Measuring Medical Professionalism
Patients who are confident of physicians' intellectual and technical abilities are sometimes not convinced of their professional behavior. Systemic and anecdotal cases of physician misconduct, conflict of interest, and self-interest abound. Many have even come to mistrust physicians as patient advocates. How can patients trust the intellectual and technical aspects of medical care, but not the professional? In order to enhance and promote professionalism in medicine, one should expect it, encourage it, and evaluate it. By measuring their own professional behavior, physicians can provide the kind of transparency with which they can regain the trust of patients and society. Not only patients, but also institutions which accredit organizations have demanded accountability of physicians in their professional behavior. While there has been much lament and a few strong proposals for improving professionalism, no single reliable and valid measure of the success of these proposals exists. This book is a theory-to-practice text focused on ways to evaluate professional behavior written by leaders in the field of medical education and assessment.
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2 What Is Medical Professionalism?
What Physicians Need to Know
4 Using Standardized Clinical Encounters to Assess Physician Communication
5 The Assessment of Moral Reasoning and Professionalism in Medical Education and Practice
6 Using Surveys to Assess Professionalism in Individuals and Institutions
Empathy Teamwork and Lifelong Learning
8 Faculty Observations of Student Professional Behavior
10 Content and Context of Peer Assessment
11 Using Reflection and Rhetoric to Understand Professional Behaviors
12 The Use of Portfolios to Assess Professionalism
Selecting Applicants With the Potential for Professionalism
14 Assessing Professionalism for Accreditation
9 Using Critical Incident Reports and Longitudinal Observations to Assess Professionalism
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AAMC ability ABIM Acad Acad Med academic ACGME admissions process altruism AMCAS applicants Arnold asked assessing professionalism assessment of professionalism attitudes Baldwin DC Jr Bebeau chapter cians clerkship clinical competence cognitive committee communication skills context DCJr Defining Issues Test dents ethical examination example experience faculty members feedback fessionalism Ginsburg goal havior Hojat ical identify individual informed consent Internal Medicine interpersonal interview issues JAMA Jefferson Scale judgment learners lifelong learning MCAT measure medical education medical school medical students ment methods moral development moral reasoning Norcini nurses Obenshain observations OSCE outcomes peer assessment peer ratings performance physi physician empathy Physicianship Evaluation Form portfolio practice principles of professionalism profes professional behavior psychometric reflection relationships reliability reported residents responsibility role scores sessment sionalism social specific standardized patients survey teaching tion validity values WFPTS