Enhancing professionalism in post-graduate medical education: the initial implementation and evaluation  of a longitudinal curriculum for geriatrics residents in Toronto, Canada

Kristina M Kokorelias; Muhammad Harris Sheikh; Maryam Naimi; Bernice Ho; Edwin W Wong; Stephanie G Brooks; Dov Gandell; Arielle S Berger

doi:10.36834/cmej.79033

Auteurs-es

Kristina M Kokorelias University of Toronto
Muhammad Harris Sheikh University of British Columbia
Maryam Naimi University of Toronto
Bernice Ho University of Toronto https://orcid.org/0000-0002-9809-007X
Edwin W Wong University of Toronto
Stephanie G Brooks University of Toronto
Dov Gandell University of Toronto
Arielle S Berger University of Toronto https://orcid.org/0000-0002-7896-3638

DOI :

https://doi.org/10.36834/cmej.79033

Résumé

Contexte : Le professionnalisme est vital en médecine, et pourtant on constate des lacunes dans son enseignement dans le cadre de la formation médicale postdoctorale.

Méthodes : Nous avons élaboré un programme de huit séances sur le professionnalisme à l'intention des résidents en gériatrie de l'Université de Toronto. Les sujets abordés comprenaient l'identité personnelle et professionnelle, le bien-être du médecin, la communication et le leadership, tout en mettant partout l'accent sur l'autoréflexion. Nous avons évalué le programme de deux manières : (1) nous avons recueilli les réactions immédiates en utilisant des évaluations standard avec des questions à échelle de Likert sur l'efficacité de l'enseignement. (2) Les résidents diplômés ont participé à des entretiens semi-structurés pour évaluer leurs réactions plus profondes et les impacts à plus long terme sur leur identité et leur pratique professionnelles. Les transcriptions des entretiens ont fait l'objet d'une analyse thématique rigoureuse.

Résultats : Les scores d'efficacité de l'enseignement obtenus en moyenne à partir de 80 évaluations écrites étaient excellents : 4,45/5 (89%). Nous avons interrogé 12 des 22 diplômés admissibles (55 %). L'analyse thématique a démontré que le programme a eu un impact sur les résidents dans trois domaines thématiques clés : (1) Il a amené les participants à comprendre leur rôle de médecin d'une manière plus complète, tout en restant cohérent avec leurs valeurs et leurs forces personnelles. (2) La formation aux techniques de communication, en particulier, a permis aux apprenants d'acquérir des compétences importantes nécessaires à pour se doter de normes professionnelles. (3) En développant une communauté de soutien et en pratiquant l'autoréflexion attentive, les participants ont fait état d'une amélioration de leur bien-être.

Conclusions : Cet article démontre que le professionnalisme peut et doit être intégré dans le programme officiel de la formation médicale postuniversitaire. Les facteurs clés de succès identifiés dans notre étude comprennent l'accent mis sur la promotion d’un soutien par les pairs et une formation aux compétences de communication comme méthode pour concrétiser ses normes professionnelles personnelles.

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Bibliographies de l'auteur-e

Kristina M Kokorelias, University of Toronto

Senior Academic Program Coordinator and Associate Scientist for the Healthy Aging and Geriatrics Program at Sinai Health and University Health Network; and Assistant Professor in Department of Occupational Science & Occupational Therapy, University of Toronto, Toronto, Canada

Muhammad Harris Sheikh, University of British Columbia

Internal Medicine Resident, University of British Columbia

Maryam Naimi, University of Toronto

Undergraduate student, University of Toronto

Bernice Ho, University of Toronto

Paediatric resident at the Hospital for Sick Children, University of Toronto, Toronto, Canada.

Edwin W Wong, University of Toronto

Adult Neurology Resident, University of Toronto.

Stephanie G Brooks, University of Toronto

Medical genetics and genomics resident, University of Toronto.

Dov Gandell, University of Toronto

Assistant Professor, Department of Medicine, University of Toronto; Program Director of the Geriatric Residency Program, University of Toronto; and Staff Physician at Sunnybrook Health Sciences Centre, Toronto, Canada

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