Tay Kuang Teck, Ng Shea, Hee Jia Min, Chia Elisha Wan Ying, Vythilingam Divya, Ong Yun Ting, Chiam Min, Chin Annelissa Mien Chew, Fong Warren, Wijaya Limin, Toh Ying Pin, Mason Stephen, Krishna Lalit Kumar Radha
Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
National University Hospital, National University Health System, Singapore.
J Med Educ Curric Dev. 2020 Oct 16;7:2382120520955159. doi: 10.1177/2382120520955159. eCollection 2020 Jan-Dec.
Medical professionalism enhances doctor-patient relationships and advances patient-centric care. However, despite its pivotal role, the concept of medical professionalism remains diversely understood, taught and thus poorly assessed with Singapore lacking a linguistically sensitive, context specific and culturally appropriate assessment tool. A scoping review of assessments of professionalism in medicine was thus carried out to better guide its understanding.
Arksey and O'Malley's (2005) approach to scoping reviews was used to identify appropriate publications featured in four databases published between 1 January 1990 and 31 December 2018. Seven members of the research team employed thematic analysis to evaluate the selected articles.
3799 abstracts were identified, 138 full-text articles reviewed and 74 studies included. The two themes identified were the context-specific nature of assessments and competency-based stages in medical professionalism.
Prevailing assessments of professionalism in medicine must contend with differences in setting, context and levels of professional development as these explicate variances found in existing assessment criteria and approaches. However, acknowledging the significance of context-specific competency-based stages in medical professionalism will allow the forwarding of guiding principles to aid the design of a culturally-sensitive and practical approach to assessing professionalism.
医学职业精神可增进医患关系并推动以患者为中心的医疗服务。然而，尽管其具有关键作用，但医学职业精神的概念仍存在多种理解方式，在教学方面也存在差异，因此评估效果不佳，新加坡缺乏一种语言敏感、因地制宜且文化适宜的评估工具。因此，开展了一项关于医学职业精神评估的范围综述，以更好地指导对其的理解。
采用阿克西和奥马利（2005年）的范围综述方法，在1990年1月1日至2018年12月31日期间发表的四个数据库中识别合适的出版物。研究团队的七名成员采用主题分析法对所选文章进行评估。
共识别出3799篇摘要，审阅了138篇全文文章，纳入74项研究。确定的两个主题是评估的因地制宜性质以及医学职业精神中基于能力的阶段。
当前对医学职业精神的评估必须应对不同的环境、背景和专业发展水平所带来的差异，因为这些差异解释了现有评估标准和方法中发现的差异。然而，认识到医学职业精神中因地制宜的基于能力阶段的重要性，将有助于提出指导原则，以帮助设计一种文化敏感且实用的职业精神评估方法。
