience’, American Journal of Nursing, 117(2), pp. S11–S15. doi: 10.1097/01.NAJ.0000512205.93596.00.
Smith, R. E. (2016) ‘Toward a Cognitive-Affective Model of Athletic Burnout’, Journal of Sport Psychology, 8(1), pp. 36–50. doi: 10.1123/jsp.8.1.36.
Southwick, F. S. and Southwick, S. M. (2018) ‘The Loss of a Sense of Control as a Major Contributor to Physician Burnout’, JAMA Psychiatry, 75(7), p. 665. doi: 10.1001/jamapsychiatry.2018.0566.
Wald, H. S. (2015) ‘Professional Identity (Trans)Formation in Medical Education’, Academic Medicine, 90(6), pp. 701–706. doi: 10.1097/acm.0000000000000731.
Young, P. D. and Rushton, C. H. (2017) ‘A concept analysis of moral resilience’, Nursing Outlook, 65(5), pp. 579–587. doi: 10.1016/j.outlook.2017.03.009.
Are We There Yet?
   by Cynthia Sheppard Solomon and Glen D. Solomon

We have both been fortunate to have received second doses of the COVID-19 vaccines. There is a feeling that somehow life should be different, somehow better. Somedays it just feels like we are sitting in the backseat of an old Plymouth Fury, asking “Are we there yet?”

The medical literature says we are 95 percent likely to be protected against a bad outcome from COVID-19, once we are two weeks post-second vaccination. But we still wear masks, now double masking in public. We continue to avoid restaurants and hair salons, clean our hands until they are almost raw, and rarely see friends.

Our personal post-pandemic paradigm is little different than the pre-vaccination existence. Whether it is the five percent chance that the vaccine will not be effective or that we may be vulnerable to new viral mutations, the COVID concerns have not abated. However, it does not seem to be slowing other folks down. Airline travel over Presidents’ Day weekend broke records, and in spite of bad weather throughout our area of the country, freeways are very busy. Some choices can put all of us at risk, while other choices may be more reasonable.

As we listen to medical leaders on various channels, we hear deaths are down, hospitalizations are down, and cases are plummeting. We are hearing how happy those experts are with the statistics. We recognize how easy it is for audiences to hear, “the worst is now over.” But, unfortunately the U.S. is not out of the woods yet. Health care professionals need to help encourage hopefulness, but also promote steadfastness. We need to be role models for finding ways people can feel positive, while continuing to protect themselves and their loved ones. We heard one TV program recently where four medical leaders were asked about what they feel comfortable doing post-vaccination. These four physicians’ responses were extremely diverse, from doing virtually anything, to hugging grandkids, holding large family groups, to eating “in” at restaurants, to not wearing masks… No wonder listeners get mixed messages. We decided to ask friends some of their most enjoyable recent activities. Several had driven to a community zoo hosting a penguin walk, which allowed spatial distancing and masking with an outside venue. Another called a local delicatessen for an array of goodies to bring home along with candles as a romantic Valentine’s treat. Another found a weekend day to do a self-guided tour (with brochure) at an arboretum-cemetery historic park area with outdoor displays of architecture and sculpture. There are safe outings and activities to keep us focused and refreshed.

As health care professionals, it is our duty to encourage patients, colleagues, and the public to get vaccinated. We promote the message that through vaccination we can eventually return to “normal.” We are developing through a “COVID-19 vaccine task force” specific video messages for our community which focus on answering vaccination related queries. We have developed topics specific to local communities of color and for special language community educational programming. It is also our responsibility to point out continued masking, social distancing, and hand hygiene – the “new normal.” Our patients want to move beyond COVID-19, to feel safe again. But, as learned voices in epidemiology and public health, we cannot offer that sense of safety or even a timeline of when to anticipate a relief from the burden of COVID. We need a bit more time before we can reduce the banter of “Are we there yet?”

