Perception of medical professionalism in students of the last year of their career in a Peruvian university.
DOI:
https://doi.org/10.20453/rnp.v84i1.3931Keywords:
Medical professionalism, medical students, ethicsAbstract
Objective: To describe concepts, experiences, and perspectives from senior (7th Year) medical students of a Peruvian university, regarding Medical Professionalism. Material and Methods: A survey was applied to medical students that completed their Internship at the Faculty of Medicine of the Universidad Peruana Cayetano Heredia, during Results: The percentage of responses reached a 90.5%. The three most common responses were ethics (51.2%), a good doctor-patient relationship (43%), and knowledge (41.9%). Approximately eighty-one percent (81.4%) of the students “agreed” or “strongly agreed” with the fact that professionalism can be learned and taught. The contact with positive models from the faculty (4.26 / 5.00) was considered as the most useful method for learning about professionalism, while only 25.6% considered adequate the number of activities dedicated to the teaching of the topic. Conclusions: Medical interns consider ethics, good patient-physician communication, knowledge, respect and responsibility as the main attributes of medical professionalism. They perceived that their concept of professionalism was more influenced by positive faculty models than by formal academic activities.
References
Coulehan J. Today’s professionalism: Engaging the mind but not the heart. Acad Med. 2005; 80:892–8.
De Ferrari A, Gentille C, Davalos L, Huayanay L, Malaga G. Attitudes and relationship between physicians and the pharmaceutical industry in a public general hospital in Lima, Peru. PLoS ONE. 2014; 9(6): e100114. doi:10.1371/journal. pone.0100114
Munayco-Guillén F, Cámara-Reyes A, Muñoz-Tafur LJ, Arroyo-Hernández H, Mejia CR, Lem-Arce F, Miranda-Soberón UE. Características del maltrato hacia estudiantes de medicina de una universidad pública del Perú. Rev Peru Med Exp Salud Publica. 2016; 33(1): 58-66. doi: 10.17843/rpmesp. 2016.331.2008.
Sierra A, Zárate J, Mejia CR. Maltrato asociado al acoso laboral a internos de Medicina en hospitales peruanos. Educación Médica Superior. 2019;33 (4):e1720.
Ticse R. El Examen Clínico Objetivo Estructurado (ECOE) en la evaluación de competencias de comunicación y profesionalismo en los programas de especialización en Medicina. Rev Med Hered. 2017; 28:192-199.
Cruess SR, Cruess RL, Steinert Y. Teaching professionalism across cultural and national borders: Lessons learned from an AMEE workshop. Med Teach. 2010; 32(5):371–374.
Chandratilake M, McAleer S, Gibson J. Cultural similarities and differences in medical professionalism: a multi-region study. Med Educ. 2012; 46(3):257–266.
Al-Abdulrazzaq D, Al-Fadhli A, Arshad A. Advanced medical students’ experiences and views on professionalism at Kuwait University. BMC Medical Education. 2014; 14:150.
Brownell AK, Cote L. Senior residents’ views on the meaning of professionalism and how they learn about it. Acad Med. 2001; 76(7):734–737.
Adkoli BV, Al-Umran KU, Al-Sheikh M, Deepak KK, Al-Rubaish AM. Medical students’ perception of professionalism: a qualitative study from Saudi Arabia. Med Teach. 2011; 33(10):840–845.
ABIM Foundation; ACP-ASIM Foundation; European Federation of Internal Medicine. Medical professionalism in the new millennium: A physician charter. Ann Intern Med. 2002; 136:243–246.
O’Sullivan H, van-Mook W, Fewtrell R, Wass V. Integrating professionalism into the curriculum: AMEE Guide No. 61, Medical Teacher. 2012; 34(2): e64-e77, DOI: 10.3109/0142159X.2012.655610
Chandratilake M, McAleer S, Gibson J. Cultural similarities and differences in medical professionalism: a multi-region study. Med Educ. 2012; 46(3):257–266.
Swick HM, Szenas P, Danoff D, Whitcomb ME. Teaching professionalism in undergraduate medical education. JAMA. 1999; 282(9):830–832.
Jiang S, Yan Z, Xie X, Tang W, Lu F, He J. Initial knowledge of medical professionalism among Chinese medical students. Med Teach. 2010; 32(12):961–970.
Van De Camp K, Vernooij-Dassen MJFJ, Grol RPTM, Bottema BJAM. How to conceptualize professionalism: a qualitative study. Med Teach. 2004; 26:696–702.
Mayo GV, Quijano EG, Ponce DA, Ticse R. Utilización de la Escala de Empatía Médica de Jefferson en Residentes que realizan su especialización en un hospital peruano. Rev Neuropsiquiatr. 2019; 82(2):131-140. DOI: 10.20453/rnp.v82i2.3540
Salam A. A pilot study on professionalism of future medical professionals in Universiti Kebangsaan Malaysia (UKM) Medical Centre. Procedia. 2012; 60:534–540.
Brown D, Ferrill MJ, Lloyd L. The taxonomy of professionalism: reframing the academic pursuit of professional development. American Journal of Pharmaceutical Education 2009; 73(4): 68.
Guillén-López OB, Olascoaga-Mesía AC. Habilidad de los médicos residentes para comunicar malas noticias. Rev Soc Peru Med Interna. 2017; 30 (2):78-81.
Quispe RC, Muñoz EM, Cadillo AV, Ticse R. Perception of medical communication skills during the clinical interview in a Peruvian teaching hospital: validation and application of an assessment tool. Medwave. 2019;19(9):e7705.
Lozano EA, Tafur KB, Olascoaga AC. Implementación de un curso de comunicación para médicos residentes de primer año; V Congreso Internacional de Educación Médica - CIEM2019. Lima; Asociación Peruana de Facultades de Medicina; 2019. p.25.
Ticse R, Cuba S, Nestares J, Aguilera L. Efecto de un entrenamiento corto en habilidades de comunicación con el método CICAA (conectar, identificar, comprender, acordar y ayudar), en médicos residentes de una universidad peruana. Rev Med Hered. 2019; 30:148-156.
Dwyer T, Takahashi SG, Hynes MK, et al. How to assess communication, professionalism, collaboration and the other intrinsic CanMEDS roles in orthopedic residents: use of an objective structured clinical examination (OSCE). Can J Surg. 2014; 57(4):230-6.
Harden RM, Laidlaw JM. Essential Skills for a Medical Teacher: An introduction to teaching and learning in medicine. New York: Elsevier; 2012.
Chachaima- Mar JE, Ticse R. El estudiante de medicina como profesor en el Perú: un rol importante pero olvidado. Educ Med. 2020; 21(6): 410-411. DOI: 10.1016/j.edumed.2019.07.003
Nishigori H, Otani T, Plint S, Uchino M, Ban N. I came, I saw, I reflected: A qualitative study in to learning outcomes of international electives for Japanese and British medical students. Med Teach. 2009; 31: e196–e201.
Baldwin DC, Daugherty SR, Rowley BD. Unethical and unprofessional conduct observed by residents during their first year of training, Academic Medicine. 1998; 73(11): 1195–1200.
Feudtner C, Christakis DA, Christakis NA. Do clinical clerks suffer ethical erosion? Students’ perceptions of their ethical environment and personal development. Academic Medicine. 1994; 69:670–9.
Al-Eraky MM. Twelve Tips for teaching medical professionalism at all levels of medical education,Medical Teacher. 2015; 37(11): 1018-1025. DOI: 10.3109/0142159X.2015.1020288
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