Responding to unprofessional behavior by trainees - a "just culture" framework.
This paper discusses adapting a just culture framework to respond to unprofessional behavior in medical trainees. Such an adaptation can distinguish among different kinds of lapses (medical error, lapse in professionalism), set clear expectations for behavior, promotes fairness in the evaluation process and encourages consistency in the response to the behavior. Applying a ‘just culture’ framework can help medical educators facilitate learning while fairly and rigorously addressing problematic behaviors.