Research forum abstract
175 A Pilot Study of 360-Degree Perceptions of Emergency Physicians' Professionalism

https://doi.org/10.1016/j.annemergmed.2017.07.202Get rights and content

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Study Objectives

Physicians' professionalism impacts patient satisfaction. The Accreditation Council for Graduate Medical Education requires professionalism competency as one of six core competencies for residency training. Many emergency physicians' professionalism frameworks are derived from expert opinions. We aim to understand how EM professionalism is perceived by different cohorts including by attending physicians (AP), EM residents, first-year medical students (MS), fourth-year MS, emergency department

Methods

We have been conducting a prospective cohort study by using a card-sorting technique at a university-based ED and its associated medical school from November 2016. We reviewed literatures globally, and identified 13 elements that potentially affects EM professionalism. For each element, we created three cards, each of which describes a quality or behavior that is associated with such element. We ensured a correct and uniformity of wording interpretation of each card by testing it with ED

Results

Our preliminary data from 115 subjects (25 ED patients, 16 AP, 18 EM residents, 29 first year MS, 8 fourth year MS and 19 ED nurses) shows a consensus that wearing a white coat was the least important behavior for being professional. However, the opinion on the most important element diverges. ED patients ranked humanism, whereas health care providers ranked medical competency, honor and integrity, humanism and communication as the most important quality that affects professionalism (Table 1).

Conclusions

Our preliminary findings demonstrated a discrepancy in perception of EM professionalism among patients, physicians and nurses. Additional research to enhance our understanding on perception and definition of EM professionalism is warranted.

. Most important quality for emergency physician professionalism in each cohort

Empty CellThe most important qualityThe second most important qualityThe third most important qualityThe most important element
Patients (N=25)Listen and respond to patient’s concernRespect for

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