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GeNeDis 2016 pp 217–233Cite as

Programmatic Assessment of Professionalism in Psychiatry Education: A Literature Review and Implementation Guide

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Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 989))

Abstract

Programmatic assessment is being adopted as a preferred method of assessment in postgraduate medical education in Australia. Programmatic assessment of professionalism is likely to receive increasing attention. This paper reviews the literature regarding the assessment of professionalism in psychiatry. A search using the terms ‘professionalism AND psychiatry’ was conducted in the ERIC database. Only original articles relevant to professionalism education and assessment in psychiatry were selected, rather than theoretical or review papers that applied research from other fields of medicine to psychiatry. Articles regarding the need for professionalism education in psychiatry were included as they provided a rationale for curriculum development in this field as a precursor to assessment. Key findings from the literature were summarised in light of the author’s own experience as an educator and assessor of both medical students and trainees in psychiatry, and incorporated into a guide to implementing programmatic assessment of professionalism in psychiatry. Within psychiatry, the specific evidence base for use of particular tools in assessing professionalism is limited. However, used in conjunction with psychiatrists’ views about what is important in professionalism education, as well as knowledge from other medical disciplines regarding professionalism assessment tools, this evidence can inform implementation of programmatic assessment of professionalism in undergraduate, postgraduate and continuing professional development settings. Given the emergent nature of such assessment initiatives, they should be subjected to rigorous evaluation.

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References

  1. Schuwirth, L.W.T., and C.P.M. van der Vleuten. 2011. Programmatic Assessment: From Assessment of Learning to Assessment for Learning. Medical Teacher 33: 478–485. doi:10.3109/0142159X.2011.565828.

    Article  PubMed  Google Scholar 

  2. van der Vleuten, C.P.M., L.W.T. Schuwirth, E.W. Driessen, et al. 2012. A Model for Programmatic Assessment Fit for Purpose. Medical Teacher 34: 205–214. doi:10.3109/0142159X.2012.652239.

    Article  PubMed  Google Scholar 

  3. ———. 2015. Twelve Tips for Programmatic Assessment. Medical Teacher 37: 641–646. doi:10.3109/0142159X.2014.973388.

    Article  Google Scholar 

  4. Prescott, L.E., J.J. Norcini, P. McKinlay, and J.S. Rennie. 2002. Facing the Challenges of Competency-Based Assessment of Postgraduate Dental Training: Longitudinal Evaluation of Performance (LEP). Medical Education 36: 92–97.

    Article  CAS  PubMed  Google Scholar 

  5. van der Vleuten, C.P.M., and L.W.T. Schuwirth. 2005. Assessing Professional Competence: From Methods to Programmes. Medical Education 39: 309–317.

    Article  PubMed  Google Scholar 

  6. Dannefer, E.F., and L.C. Henson. 2007. The Portfolio Approach to Competency-Based Assessment at the Cleveland Clinic Lerner College of Medicine. Academic Medicine 82: 493–502.

    Article  PubMed  Google Scholar 

  7. Fishleder, A.J., L.C. Henson, and A.L. Hull. 2007. Cleveland Clinic Lerner College of Medicine: An Innovative Approach to Medical Education and the Training of Physician Investigators. Academic Medicine 82: 390–396.

    Article  PubMed  Google Scholar 

  8. Bok, H.G., P.W. Teunissen, R.P. Favier, et al. 2013. Programmatic Assessment of Competency-Based Workplace Learning: When Theory Meets Practice. BMC Medical Education 13: 1.

    Article  Google Scholar 

  9. Heeneman, S., A. Oudkerk Pool, L.W.T. Schuwirth, et al. 2015. The Impact of Programmatic Assessment on Student Learning: Theory Versus Practice. Medical Education 49: 487–498. doi:10.1111/medu.12645.

    Article  PubMed  Google Scholar 

  10. Arnold, L. 2002. Assessing Professional Behavior: Yesterday, Today, and Tomorrow. Academic Medicine 77: 502–515.

    Article  PubMed  Google Scholar 

  11. American Board of Internal Medicine (ABIM). 1994. Project Professionalism. Philadelphia, PA: American Board of Internal Medicine.

    Google Scholar 

  12. Roberts, L.W., T.D. Warner, K.A.G. Hammond, et al. 2005. Becoming a Good Doctor: Perceived Need for Ethics Training Focused on Practical and Professional Development Topics. Academic Psychiatry 29: 301–309.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Roberts, L.W., M.E. Johnson, C. Brems, and T.D. Warner. 2006. Preferences of Alaska and New Mexico Psychiatrists Regarding Professionalism and Ethics Training. Academic Psychiatry 30: 200–204.

