Perceptions of Emergency Physician Professionalism Among Healthcare Providers and Patients: A Multicenter Study in Thailand and the US

Authors

Khuansiri Narajeenron MD, MHPE, Department of Emergency Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Bangkok, ThailandFollow
Tanawat Tarapan MD, Department of Emergency Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Bangkok, ThailandFollow
Jasmina Dukovic, Department of Emergency Medicine, University of California, Irvine, Orange, California, USAFollow
Krongkarn Sutham MD, Department of Emergency Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, ThailandFollow
Intanon Imsuwan MD, Department of Emergency Medicine, Faculty of Medicine, Thammasat University, Pathumthani, ThailandFollow
Ar-aishah Dadeh MD, Department of Emergency Medicine, Faculty of Medicine, Prince of Songkla University, Songkla, ThailandFollow
Tanyaporn Nakornchai MD, Department of Emergency Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, ThailandFollow
Deena Bengiamin MD, Department of Emergency Medicine, University of California San Francisco, Fresno, California, USAFollow
Bharath Chakravarthy MD, MPH, Department of Emergency Medicine, University of California, Irvine, Orange, California, USAFollow
Craig Anderson PhD, MPH, Department of Emergency Medicine, University of California, Irvine, Orange, California, USAFollow
Somchit Eiam-Ong PhD, Department of Emergency Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Bangkok, ThailandFollow
Wirachin Hoonpongsimanont MD, MS, 8Eisenhower Medical Center, Rancho Mirage, California, USAFollow

Abstract

Background: Universal standards for emergency physician professionalism (EPP) amongst different groups of healthcare workers do not exist.

Objective: The aim of this study was to explore perceptions of EPP among attending physicians (APs), emergency medicine (EM) residents, first- and fourth-year medical students (MS1s and MS4s, respectively), EM nurses and emergency department (ED) patients.

Methods: A multicenter, cross-sectional study conducted at seven university-based EDs in Thailand and the US from July 2016 - January 2018. We created 39 cards (13 core elements) describing behaviors derived from a global literature review. Subjects ranked each card from the most to least important for EPP. We used Pearson correlation analysis and quantitative cultural consensus analysis to assess between- and within-cohort agreement in EPP perceptions.

Results: We enrolled 984 subjects into six cohorts (197 ED patients, 90 APs, 135 EM residents, 169 MS1s, 197 MS4s and 196 EM nurses). The overall data demonstrated borderline cultural consensus on EPP [eigenvalue ratio (ER) = 3.07, mean competency (MC) = 0.5, and 3.15% negative competency (NC)], with a validity of 0.95. All cohorts agreed that having excellent knowledge and procedural skills is the most important behavior for EPP, while wearing a white coat is the least important. We found no consensus on EPP among health care providers and ED patients.

Conclusions: The absence of consensus in EPP perceptions among healthcare providers and ED patients highlights the need for further research utilizing qualitative methods to gain deeper insights into EPP, foster empathy between stakeholders, and bridge these gaps.

DOI

10.56808/2673-060X.5396

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Recommended Citation

Narajeenron, Khuansiri MD, MHPE; Tarapan, Tanawat MD; Dukovic, Jasmina; Sutham, Krongkarn MD; Imsuwan, Intanon MD; Dadeh, Ar-aishah MD; Nakornchai, Tanyaporn MD; Bengiamin, Deena MD; Chakravarthy, Bharath MD, MPH; Anderson, Craig PhD, MPH; Eiam-Ong, Somchit PhD; and Hoonpongsimanont, Wirachin MD, MS (2024) "Perceptions of Emergency Physician Professionalism Among Healthcare Providers and Patients: A Multicenter Study in Thailand and the US," Chulalongkorn Medical Journal: Vol. 68: Iss. 2, Article 1.
DOI: https://doi.org/10.56808/2673-060X.5396
Available at: https://digital.car.chula.ac.th/clmjournal/vol68/iss2/1