Fostering Faculty Well-Being Through Personal, Community, and Cultural Formation at an Academic Medical Center: Indiana University School of Medicine as a Case Study

  • Debra K. Litzelman
  • Penelope R. Williamson
  • Anthony L. Suchman
  • Stephen P. Bogdewic
  • Ann H. Cottingham
  • Richard M. Frankel
  • David L. Mossbarger
  • Thomas S. Inui

Indiana University School of Medicine is the site of a unique initiative impacting faculty well-being through a comprehensive cultural change effort. The initiative was based on applying relationship-centered care not only to doctors and patients, but also to all members of the academic community across missions.

Early cultural change efforts focused on changing the formal curriculum and creating a broadly distributed, written document on the organization's guiding professional values. These initial cultural change efforts were foundational for a more comprehensive movement emphasizing formation as described in this chapter. Over several years, a wide variety of programs and professional development opportunities emphasizing personal formation (knowing self), community formation (finding community), and cultural formation (creating value) were offered. The insights, perceived impact, and observed outcomes are reported through the personal stories of Indiana University School of Medicine (IUSM) community members.


Faculty well-being cultural change academic health centers informal curriculum relationship-centered care personal formation community formation cultural formation faculty stories 


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  1. 1.
    Carter, J. (2006) Cross This Bridge at a Walk Nicholasville: Wind Publications.Google Scholar
  2. 2.
    Kirsch, D.G. AAMC President's Address 2007: “Culture and the courage to change” (Accessed at www.aamc.org1/5/08).
  3. 3.
    Inui, T.S. (2003) A Flag in the Wind: Educating for Professionalism in Medicine Washington, DC: Association of American Medical Colleges.Google Scholar
  4. 4.
    Palmer, P.J. (1998) The Courage to Teach: Exploring the Inner Landscape of a Teacher's Life, 1st ed. San Francisco, CA: Jossey-Bass.Google Scholar
  5. 5.
    Stacey, R.D. (2001) Complex Responsive Processes in Organizations London: Routledge.Google Scholar
  6. 6.
    Litzelman, D.K., and Cottingham, A.H. (2007) The new formal competency-based curriculum and informal curriculum at Indiana University School of Medicine: overview and five year analysis Academic Medicine 82, 410–421.PubMedCrossRefGoogle Scholar
  7. 7.
    Brater, D.C. (2007) Infusing professionalism into a school of medicine: perspectives from the Dean Academic Medicine 82, 1094–1097.PubMedCrossRefGoogle Scholar
  8. 8.
    Palmer, P.J. (2004) A Hidden Wholeness: The Journey Toward an Undivided Life San Francisco, CA: Jossey-Bass.Google Scholar
  9. 9.
    Stacey, R.D. (2000) Strategic Management and Organizational Dynamics, 3rd ed. Harlow: Financial Times Prentice-Hall.Google Scholar
  10. 10.
    Streatfield, P.J. (2001) The Paradox of Control in Organizations London: Routledge.Google Scholar
  11. 11.
    Ryan, R.M., and Deci, E.L. (2000) Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being American Psychologist 55, 68–78.PubMedCrossRefGoogle Scholar
  12. 12.
    Cooperrider, D.L., and Srivasta, S. (1987) Appreciative inquiry in organizational life: research in organizational change and development JAI Press, 1, 129–69.Google Scholar
  13. 13.
    Watkins, J.M., and Mohr, B.J. (2001) Appreciative Inquiry: Change at the Speed of Imagination San Francisco, CA: Jossey-Bass/Pfeiffer.Google Scholar
  14. 14.
    Suchman, A.L., Botelho, R.J., and Hinter-Walker, P. (1998) Partnerships in Healthcare: Transforming Relational Process Rochester: Rochester University Press.Google Scholar
  15. 15.
    Suchman, A.L., Williamson, P.R., Litzelman, D.L., Frankel, R.M., Mossbarger, D.L., Inui, T.S., et al. (2004) Towards an informal curriculum that teaches professionalism: Transforming the social environment of a medical school Journal of General Internal Medicine 19, 501–504.PubMedCrossRefGoogle Scholar
  16. 16.
    Suchman, A.L. (2006) An Annotated Bibliography on Relationship-Centered Administration. Rochester, New York: Relationship Centered Health Care. (Accessed at http://www.relation-shipcenteredhc. com/artman/publish/category_list.php).
  17. 17.
    Suchman, A.L., and Williamson, P.R. (2004) Changing the culture of a medical school using appreciative inquiry and an emergent process Appreciative Inquiry Practitioner May, 22–25.Google Scholar
  18. 18.
    Suchman, A.L. (2006) A new theoretical foundation for relationship-centered care Journal of General Internal Medicine 21, S40–S44.PubMedCrossRefGoogle Scholar
  19. 19.
    Tresolini, C.P., and the Pew-Fetzer Task Force (1994) Health Professions Education and Relationship-centered Care San Francisco, CA: Pew Health Professions Commission.Google Scholar
  20. 20.
    Kouzes, J.M., and Posner, B.Z. (2002) The Leadership Challenge, 3rd ed. San Francisco, CA: Jossey-Bass.Google Scholar
  21. 21.
    Cottingham, A.H., Suchman, A.L., Litzelman, D.K., Frankel, R.M., Mossbarger, D.L., Williamson, P.R., Baldwin, D.C., and Inui, T.S. (2008) Enhancing the informal curriculum of a medical school: a case study in organizational culture change. Journal of General Internal Medicine. 23(6):715–22, 2008 Jun.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Debra K. Litzelman
    • 1
  • Penelope R. Williamson
    • 2
  • Anthony L. Suchman
    • 3
  • Stephen P. Bogdewic
    • 4
  • Ann H. Cottingham
    • 5
  • Richard M. Frankel
    • 6
  • David L. Mossbarger
    • 7
  • Thomas S. Inui
    • 8
  1. 1.Associate Dean for Medical Education and Curricular AffairsIndiana University School of MedicineIndianapolisUSA
  2. 2.Department of MedicineThe Johns Hopkins University School of Medicine, Relationship Centered Health CareBaltimoreUSA
  3. 3.Relationship Centered Health Care, Department of Medicine, Department of PsychiatryUniversity of Rochester School of Medicine and DentistryNew YorkUSA
  4. 4.Department of Family Medicine, Office of Faculty Affairs and Professional DevelopmentIndiana University School of MedicineIndianapolisUSA
  5. 5.Director of Special ProgramsIndiana University School of MedicineIndianapolisUSA
  6. 6.Department of MedicineIndiana University School of Medicine, Richard L. Roudebush VAMC, Regenstrief Institute Inc.IndianapolisUSA
  7. 7.Regenstrief Institute, Inc.Indiana University School of MedicineIndianapolisUSA
  8. 8.Associate Dean for Health Care Research, Professor of Medicine; President and CEORegenstrief Institute Inc.IndianapolisUSA

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