Integrating wellbeing and social accountability into medical professionalism self-assessment: A mixed methods approachIntegrando bienestar y compromiso social en la autovaloración de profesionalismo médico: una aproximación de metodología mixta

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dc.article.number100940
dc.contributor.authorPuschel K.
dc.contributor.authorBarriga I.
dc.contributor.authorOlivares S.
dc.contributor.authorMejia N.
dc.contributor.authorGarcia K.
dc.contributor.authorRojas-Munoz C.
dc.contributor.authorCornejo R.
dc.contributor.authorPaz S.
dc.contributor.authorArmijo P.R.
dc.contributor.authorAre C.
dc.contributor.authorLeon A.
dc.date.accessioned2025-05-01T10:31:37Z
dc.date.available2025-05-01T10:31:37Z
dc.date.issued2024
dc.description.abstract© 2024 The AuthorsBackground: Medical professionalism is an essential characteristic of excellent physicians and in most need of training. It should involve areas not included in traditional frameworks, such as physicians’ self-care and social accountability. This study aims to develop a comprehensive self-assessment instrument to improve medical professionalism training in medical students. Methods: Mixed-methods design that integrated a scoping review, a qualitative framework method, and a cross-sectional design. The qualitative phase included focus groups with 19 medical students and 9 in-depth interviews with clinician educators. The quantitative phase included descriptive and exploratory factor analysis of 112 interviews to fifth-year medical students at the Catholic University in Chile. Results: In the scoping review, 290 articles were screened. The Professionalism Mini-Evaluation Exercise (P-MEX) instrument was selected as the reference instrument. The qualitative phase generated 188 open codes and 468 quotes, which were analyzed using the Atlas-ti 8.0 software®. Three levels of professional assessment emerged. The micro level included self-reflection and self-care skills; the meso level included doctor–patient relationship, team interaction, and management skills; and the macro level included social accountability skills. The new adapted instrument (P-MEX-LA) contained 30 items and achieved high reliability and internal consistency (Omega 0.86; Cronbach's alpha 0.82). Self-care and social accountability skills were the areas with the lowest level of achievement by students. Discussion: A Latin American self-assessment version of the P-MEX instrument (P-MEX-LA) that included self-care and social accountability skills achieved high content validity, internal consistency, and reliability. It could contribute to improving medical professionalism training among medical students.
dc.description.funderAgencia Nacional de Investigación
dc.description.funderFondecyt
dc.format.extent8 páginas
dc.fuente.origenScopus
dc.identifier.doi10.1016/j.edumed.2024.100940
dc.identifier.eisbn978-1-5106-5352-8
dc.identifier.eissn1460-9592
dc.identifier.isbn978-1-5106-5351-1
dc.identifier.issn15751813
dc.identifier.pubmedid40243597
dc.identifier.scieloidS0718-69242020000300109
dc.identifier.scopusidSCOPUS_ID:85195700915
dc.identifier.urihttps://doi.org/10.1016/j.edumed.2024.100940
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/103782
dc.identifier.wosidWOS:001202434400001
dc.information.autorucEscuela de Medicina; Puschel Illanes Klaus; 0000-0002-1362-1311; 83957
dc.information.autorucEscuela de Medicina; Barriga Cosmelli Maria Isabel; S/I; 846
dc.information.autorucEscuela de Medicina; Garcia Contreras Karen Margarita; S/I; 195745
dc.information.autorucDepartamento de Ciencias de la Salud; Rojas Muñoz Cynthia Teresa; 0000-0001-5395-4770; 213139
dc.information.autorucInstituto de Historia; Cornejo Torres Rayen; S/I; 164430
dc.information.autorucFacultad de Educación; Sharim Paz Sarah; S/I; 25168
dc.information.autorucInstituto de Física; Leon Garcia-huidobro Augusto Ernesto; S/I; 17736
dc.issue.numero1
dc.language.isoes
dc.nota.accesoContenido completo
dc.pagina.final419
dc.pagina.inicio412
dc.publisherSpringer International Publishing
dc.relation.ispartofWorld Conference on Timber Engineering (2023 : Oslo, Noruega)
dc.revistaEducacion Medica
dc.rightsacceso abierto
dc.subjectAssessment
dc.subjectInstruments
dc.subjectMedical education
dc.subjectMedical professionalism
dc.subjectSocial accountability
dc.subjectWellbeing
dc.subject.ddc370
dc.subject.deweyEducaciónes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleIntegrating wellbeing and social accountability into medical professionalism self-assessment: A mixed methods approachIntegrando bienestar y compromiso social en la autovaloración de profesionalismo médico: una aproximación de metodología mixta
dc.typeartículo
dc.volumen25
sipa.codpersvinculados83957
sipa.codpersvinculados846
sipa.codpersvinculados195745
sipa.codpersvinculados213139
sipa.codpersvinculados164430
sipa.codpersvinculados25168
sipa.codpersvinculados17736
sipa.indexScopus
sipa.trazabilidadCarga WOS-SCOPUS;01-05-2025
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