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首页> 外文期刊>The Journal of Graduate Medical Education >Creating a Framework for Medical Professionalism: An Initial Consensus Statement From an Arab Nation
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Creating a Framework for Medical Professionalism: An Initial Consensus Statement From an Arab Nation

机译：创建医疗专业框架：阿拉伯国家的初步共识声明

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Background?Medical professionalism has received increased worldwide attention, yet there is limited information on the applicability and utility of established Western professionalism frameworks in non-Western nations.;Objective?We developed a locally derived consensus definition of medical professionalism for the United Arab Emirates (UAE), which reflects the cultural and social constructs of the UAE and the Middle East.;Methods?We used a purposive sample of 14 physicians working in the UAE as clinical and education leaders. This expert panel used qualitative methods, including the world café, nominal group technique, the Delphi method, and an interpretive thematic analysis to develop the consensus statement.;Results?The expert panel defined 9 attributes of medical professionalism. There was considerable overlap with accepted Western definitions, along with important differences in 3 aspects: (1) the primacy of social justice and societal rights; (2) the role of the physician's personal faith and spirituality in guiding professional practices; and (3) societal expectations for professional attributes of physicians that extend beyond the practice of medicine.;Conclusions?Professionalism is a social construct influenced by cultural and religious contexts. It is imperative that definitions of professionalism used in the education of physicians in training and in the assessment of practicing physicians be formulated locally and encompass specific competencies relevant to the local, social, and cultural context for medical practice. Our goal was to develop a secular consensus statement that encompasses culture and values relevant to professionalism for the UAE and the Arab region.;What was known and gap Conceptual frameworks for physician professionalism based on Western cultural norms may have limited applicability in non-Western nations.;What is new A locally consensus derived definition of medical professionalism for an Arab nation.;Limitations Framework is based on single group interaction, limiting the ability to generalize.;Bottom line The professionalism framework reflects the cultural and social constructs of the United Arab Emirates and the Middle East.;Introduction For the past 2000 years, the medical community has grappled with the definition of physician professionalism. In Western nations, concepts of humanism and altruism originating from the Hippocratic Oath and Judeo-Christian ethics have formed the basis of professionalism charters for physicians in practice and curricula for trainees.1 Definitions of professionalism based on these Western concepts have been translated into many languages, endorsed by medical societies in different nations, and adopted worldwide.2 In contrast, physician professionalism is less well defined in many non-Western nations. In the Arab world, there have been limited attempts to conceptualize medical professionalism in secular terms, primarily because physician roles and values have been deeply rooted in the principles of Islamic medical ethics.3 In recent years, globalization has become a major driving force in many fields, including health care and medical education.4 As Western educational systems expand internationally, non-Western countries are adopting pivotal concepts and competencies derived from these systems in efforts to improve the quality of education and patient care delivered to their populations.5,6 Professionalism, however, is inexorably linked to a society's culture and values.7 Given the limited attempts to define professionalism in the Arab and Muslim society of the Middle East,8,9 one must consider whether cornerstone values on which Western definitions of professionalism are built may conflict with the religious and cultural concepts that shape physician and patient health beliefs in the Middle East. The purpose of this study was to develop a locally derived definition of medical professionalism for the UAE, a nation that reflects the cultural and social constructs
机译：背景：医学专业精神已在全球范围内得到越来越多的关注，但关于已建立的西方专业精神框架在非西方国家中的适用性和实用性的信息很少;目标：我们为阿拉伯联合酋长国制定了本地衍生的医学专业精神共识（阿联酋），反映了阿联酋和中东的文化和社会结构。方法：我们采用了14名在阿联酋工作的临床和教育领导者的有针对性的样本。该专家小组使用定性方法，包括世界咖啡馆，名义小组技术，Delphi方法和解释性主题分析来制定共识声明。;结果？专家小组定义了9种医学专业素养。西方公认的定义有很多重叠之处，同时在三个方面也有重要区别：（1）社会正义和社会权利的首要地位; （2）医师个人信仰和灵性在指导专业实践中的作用; （3）对医生专业属性的社会期望超出了医学实践。结论：专业主义是受文化和宗教背景影响的社会建构。当务之急是在当地对医师的培训和评估中使用的职业素养的定义要在当地制定，并涵盖与当地，社会和文化背景有关的医疗实践的特定能力。我们的目标是制定一个长期共识声明，其中涵盖阿联酋和阿拉伯地区与专业化相关的文化和价值观。已知和差距基于西方文化规范的医师专业化概念框架在非西方国家的适用性可能有限。;什么是新的阿拉伯国家对医学专业精神的本地共识定义。;限制框架基于单个群体的互动，限制了泛化的能力。;底线专业精神框架反映了阿拉伯联合酋长国的文化和社会建构简介在过去的2000年中，医学界一直在努力解决医生专业化的定义。在西方国家，源自希波克拉底誓言和犹太教-基督教伦理的人本主义和利他主义概念已成为实践中医师执业宪章和学员课程的基础。1基于这些西方概念的职业主义定义已被翻译成多种语言。 [2]相反，在许多非西方国家，医师专业性的定义不太明确。在阿拉伯世界，尝试以世俗的方式概念化医学专业化的尝试有限，这主要是因为医师的角色和价值观已深深植根于伊斯兰医学伦理学的原则。3近年来，全球化已成为许多人的主要推动力。 4随着西方教育体系在国际上的扩展，非西方国家正在采用这些体系的关键概念和能力，以努力提高向其人口提供的教育和患者护理的质量。5,6然而，专业精神与社会的文化和价值观有着不可或缺的联系。7鉴于在中东的阿拉伯和穆斯林社会中定义专业精神的尝试有限，8,9人们必须考虑是否以西方的专业精神定义为基础价值可能与塑造医师和患者健康信念的宗教和文化观念相抵触中东地区。这项研究的目的是为反映阿拉伯文化和社会结构的国家阿联酋制定本地定义的医学专业精神定义

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