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Jonsen, PhD with Clarence H. Edwards, PhD Write Us Because medicine is a profession and physicians are professionals, it is important to have a clear understanding of what "professionalism" means. As a physician-in-training, you will be developing a personal sense of what it means to be a professional.
This topic page outlines some common features. Please see the topic page on the Physician-Patient Relationship for further discussion of the professional responsibilities of physicians.
What does it mean to be a member of a profession? The words "profession" and "professional" come from the Latin word "professio," which means a public declaration with the force of a promise.
Professions are groups which declare in a public way that their members promise to act in certain ways and that the group and the society may discipline those who fail to do so.
The profession presents itself to society as a social benefit and society accepts the profession, expecting it to serve some important social goal.
The profession usually issues a code of ethics stating the standards by which its members can be judged. The traditional professions are medicine, law, education and clergy. The marks of a profession are: Competence in a specialized body of knowledge and skill; An acknowledgment of specific duties and responsibilities toward the individuals it serves and toward society; The right to train, admit, discipline and dismiss its members for failure to sustain competence or observe the duties and responsibilities.
What is the difference between a profession and a business? The line between a business and a profession is not entirely clear, since professionals may engage in business and make a living by it.
However, one crucial difference distinguishes them: This means that professionals have a particularly stringent duty to assure that their decisions and actions serve the welfare of their patients or clients, even at some cost to themselves.
Professions have codes of ethics which specify the obligations arising from this fiduciary duty. Ethical problems often occur when there appears to be a conflict between these obligations or between fiduciary duties and personal goals.
What are the recognized obligations and values of a professional physician? Professionalism requires that the practitioner strive for excellence in the following areas, which should be modeled by mentors and teachers and become part of the attitudes, behaviors, and skills integral to patient care: A physician is obligated to attend to the best interest of patients, rather than self-interest.
Physicians are accountable to their patients, to society on issues of public health, and to their profession. Physicians are obligated to make a commitment to life-long learning. A physician should be available and responsive when "on call," accepting a commitment to service within the profession and the community.
Physicians should be committed to being fair, truthful and straightforward in their interactions with patients and the profession. A physician should demonstrate respect for patients and their families, other physicians and team members, medical students, residents and fellows.
These values should provide guidance for promoting professional behavior and for making difficult ethical decisions. Subsequently, 90 professional associations, including most of the specialty and subspecialty groups in American medicine have endorsed the Charter.
The fundamental principles of professionalism are stated as 1 the primacy of patient welfare; 2 patient autonomy; 3 social justice. Professional responsibilities that follow from these principles are commitment to competence, to honesty with patients, to confidentiality, to appropriate relationship with patients, to improving quality of care, to improving access to care, to a just distribution of finite resource, to scientific knowledge, to maintaining trust by managing conflicts of interests and to professional responsibilities.
Is professionalism compatible with the restrictions sometimes placed on physician's judgments in managed care?A medical man does not have to use all the techniques series of real cases.
We look particularly at the ethics of palliative medicine and attempt to answer the question: to what extent are the ethical accident (or stroke) and was admitted into hospi-tal.
The result of the stroke was that Maria was left. "Having been sanctioned by an out-of-control, vindictive state medical board, such things aren't even in the purview of ethics, but rather a survival mechanism for my ability to continue practicing.".
Case Study Medical Assistant Free EssaysFree Essays on Case Study Medical Assistant for students. Use our papers to help you with yours Case StudiesIn all the chapters the Case Studies represent situations similar to those that the medical assistant may encounter in daily practice.
PRIME® Clinical Case Study: A Case Of Medical Ethics. Bioethics and Medical ethics: Case Studies at the Center for Bioethics and Human Dignity (skip the AMA links - use "our links" instead) and go down to “Other Case .
31 rows · Some cases have been remarkable for starting broad discussion and for setting precedent . A selection of medical ethics cases designed to help determine whether medicine is the correct calling for pre-medical students.