Let s Operate With Respect. Campaign to Build Respect Improve Patient Safety

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Theodora Brooks
5 years ago
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1 Let s Operate With Respect Campaign to Build Respect Improve Patient Safety

2 Insert: Dr Gabrielle McMullin

4 Editorial

6 Gender of Australian Fellows Age range Females Males Total % female < > Active Australian Fellows 496/4727 are female = 10.5% Active NZ Fellows 87/771 are female = 11.28% 2014 Activities Report

7 Embracing Diversity and Gender Equity Younger Fellows Forum 2015

8 Key Findings Results consistent across each review method 49% of surgeons have experienced DBSH 63% of trainees have experienced DBSH 30% of women have experienced sexual harassment 71% of hospitals experienced DBSH by surgeons Many IMGs report discrimination All specialties, A & NZ, all States & Territories 8

9 Behaviours Experienced DOI: /ans Crebbin et al ANZ J Surgery 2015

10 Crebbin et al ANZ J Surgery 2015 Gender differences in Behaviours experienced DOI: /ans.13363

11 Findings- Online Survey, Sexual Harassment Female respondents (65% response rate) Overall 30% Sexually explicit or offensive jokes 20% Unwelcome flirtations 18% Inappropriate physical contact 18% Questions or insinuations about private life 17% Leering, or graphic comments about my body 12% Demands for sexual favours 4% 11

12 12 The College, The Employer, The Regulator The College. deaf, blind and mute for a long time but..... now facing the facts

13 Summary of EAG Report DBSH is endemic in healthcare, including surgery There are profound, negative impacts for individuals, including patients There is NO confidence in handling by employer, College or regulator Medical education is outdated and teaching by humiliation is widespread There has been a profound lack of leadership and ownership of the problem The surgical profession needs to lead cultural change or abandon the right to provide surgical education and training 13

14 Sorry For Discrimination, Bullying and Sexual Harassment by surgeons The abuse of power and hierarchy by surgeons That inappropriate and sometimes illegal behaviours have been tolerated That most of us have been silent bystanders For the effects these behaviours have had on peoples lives and their careers To all other health workers who have suffered To have failed to make it safe to complain or manage complaints effectively

15 Closing the Gap between where we are now and where we want to be Prof David Watters, RACS President Hon Rob Knowles, Chair of Expert Advisory Group

16 Reactions 16 Anger Denial Depression Bargaining

17 It is true, the evidence is irrefutable The information came from RACS members, i.e. surgeons, trainees & IMGs The findings are consistent across the different methodologies Literature suggests that at least 80% of reported DBSH is substantiated when investigated

18 ACTION Cultural Change and Leadership Education Complaint Handling Partnership with public and private hospitals, with other Colleges, regulators, Universities Sanctions Policy Support for those affected

19 A Brave New World

20 MOU on Collaboration Monash & RACS Dr Erwin Loh and Prof David Watters, 29 th April 2016

21 Let s Operate With Respect Campaign to Build Respect Improve Patient Safety

22 Let s operate with respect Three-year campaign to: bring together all parts of the Action Plan support cultural change and deal effectively with discrimination, bullying and sexual harassment in surgery in Australia and New Zealand. Awareness, conversations, education Ownership of the problem, surgeons being part of the solution

sexual harassment and how it affects the surgical

25 Building respect, improving patient safety Now is the time to deal with discrimination, bullying and sexual harassment and how it affects the surgical profession. Prof. David Watters Past President

26 Let s Operate with Respect

27 Let s Operate with Respect Bullying is a real problem for our profession. Most of us have seen Phil Truskett Immediate Past President or experienced it.

28 Let s Operate with Respect Being a surgeon takes more than technical excellence. How we behave shapes our culture and profession. Spencer Beasley Former Vice President

29 Let s Operate with Respect Dr Cathy Ferguson Vice President RACS Member Expert Advisory Group Bullying and harassment. When teams suffer, patients suffer.

30 Let s Operate with Respect We all rely on our surgical teams. When we show them respect, we bring out their best performance. A/Prof Marianne Vonau Former Treasurer

31 Let s Operate with Respect Leadership. It s about doing the right thing. John Batten President RACS

32 Let s Operate with Respect Stress is part of our work, but is no excuse for unacceptable behaviour. Laurie Malisano chair Professional Standards

33 Building Respect, Improving Patient Safety When we see bad behaviour, it s up to us to call it out. Richard Lander Executive Director Surgical Affairs NZ

34 LE Let s Operate with Respect Show Respect In the Wards, the Outpatients, our Rooms, on Committees, and in the Theatre

36 RACS Action Plan BUILDING RESPECT, IMPROVING PATIENT SAFETY launched November 30, 2015 Goal 6: Improve the capability of all surgeons involved, to provide effective surgical education Principles : respect, transparency, professionalism Goal 7: Train all surgeons, trainees & IMGs to build and consolidate professionalism 36

Course Overview handout Learning Teaching Feedback

Learning styles Adult learning theory Involving

Teaching strategies Teaching in different clinical

Model for Feedback Practising feedback Summary of

Validity Formative vs Summative Methods of

37 Course Overview handout Learning Teaching Feedback Assessment What is learning Understanding learners Learning styles Adult learning theory Involving learners in the learning process Planning learning Teaching strategies Teaching in different clinical settings Roles of the teacher Effective Feedback Model for Feedback Practising feedback Summary of lessons learnt Purpose of Assessment Reliability & Validity Formative vs Summative Methods of Assessment RACS Assessment tools Responsibilities of a surgical educator 37

38 Addressing Perceptions

40 #Ilooklikeasurgeon

41 RACS Women in Surgery Photo: Deb Colville (2 nd from left)

42 A surgeon, a wife, a mother and a person Rhea Laing FRACS with permission

43 Royal College of Surgeons of Ireland

44 Royal College of Surgeons of Edinburgh

45 Find out more:

Our pathway for change: eliminating bullying and harassment in healthcare

Our pathway for change: eliminating bullying and harassment in healthcare Janelle Hearn Principal Project Manager Health Service Programs Department of Health and Human Services 12 October 2016 Addressing