Behavioral Expectations
Behavioral expectations are considered academic expectations. They include interactions with faculty, fellow students, preceptors, patients, members of the health care team and the UT community. These expectations also include adhering to the UT Student Code of Conduct policy, UT and UTPA social media policies, UTPA HIPAA policy, and the American Academy of Physician Assistants (AAPA) Code of Ethics.
Assessment and Remediation of Professionalism and Interpersonal Skills
Professional and interpersonal skills are critical academic competencies taught and evaluated throughout the curriculum. Students are assessed in professionalism and interpersonal skills through various methods, including (but not limited to):
- Self-evaluation
- Peer evaluations during group work
- Faculty evaluations during presentations
- Faculty assessments during problem-based learning events
- Standardized patient assessments
- Preceptor evaluations
- Course director evaluations
- Meeting deadlines
Each course and rotation include professional and interpersonal skills assessment as part of the grading outlined in the course syllabus. A low professional and interpersonal assessment score may result in course or rotation failure, academic warning, probation, or referral to the Progression, Promotion, and Professionalism Committee for review and remediation planning. Students may be required to enroll in PAM 799: Independent Study for Remediation, a 3-credit hour course. Enrolling in PAM 799 during the clinical phase may delay graduation. The cost of completing PAM 799 is calculated per-credit basis, and the program's tuition rate is calculated for the student's entry year.
PAM 799- Independent Study in Physician Assistant Medicine
This course is designed for the remediation of Physician Assistant (PA) students and may be required in the following situations:
- Failure of any component of the didactic summative assessment.
- Failure to meet professional and interpersonal skills standards in any course or rotation.
- Due to failure to complete remediation or probation as outlined by the program on the individual remediation or probation form.
The PAM 799 course may be used even if a student has "passed" the course or rotation but continues to demonstrate persistent concerns in professionalism or interpersonal skills. Each course and rotation includes a graded component for these skills, as outlined in the syllabus.
Process:
- The course or rotation director will notify students who fail the required assessment and refer them to the Professional, Progression, and Promotion (PPP) Committee.
- The committee will determine whether the student faces dismissal, deceleration, or continued enrollment with remediation through PAM 799 and make a recommendation to the program director.
- The program director will notify the student of the requirement to enroll in PAM 799.
- The PPP Committee will outline the terms of continued enrollment, including whether a delay in graduation will be necessary.
Professional Concern Report
Behavioral expectations are considered an academic expectation. The program uses a professional concern report (PCR) to document events that are considered unprofessional. These events may occur individually or between two students or may be observed by a faculty member. (For incidents that involved faculty mistreatment of student(s), refer to the student mistreatment policy.) The PCR report is used to notify the program of the concern. The report is on the student Canvas home page, where students or faculty can report a problem. The concern must be reported within seven days of the event or seven days of notification of the discovery of the event.
- The first PCR will trigger a meeting with the faculty advisor to discuss the issue and develop a professional remediation action plan.
- A second PCR may result in a meeting with the Progression, Promotion and Professionalism committee. The student may be placed on academic warning or probation and must complete professional remediation.
- Continued lapses in professionalism or an egregious lapse may result in dismissal from the program.
UT Student Code of Conduct Policy:
PA students are expected to adhere to all UT policies, including the UT Student Code of Conduct policy. This policy addresses multiple areas of conduct, including respectful interactions with the UT community.
PA Social Media Policy:
PA students are expected to be mindful while using social networking websites and applications, as they are held to the highest standard keeping with the ideals of the institution and the profession of medicine. Each student is responsible for their own posting on the internet and social media. Therefore, they should be aware of the risks associated with such use. Violation of the social media policy may result in dismissal from the program.
HIPAA:
Students are expected to follow HIPAA privacy standards at all times.
Additionally, the following actions are strictly forbidden:
- In the professional role of a caregiver, one may not present the personal health information of other individuals. Removal of an individual’s name does not constitute proper de-identification of protected health information. Inclusion of data such as age, gender, race, diagnosis, date of evaluation, type of treatment or the use of a highly specific medical photograph (such as a before/after photograph of a patient having surgery or a photograph of a patient from a medical outreach trip) may still allow the reader to recognize the identity of a specific individual.
- Students may not report private (protected) academic information of another student or trainee. Such information might include, but is not limited to, course or clerkship grades, narrative evaluations, examination scores or adverse academic actions.
- In posting information on social networking sites, students may not present themselves as official representatives or spokespersons for UT.
AAPA Code of Ethics:
PA students are expected to adhere to the AAPA Code of Ethics. As health care practitioners, PAs are required to understand and conform to the highest standards of ethical and professional conduct, following the AAPA Guidelines for Ethical Conduct for the Physician Assistant Profession and the professional expectations of UT's PAM program.
Examples of professional behavior:
Ethical Conduct
- Respect Patient Modesty and Privacy: Always maintain the dignity and privacy of patients. Always respect patients’ modesty and privacy regardless of race, ethnicity, age, gender, sexual orientation, or background.
- Identify Yourself as a Learner: Clearly state your role as a student or trainee. Strive to build college and patient understanding of your role as a PA student.
- Maintain Confidentiality: Protect the confidentiality of patient information and fellow students. Abide by HIPAA guidelines at all times.
