The Professionalism Library

The Library includes peer-reviewed publications, commentaries/blogs, and issue briefs/reports relating to professionalism. The database will be periodically reviewed and updated.

Special thanks to Dr. Therese Zink, Brown University, for her work creating the extensive literature review that formed the starting point for this searchable resource on Professionalism, found here.

The Professionalism Library

The Library includes peer-reviewed publications, commentaries/blogs, and issue briefs/reports relating to professionalism. The database will be periodically reviewed and updated.

Special thanks to Dr. Therese Zink, Brown University, for her work creating the extensive literature review that formed the starting point for this searchable resource on Professionalism, found here.

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Study Design
Category of Professionalism
Date Published

Please note: There are no articles available prior to 1998.

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Date Published:
February,
2021
Study Design:
Category:
Medical Ethics
Resource Type:

Principles of Clinical Ethics and Their Application to Practice

Basil Varkey

An overview of ethics and clinical ethics is presented in this review. The 4 main ethical principles, that is beneficence, nonmaleficence, autonomy, and justice, are defined and explained. Informed consent, truth-telling, and confidentiality spring from the principle of autonomy, and each of them is discussed. In patient care situations, not infrequently, there are conflicts between ethical principles (especially between beneficence and autonomy). A four-pronged systematic approach to ethical problem-solving and several illustrative cases of conflicts are presented. Comments following the cases highlight the ethical principles involved and clarify the resolution of these conflicts. A model for patient care, with caring as its central element, that integrates ethical aspects (intertwined with professionalism) with clinical and technical expertise desired of a physician is illustrated.

Date Published:
August,
2021
Study Design:
Category:
Professionalism
Medical Education
Resource Type:

Professionalism and self-care in residents, how should we confront their training?

Carla Benaglio, Andr├ęs Maturana, Luigina Mortari , Arnoldo Riquelme

Professionalism is a well-defined competence in the education of residents. However, it is a complex construct, sensitive to social and cultural variables. It can be defined as the necessary skill, good jud gment and appropriate behavior expected of people trained to do their jobs well. It is a competence that does not remain stable over time and declines when the professional is subjected to high levels of stress, associated with quality of care, education, ethics, moral, philosophy and humanism. It is an essential competence for the professional and therefore we must rethink the curricula to include ways to teach and evaluate professionalism. It is essential to design programs that balance the workload with the well-being of future professionals. We must generate an adequate learning environment where the trainee is an active protagonist, and self-care is made visible as an essential competence to maintain the balance between personal and professional life. This article presents a review and reflects on this topic which is becoming increasingly important in the postgraduate training of future specialists.

Date Published:
May,
2021
Study Design:
Category:
Professionalism, Medical Ethics
Resource Type:

Challenges to professionalism and ethics in perioperative clinical practice

Bid Kumar

Perioperative medicine can pose myriad challenges to professionalism and ethical practice. Medicine is a science, but definite end points, and predictable results and outcomes do not consistently occur. There is the potential for error during all steps of a patient's assessment and treatment. Examination findings, laboratory investigations, diagnosis, plans for and outcomes of surgery and long-term outcomes can all be uncertain and/or not meet expectations. Factors including pressures in the workplace, conflicts, ego, prescribed guidelines and pathways, the need to achieve healthcare targets, desire for autonomy and need to maintain multidisciplinary involvement in patient care can lead to an environment in which it is challenging for professionalism and ethics to thrive.

Date Published:
September,
2021
Study Design:
Category:
Burnout
Resource Type:

Factors influencing resilience and burnout among resident physicians - a National Survey

Cristina Nituica, Oana Alina Bota, John Blebea, Chin-I Cheng , Gus J Slotman

Residency training exposes young physicians to a challenging and high-stress environment, making them vulnerable to burnout. Burnout syndrome not only compromises the health and wellness of resident physicians but has also been linked to prescription errors, reduction in the quality of medical care, and decreased professionalism. This study explored burnout and factors influencing resilience among U.S. resident physicians.

Date Published:
May,
2021
Study Design:
Category:
Professionalism
Medical Ethics
Resource Type:

Challenges to professionalism and ethics in perioperative clinical practice

Bid Kumar

Perioperative medicine can pose myriad challenges to professionalism and ethical practice. Medicine is a science, but definite end points, and predictable results and outcomes do not consistently occur. There is the potential for error during all steps of a patient's assessment and treatment. Examination findings, laboratory investigations, diagnosis, plans for and outcomes of surgery and long-term outcomes can all be uncertain and/or not meet expectations. Factors including pressures in the workplace, conflicts, ego, prescribed guidelines and pathways, the need to achieve healthcare targets, desire for autonomy and need to maintain multidisciplinary involvement in patient care can lead to an environment in which it is challenging for professionalism and ethics to thrive.