Revisiting the need for virtue in medical practice: a reflection upon the teaching of Edmund Pellegrino

Bain, Luchuo Engelbert

doi:10.1186/s13010-018-0057-0

Cited by 18 publications

(12 citation statements)

References 16 publications

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“…Summarizing historical and modern literature, some virtues recur. In particular, compassion was discussed oftentimes to play a central role (e.g., Lopez and Dyck, 2009;Gelhaus, 2012;Aramesh, 2017) as well as courage (e.g., Shelp, 1984;Fugelli, 1999;Begley, 2008), altruism (e.g., Bishop and Rees, 2007), humility (e.g., Coulehan, 2011;DuBois et al, 2013), hope (e.g., Bryan, 2007;Miller, 2012), and practical wisdom (e.g., Corcoran et al, 2016;Bain, 2018). Professionalism in other countries or cultures is partially focusing on other values like in Korea, where physicians evaluated duties (e.g., responsibility, veracity) to be of higher importance than virtues (e.g., altruism; Kim and Choi, 2015).…”

Section: Physiciansmentioning

confidence: 99%

Character Strengths Profiles in Medical Professionals and Their Impact on Well-Being

et al. 2020

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Character strengths profiles in the specific setting of medical professionals are widely unchartered territory. This paper focused on an overview of character strengths profiles of medical professionals (medical students and physicians) based on literature research and available empirical data illustrating their impact on well-being and work engagement. A literature research was conducted and the majority of peer-reviewed considered articles dealt with theoretical or conceptually driven ‘virtues’ associated with medical specialties or questions of ethics in patient care (e.g., professionalism, or what makes a good physician). The virtues of compassion, courage, altruism, and benevolence were described most often. Only a limited number of papers addressed character strengths of medical students or physicians according to the VIA-classification. Those articles showed that the VIA-character strengths fairness, honesty, kindness, and teamwork were considered most often by respondents to be particularly important for the medical profession. Available cross-sectional (time span: six years) and longitudinal (time span: three years) data regarding VIA-character strengths profiles of medical professionals were analyzed (N = 584 medical students, 274 physicians). These profiles were quite homogenous among both groups. The character strengths fairness, honesty, judgment, kindness, and love had the highest means in both samples. Noteworthy differences appeared when comparing medical specialties, in particular concerning general surgeons and psychiatrists, with the former reporting clearly higher levels of e.g., honesty (d = 1.02) or prudence (d = 1.19). Long-term results revealed significant positive effects of character strengths on well-being and work engagement (e.g., perseverance on physicians’ work engagement) but also significant negative effects (e.g., appreciation of beauty and excellence on students’ well-being). Further, hope was significantly associated both positively with physicians’ well-being and negatively with students’ work engagement, possibly indicating specific issues concerning medical education or hospital working conditions. According to the modern-day physician’s pledge, medical professionals should pay attention to their own well-being and health. Therefore, promoting self-awareness and character building among medical professionals could be a beneficial strategy.

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Section: Physiciansmentioning

confidence: 99%

Character Strengths Profiles in Medical Professionals and Their Impact on Well-Being

et al. 2020

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“…Una posible explicación es que este tipo de competencias está condicionado por el contexto, la cultura y las características de cada persona. Cabe destacar las implicaciones de que el tutor clínico se establezca como un modelo a seguir, ya que considera cuestiones éticas y del comportamiento moral, acordes a la formación de buenos profesionales y mejores personas 1,23 .…”

Section: Discussionunclassified

Los atributos de un tutor clínico de excelencia: una revisión sistemática

et al. 2020

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A systematic review about the most important attributes of clinical teachersKnowing what characterizes an excellent teacher is relevant to guide training, evaluation, and continuous improvement of the clinical teacher. We performed a systematic review using the PRISMA protocol, aiming to identify the attributes of an excellent clinical teacher. MEDLINE, ERIC, ScienceDirect, and Scopus databases were searched for articles published in English and Spanish, between 2007 and 2019. Two independent reviewers extracted and synthesized data from articles that met the PRISMA pre-established criteria. Twelve studies met the inclusion criteria. Of the 106 attributes reported by the studies, 49 (46,2%) were generic. The most frequently mentioned attribute was respectfulness. Forty-six attributes (43,3%) were pedagogical. Feedback and planning were those most frequently mentioned. Eleven attributes (10,3%) were disciplinary and clinical skills was the most mentioned. We conclude that generic and pedagogical dimensions had a greater representation in the literature, in comparison with the disciplinary dimension. This could be explained, considering that having adequate clinical skills is the minimal necessary requisite to become a clinical teacher, but does not make a difference in how their performance is perceived, contrary to the generic and pedagogical dimensions.

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“…En ese contexto pueden distinguirse cuanto menos tres elementos: el requerimiento del paciente, la debida competencia del clínico y el carácter profesional de la práctica que tendrá a lugar. El modo más fidedigno para evaluarla no sólo está determinado por la competencia médica sino también por cuestiones ético/morales, que tomadas en conjunto procuran auxiliar al sufriente [2][3][4] .…”

Section: La Práctica Clínica Desde La Visión Bioéticaunclassified

“…Como un mandato omnipresente, implícito o explícito "hacer el bien y evitar el mal" es un elemento central en la relación de curación, y la posibilidad de que el enfermo recupere su integridad. Nos basemos en la ley natural, la voluntad o los afectos, el acto benefícienle es una brújula que nos permite navegar en las agitadas aguas del escéptico relativismo [2][3][4] .…”

Section: La Práctica Clínica Desde La Visión Bioéticaunclassified

Amar la vida / Wit (2001); un caso donde el arte de cuidar aparece desdibujado

Bottasso

2020

rmc

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Revisiting the need for virtue in medical practice: a reflection upon the teaching of Edmund Pellegrino

Cited by 18 publications

References 16 publications

Character Strengths Profiles in Medical Professionals and Their Impact on Well-Being

Character Strengths Profiles in Medical Professionals and Their Impact on Well-Being

Los atributos de un tutor clínico de excelencia: una revisión sistemática

Amar la vida / Wit (2001); un caso donde el arte de cuidar aparece desdibujado

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