Cleveland Clinic Lerner College of Medicine at Case Western Reserve University, Cleveland, OH.
Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA.
Perm J. 2021 May 26;25:20.223. doi: 10.7812/TPP/20.223.
Professionalism is a core concept in medicine. The extent to which knowledge about professionalism is anchored in empirical research is unknown. Understanding the current state of research is necessary to identify significant gaps and create a road map for future professionalism efforts. The authors conducted an exploratory literature review to characterize professionalism research published in widely read medical journals, identify knowledge gaps, and describe the sources of funding for the identified studies.
The authors focused on Medline's Abridged Index Medicus and 4 core Medline education-oriented journal and developed a search filter using text words found in the article title or abstract addressing professionalism. Articles were further filtered to include those indicating a research focus.
The search strategy resulted in 461 professionalism research articles for analysis. Articles were divided into themes of education (n = 212, 45.9%), performance (n = 83, 18%), measurement development (n = 13, 2.8%), remediation (n = 53, 11.5%), and well-being (n = 100, 21.6%). There were 36 studies from 1980 to 2002 (Era 1: before publication of Accreditation Council for Graduate Medical Education competencies) and 425 from 2003 to 17 (Era 2: after Accreditation Council for Graduate Medical Education publication of competencies). Professionalism education was the most common topic area, and most studies were from single institutions with results based on convenience samples. Most studies received no funding or were funded by the authors' own institution.
Little empirical research is available on professionalism in widely read medical journals. There has been limited external research funding available to study this topic.
More investment in high quality professionalism research is justified and should be encouraged.
专业性是医学的核心概念。人们对专业性的了解在多大程度上建立在实证研究的基础上尚不清楚。了解当前研究状况对于确定重要差距和为未来的专业性工作制定路线图是必要的。作者进行了一项探索性文献综述，以描述广泛阅读的医学期刊上发表的专业性研究，确定知识空白，并描述已确定研究的资金来源。
作者主要关注 Medline 的 Abridged Index Medicus 和 4 种核心 Medline 教育导向期刊，并使用标题或摘要中提到专业性的文本词开发了一个搜索筛选器。文章进一步筛选，纳入那些表明研究重点的文章。
搜索策略产生了 461 篇专业性研究文章进行分析。文章分为教育主题（n = 212，45.9%）、表现主题（n = 83，18%）、测量发展主题（n = 13，2.8%）、补救主题（n = 53，11.5%）和幸福感主题（n = 100，21.6%）。有 36 项研究来自 1980 年至 2002 年（第 1 时代：在毕业后医学教育认证委员会能力发布之前），425 项来自 2003 年至 2017 年（第 2 时代：在毕业后医学教育认证委员会发布能力之后）。专业性教育是最常见的主题领域，大多数研究来自单一机构，结果基于方便样本。大多数研究没有获得资金或由作者自己的机构资助。
在广泛阅读的医学期刊上，关于专业性的实证研究很少。几乎没有外部研究资金可用于研究这个课题。
有理由对高质量的专业性研究进行更多投资，并应鼓励进行此类投资。
