Understanding Medical Professionalism by Medicine, American Board of Internal -- Read -- Imperial Library of Trantor

Index

Title Page Copyright Page Contents Foreword Foreword Preface Acknowledgments Chapter 1 A Practical Approach to “Professionalism”

Why Focus on Behaviors? Identifying Professionalism Behaviors The Systems View of Professionalism The Role of Context Is It Possible for Physicians to Influence the System? Conclusion Key Learning Points References

Chapter 2 Resilience in Facing Professionalism Challenges

Is Professionalism a Character Trait? Professionalism Is a Competency Causes of Professionalism Lapses Deficit Needs and Professionalism Challenges Values, Conflicts, and Professionalism Challenges Professionalism as a Complex Competency Resilience in Facing Professionalism Challenges: Individual Competencies Resilience in Facing Professionalism Challenges: Team-Based Competencies Conclusion Additional Exercises Key Learning Points References

Chapter 3 A Brief History of Medicine’s Modern-Day Professionalism Movement

Roots The Profession of Medicine and Professionalism The Movement: Opening Salvos The “Problem of Definition” Major Institutionalization Initiatives: Two Examples Medical Student Push Back The Rise of a Hidden Curriculum of Professionalism (also see Chapter 8, The Hidden Curriculum and Professionalism) Conclusion Key Learning Points References

Chapter 4 Fostering Patient-Centered Care

Why Does Communication Matter? Misconceptions About Communication Skills Behaviors and Skills of Individual Physicians Helping Patients Make Decisions—Informed Decision-Making The Role of the Team The Role of the Healthcare Setting Role of the External Environment Conclusion Key Learning Points References

Chapter 5 Integrity and Accountability

What Are Integrity and Accountability? Why Do Integrity and Accountability Matter? Behaviors and Skills of Individual Clinicians The Role of the Team in Integrity and Accountability The Role of the Healthcare Setting The Role of Organizations Conclusion Key Learning Points References

Chapter 6 Commitment to Excellence

Excellence and the Individual Physician Excellence and Teams Excellence and Health Systems Conclusion Key Learning Points References

Chapter 7 Fair and Ethical Stewardship of Healthcare Resources

Why Should We Care About Healthcare Spending? Is Stewardship of Valuable Resources a Way of Justifying Rationing at the Bedside? If Professionalism Includes Stewardship of Valuable Resources, Why Is the Topic So Rarely Discussed in Education and in Practice? Physician–Patient Interaction Teams and Stewardship of Resources The Role of Healthcare Systems in Fair and Ethical Use of Resources Physician Advocacy and Professional Organizations Ethical Use of Resources Conclusion Key Learning Points References

Chapter 8 The Hidden Curriculum and Professionalism

What Is the Hidden Curriculum? Where Do You Find the Hidden Curriculum? Hidden “Lessons” From the Above Example Are Medical Schools Required to Address HC and Professionalism Issues? The Consequence of the Hidden Curriculum on Students Is There a Hidden Curriculum for Faculty? Can Individuals Do Anything About the Hidden Curriculum? Gold Foundation Conclusion Key Learning Points References

Chapter 9 Educating for Professionalism

Educational Theories That Can Guide Our Work Developing a Formal Curriculum for Professionalism Optimizing the Informal Curriculum: Strategies for Effective Workplace Learning Conclusion Key Learning Points References

Chapter 10 Evaluating Professionalism

Why Is Evaluating Professionalism So Difficult? Relationship of Attitudes to Behaviors and Implications for Evaluation Evaluation in the Context of the Healthcare System Instruments for Measuring Professionalism Specific Instruments Conclusion Key Learning Points References

Chapter 11 When Things Go Wrong: The Challenge of Self-Regulation

What Do Professionalism Lapses Look Like and How Commonly Do They Occur? How Common Is Unprofessional Behavior? What Is the Impact of Unprofessional Behavior? Why Does Unprofessional Behavior Occur? How Do People Usually Respond to a Witnessed Professionalism Lapse? What Are Strategies for Good Responses to Professionalism Lapses? Level II Intervention: Correction After the Moment (CAM) Level III Intervention: Correction and Consequences Level IV Interventions: Sanctions and Disciplinary Actions The Role of Systems in Dealing with Unprofessional Behavior Conclusion Key Learning Points References

Chapter 12 Organizational Professionalism

Index