Is your team role identified on your hospital ID badge??? Now out in @JAMANetworkOpen, we describe our experience rolling out Doctor badges to residents at BWH & MGH. Are these badges helpful?? Read on to find out 👇👇👇 1/ Tweet added by Ben Rome @bnrome

Ben Rome

2 years

Is your team role identified on your hospital ID badge??? Now out in @JAMANetworkOpen , we describe our experience rolling out Doctor badges to residents at BWH & MGH. Are these badges helpful?? Read on to find out 👇👇👇 1/

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Ben Rome

@bnrome

2 years

2/ This idea started back in 2017-18. Based on anecdotes from female colleagues about frequently being misidentified by patients and other staff as non-physician team members. With support from @DrJoelKatz & @MariaYialamas , we distributed Doctor badges to @BrighamMedRes

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Ben Rome

@bnrome

2 years

3/ We reported initial results in @JAMAInternalMed 🔵45% reported at least weekly role misidentification. 🔵Female residents 3.6x more likely to report misidentification 🔵 82% of female residents reported reduced misidentification after Doctor badge

Use of “Doctor” Badges for Physician Role Identification During Clinical Training

This survey-based pilot study explores the frequency and implications of role misidentification experienced by residents at a large academic medical center and evaluates the use of a simple, low-cost...

jamanetwork.com

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Ben Rome

@bnrome

2 years

4/ The badges were extremely well-received. But this study was retrospective (recall bias) and focused on a single residency program. With support from the BWH House Staff Council, GME, and BWH CMO office, we embarked on a prospective study across multiple specialties.

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Ben Rome

@bnrome

2 years

5/ In @AnnalsofSurgery , we reported baseline findings: 🔵 77% reported at least weekly misidentification 🔵More common among female (aOR 23.7) & surgical (aOR 3.7) residents 🔵Misidentification was associated with symptoms of burnout

Sex-Based Role Misidentification and Burnout of Resident... : Annals of Surgery

n team members, with potential negative implications for wellbeing. The prevalence and impact of role misidentification on the trainee experience in surgical as compared to nonsurgical specialties is...

journals.lww.com

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Ben Rome

@bnrome

2 years

6/ Now in @JAMANetworkOpen paper, we report the results from 161 residents who completed surveys before & after badges: 🔵Frequent role misidentification decreased from 50% to 35% 🔵Female residents weremore likely to report improvement after the badge (aOR 2.3)

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Ben Rome

@bnrome

2 years

7/ 🔵Trends in misidentification & burnout were better among the 53% of residents who received/wore the Doctor badges.

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Ben Rome

@bnrome

2 years

8/ In summary: In this large prospective study of residents in multiple specialties, we found that Doctor badges were a simple, low-cost tool that reduced role misidentification, particularly among female residents.

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Ben Rome

@bnrome

2 years

9/ Since this study, @BrighamWomens has started distributing role identification badges to ALL patient-facing staff. Hopefully our findings will convince other academic medical centers to follow suit.

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Ben Rome

@bnrome

2 years

10/ Completing this study was a heroic 5-year team effort by @MikeFooteMD Nina Jain @ersied727 @MariaYialamas @CEPoweMD . 🙏 to @SanjayDivakaran @SophiaKMcKinley @BrighamMedRes @DouglasBJacobs @vawilmarth and many others not on Twitter!

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Kate Simpson, PhD, RNC, FAAN

@KateRSimpson

2 years

@bnrome @JAMANetworkOpen @BrighamMedRes @ersied727 @DrJoelKatz @CEPoweMD @SanjayDivakaran @SophiaKMcKinley It’s always helpful for patients to know the role of each member of their health care team. Is there a reason you chose doctor for the badge rather than physician? Did you assume patients wouldn’t know the term physician?

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Ben Rome

@bnrome

2 years

@KateRSimpson @JAMANetworkOpen @BrighamMedRes @ersied727 @DrJoelKatz @CEPoweMD @SanjayDivakaran @SophiaKMcKinley Yes we felt like Doctor was more accessible to patients. But there was a lot of debate!

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Mary Sun, MD

@QisiMarySun

2 years

@bnrome @JAMANetworkOpen @BrighamMedRes @ersied727 @DrJoelKatz @CEPoweMD @SanjayDivakaran @SophiaKMcKinley Amazing—I didn't know this was part of a QI project. Congrats on the paper!! As a female resident, I experience role misidentification on an almost daily basis. The Doctor badge was a game-changer and security blanket for me.

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David Bates

@DBatesSafety

2 years

@bnrome @JAMANetworkOpen @BrighamMedRes @ersied727 @DrJoelKatz @CEPoweMD @SanjayDivakaran @SophiaKMcKinley Very simple thing and makes a big difference! Nice job—every institution should do this!!

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Amar Kelkar, MD, MPH, FACP

@amarkelkar

2 years

@bnrome @JAMANetworkOpen @BrighamMedRes @ersied727 @DrJoelKatz @CEPoweMD @SanjayDivakaran @SophiaKMcKinley Congratulations and very much appreciated! I noticed these popping up and am glad you were able to study them and demonstrate their effect!

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Marian Hollingsworth

@MarianHolling

2 years

@bnrome @JAMANetworkOpen @BrighamMedRes @ersied727 @DrJoelKatz @CEPoweMD @SanjayDivakaran @SophiaKMcKinley All healthcare workers need to ID themselves accurately. I had a 1st yr resident claim to be a ‘radiation doctor’ over the phone during visitor bans. When I found the truth, it destroyed any trust I had in her or the hospital. I would have been fine if she told her true status.

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Laura Paletta-Hobbs, MD, FHM

@palettala

2 years

@bnrome @JAMANetworkOpen @BrighamMedRes @ersied727 @DrJoelKatz @CEPoweMD @SanjayDivakaran @SophiaKMcKinley I recently was rounding with a male resident (I had my yellow attending DOCTOR identifier on) and when we went into one room, the patient said, “I’ve gotta go. A lady and a doctor are here.” My resident corrected him for me. I think I’ve become dull to it honestly.

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Sunil K. Sahai, MD

@DrSunilKSahai

2 years

@bnrome @JAMANetworkOpen @BrighamMedRes @ersied727 @DrJoelKatz @CEPoweMD @SanjayDivakaran @SophiaKMcKinley Curious as to why you all chose "Doctor" instead of "Physician" for the ID tags?

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RadLady1987

@Haleyml1987

2 years

@bnrome @JAMANetworkOpen @BrighamMedRes @ersied727 @DrJoelKatz @CEPoweMD @SanjayDivakaran @SophiaKMcKinley Need more of this

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Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦

@DrMarthaGulati

2 years

@bnrome @JAMANetworkOpen @BrighamMedRes @ersied727 @DrJoelKatz @CEPoweMD @SanjayDivakaran @SophiaKMcKinley We have the same at @CedarsSinai and I think this is great. Thanks for this excédent piece @ersied727 et al!

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Lauren Baumgarten, MD

@baumie83

2 years

@bnrome @elliotthaut @JAMANetworkOpen @BrighamMedRes @ersied727 @DrJoelKatz @CEPoweMD @SanjayDivakaran @SophiaKMcKinley I have a PHYSICIAN badge and the only people who ever ask why are males. Could put on my forehead and still be misidentified. Sure it’s better than if I didn’t have it. Also helpful are identifying badges for other types of staff: RNs, PT, RT, OT, Admin, etc.

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