Training Psychiatry Residents in Professionalism in the Digital World

John, Nadyah Janine; Shelton, P.G.; Lang, Michael; Ingersoll, Jennifer

doi:10.1007/s11126-016-9473-8

Cited by 7 publications

(2 citation statements)

References 15 publications

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“…Yet no single, universal definition of physician professionalism exists, instead, healthcare experts and educators have described professionalism using a number of behaviors and characteristics that include fidelity to patient trust, accountability, respect, compassion, integrity, sound ethics, altruism and truthfulness 6 , 7 . Previous studies identified concrete examples of physician behaviors that patients regard as professional, such as formally greeting patients with a handshake and taking notes while speaking to the patient 8 .…”

Section: Introductionmentioning

confidence: 99%

Physician professionalism: definition from a generation perspective

et al. 2018

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Objectives The primary objective of this study was to determine whether consensuses on the definition of emergency physician professionalism exist within and among four different generations. Our secondary objective was to describe the most important characteristic related to emergency physician professionalism that each generation values. Methods We performed a cross-sectional survey study, using a card-sorting technique, at the emergency departments of two university-based medical centers in the United States. The study was conducted with 288 participants from February to November 2017. Participants included adult emergency department patients, emergency medicine supervising physicians, emergency medicine residents, emergency department nurses, and fourth- and second-year medical students who independently ranked 39 cards that represent qualities related to emergency physician professionalism. We used descriptive statistics, quantitative cultural consensuses and Spearman’s correlation coefficients to analyze the data. Results We found cultural consensuses on emergency physician professionalism in Millennials and Generation X overall, with respect for patients named the most important quality (eigenratio 5.94, negative competency 0%; eigenratio 3.87, negative competency 1.64%, respectively). There were consensuses on emergency physician professionalism in healthcare providers throughout all generations, but no consensuses were found across generations in the patient groups. Conclusions While younger generations and healthcare providers had consensuses on emergency physician professionalism, we found that patients had no consensuses on this matter. Medical professionalism curricula should be designed with an understanding of each generation’s values concerning professionalism. Future studies using qualitative methods across specialties, to assess definitions of medical professionalism in each generation, should be pursued.

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Section: Introductionmentioning

confidence: 99%

Physician professionalism: definition from a generation perspective

et al. 2018

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“…For example, in Keefe vs Adams, the eighth US Circuit Court of Appeals ruled that a nursing student could be expelled for Facebook posts that showed a lack of professionalism [ 56 ]. To prevent risks to students and institutions, educators should provide comprehensive and practical guidelines using effective and creative methods (eg, vignettes or simulations) [ 57 , 58 ]. Academic institutions should provide clear policies for students’ social media activities and a safe forum in which all members of the community can constructively discuss controversial issues.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Cyberincivility in Posts by Health Professions Students: Descriptive Twitter Data Mining Study

Gagné¹,

Cho²,

Yamane³

et al. 2021

JMIR Med Educ

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Background Health professions students use social media to communicate with other students and health professionals, discuss career plans or coursework, and share the results of research projects or new information. These platforms allow students to share thoughts and perceptions that are not disclosed in formal education settings. Twitter provides an excellent window through which health professions educators can observe students’ sociocultural and learning needs. However, despite its merits, cyberincivility on Twitter among health professions students has been reported. Cyber means using electronic technologies, and incivility is a general term for bad manners. As such, cyberincivility refers to any act of disrespectful, insensitive, or disruptive behavior in an electronic environment. Objective This study aims to describe the characteristics and instances of cyberincivility posted on Twitter by self-identified health professions students. A further objective of the study is to analyze the prevalence of tweets perceived as inappropriate or potentially objectionable while describing patterns and differences in the instances of cyberincivility posted by those users. Methods We used a cross-sectional descriptive Twitter data mining method to collect quantitative and qualitative data from August 2019 to February 2020. The sample was taken from users who self-identified as health professions students (eg, medicine, nursing, dental, pharmacy, physician assistant, and physical therapy) in their user description. Data management and analysis were performed with a combination of SAS 9.4 for descriptive and inferential statistics, including logistic regression, and NVivo 12 for descriptive patterns of textual data. Results We analyzed 20 of the most recent tweets for each account (N=12,820). A total of 639 user accounts were analyzed for quantitative analysis, including 280 (43.8%) medicine students and 329 (51.5%) nursing students in 22 countries: the United States (287/639, 44.9%), the United Kingdom (197/639, 30.8%), unknown countries (104/639, 16.3%), and 19 other countries (51/639, 8.0%). Of the 639 accounts, 193 (30.2%) were coded as having instances of cyberincivility. Of these, 61.7% (119/193), 32.6% (63/193), and 5.7% (11/193) belonged to students in nursing, medicine, and other disciplines, respectively. Among 502 instances of cyberincivility identified from 641 qualitative analysis samples, the largest categories were profanity and product promotion. Several aggressive or biased comments toward other users, politicians, or certain groups of people were also found. Conclusions Cyberincivility is a multifaceted phenomenon that must be considered in its complexity if health professions students are to embrace a culture of mutual respect and collaboration. Students’ perceptions and reports of their Twitter experiences offer insights into behavior on the web and the evolving role of cyberspace, and potentially problematic posts provide opportunities for teaching digital professionalism. Our study indicates that there is a continued need to provide students with guidance and training regarding the importance of maintaining a professional persona on the web.

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