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Joltikov KA, Khandekar R, Shenoy P, Jain S, Kumar K, Tiwari US, Kochar S, Sood D, Edward DP, Sen A. An ophthalmology professionalism survey tool: outcomes from a multi-center study in Central India. Indian J Ophthalmol 2023; 71:2953-2958. [PMID: 37530263 PMCID: PMC10538811 DOI: 10.4103/ijo.ijo_47_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2023] [Revised: 06/03/2023] [Accepted: 06/13/2023] [Indexed: 08/03/2023] Open
Abstract
Purpose To describe a professionalism survey tool and its use to assess knowledge of medical professionalism in ophthalmology training programs in Central India. Settings and Design Multi-center survey study. Methods A validated 33-question, scenario-based survey addressing professionalism attributes was administered at five centers in central India. The attributes tested included "personal characteristics," "physician-patient relationships," "workplace practice and relationships," and "socially responsible behaviors." A mean attribute score (%) was calculated and compared to "gold standard" responses by a group of expert senior ophthalmologists (100% agreement for responses). Results A total of 225 participants completed the survey; 124 residents, 47 fellows, and 54 consultants (98.4% response rate). The total mean attribute score was 80.7 ± 9.1 (min 16.67, max 100). There was variation in the mean attribute score by professionalism attribute (P < 0.001), and a trend toward higher mean attribute scores for consultants compared to trainees across all attribute groups. The scores for "personal characteristics" (93 ± 9.7) and "physician-patient relationship" (82 ± 15.8) were the highest, whereas scores for "socially responsible behaviors" (73.9 ± 18.6) and "workplace practices" were low (72 ± 13). Conclusions There is a generally high level of professionalism knowledge among ophthalmologists in central India. The results suggest that experience does impact knowledge of professionalism. Potential for improvement in professionalism exists in around "workplace practices", and around "socially responsible behaviors". These findings may serve as a valuable discussion starter and teaching tool to enhance professionalism in ophthalmology training programs.
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Affiliation(s)
- Katherine A Joltikov
- UIC Department of Ophthalmology and Visual Sciences, University of Illinois, Chicago, 1855 West Taylor Street, Chicago Illinois
| | - Rajiv Khandekar
- Department of Epidemiology and Public Health, King Khalid Eye Specialist Hospital, Riyadh, Saudi Arabia
| | - Pratik Shenoy
- Department of Ophthalmology, Shri Sadguru Seva Sangh Trust, Sadguru Netra, Chikitsalaya, Chitrakoot, India
| | - Sashi Jain
- Department of Ophthalmology, Shri Sadguru Seva Sangh Trust, Sadguru Netra, Chikitsalaya, Chitrakoot, India
| | - Kavita Kumar
- Department of Ophthalmology, Gandhi Medical College, Bhopal, Madhya Pradesh, India
| | - Uma Sharan Tiwari
- Department of Ophthalmology, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India
| | - Shipli Kochar
- Department of Ophthalmology, Sardar Patel Medical College, Bikaner, Rajasthan, India
| | - Devendra Sood
- Department of Ophthalmology, Shri Sadguru Seva Sangh Trust, Sadguru Netra, Chikitsalaya, Chitrakoot, India
| | - Deepak P Edward
- UIC Department of Ophthalmology and Visual Sciences, University of Illinois, Chicago, 1855 West Taylor Street, Chicago Illinois
| | - Alok Sen
- Department of Ophthalmology, Shri Sadguru Seva Sangh Trust, Sadguru Netra, Chikitsalaya, Chitrakoot, India
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Alfaris E, Irfan F, Alosaimi FD, Shaffi Ahamed S, Ponnamperuma G, Ahmed AMA, Almousa H, Almotairi N, AlWahibi T, AlQuaeefli M, AlFwzan F, Alomem T, Al-Eraky MM. Does professionalism change with different sociodemographic variables? A survey of Arab medical residents. Ann Med 2022; 54:2191-2203. [PMID: 35989634 PMCID: PMC9397477 DOI: 10.1080/07853890.2022.2105390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Medical professionalism reflects the commitment of physicians to their patients, society, themselves, and the profession. The study examined residents' attitudes towards professionalism and how these attitudes vary among the different demographic groups, namely gender, specialty, and year of residency. METHODS A proportionate random sampling strategy was used to select the study sample. Medical residents from six specialties at a large tertiary care teaching facility were invited to participate in an online survey. The survey used the modified Learners Attitude of Medical Professionalism Scale (LAMPS), which consists of five domains: respect, excellence, altruism, duty/accountability, and integrity. Chi-square, Student t-test, one-way ANOVA, factorial ANOVA, and post hoc analysis were used to examine the attitudinal differences towards professionalism among the different demographic factors. RESULTS The overall response rate was 82.7%. Overall, the residents' self-reported attitudes towards professionalism was positive. The highest score was for the "respect" domain (4.61), and the lowest was for "altruism" (3.67). No significant association was found between the mean scores and the three studied variables, namely, gender, specialty (surgical/nonsurgical), and level (senior/junior). CONCLUSIONS No significant differences were