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AN INTRODUCTION TO PROFESSIONALISM Dr. Saleh S. El-Qaderi, M.D., M.H.P.Ed Faculty Development Program Medical Education PowerPoint Presentation
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AN INTRODUCTION TO PROFESSIONALISM Dr. Saleh S. El-Qaderi, M.D., M.H.P.Ed Faculty Development Program Medical Education Unit College of Medicine King Faisal University February 2007 . THE BEST CAR, BUT IT HAS NO: . - Guiding Map - Breaks / Compass - Speedometer - Clock

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slide1

AN INTRODUCTION TO PROFESSIONALISM

Dr. Saleh S. El-Qaderi, M.D., M.H.P.EdFaculty Development Program

Medical Education Unit

College of Medicine

King Faisal University February 2007

slide2

THE BEST CAR, BUT IT HAS NO:

- Guiding Map

- Breaks / Compass

- Speedometer

- Clock

Question: Can we reach our final destination ? ?

slide3

Qualities of Good Health Care

  • Safe
  • Effective
  • Patient-centered
  • Timely
  • Efficient
  • Equitable
what really happens many people are harmed
What really happens: Many People are Harmed
  • Adverse event: some health problems are caused by medical management
  • Adverse events occur among 3-4% of hospitalized patients
  • About 1 in 10 results in death
  • Over half are preventable

Sources: Brennan et al., 1991; Thomas et al., 1999

why how
WHY & HOW ??
  • Errors occur because of system failures
  • Preventing errors means designing safer systems of care
how to improve safety in healthcare organizations
How to improve Safety in Healthcare Organizations
  • Provide leadership
  • Job design:
    • avoid reliance on memory
    • simplification and standardization
  • Promote effective team functioning
  • Anticipate the unexpected
    • design for recovery
  • Create a learning environment
slide7

Three Keys for Involving Physicians

  • Professionalism
    • With privilege comes responsibility
  • Core strategy must be an educational, not a punitive approach
    • Goal to achieve “best care” for all patients
  • Use existing infrastructure: Always Build on what you already have !
slide8

Professionalism

Education and knowledge with accountability as shown by:

  • Licensure
  • Certification
  • Accreditation
educational c p d
EDUCATIONAL: C P D
  • Continuous learning
  • Practice improvement
  • Knowledge test
  • Peer associate ratings
slide10

GENERAL COMPETENCIESFOR GOOD HEALTH CARE

  • Patient care
  • Medical knowledge
  • Practice-based learning & improvement
  • Interpersonal & communication skills
  • Professionalism
  • Systems-based Practice
applied questions
Applied Questions
  • Why do we need a charter on medical professionalism today?
  • Can a charter make a difference to physicians and to patients?
  • How will its impact and effectiveness be measured?
definition of profession
Definition of Profession

A highly-educated, well trained, experienced group of individuals who are greatly valued by society because they are devoted to:

  • Advance vital knowledge through research
  • Transmit knowledge and skills to the next generation
  • Set and enforce own standards
  • Aiming at excellence
  • Value performance over personal gain
definition of professionalism
Definition of Professionalism
  • Professionalism is the process or actions through which individuals fulfill the profession’s contract with society
  • Professionalism is based on a set of principles and requires that individuals meet certain principled responsibilities
three fundamental principles of professionalism
Three Fundamental Principles of Professionalism
  • Primacy of patient welfare
  • Patient autonomy
  • Social justice
commitment to professional competence

1

Commitment to Professional Competence
  • Lifelong professional development
  • Maintenance of competence
commitment to honesty with patients

2

Commitment to Honesty with Patients
  • Inform patients completely and honestly before and after treatment
  • Empower patients to participate in decisions affecting their health
  • Disclose fully and promptly all medical errors
commitment to patient confidentiality

3

Commitment to Patient Confidentiality
  • Adhere to all safeguards governing the disclosure of patient information
  • Disclose confidential information only when considerations of public interest override the interests of privacy
commitment to maintaining appropriate relations with patients

4

Commitment to Maintaining Appropriate Relations with Patients
  • Recognize inherent vulnerability and dependency of patients
  • Never exploit patients for sexual advantage, personal financial gain, or other private purpose
commitment to scientific knowledge

5

Commitment to Scientific Knowledge
  • Uphold scientific standards
  • Promote research to create new knowledge
  • Ensure appropriate use of scientific information
commitment to professional responsibilities

6

Commitment to Professional Responsibilities
  • Participate in the processes of self-regulation
  • Assist in establishing educational and standard-setting activities
  • Accept external scrutiny of professional performance
commitment to improving quality of care

7

Commitment to Improving Quality of Care
  • Work collaboratively to:
    • Reduce medical error
    • Increase patient safety
    • Minimize overuse
    • Optimize outcomes of care
  • Help develop and implement better measures of quality health care
commitment to improving access to care

8

Commitment to Improving Access to Care
  • Try hard to reduce barriers to equitable health care
  • Promote the health of the public without concern for self-interest
commitment to a just distribution of resources

9

Commitment to a Just Distribution of Resources
  • Base individual patient-care decisions on cost-effective management of limited resources
  • Work collaboratively to develop clinical guidelines
  • Scrupulously avoid superfluous tests and procedures
maintain trust by managing conflicts of interest

10

Maintain Trust by Managing Conflicts of Interest
  • Recognize the existence of many opportunities to pursue private gain
  • Prepare to resist temptation
  • Disclose all conflicts of interest involving professional activities
challenges to professionalism
Challenges to Professionalism
  • Human nature:self-interest, self-protection
  • Unfulfilled expectations:it’s no rose garden
  • Large temptations: it’s easy pickings
  • Peer pressure:“everyone else is doing it”
  • Commercialism:success of market at controlling costs obscures the danger
slide27

Critical Issues in the Future

  • Access to care
  • Quality defined as safety and oversight
  • Use of scarce resources
core strategy educate the professional
Core Strategy: Educate the Professional
  • The goal: achieve “best care” for all
  • Allow input and dialog
  • Seek consensus with rational exceptions
  • Document and measure
  • Feedback loops

© 2002 Institute for Healthcare Improvement

use existing organizational infrastructure
Use Existing Organizational Infrastructure
  • Group practices
  • Hospital medical staffs
  • Regional & national medical societies
  • Specialty societies

© 2002 Institute for Healthcare Improvement

summary
Summary

The “Vision” is a system that uses the best knowledge, focuses intensely on patients, and works across healthcare providers and settings.

Achieving this ideal will require bridging a large gap between today’s system and the possibilities of tomorrow.

© 2002 Institute for Healthcare Improvement

slide31

“It is not the strongest of the

species that survives,

not the most intelligent,

but the one most responsive to change.”