Medical Professionalism in Society

Wynia, Matthew K.; Latham, Stephen R.; Kao, Audiey; Berg, Jéssica; Emanuel, Linda L.

doi:10.1056/nejm199911183412112

Cited by 261 publications

(129 citation statements)

References 39 publications

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“…First, activism on behalf of increased professionalism is inherently problematic -because professionalism and activism are viewed by many in medicine as incompatible with one another (Wynia et al 1999) especially when the activism concerns such a contested social issue as abortion. Some of the pro-choice physicians who work energetically to promote abortion services and education within relevant medical organisations have told the authors of their concern that they are perceived by colleagues as 'fanatics' or 'single-issue types'.…”

Section: Conclusion: Accommodations and Remaining Contradictionsmentioning

confidence: 99%

Uneasy allies: pro‐choice physicians, feminist health activists and the struggle for abortion rights

Joffe

Weitz

Stacey

2004

Sociology Health & Illness

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Abortion represents a particularly interesting subject for a social movements analysis of healthcare issues because of the involvement of both feminist pro-choice activists and a segment of the medical profession. Although both groups have long shared the same general goal of legal abortion, the alliance has over time been an uneasy one, and in many ways a contradictory one. This paper traces points of convergence as well as points of contention between the two groups, specifically: highlighting the tensions between the feminist view of abortion as a women-centred service, with a limited, 'technical' role for the physicians, and the abortionproviding physicians' logic of further medicalization/professional upgrading of abortion services as a response to the longstanding marginality and stigmatisation of abortion providers. Only by noting the evolving relationships between these two crucial sets of actors can one fully understand the contemporary abortion rights movement. We conclude by speculating about similar patterns in medical/lay relationships in other health social movements where 'dissident doctors' and lay activists are similarly seeking recognition for medical services that are controversial.

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Section: Conclusion: Accommodations and Remaining Contradictionsmentioning

confidence: 99%

Uneasy allies: pro‐choice physicians, feminist health activists and the struggle for abortion rights

Joffe

Weitz

Stacey

2004

Sociology Health & Illness

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“…[10][11][12] The second perspective defines a profession on the basis of professionalism-a moral and social contract between the profession and society. 13 To be precise, an occupation becomes a profession when it is given the privileges of autonomy and self-regulation based on trust that it will use its knowledge and skills in the best interests of society. [13][14][15] Wynia et al 13 conceptualize the three elements of medical professionalism as: devotion to medical service and its values, public profession of its values, and social responsibility through negotiation of professional and social values.…”

Section: Résumémentioning

confidence: 99%

“…13 To be precise, an occupation becomes a profession when it is given the privileges of autonomy and self-regulation based on trust that it will use its knowledge and skills in the best interests of society. [13][14][15] Wynia et al 13 conceptualize the three elements of medical professionalism as: devotion to medical service and its values, public profession of its values, and social responsibility through negotiation of professional and social values. This perception highlights the importance of professional values to a profession.…”

Section: Résumémentioning

confidence: 99%

From the front lines: a qualitative study of anesthesiologists’ work and professional values

Wong

2010

Can J Anesth/J Can Anesth

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Purpose Despite significant contributions to medicine, anesthesiology is poorly recognized and faces the threat of ''deprofessionalization''. Clear articulation of its work and professional values plays an integral role in maintaining the viability of a profession. The purpose of this qualitative study is to explore anesthesiologists' perspectives in order to define the distinct elements of their work and their professional values. Methods A qualitative research approach was used for this study. Sixteen Canadian faculty anesthesiologists were interviewed regarding their choice of anesthesiology as a career, the characteristics of a good anesthesiologist and good anesthetic care, and the sources of work-related stress. The interviews were taped and transcribed. The qualitative analysis of the interviews included primary coding, which separated the data into units of meaning. Next, similar codes were clustered into pattern codes to identify common themes and subthemes. The relationships between the themes and subthemes were analyzed and interpreted to identify core values. Results The anesthesiologists were motivated to choose their career path by the academic, technical, and practice aspects of the profession, influential role models, and an interest in human consciousness. Five themes characterized a good anesthesiologist: clinical competence, personality traits, physician-patient relationship, approach to anesthetic care, and outcomes. The major sources of stress were: balancing clinical care and teaching, unexpected critical events, and administrative issues. Four core professional values were identified: goal-directed care, responsibility, control, and humility. Conclusions Anesthesiology is characterized by its distinct work and core professional values. Under the threat of deprofessionalization, the practice of anesthesiology should be guided by its professional values in defining and envisioning its future. RésuméObjectif Malgre´ses contributions remarquables a`la me´decine, l'anesthe´siologie est mal reconnue et fait face a`la menace d'une «de´professionnalisation». Pour assurer la viabilite´d'une profession, il faut qu'elle soit en mesure d'articuler clairement son travail et ses valeurs professionnelles. L'objectif de cette e´tude qualitative e´tait d'examiner les points de vue des anesthe´siologistes afin de de´terminer quels sont les e´le´ments distinctifs de leur travail ainsi que leurs valeurs professionnelles. Méthode Une approche de recherche qualitative a e´te´utilise´e pour cette e´tude. Seize anesthe´siologistes universitaires canadiens ont e´te´interroge´s concernant leur choix d'une carrie`re en anesthe´siologie, les caracte´ristiques d'un bon anesthe´siologiste et de bons soins en anesthe´siologie, ainsi que les sources de stress lie´au travail. Les entretiens ont e´te´enregistre´s puis retranscrits. L'analyse qualitative des entretiens comprenait un encodage primaire, lequel se´parait les donne´es en unite´s se´mantiques. Ensuite, les codes similaires ont e´teḿ is en grappes en code...

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“…A calling is also important for those who enter the profession of medicine [2,3]. As Dr. Bryant reexamines his calling to medicine, he may find it helpful to view it through the lens of professionalism and its core values [2][3][4][5][6][7][8][9].…”

Section: Remember Your Callingmentioning

confidence: 99%

Decision Making at the Crossroads of Practice Choice

Halvorsen

2009

AMA Journal of Ethics

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Medical Professionalism in Society

Cited by 261 publications

References 39 publications

Uneasy allies: pro‐choice physicians, feminist health activists and the struggle for abortion rights

Uneasy allies: pro‐choice physicians, feminist health activists and the struggle for abortion rights

From the front lines: a qualitative study of anesthesiologists’ work and professional values

Decision Making at the Crossroads of Practice Choice

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