Professionalism in Surgery

Gruen, Russell L.; Arya, Jyoti; Cosgrove, Ellen; Cruess, Richard L.; Cruess, Sylvia R.; Eastman, A. Brent; Fabri, Paola; Friedman, Paul D.; Kirksey, Thomas D.; Kodner, Ira J.; Lewis, Frank R.; Liscum, Kathleen R.; Organ, Claude H.; Rosenfeld, Joel C.; Russell, Thomas; Sachdeva, Ajit K.; Zook, Elvin G.; Harken, Alden H.

doi:10.1016/s1072-7515(03)00588-x

Cited by 58 publications

(15 citation statements)

References 9 publications

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“…Medical professional mandates have been in existence for as long as the profession itself. These mandates are built on the qualities intrinsic to all professions; namely, a monopoly over the use of specialized knowledge, relative autonomy in practice and the privilege of self-regulation, altruistic service to individuals and society, and responsibility for maintaining and expanding professional knowledge and skill 5–7 . While these core attributes stay the same, their expression must remain flexible as expectations for the application of professional behavior change over time 8 .…”

Section: Introductionmentioning

confidence: 99%

Guidelines for Maintaining a Professional Compass in the Era of Social Networking

Landman¹,

Shelton²,

Kauffmann³

et al. 2010

Journal of Surgical Education

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Objectives The use of social networking (SN) sites such as Facebook and Twitter has skyrocketed over the past 5 years, with over 400 million current users. What was once isolated to high schools or college campuses has become increasingly ubiquitous in everyday life and across a multitude of industries. Medical centers and residency programs are not immune to this invasion. These sites present opportunities for the rapid dissemination of information from status updates to tweets to medical support groups and even clinical communication between patients and providers. While powerful, this technology also opens the door for misuse and policies for use will be necessary. We strive to begin a discourse in the surgical community regarding maintaining professionalism while using SN sites. Results The use of SN sites among surgical housestaff and faculty has not previously been addressed. To that end, we sought to ascertain the use of the SN site Facebook at our residency program. Of 88 residents and 127 faculty, 56 (64%) and 28 (22%) respectively have pages on Facebook. Of these, 50% are publicly accessible. Thirty-one percent of the publicly accessible pages had work –related comments posted, and of these comments, 14% referenced specific patient situations or were related to patient care. Conclusions Given the widespread use of SN sites in our surgical community and in society as a whole, every effort should be made to guard against professional truancy. We offer a set a guidelines consistent with the ACGME and ACS professionalism mandates regarding usage of these sites. By acknowledging this need and following these guidelines, surgeons will continue to define and uphold ethical boundaries and thus demonstrate a commitment to patient privacy and the highest levels of professionalism.

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Section: Introductionmentioning

confidence: 99%

Guidelines for Maintaining a Professional Compass in the Era of Social Networking

Landman¹,

Shelton²,

Kauffmann³

et al. 2010

Journal of Surgical Education

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“…5 Various surgical colleges have subsequently sought to define a specific "surgical professionalism," which has emphasized special characteristics of surgeons' relationships with patients, other health care professionals, and society in general and the importance of being more than an expert technician. 4,7,10,11 Surgical training has focused historically on the development of knowledge, clinical expertise, and technical skills. In recent years, however, studies of adverse events and of surgeons' behavior in the operating theatre have revealed the importance of nontechnical skills, such as situation awareness, decision making, task management, communication and teamwork, and leadership.…”

Section: The Current State Of Discourses On Professionalism and Compementioning

confidence: 99%

Imagining a continuing interprofessional education program (CIPE) within surgical training

Kitto

Gruen

Smith

2009

Journal of Continuing Education in the Health Professions

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In recent years increasing attention has been paid to issues of professionalism in surgery and the content and structure of continuing professional development for surgeons; however, little attention has been paid to interprofessional education (IPE) in surgical training. Imagining the form(s) of IPE and/or continuing interprofessional education (CIPE) programs within surgical training requires serious attention to 2 fundamental issues--the discourses of professionalism in surgery and the professional culture of surgery, as shaped and expressed within the clinical setting. We explore the possibility that concepts of professionalism within surgery may be in conflict with the tenets of interprofessionalism held by other health and medical professionals. We believe that if any rapprochement is to occur between the concept of professionalism in surgical training (and within the everyday clinical culture of surgical subspecialties groups and their professional institutions) and broader discourses of interprofessionalism circulating within health care institutions, there is a pressing need to understand and deconstruct this conflict from the point of view of surgery.

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“…All professions are characterized by 4 core elements: (1) a monopoly over the use of specialized knowledge, (2) relative autonomy in practice and the privilege of self-regulation, (3) altruistic service to individuals and society, and (4) responsibility for maintaining and expanding professional knowledge and skills. 3 The medical profession was built on these elements, with the focus on fundamental principles of patient welfare, patient autonomy, and social justice. For our medical profession to maintain professional autonomy in a unique place in society, the public demands physicians' accountability, ethical standards, and an altruistic manner of medical care delivery.…”

Section: Defining Surgical Professionalismmentioning

confidence: 99%

Instruction and Assessment of Professionalism for Surgery Residents

Iramaneerat

2009

Journal of Surgical Education

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Professionalism in Surgery

Cited by 58 publications

References 9 publications

Guidelines for Maintaining a Professional Compass in the Era of Social Networking

Guidelines for Maintaining a Professional Compass in the Era of Social Networking

Imagining a continuing interprofessional education program (CIPE) within surgical training

Instruction and Assessment of Professionalism for Surgery Residents

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