Browsing by Author "Gibson, J."

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    Cultural similarities and differences in medical professionalism: a multi-region study
    (Wiley-Blackwell, 2012) Chandratilake, M.; McAleer, S.; Gibson, J.
    CONTEXT:Over the last two decades, many medical educators have sought to define professionalism. Initial attempts to do so were focused on defining professionalism in a manner that allowed for universal agreement. This quest was later transformed into an effort to 'understandprofessionalism' as many researchers realised that professionalism is a social construct and is culture-sensitive. The determination of culturaldifferences in the understanding of professionalism, however, has been subject to very little research, possibly because of the practical difficulties of doing so. In this multi-region study, we illustrate the universal and culture-specific aspects of medical professionalism as it is perceived by medical practitioners. METHODS: Forty-six professional attributes were identified by reviewing the literature. A total of 584 medical practitioners, representing the UK, Europe, North America and Asia, participated in a survey in which they indicated the importance of each of these attributes. We determined the 'essentialness' of each attribute in different geographic regions using the content validity index, supplemented with kappa statistics. RESULTS: With acceptable levels of consensus, all regional groups identified 29 attributes as 'essential', thereby indicating the universality of these professional attributes, and six attributes as non-essential. The essentialness of the rest varied by regional group. CONCLUSIONS: This study has helped to identify regional similarities and dissimilarities in understandings of professionalism, most of which can be explained by cultural differences in line with the theories of cultural dimensions and cultural value. However, certain dissonances among regions may well be attributable to socio-economic factors. Some of the responses appear to be counter-cultural and demonstrate practitioners' keenness to overcome cultural barriers in order to provide better patient care
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    Medical student rankings of proposed sanction for unprofessional behaviours relating to academic integrity: results from a Scottish medical school
    (Sage Publishing, 2012) Roff, S.; Chandratilake, M.; McAleer, S.; Gibson, J.
    The General Medical Council emphasizes the cultivation of professional behaviours among medical students from early undergraduate years. Learning professional behaviours, however, is a progression and is constituted of several developmental stages. Behaving with academic integrity may be the first stage. In an educational setting, academic integrity is represented by a collection of diverse behaviours. Although there is consensus within the medical community that the absence of (or lapses in) academic integrity is unacceptable, the level of sanctions recommended for medical students is controversial. In the main, these punitive decisions over students are taken by teachers and clinicians. What sanctions would students suggest for a colleague who is academically unprofessional? This study reports the sanctions recommended by 375/700 (54%) of the students of one Scottish medical school in relation to lapses in academic integrity
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    Professionalism: the indicator of a civilized and exemplary medical profession (the leading article)
    (Sri Lanka Medical Association, 2012) Chandratilake, M.; McAleer, S.; Gibson, J.
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