the weekly source for radiology professionals

Cultivating Professionalism

The state of being cultivated; advancement in physical, intellectual, or moral condition; refinement; culture. Professional- a member of a profession usually with an ethical code and a process of certification or licensure.

What does all that mean and why does it matter that radiography programs cultivate professionalism? Challenges to professionalism in today's environment are numerous and both external and internal to the workforce. More and more our standards are set by external forces as opposed to being developed and maintained internally. Business values traditionally were in contrast to professional values. Now, that line is often blurred and conflicted. In many ways, current health care resembles the business model more than the professional model it once was.

As educators, we all agree that professionalism does matter. So how do we teach or cultivate it in our programs? We should strive to exhibit and reinforce the following five key elements for the true professional: Character, Attitude, Excellence, Competency and Conduct.

Character and Attitude: Professionals aren't born that way; they make a conscious decision to rise above mediocrity. We must show students that we hold ourselves to a higher standard of trust, integrity and honesty. Being a positive role model through our interactions with our peers allows us to project that professional image. We need to demonstrate responsibility and accountability by being positive role models. We can model positive attitudes and a commitment to service mentality by maintaining memberships in our professional organizations and encouraging memberships for our students. Serving as officers, being on committees and attending conferences demonstrate these traits. I love taking my students to a national conference each year. Requiring them to take part in the Opening Ceremonies and the formalities associated with this allows them the opportunity to witness our professionalism at its best.

There are many ways we can teach, convey and reinforce character and attitude. I would love to hear some ideas that other educators are using to help students value these.

Comments
As an RT educator, I couldn't agree with you more! Professionalism is important, and the best way to teach it is to exemplify the right qualities in yourself. While it is sometimes difficult, I try to be careful not to become too friendly with the students because they tend to stop looking at me as an authority figure. Taking them to conferences is a perfect way to witness professionalism in action, as well as give them wonderful experiences.
# Posted By Gillian Whitaker | 3/10/08 11:38 AM
Gillian you bring up a good point. Not becoming "buddies" with your students is sometimes difficult especially when the student population in many of our programs is aging. There is a line that we all must draw at some point to preserve our positions as educators. I believe most students expect that. I am curious if this is an issue for new educators?
# Posted By Debbie | 3/10/08 8:38 PM
:)
# Posted By Connie Lutes | 4/3/08 10:00 AM
I think maintaining a professional relationship with students is essential. Becoming too friendly with students can result in accusations of favoritism. Developing personal relationships with students indicates a lack of professionalism and questionable ethics.
# Posted By Judy | 4/6/08 7:02 PM
I think that we all have some type of personal relationship with our students. It is not realistic in this type of a program to think that we do not. It is the extent of that relationship that can be the issue. We are around them for 2 years consistently and I think part of being a good educator is recognizing what personal issues may be affecting them. Whether we choose to believe it, we are almost like " second parents" to many of them, and for some, their only parent/mentor. I don't really agree with your last sentance as written, but feel that an " appropriate" personal relationship is healthy and often needed. That doesn't mean giving special treatments to one over the other. I try to always remind myself that they are all different and therefore cannot all be treated exactly the same. But they MUST all be treated fairly.
# Posted By Debbie | 4/7/08 9:57 AM
I have my students write examples of what they consider professional and unprofessional behavior in their clinical setting. They are written anonymously in their on-line class and the students all respond to the comments made.
Though I sometimes cringe reading what they have witnessed, by discussing it without the fear of “telling” on someone they are more honest and open and it makes for better discussion.
At the end of the semester we discuss the entries as a class talking about how they felt at the time, how this will change them and what kind of professional they want to be.
# Posted By Patty | 4/15/08 8:49 AM
I like the idea that Patty had for anonymously posting student observed behaviors, and will be passing this idea on to our educators. Thanks.
# Posted By Karen | 4/15/08 11:51 AM
Great way to have them critical think in terms of professionalism. I use a written journal and give them a topic to write about each week. Topics vary across a wide spectrum to get them to think and reflect. I plan on using this as one of my upcoming topics. Thanks
# Posted By Debbie | 4/15/08 2:57 PM
I also utilize the journaling method for skills such as observational and transformational learning as well as critical thinking, reflection and problem based learning. The students need to journal about an actual situation and upon refelction they need to provide solutions for all of those involved including themselves. These scenarios take into consideration the interactions of the patients and their families as well as staff and students. Currently we are using them for Ethics and Legal Issues. In addition I get the students involved in the customer service and measurement committee of the sponsoring institution. This way the student expect themselves to demonstrate the very behaviors and practices that are being measured for customer service. They like being part of the big picture process and they can also use this on their resume'.
# Posted By Charmaine Putnam | 4/18/08 8:44 AM
Professional is important for educators to pass to their students. Students do learn by example. I try to practice what I preach. I sometimes find staff and new educators don't always realize how much students observe thier behaviors. I think some previous ideas are great and could be used throughout the rad departments and in classes.
# Posted By Kristin | 4/28/08 10:33 AM
I think you made a great point. Students really do observe us, and usually when we think they are not interested in what we are doing or saying. I often overhear comments made by students concerning words said or actions they observed in the clinical setting that were less than professional. This does not reinforce the values we are trying to instill in them. It takes all of us to do this, educators and clinical staff together.
# Posted By Debbie | 4/28/08 10:56 AM
I agree with most of what has been posted so far and believe modeling is one of the better ways to demonstrate professionalism. As Ghandi said, we should all strive to be the change we want to see in the world.

