NYU Grossman School of Medicine is committed to ensuring that every student has a positive learning experience. Please report issues or incidents that affected the learning environment in a negative way so that we can take action (either with the identified individual or across the curriculum - and sometimes both).
Issues or incidents you can report here include any of the following:
incidents that could or might be classified as mistreatment that you personally experienced (or witnessed) at any stage of the curriculum incidents or issues that interfered with learning but that might not rise to the level of "mistreatment unprofessional behaviors engaged in by educators at any stage of the curriculum unprofessional behaviors engaged in by clinical teachers and/or members of the healthcare team during clinical stages patient behavior that is abusive or distressing or discriminatory, especially if the students involved (you or others) didn't feel adequately supported anything else you think its important to know in order for us all to work together to ensure a positive learning environment This form is totally ANONYMOUS unless you choose to provide your name and email when given the opportunity to do so. https://nyusom.brightspace.com/d2l/le/lessons/19935/units/262320
A few reminders:
Mistreatment by a patient is generally handled through the workplace safety procedures designed to protect health care professionals (available from your Clerkship/Selective/Adv Clerkship Director and/or on the Clerkship Resources site or via the NYU Langone Health clearinghouse for policies/procedures: http://nyumc.ellucid.com Should you wish to report mistreatment by a patient because it created a negative learning environment, was distressing, and/or was not addressed adequately in terms of support of students, we have included the option for doing so in this form -- please select the "Mistreatment by a Patient" category.
If you want to report an incident of mistreatment, this REDCap form provides you with a secure, anonymous (or confidential if you choose) option.
However, you are always encouraged to contact your Module or Clerkship Director, education leadership (e.g., the Associate Dean for Student Affairs, the Associate Dean of Curriculum, the Assistant Dean Director for Education in the Basic Sciences and the Assistant Dean for Education in the Clinical Sciences), Pre-Clinical/Clinical Student Liaisons, Faculty Members/Advisors, and Supervising Residents to discuss mistreatment and receive guidance in reporting mistreatment.
This form itself is ANONYMOUS -- the link you clicked to get here cannot and does not store any identifying information. However, the form does ask you if you would like to provide your name and contact information in order to further resolve the incident -- you can choose to do so or not. If you choose to provide your name, your information is kept strictly confidential (within limits determined by safety concerns). If you choose NOT to provide your name, your report is anonymous (no identity data are collected and there is no way within the program to link a specific record to an individual). Please note that anonymous reporting limits our ability to respond and resolve the specific incident you are reporting -- however, we will track and monitor such incidents to prevent further problems. If you report an incident confidentially, access to your identity will be limited to evaluation personnel (myself - the Director of Evaluation and designee) and to education leadership (the Associate Dean of Student Affairs and designee and the Assistant Dean for Education in the Clinical Sciences or the Director of Education in the Basic Sciences, depending on curricular stage).
If you provided your name, unless safety concerns require it, your identity will not be shared with anyone else without your permission. Specific details of an incident are not shared with individual Clerkship or Module Directors until after grades/evaluations are completed (and even then only at the level of detail with which you are comfortable, unless safety concerns over-ride). Additionally, you may request that response to the incident be delayed until a time when you are comfortable with the initiation of the response (e.g., after your clerkship year, at graduation, etc).
If you wish to be contacted about the incident, your name will be forwarded to the Associate Dean for Student Affairs who will then reach out to you. The Associate Dean for Student Affairs then works with Assistant Dean for Medical Education in the Basic or Clinical Sciences (as appropriate depending on the curricular stage) to review the report and determine the most appropriate response.
PLEASE NOTE: Responses to reported incidents are handled with care and titrated to the seriousness of the incident. Feedback is given, when appropriate and at the level of confidentiality agreed upon, in a growth-oriented, positive frame with a focus on providing support and resources, and not on punishment. If the incident is determined to be sufficiently serious, the individual may be removed from their education role or be subject to other employment-related consequences.
Colleen Gillespie, PhD
Director, Division of Education Quality
email: colleen.gillespie@nyulangone.org
Date of this report (today's date):
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Today M-D-Y
I am....
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A student reporting a negative learning environment experience or mistreatment that happened to them
A student reporting a negative learning environment incident or mistreatment of another student that they witnessed
An education leader/administrator reporting on an incident a student shared with them (that will be reported on at a level of detail that was discussed with the student)
A member of the DEQ team adding an incident that was reported in curricular evaluation data
Other
Name of person (education leader, administrator, DEQ team member, other) submitting report:
Please describe the incident(s) or concerns you have about the learning environment and/or mistreatment and/or unprofessional behavior in as much detail as possible.
Please tell us what happened.
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Please categorize the nature of the incident that you are reporting -- and SELECT ALL that you think might apply!
There's no right or wrong way to categorize, this just helps us get a sense of the nature of the incident (along with your description above).
NOTE: Descriptions of "mistreatment" reflect the AAMC categories of mistreatment.
