TEACHERS’ PERCEPTION OF PROFESSIONALISM IN COMPETENCY-BASED MEDICAL EDUCATION: ARE THERE ANY DIFFERENCES?

Rachmad Sarwo Bekti; Carissa Putri Irnanda; Setyawati Soeharto

doi:10.22146/jpki.35538

TEACHERS’ PERCEPTION OF PROFESSIONALISM IN COMPETENCY-BASED MEDICAL EDUCATION: ARE THERE ANY DIFFERENCES?

https://doi.org/10.22146/jpki.35538

Rachmad Sarwo Bekti^(1*), Carissa Putri Irnanda⁽²⁾, Setyawati Soeharto⁽³⁾

(1) Fakultas Kedokteran Universitas Brawijaya, Malang - INDONESIA
(2) Fakultas Kedokteran Universitas Brawijaya, Malang - INDONESIA
(3) Fakultas Kedokteran Universitas Brawijaya, Malang - INDONESIA
(*) Corresponding Author

Abstract

Background: Medical professionalism learning for medical students in Faculty of Medicine of Universitas Brawijaya (FMUB) requires some clear indicators or values because of the Competency-based Curriculum (KBK). Those values can be arranged by looking for the local wisdom which is a group of visions or values from the lecturers’ perceptions toward professionalism. This research was aimed to reveal the specific components of professionalism in FKUB perceived by faculty.

Method: This research was designed as a qualitative research by using semi-structured interviews of targeted subjects to gather the data constructs. The questions in interviews were designated to dig out the informer’s perception in interpreting medical professionalism, based on their experiences, current visions, and hopes. Standardized qualitative analysis were applied to reveal the main themes of the responses.

Results: Themes which came up as the components of professionalism from 15 lecturers’s perceptions were categorized as follow: attitude, clinical competence, and knowledge. Those main components were mentioned in National and International Standards related to professionalism, but not all the sub-components were mentioned. Spirituality and medical attire which became the sub-component of attitude were considered as specific construct of professionalism perceived by FKUB lecturers.

Conclusion: The concept of professionalism rooted on spirituality and expressed into proper attire in this research was expected to become a local wisdom of medical professionalism in Indonesia. It is advised that the results of this study can help the medical program administrator to develop instruments that nurture the professionalism development of students. Further research might be conducted by using different university context or by taking samples from larger faculty perspective with different specialization.

Keywords

Local wisdom, Lecturers’ perceptions, Medical professionalism, Medicine

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References

1. KKI. Standar Kompetensi Dokter Indonesia. Jakarta: KKI; 2012.

2. Walsh C, Abelson HT. Medical Professionalism. Perspect Biol Med. 2008;51(4):554-564.

3. Cruess RL, Cruess SR, Boudreau JD, Snell L, Steinert Y. Reframing Medical Education to Support Professional Identity Formation. Acad Med. 2014;89(11):1446-1451. doi:10.1097/ACM.0000000000000427.

4. Wilson I, Cowin LS, Johnson M, Young H. Professional identity in medical students: pedagogical challenges to medical education. Teach Learn Med. 2013;25(4):369-373. doi:10.1080/10401334.2013.827968.

5. Monrouxe L V. Identity, Identification and Medical Education : why should we care ? Med Educ. 2010;44(1):40-49. doi:10.1111/j.1365-2923.2009.03440.x.

6. Program Studi Pendidikan Dokter. Pedoman Akademik Pendidikan Dokter Fakultas Kedokteran Universitas Brawijaya. Fakultas Kedokteran Universitas Brawijaya; 2014.

7. Frenk J, Chen L, Bhutta ZA, et al. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. Lancet. 2010;376(9756):1923-1958. doi:doi:10.1016/S0140-6736(10)61854-5.

8. Birden H, Glass N, Wilson I, Harrison M, Usherwood T, Nass D. Teaching Professionalism in medical education: a Best Evidence Medical Education (BEME) systematic review. BEME Guide No.25. Med Teach. 2013;35(7):e1252–e1266. doi:http://dx.doi.org/10.3109/0142159X.2013.789132.

9. Ng S, Lingard L, Kennedy TJ. Qualitative Research in Medical Education: Methodologies and Methods. In: Swanwick T, ed. Understanding Medical Education : Evidence, Theory and Practice. Vol 2nd ed. London: Wiley Blackwell; 2014:373.