Cynthia Sheppard Solomon, BSPharm, RPh, CTTS, NCTTP, is Clinical Assistant Professor, and Glen D Solomon, MD, MACP, FRCP(London), Chairman, Department of Internal Medicine and Neurology, Wright State University Boonshoft School of Medicine, Dayton, Ohio.
APHC Roundtable March 12 - Interactive Discussion

Join the Academy for Professionalism in Health Care interactive discussion session on Friday, March 12 from 3 to 4 p.m. ET. Dr. Brian Sharp will discuss Using Service Learning to Become Humanistic Healthcare Providers.

Service learning is a pedagogy that uses academically relevant service activities to address human and community needs. This can help all of us become more humanistic providers. In this interactive Roundtable, Dr. Sharp and the attendees will explore the benefits of service learning. The discussion topics will include understanding service learning in addition to addressing the misconceptions regarding service learning. By participating in this roundtable, participants will receive information that can be used to establish a more humanistic approach to healthcare which includes benefits and pitfalls when working across various cultures. Dr. Sharp is an Assistant Professor of Communication Sciences and Disorders at Loma Linda University in addition to his clinical practice. In 2017, Dr. Sharp was a scholar in the Harvard Macy Institute’s Program for Educators in Health Professions. Since 2018, he has been a faculty member in the program. Prior to the pandemic, Dr. Sharp travelled to China to educate, train and collaborate with healthcare providers on adult neurogenics and pediatric swallowing disorders. Dr. Sharp also runs a non-profit, community-based theater in California and is a black belt in Kyokushin Karate. 

  

Register for this important session and others on the second Friday of the month from 3 to 4 p.m. ET.
 
Open to APHC members only.
Failing the Metaphorical ‘Social Contract’
by Tom Koch

Since “Project Professionalism” was launched in 1995 with the lofty goal of promoting “integrity in medicine,” its foundational tenant has been an informal but presumably collaborative social contract between governments, corporations, and medical professionals (1). Even those who have criticized professionalism as a standard for medical education and practice have accepted uncritically the idea of a contractual association.

The idea of a metaphorical contract (nothing written or negotiated) is problematic not the least because the goals of the presumed partners are distinct. Corporations seek the maximization of profits and revenues from research and resulting pharmacologies (2). Governments seek economic advancement with maximization of population health within the limits of budgetary realities. Physicians seek the best possible treatment for the patient in care, an orientation some have criticized as a failure to serve the goals of officialdom (3).

In contract theory, where conflicts occur some form of mediation would assure the physician’s sense of integrity and care in relation to official desires or corporate interests. More often, however, physician professionalism means towing the official line without mediation. A single example of the way in which the social contract can fail physicians and their goals of integrity may serve, here, to demonstrate the problem. A more comprehensive review is now under way.
 
The Case
Diagnosed with cancer in 2019, Clint Gossard sought a bed at the Irene Thomas Hospice in Delta, British Columbia, outside Vancouver in January 2020. He also wanted the hospice to permit his medical termination. While “medical aid in dying” (MAiD) is legal in Canada, hospice officials informed Mr. Gossard that it was not permitted in their facility although it was available at nearby Delta Hospital. After his death Mr. Gossard’s widow complained to Minister of Health Adrian Dix, who in response ordered the hospice change its policy or lose provincial funding (4).

In reply, hospice official argued MAiD not only violated the hospice’s internal policies but the guidance of both the Canadian Hospice Palliative Care Association (CHPCA) and the Canadian Academy of Palliative care Physicians (CAPCP). In a joint statement in 2019, these professional organizations stated categorically: “National and international hospice palliative care organizations are unified in the position that MAiD is not part of the practice of hospice palliative care (5). For physicians it is a violation of palliative goals of continuing care.

That, and appeals to conscience rights protected in Canadian law, should have ended the matter. After all, MAiD was readily available to Mr. Gossard and others at a nearby hospital. At the least, this was an opportunity for serious discussion between government officials on the one hand, and on the other, both national and local representatives of hospice and palliative medical care.

Instead, Mr. Dix simply ordered the hospice to change its policy or lose the $1.5 million—47 percent of its funding (hospices are required to raise substantial parts of their budgetary needs). The position of the national professional organizations was ignored. There were no discussions of the merits of MAiD in a hospice setting. Government simply ruled by fiat. The hospice refused and was closed in February 2021 when its patients were transferred to other institutions. 

