Professionalism in medical students at a private medical college in Karachi, Pakistan.

Objective: To determine levels of professionalism in undergraduate medical students at a private medical college and assess how changes emerge during their training. Methods: The study was conducted at Aga Khan University, a tertiary care teaching hospital, during November and December 2011. Freshmen, Year 3 and Year 5 students were requested to fill out a questionnaire. It was designed to assess the participants' levels of professionalism and how they perceived the professional environment around them by incorporating previously described scales. The questionnaire was re-validated on a random sample of practising clinicians at the same hospital. SPSS 17 was used for statistical analysis. Results: The study sample comprised 204 participants. The mean score for level of individual professionalism was 7.72 +/- 3.43. Only 13 (6.4%) students had a score one standard deviation above the faculty mean. About 24 (11.8%) were one standard deviation and 35 (17.2%) were 2 standard deviations below the faculty mean. The remaining 130 (63.7%) were >2 standard deviations below the faculty mean. Considering the level of education, the mean score for level of professionalism was 8.00 +/- 3.39 for freshmen, 6.85 +/- 3.41 for year 3 students, and 8.40 +/- 3.34 for year 5 students. Conclusion: The currently employed teaching practices inculcating the values of professionalism in medical students are serving as a buffer to maintain the pre-training levels of professionalism from declining.