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Research Article

Professionalism Policies and Practices as Experienced by First-Generation Medical Students, Residents, and Physicians

ORCID Icon, ORCID Icon, ORCID Icon & ORCID Icon
Received 10 Oct 2023, Accepted 05 Apr 2024, Published online: 07 May 2024

References

  • Cruess RL, Cruess SR. Expectations and obligations: professionalism and medicine’s social contract with society. Perspect Biol Med. 2008;51(4):579–598. doi:10.1353/pbm.0.0045.
  • Cruess SR, Cruess RL. Professionalism must be taught. BMJ. 1997;315(7123):1674–1677. doi:10.1136/bmj.315.7123.1674.
  • AbdelHameid D. Professionalism 101 for black physicians. N Engl J Med. 2020;383(5):e34. doi:10.1056/NEJMpv2022773.
  • Osseo-Asare A, Balasuriya L, Huot SJ, et al. Minority resident physicians’ views on the role of race/ethnicity in their training experiences in the workplace. JAMA Netw Open. 2018;1(5):e182723. doi:10.1001/jamanetworkopen.2018.2723.
  • Startz D. First-generation college students face unique challenges. Brookings. https://www.brookings.edu/articles/first-generation-college-students-face-unique-challenges/. Published April 25, 2022. Accessed September 8, 2023.
  • Mokhachane M, Wyatt T, Kuper A, Green-Thompson L, George A. Graduates’ reflections on professionalism and identity: intersections of race, gender, and activism. Teach Learn Med. 2023;June 19:1–11. doi:10.1080/10401334.2023.2224306.
  • Bajwa NM, Nendaz MR, Posfay-Barbe KM, Yudkowsky R, Park YS. A meaningful and actionable professionalism assessment: validity evidence for the professionalism mini-evaluation exercise (P-MEX) across 8 years. Acad Med. 2021;96(11S):S151–S157. doi:10.1097/ACM.0000000000004286.
  • Warm EJ, Kinnear B, Lance S, Schauer DP, Brenner J. What behaviors define a good physician? Assessing and communicating about noncognitive skills. Acad Med. 2022;97(2):193–199. doi:10.1097/ACM.0000000000004215.
  • Englander R, Cameron T, Ballard AJ, Dodge J, Bull J, Aschenbrener CA. Toward a common taxonomy of competency domains for the health professions and competencies for physicians. Acad Med. 2013;88(8):1088–1094. doi:10.1097/ACM.0b013e31829a3b2b.
  • Ruzycki SM, Daodu O, Hernandez S, Lithgow KC. The contribution of undergraduate medical education dress codes to systemic discrimination: A critical policy analysis. Med Educ. 2022;56(9):949–957. doi:10.1111/medu.14854.
  • Ahmed A, Israr S, Chapple KM, et al. Patient perception of medical student professionalism: does attire matter? J Surg Educ. 2020;77(6):1345–1349. doi:10.1016/j.jsurg.2020.04.016.
  • Petrilli CM, Saint S, Jennings JJ, et al. Understanding patient preference for physician attire: a cross-sectional observational study of 10 academic medical centres in the USA. BMJ Open. 2018;8(5):e021239. doi:10.1136/bmjopen-2017-021239.
  • Petrilli CM, Mack M, Petrilli JJ, Hickner A, Saint S, Chopra V. Understanding the role of physician attire on patient perceptions: a systematic review of the literature—targeting attire to improve likelihood of rapport (TAILOR) investigators. BMJ Open. 2015;5(1):e006578–e006578. doi:10.1136/bmjopen-2014-006578.
  • Varnado-Sullivan P, Larzelere M, Solek K, et al. The impact of physician demographic characteristics on perceptions of their attire. Fam Med. 2019;51(9):737–741. doi:10.22454/FamMed.2019.650493.
  • Frost HD, Regehr G. “I am a doctor”: negotiating the discourses of standardization and diversity in professional identity construction. Acad Med. 2013;88(10):1570–1577. doi:10.1097/ACM.0b013e3182a34b05.
  • Birden H, Glass N, Wilson I, Harrison M, Usherwood T, Nass D. Defining professionalism in medical education: a systematic review. Med Teach. 2014;36(1):47–61. doi:10.3109/0142159X.2014.850154.
