Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Department of Medical Education, University of Illinois, Chicago, USA.
Perspect Med Educ. 2023 Feb 24;12(1):56-67. doi: 10.5334/pme.920. eCollection 2023.
Calls have been made to integrate concepts and practices derived from Muslim culture into medical professionalism in Muslim societies. Little is known about how these religious cultural concepts (RCCs) influence medical practice and education. This study explored the influence of RCCs on medical professionalism in Saudi Arabia.
This was a qualitative study that implemented a constructivist, grounded theory approach. Semi-structured interviews about RCCs and medical professionalism were conducted with 15 Saudi physicians at a single academic medical center. Purposive sampling was used to recruit participants of different genders, generations, and specialties. Data collection and analysis were iterative. A theoretical framework was formulated.
Key findings: (i) the role of RCCs in medical professionalism is perceived to be constantly evolving due to the evolution of societal interpretations of RCCs; (ii) participants described applying two standards to judge what is professional: a medical standard and a religious cultural standard. Participants shifted between these two standards variably and non-linearly. This variable shifting altered the values shaping medical professionalism, at times unpredictably.
Academic Saudi physicians argued against assuming a stable traditional interpretation of RCCs, emphasized the evolving contribution of RCCs to medical professionalism, and indicated that the process of merging religious cultural and medical standards in medical practice is variable and may alter medical practice values. Therefore, these physicians perceived RCCs to be useful as supplements to but not as a backbone for medical professionalism. Careful consideration of the potential impact of RCCs on the values of medical professionalism is warranted.
有人呼吁将源自穆斯林文化的概念和实践融入穆斯林社会的医学专业精神中。对于这些宗教文化概念（RCC）如何影响医疗实践和教育，人们知之甚少。本研究探讨了 RCC 对沙特阿拉伯医学专业精神的影响。
这是一项定性研究，采用建构主义扎根理论方法。在一家学术医疗中心，对 15 名沙特医生进行了关于 RCC 和医学专业精神的半结构化访谈。采用目的性抽样招募不同性别、代际和专业的参与者。数据收集和分析是迭代进行的。制定了一个理论框架。
主要发现：（i）由于社会对 RCC 的解释不断演变，RCC 在医学专业精神中的作用被认为是不断演变的；（ii）参与者描述了应用两种标准来判断什么是专业的：医学标准和宗教文化标准。参与者在这两个标准之间可变且非线性地转换。这种可变的转换改变了塑造医学专业精神的价值观，有时是不可预测的。
沙特学术医生反对假设对 RCC 的稳定传统解释，强调 RCC 对医学专业精神的不断贡献，并指出在医疗实践中将宗教文化和医学标准融合的过程是可变的，并且可能改变医疗实践的价值观。因此，这些医生认为 RCC 可以作为医学专业精神的补充，但不是其支柱。需要仔细考虑 RCC 对医学专业精神价值观的潜在影响。