One area where I feel improvement could be made regards terms of address - at my urging, about a year ago we began to require all of our new students to adress each faculty member as Mr., Ms., Professor, Doctor Smith, etc. Prior to this change, the students had been on a first name basis with the staff and it tended to blur lines of authority. Requiring the students to address us more formaly reminds them that there is a line of demarcation present that needs to be respected.

Moreover, going back to an earlier post, I do not endorse personal relationships with students. Despite however much they may view us as surrogate parents, to act in accordance with that view sets us on a very slippery slope. That is not to say that we cannot have empathy for a given situation, make recommendations or referrals to students about where to seek assistance for life events that may be troubling or even distracting them from their academic requirements, but relationships have to remain entirely professional in tone and character, if for no other reason that to protect oneself from the appearance of bias, favoritism or even fraternization.
# Posted By Richard Angulo | 4/28/08 7:49 PM
I am an allied health educator also, I agree with your goals and affirm the importance of professionalism. I wanted to share the importance of supporting publishing, speaking at conferences and society involvement. I have found this to be very helpful in developing the professional, and through the years I am delighted to see my former students in all of these rolls (without doing it for the grade) It really gave them a pathway and roll models.
# Posted By cynthia shillingsburg | 4/30/08 11:43 AM
Cynthia, I couldn't have said that better. In their last semester in my Radiographic Pathology course I have the students do the teaching for that course. They each are assigned a system and must develop the objectives, lesson plan, test questions, visual aids, and ppt presentations. They are critiqued by their peers, do a self-evaluation critique and of course I evaluate them. I do this for many reasons, assessing their oral communication skills for one, but to get them use to formally speaking in front of other radiography peers. This, in addition to attending professional conferences with me is done in hopes of encouraging their participation in the future as conference speakers or even better, future educators.
# Posted By Debbie | 5/2/08 1:22 PM
When they realize the value of professionalism as they differentiate clinicians, and determining the importance of medical ethics, work ethic, the need to continue to learn and keep current and the sense of belonging they experience when they meet professionals who value their opinion and affirm that we stand on each others shoulders, they value "the team" and strive to become a valued member of a great team. Everybody wins.

