Transcript Concepts in professionalisim.ppt

CONCEPTS IN
PROFESSIONALISIM
Reem Alafari. MD, MeD
Medical education department
KAUH.
Objectives:
Define Professionalism
Concepts of professionalism
Exploring different scenarios from practical life.
How to promote a culture of professionalism?
1st Scenario:
A resident physician feels uncomfortable when
she laughs at a joke her senior colleague
makes regarding the appearance of one of
the patients on the service.
2nd Scenario:
An attending physician on an inpatient service sees a
student speak rudely to a nurse, because she had
failed to draw a set of blood cultures prior to the
patient’s first dose of antibiotics
Definition of professionalism:
Pellegrino defines the medical professional as one
who: “ declares aloud” that he or she has special
knowledge and skills, that he or she can heal or
help, and that he or she will do so in the patient’s
interest, not his or her own.
2001
Concepts of professionalism:
Fiduciary obligation: in offering their skills and expertise, .1
physicians are expected to subordinate their own interests to
The interests of their patients
Responsiveness to societal needs:
Physicians are expected to understand and address society’s
pressing health needs ,including access to care.
Empathy
Swick2000,ABIM Foundation2004, Stern 2006,
Epstien1999
Respect for others
Accountability: physicians are expected to demonstrate a deep
respect for a patient’s culture, autonomy, and confidentiality.
Physicians should also respect the contributions of other
professionals in the care of patients
Commitment to quality and excellence: physicians are expected
to maintain their knowledge and skills.
Ability to deal with ambiguity and complexity
Reflection: physicians must be open to critically examining their
own practices , skills, and limits
Swick 2000, ABIM foundation
2004, Stern 2006, Epstien 1999
Promoting a culture of professionalism
Before promoting a culture of professionalism,
What do we need to do????
Potential threats to the teaching and learning of
professionalism:
1.Lack of shared definition of professionalism
2.Lack of consequences for trainees and faculty who
engage in unprofessional behaviors.
3. Lack of time between the trainee and the faculty .
4. The process for selecting candidates for medical school
may not include explicit considerations of
professionalism.
Discussion about the scenarios!!!
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References:
1) Practical guide for medical teachers. John A. Dent, Ronald M. Harden.2009
2) Professionalism. P.M .Gliatto, D. T .Stern.