observed in the overall attitude towards professionalism among the residents regarding their year of residency, gender, and specialty. The low altruism score and absence of improvement of the total score regarding the residents' increasing experience in the profession are concerns that need remedial action. Therefore, we suggest that future research look for possible explanations by using multi-institutional surveys that explore not only the residents' attitudes, but also the trainers' attitudes and practice, work situations, the hidden curriculum, and culture. Key messagesAttitudes towards professionalism among different demographic groups of residents do not show similar variations as has been reported in the literature, albeit in different sociocultural contexts.The low altruism score and absence of improvement of the total score as the residents gained more experience in the profession are concerns that need remedial action.A longitudinal study involving more than one institution for both residents and their faculty members to compare faculty scores with those of residents, while controlling for specialty and gender, may help elucidate the factors affecting attitudes towards professionalism and suggest possible means of addressing unfavourable attitudes.
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Affiliation(s)
- Eiad Alfaris
- Department of Family and Community Medicine, College of Medicine, King Saud University Chair for Medical Education Research and Development, King Saud University, Riyadh, Saudi Arabia
| | - Farhana Irfan
- Department of Family and Community Medicine, College of Medicine, King Saud University Chair for Medical Education Research and Development, King Saud University, Riyadh, Saudi Arabia
| | - Fahad D Alosaimi
- Department of Psychiatry, College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | - Shaik Shaffi Ahamed
- Department of Family and Community Medicine, College of Medicine, King Saud University Chair for Medical Education Research and Development, King Saud University, Riyadh, Saudi Arabia
| | - Gominda Ponnamperuma
- Department of Medical Education, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka
| | - Abdullah M A Ahmed
- Department of Family and Community Medicine, College of Medicine, King Saud University Chair for Medical Education Research and Development, King Saud University, Riyadh, Saudi Arabia
| | - Hisham Almousa
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | - Naif Almotairi
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | - Tamim AlWahibi
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | | | - Faisal AlFwzan
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | - Tareq Alomem
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | - Mohamed M Al-Eraky
- Department of Medical Education, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
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Alghulaydhawi FA, Hersi RM, Al-shahwan S. Perception of Medical Professionalism Among Ophthalmology Residents in Saudi Arabia: A National Survey Study. Middle East Afr J Ophthalmol 2022; 29:27-32. [PMID: 36685342 PMCID: PMC9846954 DOI: 10.4103/meajo.meajo_239_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2021] [Revised: 03/18/2022] [Accepted: 06/06/2022] [Indexed: 01/24/2023] Open
Abstract
PURPOSE Studies have shown that there are significant differences in the concepts of medical professionalism among residents. Very few studies have specifically evaluated the perception of medical professionalism in a specific specialty. The aim of the study is to evaluate the perception of medical professionalism among ophthalmology residents and to assess the differences in the concept of professionalism between junior and senior residents. METHODS This cross-sectional study used a questionnaire to survey ophthalmology residents enrolled in different regions of Saudi Arabia in 2020. The ophthalmology residents included both junior and senior residents. In this study, "professionalism" concurred with the definition in the American Board of Internal Medicine's "Project Professionalism" and the Accreditation Council for Graduate Medical Education. RESULTS A total of 167 participants were recruited in the study. Out of the 127 participants who completed the survey, 60 (47.24%) were junior residents and 67 (52.76%) were senior residents. The scores for the attributes varied markedly. The lowest score obtained was 6.54 ± 3.349 for the attribute "In an emergency putting the welfare of others over my own safety" in the "Altrusim" domain and the highest score obtained was 9.62 ± 0.854 for the attribute "respect for co-workers" in the "Respect for others" domain. Out of the total residents who completed the survey (n = 127), 84 (66.14%) agreed that professionalism is teachable through a residency curriculum and 85 (66.93%) thought that it is testable. CONCLUSION The characteristics of different attributes of professionalism varied significantly among the residents. The findings of the present study highlights that the conceptualization and perception of professionalism is changing and there is a need to focus on the resident curriculum to instill the values of professionalism. Targeted training is needed on the concepts of professionalism to develop behaviors consistent with medical professionalism and to evaluate the levels of professionalism among residents.