  • Hodges B, Paul R, Ginsburg S, The Ottawa Consensus Group Members, The Ottawa Consensus Group Members null. Assessment of professionalism: from where have we come - to where are we going? An update from the Ottawa Consensus Group on the assessment of professionalism. Med Teach. 2019;41(3):249–255. doi:10.1080/0142159X.2018.1543862.
  • Hafferty FW, Levinson D. Moving beyond nostalgia and motives: towards a complexity science view of medical professionalism. Perspect Biol Med. 2008;51(4):599–615. doi:10.1353/pbm.0.0044.
  • West CP, Shanafelt TD. The influence of personal and environmental factors on professionalism in medical education. BMC Med Educ. 2007;7(1):29. doi:10.1186/1472-6920-7-29.
  • Reimer D, Russell R, Khallouq BB, et al. Pre-clerkship medical students’ perceptions of medical professionalism. BMC Med Educ. 2019;19(1):239. doi:10.1186/s12909-019-1629-4.
  • Alexis DA, Kearney MD, Williams JC, Xu C, Higginbotham EJ, Aysola J. Assessment of perceptions of professionalism among faculty, trainees, staff, and students in a large university-based health system. JAMA Netw Open. 2020;3(11):e2021452. doi:10.1001/jamanetworkopen.2020.21452.
  • Lee JH. The weaponization of medical professionalism. Acad Med. 2017;92(5):579–580. doi:10.1097/ACM.0000000000001647.
  • Maristany D, Hauer KE, Hunderfund ANL, et al. The problem and power of professionalism: a critical analysis of medical students’ and residents’ perspectives and experiences of professionalism. Acad Med. 2023;98(11S):S32–S41. doi:10.1097/ACM.0000000000005367.
  • Association of American Medical Colleges. AMCAS 2018 Application: New Questions. https://students-residents.aamc.org/media/10906/download#:∼:text=The%20First%20Generation%20College%20Student,an%20associate's%20degree%20or%20higher. Accessed August 27, 2023.
  • Brosnan C, Southgate E, Outram S, et al. Experiences of medical students who are first in family to attend university. Med Educ. 2016;50(8):842–851. doi:10.1111/medu.12995.
  • Wright SR, Boyd VA, Okafor I, et al. ‘First in family’ experiences in a Canadian medical school: a critically reflexive study. Med Educ. 2023;57(10):980–990. doi:10.1111/medu.15116.
  • Mason HRC, Ata A, Nguyen M, et al. First-generation and continuing-generation college graduates’ application, acceptance, and matriculation to U.S. medical schools: a national cohort study. Med Educ Online. 2022;27(1):2010291. doi:10.1080/10872981.2021.2010291.
  • Engle J, Tinto V. Moving beyond Access: College Success for Low-Income, First-Generation Students. Washington, DC: Pell Institute for the Study of Opportunity in Higher Education; 2008. https://files.eric.ed.gov/fulltext/ED504448.pdf. Accessed September 8, 2023.
  • Schuetze HG, Slowey M. Participation and exclusion: a comparative analysis of non-traditional students and lifelong learners in higher education. High Educ. 2002;44(3/4):309–327. doi:10.1023/A:1019898114335.
  • Sims LR. Into the unknown: experiences of social newcomers entering medical education. Acad Med. 2022;97(10):1528–1535. doi:10.1097/ACM.0000000000004762.
  • Goddard VCT, Brockbank S. Re-opening Pandora’s box: Who owns professionalism and is it time for a 21st century definition? Med Educ. 2022;57(1):66–75. doi:10.1111/medu.14862.
  • Al-Rumayyan A, Van Mook WNKA, Magzoub ME, et al. Medical professionalism frameworks across non-Western cultures: A narrative overview. Med Teach. 2017;39(Suppl. 1):S8–S14. doi:10.1080/0142159X.2016.1254740.
  • Kincheloe JL, McLaren P. Rethinking critical theory and qualitative research. In Denzin NK, Lincoln YS (Eds.), The Sage Handbook of Qualitative Research. 3rd ed. Thousand Oaks, CA: Sage Publications Ltd; 2005:303–342.
  • Mokhachane M, George A, Wyatt T, Kuper A, Green-Thompson L. Rethinking professional identity formation amidst protests and social upheaval: a journey in Africa. Adv Health Sci Educ Theory Pract. 2023;28(2):427–452. doi:10.1007/s10459-022-10164-0.
