Turkiye Klinikleri Journal of Medical Ethics-Law and History

.: RESEARCH
Professionalism According to Medical Students: Dutiful, Respectful and Compassionate
Tıp Öğrencilerine Göre Profesyonellik: Saygın, Saygılı ve Şefkatli
Selim ALTANa, Hüseyin ELBİb, Aynur ÇAKMAKÇI ÇETİNKAYAc, Süheyla RAHMANd
Departments of
aMedical History and Ethics,
bFamily Medicine,
dMedical Education, Manisa Celal Bayar University Faculty of Medicine,
cDepartment of Nursing, Manisa Celal Bayar University Faculty of Health Sciences Manisa, TURKEY
Turkiye Klinikleri J Med Ethics. 2019;27(3):204-12
doi: 10.5336/mdethic.2019-66851
Article Language: EN
Full Text
ABSTRACT
 The medical education defined in the medical school curricula aims to ensure that each student not only has the knowledge and skills required to treat patients, but also has a Professional identity and professional understanding to enable them to think and act as a physician. However, in recent years, the definition, functioning and measurement of professionalism has become an important concern for medical students, institutions and educators involved in the education of students. In this paper, the perception of professionalism of intern medical students was investigated. This study is a conceptual analysis of the phenomenon of professionalism in medicine with the Word Association Test (WAT) among intern physicians. A qualitative study was conducted with the word association test method with 44 students. Face to face interview methods were used. When the data of the research were analyzed, six themes were determined internally for professional medical students in the internal context. Theme names and frequency numbers they received: dutifulness, respectfulness, compassionateness, equitability, trustworthiness, and empathy. The article discusses the first 3 themes with the highest frequency values due to space limitations. These themes are in line with the Professionalism content, which is one of the seven core capabilities of the CANMed-New Generation Competency-Based Medicine Education program. The findings show how effective role model and clinical practice are in the learning of professionalism. The theoretical and clinical internship training given by medical educators should be managed professionally and the interventions required by the academic hierarchy must be carried out in a timely manner.

Keywords: Professionalism; medical education; ethics
ÖZET
 Tıp fakültesi müfredatlarında tanımlanan tıp eğitimi, her öğrencinin hastaları sadece tedavi etmek için gerekli bilgi ve becerilerle donatılmasını değil, aynı zamanda bir hekim gibi düşünmesini, hareket etmesini sağlayacak mesleki kimliğe, profesyonel anlayışa sahip olmasını sağlamayı amaçlar. Ancak son yıllarda profesyonelliğin tanımı, işleyişi ve ölçümü, tıp öğrencilerinin yanı sıra öğrencilerin eğitiminde görev alan kurumlar ve eğiticiler için önemli bir endişe kaynağı haline gelmiştir. Bu yazıda, intörn tıp öğrencilerinin profesyonellik algıları değerlendirilmiştir. Bu çalışma, intörn hekimler arasında Kelime İlişkilendirme Testi ile yapılan tıpta profesyonellik olgusunun kavramsal analizidir. Kelime İlişkilendirme Testi yöntemi ile 44 öğrenciyle nitel bir çalışma yürütülmüştür. Yüz yüze görüşme yöntemleri kullanılmıştır. Araştırmanın verileri çözümlendiğinde Profesyonelliğe ilişkin, intern tıp öğrencileri için içsel bağlamda altı tema belirlenmiştir. Tema isimleri ve aldıkları frekans sayıları: Vazifeşinaslık (f=83), Bireye Saygı (f=64), Merhametli olma (f=53), Eşitlik (f=41), Güvenirlilik (f=35), Empati (f=32). Makalede yer sınırlılığı nedeniyle en yüksek frekans değerlerine sahip olan ilk 3 tema tartışılmıştır. Bu temalar, CANMed-Yeni Nesil Yetkinlik Temelli Tıp Eğitimi-2015 programı çerçevesindeki yedi temel yetenekten biri olan Profesyonellik içeriği ile uyumludur. Bulgular, özellikle rol model ve klinik uygulamanın profesyonelliğin öğrenilmesinde ne denli etkin olduğunu göstermektedir. Tıp eğitimcileri tarafından verilen teorik ders ve klinik staj eğitimi profesyonelce yönetilmeli ve bu sisteme akademik hiyerarşi tarafından gerekli müdahaleler zamanında yapılmalıdır.

Anahtar Kelimeler: Profesyonellik; tıp eğitimi;etik
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