Behavioral Expectations
Behavioral expectations are considered an academic expectation. 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.
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
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 located on the student Canvas home page for students or faculty to report a concern. The concern must be reported within seven days of the event or within seven days of notification of 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 will be required to complete professional remediation.
- Continued lapses in professionalism or an egregious lapse of professionalism 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.
Academic Professional Behavioral Expectations and Student Assessment
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.
Professional behavior encompasses the principles of honesty, integrity, empathy, respect, advocacy, self-awareness, personal accountability, teamwork, responsibility for learning, courtesy, compassion, moral and ethical interaction and avoidance of conflicts of interest.
PA students must be aware that they are viewed by both patients and medical providers as part of the medical community and are required to conduct themselves in a manner that complies with these principles.
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.
Assessment of Professionalism
Students are assessed in a variety of ways on their professionalism. These include self-evaluation, peer evaluations during group work, faculty evaluations during presentations and problem-based learning events, standardized patient assessment and preceptor evaluations.
Each course director utilizes the “professionalism and interpersonal skills assessment tool” to assess student skills in their course. A low score in any category or overall on this tool may result in academic warning, probation or a referral to the Progression, Promotion, Professionalism committee to discuss performance and remediation of behavior.
Note: This policy is not all-encompassing. Please direct any additional questions or concerns you may have regarding this policy to your academic advisor.