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Teaching Medical Professionalism with a Scenario-based Approach Using Role-Playing and Reflection: A Step towards Promoting Integration of Theory and Practice | ||
Journal of Advances in Medical Education & Professionalism | ||
دوره 11، شماره 1، فروردین 2023، صفحه 42-49 اصل مقاله (984.91 K) | ||
نوع مقاله: Original Article | ||
شناسه دیجیتال (DOI): 10.30476/jamp.2022.95605.1651 | ||
نویسندگان | ||
ELAHEH MIANEHSAZ1؛ ALI SABER2؛ SEYED MOHAMMADREZA TABATABAEE3؛ ATIYE FAGHIHI* 4 | ||
1Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, Iran | ||
2Department of Medical Ethics, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, Iran | ||
3Department of Emergency Medicine, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, Iran | ||
4Educational Development Center, Kashan University of Medical Sciences, Kashan, Iran | ||
چکیده | ||
Introduction: Professionalism, as one of the core competencies of physicians, is essential for providing the patients with higher quality care. It is an abstract concept and its education and assessment need objective and operational methods. The present study aimed at teaching the concepts of professionalism based on a scenario-based approach using role-playing and reflection. Methods: This is a pre-experimental study (one-group pretest-posttest design) with a mixed method approach. The study was conducted on 18 medical students (by voluntary sampling method) who had enrolled in the Medical Ethics Course at Kashan University of Medical Sciences in 2020. Twelve scenarios were designed about the most prevalent issues of medical professionalism. In each session, one group of students played out their scenarios and then, the participants and instructors discussed their role-playing. Participants’ knowledge about professionalism was assessed at the beginning and end of each session, and they completed a satisfaction questionnaire and a reflection form. T-tests (one-sample and paired T-test) were applied for statistical analysis. Quantitative and qualitative data were analyzed using SPSS software (version 26), and P<0.05 was considered statistically significant. Conventional content analysis was used to analyze the qualitative data. Results: The mean scores of the participants’ knowledge in posttest were significantly higher than those in the pre-test (P=0.042, t=-2.074). The mean scores of the participants’ role-playing quality (P<0.001) and satisfaction (P=0.001) were significantly higher than their corresponding test values. Qualitative analysis of the participants’ reflections revealed their satisfaction with the study intervention. Conclusion: The scenarios, role-playing, and reflection could provide an opportunity for operationalizing the concepts of professionalism and deep learning of students. Medical instructors need to improve their knowledge and skills of using active methods in teaching professionalism to medical students. | ||
کلیدواژهها | ||
Medical education؛ Professionalism؛ Role playing | ||
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