Silent Witnesses: Faculty Reluctance to Report Medical Students' Professionalism Lapses

Academic Medicine : Journal of the Association of American Medical Colleges
Deborah ZiringHeather Lochnan

Abstract

Assessing students' professionalism is a critical component of medical education. Nonetheless, faculty reluctance to report professionalism lapses remains a significant barrier to the effective identification, management, and remediation of such lapses. The authors gathered information from faculty who supervise medical students to better understand their perceived barriers to reporting. In 2015-2016, data were collected using a group concept mapping methodology, which is an innovative, asynchronous, structured mixed-methods approach using qualitative and quantitative measures to identify themes characterizing faculty reluctance to report professionalism lapses. Participants from four U.S. and Canadian medical schools brainstormed, sorted, and rated statements about perceived barriers to reporting. Multidimensional scaling and hierarchical cluster analyses were used to analyze these data. Of 431 physicians invited, 184 con-tributed to the brainstorming task (42.7%), 48 completed the sorting task (11.1%), and 83 completed the rating task (19.3%). Participants identified six barriers or themes to reporting lapses. The themes "uncertainty about the process," "ambiguity about the 'facts,'" "effects on the learner," and "time constr...Continue Reading

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Citations

Jun 26, 2018·Medical Education·Marianne Mak-van der VossenRashmi A Kusurkar
Dec 28, 2019·Medical Teacher·Marianne Mak-van der VossenRashmi A Kusurkar
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Aug 5, 2021·Academic Medicine : Journal of the Association of American Medical Colleges·Nadia M BajwaYoon Soo Park

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