Prof Mohamed Alrukban, professor of family medicine in King Saud University. he presented a talk on professionalism for male students at Alfarabi Medical College on 19th of October, 2016.
2. Do You Still Remember A Role Model
Who Influenced Your Training?
If Yes? Mention Some of Their
Qualities and Attributes.
3. What does professionalism means
to you?
• Take a few minutes and write down your
thoughts … as a definition or description.
4. What is Professionalism?
• It is not easy to define a profession, but it
is likely to have all or Some of the
following characteristics:
– It is a vocation or calling that implies service to
others
– It has a distinctive knowledge base which is kept
up to date
– It determines its own standards and sets its own
examinations
– It has a special relationship with those whom it
serves e.g. patients, students….
– It has particular ethical principles
5. • Professionalism is a term which
embodies numerous qualities of
physicians as public servants.
• It has been described by The American
Board of Internal Medicine (ABIM) as:
“Constituting those attitudes and
behaviors that serve to maintain others
interest above physician Self-interest”
7. 'Project Professionalism' (ABIM, 2001)
Developed the Physician Charter and
identified six key elements of
professionalism:
1- Altruism (giving priority to patient interests
rather than self-interests);
2- Accountability (being answerable to
patients, society and profession);
3- Excellence (conscientious effort to perform
beyond ordinary expectation, and
commitment to life-long learning);
8. 'Project Professionalism' (ABIM, 2001)
4- Duty (free acceptance of commitment to
service – i.e. undergoing inconvenience to
achieve a high standard of patient care);
5- Honor and integrity (being fair, truthful,
straightforward, and keeping to one's
work);
6- Respect for other (respect for patients and
families, colleagues, other healthcare
professionals and students and trainees).
9. The concept of professionalism
includes the following values:
Honesty
Trust
Service
Commitment
Communication
Accountability
Life-long learning
11. Examples of Unprofessional
Behaviors
Classroom Setting-Students/Trainee
• Arriving for class late and/or leaving early
• Being unprepared for group sessions
• Not completing assigned tasks
• Disrupting class sessions
• Failing to attend scheduled class sessions
• Cheating on an exam
12. Examples of Unprofessional
Behaviors
Classroom Setting-Students/Trainees
• Using Mobile Phone during class
• Chatting during class
• Focusing on the test vs. learning
• Prejudging content in advance
• Intolerance of the opinions of others
13. Examples of Unprofessional
Behaviors
Classroom Setting-Faculty
• Plagiarism
• Judgmental attitude or favoritism
• Coming late
• Sloppy handouts and syllabi
• Abusive behavior
• Using Mobile Phone during class
14. Examples of Unprofessional
Behaviors:
Clinical Setting-Students
• Dressing inappropriately
• Avoiding work and/or responsibilities
• Exhibiting little empathy for patients
• Demonstrating lack of sensitivity to patients’
cultural backgrounds
• Not protecting patient confidentiality
15. Examples of Unprofessional
Behaviors:
Clinical Setting: Faculty
• Showing favoritism
• Failing to attend scheduled sessions
• Using inappropriate language or behavior
• Asking learners to perform personal tasks, for
example, picking up laundry
17. Signs and Symptoms
The work of Project Professionalism
(ABIM, 2001) describes unprofessional
behaviour in terms of seven broad
categories of 'signs and symptoms'.
1- Abuse of power (abuse while interacting
with patients and colleagues; bias and
sexual harassment; and breach of
confidentiality);
2- Arrogance (offensive display of
superiority and self-importance);
3- Greed (when money becomes the driving
force);
18. Signs and Symptoms
4- Misrepresentation (lying, which is
consciously failing to tell the truth; and fraud,
which is conscious misrepresentation of
material fact with the intent to mislead);
5- Impairment (any disability that may prevent
the physician from discharging his/her
duties);
6- Lack of conscientiousness (failure to fulfill
responsibilities);
7- Conflicts in interests (self-promotion/
advertising or unethical collaboration with
industry; acceptance of gifts; and misuse of
services – overcharging, inappropriate
treatment or prolonging contact with
patients).
20. Professionalism
• Role of the doctor within
the health service
– Understanding of the
health care system
– Understanding of clinical
responsibilities
– Appreciation of doctor as
researcher
– Appreciation of doctor as
mentor or teacher
– Appreciation of doctor as
manager including quality
control
– Team working
• Personal Development
– Lifelong Learner
– Self awareness
– Self confidence
– Self regulation
• Self care
• Self control
• Personal time
management
– Motivation
• Achievement drive
• Commitment
• initiative
– Career choice
21. Take Home Messages
• Professionalism should be part of the
formal curriculum
• Professionalism must be taught and
assessed
• Professionalism must be relevant to the
society it serves
22. Final Word
“There is a tendency to
underemphasize the personal
characteristics… , because they are
harder to measure, and to
overemphasize the more easily
measured indices of academic
achievement”
Cohen (2002)