Professionalism, professionalization, expertise and compassion: a qualitative study of medical residents

BMC Medical Education

Volumn 17, Issue 1, 2017, Pages 1-7

  Phillips, Susan P ^a   Dalgarno, Nancy ^a  

^a QUEEN S UNIVERSITY   (Canada)

Author keywords

Compassion; Empathy; Expertise; Medical education; Medical residency; Professionalism; Professionalization

Indexed keywords

CANADA; CLINICAL COMPETENCE; CURRICULUM; EMPATHY; FEAR; FEMALE; HEALTH PERSONNEL ATTITUDE; HUMAN; INTERPERSONAL COMMUNICATION; MALE; MEDICAL EDUCATION; PHYSICIAN; PROFESSIONALISM; PSYCHOLOGY; QUALITATIVE RESEARCH; SELF CARE; SELF CONCEPT; STANDARDS;

ATTITUDE OF HEALTH PERSONNEL; CANADA; CLINICAL COMPETENCE; COMMUNICATION; CURRICULUM; EMPATHY; FEAR; FEMALE; HUMANS; INTERNSHIP AND RESIDENCY; MALE; PHYSICIANS; PROFESSIONALISM; QUALITATIVE RESEARCH; SELF CARE; SELF CONCEPT;

EID: 85010665820     PISSN: None     EISSN: 14726920     Source Type: Journal    
DOI: 10.1186/s12909-017-0864-9     Document Type: Article

References (34)

1. College of Family Physicians of Canada. CanMEDS-Family Medicine. 2009. http://www.cfpc.ca/uploadedFiles/Education/CanMeds%20FM%20Eng.pdf. Published 2009. Accessed 01 Nov 2015.
2. Frank JR, Snell LS, Sherbino J. Draft CanMEDS 2015 Physician Competency Framework. 2015 http://canmeds.royalcollege.ca/uploads/en/framework/CanMEDS%202015%20Framework_EN_Reduced.pdf. Published 2015. Accessed 23 Nov 2016.
3. Irby DM, Hamstra SJ. Parting the clouds: three professionalism frameworks in medical education. Acad Med. 2016;91(11):1606-11. doi:10.1097/ACM.0000000000001190.
4. Brainard AH, Brislen HC. Viewpoint: learning professionalism: a view from the trenches. Acad Med. 2007;82(11):1010-4.
5. Coulehan J. Viewpoint: Today’s professionalism: engaging the mind but Not the heart. Acad Med. 2005;80(10):892-8.
6. Eitel F. Training and certification of teachers and trainers: the professionalization of medical education. Med Teach. 2000;22(5):517-26.
7. Goldenberg D, Iwasiw C. Professional socialisation of nursing students as an outcome of a senior clinical preceptorship experience. Nurse Educ Today. 1993;13(1):3-15.
8. Kennedy TJ, Regehr G, Baker GR, Lingard L. Preserving professional credibility: grounded theory study of medical trainees’ requests for clinical support. BMJ. 2009;338:b128.
9. MacLeod A. Caring, competence and professional identities in medical education. Adv Health Sci Educ. 2011;16(3):375-94.
10. Cruess RL, Cruess SR, Steinert Y. Amending Miller’s pyramid to include professional identity formation. Acad Med. 2016;91(2):180-5.
11. Cooke M, Irby DM, O’Brien BC. Educating physicians: a call for reform of medical school and residency. Vol. 16. Philadelphia: John Wiley and Sons; 2010.
12. Crossley J, Vivekananda-Schmidt P. The development and evaluation of a Professional Self Identity Questionnaire to measure evolving professional self-identity in health and social care students. Med Teach. 2009;31(12):e603-e7.
13. Jarvis-Selinger S, Pratt DD, Regehr G. Competency is not enough: integrating identity formation into the medical education discourse. Acad Med. 2012;87(9):1185-90.
14. Lamiani G, Leone D, Meyer EC, Moja EA. How Italian students learn to become physicians: a qualitative study of the hidden curriculum. Med Teach. 2011;33(12):989-96.
15. Post SG, Ng LE, Fischel JE, Bennett M, Bily L, Chandran L, et al. Routine, empathic and compassionate patient care: definitions, development, obstacles, education and beneficiaries. J Eval Clin Pract. 2014;20(6):872-80.
16. Tavakol S, Dennick R, Tavakol M. Medical students’ understanding of empathy: a phenomenological study. Med Educ. 2012;46(3):306-16.
17. Chen D, Lew R, Hershman W, Orlander J. A cross-sectional measurement of medical student empathy. J Gen Intern Med. 2007;22(10):1434-8.
18. Frampton SB, Guastello S, Lepore M. Compassion as the foundation of patient-centered care: the importance of compassion in action. J Comp Eff Res. 2013;2(5):443-55.
19. Halpern J. What is clinical empathy? J Gen Intern Med. 2003;18(8):670-4.
20. Neumann M, Edelhäuser F, Tauschel D, Fischer MR, Wirtz M, Woopen C, et al. Empathy decline and its reasons: a systematic review of studies with medical students and residents. Acad Med. 2011;86(8):996-1009.
21. Peters MA. Compassion: an investigation into the experience of nursing faculty. Int J Hum Caring. 2006;10(3):38-46.
22. Underman K, Hirshfield LE. Detached concern?: emotional socialization in twenty-first century medical education. Soc Sci Med. 2016;160:94-101.
23. Verghese A. A touch of sense. Health Aff (Millwood). 2009;28(4):1177-82.
24. Raab K. Mindfulness, self-compassion, and empathy among health care professionals: a review of the literature. J Health Care Chaplain. 2014;20(3):95-108.
25. Smeets E, Neff K, Alberts H, Peters M. Meeting suffering with kindness: effects of a brief self-compassion intervention for female college students. J Clin Psychol. 2014;70(9):794-807.
26. Cruess RL, Cruess SR, Boudreau JD, Snell L, Steinert Y. A schematic representation of the professional identity formation and socialization of medical students and residents: a guide for medical educators. Acad Med. 2015;90(6):718-25.
27. Holloway I. Basic concepts for qualitative research. Wiley-Blackwell; 1997.
28. Kvale S, Brinkmann S. Interviews: Learning the craft of qualitative research interviewing. Los Angeles: Sage; 2009.
29. McMillan JH, Schumacher S. Research in education: Evidence-based inquiry. 7th ed. Boston: Pearson Higher Ed; 2014.
30. Doja A, Bould MD, Clarkin C, Eady K, Sutherland S, Writer H. The hidden and informal curriculum across the continuum of training: A cross-sectional qualitative study. Med Teach. 2016;38:410-418.
31. Hojat M, Gonnella JS, Nasca TJ, Mangione S, Vergare M, Magee M. Physician empathy in medical education and practice. Seminars in Integrative Medicine. 2003;1:25-41.
32. Medical Council of Canada objectives re professionalism and altruism. http://apps.mcc.ca/objectives_online/objectives.pl?lang=englishandloc=contents. Accessed 31 July 2015.
33. Royal College of Physicians and Surgeons of Canada. General Standards Applicable to all Residency Programs B Standards. 2013. http://www.royalcollege.ca/portal/page/portal/rc/common/documents/accreditation/accreditation_blue_book_b_standards_e.pdf. Accessed 23 Nov 2015.
34. Phillips SP, Clarke M. More than an education: the hidden curriculum, professional attitudes and career choice. Med Educ. 2012;46(9):887-93.