At issue was both the integrity of palliative physicians to determine the type of care they would provide and of the professional organizations representing them and hospices generally. Conscience rights protected by the constitution were also ignored. And yet, those teaching professionalism at local medical schools and local medical associations, said little and did less in defense of the hospice and its personnel. In this case, the ideal of a mutually conceived contract of care was discarded by the government without consideration of the views of medical professionals.

Tom Koch is an ethicist, historian and medical geographer at the University of British Columbia. He is the author of Thieves of Virtue: When Bioethics Stole Medicine and Ethics in Everyday Places: Mapping Moral Stress, Distress, and Injury.

References
1. Koch T. Professionalism: An Archaeology. HEC Forum 2009; 31 (3): 219-232. DOI 10.1007/s10730-019-09372-w.
2. Waldby C., Mitchell R. Tissue Economies: Blood, Organs, and Cell lines in late Capitalism. Duke, NC: Duke University Press: 2006.
3. Rothman, D. (1992). Rationing life. New York Review of Books. https ://www.nyboo ks.com/articles/1992/03/05/rationing-life/. Accessed 8 March 2019. Also see the books of Daniel Callahan in this regard.
4. Stueck W., Wood A.  Delta divided over hospice refusal of assisted dying. Globe and Mail 2020 (Jan. 3). https://www.theglobeandmail.com/canada/british-columbia/article-delta-divided-over-hospice-refusal-of-assisted-dying/.
5.CHPCA and CSPCP – Joint Call to Action 2019 (Nov. 22). Https: chpca.ca/news/chpca-and-cspcp-joint-call-to-action/.
Call for Physician Remediation
Programs & Resources

The Continuing Professional Development and the Physician Remediation communities are invited to submit programs and resources for the ABMS Continuing Certification Directory. Learn more.
Professionalism and Trust in Health Care During a Crisis –
APHC Virtual Conference Summary

by Elizabeth Kachur, Conference Program Chair
 
On February 19, 2021, APHC held its third virtual conference which focused on Professionalism and Trust in Health Care During a Crisis. Trust is foundational to every healthy relationship, whether it is between health care providers and patients, between learners and teachers or between team members. A crisis can result in a deterioration of trust, either slowly through a series of disturbing experiences, or suddenly through a critical incident. The pandemic is not the only crisis that currently captures our lives. In addition to Covid-19 and the resulting health care crisis, we are also in the midst of social, economic, political and climate-related predicaments. By now these threats have been long-lasting and have shaken up many of our professional relationships which made this conference very timely.

The conference examined trust-related issues from many angles: multiple health professions, all training levels, and different health-related systems. We had two inspiring keynotes: Adina Kalet addressed Entrustable Professional Activities (EPAs) and Pat Werhane discussed systems-related opportunities and challenges to build and maintain trust. The various breakout sessions covered topics in health professions education, interprofessional patient care, bioethics and public health. Representatives from the AAMC and the ACGME co-presented with a medical student and a chief resident, respectively, to discuss the impact of the current crises on learners. Some sessions were skills building, some focused on problem solving and others included oral presentations with much discussion. All were designed to be highly interactive and there were additional opportunities for networking. Below is the list of presenters and their affiliations – we greatly appreciate their most valuable contributions to advancing our field:

