View in EDS HTML Full Text PDF Full Text

Student professionalism in clerkships.

Saved in:
Bibliographic Details
Title: Student professionalism in clerkships.
Authors: Cochran, Lauren W.1 (AUTHOR) lcochran@med.cuny.edu, Auerbach, Lisa1 (AUTHOR), Roberts, Nicole K.2 (AUTHOR)
Source: Clinical Teacher. Feb2025, Vol. 22 Issue 1, p1-8. 8p.
Subject Terms: *Maturation (Psychology), *Work ethic, Situational awareness, Likert scale, Professionalism
Abstract: Intro: Professionalism can be challenging to assess during clerkships. Current literature focuses either on aspirational generalities or professionalism lapses. Most tools assessing professionalism employ Likert scales. This study investigated the frequency and detail with which clerkship directors describe professional behaviours in end‐of‐clerkship narrative assessments. Methods: We analysed de‐identified core clerkship final narratives from one New York City medical school collected in academic years 2018–2019 and 2019–2020. We used ATLAS.ti and the six‐step thematic approach outlined by Braun & Clarke to perform a qualitative analysis, coding each semantic unit. Results: We found that 176 out of 753 narratives (23%) mentioned professionalism, but only 29 (16%) of those provided a detailed description including an anecdote or example. Focusing on these most detailed comments, we identified seven core themes: managing time, following through on expectations, eager to engage, work ethic & efficiency, effective communication, going above and beyond and situational awareness. Themes range from simple behaviours to sophisticated behaviours that may not fully develop until residency. Conclusion: Narratives that use the word "professional" or "professionalism" without examples are unlikely to facilitate learning, meaningful assessment or opportunities for remediation. Our hierarchical framework can be used to teach students how to navigate the current clinical environment and can assist supervisors in providing students with specific, actionable feedback and assessment. Our model explicitly fosters a growth mindset in assessing and developing professionalism. [ABSTRACT FROM AUTHOR]
Copyright of Clinical Teacher is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: ehh
DbLabel: Education Research Complete
An: 183818143
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Student professionalism in clerkships.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Cochran%2C+Lauren+W%2E%22">Cochran, Lauren W.</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> lcochran@med.cuny.edu</i><br /><searchLink fieldCode="AR" term="%22Auerbach%2C+Lisa%22">Auerbach, Lisa</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Roberts%2C+Nicole+K%2E%22">Roberts, Nicole K.</searchLink><relatesTo>2</relatesTo> (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Clinical+Teacher%22">Clinical Teacher</searchLink>. Feb2025, Vol. 22 Issue 1, p1-8. 8p.
– Name: Subject
  Label: Subject Terms
  Group: Su
  Data: *<searchLink fieldCode="DE" term="%22Maturation+%28Psychology%29%22">Maturation (Psychology)</searchLink><br />*<searchLink fieldCode="DE" term="%22Work+ethic%22">Work ethic</searchLink><br /><searchLink fieldCode="DE" term="%22Situational+awareness%22">Situational awareness</searchLink><br /><searchLink fieldCode="DE" term="%22Likert+scale%22">Likert scale</searchLink><br /><searchLink fieldCode="DE" term="%22Professionalism%22">Professionalism</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Intro: Professionalism can be challenging to assess during clerkships. Current literature focuses either on aspirational generalities or professionalism lapses. Most tools assessing professionalism employ Likert scales. This study investigated the frequency and detail with which clerkship directors describe professional behaviours in end‐of‐clerkship narrative assessments. Methods: We analysed de‐identified core clerkship final narratives from one New York City medical school collected in academic years 2018–2019 and 2019–2020. We used ATLAS.ti and the six‐step thematic approach outlined by Braun & Clarke to perform a qualitative analysis, coding each semantic unit. Results: We found that 176 out of 753 narratives (23%) mentioned professionalism, but only 29 (16%) of those provided a detailed description including an anecdote or example. Focusing on these most detailed comments, we identified seven core themes: managing time, following through on expectations, eager to engage, work ethic & efficiency, effective communication, going above and beyond and situational awareness. Themes range from simple behaviours to sophisticated behaviours that may not fully develop until residency. Conclusion: Narratives that use the word "professional" or "professionalism" without examples are unlikely to facilitate learning, meaningful assessment or opportunities for remediation. Our hierarchical framework can be used to teach students how to navigate the current clinical environment and can assist supervisors in providing students with specific, actionable feedback and assessment. Our model explicitly fosters a growth mindset in assessing and developing professionalism. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Clinical Teacher is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=183818143
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1111/tct.13830
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 8
        StartPage: 1
    Subjects:
      – SubjectFull: Maturation (Psychology)
        Type: general
      – SubjectFull: Work ethic
        Type: general
      – SubjectFull: Situational awareness
        Type: general
      – SubjectFull: Likert scale
        Type: general
      – SubjectFull: Professionalism
        Type: general
    Titles:
      – TitleFull: Student professionalism in clerkships.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Cochran, Lauren W.
      – PersonEntity:
          Name:
            NameFull: Auerbach, Lisa
      – PersonEntity:
          Name:
            NameFull: Roberts, Nicole K.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 02
              Text: Feb2025
              Type: published
              Y: 2025
          Identifiers:
            – Type: issn-print
              Value: 17434971
          Numbering:
            – Type: volume
              Value: 22
            – Type: issue
              Value: 1
          Titles:
            – TitleFull: Clinical Teacher
              Type: main
ResultId 1