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Professionalism in medical practice


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Overview of professionalism in Medicine

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Professionalism in medical practice

  1. 1. Rana Al-Senawi, MBBS Sultan Qaboos University Hospital Muscat, Oman Professionalism in Medical Practice
  2. 2. Outline <ul><li>Definition </li></ul><ul><li>Elements </li></ul><ul><li>Medical Professionalism Charter </li></ul>
  3. 3. Definition <ul><li>Profession from Latin word </li></ul><ul><li>“ professio” = public declaration with the force of promise. </li></ul>
  4. 4. Professionalism <ul><li>“ You are in this profession as a calling, not as a </li></ul><ul><li>business; as a calling which exacts from you at </li></ul><ul><li>every turn self-sacrifice, devotion, love and </li></ul><ul><li>tenderness to your fellow-men . Once you get </li></ul><ul><li>down to purely business level, your influence is </li></ul><ul><li>gone and the true light of your life is dimmed. </li></ul><ul><li>You must work in the missionary spirit, with a </li></ul><ul><li>breadth of charity that raises you far above the </li></ul><ul><li>petty jealousies of life.” </li></ul><ul><li>Osler 1907 </li></ul>
  5. 5. Professionals <ul><li>Disciplined group of individuals adhere to high ethical standards and uphold themselves to, and are accepted by, the public as possessing special knowledge and skills in a widely recognised, organised body of learning derived from education and training at a high level, and who are prepared to exercise this knowledge and these skills in the interest of others.  </li></ul><ul><li>Inherent in this definition is the concept that the responsibility for the welfare, health and safety of the community shall take precedence over other considerations. </li></ul>
  6. 6. Elements <ul><li>Altruism </li></ul><ul><li>Accountability </li></ul><ul><li>Excellence </li></ul><ul><li>Honesty/ Integrity </li></ul><ul><li>Duty </li></ul><ul><li>Respect and compassion to patients </li></ul><ul><li>Responsiveness to the needs of patients </li></ul><ul><li>Sensitivity to cultural, ethical, religious or other values of patients </li></ul><ul><li>Empathy in negotiating and designing treatment </li></ul><ul><li>Confidentiality and privacy for all patients </li></ul>
  7. 7. Altruism <ul><li>Self </li></ul><ul><li>• Put others (learner/patient) before self </li></ul><ul><li>• Strive for the “Greater Good” </li></ul><ul><li>Patient interaction </li></ul><ul><li>Identify patient needs and interests even when patient is reticent to provide </li></ul><ul><li>Resolve conflicts in favor of patients needs </li></ul><ul><li>Bo open to alternatives that will provide excellent patient care while meeting patient needs </li></ul><ul><li>Advocate for patient in all settings </li></ul>
  8. 8. Accountability <ul><li>Self </li></ul><ul><li>Take responsibility </li></ul><ul><li>for achievement of ultimate goal </li></ul><ul><li>of actions and outcomes and admit to and accept those outcomes </li></ul><ul><li>Accept role if learners fail </li></ul><ul><li>Acknowledges lapses errors as teacher/learner without blaming </li></ul><ul><li>Patient interaction </li></ul><ul><li>Follow through on tasks and promises in patient care </li></ul><ul><li>Acknowledge mistakes/ lapses to others including disclosure to patient </li></ul>
  9. 9. Excellence <ul><li>Self </li></ul><ul><li>Be knowledgeable </li></ul><ul><li>Continues to improve self </li></ul><ul><li>Demonstrates curiosity </li></ul><ul><li>High personal standards </li></ul><ul><li>Patient interaction </li></ul><ul><li>Provide best available patient care possible </li></ul><ul><li>Exceed patient expectations for care and interpersonal interactions </li></ul>
  10. 10. Honesty/ Integrity <ul><li>Self </li></ul><ul><li>Be truthful and honest with self </li></ul><ul><li>Be an example to the people around you </li></ul><ul><li>Recognizes and acknowledge own skills, abilities, limitations and weaknesses </li></ul><ul><li>Adhere to values in all actions </li></ul><ul><li>Follow through on assigned tasks and responsibilities </li></ul><ul><li>Patient interaction </li></ul><ul><li>Be honest and truthful with patients </li></ul><ul><li>Follow through with promises too patients and explain when unable to do so </li></ul><ul><li>Give the care you would want to receive </li></ul>
  11. 11. Duty <ul><li>Self : Meeting responsibilities </li></ul><ul><li>Fulfill roles </li></ul><ul><li>Assure compliance programmatic regulations </li></ul><ul><li>Supervise </li></ul><ul><li>Follow through on all tasks </li></ul><ul><li>Accept obligations and roles </li></ul><ul><li>Give best effort to every learner and patient </li></ul><ul><li>Maintain balance in life to allow achievement of personal and professional goals </li></ul><ul><li>Patient interaction </li></ul><ul><li>Balance need for education with responsibility to patient </li></ul><ul><li>Be available and accessible </li></ul><ul><li>Recognize need to ensure patient safety </li></ul><ul><li>Complete task at hand well while being responsive to the </li></ul><ul><li>environment </li></ul><ul><li>Prioritize tasks of patient care and teaching </li></ul>
  12. 12. Respect <ul><li>Self : Consideration of Others </li></ul><ul><li>Arrival on time </li></ul><ul><li>Consider effects your actions have on all participating parties </li></ul><ul><li>Acknowledge others needs & feelings </li></ul><ul><li>Acknowledge input of others with different experiences </li></ul><ul><li>Don’t denigrate other’s work, approach, style, culture </li></ul><ul><li>Seek to understand differences and utilize commonalities to optimize outcomes </li></ul><ul><li>Patient interaction </li></ul><ul><li>Identify & align patient values with educational/ patient care </li></ul><ul><li>values & goals </li></ul><ul><li>Recognize that all patients are worthy of courtesy and excellence in care </li></ul><ul><li>Be kind and fair to all without judgment </li></ul>
  13. 13. ABIM Foundation ACP Foundation European Federation of Internal Medicine
  14. 14. Fundamental principles <ul><li>Primacy of patient welfare </li></ul><ul><li>Patient autonomy </li></ul><ul><li>Social justice </li></ul>
  15. 15. Set of professional responsibilities <ul><li>professional competence </li></ul><ul><li>honesty with pts </li></ul><ul><li>pt confidentiality </li></ul><ul><li>maintaining appropriate relations </li></ul><ul><li>improving quality of care </li></ul><ul><li>improving access </li></ul><ul><li>a just distribution of finite resources </li></ul><ul><li>scientific knowledge </li></ul><ul><li>maintaining trust by managing conflicts of interest </li></ul><ul><li>professional responsibilities </li></ul>