360-Degree Professionalism Assessment Instrument

Publication ID Published Volume
236 July 6, 2006 2


This instrument is designed to provide an assessment of medical students’ and residents’ strengths and weaknesses in the following areas of professionalism: (1) honor and integrity; (2) responsibility and accountability; (3) leadership; (4) altruism; (5) caring, compassion, and communication; (6) excellence and scholarship; and (7) respect. A 6-point Likert-type scale (0 = unacceptable, 1-2 = needs improvement, 3-4 = meets expectations, 5 = superior) is used to assess the learners behavior in each of the seven professionalism domains. A "cannot assess" response category is also included. In spring 2005 we conducted a pilot study during which a total of 850 assessment forms were collected on 149 freshman and 40 senior medical students at the University of Oklahoma College of Medicine. Of the forms collected, 24 freshman students received a 1 or a 2 in at least one professionalism domain, and only one senior student received a score of 2 or less in any of the domains. Seven students identified themselves as needing improvement in one or more categories. The remaining 18 students were identified by peers, faculty, or a combination thereof, as needing improvement. Other data analyses are currently ongoing. This instrument was originally designed as a Scantron form, but is currently administered with an online survey tool, and may need to be modified to best serve the purposes future implementation.


Crow S. 360-degree professionalism assessment instrument. MedEdPORTAL Publications. 2006;2:236. http://doi.org/10.15766/mep_2374-8265.236

Educational Objectives

By using this assessment tool, facilitators will be able to:

  1. Identify learners whose professionalism behaviors meet or exceed expectations.
  2. Identify learners whose professionalism behaviors are unacceptable or need improvement.
  3. Provide learners with the opportunity for continual professionalism assessment and formative feedback across medical school through the use of multiple observations and multiple observers.
  4. Provide a common vocabulary for communicating about professionalism.


  • Multi-Rater, Educational Measurement, Honor, Integrity, Responsibility, Leadership, Altruism, Compassion, Scholarship, Respect

Prior Scholarly Dissemination

This pilot project and the professionalism assessment form were presented at the November 2005 AAMC meeting as an innovation in medical education.

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ISSN 2374-8265