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Table 4 Priority 4: A safe, supportive learning environment that facilitates the co-production of professional development for physicians and safe and effective patient care

From: Responsiveness to societal needs in postgraduate medical education: the role of accreditation

Ensure a respectful, supportive, and caring environment for trainees, faculty, and staff Promotion of the professional and personal development of learners; improved work environment for learners/faculty/staff
(quality, equity) [3]
Accreditation: Accreditation standards against harassment of trainees; standards for trainees and others to raise concerns with their learning and working environment
Institution and program: Institutional- and program-level efforts to promote respect and caring in the learning and working environment
Promote the safety and effectiveness of patient care in teaching settings Appropriate supervision and oversight of care; improved experience of care for patients
(quality, equity) [3]
Accreditation: Accreditation standards limiting trainee work hours; standards to educate trainees and faculty and fatigue management; standards for appropriate supervision and faculty oversight of care in teaching settings, and equity of care regardless of patients’ payer status
Institution and program: Institutional- and program-level efforts to promote trainee alertness and fitness to provide care; programs to provide appropriate supervision and faculty oversight of care
Enhance the well-being of trainees, faculty, and other participants in the learning environment Reduced burnout, distress, and depression in residents, faculty, and other professionals; enhanced work-life balance
(quality, equity) [3]
Accreditation: Accreditation standards for trainee and faculty wellness programs; trainee access to care programs for physical and mental care and counselling
Institution and program: Institutional programs to provide care, counselling, and suicide prevention for trainees and faculty in distress [24]; programs to address the consequences of patient death, medical error, or other adverse events for residents and faculty [25]