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Basing the Evaluation of Professionalism on Observable Behaviors: A Cautionary Tale

Ginsburg, Shiphra; Regehr, Glenn; Lingard, Lorelei

Section Editor(s): Stern, David MD

Papers: Professional Development

Problem Statement and Background. The evaluation of professionalism often relies on the observation and interpretation of students' behaviors; however, little research is available regarding faculty's interpretations of these behaviors.

Method. Interviews were conducted with 30 faculty, who were asked to respond to five videotaped scenarios in which students are placed in professionally challenging situations. Behaviors were catalogued by person and by scenario.

Results. There was little agreement between faculty about what students should and should not do in each scenario. Abstracted principles (e.g., honesty, altruism) were defined and applied inconsistently, both between and within individual faculty. There was no apparent “shared standard” that faculty held for professional behavior in students, and similar behaviors (e.g., lying) could be interpreted as either professional or unprofessional.

Conclusions. Future efforts at evaluation need to look beyond the behaviors, and should incorporate the reasoning and motivations behind students' actions in challenging professional situations.

Correspondence: Shiphra Ginsburg, MD, MEd, FRCPC, Mount Sinai Hospital, 433-600 University Ave, Toronto, ON, Canada. M5G 1X5; e-mail: 〈〉.

© 2004 Association of American Medical Colleges