    Article  PubMed  Google Scholar 

  14. Lapid, M., C. Moutier, L. Dunn, et al. 2009. Professionalism and Ethics Education on Relationships and Boundaries: Psychiatric Residents’ Training Preferences. Academic Psychiatry 33: 461–469.

    Article  PubMed  Google Scholar 

  15. Jain, S., L.B. Dunn, C.H. Warner, and L.W. Roberts. 2011. Results of a Multisite Survey of U.S. Psychiatry Residents on Education in Professionalism and Ethics. Academic Psychiatry 35: 175–183.

    Article  PubMed  Google Scholar 

  16. Jain, S., M.I. Lapid, L.B. Dunn, and L.W. Roberts. 2011. Psychiatric Residents’ Needs for Education About Informed Consent, Principles of Ethics and Professionalism, and Caring for Vulnerable Populations: Results of a Multisite Survey. Academic Psychiatry 35: 184–190.

    Article  PubMed  Google Scholar 

  17. Morreale, M.K., R. Balon, and C.L. Arfken. 2011. Survey of the Importance of Professional Behaviors Among Medical Students, Residents, and Attending Physicians. Academic Psychiatry 35: 191–195.

    Article  PubMed  Google Scholar 

  18. Choi, D., V. Tolova, E. Socha, and C.P. Samenow. 2013. Substance Use and Attitudes on Professional Conduct Among Medical Students: A Single-Institution Study. Academic Psychiatry 37: 191–195.

    Article  PubMed  Google Scholar 

  19. Hodges, B., G. Regehr, M. Hanson, and N. McNaughton. 1997. An Objective Structured Clinical Examination for Evaluating Psychiatric Clinical Clerks. Academic Medicine 72: 715–721.

    Article  CAS  PubMed  Google Scholar 

  20. Roberts, L.W., K.A.G. Hammond, C.M. Geppert, and T.D. Warner. 2004. The Positive Role of Professionalism and Ethics Training in Medical Education: A Comparison of Medical Student and Resident Perspectives. Academic Psychiatry 28: 170–182.

    Article  PubMed  Google Scholar 

  21. Hundert, E.M., F. Hafferty, and D. Christakis. 1996. Characteristics of the Informal Curriculum and Trainees’ Ethical Choices. Academic Medicine 71: 624–642.

    Article  CAS  PubMed  Google Scholar 

  22. Szauter, K., and H.E. Turner. 2001. Using Students’ Perceptions of Internal Medicine Teachers’ Professionalism. Academic Medicine 76: 575–576.

    Article  CAS  PubMed  Google Scholar 

  23. Lichstein, P.R., and G. Young. 1996. “My Most Meaningful Patient.” Reflective Learning on a General Medicine Service. Journal of General Internal Medicine 11: 406–409.

    Article  CAS  PubMed  Google Scholar 

  24. Jarvis, R.M., P.S. O’Sullivan, T. McClain, and J.A. Clardy. 2004. Can One Portfolio Measure the Six ACGME General Competencies? Academic Psychiatry 28: 190–196.

    Article  PubMed  Google Scholar 

  25. Bennett, A.J., B. Roman, L.M. Arnold, et al. 2005. Professionalism Deficits Among Medical Students: Models of Identification and Intervention. Academic Psychiatry 29: 426–432.

    Article  PubMed  Google Scholar 

  26. Bennett, A.J., L.M. Arnold, and J.A. Welge. 2006. Use of Standardized Patients During a Psychiatry Clerkship. Academic Psychiatry 30: 185–190.

    Article  PubMed  Google Scholar 

  27. Ballon, B.C., and W. Skinner. 2008. “Attitude is a Little Thing That Makes a Big Difference”: Reflection Techniques for Addiction Psychiatry Training. Academic Psychiatry 32: 218–224.

    Article  PubMed  Google Scholar 

  28. West, D.A., and D.W. Nierenberg. 2009. Student Experiences with Competency Domains During a Psychiatry Clerkship. Academic Psychiatry 33: 204–211.

    Article  PubMed  Google Scholar 

  29. Marrero, I., M. Bell, L.B. Dunn, and L.W. Roberts. 2013. Assessing Professionalism and Ethics Knowledge and Skills: Preferences of Psychiatry Residents. Academic Psychiatry 37: 392–397.

