Shahnaz Shooshtarizede, Ali Reza Yousefi, Narges Keshtiaray. Medical Professionalism: Teaching and Learning.

(2016) Science and education, 12, 149-155. Odessa.

Shahnaz Shooshtarizede,
faculty member of Islamic Azad University, Falavarjan Branch, post-graduate student,
Islamic Azad University, Khourasgan Branch, Isfahan, Iran
Ali Reza Yousefi,
professor, Medical Education Research Center,
Isfahan University of Medical Sciences, Isfahan, Iran,
Narges Keshtiaray,
associate professor, Department of Educational Science,
Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran


MEDICAL PROFESSIONALISM: TEACHING AND LEARNING


SUMMARY:

The objective of modern education is to ensure that every physician understands the nature of professionalism, its characteristics, and the obligations necessary to sustain it. This can be considered as a cognitive base of professionalism. Teaching the cognitive base of professionalism is not difficult. Establishing the environment where the process of socialization in its most positive sense can take place is much harder. A scientifically competent medicine alone cannot help a patient grapple with the loss of health or find meaning in suffering. Along with professional skills, physicians need the ability to listen to patients and to act on their behalf. This is narrative competence, that is, the competence that human beings use to absorb, interpret, and respond to stories. This competency enables the physician to practice medicine with empathy, reflection, professionalism, and trustworthiness. Through systematic and rigorous training of such narrative skills as close reading, reflective writing, and authentic discourse with patients, medical students can improve their care of patients, commitment to their own health and fulfillment, care of their colleagues, and continued fidelity to medicine’s ideals. Programs can be done to incorporate narrative work into many aspects of medical education and practice. It is time to stop focusing on the rule-based professionalism that dominates in our current teaching. Instead, we must acknowledge the narrative basis of medicine and develop educational experiences that will allow students and residents to learn what it truly means to be a physician. The assessment of professionalism must be subjective, narrative, personal, undertaken during both the periods of stress and during everyday activities (not just on special occasions).


KEYWORDS:

medical professionalism, teaching, learning, curriculum, teaching methods.


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REFERENCES:

1. Coulehan, J. (2005). Today’s professionalism: engaging the mind but not the heart. Acad Med., 80, 10, 892-898
2. Steinert, Y., Cruess, R. L., Cruess, S. R., Boudreau, J. D., Fuks, A. (2007). Faculty development as an instrument of change: A case study on teaching professionalism. Acad Med., 82, 11, 1057-1064.
3. Cruess, R. L., Cruess, S. R. (1997). Teaching medicine as a profession in the service of healing. Acad Med., 72, 941-952.
4. Cruess, R. L., Cruess, S. R. (1997). Professionalism must be taught. BMJ, 315, 1674-1677.
5. Swick, H. M. (2000). Toward a normative definition of professionalism. Acad Med., 75, 612-616.
6. Barondess, J. A. (2003). Medicine and professionalism. Arch Intern Med., 163, 145-149.
7. ABIM (American Board of Internal Medicine). (2003). Medical professionalism in the new millennium: a physician charter. Annals of internal medicine, 136, 234- 246, Lancet, 359, 520-523.
8. Irvine, D. (1997). The performance of doctors, I: Professionals and self- regulation in a changing world. British Medical Journal, 314, 1540-1543.
9. Irvine, D. (1997). The performance of doctors, II: Maintaining good practice, protecting patients from poor performance. British Medical Journal, 314, 1613-1615. 10. Irvine, S. D. (1999). The new professionalism. The Lancet, 353, 1174-1177.
11. Maudsley, G. & Strivens, J. (2004). Promoting professional knowledge, experiential learning & critical thinking for medical students, Medical Education, 34, 535-544.
12. Cruess, R. L., Cruess, S. R. (2006). Teaching professionalism: general principles. Medical Teacher, 28- 3, 205-208.
13. Boudreau, D. J., Cruess, S. R., Cruess, R. L. (2011). Physicianship: Educating for professionalism in the post-flexnerian era. PerspectBio Med. 54, 89-105.
14. Boudreau, J. D., Cassell, E. J., Fuks, A. (2007). A Healing Curriculum. Med. Educ., 41, 1193-1201.
15. Boudreau, J. D., et al. (2008). Patients’ Perspectives on physicians’ roles: implication for Curricular reform, Acad. Med., 83, 744-753.
16. Boudreau, J. D., Cassell, E. J. and Fuks, A. (2008). Preparing medical students to become skilled at Clinical observation. Med. Teach., 30, 857-862.
17. Boudreau, J. D., Cassell, E. J. and Fuks, A. (2009). Preparing medical students to become attentive listeners. Med. Teach., 31, 22-29.
18. Kinghorn, W. A. (2010). Medical education as moral formation: An Aristotelian account of medical professionalism. Perspect Bio Med, 53, 87-105.
19. Hafferty, F. W. (1998). Beyond curriculum reform: confronting medicine´s hidden curriculum. Acad. Med., 73, 403-407.
20. Foster, C., et al. (2006). Educating clergy: Teaching practices and pastoral imagination. San Francisco: Jossey-Bass.
21. Huddle, T. S. (2005). Teaching professionalism: is medical morality a competency? Acad. Med., 80, 885-891. 22. Hafferty, F. W. (2003). Reconfiguring the sociology of medical education: emerging topics and pressing issues, in: C.E. Bird, P. Conrad & A.M. Fremont (Eds), Handbook of Medical Sociology, 5 th ed., (pp. 238- 257). Upper Saddle River, NJ, Prentice Hall.
23. Hafferty, F. W., Castellani, B. (2010). The increasing complexities of professionalism. Acad. Med., 85, 288-301.
24. Royal College of Physicians of London. (2005). Doctors in Society: Medical Professionalism in a Changing World. London Royal College of Physicians of London.
25. Hilton, S. R. and Slotnick, H. B. (2005). Protoprofessionalism: how professionalization occurs across the continuum of medical education. Med. Educ. 39, 58- 65.
26. Rudy D. W., Elam C. L. & Griffith, C. H. (2001). Developing a stage- appropriate professionalism curriculum. Acad. Med., 76, 503.
27. Fraser, S. W. and Greenhalgh, T. (2001). Coping with complexity: educating for capability. BMJ, 323, 799- 803.
28. Hafferty, F. W. (2001). Beyond curriculum reform: confronting medicine’s hidden curriculum. Acad. Med., 76 (10), 403-407.
29. Slotnick, H. B. (2001). How doctors learn: education and learning across the medical school to practice trajectory. Acad. Med., 76 (10), 1013-1026.
30. Driessen, E. W., et al. (2003). Use of portfolios in early undergraduate training. Med. Teacher, 25, (Vol. 1), 18-23.
31. Gordon, J. (2003). Fostering students’ personal and professional development in medicine: a new framework for PPD. Med. Educ., 37, 341-349.
32. Epstein R. M. and Hundert, E. M. (2003). Defining and assessing professional competence. JAMA, 287, 226-235.
33. Cooke, M., Irby, D.M., & O’Brien, B. C. (2010). Educating physicians: A call for reform of medical school and residency. SanFrancisco: Jossey-Bass.
34. Indyk, D., Deen, D., Fornari, A., Santos, M. T., Lu, W. H., & Rucker, L. (2011).The influence oflongitudinal mentoring on medical student selection of primary care residencies. BMC MedicalEducation, (pp. 11- 27).
35. Mitchell, D. E. & Ream, R. K. (2015). Professional Responsibility. Springer International Publishing, Switzerland, chapter 9. pp:141-154, Wilkes. Retrieved from: www.springer.com.
36. Coulehan, J., & Williams, P. C. (2001). Vanquishing Virtue: the impact of medical education. Acad. Med., 76, 598-605.
37. Coulehan, J., & Williams, P. C. (2003). Conflicting professional values in medical education. Cambridge Quarterly of Healthcare Ethics, 12, 7-20.
38. Inui, T. S. (2003). A Flag in the Wind: Educating foe professionalism in Medicine. Washington, DC: Association of American Medical Colleges.
39. Wright, S. M. & Carrese, J. A. (2001). What values do attending physicians try to pass on to house officers? Med. Educ., 35, 641-945. 40. Ludmerer, K. M. (1999). Instilling professionalism in medical education. JAMA, 282, 881-882.
41. Charon, R. (2001). Narrative medicine: a model for empathy, reflection, profession and trust. JAMA, 286, 1897-1902. 

         

       
   
   
         

 

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