And if this report involves sexual misconduct (sexual assault or harassment), please reach out to your Title IX Coordinator/Office. Email: titleix@nyulangone.org Phone: (212) 404-3285 Online and anonymous reporting at https://compliance.nyulmac.alertline.com/gcs/welcome
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Public humiliation
Threat of physical harm
Physical harm (e.g., hit, slapped, kicked)
Required to perform personal services (e.g., shopping, babysitting)
Denied opportunities for training or rewards based on gender
Received lower evaluations or grades solely because of gender rather than performance
Subjected to offensive sexist remarks/names
Denied opportunities for training or rewards based on race or ethnicity
Received lower evaluations or grades solely because of race or ethnicity rather than performance
Subjected to racially or ethnically offensive remarks/names
Denied opportunities for training or rewards based on sexual orientation or gender identity
Received lower evaluations or grades solely because of sexual orientation rather than performance
Subjected to offensive remarks/names related to sexual orientation
Subjected to negative or offensive behavior(s) based on your personal beliefs, including religious/spiritual beliefs, or characteristics other than your gender, race/ethnicity, or sexual orientation
Mistreatment by a patient (patient behavior that was abusive or distressing or discriminatory)
A negative interaction or negative behavior that interfered with student learning/education
Unprofessional behavior(s) engaged in by an educator in the Pre-Clerkship curricular stage
Unprofessional behavior(s) engaged in by an educator in the Clerkship curricular stage (clinical teachers, preceptors, clinical supervisors)
Unprofessional behavior(s) engaged in by members of the healthcare team during clinical stages
Unprofessional behavior(s) engaged in by an educator in the Post-Clerkship curricular stage
Other (please describe below)
Please describe how you might categorize this incident (since none of the other categories seemed to apply):
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Who, in terms of role, was responsible for this incident/concern/issue? (Who engaged in the concerning behavior?)
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Faculty member
Resident
Other Student
Healthcare Team Member
Patient
Other
If OTHER, please describe that person's role:
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If you are comfortable sharing the name of this person, please do so here:
Where (in what curricular unit) did this happen?
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Ambulatory Care Clerkship
Medicine Clerkship
OB/GYN Clerkship
Pediatrics Clerkship
Surgery Clerkship
Psychiatry Clerkship
Neurology (CNS) Clerkship
Critical Care Clerkship
Advanced Med Clerkship
Advanced Peds Clerkship
Advanced Surgery Clerkship
Other Clinical Experience
Pre-Clerkship Module
Other Curricular (non-clinical) Experience
Other Extra Curricular (non-academic, on-campus)
Other
Please describe the OTHER setting (the module, the curricular unit, the extracurricular event, etc) where the incident/issue occurred:
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Please provide us with detailed information on the setting where this occurred.If a clinical site, please include the specific unit. If another educational activity, please describe the specifics of where it occurred, e.g., the classroom, a seminar room, etc). Please provide as much information as you are comfortable doing.
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What can you tell us about WHEN this happened and whether it was a single or multiple incidents?
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It was a single incident and I can provide the date
It was a single incident and I can describe approximately when it happened
There was more than one incident and I can describe approximately the time-span of when it happened
When (actual DATE) did this incident happen?
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Today M-D-Y
Description of when the incident (or incidents) happened:
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Did you report this incident to anyone?
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No
Yes
Not Applicable
To whom did you report this incident?
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Was the incident resolved to your satisfaction?
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No, incident was not resolved to my satisfaction
Yes, incident was resolved to my satisfaction
Unclear/Not Known
Please describe the resolution
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Please describe what you know about any effort to resolve/address this incident?
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PLEASE choose the option below that best reflects how you would like us to respond to this report.We understand your preferred response may change, and if you provide your name and we discuss, additional options may come up -- but simply would like to hear what your preferred approach is at this point.
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I don't want any specific response. I just want there to a record of this incident.
I would like there to a response to this incident soon.
I would like there to be a response, but I prefer to delay that response.
Not Applicable
When would you like this incident to be further investigated/responded to? Please select a specific date so we can track and schedule the follow-up.
Describe in greater detail below the general requirements for you to be comfortable with the report being followed up on (e.g., after done with clinical stage, after clerkship/module is complete, after I graduate).
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Today M-D-Y
Ideally, how would you like this incident to be resolved?
Please let us know how you feel about providing your name and/or being contacted about this incident?This prevents us from following up with you directly (obtaining additional information needed to take some actions OR "closing the loop" and letting you know the response), but we respect students' need for anonymity. We may contact you to discuss in greater detail or check in with you or share the general actions taken, but let us know whether you wish to be contacted or are OK with being contacted or prefer no contact.
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No, I do not wish to provide my name.
I'm OK with providing my name AND would like to be contacted about this incident.
I'm OK with providing my name AND I'm OK with being contacted but don't necessarily need to be contacted
I'm OK with providing my name but prefer not being contacted
Not Applicable
Please provide your NAME and EMAILYour identity will be shared ONLY with the Associate Dean for Student Affairs (and designee) and, depending on the curricular stage you are in, the Director of Education in the Basic Sciences OR the Assistant Dean of Education in the Clinical Sciences.
The Director of Evaluation maintains this secure reporting system and therefore has access but only for the purposes of ensuring an effective mistreatment monitoring process.
If any of these individuals, however, have concerns about safety, they and/or the Medical School may take actions to ensure an individual student's safety and the safety of the community. If we reach out to you, we will ask for your permission before sharing your identify with anyone else and will also ask you about how you want to handle the response to this incident. We will respect your wishes in this regard unless safety considerations override.
NAME and EMAIL:
Any additional information you would like to share at this time, including how this incident made you feel or anything else that you think the Medical School should know?
The Associate Dean for Student Affairs will review this report and work with the the relevant individuals (e.g., Director of Education in the Basic Sciences, Assistant Dean for Education in the Clinical Sciences, Curricular Directors, Faculty, Residency Program Directors, Department Chairs etc) to determine the appropriate response.