Contextualizing the Physician Charter on Professionalism in Qatar: From Patient Autonomy to Family Autonomy

Ho, Ming‐Jung; Al‐Khal, Abdullatif; Tekian, Ara; Shih, Julie; Shaw, Kevin; Wang, Chung Hsiang; Alyafei, Khalid; Konopasek, Lyuba

doi:10.4300/jgme-d-16-00010.1

Cited by 8 publications

(11 citation statements)

References 29 publications

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“…Their panel validated the appropriateness of the six ABIM domains to the Arabian context but further proposed professional autonomy as an additional professionalism construct. Ho and colleagues investigated the applicability of the Western framework of professionalism to the local context in Qatar [ 30 ]. These investigators conducted 6 focus groups with 43 clinician-educators practicing at Hamad Medical Corporation in Doha, Qatar and while the participants generally expressed agreement with the applicability of the ABIM’s charter’s professionalism constructs to their context, they desired to enlarge the scope of patient autonomy to include family autonomy.…”

Section: Discussionmentioning

confidence: 99%

Perceptions of medical students towards the practice of professionalism at the Arabian Gulf University

2021

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Background To enhance the development of a curriculum in professionalism for medical students, the aim of this research was to evaluate medical students’ responses regarding professionalism teaching and behaviors in their clinical experience at the Arabian Gulf University (AGU). Methods A retrospective cross-sectional, questionnaire-based study involving Year 5 medical students at the AGU. We used a “climate of professionalism” survey that consisted of two parts. The first part asked students to rate their perceptions of the frequency of professionalism practices of their peers (medical students), residents, and faculty. The response choices included: “mostly”, “sometimes”, and “rarely”. The second part asked the students to assess their perceptions of the professionalism teaching and behaviors of the faculty. The response choices included: “mostly”, “sometimes”, and “rarely”. We calculated an overall score for the responses in both parts of the questionnaire by assigning 3, 2, and 1 points to the response choices, respectively. We also calculated subscale scores reflecting different professionalism constructs. We used descriptive statistics and a one-way Analysis of Variance (ANOVA) followed by multiple testing comparisons with Bonferroni correction to examine pairwise comparisons. A p < 0.05 was considered statistically significant. Results The mean total scores of participants’ ratings of professional behaviors of medical students, residents, and faculty for each academic year were approximately 60% of the total maximum score. The mean total scores of participants’ rating of faculty’s teaching and modeling behaviors concerning professionalism were approximately 58% of the maximum score. Compared with similar studies performed in the Arab Region, ratings regarding professional teaching and modeling of professionalism were lower. Conclusion We recommend the further evaluation of professionalism teaching and behaviors at the AGU and further discussions regarding curriculum reform.

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Section: Discussionmentioning

confidence: 99%

Perceptions of medical students towards the practice of professionalism at the Arabian Gulf University

2021

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“…In the present study, we could quantify and discriminate levels of professionalism between ophthalmologists-intraining, consultants and a group of experts by using a customized scenario-based survey on professionalism. The cutoff of 50% of survey responses found acceptable for analysis in our study was also used by Ho et al [5] in a study that assessed professionalism.…”

Section: Discussionmentioning

confidence: 83%

“…The United States Accreditation Council for Graduate Medical Education (ACGME) defines competency in professionalism as demonstrating [1] compassion, integrity, and respect for others [2]; responsiveness to patient needs that supersedes self-interest [3]; respect for patient privacy and autonomy [4]; accountability to patients, society, and the profession; and [5] sensitivity and responsiveness to a diverse patient population [9,10]. Our survey addressed most of the elements that are included in ACGME definition for professionalism.…”

