Knowledge of medical professionalism in medical students and physicians at Shahid Beheshti University of Medical Sciences and affiliated hospitals-Iran.
Knowledge of medical professionalism in medical students and physicians at Shahid Beheshti University of Medical Sciences and affiliated hospitals-Iran.
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DOI：
10.1097/md.0000000000005380
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发表时间：
2016-11
期刊：
影响因子：
1.6
通讯作者：
Kiani M
中科院分区：
文献类型：
--
作者：
Seif-Farshad M;Bazmi S;Amiri F;Fattahi F;Kiani M
虽然医学专业精神是医学能力的一个基本方面，也是医生能力的一个独特方面，但有证据表明，在伊朗和许多其他国家，没有将专业精神这一主题作为医科学生课程的一部分进行教授或评估。评估医学生和医生对医疗专业知识的了解，似乎有助于确定专业领域培训的弱点，并为今后这方面的培训制定计划。本研究采用分层随机抽样的方法，采用自行设计的问卷，对149名实习医师、住院医师、内科医生和在医院工作的教授进行了横断面、定量、观察和流行病学研究，并对其效度和信度进行了验证。结果采用Stata分析，显著性水平为0.05。149例患者中，男性占61.64%，平均年龄30.81岁。共有66名参与者（44.29%）（95%置信区间[CI]: 36.44% ~ 52.44%）在研究前听说过“医学专业精神”一词，83名（55.70%）（95% CI: 47.55% ~ 63.55%）未听说过“医学专业精神”一词。在校正潜在混杂因素后，年龄和学历对医学专业知识的评估差异无统计学意义，但性别对医学专业知识的评估差异有统计学意义（平均差异为5.88,P = 0.045），且女性受试者的平均值显著高于男性受试者。平均正确率为47.67%。本研究表明，在伊朗国家卫生保健系统工作的医务人员对医疗专业精神的理论知识不佳；虽然这并不表明他们的做法是不道德的，但应该指出的是，拥有高水平的医疗专业精神和在医学界与患者之间建立适当关系的先决条件之一是对这一概念有适当的了解。要改善医疗专业人员的行为和表现，就需要对医疗专业精神的概念进行充分的培训，从而对医疗专业人员的专业水平进行评估。
Although medical professionalism is a fundamental aspect of competence in medicine and a distinct facet of physicians’ competence, evidence suggests that the subject of professionalism is not taught or assessed as part of medical students’ curricula in Iran and many other countries. Assessing the knowledge of medical students and physicians about medical professionalism seems to be helpful in identifying the weaknesses of training in the field of professionalism and devise plans for future training on the subject. The present cross-sectional, quantitative, observational, and prevalence study recruited 149 medical interns, clinical residents, physicians, and professors working in hospitals selected through stratified random sampling using a questionnaire designed by the researchers and confirmed for its validity and reliability. The results were analyzed by Stata at a significance level of 0.05. Out of 149 cases, 61.64% were male with the mean age of 30.81 years. A total of 66 participants (44.29%) (95% confidence interval [CI]: 36.44%–52.44%) had heard and 83 (55.70%) (95% CI: 47.55%–63.55%) had not heard the term “medical professionalism” before the study. After adjusting for potential confounders, age and degree did not have statistically significant difference in assessed knowledge of medical professionalism, but sex had (mean difference: 5.88, P = 0.045), and the mean of the female was significantly higher than that of the male participants. The mean percentage of correct answers was 47.67. The present study demonstrated that the medical professionals working in the national healthcare system have an unfavorable theoretical knowledge about medical professionalism in Iran; although this does not indicate that their practices are unethical, it should be noted that one of the prerequisites of possessing a high level of medical professionalism and for establishing a proper relationship between the medical community and the patients is to have a proper knowledge of this concept. Improving behaviors and performances in medical professions requires adequate training on the concepts of medical professionalism and consequently the assessment of the levels of professionalism achieved in medical professionals.