    Article  PubMed  Google Scholar 

  30. Schillerstrom, J.E., and M. Lutz. 2013. Academic Performance in the Context of a “Three Excused Absences” Psychiatry Clerkship Policy. Academic Psychiatry 37: 171–174.

    Article  PubMed  Google Scholar 

  31. Chandra, P., S. Chaturvedi, and G. Desai. 2009. Objective Standardized Clinical Assessment with Feedback: Adapting the Objective Structured Clinical Examination for Postgraduate Psychiatry Training in India. Indian Journal of Medical Sciences 63: 235–243.

    Article  PubMed  Google Scholar 

  32. Swick, S., M.S. Hall, and E. Beresin. 2006. Assessing the ACGME Competencies in Psychiatry Training Programs. Academic Psychiatry 30: 330–351.

    Article  PubMed  Google Scholar 

  33. Harrison, C.J., K.D. Könings, A. Molyneux, et al. 2013. Web-Based Feedback After Summative Assessment: How Do Students Engage? Medical Education 47: 734–744.

    Article  PubMed  Google Scholar 

  34. The Royal Australian and New Zealand College of Psychiatrists. 2016. Workplace-Based Assessments (WBAs). https://www.ranzcp.org/Pre-Fellowship/2012-Fellowship-Program/Assessment-overview/Workplace-based-Assessments.aspx. Accessed 30 Aug 2016.

  35. Ericsson, K.A. 2004. Deliberate Practice and the Acquisition and Maintenance of Expert Performance in Medicine and Related Domains. Academic Medicine 79: S70–S81.

    Article  PubMed  Google Scholar 

  36. Sargeant, J.M., K.V. Mann, C.P. van der Vleuten, and J.F. Metsemakers. 2009. Reflection: A Link Between Receiving and Using Assessment Feedback. Advances in Health Sciences Education 14: 399–410.

    Article  PubMed  Google Scholar 

  37. Driessen, E.W., J. van Tartwijk, M. Govaerts, et al. 2012. The Use of Programmatic Assessment in the Clinical Workplace: A Maastricht Case Report. Medical Teacher 34: 226–231.

    Article  PubMed  Google Scholar 

  38. Cohen, D., M. Rhydderch, and I. Cooper. 2014. Managing Remediation. In Understanding Medical Education: Evidence, Theory and Practice, ed. T. Swanwick, 2nd ed., 433–444. Chichester, West Sussex: John Wiley & Sons, Ltd.

    Google Scholar 

  39. The Royal Australian and New Zealand College of Psychiatrists. 2016. Assessment Overview. https://www.ranzcp.org/Pre-Fellowship/2012-Fellowship-Program/Assessment-overview.aspx. Accessed 10 July 2016.

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Acknowledgement

The author would like to thank Dr Ian Presnell, Senior Lecturer, Faculty of Medicine, Nursing and Health Sciences, Monash University, for critically reviewing this manuscript.

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No sources of funding were received for this work.

Conflicts of Interest

The author reports no conflicts of interest and is alone responsible for the content and writing of this paper.

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Authors and Affiliations

  1. Monash Ageing Research Centre (MONARC), Monash University, Melbourne, VIC, Australia

    Christos Plakiotis

  2. Department of Psychiatry, School of Clinical Sciences at Monash Health, Monash University, Melbourne, VIC, Australia

    Christos Plakiotis

  3. Aged Persons Mental Health Service, Monash Health, Melbourne, VIC, Australia

    Christos Plakiotis

  4. Aged Psychiatry Academic Unit (Monash University), c/o Medical Administration, Kingston Centre, Warrigal Road, Cheltenham, VIC, 3192, Australia

    Christos Plakiotis

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  1. Christos Plakiotis
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Correspondence to Christos Plakiotis .

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Editors and Affiliations

  1. Department of Informatics, Bioinformatics and Human Electrophysiology Laboratory, Ionian University, Corfu, Greece

    Panayiotis Vlamos

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Plakiotis, C. (2017). Programmatic Assessment of Professionalism in Psychiatry Education: A Literature Review and Implementation Guide. In: Vlamos, P. (eds) GeNeDis 2016 . Advances in Experimental Medicine and Biology, vol 989. Springer, Cham. https://doi.org/10.1007/978-3-319-57348-9_19

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