Royal College of Surgeons Ireland, Adliya, Kingdom of Bahrain.
Department of Medical Education, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia.
Med Educ Online. 2021 Dec;26(1):1983926. doi: 10.1080/10872981.2021.1983926.
Medical professionalism education intends to produce virtuous and humanistic healthcare professionals who demonstrate perseverance and professional integrity. However, today's medicine has embodied a mammoth transformation of medical practice towards sns and the digital realm. Such paradigm shift has challenged the medical professional's values, behaviors, and identities, and the distinct boundaries between personal and professional lives are blurred. This study aims to develop a framework for healthcare professionals coping with the challenges of medical professionalism in the digital realm.
We followed a systematic approach for the development of a framework about e-professionalism. Qualitative data was collected from a systematic review and a delphi study, while quantitative data was collected by administering a validated questionnaire social networking sites for medical education (snsme). Subsequently, categorization of the selected data and identifying concepts, deconstruction and further categorizing concepts (philosophical triangulation), integration of concepts (theoretical triangulation), and synthesis and resynthesis of concepts were performed.
The initial process yielded six overlapping concepts from personal, professional, character (implicit) and characteristic (explicit) domains: environment, behavior, competence, virtues, identity, and mission. Further integration of data was done for the development of the medical education e-professionalism (meep) framework with a central concept of a commitment to mission. The mission showed deep connections with values (conformity, beneficence, universalism, and integrity), behaviours (communication, self-awareness, tolerance, power), and identity (reflection, conscientiousness, self-directed, self-actualization). The data demonstrated that all medical professionals require updated expertise in sns participation.
The meep framework recognises a mission-based social contract by the medical community. This mission is largely driven by professional values, behaviors and identity. Adherence to digital standards, accountability, empathy, sensitivity, and commitment to society are essential elements of the meep framework.
医学专业精神教育旨在培养有道德和人文精神的医疗保健专业人员，他们表现出毅力和专业诚信。然而，今天的医学已经在医学实践中体现了向社交媒体和数字领域的巨大转变。这种范式转变挑战了医疗专业人员的价值观、行为和身份，个人生活和职业生活之间的明显界限变得模糊。本研究旨在为医疗保健专业人员制定一个应对数字领域医学专业精神挑战的框架。
我们遵循系统方法开发了一个关于电子专业精神的框架。定性数据是通过系统评价和德尔菲研究收集的，而定量数据是通过管理一个经过验证的用于医学教育的社交网络网站（社交媒体）问卷收集的。随后，对选定的数据进行分类，并识别概念，对概念进行解构和进一步分类（哲学三角剖分），整合概念（理论三角剖分），以及对概念进行综合和再综合。
初步过程从个人、专业、性格（隐性）和特征（显性）领域产生了六个重叠的概念：环境、行为、能力、美德、身份和使命。进一步整合数据，开发了医学教育电子专业精神（MEEP）框架，以对使命的承诺为核心概念。使命与价值观（一致性、善行、普遍性和完整性）、行为（沟通、自我意识、宽容、权力）和身份（反思、尽责、自我导向、自我实现）有深刻的联系。数据表明，所有医疗保健专业人员都需要更新社交媒体参与方面的专业知识。
MEEP 框架承认医学界的以使命为基础的社会契约。这个使命主要是由专业价值观、行为和身份驱动的。遵守数字标准、问责制、同理心、敏感性和对社会的承诺是 MEEP 框架的基本要素。
