Developing and validating an instrument to measure: the medical professionalism climate in clinical settings

Asghari, Fariba; Shahvari, Zahra; Ebadi, Abbas; Alipour, Fateme; Samadi, Shahram; Bahreini, Maryam; Amini, Homayoun

doi:10.18502/jmehm.v14i11.7666

Cited by 2 publications

(2 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Ashgari and colleagues presented a different questionnaire to residents, staff physicians, nurses and patients [24]. They found that residents scored the professionalism environment lower than nurses and faculty members, perhaps because of their increased sensitivity to its aws.…”

Section: Limitationsmentioning

confidence: 99%

Evaluating Professionalism in Residency Training: The Learning Environment for Professionalism Survey

Byszewski

Pearson

Wood

et al. 2023

Preprint

View full text Add to dashboard Cite

Background Professionalism is a key competency in multiple medical education frameworks. The teaching and evaluation of professionalism is an accreditation standard for undergraduate and postgraduate medical training in Canada. As a result, there is a need for valid tools to assess professionalism in the learning environment (LE). One method that has demonstrated promise is the Learning Environment for Professionalism (LEP) survey. It is a brief and balanced tool consisting of 11 questions that assesses medical trainees' and attending physicians' positive and negative professionalism behaviours. Previous studies have shown it is an easily administered, reliable tool that produces valid results for assessing professionalism in both undergraduate and postgraduate LEs. This study aimed to expand the application of the LEP survey to more varied programs, across several institutions and to examine LEs longitudinally over a longer period of time.Methods All postgraduate medical programs at the University of Ottawa were approached to participate in this study. Seven training programs (anesthesiology, cardiac surgery, plastic surgery, urology, family medicine, internal medicine, and pediatrics) agreed to facilitate the administration of the LEP survey at four hospitals in Ottawa (The Ottawa Hospital Civic and General campuses, the Ottawa Heart Institute, and Children’s Hospital of Eastern Ontario). The LEP survey was carried out iteratively between 2013 and 2020. The LE ratings in each training program and hospital were assessed longitudinally using univariate linear regression. A Bonferroni corrected p-value of ≤ .0045 was used to account for multiple comparisons.Results 3783 survey responses over seven years were included in the analysis. Overall, positive professional behaviours were observed across time and programs. However, one negative item relating to attending physicians treating patients unfairly because of their financial status, ethnic background, sexual or religious preferences worsened.Conclusions This study demonstrated that applying the LEP survey longitudinally across diverse training programs is feasible. Furthermore, it can help program leaders identify areas that require attention and acknowledge areas of exemplary professionalism. Implementation of the LEP survey is an effective strategy to demonstrate continuous monitoring of the LE to accrediting bodies and can be considered an important quality improvement metric.

show abstract

Section: Limitationsmentioning

confidence: 99%

Evaluating Professionalism in Residency Training: The Learning Environment for Professionalism Survey

Byszewski

Pearson

Wood

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…In Moudatsou et al's study, some of the factors that negatively influence the development of empathy are the lack of adequate time, the focus on therapy within the existing academic culture, the high number of patients that professionals have to manage, and the lack of education in empathy (25). In an unprofessional environment, professional practice can hardly take place (32). Providing the context to have professional behavior (including empathy) is a matter that should be taken into consideration by the authorities.…”

Section: Compliance With Professionalismmentioning

confidence: 99%

Rules, Responsibility, and Empathy in Maternity Hospitals: A Qualitative Study in Iran

Shahvari,

Yousefali,

Firoozikhojastefar

2023

Iran J Psychiatry Behav Sci

Self Cite

View full text Add to dashboard Cite

Background: Empathy has been known as one of the fundamental principles of medical professions. Objectives: This study aimed to explore the perspectives of midwives’ trainers, students, and personnel about empathy in maternity hospitals. Methods: A qualitative design using a content analysis approach was used to explore the experiences of midwives’ trainers, students, and personnel in the maternity setting in Gachsaran, Iran. The study involved the recruitment of 41 participants, including 24 students, 14 personnel, and 3 midwifery trainers, who were selected using purposive sampling. Data were collected through 2 rounds of semi-structured interviews conducted via WhatsApp, with participants responding to 2 sets of questions. The text was analyzed using conventional qualitative content analysis, and the extracted codes were managed using MAXQDA software. Results: In general, 265 codes were extracted from the participants' interviews, which were classified into 3 categories (ie, "Client management is a top priority for every midwife, "the meaning of empathy," and “essentials in empathy”) and 9 subcategories. A total of 121 codes explained how to manage clients, 64 codes were related to the meaning of empathy, and 77 codes were linked to what people must consider in empathy. Conclusions: Empathy is a crucial concept in the field of midwifery and should be included in the curriculum. It is essential to emphasize the correlation between empathy and other aspects of midwifery, such as communication skills, clinical competence, and ethics. We recommend that both staff and students undergo ongoing training in the area of professional conduct to enable them to make informed decisions in challenging situations.

show abstract

Developing and validating an instrument to measure: the medical professionalism climate in clinical settings

Cited by 2 publications

References 21 publications

Evaluating Professionalism in Residency Training: The Learning Environment for Professionalism Survey

Evaluating Professionalism in Residency Training: The Learning Environment for Professionalism Survey

Rules, Responsibility, and Empathy in Maternity Hospitals: A Qualitative Study in Iran

Contact Info

Product

Resources

About