Document Detail

Modern conceptions of elite medical practice among internal medicine faculty members.
MedLine Citation:
PMID:  21955769     Owner:  NLM     Status:  In-Data-Review    
BACKGROUND: To understand the modern conceptions of elite practice informing the hidden curriculum through use of peer nominations asking clinicians to identify exceptional practitioners.
METHOD: We distributed a Web-based survey to Department of Medicine faculty at five universities in North America. Participants were asked to nominate individuals they deemed to be "outstanding practitioners" and to provide reasons. They were then asked to nominate "exceptional diagnosticians" and "exceptional professionals."
RESULTS: Two hundred eighty-two physicians nominated 558 unique peers as "outstanding practitioners." Justifications included knowledge (45.1%), patient-related interpersonal skill (18.7%), teaching skill (10.8%), and research success (6.8%). More "exceptional diagnostician" nominees were nominated as "outstanding practitioners" (65.2%) relative to "exceptional professional" nominees (56.1%), although the effect size was small (phi = 0.09).
CONCLUSIONS: Knowledge-based competencies maintain a central role in modern conceptions of elite medical practice, although, contrary to the historical dominance of biomedical abilities, a diverse set of skills and professional aptitudes are also well represented.
Kevin W Eva; Lynne Lohfeld; Gurpreet Dhaliwal; Maria Mylopoulos; David A Cook; Geoffrey R Norman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Academic medicine : journal of the Association of American Medical Colleges     Volume:  86     ISSN:  1938-808X     ISO Abbreviation:  Acad Med     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-09-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8904605     Medline TA:  Acad Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S50-4     Citation Subset:  AIM; IM    
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