"It Dependsa": Results of a qualitative study investigating how practicing internists approach professional dilemmas

Academic Medicine

Volumn 87, Issue 12, 2012, Pages 1685-1693

  Ginsburg, Shiphra ^a   Bernabeo, Elizabeth ^b   Ross, Kathryn M ^c   Holmboe, Eric S ^c  

^a UNIVERSITY OF TORONTO   (Canada)

^b BRYN MAWR COLLEGE   (United States)

^c AMERICAN BOARD OF INTERNAL MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; DECISION MAKING; DOCTOR PATIENT RELATION; EVIDENCE BASED MEDICINE; FEMALE; HEALTH PERSONNEL ATTITUDE; HUMAN; INFORMATION PROCESSING; MALE; MANAGEMENT; PHYSICIAN; PRACTICE GUIDELINE; PROBLEM SOLVING; PUBLIC RELATIONS; UNITED STATES;

ATTITUDE OF HEALTH PERSONNEL; DECISION MAKING; EVIDENCE-BASED MEDICINE; FEMALE; FOCUS GROUPS; GUIDELINE ADHERENCE; HUMANS; INTERPROFESSIONAL RELATIONS; MALE; PHYSICIAN-PATIENT RELATIONS; PHYSICIANS; PRACTICE GUIDELINES AS TOPIC; PRACTICE MANAGEMENT, MEDICAL; PROBLEM SOLVING; UNITED STATES;

EID: 84871071939     PISSN: 10402446     EISSN: None     Source Type: Journal    
DOI: 10.1097/ACM.0b013e3182736dfc     Document Type: Article

References (25)

1. Ginsburg S, Regehr G, Hatala R, et al. Context, conflict, and resolution: A new conceptual framework for evaluating professionalism. Acad Med. 2000;75(10 suppl):S6-S11.
2. Frank JR, Danoff D. The CanMEDS initiative: Implementing an outcomes-based framework of physician competencies. Med Teach. 2007;29:642-647.
3. Accreditation Council for Graduate Medical Education. Common Program Requirements. http://www.acgme.org/acWebsite/dutyhours/dh- dutyhourscommonpr07012007.pdf. Accessed, 2012.
4. Papadakis MA, Teherani A, Banach MA, et al. Disciplinary action by medical boards and prior behavior in medical school. N Engl J Med. 2005;353:2673-2682.
5. Papadakis MA, Arnold GK, Blank LL, Holmboe ES, Lipner RS. Performance during internal medicine residency training and subsequent disciplinary action by state licensing boards. Ann Intern Med. 2008;148:869-876.
6. Campbell EG, Regan S, Gruen RL, et al. Professionalism in medicine: Results of a national survey of physicians. Ann Intern Med. 2007;147:795-802.
7. DesRoches CM, Rao SR, Fromson JA, et al. Physicians' perceptions, preparedness for reporting, and experiences related to impaired and incompetent colleagues. JAMA. 2010;304:187-193.
8. Regan S, Ferris TG, Campbell EG. Physician attitudes toward personal relationships with patients. Med Care. 2010;48:547-552.
9. Ginsburg S, Regehr G, Lingard L. The disavowed curriculum: Understanding student's reasoning in professionally challenging situations. J Gen Intern Med. 2003;18:1015-1022.
10. Ginsburg SR, Regehr G, Mylopoulos M. Reasoning when it counts: Students' rationales for action on a professionalism exam. Acad Med. 2007;82(10 suppl):S40-S43.
11. Ho MJ, Lin CW, Chiu YT, Lingard L, Ginsburg S. A cross-cultural study of students' approaches to professional dilemmas: Sticks or ripples. Med Educ. 2012;46:245-256.
12. Ginsburg S, Lingard L, Regehr G, Underwood K. Know when to rock the boat: How faculty rationalize students' behaviors. J Gen Intern Med. 2008;23:942-947.
13. Bernabeo EC, Holmboe ES, Ross K, Chesluk B, Ginsburg S. The utility of vignettes to stimulate reflection on professionalism: Theory and practice [published online ahead of print June 21, 2012]. Adv Health Sci Educ Theory Pract
14. American Board of Internal Medicine; American College of Physicians; American Society of Internal Medicine; European Federation of Internal Medicine. Medical professionalism in the new millennium: A physician charter. Ann Intern Med. 2002;136:243-246.
15. Charmaz K. Gathering rich data. In: Constructing Grounded Theory: A Practical Guide Through Qualitative Analysis. London, UK: SAGE; 2006:13-41.
16. Charmaz K. Coding in grounded theory practice. In: Constructing Grounded Theory: A Practical Guide Through Qualitative Analysis. London, UK: SAGE; 2006:42-70.
17. Lucey C, Souba W. Perspective: The problem with the problem of professionalism. Acad Med. 2010;85:1018-1024.
18. Holland JH. Complex adaptive systems. Daedalus. 1992;121:17-30.
19. Ginsburg S, Lingard L. 'Is that normal?' Pre-clerkship students' approaches to professional dilemmas. Med Educ. 2011;45:362-371.
20. Ginsburg S, Regehr G, Mylopoulos M. From behaviours to attributions: Further concerns regarding the evaluation of professionalism. Med Educ. 2009;43:414-425.
21. Leung S, Regehr G, Gallinger S, Moulton CA. First do no harm: Balancing competing priorities in surgical practice. Acad Med. 2012;87:[xxx - add at proofs - xxx].
22. Grant RW, Ashburner JM, Hong CC, Chang Y, Barry MJ, Atlas SJ. Defining patient complexity from the primary care physician's perspective: A cohort study. Ann Intern Med. 2011;155:797-804.
23. Detsky AS, Baerlocher MO. Do nice patients receive better care? JAMA. 2011;306:94-95.
24. Hodges BD, Ginsburg S, Cruess R, et al. Assessment of professionalism: Recommendations from the Ottawa 2010 Conference. Med Teach. 2011;33:354-363.
25. Lesser CS, Lucey CR, Egener B, Braddock CH 3rd, Linas SL, Levinson W. A behavioral and systems view of professionalism. JAMA. 2010;304:2732-2737.