Medical professionalism: a permanent challenge in medical education

Main Article Content

Eliane Pedra Dias https://orcid.org/0000-0002-0917-6091
Maria Amélia Ferreira

Keywords

professionalism; non-professional behavior; medical education

Abstract

Professionalism represents a set of values, behaviors and responsibilities applied to patient care. The awareness of Faculty on students’ perceptions of these values is core in medical education. The objective of this study was to obtain a written statement of 1st year medical students of the Faculty of Medicine, University of Porto, Portugal. At the beginning and at the end of a seminar on Professionalism, students were asked to send by e-mail two or four words, respectively, associated with professionalism and non-professional behavior. We received 368 words, being associated with professionalism at the beginning: responsability, competence, ethics. At the end, the more frequent words were: compassion (1 word at the beginning), thrust, competence. Among the non-professional, lack of empathy rose from 5% to 42%. Differences were demonstrated in students’perceptions, before and after the presentation. This shows the importance of a transversal approach on professionalism in medical education

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References

Ahmad, T., Sattar, K., Akram, A. (2020). Medical professionalism videos on YouTube: Content exploration and appraisal of user engagement. Saudi J Biol Sci, 27(9), 2287-2292. doi:10.1016/j.sjbs.2020.06.007.
Alrassi, J., Katsufrakis, P. J., Chandran, L. (2020). Technology Can Augment, but Not Replace, Critical Human Skills Needed for Patient Care. Acad Med, 0.1097/ACM.0000000000003733. doi:10.1097/ACM.00000000000 03733.
Barnhoorn, P. C., Youngson, C. C. (2014). Defining professionalism: Simplex sigillum veri!. Med Teach, 36(6), 545.doi:10.3109/0142159X.2014.909016.
Birden, H., Glass, N., Wilson, I., Harrison, M., Usherwood, T., Nass, D.(2014). Defining professionalism in medical education: a systematic review. Med Teach, 36(1), 47-61. doi:10.3109/0142159X.2014.850154.
Braga, R. A necessidade do ensino do profissionalismo. (2019). Rev Port Med Geral Fam, 35, 258-60. doi:10.32385/rpmgf.v35i4.12638.
Byszewski, A., Hendelman, W., McGuinty, C., Moineau, G. (2012). Wanted: role models--medical students’ perceptions of professionalism. BMC Med Educ,15(12),115. doi: 10.1186/1472-6920-12-115.
Franco, C. A. G. D.S., Franco, R. S., Lopes, J. M.C., Severo, M., Ferreira, M. A. (2018). Clinical communication skills and professionalism education are required from the beginning of medical training - a point of view of family physicians. BMC Med Educ, 18(1), 43. doi:10.1186/s12909-018-1141-2.
Franco, R. S., Franco, C. A., Kusma, S. Z., Severo, M., Ferreira, M. A. (2017). To participate or not participate in unprofessional behavior - Is that the question?. Med Teach, 39(2), 212-219. doi:10.1080/0142159X.2017.12 66316.
Franco, R.S., Franco, C.A., Severo, M., Ferreira, M.A. (2015). General competences on medical professionalism: Is it possible?. Med Teach, 37(10), 976-977. doi:10.3109/0142159X.2015.1045 853.
Hoonpongsimanont, W., Sahota, P. K., Chen, Y., Patel, M,. Tarapan, T., Bengiamin, D., Sutham,
K., Imsuwan, I., Dadeh, A. A., Nakornchai, T., Narajeenron, K. (2018). Physician professionalism: definition from a generation perspective. Int J Med Educ, 28(9), 246-252. doi: 10.5116/
ijme.5ba0.a584.
Jauregui, J., Gatewood, M. O., Ilgen, J.S., Schaninger, C., Strote, J. (2016). Emergency Medicine Resident Perceptions of Medical Professionalism. West J Emerg Med, 17(3), 355-361. doi:10.5811/westjem.2016. 2. 29102.
Karunakaran, I., Thirumalaikolundusubramanian, P., Nalinakumari, S. D. (2017). A preliminary survey of professionalism teaching practices in anatomy education among Indian Medical Colleges. Anat Sci Educ, 10(5), 433-443. doi:10.1002/ase.1679.
Larramendy-Magnin, S., Anthoine, E., L’Heude, B., Leclère, B., Moret, L. (2019). Refining the medical student safety attitudes and professionalism survey (MSSAPS): adaptation and assessment of patient safety perception of French medical residents. BMC Med Educ, 21(1), 222. doi:
10.1186/s12909-019-1667-y.
Merlo, G., Ryu, H., Harris, T. B., Coverdale, J. (2021). MPRO: A Professionalism Curriculum to Enhance the Professional Identity Formation of University Premedical Students. Med Educ Online, 26(1),1886224. doi: 10.1080/10872981.2021.1886224.
Morihara, S. K., Jackson, D.S., Chun, M. B. (2013). Making the professionalism curriculum for undergraduate medical education more relevant. Med Teach, 35(11), 908-914. doi:10.3109/0142159X.2013.820273.
Mueller, P. S. (2009). Incorporating professionalism into medical education: the Mayo Clinic experience. Keio J Med. 58(3), 133-143. doi:10.2302/kjm.58.133.
Mueller, P. S. (2015). Teaching and assessing professionalism in medical learners and practicing physicians. Rambam Maimonides Med J, 6(2), e0011. doi:10.5041/RMMJ.10195.
Ramos, H. V. Profissionalismo – Um Desafio. (2014). Acta Radiológica Portuguesa, 101 XXVI 9-10.
Sattar, K., Akram, A., Ahmad, T., Bashir, U. (2021). Professionalism development of undergraduate medical students: Effect of time and transition. Medicine (Baltimore) 5;100(9):e23580. doi: 10.1097/MD. 00000000000 23580.
Stehman, C. R., Hochman, S., Fernández-Frackelton, M., et al. (2019). Professionalism Milestones Assessments Used by Emergency Medicine Residency Programs: A Cross-sectional Survey. West J Emerg Med, 21(1), 152-159. doi:10.5811/westjem.2019.11.44456.