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Professionalism

 

SEA report from the Task Group on 
Professionalism July 2004

Submitted by Kathy Rosen MD

Download information includes a list of Professionalism Behaviors

The highlight of the workshop was the unexpected attendance, inspiration, and participation with enthusiasm by Dr Pat Surdyk from the ACGME. The Professionalism Task group began its efforts with the fall 2003 meeting of the SEA in San Francisco. The morning program and syllabus reviewed the recent history and definitions of professionalism in medicine. An expanded working luncheon was devoted to the operationalization of professionalism for Anesthesiologists. Dr Ramona Kearney from Canada moderated the discussion. She has sponsored similar programs for Anesthesiologists in Canada and Scotland previously. The notes from that session were condensed and organized into the document that appeared in the spring 2004 syllabus. The behaviors were grouped under three headings: character and ethics, citizenship and self-regulation. Consult the web site for current professionalism list.

The task group set sequential goals. First goal was to review the list of behaviors and its organization. The group recommended placing the character & ethics section first and adding a brief introduction that emphasizes altruism as the overarching philosophy. We added avoids conflict of interest under character and ethics, subsection honesty and integrity. Self-regulation subsection reliability & responsibility expanded to include avoids substance abuse. The accountability/dependability subsection required modification of bullet six. "Complies with local, state, and national laws at all times" became "Exhibits professional behavior at all times in all environments".

The second goal was to condense this content into 2-3 professionalism objectives for each heading. The third objective was to discuss teaching methods for professionalism and generate a top ten list of topics that lend themselves to presentation in a didactic format. Role modeling was viewed as the most important overall method for teaching professionalism. Other methods were also found to be useful. General professionalism and specific ethics and patient care lecture topics were suggested. See tables below for details.

Category Goal
Character & Ethics Subjugate self-interest
Demonstrate intellectual and personal honesty & integrity
Recognize the importance of religious, cultural & gender differences
Citizenship Habitually demonstrate respect & sensitivity toward everyone in the workplace
Demonstrate a commitment (time and energy) to the greater good
Comply with protocols, rules and regulations
Self-Regulation Be accountable & responsible for own actions & decisions
Recognize own strengths and weaknesses
Take responsibility for self-improvement moving toward excellence & independence

Tools for Teaching Professionalism

Character & Ethics Self-regulation Citizenship
Role-modeling * * *
PBLD * *
Chart-stimulated recall *
Role play/simulation * *
Didactic * * *

 

Professionalism general lectures

Definition of professionalism

Dealing with difficult people

Substance abuse

Anger management

Billing compliance

Sleep education

Sexual harassment

Ethics lectures

AMA/ASA code of ethics

Do Not Resuscitate orders

End of life care

Disclosure

Ethics in research

Conflict of interest/gifts to physician

Privacy & confidentiality

Professionalism & patient care

Informed consent

Transfer of care

Confidentiality

Jehovah’s witness care

Diversity & cultural sensitivity

Resource allocation

Patient autonomy

 

The next task to be tackled by the task group is the evaluation of professionalism. At the workshop educational resource booklets, titled Advancing Education in MEDICAL PROFESSIONALISM, from the ACGME Outcome Project were distributed. Three examples of best practice in the evaluation of professionalism were selected from this resource to be modified for Anesthesiology. Dr Randy Steadman will lead the discussion and development of a 360o evaluation for professionalism. Dr Lisa Sinz will facilitate the development of a tool for evaluation of the professionalism environment similar to the Scale to Measure Professionalism Attitudes and Behaviors in Medical Education from the ABIM. Finally, Dr Kathy Rosen will coordinate the development of professionalism vignettes for teaching and evaluation.

 

 

 

 
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