Differences in the perceived importance of professional behaviors in academic and clinical settings from an alumni survey of a Japanese medical school

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Abstract

<p>Purpose: Medical professionalism is an important component of medical education. This study was conducted to investigate professional behaviors as perceived by physicians.</p><p>Method: A self-administered questionnaire was mailed to graduates of a private medical university. Respondents rated the importance of 24 professional behaviors using a 5-point scale along two dimensions: importance of the behavior being taught at school (academic setting) and importance of practicing the behavior as a physician (clinical setting).</p><p>Results: Of 3,188 alumni, 417 (13.1%) responded to the survey. Mean age was 46.3 years, and 71.9% were male. The most important behavior for both dimensions was confidentiality of patient information. Significant differences in responses between academic and clinical settings were found in 19 of 24 behaviors; of them, 4 items were rated as more important in the academic setting than in the clinical setting and 15 items were rated as more important in the academic setting than in the clinical setting. No differences between settings were found for 5 items. Low scores were seen for not falling asleep in conferences and for demonstrating appropriate boundaries with pharmaceutical company representatives.</p><p>Conclusions: These findings demonstrated that the perceived importance of professional behaviors is different between the academic and clinical settings. A future study should aim to improve medical education on professionalism by exploring the content of professional behaviors in more detail.</p>

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