Professionalism

Professionalism, Humanism & Medical Ethics

Dr. Haitham Bader
Ninaveh Medical College

What is the thing that attracted you to this field?

What does medical professionalism mean to you?

❶ It is a vocation implies service to others
❷ It has a distinctive knowledge base
❸ It determines its own standards and exams.
❹ It has a special relationship with patients.
❺ It has particular ethical principles

4 Hs.

Head, Hand & Heart, where is the fourth H?

It has a cognitive base which includes definable attributes

It is the basis of medicine’s social contract with society
Both medicine and society have legitimate expectations- “each of the other”
Medicine’s obligations arise from societal expectations
There are consequences if these expectations are not met

Professional status

Professional status

Professional Status is Not an Inherent RightIT IS GRANTED BY SOCIETY




• :IT CONFERS
•  Prestige and Respect
•  Trust
•  Autonomy in Practice
•  Physician-Led Regulation
•  Financial Rewards
Professional status is important to medicine

Professionalism is beneficial to society

“Neither economic incentives,
nor technology,
nor administrative control has proved an effective surrogate for the commitment to integrity evoked in the ideal of professionalism ”





How we can define medical professionalism?
Constituting those attitudes and behaviors
That place
patient interest above physician Self-interest
Setting and maintaining
standard of competence, integrity, and provide expert advice on a matter of health

(الامانة) ❶ Honesty

(الايثار) ❷ Altruism
(الخدمة) ❸ Service
(الالتزام) ❹ Commitment
(التواصل) ❺ Communication
(الالتزام بالبراعة)❻ Commitment to excellence
(المسؤلية) ❼ Accountability
(التعلم المستمر) ❽ Life-long learning
Main Characteristics of Professional Conduct (behavior)

The behavior of professionalism

“Keep it human.”

الطب مهنة انســــــانية

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Humanism Vs. Professionalism

• Humanism (Values)
• – denotes an intrinsic set of deep-seated convictions about one’s obligations towards others
• • Professionalism (Behaviors)
• – Behaving in accordance to a set of normative values and expectations

Humanism Vs. Professionalism

• Humanism
• – Who you are (when no one is watching)
• • Professionalism
• – What you do (when every one is watching)

Iceberg

Humanism

Professionalism
Experience
Knowledge
Feeling
Expectation
Assumption
Value
Attitude
Beliefs
Doing

How can be taught or learned professionalism

❶ Role modeling


❷ Role Plays

❸ Simulated Patients

❹ Small group discussions

How can be taught or learned professionalism

How can professionalism be assessed

The assessment of clinical skills/competence/performance.

Professionalism

Written, Oral or
Computer based assessment


Performance or hands on assessment
Knows
Shows how
Knows how
Does

Medical ethics

• Is based on philosophical ethics

• It isn’t any special ethics but rather ethics of special cases.
• Medical ethics does not concern only doctors but also patients and society.
• The central question of medical ethics is the doctor-patient relationship.

The moral duties of doctors

• 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

The moral rights of the patients

• 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

Always remember 1st Hippocrates law

Primum non nocere

First, do no harm
Thank you for your nice listening


احب ان اقدم لكم
في نهاية محاضراتي
مجموعة من لوحاتي
ارجو ان تنال رضائكم

نلتقي ثانية

ان شاء الله
في المرحلة الخامسة