Professionalism in Medicine

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Information about Professionalism in Medicine
Health & Medicine

Published on February 24, 2014

Author: krsraman

Source: slideshare.net

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Professionalism is the buzzword and used in all discussions of Medical Ethics and Health Professional Ethics.Over the last decade, health professional associations are embracing Professionalism to oppose financial motives of the for-profit corporate players from interfering with the fiduciary relationship between Provider and the Client.
Humorous cartoons have been added to provide non-offensive mild punches and aid critical self-reflection..

Hippocrates Charaka PROFESSIONALISM In MEDICINE Prof. K.R. Sethuraman. MD JIPMER, Pondicherry. India

INTRODUCTION • Humanity is faced with unprecedented threats to its health and well-being • Changes in the health-care delivery systems frustrate ethical physicians today – These threaten the very nature of medical professionalism

Quality of Healthcare Would any of us accept such risks that we impose on our patients?

Doctor & Patient Divided ! Priority: Patient Welfare Priority: Profit margin

Declaration of Professional Responsibility • Physicians’ historical commitment to care for the sick prompted the response • Recommitment to professionalism helps to regain public trust in medicine • Voices from many countries call for a renewed sense of professionalism

Preamble • Professionalism is the basis of medicine’s contract with society • Vital to this contract is public trust in physicians

Preamble • Trust depends on integrity of the profession and the individual • It demands altruism placing the interests of patients above those of the physician

Non Altruism !

Fundamental principle-1 Primacy of patients’ welfare is – • altruism in serving the patients interest • an extension of Beneficence

Fundamental principle-2 Patient autonomy & Respect • Promote patients’ autonomy • Be honest & empower them to make informed decisions

Doctor’s Loan Patients’ Debt Two thirds of Debt is due to ruinous health care expenditure in Indian villages. “Medicare bankruptcy” is also reported in China & in the USA Source – ‘Trick or Treat’ - 2000 EQUIP India

Fundamental principle-3 • Social justice - eliminate discrimination in health care (by advocacy)

Access to Healthcare

Self Test - 1 Ethical sensitivity leads to professional commitment

Professional Commitments - a Commitment to – • Professional competence • Scientific knowledge • Maintaining trust by ethically managing conflicts of interest

Ethical Self Test 2 Would I mind if the transaction is known to my patients?

Professional Commitments - b • Maintaining appropriate relationships • Honesty with patients • Patients’ confidentiality • Professional responsibilities

Professional Commitments - c Commitment to – • Improving quality of care • Improving access to care • Just distribution of finite resources “For the triumph of evil it is only necessary for all the good persons to do nothing” - Edmund Burke

Sum up – The Future of Professionalism A strong & vibrant future depends on • Physicians who value and practice the basic tenets of professionalism • Professional bodies that set and ensure quality standards for the practice of Medicine

To conclude • Let Us all strive to be Ethical Professionals – Professionals that India can be Justifiably Proud of…

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