General Surgery, William Beaumont Army Medical Center, El Paso, Texas.
General Surgery, William Beaumont Army Medical Center, El Paso, Texas.
J Surg Educ. 2018 May-Jun;75(3):601-605. doi: 10.1016/j.jsurg.2017.09.033. Epub 2017 Oct 27.
Professionalism is 1 of the 6 core competencies of the Accreditation Council of Graduate Medical Education. Despite its obvious importance, it is poorly defined in the literature and an understanding of its meaning has not been evaluated on surgical trainees. The American College of Surgeons (ACS) has previously published tenets of surgical professionalism. However, surgery residents may not share similar views on professionalism as those of the ACS.
Surgical residents of all levels at 2 surgery residencies located in the same city were interviewed regarding their personal definitions, thoughts, and experiences regarding professionalism during their training. They were then queried regarding 20 points of professionalism as outlined by the ACS tenets of professionalism.
The study utilized the surgery residencies at William Beaumont Army Medical Center and Texas Tech University Health Science Center in El Paso, Texas.
All general surgery residents at each program were invited to participate in the study. Eighteen residents volunteered to take the survey and be interviewed.
The definitions of professionalism centered on clinical competence. Surgery residents conveyed experiences with both professional and unprofessional behavior. Seven of the 20 ACS tenets of professionalism were unanimously agreed upon. There were key differences between resident definitions and those as outlined by the ACS. The least agreed upon ACS tenets of professionalism include professionalism education, public education, and public health.
Surgical trainees express personal experiences in both professional and unprofessional behavior. Their definitions of professionalism are not as expansive as those of the ACS and seem to focus on patient and colleague interaction. Due to the lack of congruency, a tailored curriculum for professionalism based upon ACS tenets appears warranted.
专业精神是研究生医学教育认证委员会的 6 项核心能力之一。尽管它非常重要，但在文献中却没有得到很好的定义，并且尚未在外科受训者中评估对其含义的理解。美国外科医师学院（ACS）先前发布了外科专业精神的原则。但是，外科住院医师可能与 ACS 的观点不完全相同。
在同一城市的 2 家外科住院医师实习基地，对各级外科住院医师进行了采访，内容涉及他们在培训期间对专业精神的个人定义，想法和经验。然后，他们被问到 ACS 专业精神原则概述的 20 点专业精神。
该研究利用了德克萨斯州埃尔帕索市的威廉·博蒙特陆军医疗中心和德克萨斯理工大学健康科学中心的外科住院医师。
每个计划的所有普通外科住院医师都应邀参加了这项研究。有 18 名住院医师自愿接受调查并接受采访。
专业精神的定义集中在临床能力上。外科住院医师传达了他们在专业和非专业行为方面的经验。 ACS 专业精神的 20 项原则中有 7 项得到一致认可。居民的定义与 ACS 的定义之间存在关键差异。最不同意 ACS 专业精神原则的包括专业精神教育，公共教育和公共卫生。
外科受训者表达了个人在专业和非专业行为方面的经验。他们的专业精神定义不如 ACS 的广泛，似乎专注于医患和同事之间的互动。由于缺乏一致性，根据 ACS 原则制定专门的专业精神课程似乎是合理的。