  • Wyatt TR, Casillas A, Webber A, Parrilla JA, Boatright D, Mason H. The maintenance of classism in medical education: “time” as a form of social capital in first-generation and low-income medical students. Adv Health Sci Educ Theory Pract. 2023. doi:10.1007/s10459-023-10270-7.
  • Accreditation Council for Graduate Medical Education. The Program Director Guide to the Common Program Requirements (Residency). https://www.acgme.org/globalassets/pdfs/program-director-guide–-residency.pdf. Published online March 3, 2023. Accessed August 27, 2023.
  • Braun V, Clarke V. Thematic Analysis: A Practical Guide. 1st Edition. 2021. Thousand Oaks, CA: Sage Publications Ltd. Published August 26, 2023. Accessed August 27, 2023.
  • Womersley K, Hare H, Kelly SB, Wilcockson E. Trying to fit in: dressing like a doctor. BMJ. 2021;375:n2463. doi:10.1136/bmj.n2463.
  • Accreditation Council for Graduate Medical Education. ACGME Institutional Requirements. https://www.acgme.org/globalassets/pfassets/programrequirements/800_institutionalrequirements2022.pdf. Published online September 26, 2021. Accessed August 27, 2023.
  • Kraus MB, Talbott JMV, Melikian R, et al. Current parental leave policies for medical students at U.S. medical schools: a comparative study. Acad Med. 2021;96(9):1315–1318. doi:10.1097/ACM.0000000000004074.
  • Roselin D, Lee J, Jagsi R, et al. Medical student parental leave policies at U.S. medical schools. J Womens Health (Larchmt). 2022;31(10):1403–1410. doi:10.1089/jwh.2022.0048.
  • Camp CL, Gregory JK, Lachman N, Chen LP, Juskewitch JE, Pawlina W. Comparative efficacy of group and individual feedback in gross anatomy for promoting medical student professionalism. Anat Sci Educ. 2010;3(2):64–72. doi:10.1002/ase.142.
  • Havemann C, Mason HRC, Russell RG, et al. Challenges facing first-generation college graduates in medical school: a qualitative analysis. JAMA Netw Open. 2023;6(12):e2347528. doi:10.1001/jamanetworkopen.2023.47528.
  • Tsai SL, Ho MJ, Hirsh D, Kern DE. Defiance, compliance, or alliance? How we developed a medical professionalism curriculum that deliberately connects to cultural context. Med Teach. 2012;34(8):614–617. doi:10.3109/0142159X.2012.684913.
  • Goldstein EA, Maestas RR, Fryer-Edwards K, et al. Professionalism in medical education: an institutional challenge. Acad Med. 2006;81(10):871–876. doi:10.1097/01.ACM.0000238199.37217.68.
  • Wasserstein AG, Brennan PJ, Rubenstein AH. Institutional leadership and faculty response: fostering professionalism at the University of Pennsylvania School of Medicine. Acad Med. 2007;82(11):1049–1056. doi:10.1097/ACM.0b013e31815763d2.
  • Humphrey HJ, Smith K, Reddy S, Scott D, Madara JL, Arora VM. Promoting an environment of professionalism: the University of Chicago “Roadmap. Acad Med. 2007;82(11):1098–1107. doi:10.1097/01.ACM.0000285344.10311.a8.
  • Wear D, Kuczewski MG. The professionalism movement: can we pause? Am J Bioeth. 2004;4(2):1–10. doi:10.1162/152651604323097600.
  • Sawin G, Klasson CL, Kaplan S, et al. Scoping review of restorative justice in academics and medicine: a powerful tool for justice equity diversity and inclusion. Health Equity. 2023;7(1):663–675. doi:10.1089/heq.2023.0071.
  • Romero R, Miotto K, Casillas A, Sanford J. Understanding the experiences of first-generation medical students: implications for a diverse physician workforce. Acad Psychiatry. 2020;44(4):467–470. doi:10.1007/s40596-020-01235-8.
  • Gallegos A, Gordon LK, Casillas A. Medical schools must help first-generation medical students realize their full potential. Acad Med. 2021;96(6):774–775. doi:10.1097/ACM.0000000000004050.

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