Nurturing Medical Professionalism in the Surgical Community

Daniel Kinyuru Ojuka1, Joyce Olenja2, Eunbae Yang3, Nimrod Juniahs Mwangombe1, Jana Macleod4

1.School of Medicine, University of Nairobi

2.School of Public Health,University of Nairobi

3.Department of Medical Education, Yonsei University, Seoul , South Korea

4.School of Medicine, Kenyatta University

Correspondence to: Dr. Daniel Ojuka, P.O Box 20723-00202, KNH, Nairobi. Kenya.

Email: danielojuka@gmail.com

Abstract

Introduction: The teaching of professionalism worldwide is changing for effectiveness. Our aim was to explore the reflection of the surgical teaching community in a Kenyan context on how professionalism can be effectively inculcated through the socio-cultural concept of activity theory. Methods: A sequential mixed-methods study was conducted among clinicians and students within the surgical community of the University of Nairobi from March to December 2014. . Individual interviews and focus-group-discussions were conducted using grounded theory methods. A survey of the resultant views was performed through a pre-determined questionnaire which utilized a 4-point Likert scale for response ranging from “strongly agree” to “strongly disagree”. Factor analysis was used to analyze the responses to the survey. Internal reliability was determined by Cronbach’s α. Results: Four themes emerged from the interviews; change of values, regulation, enabling environment and formal curriculum. In the survey, the participants strongly agreed with strengthening mentorship (77.5%) and a teaching facility (74.7%) with a rewarding or recognition (69.5%). The reliability test of the items showed a Cronbach’s α of 0.827. Conclusion: This study demonstrates that the participants would like to see a different and transforming path in inculcating professionalism through changing values and enabling environment among others.

Keywords: Nurturing, Medical professionalism, Surgical community

Ann Afr Surg. 2017;14(2):10-18.

DOI: https://dx.doi.org/10.4314/aas.v14i1.3

© 2017 Annals of African Surgery. This work is licensed under the Creative Commons Attribution 4.0 International License.

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