Conceptual Framework of professionalism in Medicals Education based on the Discourse of Interns, Nurses, and Patients

A critical examination of medical professionalism paves the way for discourse. This study endeavored to design and validate a conceptual model of professionalism in training physicians based on the discourse of interns, nurses, and patients.

This qualitative study was done through discourse analysis. Participants included medical interns, nurses, and patients in hospitals affiliated to Isfahan and Najafabad Azad Universities of Medical Sciences. Interviews were unstructured and sampling was purposeful. The data collection instruments were conversations, non-structural interviews and related sources as well as articles in the synthesis research section. The conceptual framework was extracted by merging three sub-models related to discourses and the model obtained from research synthesis.

Using the interns' discourse model, seven concepts were obtained like this: Management of Occupational Stress, Professional Competence, Ethical Competence, Human Nature of Profession, Personal Development, Proper Care and Personal Personality and Character. Using the patients' discourse model, six concepts were obtained like this: Parental care, Information exchange, Effective management, responding to human dignity, Human values of profession, and Confidence building in profession. Using the model of nurses' discourse model seven concepts were obtained like this: Clinical effectiveness, self-awareness, communication skills, social responsiveness, adaptability, professional commitment and social education strategies. The concepts in the synthesis research model were like this: Physician-oriented and law-oriented ethics, virtue-based professional commitment, behavior-oriented professional commitment, lifelong learner, professional character, and the role of curriculum in professionalism.

Regarding the role of the hidden curriculum, the role of formal professionalism education seems to be important.