Community expectations about the attributes of a professional doctor

  • Farooq Ahmed Postgraduate medical institute, Lady Reading hospital Peshawar
  • Usman Mahboob Khyber Medical University Peshawar

Abstract

Background: The training in professionalism is an integral part of the curriculum in both undergraduate and postgraduate medical education. However, the Pakistan Medical and Dental Council (PM&DC) has not explicitly implemented it in the undergraduate medical training.

Aim: The aim of this study is to explore community expectations about the attributes of medical doctors.

Methodology: This is a qualitative, ethnographic research involving 40 participants from two districts of Khyber Pakhtunkhwa province of Pakistan, who underwent four focus group interviews. The data recovered was transcribed, and 22 codes were identified. The codes were collected under 16 categories that were finally organized under five themes named, knowledge, psychomotor skills, attitudes, professionalism, and ethics.

Results: Most of the study participants emphasized on the development of appropriate attitudes, professionalism, and ethics. It was found that no time was allocated to the formal and explicit teaching and assessment of professionalism, development of attitudes or ethical values in PM&DC syllabus.

Conclusion: The study concluded that our local community emphasizes more on the importance of attitudes and professionalism as compared to the knowledge and skills of medical doctors in contrast to the Pakistan Medical and Dental Council syllabus. The study recommends a curricular reform in undergraduate medical training in Pakistan for including professionalism training and its assessment.

Key words: Professionalism, Attitudes, Pakistan Medical and Dental Council (PM&DC), Focus group interview (FGI)

Author Biography

Usman Mahboob, Khyber Medical University Peshawar
Assistant Professor of Medical Education, Istitution of Health Professions Education

References

Wear D, Castellani B. The development of professionalism: curriculum matters. Acad Med. 2000;75(6):602-11.

Manson H. The need for medical ethics education in family medicine training. Fam Med. 2008;40(9):658-64.

Cruess SR, Johnston S, Cruess RL. 'Profession': A Working Definition for Medical Educators. Teach Learn Med. 2004;16(1):74-6.

Cruess RL, Cruess SR, Steinert Y. Teaching Medical Professionalism: Cambridge University Press; 2009.

Mahboob U, Evans P. Assessment of Professionalism in Integrated Curriculum: The Faculty's Perspective. J Coll Physicians Surg Pak. 2013;23(10):771-4.

ACGME. ACGME General Competencies and Outcomes Assessment for Designated Institutional Officials. Chicago: ACGME; 2002 [cited 2012 17 May]; Available from: http://www.acgme.org/acWebsite/irc/irc_competencies.asp.

RCPSC. The CanMEDS Physician Competency Framework. Royal College of Physicians and Surgeons of Canada; 2009 [cited 2012 5 November]; Available from: http://rcpsc.medical.org/canmeds/index.php.

GMC. Tomorrow's Doctors: Outcomes and standards for undergraduate medical education. 3rd ed. London: General Medical Council; 2009.

SDMCG. Learning Outcomes for the Medical Undergraduate in Scotland: A Foundation for Competent and Reflective Practitioners. 3rd ed;August 2007.

Khan RI. Ethical Issues in Anesthesia and Surgery Practice in Pakistan. J Surg Pak (Intern). 2009;14(3):101.

PMDC, HEC. Curriculum of MBBS. Islamabad: Pakistan Medical & Dental Council; 2005. p. 1-120.

PMDC, HEC. Curriculum of MBBS. Islamabad: Higher Education Commission; 2011. p. 1-170.

Larkin AC, Cahan MA, Whalen G, Hatem D, Starr S, Haley H-L, et al. Human Emotion and Response in Surgery (HEARS): a simulation-based curriculum for communication skills, systems-based practice, and professionalism in surgical residency training. J Am Coll Surg. 2010; 211(2):285-92.

Lax LR, Russell ML, Nelles LJ, Smith CM. Scaffolding Knowledge Building in a Web-Based Communication and Cultural Competence Program for International Medical Graduates. Acad Med. 2009;84(10):S5-S810.

Absar MN, Rahman MH.Expectation of Patients from Doctors. J Bangladesh Coll Physicians Surg. 2008;26(1):3-9.

Published
2015-01-01