@bnrome
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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@bnrome
Ben Rome
@bnrome
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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@bnrome
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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@bnrome
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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@bnrome
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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@bnrome
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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@bnrome
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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@bnrome
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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@bnrome
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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@bnrome
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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