Neve Hilary, Hanks Sally
Peninsula Medical School, University of Plymouth, Plymouth, UK.
Peninsula Dental School, University of Plymouth, Plymouth, UK.
MedEdPublish (2016). 2022 May 25;12:2. doi: 10.12688/mep.17558.2. eCollection 2022.
Professionalism is vital for high quality healthcare and fundamental to health profession education. It is however complex, hard to define and can be challenging to teach, learn about and assess. We describe the development and use of an innovative visual tool, using a tangram analogy, to introduce and explore core professionalism concepts, which are often troublesome for both learners and educators. These include the hidden curriculum, capability, professional identity and the difference between unprofessionalism and high professional standards. Understanding these concepts can help individuals to see professionalism differently, encourage faculty to design professionalism programmes which focus on professional excellence, support assessors to feel more confident in identifying and addressing underperformance and facilitate learners to appreciate the complexity and uncertainty inherent in professionalism and to become more alert to the hidden curriculum and its potential impact. We have used the tangram model to educate for professionalism in multiple contexts with learners and educators. Participants regularly report that it leads to a deeper understanding and important new insights around professionalism and helps them identify ways of changing their practice. We believe this approach has relevance across the health professions and suggest ways it could be further developed to explore wider professionalism issues such as reflective practice, resilience and teamworking.
专业精神对于高质量医疗保健至关重要，也是健康职业教育的基础。然而，它很复杂，难以定义，在教学、学习和评估方面都具有挑战性。我们描述了一种创新视觉工具的开发和使用，该工具采用七巧板类比，来介绍和探索核心专业精神概念，这些概念对学习者和教育工作者来说往往都很棘手。这些概念包括隐性课程、能力、职业身份以及非专业行为与高专业标准之间的差异。理解这些概念可以帮助个人以不同的视角看待专业精神，鼓励教师设计专注于专业卓越的专业精神课程，支持评估者更自信地识别和解决表现不佳的问题，并促使学习者认识到专业精神中固有的复杂性和不确定性，更加警惕隐性课程及其潜在影响。我们已在多种情境下使用七巧板模型对学习者和教育工作者进行专业精神教育。参与者经常报告称，它能带来对专业精神更深入的理解和重要的新见解，并帮助他们找到改变自身行为的方法。我们相信这种方法在各个健康职业领域都具有相关性，并提出了进一步发展该方法以探索更广泛专业精神问题（如反思性实践、适应力和团队合作）的建议。
