Professionalism in the Approach to the Patient

Chapter

Abstract

Medical professionalism has been defined as a set of values, behaviors, and relationships that underpin the trust the public has in doctors and is the basis of medicine’s contract with society. It means not just knowing how to do your job, but demonstrating a willingness to learn, cooperate and get along with others, showing respect, and living up to commitments. It also means avoiding many kinds of behaviors that cause trouble in the workplace. It may be lacking in individuals with extensive training, high status, and significant financial resources. The American College of Surgeons’ Task Force on Professionalism found that professionals possess four core characteristics: specialized knowledge, relative autonomy in practice and the privilege of self-regulation, altruistic service to individuals and society, and responsibility for maintaining and expanding professional knowledge and skills.

Keywords

Depression 

References

  1. 1.
    Doctors in society Medical professionalism in a changing world. London: Royal College of Physicians of London. 2005. http://www.rcplondon.ac.uk/pubs/books/docinsoc/. Accessed 20 Jan 2009.
  2. 2.
    Medical Professionalism Project. Medical professionalism in the new millennium: a physicians’ charter. Lancet. 2002;359(9305):520–2.CrossRefGoogle Scholar
  3. 3.
    Gruen RL, Arya J, Cosgrove EM, et al. Professionalism in surgery. J Am Coll Surg. 2003; 197(4):605–8.PubMedCrossRefGoogle Scholar
  4. 4.
    Lill MM, Wilkinson TJ. Judging a book by its cover: descriptive survey of patients’ preferences for doctors’ appearance and mode of address. BMJ. 2005;331(7531):1524–7.PubMedCrossRefGoogle Scholar
  5. 5.
    Harris SR, Templeton E. Who’s listening? Experiences of women with breast cancer in communicating with physicians. Breast J. 2001;7(6):444–9.PubMedCrossRefGoogle Scholar
  6. 6.
    Katz SJ, Lantz PM, Janz NK, et al. Patient involvement in surgery treatment decisions for breast cancer. J Clin Oncol. 2005;23(24):5526–33.PubMedCrossRefGoogle Scholar
  7. 7.
    Schofield PE, Butow PN, Thompson JF, Tattersall MH, Beeney LJ, Dunn SM. Psychological responses of patients receiving a diagnosis of cancer. Ann Oncol. 2003;14(1):48–56.PubMedCrossRefGoogle Scholar
  8. 8.
    Dowsett SM, Saul JL, Butow PN, et al. Communication styles in the cancer consultation: preferences for a patient-centred approach. Psychooncology. 2000;9(2):147–56.PubMedCrossRefGoogle Scholar
  9. 9.
    Guadagnoli E, Ward P. Patient participation in decision-making. Soc Sci Med. 1998;47(3):329–39.PubMedCrossRefGoogle Scholar
  10. 10.
    O’Connor AM, Stacey D, Entwistle V, et al. Decision aids for people facing health treatment or screening decisions. Cochrane Database Syst Rev 2003;(2):CD001431.Google Scholar
  11. 11.
    Whelan T, Sawka C, Levine M, et al. Helping patients make informed choices: a randomized trial of a decision aid for adjuvant chemotherapy in lymph node-negative breast cancer. J Natl Cancer Inst. 2003;95(8):581–7.PubMedCrossRefGoogle Scholar
  12. 12.
    Hawley ST, Lantz PM, Janz NK, et al. Factors associated with patient involvement in surgical treatment decision making for breast cancer. Patient Educ Couns. 2007;65(3):387–95.PubMedCrossRefGoogle Scholar
  13. 13.
    Morrow M, Venta L, Stinson T, Bennett C. Prospective comparison of stereotactic core biopsy and surgical excision as diagnostic procedures for breast cancer patients. Ann Surg. 2001; 233(4):537–41.PubMedCrossRefGoogle Scholar
  14. 14.
    Loprinzi CL, Hayes D, Smith T. Doc, shouldn’t we be getting some tests? J Clin Oncol. 2000; 18(11):2345–8.PubMedGoogle Scholar
  15. 15.
    Northouse LL, Swain MA. Adjustment of patients and husbands to the initial impact of breast cancer. Nurs Res. 1987;36(4):221–5.PubMedCrossRefGoogle Scholar
  16. 16.
    Northouse LL, Jeffs M, Cracchiolo-Caraway A, Lampman L, Dorris G. Emotional distress reported by women and husbands prior to a breast biopsy. Nurs Res. 1995;44(4):196–201.PubMedCrossRefGoogle Scholar
  17. 17.
    Feldman BN, Broussard CA. Men’s adjustment to their partners’ breast cancer: a dyadic coping perspective. Health Soc Work. 2006;31(2):117–27.PubMedCrossRefGoogle Scholar

Copyright information

© Springer New York 2010

Authors and Affiliations

  1. 1.Department of Surgery, Anne Burnett Windfohr Chair of Clinical OncologyMemorial Sloan-Kettering Cancer CenterNew YorkUSA

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