The "Pyramid of Professionalism": Seven years of experience with an integrated program of teaching, developing and assessing professionalism among medical students

Parker, Malcolm H., Luke, Haida, Zhang, Jianzhen, Wilkinson, David, Peterson, Raymond F. and Ozolins, Ieva Z. (2008) The "Pyramid of Professionalism": Seven years of experience with an integrated program of teaching, developing and assessing professionalism among medical students. Academic Medicine, 83 8: 733-741. doi:10.1097/ACM.0b013e31817ec5e4

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Author Parker, Malcolm H.
Luke, Haida
Zhang, Jianzhen
Wilkinson, David
Peterson, Raymond F.
Ozolins, Ieva Z.
Title The "Pyramid of Professionalism": Seven years of experience with an integrated program of teaching, developing and assessing professionalism among medical students
Journal name Academic Medicine   Check publisher's open access policy
ISSN 1040-2446
Publication date 2008-08
Year available 2008
Sub-type Article (original research)
DOI 10.1097/ACM.0b013e31817ec5e4
Open Access Status
Volume 83
Issue 8
Start page 733
End page 741
Total pages 9
Editor M. Whitcomb
L. R. Dittrich
Place of publication Philadelphia, PA, U.S.A.
Publisher Lippincott Williams & Wilkins
Collection year 2009
Language eng
Subject C1
130209 Medicine, Nursing and Health Curriculum and Pedagogy
930301 Assessment and Evaluation of Curriculum
Abstract The authors report on an integrated program of teaching, developing, and assessing professionalism as well as managing unprofessional behavior referrals and supporting students through the Personal and Professional Development Committee (PPDC) in the four-year, graduate-entry medical program at the School of Medicine, University of Queensland, Australia. Two thousand six hundred thirty medical students have participated in the ethics and professional practice teaching program from 2000 to 2006. They were assessed through formal examination; students who did not satisfy requirements completed supplementary examinations. One student failed a year on the basis of formal examination. Instructors referred 507 students (19% of all enrolled) during the seven-year period to the PPDC, which interviewed 142 (25%; 5% of all enrolled) at least once; 25 of these more than once. In all, 711 reports were submitted to the PPDC, 420 (55%) for unsatisfactory attendance only and 291 (45%) for other concerns. Most of these (51%) related to "responsibility/reliability" and "participation" combined; 12% related to "honesty," "discrimination," and "doctor-patient relationship." The PPDC referred four students to the board of examiners, and two students failed a year for persistent unprofessional behavior. The authors established a Pyramid of Professionalism whose foundation is a formal curriculum of medical ethics, law, and professionalism. At higher levels, the pyramid mirrors Australia's medical regulatory processes, combining nonpunitive support with the possibility of sanctions, by mediating and sometimes remediating a range of notified concerns. Students who persist in behaving unprofessionally or in seriously unacceptable ways have failed academically on professionalism grounds.
Q-Index Code C1
Q-Index Status Confirmed Code
Additional Notes Erratum: Academic Medicine,2008, Vol. 83, Issue 12, P. 1169

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2009 Higher Education Research Data Collection
ERA 2012 Admin Only
School of Medicine Publications
 
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Created: Tue, 24 Mar 2009, 17:55:34 EST by Helen Spindler on behalf of School of Medicine