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Professionalism Perspectives Among Medical Students Of A Novel Medical Graduate School In Malaysia

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Abstract: Defning professionalism in this constantly evolving wDefning professionalism in this constantly evolving world is not easy. How do you measure degrees of benevolence and compassion? If it is so obvious to our profession, what professionalism is, then why is it so difcult to teach it to medical students and residents? Today’s defniton of medical professionalism is evolving – from autonomy to accountability, from expert opinion to evidence-based medicine, and from self-interest to teamwork and shared responsibility. However, medical professionalism is defned as the basis for the trust in the patent–physician relatonship, caring and compassion, insight, openness, respect for patent dignity, confdentality, autonomy, presence, altruism, and those qualites that lead to trust-competence, integrity, honesty, morality, and ethical conduct. The purpose of this study is to explore professionalism in terms of its fundamental elements among medical students of Universit Sultan Zainal Abidin (UniSZA). This was a cross-sectonal study carried out on medical students of UniSZA. The study populaton included preclinical and clinical medical students of UniSZA from Year I to Year V of academic session 2014/2015. The simple random sampling technique was used to select the sample. Data were collected using a validated instrument. The data were then compiled and analyzed using SPSS Version 21. Out of 165 questonnaires distributed randomly among Year I to Year V medical students of UniSZA, 144 returned, giving a response rate of 87%. Among the study partcipants, distributed randomly among Year I to Year V medical students of UniSZA, 144 returned, giving a response rate of 87%. Among the study partcipants, 38% (54) and 62% (90) were males and females, respectvely. The grand total score was 170.92±19.08. A total of 166.98±20.15 and 173.49±18.09 were the total professionalism score of male and female study partcipants, respectvely, with no statstcally signifcant (P=0.61) differences. This study found almost similar levels of familiarity with all fundamental issues of professionalism with no statstcally (P>0.05) signifcant differences. Medical faculty members should give more effort for the professional development of medical doctor. Henceforth, researchers believe and expect that the country will produce more ratonal and holistc medical doctors
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PROGRAMME BOOK
Medical Education Conference
CUMEC
Medical Education Conference 2018
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CUMEC2018
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warmly welcome over 265 delegates from 22 areas. Although there are many established medical
educaon conferences in the world, there is none yet specically devoted to the three important areas of
bioethics, professionalism and workplace-based assessment. Yet these are areas our accreding bodies
oen require from us medical educators. There is also a relave paucity of medical educaon literature on
the rst two areas.
We are proud to present this second conference on these areas in the Asia Pacic, with an array of eminent
internaonal and local speakers. The free papers, coee and lunch breaks also allow ample opportunies
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1
KEYNOTE LECTURES Chairs: T.F. FOK, Francis CHAN Shaw Auditorium
09:00 - 09:10
Welcome
09:10 - 09:40
Entering the New World of Medicine: Challenges and Opportunies
David ROTHMAN, Columbia University
09:40 - 10:10
Integraon, not Assimilaon: The Prophec Role of Ethics in Medical Educaon
Alastair CAMPBELL, Naonal University of Singapore
PARALLEL SESSIONS (1-4)
Bioethics Teaching in the Asia Pacic Seminar Room, 1/F
- A Survey
Chairs: Robert KLITZMAN, Barbra ROTHSCHILD
10:10 - 11:40
- Alastair CAMPBELL
- Amar JESANI
- Joong Hiong SIM
- Daniel TSAI
- Yali CONG
- Eisuke NAKAZAWA
Workshop 1 Kai Chong Tong, 1/F
10:10 -11:40
Aendance in Medical School: What can it teach us,
What are we doing about it and What should we be
doing about it?
