Establishing Transdisciplinary Professionalism for Improving Health Outcomes Workshop Summary (2014) / Chapter Skim
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2 Understanding Professionalism
2 Understanding Professionalism
Pages 9-20
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From page 9... ...
In fact, the concept of professionalism, according to Frederic H afferty, from the Program for Professionalism and Ethics at the Mayo Clinic, dates as far back as 400 BC, with Hippocrates's oath of professional ethical standards, and has evolved over time in a series of waves of pulses. One recent pulse came from Herbert Swick's article identifying nine key behaviors of professionalism that focused on individuals (Swick, 2000)
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From page 10... ...
Wynia thinks that in some ways, this concept exemplifies the thinking around how health professionals can ensure they are worthy of trust. They can do so by putting forward a set of practice standards, making the standards public, and listing the standards as specific behaviors to which the health professions will then hold themselves accountable.
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From page 11... ...
It assures quality primarily through collegial review, not through state regulatory or market competitive mechanisms. There are fiduciary obligations that are the core of health professional ethics, putting the patient's interests first.
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From page 12... ...
Workshop planning committee member Nancy Hanrahan from the University of Pennsylvania School of Nursing noted that state regulation and market competition are being represented as the public word. What is missing, in her view, is the patient's voice.
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From page 13... ...
In her opinion, equating state regulation and market competition as representing societal or patient views seemed a little disingenuous -- that possibly some of the state regulatory issues related more to organizational influence, the professional organizations themselves, and their ability to lobby for what they want versus what the public might even understand, and that the market competition is not necessarily fair in health care. Patients often do not have a sense of the actual cost of health care goods and services and what would be a fair price.
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From page 14... ...
Patient Perspective As a cancer survivor and law professor at the University of Wisconsin Law School, workshop speaker Meg Gaines stated that among the three choices, consumerism, socialism, and professionalism, she places no hope in the market. Because the market is heavily controlled, she said, consumers are not truly influential in the decisions being made.
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From page 15... ...
This is not the same as transdisciplinary practice, which would indicate a blurring of boundaries with respect to skills, competencies, and practice. As workshop speaker Sylvia Cruess explained in her presentation on the social contract, there are similarities and differences among the health professions' social contracts, but the underlying principles of all health care social contracts are the same.
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From page 16... ...
Oftentimes health professionals experience diminished job satisfaction when they feel overburdened by paperwork, excessive regulation, and decreased reimbursement. In these instances, health professions can begin to view their work as a job rather than a "calling." Elements of social contracts in the United States and Canada have evolved over the last 50 years in parallel with changing societal norms and values.
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From page 17... ...
She said that a shared social contract would not be embraced by the general public unless the message was easily understood and could be conveyed through, for example, a public service announcement. Workshop speaker Jody Frost, who leads the Interprofessional Professionalism Collaborative (IPC)
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From page 18... ...
. And the reasons professionalism should be the tie that binds health professions to each other and to the public are • to strengthen the trust among the health professionals and between the health professionals and the public (emphasized by the Cruesses, Hafferty, and Wynia)
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From page 19... ...
2013. Conference recommendations: Transforming patient care: Aligning interprofessional education with clinical practice redesign.
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