Differences in medical students’ explicit discourses of professionalism: acting, representing, becoming
- 12 May 2011
- journal article
- Published by Wiley in Medical Education
- Vol. 45 (6), 585-602
- https://doi.org/10.1111/j.1365-2923.2010.03878.x
Abstract
Rather than merely acting professionally, medical students are expected to become professionals. Developing an embodied professional persona is not straightforward as there is no single perspective of what medical professionalism comprises. In the context of this confusion, medical educationalists have been charged with developing a professionalism curriculum that emphasises, supports and measures students' professionalism. This paper focuses on medical students' discourses of medical professionalism in order to understand the means through which students conceptualise professionalism. Discourse analysis was undertaken. Two hundred students from three medical schools (in England, Australia and Wales) participated in 32 group and 22 individual interviews. Students' explicit definitions of professionalism were inductively coded according to the dimensions of professionalism they identified (n=19) and the discourses of professionalism they used (individual, collective, interpersonal, complexity). Connections were explored between pre-clinical and clinical students' understandings of professionalism across the schools and the respective policies, documents and teaching opportunities available to them. Understandings of professionalism differed between pre-clinical and clinical students and between schools with different approaches to professionalism education. Students who experienced early patient interaction and opportunities to engage in conversations about professionalism within clinician-led small groups demonstrated complex, embodied understandings of professionalism, drawing on all four discourses. Students who learned predominately through lectures used a restricted range of discourses and focused on dressing or acting like a professional. Providing students with opportunities to engage in active sense-making activities within the formal professional curriculum can encourage an embodied and sophisticated understanding of professionalism.Keywords
This publication has 36 references indexed in Scilit:
- What we see and don’t see when we look at ‘competence’: notes on a god termAdvances in Health Sciences Education, 2009
- Moving Beyond Nostalgia and Motives: Towards a Complexity Science View of Medical ProfessionalismPerspectives in Biology and Medicine, 2008
- Professionalism Education: The Medical Student ResponsePerspectives in Biology and Medicine, 2008
- Professionalism in medical education: The development and validation of a survey instrument to assess attitudes toward professionalismMedical Teacher, 2007
- Perceptions of professionalism in medicine: a qualitative studyMedical Education, 2006
- Definitions of ProfessionalismClinical Orthopaedics and Related Research, 2006
- Teaching ProfessionalismClinical Orthopaedics and Related Research, 2006
- Defining and Evaluating Professionalism: A Core Competency for Graduate Emergency Medicine EducationAcademic Emergency Medicine, 2002
- Complexity science: Coping with complexity: educating for capabilityBMJ, 2001
- Beyond curriculum reformAcademic Medicine, 1998