Facilitators: Mary LAWSON
Dominique MARTIN
Natasha PARKIN
Workshop 2 Room 301, 3/F
10:10 - 11:40
Broadening Undergraduate Medical/Health Professions
Educaon
Facilitators: Kulsoom GHIAS
Anita ALLANA,
Rukhsana ALI
Free Papers - Assessment 1 Shaw Auditorium, 1/F
Chairs: Tony NELSON, Tony MA
10:10 - 10:25
Enhancing Reliability of OSCE through Standardized Paent (SP) Training
Nurashikin MOH DAT, University of Malaya
10:25 - 10:40
Assessment for Learning: Experiences from a Private Medical College in
Pakistan
Rashida AHMED, Aga Khan University, Karachi
10:40 - 10:55
Development & Validaon of the FAT4CP© Assessment Tool: Assessing
Knowledge, Atude and Condence (KAC) amongst Childcare Providers in
First Aid
Juliana NORSHAM, Universi Sains Islam Malaysia
10:55 - 11:10
A Comparison of Students’ Entry Qualicaons with Their Performance in
the First Professional Examinaon at Universi Kuala Lumpur Royal College
of Medicine Perak, Malaysia
Emdadul HAQUE, Universi Kuala Lumpur Royal College of Medicine Perak
11:10 - 11:25
An Assessment Model of Medical Graduates’ Core Competency Develop-
ment based on SERVQUAL Theory in China
Guiyin ZHUANG, Shantou University Medical College
11:25 -11:40
Aligning Assessment with Learning Outcomes in Outcome Based Educaon
Rohini KARUNAKARAN, AIMST University, Malaysia
Coee break 11:40 - 12:00 Foyer
DAY 1 - 16 March 2018, Friday AM
5
6
7
8
Bioethics Teaching in the Asia Pacic Seminar Room, 1/F
A Survey (connued)
Chairs : Robert KLITZMAN, Barbra ROTHSCHILD
12:00 -13:15
- Evie KENDAL, Kulsoom GHIAS, - Maude PHIPPS
- Mengfeng LI, Pacico CALDERON, Sara BERGSTRESSER
Workshop 1 (connued) Kai Chong Tong, G/F
12:00 - 13:15
Aendance in Medical School: What can it teach us, What
are we doing about it and What should we doing about it?
(connued)
Facilitators: Mary LAWSON, Dominique MARTIN,
Natasha PARKIN
Workshop 2 (connued) Room 301, 3/F
12:00 - 13:15
Broadening Undergraduate Medical/Health
Professions Educaon (connued)
Facilitators: Kulsoom GHIAS, Anita ALLANA, Rukhsana ALI
Free Papers - Assessment 2 Shaw Auditorium, 1/F
Chairs: Marn WONG, Radha RAGHUPATHY
12:00 - 12:15
Relaonship Between First Year Medical Students
Results And Their Entrance MMI Scores: A Pilot Study
Ya Chee LIM, Universi Brunei Darussalam
12:15 - 12:30
Clinical Skill Development And Workplace Based Assessment
Suprava DAS, AIMST University, Malaysia
12:30 - 12:45
The Construcon of Atude-Skill-Knowledge (ASK) Core Competency
Model for Chinese Medical Graduate Development Quality
Assessment
Zihua LI, Shantou University Medical College
12:45 -13:00
Digital Image Based OSCE Examinaon: An Ecient and Eecve Method
of Assessment of Undergraduate Students in Dermatology
Mariee DSOUZA, AIMST University, Malaysia
Lunch 13:15 -14:00 Foyer
PARALLEL SESSIONS (5-8)
SCIENTIFIC PROGRAMME
6
CUMEC2018
9
10
KEYNOTE LECTURES Chairs: Samuel WONG, Stephanie HOLMQUIST
Shaw Auditorium, 1/F
14:00 - 14:30
Leadership in Medicine: Bridging the Gap between Theory and Pracce
Charloe REES, Monash University
14:30 - 15:00
Professionalism, Need for this and How to Teach / Assess this
Kichu NAIR, Newcastle University
PARALLEL SESSIONS (9-12)
Symposium on Medical Educaon Shaw Auditorium, 1/F
Chairs: Carmen CHAN, Vivian LEE
15:00 -15:30
The Essence of Workplace-based Assessment
Cees VAN DER VLEUTEN, Maastricht University
15:30 - 16:00
Workplace-based Assessment; Our Experience over the past 7 Years
Kichu NAIR, Newcastle University
16:00 - 16:30
Restorave Approach to Interns Flagged for Ethical and Professional Issues
Shekhar KUMTA, The Chinese University of Hong Kong
16:30 - 17:00
Improving the Quality of Medical Educaon Research
Charloe REES, Monash University
Workshop 3 Room 301, 3/F
15:00 - 17:00
Flipped Classroom –
From Theory to Real-life Acon
Facilitators: Albert LI
Paul LAI
Isabel HWANG
Heyson CHAN
Yuen Keng NG
Jacqueline YUEN
11
Free Papers – Bioethics Kai Chong Tong, G/F
Chairs: Helen CHAN, Sara BERGSTRESSER
15:00 - 15:15
Evaluaon of Eecveness of a Humanies and Social Sciences
Curriculum in an Undergraduate Medical College
Kulsoom GHIAS, Aga Khan University, Karachi
15:15 - 15:30
Applicaon of Structured Crical Incident Report in Clinical
Ethics Case Conference
Hou-Chang CHIU, Fu-Jen Catholic University, Taiwan
15:30 - 15:45
An Ethical Dilemma? : How Donor Dissecon Impacts
Healthcare Students’ Percepons of Ethics
Georgina STEPHENS, Monash University
15:45 - 16:00
Gender Sensive Medical Educaon: Experiences of a Private
Medical College in Pakistan
Nargis ASAD, Aga Khan University, Karachi
16:00 - 16:15
Moral Distress in Medical Students: What Ethical Dilemmas did
Hong Kong Medical Students Idenfy in their Clinical Clerkships?
