Attitudes of ophthalmology and pediatrics residents toward professionalism

Document Type : Original Article

Authors

1 Department of Optometry, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran

2 Eye Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

3 Department of Medical Informatics, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

4 Department of Medical education, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

Background: Professionalism is an important competency for residents in medical education. The present study aimed to assess the attitudes of ophthalmology and pediatrics residents toward professionalism.
Methods: In this cross-sectional study, the Persian version of the modified American Board of Internal Medicine (ABIM) questionnaire was distributed among all the ophthalmology and pediatrics residents in Mashhad University of Medical sciences, during the academic year of 2018-2019. The questionnaire consists of demographic data and 15 items covering three domains including excellence, honor/integrity and altruism/respect.
Results: Out of 103 residents, 77 (74.75%) respondents completed the questionnaires. The overall mean scores of professionalism were reported as 107.60±15.5 and 105.64±10.8 (out of 150) for the ophthalmology and pediatrics residents, respectively, and there was no significant difference between the two groups in this regard (P=0.53). The mean values for items forming the excellence domain were 5.44±1.8 and 5.47±1.4 (out of 10) for the ophthalmology and pediatrics residents, respectively (P=0.93). The mean values for the honor/integrity domain were reported as 8.38±1.2 and 8.2±1 (out of 10) for the ophthalmology and pediatrics residents, respectively (P=0.17). Regarding the altruism/respect domain, the mean scores were 7.46±1.1 and 7.37±0.7 (out of 10) for the ophthalmology and pediatrics residents, respectively (P=0.68).
Conclusion: The results of the current study revealed a moderate level of attitudes toward professionalism among the ophthalmology and pediatrics residents. The importance of giving more attention to the excellence domain seems a priority for the development of professionalism in residency programs. 