Section: Discussionmentioning

confidence: 99%

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Medical professionalism in ophthalmology: design and testing of a scenario based survey

et al. 2020

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Background Professionalism is hard to quantify but essential in medical practice. We present a survey tool for ophthalmologists that assessed professionalism using case-based scenarios in central Saudi Arabia. Methods Ophthalmologists (resident, fellows and consultants) participated in a web-based survey in 2015. Out of 44 attributes related to professionalism, experts selected 32 attributes with validity indices of ≥0.80. To evaluate these attributes, 51 scenario-based questions were developed and included in the survey. For each attribute, participants were given choices of close ended responses: unacceptable (1), probably unacceptable (2), acceptable (3), probably acceptable (4). The attribute score was compared to the gold standard (responses of an expert group). An attribute score was generated and compared among subgroups. Results Of the 155 ophthalmologists, responses of 147 ophthalmologists who completed more than 50% of questions were reviewed. Their mean attribute score was 84.1 ± 10.1 (Median 87.1; 25% quartile 78.1; minimum 50; and maximum 100). The variation in attribute score among consultants, fellows and resident ophthalmologists was significant (P = 0.008). The variation of attribute score by groups of attributes was also significant (P < 0.05). The score for ‘Personal characteristics’ was on a lower scale compared to that of other attribute groups. The variation in the scores for attribute groups; ‘Personal characteristics attribute’ group (p < 0.01) and ‘Workplace practices & relationship’ group (P = 0.03) for consultants, fellows and residents were significant. Conclusions Professionalism among ophthalmologists and those in training was high and influenced by years of experience. The survey tool appeared to show differences in responses to specific professional attribute groups between trainees and consultants. Additional studies with a larger sample size might be helpful in validating the survey as a tool to be used to assess professionalism in graduate medical education in ophthalmology.

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“…Approximately 30-35 % of practicing physicians and international medical graduates working in England are from developing countries. 4,5 In comparison the percentage of foreign returned Pakistani doctors is only 5-10 %. 6 Extensive research has been done regarding adaptations made by migrating doctors during their stay in developed countries.…”

Section: Introductionmentioning

confidence: 97%

Management of professionalism matters by foreign returned doctors in Khyber Pakhtunkhwa Province.

et al. 2020

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Abstract Objective: To determine the management of professionalism issues by foreign returned doctors who are practicing clinicians after returning from abroad. Methods: The qualitative study was conducted in tertiary care hospitals of Khyber Pakhtunkhwa province from January to August 2016. Purposive sampling technique was used to include foreign returned doctors who shared how they managed professionalism matters in context of contrasting cultures at home and abroad. The participants were interviewed in-depth, and the audio records were transcribed verbatim. The data analysis generated codes that were consolidated under categories and then themes. Results: Interviews with ten foreign returned doctors led to 20 codes that resulted in eight categories out of which four main themes were developed namely; Foreign Cultural influence that observed how their stay abroad have influenced their practice methods. Experience, showed how personal experiences of the interviewees helped forge their practice rules in Pakistan. Social Contract theme included the ways in which foreign returned doctors understood and accepted the concept of social contract in Pakistan as compared to west and how they adapted accordingly. Wise Man Approach included the help sought and received by foreign returned doctors from their senior colleagues in managing and adjusting to societal norms regarding professional behaviors in Pakistan. Conclusion: There are multiple dissimilarities between the socio-cultural aspects, practices, and knowledge of foreign returned and local medical practitioners. There exists a gap in knowledge with regards to their clinical practice between foreign returned and local doctors. Continuou....

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Contextualizing the Physician Charter on Professionalism in Qatar: From Patient Autonomy to Family Autonomy

Abstract: Background The Physician Charter on medical professionalism has been endorsed by professional organizations worldwide, yet it is unclear if this Western framework of professionalism is applicable in non-Western countries.

Cited by 8 publications

References 29 publications

Perceptions of medical students towards the practice of professionalism at the Arabian Gulf University

Perceptions of medical students towards the practice of professionalism at the Arabian Gulf University

Medical professionalism in ophthalmology: design and testing of a scenario based survey

Management of professionalism matters by foreign returned doctors in Khyber Pakhtunkhwa Province.

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