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Cheryl McNeil, M.D . Professionalism……………. Again and Again and Again. Our Profession from the View P oint of Society:. Loss of public faith in the medical profession . .

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  • Again and

  • Again and

  • Again

Our profession from the view p oint of society
Our Profession from the View Point of Society:

Loss of public faith in the medical profession.

These survey results show the percentage of the American public expressing confidence in medical leaders. For the Harris and NORC results, confidence is the percent responding “a great deal”; for the Gallup results, it is “a great deal” and “quite a lot. ” █ = NORC; = Harris; = Gallup.

Important Movements/ Trends that have arisen with our efforts to: “Heal Thy Self”

Evidence Based Medicine

Disruptive Physician and Impaired Physician Programs

Patient Safety Initiatives

Crack Down on Conflicts of Interest

Cultural Competence Initiatives

Huge Emphasis on Professionalism Education

The Party Line– History (cont)

ABIM Charter (subsequently adopted by most organizations)

  • The Professionalism Charter defined three fundamental principles of professionalism:

  • The primacy of patient welfare: This principle focuses on altruism, trust, and patient interest. The charter states: “Market forces, societal pressures, and administrative exigencies must not compromise this principle”

  • Patient autonomy. This principle incorporates honesty with patients and the need to educate and empower patients to make appropriate medical decisions.

  • Social justice. This principle addresses physicians' societal contract and distributive justice—that is, considering the available resources and the needs of all patients while taking care of an individual patient.

The Party Line– History (cont)

ABIM Charter (subsequently adopted by most organizations)

The Party Line– History (cont)

Epstein and Hundert (2002)

[Professionalism] …..“is the habitual and judicious use of communication, knowledge, technical skills, clinical reasoning, emotions, values, and reflection in daily practice for the benefit of the individual and community being served.”

The Party Line– Current Big Picture

Epstein and Hundert (2002)

The Bottom Line– Lowest Bar

How to avoid the list of shame

The Bottom Line– Highest Bar

How to show your exemplary professionalism and earn an Honors

Millennials vs. Baby Boomers

in the Workplace

The Fuzzy Line:

The Dr. McNeil

Golden Retriever Theory

of Professionalism

Dr. Stressed-Out

Dr. Fuzzy

Dr. Mean

Dr. Burnt-Out

What percent????


Text to 37607

20 % 19575

40% 19594

60% 19812

80% 19827

100% 19844

How I see 1st Year Medical Students

Natural History/ Normal Development

Dr. Fuzzy


Medical Student



Medical Student

What is the pathogenesis?

  • Long Work Hours

  • Sleep Deprivation

  • Lack of Exercise/ Play Time

  • Snuggle Deprivation

  • Poor Nutrition

  • Perceived Failures

  • Cynicism

  • Hypocrisy

  • Inconsistent Expectations

  • Harsh Criticism

  • Racism/ Classism/Sexism

  • Suffering and Death

So What’s the Answer?

When you feel mangy or singed– do not ignore!!!!!

Know you are at risk…..

Know its OK not to be perfect.

Are any of these fiery hoops are self imposed due obsessional desire for biscuits?

Do I need help? Burn out affects up to 50% of medical students and it is treatable.

What if I made my fur a higher priority than perfection?