Virginia Bartlett - Cedars-Sinai Medical Center
Alice Bass - Nationwide Children's Hospital
Joseph Carrese - Johns Hopkins University School of Medicine
Brian Carter University of Missouri-Kansas City School of Medicine
Amy Caruso Brown - SUNY Upstate Medical
Mark Clark - University of the Incarnate Word’s School of Osteopathic Medicine
Jane Cooley - Ohio Health Home Hospice
Stefanie Ellison - University of Missouri-Kansas City School of Medicine
Stuart Finder Cedars-Sinai Medical Center
Sarah Fitz - UIC CON
Tom Harter - Gundersen Health System
Ann Hoffman - Nationwide Children’s Hospital
Samantha Jimenez - Maimonides Medical Center
Fabrice Jotterand - Kern Institute for the Transformation of Medical Education at the Medical College of Wisconsin
Lynne Kirk - Accreditation Council for Graduate Medical Education
Craig Klugman - DePaul University
Dereck Paul - University of California, San Francisco
Alicia Pilarski - Kern Institute for the Transformation of Medical Education at the Medical College of Wisconsin
Preston Reynolds - University of Virginia
Elizabeth Rider - Boston Children’s Hospital and Harvard Medical School
Kelly Rosenberger - UIC CON
Cynthia Sheppard Solomon - Wright State University-Boonshoft School of Medicine
Glen Solomon - Wright State University-Boonshoft School of Medicine
Steven Smith - Nationwide Children’s Hospital
Kathleen Sparbel - UIC CON
Reid Waldman - University of Connecticut
Steven Waldman - University of Missouri-Kansas City School of Medicine
Alison Whelan - Association of American Medical Colleges

During breaks we showed a slideshow of images that define “Trust.” They were contributed by APHC members, conference participants and others interested in the topic. The video can be accessed here: https://vimeo.com/520034369. It illustrates the diversity of meanings that the word “Trust” engenders.

The conference concluded with an engaging Fireside Chat in which Preston Reynolds interviewed Fred Hafferty, a giant in professionalism education. He shared his various career developments and left everyone with additional food for thought.

The take home points participants shared as part of the program evaluation included references to an increased awareness of the many factors that influence trust in health care, the power of trust in relationship building, and the many social challenges that operate under the radar throughout the training of health care professionals.

I would like to take this opportunity to thank all presenters and participants for helping our community to engage in some critical discussions about professionalism and trust. The conference recordings for attendees can be found on the APHC website. I hope we will continue our discussions about trust during the current and in preparation for future crises.

I would also like to thank Gerald Stapleton, my thoughtful and inspiring co-chair who will be leading the next virtual APHC conference. It will focus on “Professionalism in an Age of Crisis: The Path Forward.” The conference will take place on June 11, 2021, 11:30 a.m. to 6 p.m. ET, and you’ll hear more about it soon. Thank you also to the APHC Program Committee, the APHC Board of Directors and the many institutional sponsors who provided invaluable support:

Platinum Circle: AMA Journal of Ethics
Gold Circle: American Association of Colleges of Osteopathic Medicine, American Board of Medical Specialties, Johns Hopkins Berman Institute of Bioethics, Loyola Bioethics
Silver Circle: Loma Linda University Health Center of Christian Bioethics, Penn State College of Medicine
Bronze Circle: ABIM Foundation, Hastings Center, Saint Louis University Albert Gnaegi Center of Health Care Ethics
Drexel University College of Medicine

Last, but definitely not least, I am most grateful for all the tireless efforts Barbara Lewis (our APHC Managing Director) put into this event. Without her, this conference would not have happened!
Healthcare Professionalism Podcast


Released every other Saturday morning, recent episodes include: Dr. Andrea Leep discusses What Does the Reality of Pluralism Mean for Professionalism, Dr. Christine Sullivan talks about Remediation of Professionalism, Dr. Rebecca Volpe shares insights on Professionalization for Students Who Don’t Fit the Stereotype, and Dr. Tom LaVeist discusses The Role of Physicians in Addressing Health Disparities.

If you missed Dr. Adina Kalet's keynote at the APHC Conference on 2/19, don't miss her two podcast episodes including Remediation in Medical Education: A Midcourse Correction and Kern Institute for the Transformation of Medical Education.

Upcoming - Dr. Rich Hawkins from ABMS.

You can access the podcast episodes on your favorite platform or at:
Medical Professionalism Project - Module 8
by Clare Marash

We’re here to share another module of the Medical Professionalism Project with you!

