Forouzadeh Mina, Kiani Mehrzad, Bazmi Shabnam
Medical Ethics Department, Iran University of Medical Sciences, Tehran, Iran.
Medical Ethics Department, School of Traditional Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Med J Islam Repub Iran. 2018 Dec 26;32:130. doi: 10.14196/mjiri.32.130. eCollection 2018.
The honorable medical profession is on the verge of being reduced to a business. Evidence suggests that professionalism is fading and today's doctors are faced with value-threatening problems and gradually begin to forget their main commitment as medical professionals. Many of the problems faced by doctors are rooted in non-professionalism. Mere education in the science and practice of medicine produces an inefficient medical workforce and leads to the formation of a distorted professional identity. In the past decade, educational innovations targeting the formation of desirable professional identities have been presented and are considered a vital part of medical education for the development of professionalism. The present study was conducted to examine the relationship between the formation of professional identity and professionalism. Professionalism education is essential in the formation of a desirable professional identity. This review article was done in 2015 through searching databases, such as PubMed, Elsevier, Google Scholar, Ovid, SID, and IranMedex, using keywords of professionalism and professional identity, and medical education. Among the 55 found articles, 30 were assessed and selected for review. The formation of professional identity is a process with the following domains: professionalism, and development of a personal (psychosocial) and a cultural identity, which is derived from the unification of professional, personal, and ethical development. The main components required for the formation of a desirable identity are, therefore, rooted in the dimensions of professionalism and professional development. The need for teaching professionalism has a reciprocal relationship with the formation of professional identity. There is a reciprocal relationship between formation of a desirable professional identity and development and strengthening of professionalism. Modern medical education should be designed to develop professional identity, and professionalism acts as an essential part of its curricula throughout the entire course of a doctor's education, with the aim of acquiring a desirable professional identity.
受人尊敬的医学职业正濒临沦为一种商业行为。有证据表明，职业精神正在衰退，如今的医生面临着危及价值观的问题，并逐渐开始忘记他们作为医学专业人员的主要职责。医生面临的许多问题都源于缺乏职业精神。仅仅接受医学科学与实践方面的教育会造就一支效率低下的医疗队伍，并导致扭曲的职业身份的形成。在过去十年里，针对形成理想职业身份的教育创新已经出现，并被视为医学教育中职业精神发展的重要组成部分。本研究旨在探讨职业身份形成与职业精神之间的关系。职业精神教育对于形成理想的职业身份至关重要。这篇综述文章于2015年通过搜索数据库完成，如PubMed、爱思唯尔、谷歌学术、Ovid、SID和伊朗医学数据库，使用了职业精神、职业身份和医学教育等关键词。在找到的55篇文章中，30篇被评估并选作综述。职业身份的形成是一个具有以下领域的过程：职业精神、个人（心理社会）和文化身份的发展，这源于职业、个人和道德发展的统一。因此，形成理想身份所需的主要组成部分植根于职业精神和职业发展的维度。教授职业精神的需求与职业身份的形成存在相互关系。理想职业身份的形成与职业精神的发展和强化之间存在相互关系。现代医学教育应旨在培养职业身份，而职业精神在医生教育的整个过程中作为其课程的重要组成部分发挥作用，目的是获得理想的职业身份。
