The challenge of promoting professionalism through medical ethics and humanities education

Academic Medicine

Volumn 88, Issue 11, 2013, Pages 1624-1629

  Doukas, David J ^a   McCullough, Laurence B ^b   Wear, Stephen ^c   Lehmann, Lisa S ^d   Nixon, Lois Lacivita ^e   Carrese, Joseph A ^f   Shapiro, Johanna F ^g   Green, Michael J ^h   Kirch, Darrell G ⁱ  

^a University of Louisville School of Medicine   (United States)

^b BAYLOR COLLEGE OF MEDICINE   (United States)

^c UNIVERSITY AT BUFFALO   (United States)

^d BRIGHAM AND WOMEN S HOSPITAL   (United States)

^e UNIVERSITY OF SOUTH FLORIDA   (United States)

^f JOHNS HOPKINS UNIVERSITY   (United States)

^g UNIVERSITY OF CALIFORNIA   (United States)

^h PENN STATE COLLEGE OF MEDICINE   (United States)

ⁱ ASSOCIATION OF AMERICAN MEDICAL COLLEGES   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 84887407177     PISSN: 10402446     EISSN: 1938808X     Source Type: Journal    
DOI: 10.1097/ACM.0b013e3182a7f8e3     Document Type: Review

References (36)

1. Association of American Medical Colleges Medical School Objectives Project. Learning Objectives for Medical Student Education: Guidelines for Medical Schools. Washington, DC: Association of American Medical Colleges; 1998.
2. Accreditation Council for Graduate Medical Education. Common Program Requirements. http://www.acgme.org/acgmeweb/Portals/0/dh- dutyhoursCommonPR07012007.pdf. Accessed January 2, 2013.
3. Liaison Committee on Medical Education. Accreditation Standards. Revised May 2011. http://www.lcme.org/functions2011may.pdf. Accessed January 2, 2013.
4. The Project to Rebalance and Integrate Medical Education. http://www. primemedicine.org/. Accessed January 2, 2013.
5. Doukas DJ, McCullough LB, Wear S. Reforming medical education in ethics and humanities by finding common ground with Abraham Flexner. Acad Med. 2010; 85: 318-323.
6. Doukas DJ, McCullough LB, Wear S. Revisioning Flexner: Educating physicians to be clinical scientists and humanists. Am J Med. 2010;123:1155-1156.
7. McCullough LB. The ethical concept of medicine as a profession: Its origins in modern medical ethics and implications for physicians. In: Kenny N, Shelton W, eds. Lost Virtue: Professional Character Development in Medical Education. New York, NY: Elsevier; 2006: 17-27.
8. Doukas DJ, McCullough LB, Wear S; Project to Rebalance and Integrate Medical Education (PRIME) Investigators. Perspective: Medical education in medical ethics and humanities as the foundation for developing medical professionalism. Acad Med. 2012;87:334-341.
9. Crabtree BF, Miller WL, eds. Doing Qualitative Research in Primary Care: Multiple Strategies. 2nd ed. Newbury Park, Calif: Sage Publications; 1999.
10. Passi V, Doug M, Peile E, Thistlethwaite J, Johnson N. Developing medical professionalism in future doctors: A systematic review. Int J Med Educ. 2010;1: 19-29.
11. Stern DT. Measuring professionalism. In: Stern DT, ed. Measuring Medical Professionalism. New York, NY: Oxford University Press; 2006.
12. Polianski IJ, Fangerau H. Toward "harder" medical humanities: Moving beyond the "two cultures" dichotomy. Acad Med. 2012;87:121-126.
13. Wear D, Zarconi J, Garden R, Jones T. Reflection in/and writing: Pedagogy and practice in medical education. Acad Med. 2012;87:603-609.
14. Carraccio C, Wolfsthal SD, Englander R, Ferentz K, Martin C. Shifting paradigms: From Flexner to competencies. Acad Med. 2002;77:361-367.
15. Doukas DJ. Where is the virtue in professionalism? Camb Q Healthc Ethics. 2003;12:147-154.
16. Rhodes R, Cohen DS. Understanding, being, and doing: Medical ethics in medical education. Camb Q Healthc Ethics. 2003;12:39-53.
17. Coulehan J. Viewpoint: Today's professionalism: Engaging the mind but not the heart. Acad Med. 2005;80:892-898.
18. Hawkins RE, Katsufrakis PJ, Holtman MC, Clauser BE. Assessment of medical professionalism: Who, what, when, where, how, and. why? Med Teach. 2009;31: 348-361.
19. Frankford DM, Patterson MA, Konrad TR. Transforming practice organizations to foster lifelong learning and commitment to medical professionalism. Acad Med. 2000;75:708-717.
20. Hilton SR, Slotnick HB. Protoprofessionalism: How professionalisation occurs across the continuum of medical education. Med Educ. 2005;39:58-65.
21. Nasca TJ, Philibert I, Brigham T, Flynn TC. The next GME accreditation system-rationale and benefits. N Engl J Med. 2012;366:1051-1056.
22. Green ML, Aagaard EM, Caverzagie KJ, et al. Charting the road to competence: Developmental milestones for internal medicine residency training. J Grad Med Educ. 2009;1:5-20.
23. Englander R, Hicks P, Benson B; Pediatric Milestone Project Working Group. Pediatrics milestones: A developmental approach to the competencies. J Pediatr. 2010;157:521-522, 522.e1.
24. Ling L, Beeson M. Milestones in emergency medicine. J Acute Med. 2012;2:65-69.
25. Ambrozy DM, Irby DM, Bowen JL, Burack JH, Carline JD, Stritter FT. Role models' perceptions of themselves and their influence on students' specialty choices. Acad Med. 1997;72:1119-1121.
26. Côté L, Leclère H. How clinical teachers perceive the doctor-patient relationship and themselves as role models. Acad Med. 2000;75:1117-1124.
27. Elzubeir MA, Rizk DE. Identifying characteristics that students, interns and residents look for in their role models. Med Educ. 2001;35:272-277.
28. Wright S. Examining what residents look for in their role models. Acad Med. 1996;71:290-292.
29. Leape LL, Shore MF, Dienstag JL, et al. Perspective: A culture of respect, part 1: The nature and causes of disrespectful behavior by physicians. Acad Med. 2012;87:845-852.
30. Leape LL, Shore MF, Dienstag JL, et al. Perspective: A culture of respect, part 2: Creating a culture of respect. Acad Med. 2012;87:853-858.
31. Coulehan J, Williams PC. Vanquishing virtue: The impact of medical education. Acad Med. 2001;76:598-605.
32. Maudsley G, Strivens J. Promoting professional knowledge, experiential learning and critical thinking for medical students. Med Educ. 2000;34:535-544.
33. Association of American Medical Colleges. Graduation Questionnaire: Previous questionnaires. https://www.aamc.org/data/gq/questionnaires/. Accessed January 2, 2013.
34. Steinert Y, Cruess S, Cruess R, Snell L. Faculty development for teaching and evaluating professionalism: From programme design to curriculum change. Med Educ. 2005; 39: 127-136.
35. Swick HM, Szenas P, Danoff D, Whitcomb ME. Teaching professionalism in undergraduate medical education. JAMA. 1999;282:830-832.
36. Academy for Professionalism in Health Care. http://academy- professionalism.org. Accessed September 5,2013.