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Lennon said his team's "performance and professionalism" had pleased him most.
In the case of the recruiter whose religious beliefs prevent him from processing an openly gay applicant, the plan says that although he could face disciplinary action, if his performance and professionalism "are otherwise high," he might be reassigned to another job.
Both findings could be explained by conscientiousness acting as a mediator between assessment performance and professionalism ratings.
The main themes emerging were: too few staff, too many patients; lack of clinical officers/doctors; inadequate obstetric skills; undermining performance and professionalism; and physical and psychological consequences for staff.
Staff in this study felt their performance and professionalism were undermined, echoing previous research that indicates service providers are acutely aware that the EmOC they provide is of poor quality [ 41].
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A trend of borderline significance (p =.07) was observed for performance on skills SRQs and professionalism nomination status.
Peer assessment of medical students is also well-established and has been shown to improve student performance, especially interpersonal skills and professionalism [ 34- 36].
Several studies have demonstrated that healthy standardized patients can serve as reliable and effective evaluators of medical students' performance of communication skills and professionalism [ 57, 58], general physical examination skills [ 59, 60] and MSK clinical skills [ 61].
In addition to the ratings of the three performance areas (clinical management, communication and professionalism) the assessor rates the junior doctors overall performance during the attachment in the form of a global rating using a four point Likert scale where 1 = below expected level, 2 = borderline- requires development, 3 = at expected level, 4 = above expected level.
However, no such relationships were observed between these former measures and performance at professionalism items.
As Table 2 displays, the scores in the second cycle were higher than that in the first cycle on the three dimensions of non-clinical performance (communication, professionalism and leadership skills), as well as on the overall evaluation.
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Justyna Jupowicz-Kozak
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