Good Medical Practice: what are we trying to say? Textual analysis using tag clouds.
OBJECTIVE
Good Medical Practice, produced by the General Medical Council (GMC), represents the professional code of practice for doctors in the UK. It is regularly updated to reflect the changing relationships of the profession with both patients and society in general. The discourse within this guidance appears to have shifted over time to a stance that aligns itself more closely with the protection of patients, rather than with the traditional professional provision of guidance and support to doctors.


METHODS
Tag clouds are a feature of the latest applications of the World Wide Web, commonly known as Web 2.0. They can be used to rapidly analyse textual data, revealing textual messages in a pictorial form. Tag cloud-generating software was used to produce tag clouds of four texts illustrating GMC guidance produced between 1963 and 2006 to aid textual analysis and to determine whether this methodology could pick up this change in tenor.


RESULTS
This analysis supports the view that there has been a shift from a doctor-centred regulatory discourse to a patient-centred health improvement agenda over the period of time examined.


CONCLUSIONS
Whether this documentation voices a deprofessionalisation agenda or simply mirrors a period of societal change in general is discussed. The changing discourse around professionalism highlights the need to avoid adopting 'nostalgic' notions of professionalism in educating doctors and reinforces where the GMC sees we should focus our education efforts: in patient-centred care and team-working. The demands on, and responsibilities of students and juniors entering the profession have been fundamentally altered and our teaching, particularly in the domain of professionalism, needs to reflect this. Tag clouds provide an interesting and innovative way of analysing text and revealing obscured discourses, and their potential in education and research is worthy of further exploration.
Gill
Deborah
D
Academic Centre for Medical Education, UCL Division of Medical Education, UCL Medical School, London N19 5LW, UK. d.gill@medsch.ucl.ac.uk
Griffin
Ann
A
D001330:Electronic Data Processing / Q000379:methods*; D006801:Humans; D018802:Patient-Centered Care; D017410:Practice Guidelines as Topic; D011364:Professional Practice / Q000592:standards*; D006113:United Kingdom