David Geffen School of Medicine at UCLA Graduate Medical Education
 
House Staff Manual
Disruptive Behavior Purpose Policy
Procedure Confidential Report Follow-up

POLICY

It is the expectation of the house staff that members behave in a courteous, cooperative and professional manner. Disruptive behavior including verbal or physical attacks; inappropriate comments; demeaning criticism; is not permitted and will be addressed by corrective action.

A. For the purposes of this Policy, “disruptive behavior” means any conduct of behavior including, but not limited to, use of language that is profane, vulgar, sexually suggestive or explicit, degrading, or racially/ethnically/r eligiously slurring in any professional setting related to the care of its patients; or any behavior that is deemed to be intimidating or harassing; any unwanted touching, sexually-oriented or degrading jokes or comments, obscene gestures or physical throwing of objects.

Also included are making inappropriate comments about each other or patients, which:
  1. jeopardize or are inconsistent with quality patient care, or interfere with the ability of others to provide quality patient care or be involved with the educational program
  2. are unethical; or
  3. constitute the physical or verbal abuse of others involved with providing patient care, or educational instruction.
B. Disruptive behavior occurs in varying degrees, which are classified into three levels of severity. Level I behavior is the most severe violation of this Policy. Any corrective action will be commensurate with the nature and severity of the disruptive behavior. Repeated instances of disruptive behavior will be considered cumulatively and action taken accordingly.

C. Classification of severity shall follow these guidelines:
Level I: Physical violence or other physical abuse including sexual harassment involving physical contact.

Level II: Verbal abuse such as unwarranted yelling, swearing, or cursing; threatening, humiliating, sexual or otherwise inappropriate comments directed at a person or persons, or physical violence or abuse directed in anger at an inanimate object.

Level III: Verbal abuse that is directed at-large, but has been reasonably perceived by a witness to be disruptive behavior as defined above.
D. The training programs and clinical services shall promote continuing awareness of this Policy among the house staff and the faculty, including the following efforts:
  1. sponsoring or supporting educational programs on disruptive behavior to be offered to house staff members and faculty;
  2. disseminating this Policy to all current members upon the adoption of the Policy and to all new members of the house staff upon joining the staff;
  3. requiring that the Medical Staff Health Committee be available to assist a member of the house staff exhibiting disruptive behavior to obtain education, behavior modification, or other treatment to prevent further violations.


Back to Table of Contents