Professional Responsibility

The Fundamental Issue in Education and Health Care Reform

  • Douglas E. Mitchell
  • Robert K. Ream

Part of the Advances in Medical Education book series (AMEDUC, volume 4)

Table of contents

  1. Front Matter
    Pages i-xxvii
  2. Douglas E. Mitchell, Robert K. Ream
    Pages 1-7
  3. Why Education and Health Reforms Are Needed

    1. Front Matter
      Pages 9-10
    2. Scott A. Allen, G. Richard Olds, Neal L. Schiller
      Pages 39-53
  4. Framing the Problem of Professional Responsibility

  5. Leverage Points for Reform

    1. Front Matter
      Pages 109-112
    2. Emma Simmons, Scott A. Allen, Neal L. Schiller
      Pages 113-126
    3. Rollanda E. O’Connor, Kristen D. Beach
      Pages 127-140
    4. Anil B. Deolalikar, Nathaniel Jones III
      Pages 155-174
  6. Exploring Professional Responsibility in Action

    1. Front Matter
      Pages 191-194
    2. Zeno E. Franco, Mark Flower, Jeff Whittle, Marie Sandy
      Pages 211-229
    3. Mike L. Vanderwood, Cathleen Geraghty-Jenkinson, Richard Kong
      Pages 263-285
    4. Paul S. Adler, Charles Heckscher, John E. McCarthy, Saul Avery Rubinstein
      Pages 309-326
  7. Designing for Responsible Professionalism in a Diverse Society

    1. Front Matter
      Pages 327-327
    2. Douglas E. Mitchell, Robert K. Ream
      Pages 329-337
  8. Back Matter
    Pages 339-343

About this book


At the center of this book is the complex and perplexing question of how to design professional preparation programs, organizational management practices, public policy systems and robust professional associations committed to and capable of, maintaining confidence, trust and the other hallmarks of responsible professionalism. To do this, we need to rebuild our understanding of professional responsibility from the ground up. We describe how individuals might be prepared to engage in responsible professional service delivery, examine promising options for the reform of professional service systems and finally, outline a reform strategy for improving practice in education and medicine – two essential public services. The nexus of the reform problem in professionalism is establishing a more robust and effective working relationship between teachers and their students; between health care professionals and their patients and between educators and health professionals. Professionalism means acceptance of professional responsibility for student and patient outcomes — not just acceptance of responsibility for technical expertise, but commitment to the social norms of the profession, including trustworthiness and responsibility for client wellbeing. In the past, it may have been sufficient to assume that adequate knowledge can be shaped into standards of professional practice. Today, it is clear that we must take careful account of the ways in which practicing professionals develop, internalize and sustain professionalism during their training, along with the ways in which this commitment to professionalism may be undermined by the regulatory, fiscal, technological, political and emotional incentive systems that impinge on professional workplaces and professional employment systems.


education reform professional responsibility professional service in education professional service in medicine professionalism in education professionalism in medicine

Editors and affiliations

  • Douglas E. Mitchell
    • 1
  • Robert K. Ream
    • 2
  1. 1.Graduate School of EducationUniversity of California RiversideRiversideUSA
  2. 2.Graduate School of EducationUniversity of California RiversideRiversideUSA

Bibliographic information

  • DOI
  • Copyright Information Springer International Publishing Switzerland 2015
  • Publisher Name Springer, Cham
  • eBook Packages Medicine Medicine (R0)
  • Print ISBN 978-3-319-02602-2
  • Online ISBN 978-3-319-02603-9
  • Series Print ISSN 2211-1298
  • Series Online ISSN 2211-1301
  • Buy this book on publisher's site