Introduction: This study aimed to examine the impact of housemanship and cohort effect on the perceptions of what constitutes a “role model physician” between 2 cohorts of medical studentsMaterials and Methods: Final year medical students of the Yong Loo Lin School of Medicine, National University of Singapore, from the classes of 2005 (pre- and post-housemanship) and class of 2009 (pre-housemanship) responded to an anonymous 25-statement questionnaire reflecting Fones et al’s 25-item characterisation of a “role model” doctor. Qualitative data was also collected on student’s perceived qualities of a role model doctor. Results: : For the 2005 cohort pre- and post-housemanship, only 3 of the 25 items had increased in importance post-housemanship. However, when comparing the 2005 and 2009 cohorts pre-housemanship, the latter cohort placed significantly greater importance on 12 of the 25 items. Willingness to teach was identified via qualitative analysis as a new important quality of a role model doctor for medical students. Conclusion: The importance placed on characteristics of “role model” physicians were relatively unchanged by housemanship within the same cohort but increased with time between 2 cohorts 5 years apart. This suggests that professional standards of an “ideal” doctor expected and aspired to by medical students may not be eroding as feared by the medical profession and society.
Role modeling has been reported as an increasingly prominent teaching need and strategy in the field of medical education. This aspect of training helps novice doctors to imbibe key values, attitudes, behaviours and ethics that define the medical profession. With the primary goal of medical education being to train “ideal” physicians, it becomes most crucial to break down the concept of what actually constitutes a good “role model” physician. Numerous studies have documented the qualities that define these “role model physicians” through perceptions of the medical students, residents, faculty, physicians and the public. However, there are fears that professionalism, humanitarianism, empathy, enthusiasm and idealism among medical students may be declining during medical school and after graduation. This may result in a decline in the value medical students place on qualities of a role model physician and an increasing dearth of role model physicians for young doctors and medical students to emulate. Unfortunately, there is little research on the changes in perceptions of a “role model” doctor within the same cohort or between cohorts over time.
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