Igarashi Ryoko
Department of Medical Education, Tokyo Medical University, Tokyo, Japan.
Korean J Med Educ. 2025 Mar;37(1):47-58. doi: 10.3946/kjme.2025.322. Epub 2025 Feb 26.
In recent years, professionalism education has been incorporated into medical education as an important part of the curriculum. Through receiving professionalism education, most medical students gradually acquire professionalism, including a professional attitude. However, some medical students demonstrate unprofessional behavior that raises concerns among faculty and other students. There are various stages to dealing with unprofessional behavior, as follows: definition, prevention, detection, evaluation, correction, and follow-up. However, it is often difficult to identify unprofessional behavior and respond appropriately. In this study, overview of medical students' unprofessional behavior from previous studies on medical students' unprofessionalism behavior, and how to identify and evaluate medical students' unprofessional behavior, and effective education that can correct medical students' unprofessional behavior was analyzed by reviewing 52 articles. Medical students' unprofessional behavior is classified into the following four categories: "lack of involvement," "lack of integrity," "lack of interaction," and "lack of introspection." The occurrence of unprofessional behavior was found to be attributed to personal problems, interpersonal problems, external factors, and environmental factors. Educators analyzed unprofessional behavior and its causes from four categories. Medical students should perform reflective writing to help them reflect on their unprofessional behavior. Educators should use this reflective writing to interact with medical students, and to investigate and analyze the students' unprofessional behavior. Furthermore, educators will need to assess unprofessional behavior using a roadmap to address unprofessionalism, and to respond appropriately to each stage of the roadmap. Individualized educational interventions should be provided to help students correct their unprofessional behavior.
近年来,职业素养教育已被纳入医学教育,成为课程的重要组成部分。通过接受职业素养教育,大多数医学生逐渐养成职业素养,包括职业态度。然而,一些医学生表现出不专业的行为,这引起了教师和其他学生的关注。处理不专业行为有以下几个阶段:定义、预防、发现、评估、纠正和跟踪。然而,往往很难识别不专业行为并做出适当反应。在本研究中,通过回顾52篇文章,分析了以往关于医学生不专业行为的研究中对医学生不专业行为的概述,以及如何识别和评估医学生的不专业行为,以及能够纠正医学生不专业行为的有效教育。医学生的不专业行为分为以下四类:“缺乏参与”、“缺乏诚信”、“缺乏互动”和“缺乏反思”。发现不专业行为的发生归因于个人问题、人际关系问题、外部因素和环境因素。教育工作者从四个类别分析了不专业行为及其原因。医学生应该进行反思性写作,以帮助他们反思自己的不专业行为。教育工作者应该利用这种反思性写作与医学生互动,并调查和分析学生的不专业行为。此外,教育工作者需要使用解决不专业行为的路线图来评估不专业行为,并对路线图的每个阶段做出适当反应。应该提供个性化的教育干预措施,以帮助学生纠正他们的不专业行为。