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Related Experiment Videos

Residents' perspective on professionalism in the learning environment.

P Preston Reynolds1, Casey White1, James R Martindale1

  • 1University of Virginia, Virginia.

Current Problems in Pediatric and Adolescent Health Care
|April 15, 2019
PubMed
Summary
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Residents feel their personal and program commitment to professionalism exceeds their institution

Area of Science:

  • Medical Education
  • Professionalism in Medicine
  • Healthcare Quality

Background:

  • Accrediting bodies mandate teaching hospitals foster professionalism in trainees and faculty.
  • The learning environment's impact on professionalism is crucial for medical education.
  • Understanding resident perspectives is key to improving professionalism training.

Purpose of the Study:

  • To analyze the learning environment of professionalism from residents' viewpoints.
  • To assess resident perceptions of commitment to professionalism at personal, program, and institutional levels.
  • To identify factors influencing professionalism, including role modeling and educational offerings.

Main Methods:

  • An anonymous online survey was distributed to all residents at the University of Virginia (2013-14).

Related Experiment Videos

  • Survey items explored personal/program/institutional commitment, education, role modeling, and barriers.
  • Data from 365 residents (47% response rate) were analyzed.

    • Main Results:

    • Residents rated their personal and program commitment to professionalism significantly higher than the institution's (p < 0.001).
    • Only 25% of faculty consistently modeled professionalism; over half of residents felt poor role modeling negatively impacted their attitudes.
    • Areas needing improvement include cross-cultural patient communication and inter-professional teamwork.

    Conclusions:

    • Despite accreditation standards, a gap exists between institutional commitment and resident perceptions of professionalism.
    • Faculty role modeling is a critical factor influencing resident attitudes toward professionalism.
    • Targeted interventions addressing institutional culture and specific skill deficits are needed to enhance professionalism in medical training.