Level of professional ethics of medical students in externships and internships in Mashhad University of Medical Sciences in 2018

Document Type : Original Article

Authors

1 Associate Professor, Department of Social Sciences, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

2 General Medical Student, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

3 Community Medicine Specialist, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

Introduction: Due to the fact that medical errors leading to mortality have been associated with low levels of professional ethics in physicians, this study was performed with aim to determine and compare the level of professional ethics of medical students in externships and internships at Mashhad University of Medical Sciences.
Methods: This cross-sectional study was conducted in 2018 as a census on 307 students of Mashhad Medical School. In order to collect information, the professionalism level questionnaire including 5 dimensions (duty / responsibility, superiority / independence - dignity / honesty, altruism, respect) was used. Data were analyzed using SPSS software (version 16) and ANOVA, Chi-square and Kruskal-Wallis tests. P<0.05 was considered statistically significant.
Results: Mean age of the subjects was 23.67±1.5 years. In the three dimensions of responsibility, respect and honesty, trainees of the first year (students in the first year of the externship) had completely opposite views, while most trainees of the second year (students in the second year of the externship) and internship students agreed (p<0.01). In the "independence" dimension, all three groups were relatively agreed (p>0.087). In the "altruism" dimension, trainees of the first-year opinion were relatively agreed, but trainees of the second year and internship students disagreed with this dimension (p<0.01).
Conclusion: In terms of responsibility, honesty and respect, the mean scores of interns and second year stagers were significantly higher than the one year stagers; the mean score of altruism in the one year stagers was higher than the other two groups. Therefore, we must take steps to improve the level of professional ethics of students through the empowerment of professors, appropriate training of professional ethics in the form of theoretical and practical courses.

Keywords


  1. Barry D, Cyran E, Anderson RJ. Common issues in medical professionalism: room to grow. The American journal of medicine 2000; 108(2):136-42.
  2. O’Sullivan AJ, Toohey SM. Assessment of professionalism in undergraduate medical students. Medical Teacher. 2008; 30(3):280-6.
  3. Cohen JJ, Cruess S, Davidson C. Alliance between society and medicine: the public's stake in medical professionalism. JAMA. 2007; 298(6):670-3.
  4. Yazdani S, Imanipour M. Professional ethics in higher education: dimensions and constructs. Journal of Medicine and Cultivation 2018; 26(4):272-84.
  5. Kirk LM. Professionalism in medicine: definitions and considerations for teaching. InBaylor University Medical Center Proceedings 2007; 20(1):13-16.
  6. Stern DT. Culture, Communication, and the Informal Curriculum: In Search of the Informal CurriculumWhen and Where Professional Values Are Taught. Academic Medicine 1998; 73(10):S28-30.
  7. Jha V, Bekker HL, Duffy SR, Roberts TE. A systematic review of studies assessing and facilitating attitudes towards professionalism in medicine. Medical education 2007; 41(8):822-9.
  8. Nasrabadi AN, Joolaee S, Parsa-Yekta Z, Bahrani N, Noghani F, Vydelingum V. A new approach for teaching nursing ethics in Iran. Indian Journal of Medical Ethics 2009; 6(2):85-9.
  9. Yamani N, Liaghatdar MJ, Changiz T, Adibi P. How Do Medical Students Learn Professionalism During Clinical Education? A Qualitative Study of Faculty Members' and Interns' Experiences. Iranian Journal of Medical Education 2010; 9(4).
  10. van Mook WN, Gorter SL, O'Sullivan H, Wass V, Schuwirth LW, van der Vleuten CP. Approaches to professional behaviour assessment: tools in the professionalism toolbox. European journal of internal medicine 2009; 20(8):e153-7.
  11. Ephgrave K, Stansfield RB, Woodhead J, Sharp WJ, George T, Lawrence J. The resident view of professionalism behavior frequency in outstanding and “not outstanding” faculty. The American journal of surgery 2006; 191(5):701-5.
  12. Bayattork R, Alikhah A, Alitaneh F, Mostafavian Z, Farajpour A. Moral intelligence and its relative demographic factors in medical and nursing students studying at Islamic Azad University of Mashhad. Iranian Journal of Medical Ethics and History of Medicine 2018; 11(1):353-64.
  13. Kohansal Z, Avaznejad N, Bagherian B, Jahanpour F. Evaluation of Moral Sensitivity in Nursing Students of Bushehr University of Medical Sciences in 2016. Iranian Journal of Medical Ethics and History of Medicine 2018; 11(1):242-52.
  14. Scott SD. ‘New professionalism’–Shifting relationships between nursing education and nursing practice. Nurse Education Today 2008; 28(2):240-5.
  15. Yamani N, Liaghatdar MJ, Changiz T, Adibi P. How Do Medical Students Learn Professionalism During Clinical Education? A Qualitative Study of Faculty Members' and Interns' Experiences. Iranian Journal of Medical Education 2010; 9(4):382-95.
  16. Glicken AD, Merenstein GB. Addressing the hidden curriculum: understanding educator professionalism. Medical teacher 2007; 29(1):54-7.
  17. Amini M, Rahimi H, Salehi M, Mousavi S. The assessment of students responsibility in University of Kashan. Culture in the Islamic University 2013; 3(2):271-96.
  18. Dehghani G, Piri M. Assessment of Medicine Students’ educational status from the viewpoint of faculty members of Tabriz University of Medical Sciences. Journal of Medical Education Development 2014; 7(14):48-58.
  19. Sanayi  H. An analysis of the harms and strategies of moral growth in the university; Student ethics. Pegah Hozeh Magazine 2006; 192.
  20. Glicken AD, Merenstein GB. Addressing the hidden curriculum: understanding educator professionalism. Medical teacher 2007; 29(1):54-7.
  21. Hosseini M, Talebpour A, Emamalizadeh H. Investigating Altruistic Behavior Affecting Factors among Hamadan Citizens in 2013. Journal of Social Development 2014; 9(1):135-60.
  22. Pellegrino ED. Altruism vs. Self-interest: Ethical Models for the Medical Profession. NYU Physician 1988; 45(l):40-3.
  23. Arnold L. Assessing professional behavior: yesterday, today, and tomorrow. Academic medicine 2002; 77(6):502-15.
  24. Khani L, Ghaffari M, Haghighian M. The relationship between social capital and altruism and the ethical attitudes of physicians. Journal of Medical Ethics & History of Medicine 2014; 7(4).
  25. Farasatkhah M. Scientific ethics The secret of the promotion of higher education, the position and mechanisms of "scientific professional ethics" in ensuring the quality of higher education in Iran. Quarterly Journal of Ethics in Science and Technology 2006; 1(1):13-27.
  26. Lisman CD. The Curricular Integration of Ethics: Theory and Practice. Greenwood Publishing Groups, 88 Post Road West, Box 5007, Westport, CT 06881; tele; 1996.
  27. Rafati S, mohammad Ahmadi-Vash T, Davati A. A study of ethical intelligence of medical students. Medical Ethics Journal 2014; 8(27):71-91.