Table 4 Production and prioritization of professional codes of conduct in terms of their importance and prevalence

Altruism

Preferring patient's interests over one’s own personal interests

2

4.69 (0.63)

3.38 (0.77)

-

4.32 (0.74)

3.26 (0.72)

Paying attention to the necessary safety measures for oneself and others

-

3.31(1.32)

3 (0.82)

-

4.54 (0.5)

2.78 (1.09)

Cooperation with maximum power in case of urgent need of community to medical services in accidents

-

3.77 (0.93)

2.78 (1.17)

11

4.08 (0.7)

3.14 (0.89)

Preserving the human dignity of the patient and his family

-

4.23 (0.6)

3.23 (1.01)

2

4.46 (0.5)

3.3 (0.84)

Allocating enough time to listen patiently and actively to the patient and his/her family

3

4.69 (0.48)

3.54 (1.05)

-

4.22 (0.65)

2.95 (0.98)

Assisting the healthcare team in solving professional problems and helping them in educational and research issues as much as possible

-

3.85 (0.69)

2.92 (0.86)

-

4.08 (0.72)

3 (0.88)

Providing one’s counterparts and healthcare team with one’s knowledge and experiences

-

3.77(0.93)

3.15 (0.99)

2

4.3 (0.61)

2.98 (0.98)

Honor and Integrity

Observing honesty and trustworthiness in actions, speech, and writing

1

4.46 (0.66)

3.85 (0.9)

1

4.28 (0.57)

3.1(0.79)

Accepting responsibility in case of medical errors and transferring one’s experiences in this field to the healthcare team

-

4.31(0.63)

2.69 (0.63)

-

4.22 (0.68)

2.56 (0.86)

Getting help from faculty members, peers, and healthcare team in case of inability and lack of necessary skills to do one’s duties and informing the patient

1

4.38 (0.65)

3.15 (1.07)

1

4.24 (0.59)

3.1 (0.81)

Not to offer information outside one’s scientific and practical skills and to refer people to experts

-

4 (0.58)

3.39 (0.96)

-

4.26 (0.6)

3.45 (0.94)

Avoiding romantic relationship with the patient and his/her companions during treatment

-

4.33 (0.65)

3.58 (0.79)

3

4.28 (0.73)

4.02 (0.85)

Observing professional boundaries and not abusing the patient or others for sexual, economic, advertising, or other such purposes

1

4.23 (0.83)

3.31 (1.03)

-

4.51 (0.54)

3.9 (0.9)

Avoiding argument and physical confrontation with aggressive clients and informing the police

1

4.38 (0.65)

3.23 (0.93)

1

4.34 (0.59)

3.86 (0.76)

Managing conflicts of interest in favor of patients' interests

-

3.92 (1.19)

3.31 (0.85)

-

4.14 (0.79)

3.1 (0.82)

Keeping calm when one is tired, under pressure, and has personal problems

1

4 (0.91)

3.15 (0.8)

-

4.04 (0.76)

3.02 (1.01)

Avoiding alcohol, drugs, and psychoactive substances in clinical and educational environments

-

4.46 (0.52)

3.15 (0.9)

-

4.24 (0.69)

2.88 (1.18)

Observing the requirements of medical profession in one’s dressing code and behavior in clinical and academic environments

2

4.08 (1.04)

2.92 (1.26)

10

3.86 (0.84)

3.14 (0.87)

Avoiding imposition of unnecessary costs on the patient and wasting health system resources and not abusing the authority and facilities of the system

1

4.08 (0.64)

2.92 (0.86)

-

4.17 (0.72)

2.96 (0.97)

Not to abuse one’s authority

-

3.54 (1.2)

2.85 (0.9)

-

4.24 (0.72)

3.02 (1.07)

Observing the rules, regulations, and ethical guidelines in all educational matters

-

4 (0.71)

2.85 (1.21)

6

4.1 (0.71)

2.88 (0.88)

Observing general and specific ethical guidelines in all research affairs

-

4.08 (0.86)

3.08 (1.19)

-

4.08 (0.76)

2.9 (0.9)

Responsibility/ Conscientiousness

Using identification badge during the duty hours in such a way so as to be visible

1

4.23 (0.73)

3.77 (0.83)

2

3.85 (0.74)

3.23 (1.02)

Availability and complete and timely fulfillment of responsibilities

3

4.38 (0.51)

3.46 (0.78)

18

4.29 (0.68)

3.29 (0.87)

Transferring the responsibility of patient care to the qualified person after completing the shift

-

4.54 (0.52)

3.23 (0.83)

1

4.27 (0.64)

3.06 (1.02)

Following up the treatment process and providing the patient with the necessary information to continue the treatment procedure after being discharged

-

4.42 (0.51)

2.77 (1.01)

4

4.31 (0.66)

3.21 (1.01)

Timely and appropriate cooperation with the healthcare team and offering an integrated and continuous treatment plan

1

4.15 (0.69)

3.23 (0.73)

4

4.08 (0.65)

3.44 (0.85)

Seeking help to provide services to patients in case of illness, personal problems, etc. and informing those in charge

-

3.85 (0.9)

2.62 (0.96)

-

4.25 (0.73)

3 (1.04)

Providing feedback of professional misconduct or medical errors to colleagues and reporting them in serious cases and if they are not corrected

2

4.08 (0.76)

2.15 (0.9)

-

4.17 (0.66)

2.6 (0.96)

Responding to professional expectations of faculty members, patients, etc. and accepting responsibility for one’s own professional and personal behaviors

2

4(1)

3.38 (0.87)