The Medical Professionalism Project (MPP), created by renowned social scientist Dan Ariely in collaboration with Duke Health, is an innovative short film series and CME course that explores the complex expectations, challenges and responsibilities of being a healthcare provider through the lens of behavioral science. In 5- to 10-minute videos, MPP applies research from behavioral economics and other social sciences to reveal how and why we make ethical mistakes, providing strategies for improving behavior at an individual and institutional level. 

Module 8 of the Medical Professionalism Project uses a high-profile case to explore the complexities and perils of research, in particular human clinical trials. Recounting the shocking death of Jesse Gelsinger, a teenager in an early gene therapy clinical trial, we empathetically reflect on the ways in which the desire to improve patients’ lives can impact the research process, and encourage a thoughtfulness into how studies are set up, how participants are consented, and how to mitigate conflicts of interest that arise. 

In our additional resources, we share lead researcher Dr. James Wilson’s lessons-learned, as well as news of gene therapy treatments coming to market nearly two decades after Gelsinger’s death. 

The Medical Professionalism Project can be completed online for up to six credits of AMA PRA Category 1 Credit(s)™, MOC Part II credits for numerous member boards, Nursing CE, as well as IACET CEU. In addition, we offer the films to be used offline in classrooms and meetings, or incorporated into other online learning platforms. A robust interprofessional educational experience, the Medical Professionalism Project is an engaging and thought-provoking course for students, residents, faculty and practicing physicians, as well as nurses, physician assistants and others on the healthcare team.

All APHC members receive a 20 percent discount on MPP (and 25 percent of the payment returns to APHC!). 

If you have any questions, please reach out to Project Director Clare Marash at clare@saltyfeatures.com.

Next month, Module 9 - Inequities in Healthcare

Upcoming Webinar

On-line learning has presented a number of challenges for faculty. Learn how one faculty member is using DocCom, a communication skills learning program, in a free 30-minute webinar, Effective Ways of Using DocCom Modules in Online Education on Thursday, March 18 at noon ET.


Dr. Claudia Kiessling will discuss her article, To Zoom or Not to Zoom, published in GMS Journal of Medical Education in December 2020.

In the first 15 minutes, Dr. Kiessling will discuss the study, plus techniques she has used for on-line learning. During the last 15 minutes, we will open the webinar for a discussion on how attendees are using on-line platforms for optimal teaching in medical schools, residency and physician assistant programs.

We hope that you’ll join us to hear about Dr. Kiessling’s experience with on-line teaching and share your own effective practices, plus your questions about on-line learning.


Past Webinar Recordings

Access our past webinar recordings at ProfessionalFormation.org

Mitigating the Effects of the Hidden Curriculum on Professional Identity Formation with Orit Karnieli-Miller, PhD       
 
Social Justice Challenges: How to Achieve Excellence in Equity with Preston Reynolds, MD, PhD, MACP  

Teaching Learners to Navigate Common Boundary Challenges with Elizabeth Gaufberg, MD, MPH

Building Effective Teams and Eliminating Barriers with Christine Arenson, MD

Professional Formation, an on-line program with 13 professionalism modules, has two webinars on how ACOM and Geisinger Commonwealth integrated modules into their interprofessional education program.
APHC Members' Benefits

Professional Formation - free access to 13 modules
Medical Professionalism Project - 20 percent discount on subscriptions
Conferences - Share your conferences and resources. Attend APCH conferences at a discount.
Career Posts - Post your job on the home page of the APHC website open to the public.
Professionalism Education Roundtable - access to leaders discussing their books, chapters, articles, research, etc.
Scholarship - Have you written a book or an article? Let us know and we'll publish a synopsis in the newsletter and on the home page of the APHC website.

Contact Barbara Lewis at BLewis@ProfessionalFormation.org
Professional Formation Newsletter Editors
 Editor-in-Chief: Janet de Groot; Associate Editors: Marco Filho, Raul Perez, Bryan Pilkington, Fernanda Soares, Cynthia Sheppard Solomon, William Agbor-Baiyee and Mark Clark; Managing Editor: Barbara Lewis
 
Please contact Janet de Groot if you'd like to contribute an article to this newsletter.
If you know someone who would benefit from reading Professional Formation, please pass this along.
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