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LEARNING PROFESSIONALISM
Master Teacher Guild
Mike Fennewald, PhD (CMS) Daniel Bareither, PhD (SCPM)
Lecia Apantaku, MD (CMS) Roberta Henderson, PT, PhD (CHP)
Fred Sierles, MD (CMS)John Becker (SCPM)
Marc Abel, PhD (COP)Hector Rasgado-Flores, PhD (CMS)
June 5, 2012
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Learning Professionalism
Definition of Professionalism:
• The display of behaviors, values and attributes that portray the traits endeared by a specialized discipline of study and practice.
Adapted from: Cary JR, Ness KK. Erosion of Professional Behaviors in Physical Therapy Students. J PT Ed. 2001: 15(3):20-24.)
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Learning Professionalism: Perspectives of Preclinical Medical Students
A.Baernstein, A. Aimes Oelschlager, T. Chang, and M. Wenrich
Academic Medicine 2009
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Methods
Identify how students learn professionalism including formal curriculum and other factors
56 student interviews at the end of their second year of medical school
Student’s definition, influences on professionalism, and observed behaviors
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Observing what is professional: Roles models
• Physician role models in patient care.
• Faculty role models in the classroom
• Peer role models
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Physician role models in patient care
• Role modeling was the primary source of professionalism education
• Students often describe a physician’s compassion and relational skills with patients
• Students also described negative role models
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Faculty role models in the classroom
• Professional behaviors – respectful speaking to students and colleagues
• Unprofessional behaviors – unprepared for lecture, telling vulgar jokes, making disrespectful comments about patients, belittling students, and not taking students’ concerns seriously
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Peer role models
• Learn by watching peer perform patient care activities
• Unprofessional behaviors – tardiness, cheating, and speaking disrespectfully of patients, teachers, and peers
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Being told what is professional: Formal
curriculum• Lectures and panels
• Small group discussions
• Other - reflections
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Lectures and panels
Positive reactions Learning specific behaviors that improve professionalism Help interpret what is seen in role modeling
Negative reactions Many classmates “tuned these lectures out” Insulting to be lectured on “obvious” material
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Small group discussions
• Frequently sited as positive learning experiences
• College mentor is a positive role model - It is important to be able to talk over potential situations before they arise
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Reflections
• Self reflection
• Informal discussions with family and friends
• Professionalism OSCE
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What I bring to medical school: Noncurricular
elements• Upbringing• Personal values• Relatives in health care• Work experience• Formative undergraduate experience
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Learning on the job: Experiential learning
• Working directly with patients
• Big difference between hearing about it and doing it