- Set Appropriate Interpersonal Boundaries: Establish and maintain professional boundaries with faculty, staff, and your peers/colleagues. If you feel any professional boundaries are crossed or breached, please speak to your academic advisor or PAM faculty immediately.
- Perform Authorized Procedures Only: Only undertake procedures authorized by the program, clinical site, supervisor, and/or preceptor.
Honesty and Integrity
- Accurate Attribution: Accurately attribute sources in all written and oral presentations. Plagiarism will not be tolerated.
- Truthfulness: Do not intentionally mislead others. This includes providing falsified information to faculty, staff, and preceptors.
- Admit Mistakes: Acknowledge and learn from your mistakes. Immediately admit to mistakes and errors to allow for timely corrections to be made.
- Care for Property: Properly care for institutional and others' property. Any intentional damage to the property of UT or any other students will result in PPP review.
Patient and Peer Respect and Advocacy
- Champion Patient Rights: Advocate for the rights and best interests of patients in a manner that is appropriate to your level of training.
- Respect for All: Always respect faculty, staff, students, and patients.
- Seek Help When Needed: Recognize when to seek help or expertise. This can include consultation with your academic advisors, success coaches and counselors. Be aware when situations require the help or expertise of others (e.g., reporting abuse, assisting with social services agencies)
- Prioritize Patient Needs: Always strive to put the needs of patients first.
Compassion and Communication
- Effective Communication: Communicate politely and effectively. Be aware of your tone, and the manner of which you converse with others. Avoid discipline-specific terminology with patients, families, and the public.
- Appropriate Communication: Use appropriate verbal and non-verbal communication.
- Cultural Sensitivity: Respect patients’ and families’ backgrounds and cultures. Always communicate in a manner that is respectful of, and sensitive to, the patient's and family's age, orientation, culture, and beliefs.
- Address Emotional Needs: Be sensitive to the emotional needs of others demonstrating sensitivity, honesty, and compassion during difficult conversations.
Self-Awareness
- Recognize Personal Biases: Be aware of your thoughts and actions.
- Identify and address conscious and unconscious biases that might influence your interactions with patients and colleagues.
- Identify and address conscious and unconscious biases that might influence your interactions with patients and colleagues.
Responsibility and Accountability
- Correct Deficiencies: strive to address and correct behavior, knowledge, and skill deficiencies in a timely manner. Strive to always build academic maturity.
- Seek and Respond to Feedback: Actively seek and respond to feedback in a professional manner.
- Pursue Deeper Learning: Strive for deeper learning beyond didactic and clinical objectives. Be a motivated and ambitious learner throughout your medical training.
Teamwork
- Fulfill Roles: Fulfill assigned roles and seek assistance when needed.
- Respect Expertise: Respect the expertise of fellow team members, colleagues, peers, faculty and staff.
- Contribute Positively: Contribute equally and positively to team efforts in a cooperative and considerate manner.
- Maintain Professionalism: Maintain a professional respectful demeanor, especially under stress and in times of disagreement.
Balance and Self-Care
- Recognize Impairment/Burnout: Understand, recognize, and address signs of impairment or burnout. Seek assistance as needed.
- Promote Health and Wellness: Develop habits that promote health and wellness. Be an advocate for your own self-care and mental health. Emphasize self-care to maintain effectiveness as a community leader.
Learner and Colleague Responsibilities
- Timely Completion: Complete assignments and duties in a timely manner and to the best of your ability. This includes response to emails and communication with faculty/staff. Meet all administrative requirements punctually.
- Active Participation: Participate actively in learning activities.
- Collaborate and Share Knowledge: Collaborate and share knowledge with others.
- Foster a Positive and Respectful Learning Environment: Foster a supportive and positive learning environment for yourself and your peers. Give and receive feedback respectfully. Avoid arguments. Strive to always support others to enhance their continued growth and development.
Conflict of Interest
- Avoid Conflicts of Interest: Avoid situations where personal interests can negatively influence professional duties.
- Recognize Potential Conflicts: Recognize and avoid situations in which professional, commercial, or financial interests or activities have the potential to or actually influence academic, clinical, and conduct obligations.
- Avoid relationships that can lead to conflicts of interest, create perceptions of bias, and potentially disrupt the learning environment.
Examples of unprofessional behavior include but are not limited to:
- Rudeness, disruptive, disrespectful behaviors (profanity, swearing, screaming, etc.) to faculty and staff including video techs or peers
- Inflammatory emails
- Harassment of other students
- Chronic tardiness
- Recurrent violations of dress code
- Failure to check emails or monitor email account size
- Leaving cell phones on (must be turned off during lectures and away from classroom/labs)
- Failure to maintain a well-functioning computer
- Prohibited online testing behavior
- Wearing headphones or ear plugs during lectures
- Not paying attention during class by emailing, reading emails, text messaging, reading text messages, cell phone use, listening to music, sleeping in class, use of Facebook, Twitter or other social media and surfing the internet while an instructor or professor is lecturing
- Disrupting other students by talking, laughing, and excessive movement in and out of classroom or making excessive noise in any fashion during lectures originating in one’s own or opposite campus
- Leaving classroom after signing attendance sheet or signing in any other student, whether they are present or not
- Giving feedback on peers or teacher evaluations that is not tactful or constitutes a personal insult
Note: This policy is not all-encompassing. Please direct any additional questions or concerns you may have regarding this policy to your academic advisor.