A modified Delphi approach to nurturing professionalism in postgraduate medical education in Singapore

Introduction: Nurturing professional identities instils behavioural standards of physicians, and this in turn facilitates consistent professional attitudes, practice and patient care. Identities are socioculturally constructed efforts; therefore, we must account for the social, cultural and local he...

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Main Authors: Yao Hao Teo, Tan Ying Peh, Ahmad Bin Hanifah Marican Abdurrahman, Alexia Sze Inn Lee, Min Chiam, Warren Fong, Limin Wijaya, Lalit Kumar Radha Krishna
Format: Article
Language:English
Published: Wolters Kluwer – Medknow Publications 2024-06-01
Series:Singapore Medical Journal
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Online Access:https://journals.lww.com/10.11622/smedj.2021224
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Summary:Introduction: Nurturing professional identities instils behavioural standards of physicians, and this in turn facilitates consistent professional attitudes, practice and patient care. Identities are socioculturally constructed efforts; therefore, we must account for the social, cultural and local healthcare factors that shape physicians’ roles, responsibilities and expectations. This study aimed to forward a programme to nurture professionalism among physicians in Singapore. Methods: A three-phase, evidenced-based approach was used. First, a systematic scoping review (SSR) was conducted to identify professionalism elements. Second, a questionnaire was created based on the findings of the SSR. Third, a modified Delphi approach, which involved local experts to identify socioculturally appropriate elements to nurture professionalism, was used. Results: A total of 124 articles were identified from the SSR; these articles revealed definitions, knowledge, skills and approaches to nurturing professionalism. Through the modified Delphi approach, we identified professional traits, virtues, communication, ethical, self-care, teaching and assessment methods, and support mechanisms. Conclusion: The results of this study formed the basis for a holistic and longitudinal programme focused on instilling professional traits and competencies over time through personalised and holistic support of physicians. The findings will be of interest to medical communities in the region and beyond.
ISSN:0037-5675
2737-5935