Comparison of professionalism between emergency medicine resident physicians and faculty physicians: A multicenter cross-sectional study

Abstract

Professionalism is a critical competency for emergency medicine (EM) physicians, and professional behavior affects patient satisfaction. However, the findings of various studies indicate that there are differences in the interpretation of professionalism among EM resident physicians and faculty physicians. Using a cross-sectional survey, we aimed to analyze common challenges to medical professionalism for Japanese EM physicians and survey the extent of professionalism coursework completed during undergraduate medical education. We conducted a multicenter cross-sectional survey of EM resident physicians and faculty physicians at academic conferences and eight teaching hospitals in Japan using the questionnaire by Barry and colleagues. We analyzed the frequency of providing either the best or second-best answers to each scenario as the main outcome measure and compared the frequencies between EM resident physicians and EM faculty physicians. Fisher's exact test and the Wilcoxon rank sum test were used to analyze data. A total of 176 physicians (86 EM resident physicians and 90 EM faculty physicians) completed the survey. The response rate was 92.6%. The most challenging scenario presented to participants dealt with sexual harassment, and only 44.5% chose the best or second-best answers, followed by poor responses to the confidentiality scenario (69.9%). The frequency of either the best or second-best responses to the confidentiality scenario was significantly greater for EM resident physicians than for EM faculty physicians (77.1% versus 62.9%, p = 0.048). More PLOS ONEPLOS ONE | https://doi.org/10.

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

“…There was no absolute cultural consensus among healthcare providers and patients. Previous studies examined EPP perceptions in one or a few groups of participants [17][18][19]. The present study aimed to simultaneously assess the EPP viewpoints from all related persons in EDs (healthcare providers and patients) to assess 360-degree perceptions.…”

Improving Medical Education: A Narrative Review

“…Most health professionals are well aware of professionalism and its impact on medical education and clinical practice [ 31 ]. In a study in Japan, emergency medicine (EM) residents scored higher than EM physicians when questioned about confidentiality and sexual harassment [ 32 ]. Another study showed that clinical groups of students scored higher than preclinical students in a quiz about professionalism.…”

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“…It is also important to understand that the PDs and other educators could play a fundamental role in the residents' performances, ranging from considering those educators as role models, to continuously assessing and delivering sufficient feedback. Several studies have been conducted regarding residents' performances, but none addressed the direct effect of educators on their residents' performances [2][3][4][5]. The lack of studies about the direct effect of educators on the performance of residents is a major gap within the academic literature.…”

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