Julie CHEN, The University of Hong Kong
16:15 - 16:30
PowerPoint In Medical Educaon: Technology and Conceptual
Framing
Sara BERGSTRESSER, The Chinese University of Hong Kong
16:30 - 16:45
The Potenality of Drama Educaon and Muldisciplinary Arts
Project in Medical Bioethics Educaon
Amy CHAN, The Chinese University of Hong Kong
16:45 - 17:00
Humanizing Medicine through Curriculum Transformaon
Joong Hiong SIM, University of Malaya
17:00 - 17:15
Medical Interns’ Experiences of Open Disclosure aer Medica-
on Error: Accepng, Preserving, and Promong the Culture of
Error in Healthcare
Stuart LANE, Sydney Medical School
17:15 - 17:30
A Code of Ethics for Physicians Ulizing Social Media
Pacico CALDERON, Perpetual Help College of Manila
17:30 -17:45
Ethics Ward Round in Mul-instuonal Educaon Sengs:
Challenges and Opportunies
Tamra LYSAGHT, Naonal University of Singapore
Free Papers - Teaching and Learning 1 Seminar Room, 1/F
Chairs: Carmen WONG, Yvonne CHENG
15:00 - 15:15
Accreditaon For Medical School Clinical Medicine Programmes in
Mainland China – A Painstaking but Expectedly Eecve Approach to
Quality Improvement
Mengfeng LI, Sun Yat-sen University
15:15 - 15:30
E-Movaon and Environmental Sustainability: The Future of Medical
Curriculum?
Peter MUSAEUS, Aarhus University, Denmark
15:30 - 15:45
An Appraisal Study of Innovave Communicaon Training for Medical
Students: A Curriculum Design featured with Evidenced based
Malpracce Cases
Hui-Ching WENG, Naonal Cheng Kung University, Taiwan
15:45 - 16:00
Kern’s Six Step Approach to Develop a Curriculum in Complementary and
Alternave Medicine for Undergraduate Medical Students
Rajashree R, Gadag Instuon of Medical Sciences, India
16:00 - 16:15
Job Stress among Medical College Teachers
Rajashree R, Gadag Instuon of Medical Sciences, India
16:15 - 16:30
How to Give Eecve Feedback in Student Evaluaon of Teaching
Che AZIZ, University of Malaya
16:30 - 16:45
The Impact of Interprofessional Educaon in the Community
Vivian LEE, The Chinese University of Hong Kong
16:45 - 17:00
Factors that Make Formave Feedback more Eecve in Clinical Teaching
Benjamin EARNEST, Taylor’s University, Malaysia
17:00 - 17:15
Students’ Percepon of Undergraduate Educaonal Environment in the
Faculty of Medicine, University of Jana- Periodical Assessment Using
DREEM
Gitanjali SATHIADAS, University of Jana, Sri Lanka
17:15 - 17:30
A Study to Evaluate the Awareness of Hepas B Disease among Under-
graduate Dental Students
Jagjit DHALIWAL , Universi Brunei Darussalam
17:30 -17:45
Involving Health Care Students in a Community Project to Promote
Breaseeding
Nurolaini KIFLI, Universi Brunei Darussalam
DAY 1 - 16 March 2018, Friday PM SCIENTIFIC PROGRAMME
7
CUMEC2018
15
13
14
KEYNOTE LECTURES Chairs: Paul LAI, Shekhar KUMTA Shaw Auditorium, 1/F
09:10 - 09:40
Programmac Assessment: A Mind Shi in Assessment Culture
Cees VAN DER VLEUTEN, Maastricht University
09:40 - 10:10
Innovaon in Assessment in Medical Educaon
Roger WONG, University of Brish Columbia
Bioethics Symposium 1 Shaw Auditorium, 1/F
Chairs: Jusn WU, Albert LI
10:10 - 10:40
Challenges of Medical Professionalism in China
Yali CONG, Peking University
10:40 - 11:10
Should Physician Assisted Suicide be Legalized in East
Asian Sociees?
