Pyramid for Promoting Reliability and Professional Accountability

  • The Professionalism Pyramid is built on a structure of escalated communication as patterns of unprofessional behavior develop but is based in the concept that the vast majority of professionals conduct themselves in exemplary ways.
  • All health professionals and administrators are subject to lapses and may engage in what appear to represent single “acts” of unprofessional conduct.
  • Individuals who exhibit recurrent patterns of unprofessional conduct genuinely represent an anomaly, and therefore need to have their behavior addressed.
  • When a pattern of unprofessional conduct appears to exist, individuals need varying levels of intervention.
  • Dotted lines separate various levels of intervention.  They are not solid, to reflect the importance of professional judgment and differences among organizations in deciding when to use each level.
  • CPPA research reveals that for those who exhibit patterns of unprofessional conduct, most respond to an awareness intervention.
  • Unfortunately, some individuals will not or cannot respond at the Awareness level and need a more directive approach higher in the pyramid.
  • The conversations establish a structure of escalated communication, and everyone needs a supported plan for responding to reactions to conversations.

Participation in the CPPA PARS® process includes extensive education regarding the use of the tiered interventions shown in the Professional Pyramid.

This link provides a detailed introduction into the PARS and CORS process.