Stepping-In for Respect

An Evidence-Based Model for Responding to Discriminatory Behavior: An Active Bystander Training

Creating a Culture of Respect and Inclusion

The OHSU School of Medicine invested in and joined a national collaborative to create an environment of respect and inclusion by rolling out - across the OHSU School of Medicine - a training and interactive workshop. 

This is a train-the-trainer program and department leaders are invited to learn how to facilitate at the department level. Facilitators use filmed scenarios, role-play and discussion the 4Ds as strategies to address incidents. Contact somdiversity@ohsu.edu to learn of upcoming facilitator training dates.

The curriculum uses Reader’s Theater script-based readings based on actual experiences revolving around disrespect in an academic setting. These video vignettes were developed to raise awareness of bias and set expectations for stepping in to address harm. 

Through Stepping-In for Respect, the School of Medicine reinforces its commitment to creating an environment where every individual has a sense of belonging, a voice that is heard, and the opportunity to achieve and thrive.

Workshop participants will learn and practice strategies for stepping in when they witness or directly experience disruptive behaviors. Facilitators will help prepare participants to turn difficult conversations into productive ones to stop disrespectful behaviors, reinforce our core values, and create our desired culture.

The Stepping-In for Respect training will enhance the School of Medicine's Active Bystander Intervention training and complement the skills of the 4D's: Delegate, Distract, Delay and Direct taught in the training.

Collaborative Project

Workshop participants can discuss response strategies and learn about institutional policies and reporting protocols.  Workshops offer relevant reporting and support resources that can promote efforts for inclusion in clinical and educational settings.  Participants also explore how messaging can foster an environment of respect and inclusion and set expectations for patients, staff and trainees.

Highlights

  • A two-year engagement in IRB-approved research with surveys to assess the effectiveness of workshops (pre, immediately post and 6 months post), as well as an annual survey of trainees
  • Access to a web portal for the Collaborative that includes research surveys, all planning materials, videos, reader’s theater, facilitator guides and resources to support organizational change

You will learn to:

  • Determine when intervention is needed by analyzing scenarios of real events in academic medicine
  • Apply intervention strategies (The 4 Ds) for stepping in when witnessing or experiencing harm
  • Reporting mechanisms and process
  • Role-play scenarios to practice your new skills

You will benefit by:

  • Being able to have open and honest conversations with peers on how to handle situations of disrespect
  • Taking an active role to mitigate harmful behaviors and acts

CME

Accreditation

Oregon Health & Science University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

American Medical Association

OHSU School of Medicine designates this live activity for a maximum of 1.25 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

MOC II

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

  •  1.25 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program; and
  • 1.25 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program.
  • 1.25 MOC points in the American Board of Ophthalmology’s (ABO) Maintenance of Certification program.
  • 1.25 Continuing Certification point in the American Board of Otolaryngology – Head and Neck Surgery’s Continuing Certification program (formerly known as MOC).
  • 1.25 MOC point in the American Board of Anesthesiology’s redesigned Maintenance of Certification in Anesthesiology™ (MOCA®) program, known as MOCA 2.0®.
  • 1.25 Lifelong Learning (CME) point in the in the American Board of Pathology’s Continuing Certification program.

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.

Approval Statement

Through the American Board of Medical Specialties (“ABMS”) ongoing commitment to increase access to practice relevant Continuing Certification Activities through the ABMS Continuing Certification Directory,  The Stepping In: Creating a Culture of Respect and Inclusion Collaborative Project has met the requirements as a Lifelong Learning CME Activity (apply toward general CME requirement) for the following ABMS Member Boards:   

  • Allergy and Immunology
  • Anesthesiology
  • Colon and Rectal Surgery
  • Family Medicine
  • Medical Genetics and Genomics
  • Nuclear Medicine
  • Physical Medicine and Rehabilitation
  • Plastic Surgery
  • Preventive Medicine
  • Psychiatry and Neurology
  • Radiology
  • Thoracic Surgery
  • Urology

MOC IV

Providers who participate in the Stepping-in for Respect training, including the pre and post assessment, may be eligible for MOC Part IV credit through the School of Medicine ABMS Portfolio Program. Participation in the ABMS Portfolio Program recognizes activities designed to improve provider practices and the care of patients. Following completion of Stepping-in For Respect training, a member of the CPD MOC Part IV team will reach out via email. If you meet the criteria outlined in the meaningful participation requirements, you can complete the attestation link provided in the email for MOC IV credit.

Visit the OHSU Continuing Professional Development website for information about the School of Medicine ABMS Portfolio Program, or reach out at cme@ohsu.edu if you have any questions.