Ruiping FAN, City University of Hong Kong
11:10 - 11:40
Observaons on Using News Cases and Beauchamp’s
Four Principles in Teaching Students in Health Service
Management
Derrick AU, The Chinese University of Hong Kong
Workshop 4 Room 301, 3/F
10:10 -11:40
Using Behavioural Anchors in Pracce
as a Means to Dene Professionalism
Facilitator: Shekhar KUMTA
Free Papers - Teaching and Learning 2 Seminar Room, 1/F
Chairs: Hideki KASUYA, Young-Mee LEE
10:10 - 10:25
An Interprofessional Educaonal Approach to Paent Centred Care in the
Community: Gains and Challenges
Carmen WONG, The Chinese University of Hong Kong
10:25 – 10:40
Work or Not Work: The Innovave Flipped Clinical eLearning Plaorm for
Objecve Structural Clinical Examinaon Preparaon
Heyson CHAN, The Chinese University of Hong Kong
10:40 - 10:55
A Generalizability Theory Approach to Esmate Reliability of Mulple
Perspecve Assessment for Raonal Drug Use Media
Anupong KANTIWONG, Phramongkutklao College of Medicine, Bangkok
10:55 - 11:10
Workload as a Barrier to Progress; New Teaching Strategies Required in
Advanced Nurse Praconer Educaon
Sarah BILLINGSLEY, John Radclie Hospital, Oxford
11:10 - 11:25
Interacve Teaching-Learning Acvies: Impact on the Medical Students
Academic Performances
Emdadul HAQUE, Universi Kuala Lumpur Royal College of Medicine Perak
11:25 - 11:40
Use of Cadaver in Medical Educaon: The Views of the Undergraduate
Medical Students
Shahnaj PERVIN, Asia Metropolitan University, Malaysia
Coee break 11:40 - 12:00 Foyer
PARALLEL SESSIONS (13-15)
16
17
18
Bioethics Symposium 2 Shaw Auditorium, 1/F
Chairs : Hon Lam LI, Alexandra LO
12:00 - 12:30
Demena and Dignity in Later Life
Nancy JECKER, University of Washington
12:30 - 13:00
Keeping them Awake : Strategies to Keep Students
Engaged in Medical Ethics
Barbra ROTHSCHILD, Columbia University
13:00 - 13:20
Reecon on The Clinical Implementaon of
Medical Ethics Educaon
Daniel TSAI, Taiwan Naonal University
Workshop 4 (connued) Room 301, 3/F
12:00 - 13:15
Using Behavioural Anchors in Pracce as a
Means to Dene Professionalism (connued)
Facilitator: Shekhar KUMTA
Free Papers – Professionalism 1 Seminar Room, 1/F
Chairs : Simon NG, Anna LEE
12:00 - 12:15
Diagnoscian, Condant & Judge: A Qualitave Study of Educators as
Medical Student Advisors
Wendy HU, Western Sydney University
12:15 - 12:30
Using the Integrated Palliave Care Outcome Scale (Tradional Chinese Version)
as Teaching Materials for Simulaon Educaon in Palliave Care to Junior
Medical Students in Taiwan
Li-Lin KUO, Taipei City Hospital
12:30 - 12:45
Culvang a Culture of Compassion and Altruism among Future Physicians:
The Key Roles of Medical Educaon and Clinical Training
Pacico CALDERON, Perpetual Help College of Manila
12:45 - 13:00
What Learning Resource Persons do Clinical Medical Students Prefer?
