DEVELOPMENT OF PROFESSIONALISM IN MEDICAL EDUCATION – THE EXPERIENCE OF THE WEST KAZAKHSTAN MEDICAL UNIVERSITY
Medical education is a flexible education system focused on the needs of society and scientific achievements. The training of a doctor takes place throughout life, so it is important to create a strong basis for the accumulation of knowledge and experience. When developing educational programs, it is necessary to adhere to a competency-based approach, which is the key to successful training of a qualified and professional specialist. At the same time, professionalism is a core competence that all graduates must achieve. In the article, we shared our experience in developing and implementing an educational program to develop professionalism among residents of the family medicine. It was important for us to disclose the key attributes of professionalism in the training program, which, in addition to good clinical knowledge and skills, include such qualities of a professional as honesty, responsibility, reliability, accountability and the ability to maintain an appropriate balance between the duties of caring for the patient and personal obligations. Here, we have detailed the learning outcomes and teaching methods of professionalism educational program. In the present study, the P-MEX (Professionalism Mini Evaluation Exercise) was used as an instrument for the first time, which was translated into Kazakh, passed a pilot study, demonstrating good reliability and validity.
Nurgul A. Abenova1, https://orcid.org/0000-0003-0395-9025
Lyazzat M. Zhamaliyeva1, https://orcid.org/0000-0003-3625-3651
Gulbakit K. Koshmaganbetova1, https://orcid.org/0000-0001-5895-346X
Gaukhar S. Dilmagambetova1, https://orcid.org/0000-0002-8123-3476
Inkarа E. Yesengalieva1, https://orcid.org/0000-0002-3627-5650
Akbayan U. Imanbayeva1, https://orcid.org/0000-0002-9787-6353
1 NСJSC «West Kazakhstan Marat Ospanov Medical University», Aktobe city, Republic of Kazakhstan.
1. Abenova N.A., Koshmaganbetova G.K., Shaikhimov E.Sh., Zhamalieva L.M., Dil'magambetova G.S. Professionalism in Medicine: Teaching and Assessment Methods: A Study Guide. Aktobe: West Kazakhstan Marat Ospanov Medical University, 2022. - 70 p. [in Russian]
2. Order of the Minister of Health of the Republic of Kazakhstan «On approval of the rules for implementing strategic partnerships in the field of medical education and science» dated December 15, 2020 № ҚР ДСМ-263/2020]. https://adilet.zan.kz/rus/docs/V2000021811. Accessed 20.12.2020 [in Russian]
3. Order of the Minister of Health of the Republic of Kazakhstan dated December 23, 2020 No. ҚР ДСМ-319/2020 - On approval of the Code of honor for medical and pharmaceutical workers of the Republic of Kazakhstan]. https://adilet.zan.kz/rus/docs/V2000021890
Accessed 24.12.2020. [in Russian]
5. ABIM Foundation. American Board of Internal Medicine, ACP-ASIM Foundation. American College of Physicians-American Society of Internal Medicine, European Federation of Internal Medicine. Medical Professionalism in the New Millennium: A Physician Charter // Annals of Internal Medicine. 2002. 136: 243-246.
6. Altirkawi K. Teaching professionalism in medicine: what, why and how? Sudan J Paediatr. 2014;14(1):31-8. PMID: 27493387; PMCID: PMC4949913.
7. Arnold L., Stern D.T. What is Medical Professionalism? In: Stern DT, editor. Measuring Medical Professionalism. New York, NY: Oxford University Press; 2006. pp. 15–37.
8. Cruess R., McIlroy J.H., Cruess S., Ginsburg S., Steinert Y. The professionalism mini-evaluation exercise: a preliminary investigation.// Acad Med. 2006.81: S74–8.
9. Evidence-Based Medicine Working Group. A new approach to teaching the practice of medicine // JAMA. 1992. 2:2420-5.
10. Forsythe G.B. Identity Development in Professional Education // Academic Medicine. 2005. Vol 80. No 10. S.112–117.
11. Gregory L.L., Louis B.D., James A. Defining and Evaluating Professionalism: A CoreCompetency for Graduate Emergency Medicine // ACAD EMERG MED November 2002, Vol. 9, No. 1 р. 1249-1256
12. General Medical Council. Professionalism in action. Good Medical Practice 2019. https://www.gmc-uk.org/ethical-guidance/ethicalguidance-for-doctors/good-medical-practice/professionalism-in-action. (Accessed July 14, 2019).
13. Goold S.D., Lipkin M. The doctor–patient relationship // J Gen Intern Med. 1999.14(S1):26–33.
14. Heyrman J. The EURACT Educational Agenda of general practice/family medicine; 2005, Available from: http://www.euract.eu/official-documents/finish/3-official-documents/93-euract-educational-agenda. [cited 2011 November 25].
15. Hodges B.D., Ginsburg S., Cruess R., Cruess S., Delport R., Hafferty F., Ho M.-J., Holmboe E., Holtman M., Ohbu S. Assessment of professionalism: recommendations from the Ottawa 2010 conference // Med Teach. 2011. 33: 354–63.
16. Hauer K., ten Cate O., Boscardin C., Irby D., Iobst W, O’Sullivan P. Understanding trust as an essential element of trainee supervision and learning in the workplace // Adv in Health Sci Educ. 2014. 19: 435-456.
17. Karukivi M., Kortekangas-Savolainen O., Saxén U., Haapasalo-Pesu K.-M. Professionalism mini-evaluation exercise in Finland: a preliminary investigation introducing the Finnish version of the P-MEX instrument // J Adv Med Educ Prof. 2015. 3:154–8.
18. Kwon H.-J., Lee Y.-M., Lee Y.-H., Chang H.-J. Development an instrument assessing residents’ attitude towards professionalism lapses in training // Korean J Med Educ. 2017. 29:81.
19. Kennedy T et al. Point-of-Care Assessment of Medical Trainee Competence for Independent Clinical Work // Academic Medicine, 2008; Vol 83, No. 10: S. 89-93.
20. Mykletun A., Stordal E., Dahl A.A. Hospital Anxiety and Depression (HAD) scale: factor structure, item analyses and internal consistency in a large population // Br J Psychiatry. 2001.179(6):540–4.
21. MacKenzie C.R. Professionalism and Medicine.// HSSJ. 2007. 3: 222-227.
22. Taras M. Summative and formative assessment. Active Learning in Higher Education. 2008. 9:172-92.
23. Tsugawa Y., Tokuda Y., Ohbu S., Okubo T., Cruess R., Cruess S., Ohde S., Okada S., Hayashida N., Fukui T. Professionalism mini-evaluation exercise for medical residents in Japan: a pilot study // Med Educ. 2009. 43:968–78.
24. Wang X., Shih J., Kuo F.-J., Ho M.-J. A scoping review of medical professionalism research published in the Chinese language.// BMC Med Educ. 2016. 16:300
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Abenova N.A., Zhamaliyeva L.M., Koshmaganbetova G.K., Dilmagambetova G.S., Yesengalieva I.E., Imanbayeva A.U. Development Professionalism in medical education – the experience of the West Kazakhstan Medical University // Nauka i Zdravookhranenie [Science & Healthcare]. 2023, (Vol.25) 2, pp. 270-277. doi 10.34689/SH.2023.25.2.034Related publications:
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