Medical Professionalism: the Effects of Sociodemographic Diversity and Curricular Organization on the Attitudinal Performance of Medical Students

Santos, Wilton Silva dos; Laros, Jacob Arie; Trindade, Eliana Mendonça Vilar; Ribeiro, Manoel Dias; Silva, Daniel Adriano Meneses da; Ribeiro, Leonardo Miranda

doi:10.1590/1981-52712015v41n3rb20170003

Cited by 5 publications

(7 citation statements)

References 22 publications

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“…This result was consistent with higher scores on attitudes toward COVID-19 preparedness and attitudes toward career after graduation among religious students. This result resonates the result of previous research in Brazil showing high attitudinal score of religious students than non-religious students [ 12 ].…”

Section: Discussionsupporting

confidence: 91%

“…Identifying factors affecting medical professionalism in medical students during public health crisis is imperative for advancing professionalism education within medical school. Notably, certain demographic characteristics—gender [ 10 ], socioeconomic status [ 11 ], religious affiliation [ 12 ]—have been noted to influence medical students’ perception of medical professionalism, warranting further investigation. Additionally, mental well-being of medical students was found crucial to maintain professional identity [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

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Medical students’ professionalism attributes, knowledge, practices, and attitudes toward COVID-19 and attitudes toward care provision during pandemic amidst the COVID-19 outbreak according to their demographics and mental health

Choi,

Yeo

2024

Korean J Med Educ

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Purpose: This study examines various aspects related to medical professionalism in medical students during coronavirus disease 2019 (COVID-19) pandemic, focusing on their medical professionalism attributes, KPA (knowledge, practices, and attitudes) toward COVID-19 and attitudes toward provision of care in pandemic. We assessed whether these aspects related to medical professionalism were varied by their demographics and mental health level.Methods: Six questionnaires related to medical professionalism were distributed online to medical students in six grades at a single medical school. A one-way analysis of variance was used to examine differences in scores related to medical professionalism based on their demographics, for examples, gender, grade, residence, religion, as well as their mental health levels. Pearson correlation analysis was used to examine correlations between each variable.Results: Female students scored higher on medical professionalism attributes and attitudes toward duty-to-care than male students. Medical professionalism attribute scores were higher with higher relationship satisfaction and resilience levels but lower with higher anxiety levels. Furthermore, these scores were significantly associated with attitudes toward COVID-19 preparedness. However, COVID-19 knowledge and practice scores were negatively associated with attitudes toward COVID-19 preparedness and careers after graduation. Meanwhile, students who took the leave of absence related to 2020 doctors’ strike had significantly lower scores on attitudes toward COVID-19 preparedness and duty to care than those who did not.Conclusion: Our findings suggest that mental health of medical students is strongly related to their various aspects related to medical professionalism, especially their attitudes toward COVID-19 preparedness. Good mental health was positively linked to medical professionalism attributes and attitudes toward COVID-19 preparedness. However, knowledge and practice of COVID-19 were negatively associated with willingness to participate in the pandemic response. Additionally, the experience of the 2020 leave of absence impacted the attitudes of medical students toward COVID-19 preparedness (p=0.015) and their duty to care (p=0.012) negatively.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Medical students’ professionalism attributes, knowledge, practices, and attitudes toward COVID-19 and attitudes toward care provision during pandemic amidst the COVID-19 outbreak according to their demographics and mental health

Choi,

Yeo

2024

Korean J Med Educ

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“…The MS1 group had the greatest agreement with patients regarding EPP (Table 4), especially compared with the MS4 group. Previous studies revealed lower professional attitude scores and less empathy associated with increasing years in medical school [31,32]. MS4s have more experience with sleep deprivation causing physical and mental exhaustion [33].…”

Section: Discussionmentioning

confidence: 97%

Emergency Physician Professionalism: 360 - Degree Perceptions of Healthcare Providers and Patients in Thailand and USA Cultural Context

