The Charter on Medical Professionalism and the Limits of Medical Power

Professionalism and Medicine

“…Further, the recent inclusion of professionalism as one of the six core competencies for residents in training by the Accreditation Council for Graduate Medical Education (ACGME) is another important statement of support for these concepts [35]. The aforementioned Charter on Medical Professionalism [3,4] and professional codes such as that of the AMA and those of subspecialty colleges and societies, extend these expectations beyond the years of formal medical training.…”

“…These include technological change and innovation, market forces, bioterrorism, and globalization, to reference a few [3,4]. The charter implores physicians to Breassert their authority and recapture the medical high ground^in their efforts to improve the welfare of patients.…”

“…Driven by the extraordinary successes of the medical profession in the modern era, the practice of medicine has become increasingly identified with technical expertise and less a sense of public service. As will be discussed shortly, the result of this shift has been a renewed interest in medicine_s societal role and responsibilities [2][3][4][5][6]26].…”

“…It is widely acknowledged that potent forces of a political, legal, and market-driven nature are producing great stress on the practice of medicine [2][3][4][5]. Recognizing that such influences potentially threaten the underpinnings that unite physicians, patients, and society, there is widespread concern both inside and outside the profession concerning the impact such forces impart on medical practice.…”

Professional Development and Exposure to Geriatrics: Medical Student Perspectives From Narrative Journals

“…The Charter on Medical Professionalism, written under the auspices of internal medicine organizations in the United States and Europe (ABIM Foundation, ACP-ASIM Foundation, & European Federation of Internal Medicine, 2002;Reiser & Banner, 2003), stated "Professionalism is the basis of medicine's contract with society," but a unified definition of professionalism has been elusive (ABIM Foundation et al, 2002, p. 1; see also Arnold, 2002;Borgstrom, Cohn, & Barclay, 2010;Van de Camp, Vernooij-Dassen, Grol, & Bottema, 2004;Wagner, Hendrich, Moseley, & Hudson, 2007;Wilkinson, Wade, & Knock, 2009). The Next Accreditation System of the Accreditation Council for Graduate Medical Education (Accreditation Council for Graduate Medical Education, 2013) requires the competency of professionalism: clarifying and teaching professionalism remain goals in American medical education (Chaytor, Spence, Armstrong, & McLachlan, 2012;Goldie, 2012;Inui, 2003;Jarvis-Selinger, Pratt, & Regehr, 2012;Mann, 2011;McLachlan, Finn, & Macnaughton, 2009).…”