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伊朗一所年轻的二级大学医学住院医师的职业素养:一项横断面研究。

Professionalism among medical residents in a young second-level university in Iran: a cross-sectional study.

作者信息

Mianehsaz Elaheh, Tabatabaee Seyed Mohammad Reza, Sharif Mohammad Reza, Gilasi Hamid Reza, Shojaee Far Hamid Reza, Nejad Tabrizi Behzad

机构信息

Assistant Professor, Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, Iran.

Assistant Professor, Department of Emergency Medicine, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, Iran.

出版信息

J Med Ethics Hist Med. 2020 Feb 23;13:1. doi: 10.18502/jmehm.v13i1.2463. eCollection 2020.

DOI:10.18502/jmehm.v13i1.2463
PMID:32337008
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7168782/
Abstract

Professionalism is a set of behaviors that build trust in physicians' relationships with patients and the public. The aim of this study was to assess professionalism among residents in Kashan University of Medical Sciences, Kashan, Iran. This cross-sectional study was conducted on 139 residents recruited through the census method. Data were collected using the American Board of Internal Medicine Professionalism Questionnaire. The first part of the questionnaire was on residents' personal characteristics, and the second part contained fifteen items in the three domains of professionalism, namely excellence, honor/integrity, and altruism/respect. The mean scores of the questionnaire and its domains were calculated and their relationships with residents' personal characteristics were evaluated. The mean scores (± SD) of professionalism and its excellence, honor/integrity, and altruism/respect domains were 4.93 ± 2.4, 5.92 ± 1.85, 4.94 ± 3.39, and 4.35 ± 3.27, respectively (in a range of 0-10). Professionalism had significant relationships only with residents' specialty and gender. The level of professionalism in residents was low, which requires the attention of educational authorities. Moreover, the mean score of professionalism among residents in surgical specialties was significantly lower than non-surgical specialties. Various factors can be considered in this regard and it cannot be concluded that the lower score means worse professional behavior.

摘要

专业素养是一系列行为,这些行为能在医生与患者及公众的关系中建立信任。本研究的目的是评估伊朗卡尚医科大学住院医师的专业素养。这项横断面研究通过普查法对139名住院医师进行。数据采用美国内科医学委员会专业素养问卷收集。问卷的第一部分是关于住院医师的个人特征,第二部分包含专业素养三个领域的15个项目,即卓越、荣誉/正直和利他主义/尊重。计算问卷及其领域的平均得分,并评估它们与住院医师个人特征的关系。专业素养及其卓越、荣誉/正直和利他主义/尊重领域的平均得分(±标准差)分别为4.93±2.4、5.92±1.85、4.94±3.39和4.35±3.27(范围为0 - 10)。专业素养仅与住院医师的专业和性别有显著关系。住院医师的专业素养水平较低,这需要教育当局予以关注。此外,外科专业住院医师的专业素养平均得分显著低于非外科专业。在这方面可以考虑各种因素,不能得出得分较低就意味着专业行为更差的结论。

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Acad Pathol. 2018 Jun 26;5:2374289518773493. doi: 10.1177/2374289518773493. eCollection 2018 Jan-Dec.
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Core Professionalism Education in Surgery: A Systematic Review.外科学核心职业素养教育:系统评价
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Assessment and Management of Professionalism Issues in Pathology Residency Training: Results From Surveys and a Workshop by the Graduate Medical Education Committee of the College of American Pathologists.病理学住院医师培训中职业素养问题的评估与管理:美国病理学家学会毕业后医学教育委员会的调查及研讨会结果
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5
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