Professionalism

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					Professionalism

Faculty of Medicine
  Why is medicine a profession?
• Unique role of physicians in society
  – Unique skills
  – Access to sensitive and confidential
    information
  – Position of trust
  – Relies on self-regulation (e.g. CPSO)
 What is professional behaviour?

• Appropriate behaviours and actions within
  the context of medical practice and training

  – Implies decision making on competing priorities
  – Implies an understanding of the context.

  This is not an assessment of one’s character
 Professionalism as an academic matter


• Professionalism is an academic matter
  within the Faculty of Medicine.

  – Element of the curriculum (e.g. ethics)
  – Needs to be evaluated.
  – Students must pass professionalism component
    of each course.
 Professionalism as an academic matter

• Each course will introduce professionalism as
  appropriate.

   – Professionalism is part of
      •   Lectures
      •   PBL
      •   Field visits for DOCH
      •   Patient visits for ASCM
      •   Clerkship ward marks
      •   Electives
      •   ? Summer elective projects?
          Educational aspect

• Forms are to be reviewed with your tutor,
  preceptor, or group leader.

• Forms provide an opportunity to discuss
  professional practices

• Everyone make mistakes and everyone can
  learn more about professional conduct.
           Evaluation aspect

• Minor lapses,

• Major lapses and

• “Critical events”

   Subject to judgment and hence a review
               process is in place.
                    Minor lapses

•   Minor lapses are errors but have minimal
    consequences. Often there is no awareness of
    the unprofessional act or it occurs after the fact.
    There may often be mitigating circumstances.

•   Examples:
      1. Student falls asleep on a stretcher in the hall of the hospital.
      2. Student does not meet deadline for paper due to family illness
         but does not notify anyone.
                    Major lapses

•   Major lapses are errors but have serious
    consequences. Often there is awareness of the
    unprofessional act . Usually, there are no
    mitigating circumstances.
•   Examples:
      1. Student refuses to return phone calls and e-mails from a
         professor.
      2. Student does not answer his pager from the emergency room
      3. Student rushes in to see a patient with “interesting” findings
         despite being told to not do so.
                  Critical events

•   Critical events are serious events that will require
    immediate action by the supervisor. It is a clear
    violation of the code of conduct.

•   Examples:
      1. Student being dishonest either by lying or misrepresenting
         himself/herself.
      2. Student hitting a patient.
      3. Student being sexually inappropriate with a patient or fellow
         member of the health care team.
             Review process

• Multiple steps

• Aim for:
  – Transparency
  – Education
  – Multiple review (not one person’s opinion).
        Main points in process
1. Process should be transparent – submitted forms
   go to the student.

2. Student has chance to give his/her side of the
   story and this is to be submitted on form. Copies
   of this submission goes forward to all steps in
   the process.

3. Multiple steps for review.
        Main points in process
4. Nothing goes on Dean’s letter unless dictated so
   by the Vice Dean for Undergraduate Medical
   Education or Board of Examiners.
5. All forms are stored as per other academic
   marks.
6. Expected to be <2% of students have issues.
   This is not an issue for nearly all students.
                 Summary
•   Professionalism is part of the curriculum.
•   Aim is to support you to be a professional.
•   Hopefully this will prevent issues of future
    professional conduct.
                 Resources

• Professionalism website
  – http://icarus.med.utoronto.ca/professionalism


• Ethics website
  – http://dante.med.utoronto.ca/ethics

				
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posted:10/23/2011
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