Armyanti Ita, Mustika Rita, Soemantri Diantha
University of Tanjungpura, Indonesia.
Department of Medical Education, Universitas Indonesia.
J Pak Med Assoc. 2020 Sep;70(9):1527-1532. doi: 10.5455/JPMA.29558.
To explore negative role modelling by medical teachers in developing professionalism.
The qualitative study using a transcendental phenomenology design was conducted at at Tanjungpura University, Indonesia, from December 2017 to February 2018, and comprised of 6 medical students from academic phase, 6 medical students from clinical phase, 8 medical teachers, 4 clinical teachers, 6 alumni and 5 programme managers. Data was collected through 5 focus group discussions and 5 in-depth interviews. Thematic analysis was applied to explore negative role modelling in the pre-clinical and clinical phase of the learning process. Data was analysed using the steps for coding and theorisation method.
There were 30 respondents in five focus group discussions and 5 interviews were held with programme managers. There were three themes identified: medical teacher as a role model, process of role modelling, and nurturing medical professionalism. The presence of negative role modelling was evident in the discussions. Both positive and negative role modelling could influence the medical professionalism. Negative role modelling of medical teachers is a phenomenon often found in medical professionalism development.
Negative role modelling requires a more active process to develop professionalism.
探讨医学教师在培养职业精神方面的负面榜样作用。
采用先验现象学设计的定性研究于2017年12月至2018年2月在印度尼西亚丹戎布拉大学进行，研究对象包括6名处于学术阶段的医学生、6名处于临床阶段的医学生、8名医学教师、4名临床教师、6名校友和5名项目管理人员。通过5次焦点小组讨论和5次深入访谈收集数据。采用主题分析法探讨学习过程中临床前和临床阶段的负面榜样作用。使用编码和理论化方法的步骤对数据进行分析。
在五次焦点小组讨论中有30名受访者，并与项目管理人员进行了5次访谈。确定了三个主题：医学教师作为榜样、榜样塑造过程和培养医学职业精神。讨论中负面榜样作用的存在很明显。正面和负面榜样作用都可能影响医学职业精神。医学教师的负面榜样作用是医学职业精神发展中经常出现的一种现象。
负面榜样作用需要一个更积极的过程来培养职业精神。
