LEARNING PROFESSIONALISM: MEDICAL STUDENTS’ PERSPECTIVE ON IDENTIFYING CLINICAL STAFFS’ BEHAVIOUR

https://doi.org/10.22146/jpki.39105

Fithriyah C. Ummah(1*), Gandes Retno Rahayu(2), Yayi Suryo Prabandari(3)

(1) Fakultas Kedokteran Universitas Airlangga, Surabaya - INDONESIA
(2) Fakultas Kedokteran Universitas Gadjah Mada, Yogyakarta - INDONESIA
(3) Fakultas Kedokteran Universitas Gadjah Mada, Yogyakarta - INDONESIA
(*) Corresponding Author

Abstract


Background: Role modeling is known as one of the most effective methods in learning professionalism, especially in the workplace. Each role model shows a different substantial values of professionalism, therefore the 'positive' or 'negative' role model criterion are difficult to set. This study aims to understand how students identify 'professional behavior’ (positive role model) and ‘unprofessional behavior’ (negative role model).

Method: The design was a qualitative with case study approach. The sample was 20 students of undergraduate medical school at one university in Indonesia, selected by purposive sampling using maximum variation strategy. Gender, GPA, origin, and clinical rotation are used as key dimensions. Data collection used two methods, written narrative and focus group discussion. While the steps of qualitative analysis refers to Miles and Huberman.

Results: This study found four themes as ‘behavioral identification’, namely: 'self-principle', 'self-standard of professionalism', 'normative standard of professionalism' and 'subjectivity'.

Conclusion: Differences in identification are a reflection of students’ cognitive maturity. The outcome of learning professionalism can be improved from ‘valuing’ to ‘organizing’ and ‘internalizing’ through role model exposure and facilitation that provides the opportunity to explore and to reflect on professional values, before the student chooses them independently. This is part of the development of internal belief systems that are closely related on how students build their professional identity.


Keywords


Role model, identification, profesionalism, qualitative

Full Text:

PDF


References

1. Birden H, Glass N, Wilson I, Harrison M, Usherwood T, Nass D. Teaching profesionalism in medical education: A Best Evidence Medical Education (BEME) systematic review. BEME Guide No. 25. Med Teach. 2013 Jul 1;35(7):e1252–66.

2. White CB, Kumagai AK, Ross PT, Fantone JC. A Qualitative Exploration of How the Conflict Between the Formal and Informal Curriculum Influences Student Values and Behaviors: Acad Med. 2009 May;84(5):597–603.

3. Teunissen PW, Wilkinson TJ. Learning and teaching in workplaces. Med Educ Theory Pract Edinb Churchill. 2010;199–203.

4. Satterwhite 3rd WM, Satterwhite RC, Enarson CE. Medical students’ perceptions of unethical conduct at one medical school. Acad Med. 1998;73(5):529–31.

5. Caldicott CV, Faber-Langendoen K. Deception, Discrimination, and Fear of Reprisal: Lessons in Ethics from Third-Year Medical Students: Acad Med. 2005 Sep;80(9):866–73.

6. Kenny NP, Mann KV, MacLeod H. Role modeling in physicians’ profesional formation: reconsidering an essential but untapped educational strategy. Acad Med. 2003;78(12):1203–1210.

7. Jochemsen-van der Leeuw HGAR, van Dijk N, van Etten-Jamaludin FS, Wieringa-de Waard M. The Attributes of the Clinical Trainer as a Role Model: A Systematic Review. Acad Med. 2013 Jan;88(1):26–34.

8. Baxter P, Jack S. Qualitative case study methodology: Study design and implementation for novice researchers. Qual Rep. 2008;13(4):544–559.

9. Sandars J, Jackson B. Self-authorship theory and medical education: AMEE Guide No. 98. Med Teach. 2015;37(6):521–532.

10. Houghton C, Murphy K, Shaw D, Casey D. Qualitative case study data analysis: an example from practice. Nurse Res. 2015;22(5):8–12.

11. Baxter Magolda MB, King PM. Interview strategies for assessing self-authorship: Constructing conversations to assess meaning making. J Coll Stud Dev. 2007;48(5):491–508.

12. Cruess RL, Cruess SR, Boudreau JD, Snell L, Steinert Y. A schematic representation of the profesional identity formation and socialization of medical students and residents: a guide for medical educators. Acad Med. 2015;90(6):718–725.

13. Magolda MB. Three elements of self-authorship. Journal of College Student Development. 2008;49(4):269-84.

14. Hickson GB, Pichert JW, Webb LE, Gabbe SG. A complementary approach to promoting professionalism: identifying, measuring, and addressing unprofessional behaviors. Academic Medicine. 2007 Nov 1;82(11):1040-8

15. Barilan YM, Brusa M. Deliberation at the hub of medical education: beyond virtue ethics and codes of practice. Med Health Care Philos. 2013;16(1):3–12.

16. Niemi PM. Medical students’ profesional identity: self-reflection during the preclinical years. Med Educ. 1997 Nov 1;31(6):408–15.

17. Murakami M, Kawabata H, Maezawa M. The perception of the hidden curriculum on medical education: an exploratory study. Asia Pac Fam Med. 2009;8(1):1.

18. Al-Abdulrazzaq D, Al-Fadhli A, Arshad A. Advanced medical students’ experiences and views on profesionalism at Kuwait University. BMC Med Educ. 2014;14:150.

19. Tagawa M. Effects of undergraduate medical students’ individual attributes on perceptions of encounters with positive and negative role models. BMC medical education. 2016 Jun 23;16(1):164.

20. Byszewski A, McGuinty C, Moineau G, Hendelman W. Wanted: role models-medical students’ perceptions of professionalism. BMC medical education. 2012 Dec;12(1):115.

21. Cochran A, Elder WB. Effects of disruptive surgeon behavior in the operating room. The American Journal of Surgery. 2015 Jan 31;209(1):65-70.

22. Hilton SR, Slotnick HB. Proto‐professionalism: how professionalisation occurs across the continuum of medical education. Medical education. 2005 Jan 1;39(1):58-65.



DOI: https://doi.org/10.22146/jpki.39105

Article Metrics

Abstract views : 278 | views : 308

Refbacks

  • There are currently no refbacks.


Copyright (c) 2018 Jurnal Pendidikan Kedokteran Indonesia; The Indonesian Journal of Medical Education

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Pendidikan Kedokteran Indonesia (The Indonesian Journal of Medical Education) indexed by:


Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

 

JPKI Stats