TY - JOUR
T1 - Integrating wellbeing and social accountability into medical professionalism self-assessment
T2 - A mixed methods approach
AU - Puschel, Klaus
AU - Barriga, Isabel
AU - Olivares, Silvia
AU - Mejía, Natalia
AU - García, Karen
AU - Rojas-Muñoz, Cynthia
AU - Cornejo, Rayen
AU - Paz, Sarah
AU - Armijo, Priscila Rodrígues
AU - Are, Chandrakhanth
AU - León, Augusto
N1 - Publisher Copyright:
© 2024 The Authors
PY - 2024/9/1
Y1 - 2024/9/1
N2 - Background: Medical professionalism is an essential characteristic of excellent physicians and in most need of training. It should involve areas not included in traditional frameworks, such as physicians’ self-care and social accountability. This study aims to develop a comprehensive self-assessment instrument to improve medical professionalism training in medical students. Methods: Mixed-methods design that integrated a scoping review, a qualitative framework method, and a cross-sectional design. The qualitative phase included focus groups with 19 medical students and 9 in-depth interviews with clinician educators. The quantitative phase included descriptive and exploratory factor analysis of 112 interviews to fifth-year medical students at the Catholic University in Chile. Results: In the scoping review, 290 articles were screened. The Professionalism Mini-Evaluation Exercise (P-MEX) instrument was selected as the reference instrument. The qualitative phase generated 188 open codes and 468 quotes, which were analyzed using the Atlas-ti 8.0 software®. Three levels of professional assessment emerged. The micro level included self-reflection and self-care skills; the meso level included doctor–patient relationship, team interaction, and management skills; and the macro level included social accountability skills. The new adapted instrument (P-MEX-LA) contained 30 items and achieved high reliability and internal consistency (Omega 0.86; Cronbach's alpha 0.82). Self-care and social accountability skills were the areas with the lowest level of achievement by students. Discussion: A Latin American self-assessment version of the P-MEX instrument (P-MEX-LA) that included self-care and social accountability skills achieved high content validity, internal consistency, and reliability. It could contribute to improving medical professionalism training among medical students.
AB - Background: Medical professionalism is an essential characteristic of excellent physicians and in most need of training. It should involve areas not included in traditional frameworks, such as physicians’ self-care and social accountability. This study aims to develop a comprehensive self-assessment instrument to improve medical professionalism training in medical students. Methods: Mixed-methods design that integrated a scoping review, a qualitative framework method, and a cross-sectional design. The qualitative phase included focus groups with 19 medical students and 9 in-depth interviews with clinician educators. The quantitative phase included descriptive and exploratory factor analysis of 112 interviews to fifth-year medical students at the Catholic University in Chile. Results: In the scoping review, 290 articles were screened. The Professionalism Mini-Evaluation Exercise (P-MEX) instrument was selected as the reference instrument. The qualitative phase generated 188 open codes and 468 quotes, which were analyzed using the Atlas-ti 8.0 software®. Three levels of professional assessment emerged. The micro level included self-reflection and self-care skills; the meso level included doctor–patient relationship, team interaction, and management skills; and the macro level included social accountability skills. The new adapted instrument (P-MEX-LA) contained 30 items and achieved high reliability and internal consistency (Omega 0.86; Cronbach's alpha 0.82). Self-care and social accountability skills were the areas with the lowest level of achievement by students. Discussion: A Latin American self-assessment version of the P-MEX instrument (P-MEX-LA) that included self-care and social accountability skills achieved high content validity, internal consistency, and reliability. It could contribute to improving medical professionalism training among medical students.
KW - Assessment
KW - Instruments
KW - Medical education
KW - Medical professionalism
KW - Social accountability
KW - Wellbeing
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U2 - 10.1016/j.edumed.2024.100940
DO - 10.1016/j.edumed.2024.100940
M3 - Article
AN - SCOPUS:85195700915
SN - 1575-1813
VL - 25
JO - Educacion Medica
JF - Educacion Medica
IS - 5
M1 - 100940
ER -