Evidence-guided approach to portfolio-guided teaching and assessing communications, ethics and professionalism for medical students and physicians: a systematic scoping review

ObjectivesGuiding the development of longitudinal competencies in communication, ethics and professionalism underlines the role of portfolios to capture and evaluate the multiple multisource appraisals and direct personalised support to clinicians. However, a common approach to these combined portfo...

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Bibliographic Details
Published in:BMJ open 2023-03, Vol.13 (3), p.e067048-e067048
Main Authors: Ting, Jacquelin Jia Qi, Phua, Gillian Li Gek, Hong, Daniel Zhihao, Lam, Bertrand Kai Yang, Lim, Annabelle Jia Sing, Chong, Eleanor Jia Xin, Pisupati, Anushka, Tan, Rei, Yeo, Jocelyn Yi Huang, Koh, Yi Zhe, Quek, Chrystie Wan Ning, Lim, Jia Yin, Tay, Kuang Teck, Ong, Yun Ting, Chiam, Min, Zhou, Jamie Xuelian, Mason, Stephen, Wijaya, Limin, Krishna, Lalit Kumar Radha
Format: Article
Language:English
Subjects:
Communication
Content analysis
Core curriculum
education & training (see medical education & training)
Ethics
ethics (see medical ethics)
Humans
Identity formation
Intervention
Learning
Medical education
medical education & training
Medical students
Medicine
Physicians
Professional identity
Professionalism
Qualitative research
Students, Medical
Teaching
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Summary:ObjectivesGuiding the development of longitudinal competencies in communication, ethics and professionalism underlines the role of portfolios to capture and evaluate the multiple multisource appraisals and direct personalised support to clinicians. However, a common approach to these combined portfolios continues to elude medical practice. A systematic scoping review is proposed to map portfolio use in training and assessments of ethics, communication and professionalism competencies particularly in its inculcation of new values, beliefs and principles changes attitudes, thinking and practice while nurturing professional identity formation. It is posited that effective structuring of portfolios can promote self-directed learning, personalised assessment and appropriate support of professional identity formation.DesignKrishna’s Systematic Evidence-Based Approach (SEBA) is employed to guide this systematic scoping review of portfolio use in communication, ethics and professionalism training and assessment.Data sourcesPubMed, Embase, PsycINFO, ERIC, Scopus and Google Scholar databases.Eligibility criteriaArticles published between 1 January 2000 and 31 December 2020 were included.Data extraction and synthesisThe included articles are concurrently content and thematically analysed using the split approach. Overlapping categories and themes identified are combined using the jigsaw perspective. The themes/categories are compared with the summaries of the included articles in the funnelling process to ensure their accuracy. The domains identified form the framework for the discussion.Results12 300 abstracts were reviewed, 946 full-text articles were evaluated and 82 articles were analysed, and the four domains identified were indications, content, design, and strengths and limitations.ConclusionsThis review reveals that when using a consistent framework, accepted endpoints and outcome measures, longitudinal multisource, multimodal assessment data fashions professional and personal development and enhances identity construction. Future studies into effective assessment tools and support mechanisms are required if portfolio use is to be maximised.
ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2022-067048