Sakarn CHAROENSAKULCHAI, Phramongkutklao College of Medicine, Bangkok
13:00 - 13:15
Can Empathy be Taught? Lessons from Teaching Communicaon Skills to
Medical Students
Jacqueline YUEN, The Chinese University of Hong Kong
Lunch 13:15 -14:00 Foyer
PARALLEL SESSIONS (16-18)
DAY 2 - 17 March 2018, Saturday AM SCIENTIFIC PROGRAMME
8
CUMEC2018
22
19
20
KEYNOTE LECTURES Chairs: Derrick AU, Gavin JOYNT Shaw Auditorium
14:00 - 14:30
Enhancing Bioethics Educaon: Addressing Challenges New and Old
Robert KLITZMAN, Columbia University
14:30 - 15:00
Professionalism and Provider – Paent Relaonship
Nancy JECKER, University of Washington
Workshop 5 Room 301, 3/F
15:00 - 17:30
Assessment in Bioethics in the Undergraduate Medical Programme
Facilitators: Wee Ming LAU
Maude PHIPPS
Workshop 6 Seminar Room, 1/F
15:00 - 17:30
Student-centered, Self-directed and Simulaon-oriented Learning of
Professionalism with the aid of PBL and TBL
Facilitator: David KWAN
PARALLEL SESSIONS (19-22)
21
Free Papers - Professionalism 2 Kai Chong Tong, G/F
Chairs: Vincent MOK, Alex VLANTIS
15:00 - 15:15
Exploring the Medical Students’ Perspecve in Integrang the
Islamic Principles into Scienc Medical Teaching
Natasya ABDULLAH, Universi Sains Islam Malaysia
15:15 - 15:30
Character Traits of Repeang Medical Students may Reect their
Future Professionalism
Nik NAZRI, University of Malaya
15:30 - 15:45
Professionalism Perspecves among Medical Students of a Novel
Medical Graduate School in Malaysia
Mainul HAQUE, Universi Pertahanan Nasional Malaysia
15:45 - 16:00
Medical Interns’ Experiences of Open Disclosure aer Medicaon
Error, Following Prior Educaon Using Hi-Fidelity Simulaon:
Establishing ‘Readiness to Apologize’ with Reference to the
Competency Matrix
Stuart LANE, Sydney Medical School
16:00 - 16:15
Medical Students’ Learning Experiences of Open
Disclosure aer Medicaon Error Using Hi-Fidelity Simulaon:
Opmizing the Environment of Learning to Promote a Growth
Mindset in Learners
Stuart LANE, Sydney Medical School
16:15 - 16:30
Embedding Professional Values through Elecve
Posngs
Wei Han HONG, University of Malaya
16:30 - 16:45
The Change of Characteriscs in Emoonal Competence during the
Clerk-Turning-Intern Stage of Medical Students in Taiwan
Chun-Lin CHU, Naonal Taiwan University Hospital
16:45 - 17:00
What is the Big Deal? Helping Students to See the “Big Deal” in the
Student Professionalism
Nurul Ara KHAIRUL ANHAR HOLDER,Universi of Malaya
17:00 - 17:15
The Culvaon of Caring Atude in Undergraduate Nursing
Educaon:Implicaon from a Local Focus Group Study
Gigi LING, The Chinese University of Hong Kong
17:15 - 17:30
How we do it: Breaking Bad News Workshop as Peer-Assisted
Learning Project in Primary Care Clerkship
Nur RAHMAN, Universi Sains Islam Malaysia
17:30 - 17:45
Developing Role Models in Clinical Sengs:
a Qualitave Study
Sonia HAIDER, Aga Khan University, Karachi
Free Paper - Teaching and Learning 3 Shaw Auditorium, 1/F
Chairs: Hector CHAN, Simon AU
15:00 - 15:15
The Adopon of an Innovaon: How Workplace-Based Assessment
has been Implemented across Postgraduate Medical Educaon in
Australia
Mary LAWSON, Deakin University, Australia
15:15 - 15:30
Service-Learning Enhanced Humanisc Caring Ability and Empathy
of Medical Students: A Study from Shantou University Medical
College
Zhanqin HUANG, Shantou University Medical College
15:30 - 15:45
Team Based Learning (TBL): Students’ Percepon and Benets on
Learning
Noor ZULKIFLI, Universi Sains Islam Malaysia
15:45 - 16:00
Preferred Teaching Methods by Medical and Dental Students of
a Private University: The Students’ Percepon
Swe La SWE, AIMST University, Malaysia
16:00 - 16:15
Team Size and Cohesiveness Aect Achievements of Interprofes-
sional Teams in Team-based Learning
Lap Ki CHAN, The University of Hong Kong
16:15 - 16:30
First Aid Training and Cercaon for
Childcare Providers (FAT4CP) Program Improves the Knowledge,