Keywords

References

  1. Hoffman LA, Shew RL, Vu TR, Brokaw JJ, Frankel RM. The association between peer and self-assessments and professionalism lapses among medical students. Eval Health Prof. 2017;40(2):219-43.
  2. Al-Eraky MM, Chandratilake M. How medical professionalism is conceptualised in Arabian context: a validation study. Med Teach. 2012;34(sup1):S90-S5.
  3. Rowley BD, Baldwin Jr DC, Bay RC, Cannula M. Can professional values be taught? a look at residency training. Clin Orthop Relat Res (1976-2007). 2000;378:110-4.
  4. Brennan MD, Monson V, editors. Professionalism: good for patients and health care organizations. Mayo Clinic Proceedings; 2014: Elsevier.
  5. Kirk LM, editor. Professionalism in medicine: definitions and considerations for teaching. Baylor University Medical Center Proceedings; 2007: Taylor & Francis.
  6. Cohen JJ. Professionalism in medical education, an American perspective: from evidence to accountability. Medical education. 2006;40(7):607-17.
  7. Papadakis MA, Teherani A, Banach MA, Knettler TR, Rattner SL, Stern DT, et al. Disciplinary action by medical boards and prior behavior in medical school. N Engl J Med Overseas Ed. 2005;353(25):2673-82.
  8. Lee AG, Beaver HA, Boldt HC, Olson R, Oetting TA, Abramoff M, et al. Teaching and assessing professionalism in ophthalmology residency training programs. Surv Ophthalmol. 2007;52(3):300-14.
  9. Beckman HB, Markakis KM, Suchman AL, Frankel RM. The doctor-patient relationship and malpractice: lessons from plaintiff depositions. Arch Intern Med. 1994;154(12):1365-70.
  10. Fargen KM, Drolet BC, Philibert I. Unprofessional behaviors among tomorrow’s physicians: review of the literature with a focus on risk factors, temporal trends, and future directions. Academic Medicine. 2016;91(6):858-64.
  11. Li H, Ding N, Zhang Y, Liu Y, Wen D. Assessing medical professionalism: A systematic review of instruments and their measurement properties. PLoS One. 2017;12(5):e0177321.
  12. Arnold EL, Blank LL, Race K, Cipparrone N. Can professionalism be measured? The development of a scale for use in the medical environment. Acad Med. 1998;73(10):1119-21.
  13. DeLisa JA, Foye PM, Jain SS, Kirshblum S, Christodoulou C. Measuring professionalism in a physiatry residency training program. Am J Phys Med Rehabil. 2001;80(3):225-9.
  14. Aramesh K, Mohebbi M, Jessri M, Sanagou M. Measuring professionalism in residency training programs in Iran. Med Teach. 2009;31(8):e356-e61.
  15. Spiwak R, Mullins M, Isaak C, Barakat S, Chateau D, Sareen JS. Medical students' and postgraduate residents' observations of professionalism. Education for Health. 2014;27(2):193.
  16. Cook AF, Sobotka SA, Ross LF. Teaching and assessment of ethics and professionalism: a survey of pediatric program directors. Acad Pediatr. 2013;13(6):570-6.
  17. Fallat ME, Glover J, Bioethics Co. Professionalism in pediatrics. Pediatrics. 2007;120(4):e1123-e33.
  18. Asghari F, Fard NN, Atabaki A. Are we proper role models for students? Interns' perception of faculty and residents' professional behaviour. Postgrad Med J. 2011;87(1030):519-23.
  19. Mianehsaz E, Tabatabaee SMR, Sharif MR, Gilasi HR, Far HRS, Tabrizi BN. Professionalism among medical residents in a young second-level university in Iran: a cross-sectional study. J Med Ethics Hist Med. 2020;13.
  20. Ahadi T, Mianehsaz E, Raissi G, Moraveji SA, Sharifi V. Professionalism in residents of physical medicine and rehabilitation in Iran. J Med Ethics Hist Med. 2015;8.
  21. Krain LP, Lavelle E. Residents' perspectives on professionalism. J Grad Med Educ. 2009;1(2):221-4.
  22. Cho CS, Delgado EM, Barg FK, Posner JC. Resident perspectives on professionalism lack common consensus. Ann Emerg Med. 2014;63(1):61-7.
  23. Passi V, Johnson S, Peile E, Wright S, Hafferty F, Johnson N. Doctor role modelling in medical education: BEME Guide No. 27. Med Teach. 2013;35(9):e1422-e36.
  24. Brissette MD, Johnson KA, Raciti PM, McCloskey CB, Gratzinger DA, Conran RM, et al. Perceptions of unprofessional attitudes and behaviors: implications for faculty role modeling and teaching professionalism during pathology residency. Arch Pathol Lab Med. 2017;141(10):1394-401.
  25. Jauregui J, Gatewood MO, Ilgen JS, Schaninger C, Strote J. Emergency medicine resident perceptions of medical professionalism.West J Emerg Med. 2016;17(3):355.
  26. Glannon W, Ross LF. Are doctors altruistic? J Med Ethics. 2002;28(2):68-9.
  27. Rider EA, Nawotniak RH, Smith G. A practical guide to teaching and assessing the ACGME core competencies: HC Pro, Inc.; 2007.
  28. Van Mook WN, de Grave WS, van Luijk SJ, O'Sullivan H, Wass V, Schuwirth LW, et al. Training and learning professionalism in the medical school curriculum: current considerations. Eur J Intern Med. 2009;20(4):e96-e100.
  29. Seif-Farshad M, Bazmi S, Amiri F, Fattahi F, Kiani M. Knowledge of medical professionalism in medical students and physicians at Shahid Beheshti University of Medical Sciences and affiliated hospitals—Iran. Medicine. 2016;95(45).
  30. Hochberg MS, Berman RS, Kalet AL, Zabar S, Gillespie C, Pachter HL. Professionalism training for surgical residents: documenting the advantages of a professionalism curriculum. Ann Surg. 2016;264(3):501-7.
  31. Dilday JC, Miller EA, Schmitt K, Davis B, Davis KG. Professionalism: A Core Competency, but What Does it Mean? A Survey of Surgery Residents. J Surg Educ. 2018;75(3):601-5.
  32. Wood L, Hassell A, Whitehouse A, Bullock A, Wall D. A literature review of multi-source feedback systems within and without health services, leading to 10 tips for their successful design. Med Teach. 2006;28(7):e185-e91.
  33. Guraya SY, Guraya SS, Mahabbat NA, Fallatah KY, Al-Ahmadi BA, Alalawi HH. The desired concept maps and goal setting for assessing professionalism in medicine. J Clin Diagn Res. 2016;10(5):JE01.
Future of Medical Education Journal
Volume 11, Issue 4
December 2021
Pages 9-14

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