Professionalism in Medical Education: Current Concepts
DOI:
https://doi.org/10.63682/jns.v14i33S.9875Keywords:
Education in medicine, Professionalism, Ethics, Competency-Based Education, Reflective Practice, Professional Identity FormationAbstract
Objectives: This review will set out to examine the emerging ideas about professionalism in medical education, its characteristic features, evaluation methods and the issue of professionalism in the modern context of the academic world. The question is to be used to draw focus on the importance of professionalism as a core competency that leads to ethical clinical practice and lifelong learning in medical trainees.
Study Design and Setting: Literature published between 2015 and 2025 was used as a basis to conduct a narrative review. PubMed, Scopus, and Google Scholar were searched and articles about professionalism structures, evaluation models, and methodologies of teaching in undergraduate and postgraduate medical schools were found. General medical council (GMC), Accreditation Council for Graduate Medical Education (ACGME) and World Federation for Medical Education (WFME) guidelines that are relevant were examined.
Methodology: Peer-reviewed journals, institutional reports, and documents of education policy were synthesized to obtain data. The thematic analysis was used to determine the appearance of professionalism dimensions such as communication, empathy, accountability, and social responsibility. The comparison of trends in different medical curricula in different countries was conducted.
Results:Professionalism is now being seen as a multidimensional construct that implies values, behaviors, and identity formation. New models focus on reflective practice, interprofessional cooperation and patient-centered ethics. The concept of assessment has developed away beyond subjective observation to the structured forms of assessment, like professionalism mini-evaluation, reflective portfolios, and multisource feedback. The professional development of the learners depends greatly on faculty development and institutional culture.
Conclusions: Medical education and clinical competence have been anchored on professionalism. The incorporation of explicit teaching, unremitting feedback, and modeling on an institutional basis are instrumental in maintaining professional practices. Modern practices promote long-term assessment and mentoring in order to make sure that professionalism is not only imparted but also transferred as a lifelong professional identity..
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References
[1] Swick HM. Toward a normative definition of medical professionalism. Acad Med. 2000;75(6):612-6. doi:10.1097/00001888-200006000-00010.
[2] Hafferty FW. Beyond curriculum reform: confronting medicine’s hidden curriculum. Acad Med. 1998;73(4):403-7. doi:10.1097/00001888-199804000-00013.
[3] Lempp H, Seale C. The hidden curriculum in undergraduate medical education: qualitative study. BMJ. 2004;329(7469):770-3. doi:10.1136/bmj.329.7469.770.
[4] Birden H, Glass N, Wilson I, Harrison M, Usherwood T, Nass D. Teaching professionalism in medical education: a Best Evidence Medical Education (BEME) systematic review (BEME Guide No. 25). Med Teach. 2013;35(7):e1252-e1266. doi:10.3109/0142159X.2013.789132.
[5] Cruess RL, Cruess SR, Steinert Y (eds). Teaching Medical Professionalism: Supporting the Development of a Professional Identity. 2nd ed. Cambridge: Cambridge University Press; 2016. (Book).
[6] Cruess RL, Cruess SR, Boudreau JD, Snell L, Steinert Y. Reframing medical education to support professional identity formation. Acad Med. 2014;89(11):1446-51. doi:10.1097/ACM.0000000000000427.
[7] Monrouxe LV. Identity, identification and medical education: why should we care? Med Educ. 2010;44(1):40-9. doi:10.1111/j.1365-2923.2009.03440.x.
[8] Passi V, Johnson S, Peile E, Wright S, Hafferty F, Johnson N. Doctor role modelling in medical education: BEME Guide No. 27. Med Teach. 2013;35(9):e1422-e1436. doi:10.3109/0142159X.2013.806982.
[9] Hodges BD, Ginsburg S, Cruess R, Cruess S, Delport R, Hafferty F, et al. Assessment of professionalism: recommendations from the Ottawa 2010 Conference. Med Teach. 2011;33(5):354-63. doi:10.3109/0142159X.2011.577300.
[10] Ginsburg S, Regehr G, Lingard L. Basing the evaluation of professionalism on observable behaviors: a cautionary tale. Acad Med. 2004;79(10 Suppl):S1-S4. doi:10.1097/00001888-200410001-00002.
[11] Ginsburg S, Regehr G, Hatala R, McNaughton N, Frohna A, Hodges B, Lingard L, Stern D. Context, conflict, and resolution: a new conceptual framework for evaluating professionalism. Acad Med. 2000;75(10 Suppl):S6-S11. doi:10.1097/00001888-200010001-00003.
[12] Lynch DC, Surdyk PM, Eiser AR. Assessing professionalism: a review of the literature. Med Teach. 2004;26(4):366-73. doi:10.1080/01421590410001696434.
[13] Cruess RL, McIlroy JH, Cruess SR, Ginsburg S, Steinert Y. The Professionalism Mini-Evaluation Exercise (P-MEX): a preliminary investigation. Acad Med. 2006;81(10 Suppl):S74-S78. doi:10.1097/01.ACM.0000235173.53351.ef.
[14] Fong W, Kwan YH, Yoon S, Phang JK, Thumboo J, Leung YY, Ng SC. Assessment of medical professionalism using the P-MEX in a multi-ethnic society: a Delphi study. BMC Med Educ. 2020;20:225. doi:10.1186/s12909-020-02147-9.
[15] Tsugawa Y, Tokuda Y, Ohbu S, Okubo T, Cruess RL, Cruess SR, et al. Introducing the P-MEX in Japan: results from a multicenter cross-sectional study. Acad Med. 2009;84(9):1190-7. doi:10.1097/ACM.0b013e3181b180d2. (PDF available via research repositories).
[16] Karukivi M, Kortekangas-Savolainen O, Saxén U, Haapasalo-Pesu KM. Professionalism Mini-Evaluation Exercise in Finland: preliminary investigation introducing the Finnish version of P-MEX. J Adv Med Educ Prof. 2015;3(4):154-8.
[17] GMC (UK). Outcomes for Graduates (updated). London: General Medical Council; 2020 (and web updates). Available online.
[18] WFME. WFME Standards for Basic Medical Education (2020 Revision). World Federation for Medical Education; 2020. (Official PDF).
[19] ACGME. Common Program Requirements (Residency). Accreditation Council for Graduate Medical Education; 2023–2025 versions. (Official PDFs/portal).
[20] Cruess SR, Cruess RL, Boudreau JD, Snell L, Steinert Y. Professional identity formation: an explicit objective of medical education. Acad Med. 2015;90(6):718-24. (Often cited alongside the 2014 reframing article; include as supportive reading if needed.) doi:10.1097/ACM.0000000000000731.
[21] Jarvis-Selinger S, Pratt DD, Regehr G. Competency is not enough: integrating identity formation into medical education discourse. Acad Med. 2012;87(9):1185-90. doi:10.1097/ACM.0b013e3182604968.
[22] Chandratilake M, McAleer S, Gibson J. Cultural similarities and differences in medical professionalism: a multi-region study. Med Educ. 2012;46(3):257-66. doi:10.1111/j.1365-2923.2011.04153.x. (Cited within cross-cultural professionalism work.).
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