Introduction: To assess orthodontists’ perception of professionalism, identify the constraints encountered, and draw attitudes to improve the professionalism of the dentist profession, we conducted a survey of orthodontists in the private sector of the city of Casablanca, Morocco. Methods: This is a descriptive cross-sectional survey of 200 practitioners using a questionnaire that provided information on socio-demographic characteristics and summarized the perception and attitude of orthodontists towards the main components of the medical professionalism charter. The statistical analysis was carried out according to descriptive and analytical modalities. The chi2, or Fisher’s exact tests were used to compare different qualitative variables. The significance level was set at 0.05. Results: The response rate was 87.5%. 85.1% of participants did not have education about professionalism. 35.4% defined this concept as clinical competence and know-how. 66.3% are convinced that collaboration with other specialists is essential for improving the quality of care. A total of 76.6% of orthodontists respected the patient’s right to information and thus the use of free and informed consent before starting treatment. 48.6% of orthodontists participated in prevention campaigns and 33.1% had social actions. On the other hand, duration and exclusivity of orthodontic practice were significantly associated with work-life balance, informing the patient in case of medical error, and use of practice organization software. While life-long education and knowledge of the concept of evidence-based practice were influenced by exclusive orthodontic practice (respectively p = 0.039 and p = 0.047). The personal development activity was significantly associated with gender (p = 0.0243). Conclusion: Similar to these results, gaps in the knowledge of dentists in terms of professionalism resulting from a lack of training in this area were noted. Dentists are anxious about promoting their professional image and the quality of the relationship with their patients and society as a whole through a teaching of professionalism that must now be integrated into the pre- and post-university curriculum.
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Aghoutan, H. , Bouchghel, L. , Benmiloud, W. and Quars, F. E. (2021). Awareness and Attitude of Moroccan Orthodontics Regarding Professionalism. Open Access Library Journal, 8, e8238. doi: http://dx.doi.org/10.4236/oalib.1108238.
Cui, X., Ding, N., Jiang, N., Li, H. and Wen, D. (2021) Preliminary Study of the Relationship between Career Choice Motivation and Understanding of Professionalism in Newly Enrolled Medical Students in China: A Cross-Sectional Study. BMJ Open, 11, e041860. https://doi.org/10.1136/bmjopen-2020-041860
Larkin, G.L., Binder, L., Houry, D. and Adams, J. (2002) Defining and Evaluating Professionalism: A Core Competency for Graduate Emergency Medicine Education. Academic Emergency Medicine, 9, 1249-1256.
https://doi.org/10.1197/aemj.9.11.1249
Forouzadeh, M., Kiani, M. and Bazmi, S. (2018) Professionalism and Its Role in the Formation of Medical Professional Identity. Medical Journal of the Islamic Republic of Iran, 32, 130. https://doi.org/10.14196/mjiri.32.130
Brennan, N., Price, T., Archer, J. and Brett, J. (2019) Remediating Professionalism Lapses in Medical Students and Doctors: A Systematic Review. Medical Education, 1-9.
Birden, H., Glass, N., Wilson, I., Harrison, M., Usherwood, T., et al. (2014) Defining Professionalism in Medical Education: A Systematic Review. Medical Teacher, 36, 47-61. https://doi.org/10.3109/0142159X.2014.850154
Hook, H. and Woolley, J. (2021) A Consideration of Professionalism for Dental Professionals. Primary Dental Journal, 10, 69-72.
https://doi.org/10.1177/20501684211012587
Byszewski, A., Gill, J.S. and Lochnan, H. (2015) Socialization to Professionalism in Medical Schools: A Canadian Experience. BMC Medical Education, 15, 204.
https://doi.org/10.1186/s12909-015-0486-z
Passi, V., Doug, M., Peile, E., Thistlethwaite, J. and Johnson, N. (2010) Developing Medical Professionalism in Future Doctors: A Systematic Review. International Journal of Medical Education, 1, 19-29. https://doi.org/10.5116/ijme.4bda.ca2a
American Board of Internal Medicine Foundation (ABIM) (2002) Medical Professionalism in the Millenium: A Physician Charter. Annals of Internal Medicine, 163, 668-669.
