Acta Medica Iranica 2017. 55(1):59-67.

Assessment of Clinical Teachers' Professionalism in Iran: From Residents and Fellowships' Perspective
Sima Garshasbi, Hamidollah Bahador, Nahid Fakhraei, Abolfazl Farbod, Maryam Mohammadi, Soleiman Ahmady, Seyed Hassan Emami Razavi

Abstract


In the present study, professional conduct of clinical teachers in Tehran University of Medical Sciences in Iran was assessed by their residents (n=292) and fellowships (n=48) using a standard questioner called self-reported measurement equipment. This evaluation was a descriptive cross-sectional study. Professionalism was questioned in four domains including clinical teacher-patient, clinical teacher-student, inter-professional and clinical teacher-self relationships. Accordingly, mean scores of the teachers in cases of clinical teacher-patient; clinical teacher-student, inter-professional (teamwork) and clinical teacher-self relations were 61%, 62.2%, 60.6% and 57.6%, respectively. Generally, the teachers achieved 60.35% of the positive scores, and as a result, they were assessed intermediate in the professional behaviors. The residents and fellowships stated that they were not completely satisfied with their teacher's professional conduct and had hidden concerns. It shows that the clinical teachers in our project may not be ideal role models. As a result, developing a comprehensive professionalism and implementing regulations to ensure a successful professionalism are necessary. The precise evaluation of professional conduct in clinical faculty could encourage the maintenance of professional behaviors and potentially decrease negative role modeling and positively influence the hidden curriculums. Operational approaches to formulating regulations and appropriate measures for establishing professional ethics are of great importance.

Keywords


Medical professionalism; Clinical teachers; Residents and fellowships; Hidden curriculum

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References


Kovatz S, Shenkman L. Unethical behavior witnessed by medical students during their medical studies. Open Ethics J 2008;2:26-8.

American Board of Internal Medicine, Project Professionalism. Philadelphia, PA: ABIM 1995. (Accessed May 2016, 12, at http://abimfoundation.org).

Asghari F, Nikavaran Fard N, Atabaki A. Are we proper role model for students? Interns’ perception of faculty and residents’ professional behavior. Post Med J 2011;87:519-23.

Buchanan AO, Stallworth J, Christy C, Garfunkel LC, Hanson JL. Professionalism in practice strategies for assessment, remediation and promotion. Paediatrics 2012;129:407-9.

Hall DR. ‘’ is unprofessional behaviour. SAJOG 2013;19:28-9.

Pellegrino E, Thomasma D. The Virtues in Medical Practice. New York: Oxford University Press, 1993.

Jonsen AR. A Short History of Medical Ethics. New York: Oxford University Press, 2000.

Abbasi M. In Quest of Wisdom; Missing Segment ofCurrent Medicine. Q J Med Ethics 2008;2:77-98.

Glicken AD, Merenstein GB. Addressing the hidden curriculum: understanding educator professionalism. Med Teach 2007;29:54-7.

Stern DT. In search of the informal curriculum: when and where professional values are taught. Acad Med 1998;73:S28-30.

D'eon M, Lear N, Turner M, Jones C, Canadian Association of Medical Education. Perils of the hidden curriculum revisited. Med Teach 2007;29:295-6.

Goldstein EA, Maestas RR, Fryer-Edwards K, Wenrech MD, Oelschlager AM, Baernstein A, et al. Professionalism in medical education: an institutional challenge. Med Educ 2006;81:871-6.

Shrank WH, Reed VA, Jernstedt GC. Fostering professionalism in medical education: a call for improved assessment and meaningful incentives. J Gen Intern Med 2004;19:887-92.

Coulehan J. Viewpoint: today's professionalism: engaging the mind but not the heart. Acad Med 2005;80:892-8.

Shrank WH, Reed VA, Jernstedt GC. Fosteringprofessionalism in medical education: a call for improved assessment and meaningful incentives. J Gen Intern Med 2004;19:887-92.

Hafferty FW, Franks R. The hidden curriculum ethics teaching and the structure of med educ.Acad Med1994;69:861-71.

Haidet P, Kelly PA, Chou C, Cirriculum, Culture Study Group. Characterising the patient-centeredness of hidden curriculua in medical schools: development and validation of a new measure. Acad Med 2005;80:44-50.

Todhunter S, Cruess SR, Cruess RL, Young M, Steinert Y. Developing and piloting a form for student assessment of faculty professionalism. Adv Health Sci Educ Theory Pract 2011;16:223-38.

Buyx AM, Maxwell B, Schone-Seifert B. Challenges of educating for medical professionalism: who should step up to the line? Med Educ 2008;42:758-64.

Bryan RE, Krych AJ, Carmichael SW, Viggiano TR, Pawlina W. Assessing professionalism in early medical education: experience with peer evaluation and self- evaluation in the gross anatomy course. Ann Acad Med 2005;34:486-91.

Siraj HH, Salam A, Juriza I, Zaleha A Mahdy, Nabishah M. Professional Conduct of Clinical Teachers: Perspectives of Medical Students. Educ Med J 2014;6:13-9.

Arnold L, Stern DT. What is medical professionalism? In: Stern DT, ed. Measuring Medical Professionalism. New York: Oxford University Press, 2006:97-104.

Chiu CH, Yilu H, Arrigo LG, Wei CJ, Tsai D. A professionalism survey of medical students in Taiwan. J Exp Clin Med 2010;2:35-42.

Hafferty FW, Franks R. The hidden curriculum, ethics teaching and the structure of medical education. Acad Med1994;69:861-71.

Gerber LA. The search for clinical role models as a way of coping with clerkship stress. J Med Educ 1979;54:659-61.

Brainard AH, Brislen HC. Viewpoint: Learning Professionalism: A View from the Trenches. Acad Med 2007;82:1010-4.

Frankford DM. Institutions of reflective practice. J Health Polit Policy Law 1997;22:1295-308.

Kenny NP, Mann KV, MacLeod H. Role Modeling in Physicians’ Professional Formation: Reconsidering an Essential but Untapped Educational Strategy. Acad Med 2003;78:1203-10.

Stern D. Measuring medical professionalism. Oxford: Oxford University Press, 2006.

Swick HM, Szenas P, Danoff D, Whitcomb ME.Teaching professionalism in undergraduate medical education. JAMA 1999;282:830-2.

Elliotta DD, May W, Schaff PB, Nyquist JG, Triala J,Reillya JM, et al. Shaping professionalism in pre-clinical medical students: Professionalism and the practice of medicine. Med Teach 2009;31:e295-302

Cruess RL, Cruess SR, Johnston SE. Professionalism: An ideal to be sustained. Lancent 2000;356:156-9.


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