2

3.94 (0.74)

3.16 (0.65)

Guiding the team effectively while training

1

3.62 (1.04)

3.31(1.18)

-

4.06 (0.77)

3.18 (0.8)

Respect

Providing clear information to the patient or his/her legal representative to obtain consent except in life threatening cases

-

4 (0.74)

3.08 (1.19)

5

4.33 (0.63)

3.27 (1.06)

Respecting patient’s independence and the right to choose

-

4.23 (0.83)

3.08 (1.11)

4

4.1 (0.56)

2.98 (0.96)

Treating the patient and his/her family with respect and sympathy while telling the truth

10

4.23 (0.6)

3.23 (0.99)

18

4.25 (0.57)

3.31 (0.93)

Respecting the patient's right to choose another doctor and advising him or her in this regard

-

3.85 (0.99)

2.92 (0.87)

-

4.08 (0.68)

3.19 (1.09)

Respecting patient's privacy

1

4.62 (0.51)

3.31 (0.78)

8

4.35 (0.67)

2.69 (1.26)

Respecting patient's beliefs regardless of his/her ethnicity, religion, and culture

-

4.15 (0.69)

3.85 (1.13)

-

4.06 (0.56)

3.53 (0.83)

Respecting patient’s dignity even when he/she is absent

-

4.15 (0.8)

3.62 (0.82)

-

4.25 (0.57)

3.04 (0.85)

Observing confidentiality about patient information and not revealing his/her identity information

3

4.69 (0.48)

3.46 (0.77)

3

4.31 (0.72)

3.25 (0.84)

Preserving human dignity in the dissection room and other learning situations

-

4.46 (0.66)

3.54 (0.85)

-

4.17 (0.75)

3.33 (0.81)

Not criticizing the decisions of the healthcare team in the presence of patients and their companions and introducing the legal follow-up procedures if requested by the patient

-

4.31 (0.63)

3 (1.19)

-

4.27 (0.65)

3.25 (0.92)

Respecting the role and skills of the members of the healthcare team and honest and patient interaction while observing human dignity and hierarchy

7

4.08 (0.64)

3.38 (1.11)

9

3.98 (0.6)

3.5 (0.62)

Respect and gratitude to faculty members and more experienced students

-

3.92 (0.86)

3.42 (0.99)

5

3.73 (0.64)

3.6 (0.85)

Justice

Observing religious laws and regulations of the medical profession while considering academic rules

-

3.92 (0.76)

3.42 (1.11)

-

4 (0.65)

3.46 (0.77)

Avoiding any discrimination based on age, gender, literacy, nationality, ethnicity, race, language, beliefs, criminal background, and socioeconomic status

-

4.15 (0.8)

3.69 (1.11)

2

4.38 (0.6)

3.72 (0.76)

Paying attention to the quality and comprehensiveness of services to vulnerable groups like other patients and respecting their rights and dignity

1

4.23 (0.8)

3.69 (1.03)

-

4.38 (0.57)

3.8 (0.76)

Serving people with special diseases in accordance with safety standards and principles like other patients

-

4.15 (0.8)

3.69 (0.95)

-

4.28 (0.64)

3.52 (0.76)

Treating the healthcare team fairly and trying to resolve differences between them while considering patient dignity

-

4 (0.82)

3.58 (0.88)

-

4.1 (0.81)

3.26 (0.88)

Using fair criteria and tools in evaluating faculty members and colleagues and avoiding bias

-

4 (1)

3.15 (0.99)

-

4.02 (0.85)

3.06 (0.88)

Excellence

Awareness of one’s strengths and weaknesses and reflecting on their own actions and behaviors

-

4.33 (0.65)

2.92 (1.09)

-

4.31 (0.62)

3.06 (0.95)

Listening to the opinions and feedbacks of the healthcare team and patients about their professional behaviors and abilities and reflecting on them

2

4.08 (0.86)

2.85 (0.99)

1

3.88 (0.61)

2.65 (0.98)

High initiative and motivation for excellence and promotion

1

4.38 (0.77)

2.92 (1.19)

9

4 (0.72)

2.77 (0.99)

High intellectual maturity in dealing with crises and using self-management mechanisms and strong decision-making

-

4.08 (0.76)

2.92 (0.87)

-

4.44 (0.54)

3 (0.92)

Being interested in the medical profession, having a strong and confident personality, and accepting assigned responsibilities in different situations

-

4 (0.91)

2.54 (0.88)

1

4.17 (0.66)

2.96 (0.99)

Accepting logical reasoning in discussions with faculty members, peers, etc. and avoiding belligerent, destructive and unfounded criticism

-

4.23 (0.83)

3.15 (1.14)

2

4.33 (0.6)

3.45 (0.88)

Timely and effective guidance and feedback to peers and healthcare team and providing constructive suggestions for better learning and performance improvement

-

3.92 (0.76)

3.23 (1.17)

-

4.02 (0.53)

2.77 (0.99)

Promoting physical, mental, and social health by adjusting lifestyle in issues such as daily habits, recreation, nutrition, disease prevention, etc

-

3.92 (1.04)

2.77 (1.17)

-

4.29 (0.68)

2.1 (0.93)

Cooperation with the formal evaluation process conducted by the university or other competent authorities of one’s health status, behavior and performance

-

3.62 (1.19)

3.23 (1.17)

-

3.73 (0.71)

3.17 (0.95)

Referring to the hospital's clinical administration office in case of a complaint

-

3.46 (1.33)

2.69 (1.18)

-

3.88 (0.9)

2.27 (0.84)