10. Thornberg R, Charmaz K. Grounded Theory and Theoretical Coding. In: Flick U, ed. The SAGE Handbook of Qualitative Data Analysis. Vol London: SAGE Publications; :153-169.

11. Varpio L, Ajjawi R, Monrouxe L V, Brien BCO, Rees CE. Shedding the cobra effect : problematising thematic emergence, triangulation, saturation and member checking. Med Educ. 2017;51:40-50. doi:10.1111/medu.13124.

12. Eagly AH, Chaiken S. Attitude, Structure and Function. In: Hanbook of Social Psychology 4th Ed. Vol ; 1998:269-322.

13. Rosenberg MJ, Hovland CI. Cognitive, Affective and Behavioral Components of Attitude. In: Rosenberg MJ, Hovland CI, eds. Attitude Organization and Change: An Analysis of Consistency Among Attitude Components. Vol New Haven: Yale University Press; 1960.

14. Hirsch EM. The role of empathy in medicine: a medical student’s perspective. AMA J Ethics. 2007;6:423-427.

15. Jain V. 3D model of attitude. Int J Adv Res Manag Soc Sci. 2014;3(3):5-7.

16. Puchalski CM. Spirituality and Health: The Art of Compassionate Medicine. Vol March. 2001.

17. Steinberg D. Altruism in medicine: its definition, nature, and dilemmas. Int J Healthc Ethics Committees. 2010;19(2):249-257.

18. American Board of Internal Medicine. Medical professionalism in the new millennium: a physician charter. Ann Intern Med. 2002;136:243-246.

19. Pengurus Besar Ikatan Dokter Indonesia. Kode Etik Kedokteran Indonesia. Jakarta: PB IDI; 2012.

20. Rehman SU, Nietert PJ, Cope DW, Kilpatrick A-O. What to wear today? Effect of doctor’s attire on the trust and confidence of patients. Am J Med. 2005;118:1279-1286.

21. Hellstrom O. The importance of a holistic concept of healthcare. Examples from the clinic. Theor Med. 1993;14(4):325-342. https://link.springer.com/article/10.1007/BF00996340.

22. Wade DT. Holistic Health Care: What Is It, and How Can We Achieve It? Oxford: Oxford Centre of Enablement; 2009. https://pdfs.semanticscholar.org/80af/edfca2ffe3c96054aac6a85cf940a9c63a56.pdf.

23. Harris J. “Altruism: Should it be included as an attribute of medical professionalism?” Heal Prof Educ. 2017. doi:http://dx.doi.org/10.1016/j.hpe.2017.02.005.

24. Merchant AB. Improving the ethics of medical practice: a family physician’s viewpoint. Indian J Med Ethics. 2002;10(2).

25. Hojat M, Veloski J, Nasca TJ, Erdmann JB, Gonella JS. Assessing physician’ orientation toward lifelong learning. J Gen Intern Med. 2006;21(9):931-936.

26. Cassam Q. Knowledge, Perception and Analysis. South African J Philos. 2008;27(3):36.

27. Lave J, Wenger E. Situated Learning: Legitimate Peripheral Participation. Cambridge: Cambridge University Press; 1991.

28. Rahmat I. Aspek Spiritual Dalam Keperawatan. Yogyakarta; 2002.

29. Budiyono. Hubungan Negara dan Agama dalam Negara Pancasila. Fiat Justisia J Ilmu Huk. 2014;8(3):410-423.

30. Houston WJ, Carek SM. Patients’ Preference for Physician Attire: A Survey of Patients in Family Medicine Training Practice. Fam Med. 43AD;9(643-647).

31. Petrilli CM, Mack M, Petrilli JJ, Hickner A, Saint S, Chopra V. Understanding the role of physician attire on patient perceptions : a systematic review of the literature — targeting attire to improve likelihood of rapport ( TAILOR ) investigators. BMJ Open. 2015;5(e006578):1-18. doi:10.1136/bmjopen-2014-006578.

32. Bearman G, Bryant K, Leekha S, et al. Healthcare Personnel Attire in Non-Operating-Room Settings. Infect Control Hosp Epidemiol. 2014;35(2):107-121. doi:10.1086/675066.

33. Kusumawati W, Prihatiningsih TS, Rahayu GR, Sastrowijoto S. Identification of Professional Behavior Attributes for Indonesian Medical Education. South East J Med Educ. 2015;9(1):19-25.

DOI: https://doi.org/10.22146/jpki.35538