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Reaffirming professionalism through the education community
1Robert Wood Johnson Foundation, Clinical Scholars Program, University of Pennsylvania School of Medicine, Philadelphia 19104-2676.
Annals of Internal Medicine
|April 1, 1994
Summary
Medical education communities and clinical training environments are crucial for fostering physician professionalism. Strategies like mentorship and evaluating professional conduct can reinforce these values.
Area of Science:
- Medical Education
- Professionalism Studies
- Sociology of Medicine
Background:
- The clinical training environment and medical education communities significantly influence physician professionalism.
- Understanding barriers to professionalism is essential for medical students, residents, and faculty.
Purpose of the Study:
- To determine the role of the clinical training environment and medical education community in reaffirming medical professionalism.
- To identify factors undermining and strategies to enhance professionalism in medical training.
Main Methods:
- Systematic review of published articles on undergraduate and graduate medical education.
- Inclusion of sociology works on professionalism.
- Selection of studies illustrating barriers and professional conduct.
Main Results:
- Specialization in medicine, faculty reward systems, and residency service demands due to healthcare economics undermine the medical education community.
- These factors create barriers to professionalism in both education and patient care.
Conclusions:
- Re-establishing a strong education community requires a core teaching faculty and robust mentoring programs.
- Implementing a longitudinal curriculum on medical professionalism and evaluating professional conduct are key strategies.
- Evaluating the clinical training environment itself is crucial for reaffirming professionalism.
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