Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Division of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore.
Singapore Med J. 2024 Jun 1;65(6):313-325. doi: 10.11622/smedj.2021224. Epub 2021 Nov 26.
Nurturing professional identities instils behavioural standards of physicians, and this in turn facilitates consistent professional attitudes, practice and patient care. Identities are socioculturally constructed efforts; therefore, we must account for the social, cultural and local healthcare factors that shape physicians' roles, responsibilities and expectations. This study aimed to forward a programme to nurture professionalism among physicians in Singapore.
A three-phase, evidenced-based approach was used. First, a systematic scoping review (SSR) was conducted to identify professionalism elements. Second, a questionnaire was created based on the findings of the SSR. Third, a modified Delphi approach, which involved local experts to identify socioculturally appropriate elements to nurture professionalism, was used.
A total of 124 articles were identified from the SSR; these articles revealed definitions, knowledge, skills and approaches to nurturing professionalism. Through the modified Delphi approach, we identified professional traits, virtues, communication, ethical, self-care, teaching and assessment methods, and support mechanisms.
The results of this study formed the basis for a holistic and longitudinal programme focused on instilling professional traits and competencies over time through personalised and holistic support of physicians. The findings will be of interest to medical communities in the region and beyond.
培养专业身份有助于医生树立行为规范，进而促进其始终保持专业的态度、实践和患者护理。身份是一种社会文化构建的努力，因此，我们必须考虑到塑造医生角色、责任和期望的社会、文化和当地医疗保健因素。本研究旨在为新加坡的医生培养专业精神制定一个方案。
采用了三阶段、基于证据的方法。首先，进行了系统的范围综述（SSR），以确定专业精神的要素。其次，根据 SSR 的结果创建了一份问卷。第三，采用改良 Delphi 方法，邀请当地专家确定培养专业精神的社会文化适宜要素。
从 SSR 中总共确定了 124 篇文章；这些文章揭示了定义、知识、技能和培养专业精神的方法。通过改良 Delphi 方法，我们确定了专业特质、美德、沟通、伦理、自我保健、教学和评估方法以及支持机制。
本研究的结果为一个全面和长期的方案奠定了基础，该方案旨在通过个性化和全面的医生支持，随着时间的推移逐步灌输专业特质和能力。研究结果将引起该地区乃至其他地区医学社区的兴趣。
