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Mapping, Modeling, and Mentoring: Charting a Course for Professionalism in Graduate Medical Education

Published online by Cambridge University Press:  13 May 2003

GREGORY L. LARKIN
Affiliation:
Parkland Memorial Hospital, University of Texas, Southwestern Medical Center at Dallas

Extract

Professionalism, like common sense, remains a timeless ingredient in the ethically successful practice of medicine in the twenty-first century. Professional ideals are particularly relevant in times of economic and social upheaval, medicolegal crises, provider shortages, and global threats to the public health. The American Board of Internal Medicine specifies professionalism as “constituting those attitudes and behaviors that serve to maintain patient interest above physician self-interest.” Because of its transcendent nature, professionalism, like ethics, is also considered “a structurally stabilizing, morally protective force in society.” Professions enjoy tremendous deference and autonomy in exchange for three unwritten but prerequisite promises: expert knowledge, self-regulation, and a fiduciary responsibility to place the needs of the client ahead of self-interest. Many educators suggest that professionalism includes additional characteristics such as honesty, altruism, temperance, commitment, integrity, and suspension of self-interest. However, there are large gaps in providing more user-friendly and operational models of professionalism to learners and evaluators at all levels of the academic hierarchy.

Type
SPECIAL SECTION: RESPONDING TO THE CALL OF PROFESSIONALISM
Copyright
© 2003 Cambridge University Press

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