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Related Experiment Videos

The prediction of professional behaviour.

David T Stern1, Alice Z Frohna, Larry D Gruppen

  • 1VA Ann Arbor Healthcare System, Division of General Medicine, Department of Internal Medicine, University of Michigan, Michigan, USA. dstern@umich.edu

Medical Education
|December 23, 2004
PubMed
Summary

This study established reliable measures for medical student professionalism. Failing to complete course evaluations and report immunization compliance predicted unprofessional behavior, highlighting the importance of conscientious action.

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Area of Science:

  • Medical Education
  • Professionalism Studies
  • Healthcare Ethics

Background:

  • Assessing medical student professionalism is crucial for developing competent physicians.
  • Existing methods for evaluating professionalism often lack reliability and predictive validity.
  • Identifying early predictors of professionalism can inform targeted interventions.

Purpose of the Study:

  • To establish reliable outcome measures for medical student professionalism.
  • To identify predictors of professionalism outcomes in medical students.
  • To explore the relationship between pre-clinical behaviors and clinical professionalism.

Main Methods:

  • Retrospective cohort study of medical students from a US medical school.
  • Outcome measures included professionalism problems identified by a review board and clerkship evaluations.

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  • Predictor variables included admissions data, course evaluations, immunization compliance, and standardized patient (SP) exercise performance and self-assessment.

    • Main Results:

    • Clerkship professionalism scores demonstrated high reliability (alpha 0.88-0.96).
    • Admissions data did not predict clinical professionalism.
    • Failure to complete course evaluations and report immunization compliance predicted later unprofessional behavior.
    • Immunization non-compliance predicted lower overall clerkship professionalism scores and internal medicine clerkship scores.

    Conclusions:

    • Reliable, context-bound outcome measures for medical student professionalism were established.
    • Predictors of professionalism were found in areas demonstrating conscientious behavior (e.g., course completion, immunization compliance) and accurate self-assessment.
    • Admissions data were not predictive, suggesting professionalism develops through demonstrated actions and self-awareness.