Atude and Condence among Negeri Sembilan Childcare
Providers
Mohd NADIA, Universi Sains Islam Malaysia
16:30 - 16:45
Gi Of Life Donaons (GOLD) for Childhood Cancer. A Community
Project on Raising Funds and Awareness
Hui Ling ONG, Universi Brunei Darussalam
16:45 - 17:00
Development & Acceptance of a First Aid
Wrien Module for Childcare Providers
Parcipang In FAT4CP© Programme
Mohd SAHAR, Universi Sains Islam Malaysia
17:00 - 17:15
Assessment of Pulmonary Histopathology Skills using External
Quality Assurance Schemes
Muhammad BARI, Dow University of Health Sciences, Karachi
17:15 -17:30
Factors Inuencing the Transion of New Medical Educators into
Academia
Suhaila SANIP, Universi Sains Islam Malaysia
DAY 2 - 17 March 2018, Saturday PM SCIENTIFIC PROGRAMME
ABSTRACTS OF FREE PAPER
16
CUMEC2018
F07
WHAT IS THE BIG DEAL? HELPING STUDENTS
TO SEE THE “BIG DEAL” IN THE STUDENT PRO-
FESSIONALISM
NURUL ATIRA KHAIRUL ANHAR HOLDER, FOONG CHAN
CHOONG, MEDICAL EDUCATION & RESEARCH DEVELOP-
MENT UNIT (MERDU), FACULTY OF MEDICINE, UNIVERSITY
OF MALAYA, KUALA LUMPUR
Background & Purpose: ‘I forgot’, ‘I just missed it’ and
‘I was troubled by other maers” were common reasons
when students did not complete tasks on me. Profes-
sionalism of medical doctors may be related to their prior
behaviours in medical schools. [1] Hence, there is concern
as to whether the same reasons will be given when they
become doctors. One of our instuon’s methods is to
assess student professionalism by monitoring if tasks are
submied on me. Students, who missed three mandatory
tasks are required to aend the Personal and Professional
Development (PPD) remediaon programme. gies, among
others, include: (1) developing curricula and resource
materials for compassion culvaon training; (2) training
of teachers and support sta; (3) eecve mentoring; (4)
early exposure to paents and communies; (5) encour-
aging reecon through immersion to the humanies and
social sciences; (6) exposure to internaonal experiences;
and (7) encouraging research and collaboraon in the com-
passion and altruism thrust. In conclusion, we can teach
medical students and clinical trainees to nurture others
while developing a compassionate insnct. This process re-
quires paence, steady care, proper tools, and a supporve
environment.cian-paent relaonships, and to the public
at large can be high. The author recommends ethical and
professional guidelines for physicians ulizing social media.
Methods: The development of the PPD programme con-
sidered published evidence and scenarios in our instuon.
The programme helped students to reect on themselves,
compare professionalism of students and professionalism
of medical doctors, contrast between humanism and pro-
fessionalism, and idenfy unprofessional behaviours in real
life. There were mini lectures, group discussions, presenta-
ons and eldworks. Seven pre-clinical students parcipat-
ed in the programme.
Results: Students seemed to be resistant during the rst
encounter. For them, what is the big deal? It is unfair and
too strict. ‘(Tasks) only assessed supercial observable
behaviours… I was also very angry because I had to waste
my me…’ However, later students informed us that ‘I have
come to realize that if I couldn’t even do a small and simple
task… how am I going to carry (out) heavier responsibilies
and dues in the future as a doctor… This me, I only need
to aend the remedial classes for my own mistake(s), but
in the future, I might pay a bigger price for the same kind of
mistakes.
Conclusion: : Guiding students to see the ‘big deal’ in stu-
dent professionalism requires more structured and interac-
ve acvies for students to reect on links between their
behaviours and professionalism which promotes increased
appreciaon of professionalism.
Reference:
1. Papadakis MA, Teherani A, Banach MA, et al. Disciplinary
acon by medical boards and prior behaviour in medical
school. N Engl J Med. 2005; 353:2673-2682.
