An Innovative Curriculum to Empower Trainees and Faculty to Address Patient-Initiated Identity-Based Misconduct in the Clinical Learning Environment

Date of Review: July, 2026

This resource provides a toolkit and workshop template about how to address patient-initiated identity-based misconduct in the clinical learning environment. It is structured by providing a space for open discussion, learning of how to use the I-RESPOND toolkit, and practice with patient scenarios on using the skills. This also helped inform institutional policies on how to address these situations. This resource provides easy access to the toolkit, presenter guide, facilitators’ guide and the workshop presentation, which would provide an opportunity for institutions to ensure diversity is celebrated and misconduct isn’t tolerated. –Bako Orionzi, MD, NCEAS

Corresponding Author’s Email:

ajamis@uw.edu

Institution:

University of Washington

Where was the Curriculum Implemented:

Seattle, WA

Outcomes that Have Been Reported for the Curriculum:

Self-reported learner knowledge

Self-reported learner behavior in simulated setting

Outcome and Study Design:

Pre/Post

Level of Learner Assessment

Appreciation of content/attitude assessment (self-reflection, blogging with rubric)

Demonstration of skill in a controlled environment (OSCE, Simulation)