Bashir Adeela, McTaggart Irene J
Department of Health Professions Education, National University of Medical Sciences, Pakistan.
Centre of Medical Education, Ninewells Hospital, University of Dundee, Scotland, United Kingdom.
J Taibah Univ Med Sci. 2021 Jul 26;17(1):112-119. doi: 10.1016/j.jtumed.2021.06.009. eCollection 2022 Feb.
This study explores the perceptions of final year medical students and clinical faculty with regard to role modelling in teaching professionalism.
In this qualitative research design, we used the Constructivist Grounded Theory model. Six semi-structured interviews with faculty from six clinical specialties and three focus group discussions with 22 final year students were conducted. We applied initial, focused and selective coding along with a thematic analysis of the subject to develop a core category. This is the first part of a larger study that addresses the impact of positive role modelling on teaching professionalism. Findings relevant to negative role modelling are being reported in a subsequent paper.
The results showed consensus that positive role modelling is the most important strategy for teaching professionalism to medical students. A disturbing finding was a perceived deteriorating level of inspirational positive role modelling. A lack of institutional support and weak regulatory control were pointed out as potential factors contributing towards this deterioration.
Positive role modelling was found to be the most effective way to teach professionalism to medical students. However, it cannot be truly effective unless institutions play their role which is pivotal in promoting a culture of professionalism. This can be materialized by recognizing and facilitating conscientious and explicit role modelling by the medical faculty. In addition, an effective regulatory control by the concerned authorities could play an important role.
本研究探讨了医学专业最后一年的学生和临床教师对教学职业精神中榜样作用的看法。
在这项定性研究设计中,我们采用了建构主义扎根理论模型。对六个临床专业的教师进行了六次半结构化访谈,并与22名最后一年的学生进行了三次焦点小组讨论。我们应用了初始编码、聚焦编码和选择性编码以及对该主题的主题分析来形成一个核心类别。这是一项更大规模研究的第一部分,该研究探讨了积极榜样对教学职业精神的影响。与消极榜样相关的研究结果将在后续论文中报告。
结果显示,大家一致认为积极榜样是向医学生传授职业精神的最重要策略。一个令人不安的发现是,人们认为鼓舞人心的积极榜样水平在下降。缺乏机构支持和监管控制不力被指出是导致这种下降的潜在因素。
积极榜样被认为是向医学生传授职业精神的最有效方式。然而,除非机构发挥其关键作用,即在促进职业精神文化方面发挥关键作用,否则它不可能真正有效。这可以通过认可和促进医学教师认真和明确的榜样作用来实现。此外,有关当局的有效监管控制可以发挥重要作用。