That must be one of the reasons we are educators, at some point we knew one must give back and support the professions we selected.
# Posted By cynthia shillingsburg | 5/2/08 4:31 PM
I love your ideas and wish my instructors would have done the same those many years ago.....
# Posted By Sandy | 5/8/08 10:03 AM
I agree proffessionalism is not an inborn capabilty, as many things in life,, it is a constant necessary learning survival attitude,, :)
# Posted By Miguel | 5/8/08 10:18 AM
I am the clinical coordinator for our community-college-based program, and wanted to share with you a couple of ways that we try to make our students "aware" of professionalism, attitude and character. At the end of each semester, our students fill out a "site evaluation form", in which they get to critique their practicum site! We try to explain to them that this is not a "moan and complain" check-list, but that it should be constructive criticism, as I tally up the results and send it out to the practicum sites at the end of each academic year. The students definitely start to see the "big picture" when it comes to the attitudes and behaviors of those out there in the work force when they have to actually put it down on paper. I get many "I want to be like her because . . ." and "I don't want to be like him because . . ." in these evaluations, which enforces to me that students are taking this seriously and are beginning to form their own individual sense of what it takes to be a professional.
We also give out an award each year at our annual clinical instructors meeting for our "Super-Star CI", in which the students get to vote for the clinical instructor who demonstrated the best all-around professional behavior (a total of 15 areas are assessed). I believe that this is a positive motivation for our students and clinical instructors alike to view and model the superior character traits that we all strive to possess.
# Posted By Emily W. | 5/8/08 10:25 AM
Emily,
I too have my students do "site evaluations" at the end of each semester and you are correct, it does make them think about how they want to be perceived as radiographers. I also have them vote on the clinical educator of the year and present that award at their Graduation Dinner and Awards Ceremony. I request the JRCERT Ceritificate of Excellence Award for Clinical Educators and have it nicely framed. In addition, the graduates also vote for the Radiographer they feel has exhibited professionalism, made them feel like their education was important and supported them as students with their help and guidance( we have 5 clinical sites, so it could be from any site) . This award is also presented at the dinner. In addition to showcasing excellence in that radiographer, I believe it encourages the rest of the staff at that clinical education center and the 4 others to strive to be better role models for the students. And for these graduates to be good role models for future students.
# Posted By Debbie | 5/8/08 10:40 AM
This is so important to the future success of the radiology profession. We not only need to demonstrate professionalism for our students, day to day, but need to instill a pride in our profession and encourage them to get active in their professional organizations. In SD we have developed a student mentor program to encourage their participation. This seems to have sparked interest in all the students, not just the one selected to be a student mentor for the affiliate organization. Encourage them and get them involved as much as possible so they realize that it is not just a job.
# Posted By Mitzi Drey | 5/8/08 4:02 PM
it is great to see the interest coming from the educator community, but I would like to know how this could relate to the technologist community. How can we affect the technologists already out there working in the field? not everyone had the opportunity to go through a program where this was an important part of the curriculum. My program director had us do a journal entry weekly to discuss our thoughts on improvement, observations and comments in general. it helped me and besides that, his course taught us to be professionals from day one in all aspects of our career.

Lorenza Clausen, RT
Sutter Community Hospitals Radiologic Technology Program Graduate 1996
Sacramento, CA
# Posted By lorenza clausen, RT | 5/24/08 1:21 PM
Lorenzo, you certainly have opened another can of worms. I know what you are speaking of since my students comment on this on almost a daily basis. And I probably will get slammed for this one, but I think that "expectation of professionalism" now has to come from the department directors and managers. If some staff were not fortunate enough to get how important professionalism is from their education, they must then get it from somewhere. It becomes the expectations of each manager for this to become reality in their department. I tell my students that they are always the role models in this endeavor.
# Posted By Debbie | 5/27/08 1:27 PM
I agree that managers need to expect professionalism to be just as important as output
# Posted By Patty | 5/27/08 2:20 PM
At my faculty meeting yesterday one of my clinical instructors was describing a program that the employees at his hospital are all attending. It is called " AIDET" which stands for Acknowledge, Introduction, Duration, Explaination and Thank You. Its intent is to promote and improve professionalism in staff in their interactions with patients. As a result, patient/ customer satisfaction would improve. I think it sounds wonderful, and while we teach these concepts in the classroom to students, I am going to have him come to class and reinforce them again since these are also real expectations from employers. A nice step in the right direction and I hope more hospitals will be embarking on this endeavor.
# Posted By Debbie | 5/29/08 2:32 PM
Debbie,
I agree that by working with students for 2 years you develop a personal relationship, however I believe you can maintain a personal and professional relationship. Unfortunately, favoritism is often demonstrated at my place of employment by the clinical coordinators. It becomes a popularity contest rather than an educational experience. In fact, one of our technologists was living with one of our students and involved in a relationship. These are the types of personal relationships that I believe challenge our ethics and professionalism.
# Posted By Judy | 5/29/08 11:47 PM
I love the idea of honoring a clinical instructor and a radiographer at the graduation awards. What a great way to reinforce professional behavior.
# Posted By Judy | 5/29/08 11:55 PM
Judy, you are correct with this. It does, in my mind, make them strive to be better role models and more supportive of students in general. We treat it as a big honor and the department as well as the individuals are always most proud.
# Posted By Debbie | 5/30/08 12:15 PM
my own facility has initiated the AIDET patient relations tool also. our hospital received the distinction of most improved in patient satisfaction in part to this. one of the many complaints from patients was that they were not being told or explained what was going to happen to them, what the exam or procedure was, etc. This makes me pleased that we have improved. without explanations to the patient i don't see the patient actually giving informed consent for the test or procedure. they need to be told and to understand what is going to happen.
# Posted By Lorenza | 6/13/08 12:58 AM
APEX Award ASBPE Award APEX Award ASHPE Award