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