Nurturing professionalism in medical schools. A systematic scoping review of training curricula between 1990–2019
| Autor: | Lorraine Hui En Tan, Nicholas Wei Sheng Quek, Yao Hao Teo, Kuang Teck Tay, Xiu Hui Tan, Lalit Kumar Radha Krishna, Laura Hui Shuen Tan, Kishore Prakash, Wei Qiang Lim, Clarissa Wei Shuen Cheong, Annelissa Mien Chew Chin, Stephen Mason, Ahmad Bin Hanifah Marican Abdurrahman, Cheryl Shumin Kow, Yun Ting Ong, Jiaxuan Wu, Ying Pin Toh |
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| Rok vydání: | 2020 |
| Předmět: |
Students
Medical 020205 medical informatics 02 engineering and technology Education 03 medical and health sciences 0302 clinical medicine Consistency (negotiation) Patient satisfaction Meta-Analysis as Topic 0202 electrical engineering electronic engineering information engineering Humans 030212 general & internal medicine Curriculum Schools Medical Medical education ComputingMilieux_THECOMPUTINGPROFESSION Learning environment General Medicine Checklist Professionalism Content analysis Thematic analysis Psychology Construct (philosophy) Education Medical Undergraduate Systematic Reviews as Topic |
| Zdroj: | Medical Teacher. 42:636-649 |
| ISSN: | 1466-187X 0142-159X |
| Popis: | Introduction: Professionalism is an evolving, socioculturally informed multidimensional construct that influences doctor-patient relationships, patient satisfaction and care outcomes. However, despite its clinical significance there is little consistency in how professionalism is nurtured amongst medical students. To address this gap a systemic scoping review of nurturing professionalism in medical schools, is proposed.Methods: Levac's framework and the PRISMA-P 2015 checklist underpinned a 6-stage systematic review protocol. Concurrent use of Braun and Clarke's approach to thematic analysis and directed content analysis was used to identify the key elements in nurturing professionalism.Results: 13921 abstracts were identified from six databases, 854 full-text articles reviewed, and 162 full-text included articles were included. The 4 themes identified through thematic analysis are consistent with findings of the directed content analysis. These were the definition of professionalism, the approaches, content, barriers and enablers to teaching professionalism.Conclusion: Informed by a viable definition of professionalism and clear milestones nurturing professionalism nurturing professionalism begins with culturally appropriate training in clinical competence, humanistic qualities and reflective capacity. This process requires effective evaluations of professional identity formation, and the impact of the learning environment underlining the need for longitudinal assessments of the training process. |
| Databáze: | OpenAIRE |
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