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Affiliation(s)
- Fahad A. Alghulaydhawi
- Anterior Segment Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia,Address for correspondence: Dr. Fahad A. Alghulaydhawi, Sattam Bin Abdulaziz University Hospital, Alkharj, Saudi Arabia. E-mail:
| | - Reem M. Hersi
- College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
| | - Sami Al-shahwan
- Glaucoma Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia
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Hung CH, Wang YM, Huang CY, Lin CH. Developing of Multidimensional Perspectives Checklist of Professionalism for Undergraduate Occupational Therapy Students in Assistive Technology Service: Delphi Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:7028. [PMID: 35742274 PMCID: PMC9222639 DOI: 10.3390/ijerph19127028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Revised: 06/06/2022] [Accepted: 06/07/2022] [Indexed: 02/04/2023]
Abstract
Professionalism is a critical attribute that occupational therapy students must establish throughout education, especially in the context of assistive technology (AT). This study aimed to construct a multidimensional perspectives checklist (MPC) from the stakeholders to reflect professionalism development in the AT service courses. Fifteen experts in AT clinical practice and educators (N = 15) consented to and completed three rounds of the Delphi survey. Data were qualitatively analyzed to form a preliminary checklist in the first round. In rounds two and three, participants rated their level of agreement with the MPC items. A descriptive analysis of consensus was performed. Thirty items were classified into five subscales (teachers, therapists, patients, peers, learners) and fit into a framework with three dimensions and seven categories. After the Delphi survey, the MPC achieved high consensus, convergence, and stability. Two additional categories of professionalism emerged in the study, namely aesthetic and personal characteristics and reflection. The MPC developed in this study reflects the perspectives of various stakeholders in occupational therapy practice, providing helpful information for students to prepare themselves. Therefore, the MPC could contribute to expanding and developing the scope of professionalism in occupational therapy, especially in AT service.
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Affiliation(s)
- Chia-Hui Hung
- Department of Occupational Therapy, Chung Shan Medical University, Taichung 40201, Taiwan;
- Department of Occupational Therapy, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
| | - Yu-Ming Wang
- Department of Psychology, Chung Shan Medical University, Taichung 40201, Taiwan;
- Clinical Psychological Room, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
| | - Cheng-Yi Huang
- Department of Nursing, Chung Shan Medical University, Taichung 40201, Taiwan;
- Department of Nursing, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
| | - Chung-Hui Lin
- Department of Occupational Therapy, Chung Shan Medical University, Taichung 40201, Taiwan;
- Department of Occupational Therapy, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
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Almaghaslah S, Almaghaslah D. Professionalism among Family Medicine Residents in Al Madinah Region, Saudi Arabia. Open Access Maced J Med Sci 2021. [DOI: 10.3889/oamjms.2021.6836] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Abstract
This was an observational,
descriptive, and cross-sectional study conducted
among the medical students at UB.
Background: Professionalism is the core to sustaining trust between a healthcare provider and the community. Family medicine has an important role in health promotion, prevention and is the first line care which provides service to all age groups; this cross-sectional study was conducted to assess knowledge and attitude among family medicine residents in Al Madinah region.
Methods: A structured self-administered web-based questionnaire was adapted from CanMEDs use to assess professionalism. The questionnaire contained five domains: demographics, commitment to patients, commitment to society, commitment to the profession, and commitment to self. 119 out of 161 residents at family medicine training centres in Al Madinah responded by completing the questionnaire, giving 74% response rate. There was 49% male and 51% female participants; most (47%) graduated from Taibah University, followed by 18% from Umm Al-Qura University.
Results: findings of commitment towards patients indicated that 75% of participants often or always exhibited appropriate professional behaviour and relationships in all aspects of practice. More than 80% of participants often or always demonstrated a commitment to excellence in all aspects of practice. More than half (58%) of participants often or always recognised and managed conflicts of interest. Findings of commitment toward society showed that more than half (59%) of participants often or always demonstrated accountability to patients, society and the profession by responding to societal expectations of physicians always or often. Findings of commitment revealed that 68% of participants often or always fulfilled and adhered to the professional and ethical codes, standards of practice, and laws governing practice. Findings of commitment to oneself showed that 60% of residents often or always exhibited self-awareness and managed influences on personal well-being and professional performance. About two-thirds (65%) often or always managed personal and professional demands for a sustainable practice.
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