Evidence map›Paper›PMID 28444783›Full record

ArticleMedical education2017

Taiwanese and Sri Lankan students' dimensions and discourses of professionalism.

Lynn V Monrouxe, Madawa Chandratilake, Katherine Gosselin, Charlotte E Rees, Ming-Jung Ho

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Article in Medical education, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

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8citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Lynn V MonrouxeChang Gung Medical Education Research Center (CG-MERC), Chang Gung Memorial Hospital, Linkou, Taiwan.ORCID http://orcid.org/0000-0002-4895-1812
Madawa ChandratilakeFaculty of Medicine, University of Kelaniya, Kelaniya, Sri Lanka.
Katherine GosselinDepartment of Medical Education and Bioethics, National Taiwan University College of Medicine, Taipei, Taiwan.
Charlotte E ReesFaculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia.
Ming-Jung HoDepartment of Medical Education and Bioethics, National Taiwan University College of Medicine, Taipei, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextThe definition of medical professionalism poses a challenge to global medical educators. This is especially pronounced in settings where professionalism frameworks developed in the west are transferred into different cultures. Building upon our previous study across Western contexts, we examine Taiwanese and Sri Lankan medical students' conceptualisations of professionalism in terms of what professionalism comprises (i.e. dimensions) and how it is linguistically framed (i.e. discourses).

methodsA qualitative group interview study was undertaken comprising 26 group interviews with 135 participants from one Taiwanese (n = 64; Years 4-7) and one Sri Lankan medical school (n = 71; Years 2-5). Through thematic framework analysis we examined the data for explicit dimensions of professionalism. Through discourse analysis we identified how participants constructed professionalism linguistically (discourses).

resultsThirteen common dimensions across Taiwanese and Sri Lankan talk were identified, with the dimensions (contextual, integration and internalised self) being identified only in Sri Lankan data. Professionalism as knowledge and patient-centredness were dominant dimensions in Taiwan; in Sri Lanka, attributes of the individual and rules were dominant dimensions. Participants in both countries used four types of discourses previously identified in the literature. Individual and interpersonal discourses were dominant in Taiwanese talk; the collective discourse was dominant in Sri Lankan talk. Findings were compared with our previous data collected in Western contexts.

conclusionsDespite some overlap in the dimensions and discourses identified across both this and Western studies, Taiwanese and Sri Lankan students' dominant dimensions and discourses were distinct. We therefore encourage global medical educators to look beyond a one-size-fits-all approach to professionalism, and to recognise the significance of context and culture in conceptualisations of professionalism.

Indexed as

Attitude of Health PersonnelProfessionalismStudents, MedicalHumansInterviews as TopicQualitative ResearchSri LankaTaiwan

Identifiers

PMID28444783
PMCPMC5485011

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.