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Exploring the Neural Correlates of Cognitive Reappraisal in Obsessive-Compulsive Disorder Using Task-based Functional Magnetic Resonance Imaging
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Turning unprofessional behaviors around using Holmes' reflection approach: a randomized controlled study.

Leila Naeimi1, Fariba Asghari2, Saharnaz Nedjat3

  • 1Researcher, Department of Medical Education, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran; Medical Education Development Center, Zanjan University of Medical Sciences, Zanjan, Iran.

Journal of Medical Ethics and History of Medicine
|November 16, 2020
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A 16-week professionalism training program improved medical students' judgment scores. The Holmes reflection approach enhanced cognitive understanding of professionalism but did not significantly alter attitudes or behaviors.

Keywords:
Holmes' approachMedical studentsProfessionalismReflection.Unprofessional behavior

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Area of Science:

  • Medical Education
  • Professionalism Studies

Background:

  • Medical schools integrate professionalism training.
  • Clinical exposure to unprofessional behavior may undermine formal training.
  • Need for effective strategies to enhance medical student professionalism.

Purpose of the Study:

  • To design, implement, and evaluate a longitudinal program to improve medical student professionalism.
  • To assess the impact of the Holmes reflection approach on professionalism.
  • To evaluate changes in judgment, attitudes, and behaviors related to professionalism.

Main Methods:

  • A 10-hour, 16-week longitudinal program using the Holmes reflection approach.
  • 75 medical students randomly assigned to intervention (training) and control (no training) groups.
  • Paired t-test and Multiple Linear Regression used for data analysis.

Main Results:

  • Intervention group showed significant improvement in professionalism judgment scores (7.56 to 10.17; P<0.001).
  • No significant improvement in professionalism judgment was observed in the control group.
  • No significant changes in students' attitudes or professional behaviors were detected in either group.

Conclusions:

  • The Holmes reflection approach effectively enhances the cognitive understanding of professionalism among medical students.
  • Further long-term follow-up and qualitative studies are needed to understand broader effects.
  • Targeted interventions may be necessary to influence attitudes and behaviors alongside cognitive development.