The influence of personal and environmental factors on professionalism in medical education

Colin P. West, Tait D. Shanafelt

Research output: Contribution to journalReview articlepeer-review

77 Scopus citations


Background. Professionalism is a critical quality for physicians to possess. Physician professionalism has received increased attention in recent years, with many authorities suggesting that professionalism is in decline. An understanding of the factors contributing to professionalism may allow the development of more effective approaches to promoting this quality in medical education. Discussion. We propose a model of personal and environmental factors that contribute to physician professionalism. Personal factors include distress/well-being, individual characteristics, and interpersonal qualities. Environmental factors include institutional culture, formal and informal curricula, and practice characteristics. Promotion of professionalism requires efforts directed at each of these elements. Summary. One responsibility of medical education is to foster the development of professionalism among its learners. Both personal and environmental factors play a role in physician professionalism. Accordingly, institutions should consider these factors as efforts to promote physician professionalism evolve.

Original languageEnglish (US)
Article number29
JournalBMC medical education
StatePublished - 2007

ASJC Scopus subject areas

  • Education


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