©2010 Taipei Medical University
ORIGINAL ARTICLE
J Exp Clin Med 2010;2(1):35–42
Background: Following the curriculum reforms of 2002 that emphasized humanistic values
and ethics in medical education and instituted liberal arts requirements, medical students
are expected to acquire a new conception of professionalism that incorporates the social
contract inherent to the profession.
Purpose: This paper presents the results of a 2007 survey of medical students concerning
their ideals.
Methods: The survey instrument was designed based on codes of conduct for good doc-
toring; it encompassed five dimensions deemed essential to professionalism. The quality
of the instrument was assured via consultation with experts as well as with reliability and
validity tests. The data were collected from 440 out of 860 first- to fourth-year undergradu-
ate medical students at four medical schools between April and June 2007 in Taiwan.
Statistical analysis utilized LISREL 8.72 to check construct validity. Further ANOVA tested
the significance of differences among groups.
Results: The 440 responding medical students expressed a high valuation for all dimen-
sions of medical professionalism; however, they placed relatively greater importance on
medical knowledge and skills, interpersonal skills, and teamwork. First- and second-year
students had a slightly higher valuation for all dimensions compared to fourth-year students.
This may be due to curriculum reforms not being fully in effect when the older students
began study.
Conclusion: Taiwan’s humanistic medical educational reforms are only in the nascent
stages, and subsequent longitudinal studies are recommended. The slight gap between
general universities and medical universities may reflect a greater range of liberal arts
courses in general universities that enhance a student’s basic understanding of humani-
ties. Nonetheless, liberal arts courses are now listed as requirements for undergraduate
medical students.
Received: Sep 13, 2009
Revised: Oct 9, 2009
Accepted: Oct 9, 2009
KEY WORDS:
code of conduct;
medical professionalism;
medical students;
survey
A Professionalism Survey of Medical
Students in Taiwan
Chiung-Hsuan Chiu
1,2
, Hsin-Yi Lu
3
, Linda Gail Arrigo
2
,
Chung-Jen Wei
4
, Duujian Tsai
2
*
1
Department of Health Care Administration, School of Public Health and Nutrition, Taipei Medical University,
Taipei, Taiwan
2
Graduate Institute of Humanity in Medicine, Taipei Medical University, Taipei, Taiwan
3
College of Hakka Studies, National Chiao Tung University, Hsinchu, Taiwan
4
Department of Public Health, College of Medicine, Fu-Jen Catholic University, Hsinchuang, Taiwan
*Corresponding author. Graduate Institute of Humanity in Medicine, Taipei Medical University, 250 Wu-Hsing Street, Taipei 110, Taiwan.
E-mail: djtsai@tmu.edu.tw