Physicianship: Educating for professionalism in the post-Flexnarian era

Area of Science:

• Medical Education
• Professionalism in Medicine
• Healthcare Ethics

Background:

• Abraham Flexner highlighted scientific methodology as essential in medical education.
• He left the definition of complementary professional "noble behaviors and fine feelings" to future generations.
• The current professionalism movement seeks to define these essential attributes.

Purpose of the Study:

• To propose a post-Flexnerian medical curriculum framework called "Physicianship."
• To define the conceptual armature and necessary attributes for the physician as healer and professional.
• To guide student selection and establish an educational blueprint for medical teaching.

Main Methods:

• Conceptual framework development for "Physicianship."
• Integration of previous commentary on enduring medical attributes.
• Focus on identity formation and assessment of professional behaviors.

Main Results:

• "Physicianship" offers a logical curriculum structure building on Flexner's work.
• It provides a blueprint for selecting students and teaching medical professionals.
• Highlights the importance of identity formation and reliable assessment of professional conduct.

Conclusions:

• A "Physicianship" curriculum can effectively address the need for professional development in medical education.
• This framework, exemplified by McGill University Faculty of Medicine, aligns with Flexner's vision.
• It provides a comprehensive approach to training physicians as both healers and professionals.