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A qualitative thematic content analysis of medical students' essays on professionalism

Title
A qualitative thematic content analysis of medical students' essays on professionalism
Authors
Park S.-Y.Shon C.Kwon O.Y.Yoon T.Y.Kwon I.
Ewha Authors
권복규
SCOPUS Author ID
권복규scopus
Issue Date
2017
Journal Title
BMC Medical Education
ISSN
1472-6920JCR Link
Citation
vol. 17, no. 1
Keywords
Cultural differencesCurriculum developmentKoreaMedical educationMedical studentsProfessionalism
Publisher
BioMed Central Ltd.
Indexed
SCIE; SSCI; SCOPUS WOS scopus
Abstract
Background: Physicians in both Western and Eastern countries are being confronted by changes in health care delivery systems and medical professionalism values. The traditional concept of "In-Sul" (benevolent art) and the modern history of South Korea have led to cultural differences between South Korea and other countries in conceptualizing medical professionalism; thus, we studied medical students' perceptions of professionalism as described in essays written on this topic. Methods: In 2014, we asked 109 first-year medical students who were enrolled in a compulsory ethics course to anonymously write a description of an instance of medical professionalism that they had witnessed, as well as reflecting on their own professional context. We then processed 105 valid essays using thematic content analysis with computer-assisted qualitative data analysis software. Results: Thematic analysis of the students' essays revealed two core aspects of professionalism in South Korea, one focused on respect for patients and the other on physicians' accountability. The most common theme regarding physician-patient relationships was trust. By contrast, distributive justice was thought to be a non-essential aspect of professionalism. Conclusions: In Western countries, physicians tend to promote justice in the health care system, including fair distribution of medical resources; however, we found that medical students in South Korea were more inclined to emphasize doctors' relationships with patients. Medical educators should develop curricular interventions regarding medical professionalism to meet the legitimate needs of patients in their own culture. Because professionalism is a dynamic construct of culture, medical educators should reaffirm cultural context-specific definitions of professionalism for development of associated curricula. © 2017 The Author(s).
DOI
10.1186/s12909-017-0920-5
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
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