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Table 1 Generic rubric for professionalism (all rubrics are listed in Additional file 1: Appendix 1)

From: Locally adapting generic rubrics for the implementation of outcome-based medical education: a mixed-methods approach

1. Professionalism: Recognise and act appropriately on ethical issues related to medical treatment, research, and education
Level 1 Medical school graduation Level 2 Level 3 Expected level at the end of residency Level 4
■Is able to outline the historical flow of medicine and medical treatment, clinical ethics, ethical issues related to life and death, and norms related to various ethics Demonstrates respect for the dignity of the person and the inviolability of life Protects the dignity of the person and respects the inviolability of life Acts as a role model to others
Gives minimum consideration to patient privacy and confidentiality Respects patient privacy and maintains confidentiality Acts as a role model to others
■Is able to explain the significance and necessity of patients' fundamental rights, the significance of the right to self-determination, patients' values, and informed consent and assent Recognises the existence of ethical dilemmas Recognises ethical dilemmas, and responds based on mutual respect Recognises ethical dilemmas and makes multifaceted decisions and responses based on mutual respect
Recognises the existence of conflicts of interest Recognises conflicts of interest and deals with them according to management policy Acts as a role model to others
■Understands the significance and necessity of the right to self-determination, patient values, informed consent, and informed assent, etc. Considers patient privacy, understands the importance of confidentiality, and of handling patients appropriately Recognises the need to ensure transparency and to prevent misconduct in medical treatment, research, and education Ensures transparency in medical treatment, research, and education, and strives to prevent misconduct Acts as a role model to others
□ no chance to observe
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