F08
PROFESSIONALISM PERSPECTIVES AMONG
MEDICAL STUDENTS OF A NOVEL MEDICAL
GRADUATE SCHOOL IN MALAYSIA
MAINUL HAQUE1, ZAINAL ZULKIFLI2, SERAJ ZOHURUL
HAQUE3, ZUBAIR M KAMAL4, ABDUS SALAM5, VIDYA
BHAGAT2, AHMED GHAZI ALATTRAQCHI2, NOR IZA A RAH-
MAN2
1Unit of Pharmacology, Faculty of Medicine and Defense
Health, Naonal Defense University of Malaysia, Kem
Sungai Besi, Kuala Lumpur, Malaysia; 2Faculty of Medicine,
Universi Sultan Zainal Abidin, Jalan Sultan Mahmud,
Kuala Terengganu, Terengganu, Malaysia; 3School of Med-
icine, University of Dundee, Ninewells Hospital & Med-
ical School, Dundee, UK; 4Sleep Research Unit, Toronto
Western Hospital, University Health Network, Toronto,
ON, Canada; 5Department of Medical Educaon, Univer-
si Kebangsaan Malaysia Medical Centre, Cheras, Kuala
Lumpur, Malaysia
Abstract: Dening professionalism in this constantly evolv-
ing wDening professionalism in this constantly evolving
world is not easy. How do you measure degrees of benevo-
lence and compassion? If it is so obvious to our profession,
what professionalism is, then why is it so dicult to teach
it to medical students and residents? Today’s denion
of medical professionalism is evolving – from autonomy
to accountability, from expert opinion to evidence-based
medicine, and from self-interest to teamwork and shared
responsibility. However, medical professionalism is dened
as the basis for the trust in the paent–physician relaon-
ship, caring and compassion, insight, openness, respect
for paent dignity, condenality, autonomy, presence,
altruism, and those qualies that lead to trust-competence,
integrity, honesty, morality, and ethical conduct. The pur-
pose of this study is to explore professionalism in terms of
its fundamental elements among medical students of Uni-
versi Sultan Zainal Abidin (UniSZA). This was a cross-sec-
onal study carried out on medical students of UniSZA. The
study populaon included preclinical and clinical medical
students of UniSZA from Year I to Year V of academic ses-
sion 2014/2015. The simple random sampling technique
was used to select the sample. Data were collected using
a validated instrument. The data were then compiled and
analyzed using SPSS Version 21. Out of 165 quesonnaires
ABSTRACTS OF FREE PAPER
17
CUMEC2018
distributed randomly among Year I to Year V medical stu-
dents of UniSZA, 144 returned, giving a response rate of
87%. Among the study parcipants, distributed random-
ly among Year I to Year V medical students of UniSZA,
144 returned, giving a response rate of 87%. Among the
study parcipants, 38% (54) and 62% (90) were males
and females, respecvely. The grand total score was
170.92±19.08. A total of 166.98±20.15 and 173.49±18.09
were the total professionalism score of male and female
study parcipants, respecvely, with no stascally sig-
nicant (P=0.61) dierences. This study found almost
similar levels of familiarity with all fundamental issues of
professionalism with no stascally (P>0.05) signicant
dierences. Medical faculty members should give more ef-
fort for the professional development of medical doctor.
Henceforth, researchers believe and expect that the coun-
try will produce more raonal and holisc medical doctors.
F10
HUMANIZING MEDICINE THROUGH CURRIC-
ULUM TRANSFORMATION JOONG HIONG SIM,
DAVID SIEW KIT CHOON, VINOD PALLATH, WEI-HAN HONG,
JAMUNA VADIVELU, UNIVERSITY OF MALAYA
Background: With medical schools focusing their as-
sessments on medical knowledge and clinical skills, the
humane aspects of medicine are oen neglected. Medical
pracce becomes increasingly dehumanised. A change in
medical training is necessary.
