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沙特阿拉伯眼科住院医师对医学职业精神的认知:一项全国调查研究。

Perception of Medical Professionalism Among Ophthalmology Residents in Saudi Arabia: A National Survey Study.

机构信息

Anterior Segment Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.

College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia.

出版信息

Middle East Afr J Ophthalmol. 2022 Nov 23;29(1):27-32. doi: 10.4103/meajo.meajo_239_21. eCollection 2022 Jan-Mar.

Abstract

PURPOSE

Studies have shown that there are significant differences in the concepts of medical professionalism among residents. Very few studies have specifically evaluated the perception of medical professionalism in a specific specialty. The aim of the study is to evaluate the perception of medical professionalism among ophthalmology residents and to assess the differences in the concept of professionalism between junior and senior residents.

METHODS

This cross-sectional study used a questionnaire to survey ophthalmology residents enrolled in different regions of Saudi Arabia in 2020. The ophthalmology residents included both junior and senior residents. In this study, "professionalism" concurred with the definition in the American Board of Internal Medicine's "Project Professionalism" and the Accreditation Council for Graduate Medical Education.

RESULTS

A total of 167 participants were recruited in the study. Out of the 127 participants who completed the survey, 60 (47.24%) were junior residents and 67 (52.76%) were senior residents. The scores for the attributes varied markedly. The lowest score obtained was 6.54 ± 3.349 for the attribute "In an emergency putting the welfare of others over my own safety" in the "Altrusim" domain and the highest score obtained was 9.62 ± 0.854 for the attribute "respect for co-workers" in the "Respect for others" domain. Out of the total residents who completed the survey ( = 127), 84 (66.14%) agreed that professionalism is teachable through a residency curriculum and 85 (66.93%) thought that it is testable.

CONCLUSION

The characteristics of different attributes of professionalism varied significantly among the residents. The findings of the present study highlights that the conceptualization and perception of professionalism is changing and there is a need to focus on the resident curriculum to instill the values of professionalism. Targeted training is needed on the concepts of professionalism to develop behaviors consistent with medical professionalism and to evaluate the levels of professionalism among residents.

摘要

目的

研究表明,住院医师对医学专业精神的概念存在显著差异。很少有研究专门评估特定专业对医学专业精神的看法。本研究旨在评估眼科住院医师对医学专业精神的看法,并评估初级和高级住院医师之间对专业精神概念的差异。

方法

这是一项横断面研究,使用问卷对 2020 年沙特阿拉伯不同地区的眼科住院医师进行调查。眼科住院医师包括初级和高级住院医师。在这项研究中,“专业精神”与美国内科医师学院“专业精神项目”和研究生医学教育认证委员会的定义一致。

结果

共有 167 名参与者参与了这项研究。在完成调查的 127 名参与者中,有 60 名(47.24%)是初级住院医师,67 名(52.76%)是高级住院医师。属性的得分差异很大。在“利他主义”领域中,获得的最低得分为 6.54 ± 3.349,用于“在紧急情况下将他人的福利置于自己的安全之上”的属性;在“尊重他人”领域中,获得的最高得分为 9.62 ± 0.854,用于“尊重同事”的属性。在完成调查的(= 127)总住院医师中,有 84 名(66.14%)同意专业精神可以通过住院医师课程教授,有 85 名(66.93%)认为专业精神可以测试。

结论

住院医师对不同专业精神属性的特征存在显著差异。本研究的结果表明,对专业精神的概念化和看法正在发生变化,需要关注住院医师课程,灌输专业精神价值观。需要对专业精神概念进行有针对性的培训,以培养与医学专业精神一致的行为,并评估住院医师的专业精神水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d40b/9846954/123255fae457/MEAJO-29-27-g001.jpg

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