Narajeenron

Tarapan

Dukovic

et al. 2022

Preprint

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Background: We previously demonstrated generational perspectives of emergency physician professionalism (EPP) defined by healthcare providers and patients in the USA. The present study aimed to further explore EPP perceptions among healthcare providers and patients from emergency departments in the USA and Thailand. Methods: A multicenter cross-sectional study in university-based emergency departments was performed in the USA and Thailand from July 2016 to January 2017. Participants were enrolled from seven centers (USA=2, Thailand=5). All participants were pooled and categorized into two groups: healthcare providers and patients. The former group consisted of attending physicians (APs), nurses, residents, and 4th and 1st year medical students (MS4s and MS1s, respectively). Each participant independently ranked 39 cards describing qualities of EPP. Descriptive statistics, quantitative cultural consensus, and Pearson correlation coefficients were used to assess the data. Results: The total number of participants was 984, with the majority from Thailand (n = 683; 69.41%). The groups of APs, nurses, residents, MS4s, MS1s, and patients included 89, 196, 135, 197, 170, and 197 subjects, respectively. In the USA, APs had a wider range of ages (30-68) than those in Thailand (29-49). APs and nurses had more experiences of unprofessional EPP than MS4s, MS1s, and patients. Thai MS1s started medical school earlier than students in the USA. Both MS4s and MS1s in the USA had more healthcare work-related experiences. All cohorts agreed that having excellent knowledge and procedural skills is the most important behavior for EPP, while wearing a white coat is the least important. The overall data demonstrated a pattern of borderline cultural consensus regarding EPP (eigenvalue ratio = 3.07, mean competency = 0.5, and negative competency = 3.15%), with a validity of 0.95. There was no cultural consensus among healthcare providers and patients.Conclusion: This is the first study showing EPP perceptions in healthcare teams and patients from the USA and Thailand. All participants selected the same rankings of the most and least important EPP-related issues. However, no absolute cultural consensus among healthcare providers and patients was identified. Therefore, more studies on the aspects of EPP are required.

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“…anunciada e transparente, perante a chefia e os pares. Já os sentimos dizem respeito à satisfação, à completude e à felicidade com o trabalho 28 , que podem ser percebidas pelo clima de harmonia que o profissional deixa transparecer ao realizar sua atividade laboral.…”

Section: Casuística E Métodosunclassified

Profissionalismo médico como competência formativa: evidências no currículo e nos significados atribuídos por alunos do internato em Saúde da Família

et al. 2022

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Profissionalismo médico (PM) compreende o exercício da medicina considerando ciência, consciência e excelência. Objetivou-se, neste artigo, descrever como o PM se apresenta no currículo médico e reconhecer o universo semântico dos internos de medicina sobre o tema. Trata-se de pesquisa qualitativa, do tipo estudo de caso, realizada mediante aplicação de questionário a 55 alunos do internato em Saúde da Família de um curso sediado no estado do Ceará, Brasil, e análise do projeto pedagógico do curso (PPC). O PPC foi explorado quanto aos domínios do PM; as palavras expressas pelos estudantes foram processadas pelo software IRaMuTeQ por análise prototípica e de similitude, com discussão à luz da Matriz de Competências do Profissionalismo Médico no Brasil. Competência cultural e compromisso com a competência técnica se destacaram, enquanto que os demais domínios foram identificados como incipientes. Os estudantes atribuíram significados de PM associados à ética (f=39; OME=2,1), à empatia (f=21; OME=2,4) e à responsabilidade (f=17; OME=2,3). O Profissionalismo Médico revelou-se fragmentado no currículo e refletiu universos semânticos em elaboração, elucidando a necessidade de estimular essa competência na formação dos graduandos.

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Medical Professionalism: the Effects of Sociodemographic Diversity and Curricular Organization on the Attitudinal Performance of Medical Students

Abstract: Introduction: Socioeconomic and demographic diversity in the educational

Cited by 5 publications

References 22 publications

Medical students’ professionalism attributes, knowledge, practices, and attitudes toward COVID-19 and attitudes toward care provision during pandemic amidst the COVID-19 outbreak according to their demographics and mental health

Medical students’ professionalism attributes, knowledge, practices, and attitudes toward COVID-19 and attitudes toward care provision during pandemic amidst the COVID-19 outbreak according to their demographics and mental health

Emergency Physician Professionalism: 360 - Degree Perceptions of Healthcare Providers and Patients in Thailand and USA Cultural Context

Profissionalismo médico como competência formativa: evidências no currículo e nos significados atribuídos por alunos do internato em Saúde da Família

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