How we do it? Our medical school aempts to educate
students on humanism and the art of medicine through
curriculum transformaon. In our revised medical cur-
riculum, “Language in Medicine” is introduced at the
commencement of Year 1 to provide an early introducon
to humanism in medicine. Four themes are highlighted –
“Icons in Medicine”, “Good Science, Bad Science”, “Where
there is no doctor”, and “Death and Dying”. The rst
theme introduces students to icons in medicine. The sec-
ond theme exposes students to skepcism in medicine. In
the third theme, students learn about healthcare without
doctors. In the fourth theme, students are exposed to palli-
ave care and end-of-life issues. They learn about compas-
sion, empathy, and the art of breaking bad news. Blended
learning is facilitated through acvies on an e-learning
plaorm, lectures, site visits, and sessions where paents
share their experiences. Communicaon skills workshops
equip students with clinical communicaon skills. Students
are encouraged to reect and write about their learning
experiences as a group. Learning is supported through
feedback provided via online resources, forums, and form-
ave assessments.
Lessons learned : Beginning the medical programme
with “Language in Medicine” has raised awareness among
students on the humane aspect of medicine. Group as-
signments nurture team spirits while communicaon skills
training enhances clinical communicaon skills.
Medical teachers commented that the revised curriculum
has led to improved communicaon skills among students.
Nonetheless, some students commented that the me is
beer spent on learning medicine. Aer a review, the 12-
week component has been condensed to 8 weeks. Curric-
ulum transformaon had an impact in changing student
learning experience and helped to humanise our under-
graduate medical curriculum.
Reference: Sim JH, Choon DSK, Pallath V & Hong WH.
(2017). Humanising medicine: taking our rst step. Med
Educ, Early Online DOI: 10.1111/medu.13441
F11
ACCREDITATION FOR MEDICAL SCHOOL
CLINICAL MEDICINE PROGRAMMES IN MAIN-
LAND CHINA – A PAINSTAKING BUT EXPECT-
EDLY EFFECTIVE APPROACH TO QUALITY
IMPROVEMENT
Mengfeng Li, Sun Yat-sen University, China
Background: The past decades are a period during which
Chinese medical educaon (ME) has faced the challenge
of meeng a high expectaon in both supplying health-
care human resources for the 1.4-billion populaon and
in the meanme maintaining quality ME and aer-school
professional training. Historically, China has experienced
a mul-stage development of ME: (1) copying western ME
systems before 1949 and then the Soviet’s model aer
1950; (2) a system focused (mostly passively) on the basic
needs of the rural populaon and urban working class-
es; (3) resumed enthusiasc pursuit and “trials” of the
present western ME models; and (4) the currently ongo-
ing aempts and pracce in building up China’s own ME
system for the people’s needs. Yet, the Chinese ME system
is seriously challenged by the highly expected outcome of
producing high-quality professional work forces that can
meet all demands of a highly complex populaon. To deal
with such a challenge, in 2008 China’s Ministry of Educa-
on (MOE) implemented policies to evaluate and accredit
the naon’s clinical medicine programs (CMP) and later
issued the rst version of accreditaon criteria (CMPC).
Since then the MOE has reinforced a naon-wide acon
of accreditaon for all CMPs. The current CMPC (2016)
contain ten 1st-order and 39 2nd-order items, and the
accreditaon process includes panel evaluaon of self-as-
sessment reports, panel site-visits and general evaluaon
of each CMP at naonal commiee’s meengs. Thus far,
58 CMPs have been evaluated and accredited, and such
evaluang accreditaons have been generally successful
and eecve in promong instuonal ME improvement.
This presentaon will illustrate the framework of the
naonal CMP criteria and the procedures for the accredi-
taon, and will report the key ndings of the accreditaon
pracce. Future perspecves based on these ndings and
praccal experience will also be discussed.
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Based on a proven six-step model and including examples and questions to guide application of those timeless principles, Curriculum Development for Medical Education is a practical guidebook for all faculty members and administrators responsible for the educational experiences of medical students, residents, fellows, and clinical practitioners. Incorporating revisions driven by calls for reform and innovations in medical education that challenge established teaching models, the third edition includes an awareness of new accreditation standards and regulatory guidelines. The authors have expanded their discussion of survey methodology for needs assessment and stress the importance of writing competency-based goals and objectives that incorporate milestones, entrustable professional activities, and observable practice activities. With updated examples focusing on interprofessional education, collaborative practice, and educational technology, they describe educational strategies that incorporate the new science of learning. A completely new chapter presents the unique challenges of curriculum development for large, long, and integrated curricula. © 1998, 2009, 2016 Johns Hopkins University Press. All rights reserved.
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