پروفیشنالیسم

1. پروفیشنالیسم

2. من تطبب فليتق الله و ليجتهد و لينصح كسي كه به طبابت پرداخت بايد تقواي الهي پيشه ساخته، جهد و كوشش كرده و خيرخواه باشد. اميرالمومنين علي (ع) طبيب بايد كه رقيق الخلق، حكيم النفس و جيدالحدس (جيد= سريع) باشد و هر طبيب كه شرف انسان نشناسد، رقيق الخلق نبود و تا منطق نداند، حكيم النفس نبود و تا مويد به تاييد الهي نبود، جيدالحدس نبود و هر كه جيد الحدس نبود به معرف علت نرسد. كتاب چهار مقاله نظامي عروضي سمرقندي سده 6 هجري

3. Profession: The words "profession" and "professional" come from the Latin word "profession," which means a public declaration with the force of a promise.

4. Professional: A professional is a person who belongs to a group (a profession) which possesses specialized knowledge skills and attitudes which have been obtained after a long period of study and which are used to benefit other members of society.

5. What is Professionalism?

6. Professionality Professionality is: an ideologically-, attitudinally-, and intellectually- based stance on the part of an individual, in relation to the practice of the profession to which s/he belongs, and which influences her/his professional practice.

7. Professionality and professionalism Professionalism is: professionality-influenced practice that is consistent with commonly-held consensual delineations of a specific profession and that both contributes to and reflects perceptions of the profession’s purpose and status and the specific nature, range and levels of service provided by, and expertise prevalent within, the profession, as well as the general ethical code underpinning this practice.

8. Medical Professionalism in the New Millennium: A Physicians' Charter1 The Medical Professionalism Project · The 2005 RSNA Professionalism Committee

9. What is Professionalism? • “Those attitudes and behaviors that serve to maintain patient interest above physician self-interest” • (ABIM, 1995)

10. Medical Professionalism: • “a set of values, attitudes, and behaviors that result in serving the interests of patients and society before one’s own” • (Ann Intern Med 1991)

11. Patient complaints about physicians • Lack of compassion • Lack of warmth • Lengthy waiting times • Failure to explain things adequately • Failure to spend adequate time

12. Professionalism

13. Case 1 Social Networking John Brown, a 2nd year resident in Radiology has a Facebook persona with 143 “friends”; posted on his wall are photos from his days as a college football star. Issues are that he frequently complains about the residency program , faculty members, workload, and actively solicits comments from female “friends”, some of whom are fellow residents, technologists in the dept, and patients. Do you believe this is appropriate behavior? Why?

14. Professionalism

15. Professionalism

16. Honesty • With patients • With staff • With colleagues • With organizations • “Therapeutic privilege”: full disclosure may be deemed unnecessary in certain cases

17. Barriers to Professionalism in Modern Medicine • Time constraints • Financial constraints • Higher expectations of patients and families • Medicolegal concerns • state and institutional laws, policies, and guidelines

18. The moral duties of the doctor • The duty to help, cure • The duty to promote and protect the patient’s health • The duty to confidentiality • The duty to protect the patient’s life • The duty to respect the patient’s autonomy • The duty to protect privacy • The duty to respect the patient’s dignity

19. The moral rights of the patient • The right to high quality medical service • The right to autonomous choice • The right to decide • The right to be informed • The right to privacy • The right to health education • The right to dignity

20. Goals of Teaching Clinical Ethics Goal 1: The physician must recognize ethical issues as they arise in clinical care and identify hidden values and unacknowledged conflicts Goal 2: The physician must think clearly and critically about ethical issues in ways that lead to ethically justifiable courses of action Goal 3: The physician must learn the practical skills needed to implement an ethically justifiable course of action

21. Interaction with PatientsProfessionalism and Conduct • Always wear your identification badge • Always introduce yourself • Never call a patient by first name (without permission) • Never sit on a patient’s bed • Never discuss patients in the elevator or coffee shop (even if they cannot be identified)

22. 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 work

24. “To be good is noble; to teach others to be good is nobler – and less trouble.” Mark Twain

25. “We are here not to get all we can out of life for ourselves, but to try to make the lives of other happier. It is not possible for anyone to have better opportunities to live this lesson than you will enjoy. The practice of medicine is an art, not a trade; a calling, not a business; a calling in which your heart will be exercised equally with your head.” Sir William Osler