• Gulfreen Waheed
  • Mohammad Amin Mengal
  • Syed Shaukat Ali Shah
  • Abdul Waheed Sheikh


Background: Historically, knowledge and skill were of prime focus in medical education, where asprofessionalism was perceived as an attribute to be acquired during their MBBS studies. In the pastdecade, trends have changed and graduating medical students are expected to competently deliver carein a professional manner. The selection of applicants with professional attributes at the time ofadmission is a stepping stone for the formation of a good doctor. This study was conducted todetermine the students’ and faculty’s perception about aptitude of professionalism in the admissionprocess in our setting. Methods: In this descriptive cross-sectional study an interactive/scenario-basedconversation regarding institutional values, contribute to personal reflection of what will be expected ofthem in the medical profession and inclusion of such discussion in admission process was made toassess the aptitude of Professionalism of 100 students and 100 faculty members of Avicenna MedicalCollege Lahore. After this conversation the questionnaires were filled by both the groups to record theirresponses on the aptitude of professionalism. The data was analysed to determine the response patternsof both the groups by using Pearson Chi-Square analysis through crosstabs. All analyses were carriedout using SPSS-18. Results: The response of students to professionalism discussion was morepositively influenced (91%) compared to the faculty (59%), (p<0.05). The students agreed that suchscenarios do indicate what our institution values in its students and contribute to personal reflection ofwhat will be expected of them in the medical profession. However, faculty agreed more (85%) than thestudents (67%) for inclusion of such scenarios in admission process, p<0.05. Conclusions: MedicalColleges should include some form of assessment regarding aptitude of professionalism in theadmission process to identify future medical students’ capacity for professional behaviour. Futurestudies are needed to determine innovative interview strategies for this purpose.Keywords: Students’ perception, professionalism, admission process, medical colleges


The AAMC Project on the Clinical Education of Medical Students:

Clinical Skills Education. Washington D.C.: Association of

American Medical Colleges; 2005.

Cohen JJ. Professionalism in medical education, an American

perspective: from evidence to accountability. Med Educ


Conditions for Admission in MBBS/BDS Courses and Conditions

for house job regulations. Islamabad: Statutes of Pakistan Medical

and Dental Council; 2011.

Edwards JC, Elam CL, Wagoner NE. An admission model for

medical schools. Acad Med 2001;76:1207–12.

Papadakis MA, Teherani A, Banach MA, Knettler TR, Rattner SL,

Stern DT, et al. Disciplinary action by medical boards and prior

behavior in medical school. N Engl J Med 2005;353:2673–82.

Ginsburg S, Regehr G, Stern D, Lingard L. The anatomy of the

professional lapse: bridging the gap between traditional frameworks

and students’ perceptions. Acad Med 2002;77:516–22.

Shrank WH, Reed VA, Jernstedt GC. Fostering professionalism in

medical education. A call for improved assessment and meaningful

incentives. Gen Inter Med 2004;19:887–92.

Kleshinski J, Shriner C, Khuder S. The use of professionalism

scenario in the medical school interview process: Faculty and

interviewee perceptions. Med Educ Online 2008;13:2.

Bennett AJ, Roman B, Arnold LM, Kay J, Goldenhar LM.

Professionalism deficits among medical students: Models of

identification and intervention. Acad Psychiatry 2005;29:426–32.

Wagoner NE. Medical school interview questions with the potential

for greater insight into candidates. Acad Phys Sci 2007;7–9.

Papadakis MA, Osborn EHS, Cooke M, Healy K. A strategy for

the detection and evaluation of unprofessional behaviour in medical

students. Acad Med 1999;74:980–90.

Singer PA. Strengthening the role of ethics in medical education.

CMAJ 2003;168:8545.

Rotham DJ. Medical professionalism-Focusing on the real issues. N

Engl J Med 2000;342:1284–6.

Kenny NP, Mann KV, MacLeod H. Role modeling in physicians’

professional formation: reconsidering an essential butuntapped

educational strategy. Acad Med 2003;78:1203–10.



Most read articles by the same author(s)