Chiu, C.H., Lu, H.Y., Arrigo, L.G., Wei, C.J. and Tsai, D. (2010) A Professionalism Survey of Medical Students in Taiwan. Journal of Experimental & Clinical Medicine (Taiwan), 2, 35-42. https://doi.org/10.1016/S1878-3317(10)60006-X
Alcota, M., Manríquez, J.M., Cornejo-Ovalle, M., Salinas, J.C., Catano, V.M., et al. (2019) Values Related to Professionalism in Dental Education at the University of Chile: Student and Faculty Perceptions. European Journal of Dental Education, 23, 190-198. https://doi.org/10.1111/eje.12419
Friedlander, L.T., Meldrum, A.M. and Lyons, K. (2019) Curriculum Development in Final Year Dentistry to Enhance Competency and Professionalism for Contemporary General Dental Practice. European Journal of Dental Education, 23, 498-506.
https://doi.org/10.1111/eje.12458
Dyrbye, L.N., Massie, F.S., Eacker, A., Harper, W., Power, D., et al. (2010) Relationship between Burnout and Professional Conduct and Attitudes among US Medical Students. JAMA, 304, 1173-1180. https://doi.org/10.1001/jama.2010.1318
Shanafelt, T.D., Balch, C.M., Bechamps, G., Russell, T., Dyrbye, L., et al. (2010) Burnout and Medical Errors among American Surgeons. Annals of Surgery, 251, 995-1000. https://doi.org/10.1097/SLA.0b013e3181bfdab3
Shanafelt, T.D., Boone, S., Tan, L., Dyrbye, L.N., Sotile, W., et al. (2012) Burnout and Satisfaction with Work-Life Balance among US Physicians Relative to the General US Population. Archives of Internal Medicine, 172, 1377-1385.
https://doi.org/10.1001/archinternmed.2012.3199
Madhavji, A., Araujo, E., Kim, K. and Buschang, P.H. (2011) Attitudes, Awareness, and Barriers toward Evidence-Based Practice in Orthodontics. American Journal of Orthodontics and Dentofacial Orthopedics, 140, 309-316.
https://doi.org/10.1016/j.ajodo.2010.05.023
Iqbal, A. and Glenny, A. (2002) General Dental Practitioners’ Knowledge of and Attitudes towards Evidence Based Practice. British Dental Journal, 193, 587-591.
https://doi.org/10.1038/sj.bdj.4801634
Yusof, Z.Y.M., Han, L.J., San, P.P. and Ramli, A.S. (2008) Evidence-Based Practice among a Group of Malaysian Dental Practitioners. Journal of Dental Education, 72, 1333-1342. https://doi.org/10.1002/j.0022-0337.2008.72.11.tb04616.x
Standards for the Dental Team. Principle Six—Work with Colleagues in a Way That Serves the Interests of Patients. General Dental Council.
https://standards.gdc-uk.org/Assets/pdf/Standards%20for%20the%20Dental%20Team.pdf
Krain, L.P. and Lavelle, E. (2009) Residents’ Perspectives on Professionalism. Journal of Graduate Medical Education, 1, 221-224.
https://doi.org/10.4300/JGME-D-09-00064.1
Nazir, M.A., Izhar, F., Tariq, K., Anjum, K.M., Bin Sohailet, Z., et al. (2018) A Cross-Sectional Study of Dentists about the Need for a Practice Management Course in Undergraduate Dental Program. European Journal of Dentistry, 12, 508-515.
https://doi.org/10.4103/ejd.ejd_184_18
Kalenderian, E., Skoulas, A., Timothé, P. and Friedland, B. (2010) Integrating Leadership into a Practice Management Curriculum for Dental Students. Journal of Dental Education, 74, 464-471.
https://doi.org/10.1002/j.0022-0337.2010.74.5.tb04892.x
Trathen, A. and Gallagher, J.E. (2009) Dental Professionalism: Definitions and Debate. British Dental Journal, 206, 249-253. https://doi.org/10.1038/sj.bdj.2009.164
Khorshidian, A., Larijani, B., Ahmad-Akhoundi, M.S., Parsapour, A., Ebadi, A., et al. (2019) Design and Development of Dentistry Ethical Codes: Proposed for National Implementation in Iran. Frontiers in Dentistry, 16, 303-318.
https://doi.org/10.18502/fid.v14i4.2090