Doing what might be "wrong": Understanding internists' responses to professional challenges

Academic Medicine

Volumn 89, Issue 4, 2014, Pages 664-670

  Ginsburg, Shiphra ^a,d   Bernabeo, Elizabeth ^b   Holmboe, Eric ^b,c  

^a UNIVERSITY OF TORONTO   (Canada)

^b AMERICAN BOARD OF INTERNAL MEDICINE   (United States)

^c ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION   (United States)

^d MOUNT SINAI HOSPITAL   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CLINICAL COMPETENCE; CLINICAL PRACTICE; COMPREHENSION; ETHICS; FEMALE; HEALTH PERSONNEL ATTITUDE; HIGH RISK BEHAVIOR; HUMAN; INFORMATION PROCESSING; INTERNAL MEDICINE; MALE; METHODOLOGY; QUALITATIVE RESEARCH; QUESTIONNAIRE; UNITED STATES;

ATTITUDE OF HEALTH PERSONNEL; CLINICAL COMPETENCE; COMPREHENSION; FEMALE; FOCUS GROUPS; HUMANS; INTERNAL MEDICINE; MALE; PHYSICIAN'S PRACTICE PATTERNS; QUALITATIVE RESEARCH; QUESTIONNAIRES; RISK-TAKING; UNITED STATES;

EID: 84897573524     PISSN: 10402446     EISSN: 1938808X     Source Type: Journal    
DOI: 10.1097/ACM.0000000000000163     Document Type: Article

References (22)

1. 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.
2. 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.
3. Lucey C, Souba W. Perspective: The problem with the problem of professionalism. Acad Med. 2010;85:1018-1024.
4. 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.
5. 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.
6. Iezzoni LI, Rao SR, DesRoches CM, Vogeli C, Campbell EG. Survey shows that at least some physicians are not always open or honest with patients. Health Aff (Millwood). 2012;31:383-391.
7. Brett AS, McCullough LB. Addressing requests by patients for nonbenefcial interventions. JAMA. 2012;307:149-150.
8. Ginsburg S, Regehr G, Hatala R, et al. Context, confict, and resolution: A new conceptual framework for evaluating professionalism. Acad Med. 2000;75:S6-S11.
9. Rees CE, Knight LV. The trouble with assessing students' professionalism: Theoretical insights from sociocognitive psychology. Acad Med. 2007;82:46-50.
10. Ginsburg S, Regehr G, Mylopoulos M. From behaviours to attributions: Further concerns regarding the evaluation of professionalism. Med Educ. 2009;43:414-425.
11. ABIM Foundation; ACP-ASIM Foundation; European Federation of Internal Medicine. Medical professionalism in the new millennium: A physician charter. Ann Intern Med. 2002;136:243-246.
12. Charmaz K. Constructing Grounded Theory: A Practical Guide Through Qualitative Analysis. London, England: Sage Publications; 2008.
13. Ginsburg S, Bernabeo E, Ross KM, Holmboe ES. "It depends": Results of a qualitative study investigating how practicing internists approach professional dilemmas. Acad Med. 2012;87:1685-1693.
14. Bernabeo EC, Holmboe ES, Ross K, Chesluk B, Ginsburg S. The utility of vignettes to stimulate refection on professionalism: Theory and practice. Adv Health Sci Educ Theory Pract. 2013;18:463-484.
15. American College of Physicians. High Value Care. http://hvc.acponline. org/. Accessed December 11, 2013.
16. American Board of Internal Medicine Foundation. Choosing Wisely. http://www.abimfoundation.org/Initiatives/Choosing-Wisely.aspx. Accessed December 11, 2013.
17. Heaton J. Secondary analysis of qualitative data. In: Alasuutari P, Bickman L, Brannen J, eds. The SAGE Handbook of Social Research Methods. 2nd ed. Thousand Oaks, Calif: SAGE Publications; 2008:506-519.
18. Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50:179-211.
19. Charmaz K. Coding in grounded theory practice. In: Constructing Grounded Theory: A Practical Guide Through Qualitative Analysis. London, England: SAGE Publications; 2006:42-70.
20. Archer R, Elder W, Hustedde C, Milam A, Joyce J. The theory of planned behaviour in medical education: A model for integrating professionalism training. Med Educ. 2008;42:771-777.
21. Limbert C, Lamb R. Doctors' use of clinical guidelines: Two applications of the theory of planned behaviour. Psychol Health Med. 2002;7:301-310.
22. Mittman BS, Tonesk X, Jacobson PD. Implementing clinical practice guidelines: Social infuence strategies and practitioner behavior change. QRB Qual Rev Bull. 1992;18:413-422.